Sample records for aids medical aspects


    Directory of Open Access Journals (Sweden)

    T.A. Shulgina


    Full Text Available The article is devoted to the peculiarities of organization of high technology medical aid rendering at Saratov Scientific Research Institute of Traumatology and Orthopedics. Profiles and volumes of high technology medical aid and its order during 2006-2007 are presented.

  2. Medical aspects of nuclear armament

    Energy Technology Data Exchange (ETDEWEB)

    Janse, M.J.; Schene, A.; Koch, K.


    The authors highlight a few medical, biological and psycological aspects of the use of nuclear weapons, drawing attention to their viewpoint that doctors should actively participate in the fight against nuclear armament. The short and long-term radiation effects on man and ecology are presented based on the Hiroshima and Nagasaki experiences. The danger of human error within this framework is emphasised and it is suggested that it is the medical profession's duty to point out how the effect of stress and boredom can lead to a nuclear catastrophe. Medical expertise may also help in the identification of unstable personalities among those who have access to nuclear weapons and in the understanding of the psycology of international conflicts and the psychopathology of those leaders who would use nuclear war as an instrument of national policy. Finally the effects of the nuclear war threat on children and teenagers are considered.

  3. Aspects on Transfer of Aided - Design Files (United States)

    Goanta, A. M.; Anghelache, D. G.


    At this stage of development of hardware and software, each company that makes design software packages has a certain type of file created and customized in time to distinguish that company from its competitors. Thus today are widely known the DWG files belonging AutoCAD, IPT / IAM belonging to Inventor, PAR / ASM of Solid Edge's, PRT from the NX and so on. Behind every type of file there is a mathematical model which is common to more types of files. A specific aspect of the computer -aided design is that all softwares are working with both individual parts and assemblies, but their approach is different in that some use the same type of file both for each part and for the whole (PRT ), while others use different types of files (IPT / IAM, PAR / ASM, etc.). Another aspect of the computer -aided design is to transfer files between different companies which use different software packages or even the same software package but in different versions. Each of these situations generates distinct issues. Thus, to solve the partial reading by a project different from the native one, transfer files of STEP and IGES type are used

  4. 29 CFR 1926.23 - First aid and medical attention. (United States)


    ... 29 Labor 8 2010-07-01 2010-07-01 false First aid and medical attention. 1926.23 Section 1926.23... Provisions § 1926.23 First aid and medical attention. First aid services and provisions for medical care... prescribing specific requirements for first aid, medical attention, and emergency facilities are contained...

  5. [Emergency medical aid in a paediatrics context]. (United States)

    Branchard, Delphine; Tentillier, Éric; Gillet, Stéphane; Naud, Julien


    In France, the organisation of aid involves the intervention of the emergency medical services (Samu), which coordinate the medical regulation platforms for site 15 and the mobile emergency and intensive care services (Smur). Since they were created, the Samu have been tirelessly adapting their response to the various characteristics of pre-hospital assignments. Pre- and inter-hospital paediatrics has seen the development of specialised teams with the aim of providing effective aid which is adapted to the youngest and most vulnerable patients.

  6. Defects of organization in rendering medical aid

    Directory of Open Access Journals (Sweden)

    Shavkat Islamov


    Full Text Available The defects of organization at the medical institution mean disturbance of rules, norms and order of rendering of medical aid. The number of organization defects in Uzbekistan increased from 20.42%, in 1999 to 25.46% in 2001 with gradual decrease to 19.9% in 2003 and 16.66%, in 2006 and gradual increase to 21.95% and 28.28% (P<0.05 in 2005 and 2008. Among the groups of essential defects of organization there were following: disturbance of transportation rules, lack of dispensary care, shortcomings in keeping medical documentation.

  7. 29 CFR 1910.151 - Medical services and first aid. (United States)


    ... 29 Labor 5 2010-07-01 2010-07-01 false Medical services and first aid. 1910.151 Section 1910.151..., DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Medical and First Aid § 1910.151 Medical services and first aid. (a) The employer shall ensure the ready availability of medical personnel...

  8. Find Ryan White HIV/AIDS Medical Care Providers (United States)

    U.S. Department of Health & Human Services — The Find Ryan White HIV/AIDS Medical Care Providers tool is a locator that helps people living with HIV/AIDS access medical care and related services. Users can...

  9. Urological aspects of HIV and AIDS. (United States)

    Heyns, Chris F; Smit, Shaun G; van der Merwe, André; Zarrabi, Amir D


    The use of highly active antiretroviral therapy (HAART) in HIV-infected people has led to a dramatic decrease in the incidence of opportunistic infections and virus-related malignancies such as non-Hodgkin lymphoma and Kaposi sarcoma, but not cervical or anal cancer. Advanced-stage cervical cancer is associated with a high incidence of urological complications such as hydronephrosis, renal failure, and vesicovaginal fistula. Adult male circumcison can significantly reduce the risk of male HIV acquisition. Although HAART does not completely eradicate HIV, compliance with medication increases life expectancy. HIV infection or treatment can result in renal failure, which can be managed with dialysis and transplantation (as for HIV-negative patients). Although treatment for erectile dysfunction--including phosphodiesterase 5 inhibitors, intracavernosal injection therapy, and penile prosthesis--can increase the risk of HIV transmission, treatment decisions for men with erectile dysfunction should not be determined by HIV status. The challenges faced when administering chemotherapy to HIV-infected patients with cancer include late presentation, immunodeficiency, drug interactions, and adverse effects associated with compounded medications. Nonetheless, HIV-infected patients should receive the same cancer treatment as HIV-negative patients. The urologist is increasingly likely to encounter HIV-positive patients who present with the same urological problems as the general population, because HAART confers a prolonged life expectancy. Performing surgery in an HIV-infected individual raises safety issues for both the patient (if severely immunocompromised) and the surgeon, but the risk of HIV transmission from patients on fully suppressive HAART is small.

  10. Inflammatory Bowel Disease. Medical and psychological aspects

    NARCIS (Netherlands)

    Albersnagel, Frans; Dijkstra, Gerard


    A review is presented in which the state of the art of behavioural-scientific research on inflammatory bowel disease (BID) is sorted out. After a short introduction on medical aspects of the two diseases that constitute IBD, i.e. Crohn's disease and ulcerative colitis, the factors that may have an i

  11. [Selected marketing aspects in the hearing aids fitting and their distribution]. (United States)

    Sojkin, Bogdan; Pruszewicz, Antoni; Swidzińska, Anna; Swidziński, Piotr


    The developing of free market in Poland gives medical firms of opportunities but also necessity of adoption for more and more individual needs of customers. This article presents some aspects of marketing on the hearing aids market. The conclusions are based on long observation and empirical research. Problems mentioned in it are connected with principles like distribution channels, specific customers services and promotion. It also shows relations between medical firms, specialists, doctors, audiologists and real customers.

  12. Special radiation protection aspects of medical accelerators

    CERN Document Server

    Silari, Marco


    Radiation protection aspects relevant to medical accelerators are discussed. An overview is first given of general safety requirements. Next. shielding and labyrinth design are discussed in some detail for the various types of accelerators, devoting more attention to hadron machines as they are far less conventional than electron linear accelerators. Some specific aspects related to patient protection are also addressed. Finally, induced radioactivity in accelerator components and shielding walls is briefly discussed. Three classes of machines are considered: (1) medical electron linacs for 'conventional' radiation therapy. (2) low energy cyclotrons for production of radionuclides mainly for medical diagnostics and (3) medium energy cyclotrons and synchrotrons for advanced radiation therapy with protons or light ion beams (hadron therapy). (51 refs).

  13. 46 CFR 154.1435 - Medical first aid guide. (United States)


    ... 46 Shipping 5 2010-10-01 2010-10-01 false Medical first aid guide. 154.1435 Section 154.1435 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY... Equipment § 154.1435 Medical first aid guide. Each vessel must have a copy of the IMO Medical First...

  14. Teaching Medical Sociology and AIDS: Some Ideas and Objectives. (United States)

    Hunt, Charles W.


    Presents reasons for introducing Acquired Immune Deficiency Syndrome (AIDS) into a medical sociology course. States course objectives are to demonstrate relationship between the biological and the social in health and disease; describe crisis for the health system; discuss AIDS in a developing nations context; and demythologize AIDS and increase…

  15. 29 CFR 1926.50 - Medical services and first aid. (United States)


    ... CFR 1910.1030(d)(3)) (56 FR 64175). ... 29 Labor 8 2010-07-01 2010-07-01 false Medical services and first aid. 1926.50 Section 1926.50... Environmental Controls § 1926.50 Medical services and first aid. (a) The employer shall insure the...

  16. First Year Medical Students′ AIDS Knowledge and Attitude

    Directory of Open Access Journals (Sweden)

    Amalraj Edwin R


    Full Text Available Research Question: What is the level of knowledge, sexual practices and attitude of medical students towards AIDS/ HIV. Objective: To assess the knowledge, sexual practices and attitudes of medical students in relation to HIV/AIDS. Study Design: Cross- sectional. Participants: 409 first year medical students. Study variables: Sex knowledge, sexual practices, Attitudes, Risk perception. Results: 92% of the students had heard about AIDS predominantly through mass media. Many students had misconception about transmission of HIV infection should not be allowed to work in the clinic or hospital. 36% of male and 9% of female students admitted indulging in safe sexual practices mostly with their friends.

  17. Computer-Aided Medical Diagnosis. Literature Review (United States)


    BOUCKAERT, A., Computer-aided diagnosis of goitres in a cancer department, Int. J. Bio-’Med. Comput., 3 (1972) p. 3. BOYLE, J. A., GREIG, W. R., FRANKLIN, D...toxic goitre , Q. J. Med., 35 (1966) p. 565. Bricetti, A. B. and Bleich, H. L., A computer program that evaluates patients with hypercalcemia, J

  18. AIDS-related Knowledge, Condom Usage Among Medical Postgraduates

    Institute of Scientific and Technical Information of China (English)


    Objective To investigate the knowledge about safety/unsafty of sexual acts relating to HIV transmission, levels of embarrassment related to condom and condom usage among medical postgraduates. Methods From August to December, 1998, a self-administered anonymous questionnaire was given to 271 new medical postgraduates from two medical colleges of Beijing and Hebei Province. Results There was a hazy understanding of the protective function of condom from AIDS among medical postgraduates. Only 14.4% medical postgraduates persisted in using condom, and 27.94% had never or almost never used it. The levels of embarrassment about condom were high. The median score was 3.55+0.98. Whether to use condom was related with the attitudes to condom, but not to AIDS. Conclusion There was some misunderstanding about condom and inconsistent condom usage in medical postgraduates. So it is essential to strengthen the sexual health education among them.

  19. [Medical professionalism: historical and religious aspects]. (United States)

    Rodríguez P, José Adolfo


    The essence of the medical profession resides in the medical act, whereupon a sick human being meets another with the power to heal him or her. The source of this power has evolved from the divinity itself through magic to science or acquired knowledge. This power implies acknowledgement of values that are inherent to the profession as well as responsibility toward one's own conscience and toward society, elements considered constitutive of what we now call professionalism. From antiquity these principles have evolved into behavioral codes containing variable components according to the different ages and cultures, but also permenent core values such as respect for life, altruism, and honesty, among others. Scientific and technological advances have magnified medical power but at the same time they have required that the philosophical and ethical principles that ought to inform professional practice be made explicit. This happens at a time when certitudes are questioned or abandoned, relativism and secularism pervade culture, and traditional medical values are challenged. Therefore, consensus attainment appears for some as the only legitimation of the ethics of professional medical acts, while for others the ancestral principles and values of medicine have permanent validity as objective goods based on the dignity of the human person.

  20. [Changing aspects in continuing medical education]. (United States)

    Okisaka, Shigekuni


    Self-directed learning based on adult education theory and self-assessment are necessary for continuing medical education. Self-directed learning is the process whereby the individual takes the initiative in diagnosing his learning needs and setting his own individual learning goals, showing clearly the human and physical resources, putting an appropriate plan into practice, and evaluating the learning outcome. Because self-assessment is the evaluation of the process where the individual confirms his actual learning, portfolio assessment is utilized for this purpose. In the continuing medical education program of the Japanese Ophthalmological Society, it is vital that the appropriate credit and recognition program keep up with the changes in adult education theory. Therefore, portfolio assessment is introduced for self-assessment. The Ophthalmic Pathology Slide Seminar is a model of medical education based on self-directed learning.

  1. The historic and national aspects of medical ethics and deontology.



    Researches of problems of medical ethics and deontology in activity of the medical worker presented. Historical and national aspects of the delivered problem are considered. They open diversity and complexity of realization of problems of formation of the person of the medical worker. The humanism in medicine makes its ethical basis and morals. The humanism serves moral development of the person of the medical worker. Without humanism the medicine loses the right on existence. Its scientific ...

  2. Psychophysical aspects in medical illumination techniques. (United States)

    Giacomuzzi, S M; Buchberger, W; Peer, R; Peer, S; Bale, R; Perkmann, R; Jaschke, W


    The relation between image and visual perception of the human eye is an important point in digital imaging systems. Research aims should therefore pay attention to psychophysical aspects. Optimising of digital imaging systems can only be reached if the important final steps in the diagnostic process--visual perception and signal detection--are taken into account.

  3. Psychophysical Aspects in Medical Illumination Techniques

    Energy Technology Data Exchange (ETDEWEB)

    Giacomuzzi, S.; Buchberger, W.; Peer, R.; Peer, S.; Bale, R.; Perkmann, R.; Jaschke, W


    The relation between image and visual perception of the human eye is an important point in digital imaging systems. Research aims should therefore pay attention to psychophysical aspects. Optimising of digital imaging systems can only be reached if the important final steps in the diagnostic process - visual perception and signal detection - are taken into account. (author)

  4. Medical and Scientific Aspects of Cycling. (United States)

    Burke, Edmund R., Ed.; Newsom, Mary M., Ed.

    The 24 contributions to this volume were written by coaches, sport scientists, and medical authorities who surveyed recent research on biomechanics, physiology, psychology, nutrition, treatment of injuries, and training techniques for cyclists. There are four sections: (1) biomechanics and physiology; (2) research: techniques and results; (3)…

  5. [Aspects of communication regarding medical malpractice suits]. (United States)

    Pilling, János; Erdélyi, Kamilla


    Due to problems experienced in health care, there is an increased amount of malpractice suits nowadays. Nevertheless, some physicians are more likely to be sued, or more frequently sued, than others. Numerous studies indicate that this phenomenon fundamentally results from a lack of interpersonal and communication skills on the part of the sued doctor, namely, deficiencies in questioning the patient, listening, conveying information, etc. Communication is of pivotal importance in patient care vis-à-vis medical errors as well. The majority of physicians aim to conceal the error, albeit this may lead to further deterioration of the patient's condition. In institutions where open communication regarding errors was introduced within the medical team and toward the patient and their family alike, the number of malpractice suits decreased. It is crucial to establish a means of support for doctors, and to promote communication trainings, as well as a supportive legal environment.

  6. Human rights and the requirement for international medical aid. (United States)

    Tolchin, Benjamin


    Every year approximately 18 million people die prematurely from treatable medical conditions including infectious diseases and nutritional deficiencies. The deaths occur primarily amongst the poorest citizens of poor developing nations. Various groups and individuals have advanced plans for major international medical aid to avert many of these unnecessary deaths. For example, the World Health Organization's Commission on Macroeconomics and Health estimated that eight million premature deaths could be prevented annually by interventions costing roughly US$57 bn per year. This essay advances an argument that human rights require high-income nations to provide such aid. The essay briefly examines John Rawls' obligations of justice and the reasons that their applicability to cases of international medical aid remains controversial. Regardless, the essay argues that purely humanitarian obligations bind the governments and citizens of high-income liberal democracies at a minimum to provide major medical aid to avert premature deaths in poor nations. In refusing to undertake such medical relief efforts, developed nations fail to adequately protect a fundamental human right to life.

  7. The History, Biology and Medical Aspects of Leprosy. (United States)

    Eichman, Phillip


    Presents information about the history, biology, and medical aspects of leprosy, including its description in historical documents, its cause and effects, statistics on its prevalence, and various attempts at treatment. Notes that leprosy is one of the few infectious diseases that, although treatable with medication, remains incurable. Contains 30…

  8. [Assisted suicide - medical, legal, and ethical aspects]. (United States)

    Bosshard, G


    Unlike in most European countries, assisted suicide is not illegal in Switzerland. The number of assisted suicides procured by right-to-die organisations such as Exit or Dignitas has sharply increased in the last twenty years. Central part of the doctor's involvement is the prescription of a lethal dose of sodium pentobarbital. In doing so, the doctor has to apply to the rules of medical due care. A proper examination of the patient is required, who must be informed about his diagnosis, about the expected prognosis, and about different treatment options. Verification of the patient's decisional capacity is crucial. In general, a staff member of the organisation but not the doctor is present during suicide. Following death, the assisted suicide has to be reported to the police as an extraordinary death case.

  9. The historic and national aspects of medical ethics and deontology.

    Directory of Open Access Journals (Sweden)

    Prikhoda Igor' Viktorovich


    Full Text Available Researches of problems of medical ethics and deontology in activity of the medical worker presented. Historical and national aspects of the delivered problem are considered. They open diversity and complexity of realization of problems of formation of the person of the medical worker. The humanism in medicine makes its ethical basis and morals. The humanism serves moral development of the person of the medical worker. Without humanism the medicine loses the right on existence. Its scientific and professional principles conflict to its basic purpose - to serve the person.

  10. Sociocultural and epidemiological aspects of HIV/AIDS in Mozambique

    Directory of Open Access Journals (Sweden)

    Moon Troy D


    Full Text Available Abstract Background A legacy of colonial rule coupled with a devastating 16-year civil war through 1992 left Mozambique economically impoverished just as the human immunodeficiency virus (HIV epidemic swept over southern Africa in the late 1980s. The crumbling Mozambican health care system was wholly inadequate to support the need for new chronic disease services for people with the acquired immunodeficiency syndrome (AIDS. Methods To review the unique challenges faced by Mozambique as they have attempted to stem the HIV epidemic, we undertook a systematic literature review through multiple search engines (PubMed, Google Scholar™, SSRN, AnthropologyPlus, AnthroSource using Mozambique as a required keyword. We searched for any articles that included the required keyword as well as the terms 'HIV' and/or 'AIDS', 'prevalence', 'behaviors', 'knowledge', 'attitudes', 'perceptions', 'prevention', 'gender', drugs, alcohol, and/or 'health care infrastructure'. Results UNAIDS 2008 prevalence estimates ranked Mozambique as the 8th most HIV-afflicted nation globally. In 2007, measured HIV prevalence in 36 antenatal clinic sites ranged from 3% to 35%; the national estimate of was 16%. Evidence suggests that the Mozambican HIV epidemic is characterized by a preponderance of heterosexual infections, among the world's most severe health worker shortages, relatively poor knowledge of HIV/AIDS in the general population, and lagging access to HIV preventive and therapeutic services compared to counterpart nations in southern Africa. Poor education systems, high levels of poverty and gender inequality further exacerbate HIV incidence. Conclusions Recommendations to reduce HIV incidence and AIDS mortality rates in Mozambique include: health system strengthening, rural outreach to increase testing and linkage to care, education about risk reduction and drug adherence, and partnerships with traditional healers and midwives to effect a lessening of stigma.

  11. Daily medication routine of adolescents with HIV/AIDS


    Cristiane Cardoso de Paula; Stela Maris de Mello Padoin; Crhis Netto de Brum; Clarissa Bohrer da Silva; Paulo Victor Cesar de Albuquerque; Renata de Moura Bubadué


    The objective of this study was to describe the sociodemographic, clinical, and behavioral characteristics of the daily medication routine of adolescents with HIV/AIDS of ages 13 to 19 years, followed at a reference service. This descriptive cross-sectional study was performed with 23 adolescents, using a quantitative approach. Data were collected using a form during appointments at the outpatient clinic. Univariate analysis revealed: females, in the initial phase of adolescence, and vertical...

  12. Progeria: Medical Aspects, Psychosocial Perspectives, and Intervention Guidelines. (United States)

    Livneh, Hanoch; And Others


    Discusses progeria (or Hutchinson-Gilford syndrome), a rare childhood disorder that invariably results in death during adolescence. Describes the major medical aspects of progeria, and discusses the psychosocial implications of the disorder with particular emphasis on grief-triggered reactions. Presents an overview of psychosocial intervention…

  13. Daily medication routine of adolescents with HIV/AIDS

    Directory of Open Access Journals (Sweden)

    Cristiane Cardoso de Paula


    Full Text Available The objective of this study was to describe the sociodemographic, clinical, and behavioral characteristics of the daily medication routine of adolescents with HIV/AIDS of ages 13 to 19 years, followed at a reference service. This descriptive cross-sectional study was performed with 23 adolescents, using a quantitative approach. Data were collected using a form during appointments at the outpatient clinic. Univariate analysis revealed: females, in the initial phase of adolescence, and vertical transmission. The highlights were: lack of assiduity to appointments; unprotected sex; and consumption of alcohol. Regarding the daily medication routine, subjects depend on their parents or guardians, use strategies to remember to take the medications, and are unaware about the laboratory test for disease management and treatment. There is a need for educative intervention using information and communication technology, such as the Internet, to promote health and autonomy among adolescents. Descriptors: Acquired Immunodeficiency Syndrome; Adolescent Health; Antiretroviral Therapy, Highly Active; Nursing.

  14. Ten Doctors Awarded 2015 Most Beautiful Doctors of China’s Overseas Medical-Aid Missions

    Institute of Scientific and Technical Information of China (English)

    Our; Staff; Reporter


    A commonweal activity to commend Chinese doctors and medical teams on overseas medical-aid missions that have made prominent contributions to global medical and health services,especially those battling the Ebola epidemic,was launched in January.Dubbed the 2015"Boundless Love—Finding Most Beautiful Doctors of China’s Overseas Medical-Aid Missions",it was

  15. 41 CFR 50-204.6 - Medical services and first aid. (United States)


    ... first aid. 50-204.6 Section 50-204.6 Public Contracts and Property Management Other Provisions Relating... SUPPLY CONTRACTS General Safety and Health Standards § 50-204.6 Medical services and first aid. (a) The... trained to render first aid. First aid supplies approved by the consulting physician shall be...

  16. [Niccolo Paganini: medical aspects of his life and work]. (United States)

    Miranda C, Marcelo; Navarrete T, Luz; Zúñiga N, Gonzalo


    Niccolo Paganini is the most virtuous violinist of the history of music. He even received the nick name of "the violinist of the evil" for his outstanding skills on stage performance. It has been suggested that he had syphilis and tuberculosis, the commonest diseases of that time, but this hypothesis remains speculative. There are suggestions that he was the victim of iatrogenic mercurial poisoning. Furthermore, his body build suggests the presence of Ehlers-Danlos syndrome which could give him special anatomical conditions allowing him to achieve an amazing level of vírtuousness in his art. We herein review the medical aspects of this brilliant musician's life.

  17. Social aspects of HIV/AIDS and aging: a thematic review. (United States)

    Roger, Kerstin Stieber; Mignone, Javier; Kirkland, Susan


    Little research can be found describing social aspects of aging with human immunodeficiency virus infection/acquired immunodeficiency syndrome (HIV/AIDS) in Canada specifically, despite an overall increase in an aging population and increased numbers of those aging with HIV/AIDS. A systematic literature review was conducted with a selective focus on social aspects related to older adults who are living with or at risk for contracting HIV/AIDS. The primary themes that emerged in the literature are ageism and stigma, gender, mental health, and social supports. Recommendations for future research regarding prevention and education of risks for older adults and programming suitable for a wide range of audiences are presented.

  18. 78 FR 31563 - Ryan White HIV/AIDS Program Core Medical Services Waiver; Application Requirements (United States)


    ... HUMAN SERVICES Health Resources and Services Administration Ryan White HIV/AIDS Program Core Medical... amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Ryan White Program or RWP), requires... antiretroviral drugs, for individuals with HIV/AIDS identified and eligible under the statute. The statute...

  19. 30 CFR 75.1713 - Emergency medical assistance; first-aid. (United States)


    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Emergency medical assistance; first-aid. 75... Emergency medical assistance; first-aid. Each operator shall make arrangements in advance for obtaining... provided to the nearest point of assistance. Selected agents of the operator shall be trained in...

  20. [The social and medicolegal aspects of maternal request or non-medically indicated cesarean section]. (United States)

    Fisher, Menachem; Shrem, David; Solt, Ido


    Patient choice cesarean or cesarean by maternal request/ demand is a controversial issue. The medical literature contains evidence based data on the medical aspects of patient choice cesarean, risks and benefits to the mother and her newborn. Fewer studies focused on the social and legal aspects of patient choice cesarean. This opinion paper discusses the social and legal aspects of patient choice cesarean.

  1. Health Care Professionals’ Knowledge and Attitudes About Sexually Transmitted Diseases and Legal Aspects of Medical Services

    Directory of Open Access Journals (Sweden)

    Akpak Yaşam Kemal


    Full Text Available Objective: This study aims to investigate healthcare professionals’ (HCPs general level of knowledge about sexually transmitted diseases, their attitudes towards these patients and legal aspects of medical services. Materials and Methods: This was a multi-centered study. The participants were given 28 questions that mainly asked their level of knowledge on sexually transmitted diseases (STDs patients, their attitudes towards such patients, and their legal as well as ethical views on them. Results: A total of 234 HCPs, 124 (53% female and 110 (47% male, participated in the study. The majority of married HCPs have reported monogamy as the most reliable protection method, whereas single participants have marked "condoms." The most commonly known STD has been reported as AIDS in all groups. Even though HCPs find it medically unethical not to offer a medical intervention to patients with STDs, more than one-third of the participants believe that HCPs should have the right not to do so. Conclusion: It has been concluded that HCPs need further education on STDs. Nevertheless, such high level of care and attention on HCPs’ part does not necessarily decrease their need for proper medico legal regulations on such issues.

  2. Teaching an AIDS Course from a Medical Sociology Perspective. (United States)

    Campbell, Carole A.


    A sociology course on Acquired Immune Deficiency Syndrome (AIDS) and its societal context, taught at California State University, Long Beach, is described. The background, content, organization, administrative and emotional demands, teaching methods (including input from patients with AIDS), texts, and impact of the interdisciplinary course are…

  3. 78 FR 63990 - HIV/AIDS Bureau; Ryan White HIV/AIDS Program Core Medical Services Waiver; Application Requirements (United States)


    ... drugs, for individuals with HIV/AIDS identified and eligible under the statute. The statute also grants... Assistance Program (ADAP) and core medical services are available to all individuals identified and eligible... for submitting an application to waive the statutory requirement that a grantee spend at least...

  4. On the evaluation of the safety aspects of nanomaterials in medical devices – a regulatory perspective


    Wu, Eva; Chan, Christopher; Li, Albert


    Nanotechnology is widely used in many aspects of the design and manufacture of medical devices. To date, many of these new medical devices, referred to as nano medical devices, have been submitted to health authorities for premarket regulatory review. There are ongoing discussions between medical device manufacturers and regulatory authorities regarding the standards and methods required for the evaluation process. Taking into consideration aspects including nano-toxicology and biocompatibili...

  5. [Medical and social aspects of epilepsy (author's transl)]. (United States)

    Ritter, G


    A review of social aspects of epilepsy is given. Similar to the own experience the literature shows only little social prestige given to patients with epilepsy, an experience known from persons with psychiatric disorders. The prevalence rate for chronic epilepsy is 0.5%. So called genuine seizures decreased with diagnostic progress during the last years (about 50%). Lower social classes and negative social patterns are characteristic of employees with epileptic fits. Unemployed persons show normal social structure. A relation to social class and onset of epilepsy exists. Epileptics are socially immobile. Like other persons with chronic diseases epilepsy produces a special social attitude and often negative therapeutic motivation. In contrast to the literature non-hospitalized epileptics show normal intelligence. Neurotic symptoms are seen in many cases however (about 40%). Often social disturbances origin from broken home situations. There is no specific social and mental defect. According to the own experience social integration of epileptics depends upon the local economic structure. The common prejudice varies with the local area. Social drop-outs are not due to the seizures, but occur mainly in mentally retarded persons who are not able to follow therapeutic regimens. Delinquency is increased among the own patients (18%). The causes are psychoorganic syndromes, often in connection with negative therapeutic motivation and alcoholism. The tendency to specific crimes, known from the literature, could not be confirmed. Forensic problems in direct connection with epileptic fits are rare. Medical problems concerning ability to drive often occur. Many patients possess a driver licence (46.5%), gained after onset of epilepsy in 50%. But the accident rate is lower than in the general population. Special outpatient departments and therapeutic groups for epileptics--affiliated to neurological centers--can improve the exact diagnosis, therapeutic motivation and social

  6. Patients' attitudes to medical and psychosocial aspects of care in fertility clinics

    DEFF Research Database (Denmark)

    Schmidt, L; Holstein, B E; Boivin, J


    services for both men and women was high infertility-related stress in the marital, personal and social domain. CONCLUSIONS: A supportive attitude from medical staff and the provision of both medical and psychosocial information and support should be integral aspects of medical care in fertility clinics...

  7. Attitudes toward people with HIV/AIDS among medical practitioners and nonmedical specialists in Ukraine

    Directory of Open Access Journals (Sweden)

    Zhabenko, Nataliya


    Full Text Available INTRODUCTION: AIDS is the disease that has been stigmatized since its development; stigmatization of people living with HIV is an important barrier to using HIV testing and treatment. It is well known, that stigma is associated with mental disorders including depression and anxiety. Ukraine is a country with one of the highest number of annual HIV infection cases. GOALS: The goal of this study was to evaluate medical practitioners’ (surgeons, psychiatrists, therapists and students and nonmedical specialists’ attitude toward people with HIV/AIDS.METHODS: A total of 180 individuals participated in the study. Acceptance of people who have AIDS or are infected with HIV was assessed with the help of the “Attitudes toward people with HIV or AIDS”. Total scores range from 50 to 10, higher scores indicate high acceptance of persons with HIV/AIDS.RESULTS: Younger participants reported higher acceptance of persons with HIV or AIDS (p.05. Medical practitioners showed greater total score, compare to nonmedical specialists (38.0 ± 6.0 vs. 34.0 ± 5.5, respectively, p<.05. A one-way between-groups analysis of variance was conducted to explore the impact of medical specialty on levels of positive attitudes toward people with HIV or AIDS. The actual difference in mean scores between the 4 groups was moderate (.06. Students and psychiatrists reported more positive attitudes (higher acceptance toward people with HIV and AIDS, but analyses showed, that there was not a statistically significant difference at the level in total score for the groups.CONCLUSION: In this study we evaluated the level of attitudes toward people with HIV or AIDS in Ukraine. Young age and medical education were significantly associated with the positive attitudes toward people with HIV and AIDS. Our findings are important for the programs reducing the stigma and discrimination that should be addressed to the wide layers of the society.


    Directory of Open Access Journals (Sweden)

    G. Ya. Ibragimova


    Full Text Available The article analyzes principal legal aspects of medical products storage, appointed for medical and sanitary consequences of emergencies mitigation. We have revealed that nowadays there is a whole range of legal gaps and uncertainties in the regulation of medical products storage. We have also offered the ways for their solution

  9. [Medical and environmental aspects of the drinking water supply crisis]. (United States)

    Él'piner, L I


    Modern data determining drinking water supply crisis in Russia have been considered. The probability of influence of drinking water quality used by population on current negative demographic indices was shown. The necessity of taking into account interests of public health care in the process of formation of water management decisions was grounded. To achieve this goal the application of medical ecological interdisciplinary approach was proposed Its use is mostly effective in construction of goal-directed medical ecological sections for territorial schemes of the rational use and protection of water resources. Stages of the elaboration of these sections, providing the basing of evaluation and prognostic medical and environmental constructions on similar engineering studies of related disciplinary areas (hydrological, hydrogeological, hydrobiological, hydrochemical, environmental, socio-economic, technical and technological) were determined.


    Directory of Open Access Journals (Sweden)

    Smaranda Diaconescu


    Full Text Available Child neglect was and continues to be a matter of both professional and public interest, thoroughly debated by child protection researchers and specialists, sociologists, psychologists and social workers, specialists in education and health. Drawing on some examples encountered in current medical practice, we tried to identify the causal factors of child neglect from a medical point of view and the attitude that healthcare professionals should adopt towards such situations. The correct and efficient management of medical neglect cases requires an assessment of the child’s needs, the identification of the parents’ resources and guidance of their efforts so as to properly cater to the child’s needs for the purpose of ensuring the optimum health of the latter.

  11. 34 CFR 300.113 - Routine checking of hearing aids and external components of surgically implanted medical devices. (United States)


    ... components of surgically implanted medical devices. 300.113 Section 300.113 Education Regulations of the... surgically implanted medical devices. (a) Hearing aids. Each public agency must ensure that hearing aids worn...) External components of surgically implanted medical devices. (1) Subject to paragraph (b)(2) of...

  12. Elder Specialists: Psychosocial Aspects of Medical Education in Geriatric Care (United States)

    McCann-Stone, Nancy; Robinson, Sherry B.; Rull, Gary; Rosher, Richard B.


    This paper describes an Elder Specialist Program developed by one school of medicine to sensitize medical students to geriatric psychosocial issues. Elder Specialists participate in panel discussions as part of each geriatric session. As an alternative to traditional senior mentoring programs, the Elder Specialist Program provides all students a…

  13. [Medical aspects of common non-lethal weapons]. (United States)

    Kunz, Sebastian Niko; Grove, Christina; Monticelli, Fabio


    The development and provision of non-lethal weapons (NLW) allow military and law enforcement personnel to exploit gradual engagement in countering potentially hazardous threats. Chemical, kinetic and electrical weapons systems are used to curb violence in civilian crowds. With inappropriate usage, these technologies can cause potentially fatal injuries that are not only of clinical, but also of legal relevance. In this context, the practicing physician is faced with treatment as well as assessment issues of new forms of injuries. In order to assure medical care and to be able to draw competent expert's conclusions, a detailed knowledge of the medical effects of these NLW is necessary. The review at hand presents today's most popular NLW and gives an overview of their possible injury potential and required treatments.

  14. [Intercultural aspects of medical care for undocumented migrants]. (United States)

    Cerda-Hegerl, Patricia


    In view of the cultural diversity in German society today, the time has long since come when medical care must adjust to its new clientele. This article provides an overview for doctors, medical personnel and psychologists of approaches, backgrounds and networks of migration to Germany, in particular over the little known undocumented migration. This migration has steadily increased in recent years. The author deals with the circumstances which create psychological problems for migrants and what happens when migrants living in this shadow world fall ill. In addition, the article offers an agenda for interculturally competent action in caring for documented and undocumented migrants. Dimensions of cultural differences such as collectivism versus individualism (most of the countries of origin of these migrants in Germany with or without documents are collectivistic) are explained along with differences in styles of communication. The following styles with their impact in actual practice are analyzed: indirect versus direct communication; emotional control versus expressiveness; functionalism versus relationship orientation.


    Directory of Open Access Journals (Sweden)

    Katya Peeva


    Full Text Available The student is the main subject in the education process. The goal of the study is to examine the relative weight of the components of learning process in the students’ evaluation assessment for quality of higher medical education. Direct individual inquiry with rank answers for 541 medical students was completed. Logistic regression analysis was done to create predictive models and derive relationships between quality of education factors and its dependents: assessment of quality and students' progress. Tolerance and respectfulness (OR = 13.1, high general culture (OR = 18.4, clearand accessiblecontemporaryteaching (OR = 9.2, engagement of the audience (OR = 3.4, are the teacher characteristics in the model. Application ofnew technologiesinlearning (OR = 4.2,discussion (OR = 5.9, patients observations and live contact (OR = 5.6 are educational methods determine the qualityof education. Accordinginterns quality of education isdetermined mainly by clinical facilities, quality lectures,solving clinical cases, and practical work. 

  16. [Psychological aspects of public activity of a forensic medical examiner]. (United States)

    Bashkireva, E A; Buromskiĭ, I V


    In the recent years, professional activity of forensic medical examiners has been gaining publicity which necessitates knowledge of individual psychologic personality traits, the ability to effectively communicate, and high vocational culture on the part of each specialist. The specific character of professional contacts of a forensic medical expert is self-evident taking into consideration that he (she) has to deal with a great variety of persons including law enforcement officials, law breakers and criminal offence victims, men and women, young and aged people, representatives of different social groups, subjects in a specific emotional state, etc. In order to organize efficacious cooperation with all these individuals, the expert must develop high communicative competence, possess knowledge of psychology of communication, abilities and skills necessary for the establishment and maintenance of professional and business contacts.

  17. CADMIO: computer aided design for medical information objects. (United States)

    Minarelli, D V; Ferri, F; Pisanelli, D M; Ricci, F L; Tittarelli, F


    The growth of the computational capability and the tools of graphic software is nowadays available in an integrated manner into the development environments, thus permitting the realization of tool kits capable of handling information that is complex and of different kinds such as the typical medical information. This has given a great impulse to the creation of electronic medical folders joining together with new and stimulating functionality with respect to the usual paper document [1]. In the present work, we propose a tool capable of defining a multimedia electronic medical folder and representing its architecture through a layout that is formed on the basis of the particular data types to be handled. This tool is capable of providing an integrated view of data that, even though they are close in cognitive sense, are often stored and represented apart in the practice. Different approaches to the browsing feature are giving within the system, thus the user can personalize the way of viewing the information stored into the folder or can let the system guide the browsing.

  18. The medical aspects of the 1565 Great Siege of Malta. (United States)

    Savona-Ventura, Charles


    The 1565 Siege of Malta served as a turning point in the westward Ottoman advance. The 4-month long siege was resisted by the indomitable belief of the defenders that their cause was just and holy. It also required prior detailed organisation to ensure sufficient war materials and that the overall health of the combatants and non-combatants was maintained throughout the months of the siege. This article reviews the contemporary and historical sources relating to the conflict to identify the medical operational plans used by the military during this historic siege.

  19. [Alexander Pushkin's duel--biographic and medical aspects]. (United States)

    Tangen, J M


    The great Russian poet Aleksandr Pushkin (1799-1837) died 46 hours after being wounded by a pistol shot in a duel. The bullet penetrated the right pelvic bone, continued through the lower abdomen, and crushed the right part of the sacral bone. Biographical events leading to the duel are presented in the article, which also reviews articles in Russian medical journals describing the extent of the trauma and discussing the treatment possibilities at the time of the duel as well as present-day treatment. It is concluded that death was caused by peritonitis and that only modern extensive abdominal and orthopaedic surgery combined with antibiotic treatment could have saved the poet's life.

  20. Some aspects of doping and medication control in equine sports. (United States)

    Houghton, Ed; Maynard, Steve


    This chapter reviews drug and medication control in equestrian sports and addresses the rules of racing, the technological advances that have been made in drug detection and the importance of metabolism studies in the development of effective drug surveillance programmes. Typical approaches to screening and confirmatory analysis are discussed, as are the quality processes that underpin these procedures. The chapter also addresses four specific topics relevant to equestrian sports: substances controlled by threshold values, the approach adopted recently by European racing authorities to control some therapeutic substances, anabolic steroids in the horse and LC-MS analysis in drug testing in animal sports and metabolism studies. The purpose of discussing these specific topics is to emphasise the importance of research and development and collaboration to further global harmonisation and the development and support of international rules.

  1. AIDS (United States)

    ... page: // HIV/AIDS To use the sharing features on this page, ... immunodeficiency virus (HIV) is the virus that causes AIDS. When a person becomes infected with HIV, the ...

  2. Bioassay Phantoms Using Medical Images and Computer Aided Manufacturing

    Energy Technology Data Exchange (ETDEWEB)

    Dr. X. Geroge Xu


    A radiation bioassay program relies on a set of standard human phantoms to calibrate and assess radioactivity levels inside a human body for radiation protection and nuclear medicine imaging purposes. However, the methodologies in the development and application of anthropomorphic phantoms, both physical and computational, had mostly remained the same for the past 40 years. We herein propose a 3-year research project to develop medical image-based physical and computational phantoms specifically for radiation bioassay applications involving internally deposited radionuclides. The broad, long-term objective of this research was to set the foundation for a systematic paradigm shift away from the anatomically crude phantoms in existence today to realistic and ultimately individual-specific bioassay methodologies. This long-term objective is expected to impact all areas of radiation bioassay involving nuclear power plants, U.S. DOE laboratories, and nuclear medicine clinics.

  3. Predictors of Medication Adherence in an AIDS Clinical Trial: Patient and Clinician Perceptions (United States)

    Cox, Lisa E.


    This article presents data from an AIDS clinical trial that evaluated 238 (60 percent nonwhite) patients infected with HIV and their clinician's perceptions of medication adherence and visit attendance in relationship to lifestyle, psychosocial, and health belief model (HBM) variables. Twelve sites collected data via a prospective, multisite…

  4. Randomized controlled trial of the effect of medical audit on AIDS prevention in general practice

    DEFF Research Database (Denmark)

    Sandbæk, Annelli


    OBJECTIVE: We aimed to evaluate the effect of a medical audit on AIDS prevention in general practice. METHODS: We conducted a prospective randomized controlled study performed as 'lagged intervention'. At the time of comparison, the intervention group had completed 6 months of audit including a p...

  5. Medical image computing and computer-aided medical interventions applied to soft tissues. Work in progress in urology

    CERN Document Server

    Troccaz, Jocelyne; Berkelman, Peter; Cinquin, Philippe; Daanen, Vincent; Leroy, Antoine; Marchal, Maud; Payan, Yohan; Promayon, Emmanuel; Voros, Sandrine; Bart, Stéphane; Bolla, Michel; Chartier-Kastler, Emmanuel; Descotes, Jean-Luc; Dusserre, Andrée; Giraud, Jean-Yves; Long, Jean-Alexandre; Moalic, Ronan; Mozer, Pierre


    Until recently, Computer-Aided Medical Interventions (CAMI) and Medical Robotics have focused on rigid and non deformable anatomical structures. Nowadays, special attention is paid to soft tissues, raising complex issues due to their mobility and deformation. Mini-invasive digestive surgery was probably one of the first fields where soft tissues were handled through the development of simulators, tracking of anatomical structures and specific assistance robots. However, other clinical domains, for instance urology, are concerned. Indeed, laparoscopic surgery, new tumour destruction techniques (e.g. HIFU, radiofrequency, or cryoablation), increasingly early detection of cancer, and use of interventional and diagnostic imaging modalities, recently opened new challenges to the urologist and scientists involved in CAMI. This resulted in the last five years in a very significant increase of research and developments of computer-aided urology systems. In this paper, we propose a description of the main problems rel...

  6. Animal poisoning - veterinary-medical and criminal-legal aspects

    Directory of Open Access Journals (Sweden)

    Aleksić Jelena


    Full Text Available Apart from approved or planned poisoning with agricultural purpose, an increase in the number of cases of intentional animal poisoning (primarily referring to cats and dogs has been detected in Serbia, and it is suspected that their number is significantly larger than the one shown by the official statistics data. Under the conditions prescribed by the Criminal Code of the Republic of Serbia, such activities may represent the crime of killing and torture of animals, but also the crime of causing a general danger. It would be impossible to conduct the procedure of discovering and proving these criminal offences and the responsibility of their perpetrators without findings and opinion of forensic veterinary-medicine experts. They play an important role when it comes to site inspection, crime scene processing, collecting the samples from the crime scene, processing of samples and autopsy and exhumation of a potentially poisoned animal body. Just like other evidence in criminal procedure, findings and opinion of experts of veterinary medicine are estimated in accordance with the principle of free assessment of evidence. However, due to the specificity of such cases of killing and torture of animals, their impact on court’s decision on the existence of criminal offence and perpetrator’s liability is crucial. In this paper, the authors discuss the scope of animal poisoning in Serbia, particularly in Belgrade, analyze possible criminal - legal consequences of these illegal activities and point out to a significant role that experts of veterinary medical profession have in discovering and proving such cases and the liability of their perpetrators.

  7. Yesterday's Doctors: The Human Aspects of Medical Education in Britain, 1957-93. (United States)

    Bates, Victoria


    In the wake of the Second World War there was a movement to counterbalance the apparently increasingly technical nature of medical education. These reforms sought a more holistic model of care and to put people - rather than diseases - back at the centre of medical practice and medical education. This article shows that students often drove the early stages of education reform. Their innovations focused on relationships between doctors and their communities, and often took the form of informal discussions about medical ethics and the social dimensions of primary care. Medical schools began to pursue 'humanistic' education more formally from the 1980s onwards, particularly within the context of general practice curricula and with a focus on individual doctor-patient relationships. Overall from the 1950s to the 1990s there was a broad shift in discussions of the human aspects of medical education: from interest in patient communities to individuals; from social concerns to personal characteristics; and from the relatively abstract to the measurable and instrumental. There was no clear shift from 'less' to 'more' humanistic education, but rather a shift in the perceived goals of integrating human aspects of medical education. The human aspects of medicine show the importance of student activism in driving forward community and ethical medicine, and provide an important backdrop to the rise of competencies within general undergraduate education.

  8. Yesterday’s Doctors: The Human Aspects of Medical Education in Britain, 1957–93 (United States)

    Bates, Victoria


    In the wake of the Second World War there was a movement to counterbalance the apparently increasingly technical nature of medical education. These reforms sought a more holistic model of care and to put people – rather than diseases – back at the centre of medical practice and medical education. This article shows that students often drove the early stages of education reform. Their innovations focused on relationships between doctors and their communities, and often took the form of informal discussions about medical ethics and the social dimensions of primary care. Medical schools began to pursue ‘humanistic’ education more formally from the 1980s onwards, particularly within the context of general practice curricula and with a focus on individual doctor–patient relationships. Overall from the 1950s to the 1990s there was a broad shift in discussions of the human aspects of medical education: from interest in patient communities to individuals; from social concerns to personal characteristics; and from the relatively abstract to the measurable and instrumental. There was no clear shift from ‘less’ to ‘more’ humanistic education, but rather a shift in the perceived goals of integrating human aspects of medical education. The human aspects of medicine show the importance of student activism in driving forward community and ethical medicine, and provide an important backdrop to the rise of competencies within general undergraduate education. PMID:27998331

  9. Visiting Holocaust-Related Sites with Medical Students as an Aid in Teaching Medical Ethics. (United States)

    González-López, Esteban; Ríos-Cortés, Rosa


    During the Nazi period numerous doctors and nurses played a nefarious role. In Germany they were responsible for the sterilization and killing of disabled persons. Furthermore, the Nazi doctors used concentration camp inmates as guinea pigs in medical experiments for military or racial purposes. A study of the collaboration of doctors with National Socialism exemplifies behavior that must be avoided. Combining medical teaching with lessons from the Holocaust could be a way to transmit Medical Ethics to doctors, nurses and students. The authors describe a study tour with medical students to Poland, to the largest Nazi extermination camp, Auschwitz, and to the city of Krakow. The tour is the final component of a formal course entitled: "The Holocaust, a Reflection from Medicine" at the Autónoma University of Madrid, Spain. Visiting sites related to the Holocaust, the killing centers and the sites where medical experiments were conducted has a singular meaning for medical students. Tolerance, non-discrimination, and the value of human life can be both learnt and taught at the very place where such values were utterly absent.

  10. Antidepressant Treatment and Adherence to Antiretroviral Medications among Privately Insured Persons with HIV/AIDS


    Akincigil, Ayse; Wilson, Ira; Walkup, James T.; Michele J Siegel; Huang, Cecilia; Crystal, Stephen


    In order to examine relationships between depression treatments (antidepressant and/or psychotherapy utilization) and adherence to antiretroviral therapy (ART), we conducted a retrospective analysis of medical and pharmacy insurance claims for privately insured persons living with HIV/AIDS (PLWHA) diagnosed with depression (n=1,150). Participants were enrolled in 80 insurance plans from all 50 states. Adherence was suboptimal. Depression treatment initiators were significantly more likely to ...

  11. Perceptions and efficiency of short-term medical aid missions among key groups of health professionals. (United States)

    Chiu, Ya-Wen; Weng, Yi-Hao; Chen, Chih-Fu; Yang, Chun-Yuh; Lee, Ming-Liang


    This study investigated the perceptions of short-term assignments of medical services among participating health care professionals dispatched from Taiwan to underdeveloped areas. Structured questionnaires were mailed to four groups of professionals (physicians, pharmacists, nurses, and public health personnel) who had participated in any of 88 medical missions dispatched to 24 allied nations. A total of 278 returns were valid for analysis. Among them, 222 respondents reported that they had participated in just one overseas medical mission (79.9%). The majority of physicians, pharmacists, and nurses listed humanitarianism as their foremost incentive for participation. In contrast, public health personnel most frequently reported that they had been assigned to the mission abroad. Pharmacists, nurses, and public health personnel most commonly stated that their top goal was health care; but physicians said that aiding Taiwan's diplomatic relations was their main motive. While all groups generally recognized language proficiency and cultural awareness as important for conducting successful short-term medical aid missions (STMMs), many members of groups did not rate their own capabilities in those area as sufficient, especially pharmacists (p help inform efforts to integrate evidence into the deployment of STMMs.

  12. Colonialism, Biko and AIDS: reflections on the principle of beneficence in South African medical ethics. (United States)

    Braude, Hillel David


    This paper examines the principle of beneficence in the light of moral and epistemological concerns that have crystallized in the South African context around clinical care. Three examples from the South African experience affecting the development of bioethics are examined: medical colonialism, the death in detention of Steve Biko, and the HIV/AIDS epidemic. Michael Gelfand's book [(1948). The sick African: a clinical study. Cape Town: Stewart Printing Company.] on African medical conditions captures the ambiguous nature of colonial medicine that linked genuine medical treatment with the civilizing mission. Biko's death was a key historical event that deeply implicated the medical profession under apartheid. The present HIV/AIDS epidemic presents the gravest social and political crisis for South African society. All three experiences influence the meaning and relevance of beneficence as a bioethics principle in the South African context. This paper argues for a South African bioethics informed by a critical humanism that takes account of the colonial past, and that does not model itself on an "original wound" or negation, but on positive care-giving practices.


    Directory of Open Access Journals (Sweden)

    Sharma Panchsheel, Khan Mohammad Shibly


    Full Text Available Background: HIV/AIDS affects the most productive age group, the knowledge of which is clouded with many myths and misconceptions. Objective: To determine the knowledge and awareness about various aspects of HIV/AIDS among the students of MBBS first year. Methodology: The students were asked to fill a pre-designed, structured, semi open ended questionnaire. All efforts were made to ensure the originality of the responses. Statistical Analysis: The data collected so, was analysed, tabulated and presented in the forms of percentages and proportions. Appropriate statistical tests applied, wherever applicable. Results: Among the total of 122 respondents, all of them have heard about HIV/AIDS and that it is caused by a virus. About 43.4% students believed that HIV infection means AIDS. The place where HIV testing is done, was known to about 78%. Knowledge about the routes of spread included; through infected injections (100%, through blood transfusion (98%, Unprotected Sexual contact (97.5%, Infected Mother to child (86%. The respondents were aware that it doesn’t spread through touching/hand shaking (99.2%, sharing food (93.4%, using common cups/glasses (89%, used clothes/towels/soap (88.5%. About 80% responded to have discussed about HIV/AIDS ever with anybody, while about 82% considered safe working with a patient of HIV/AIDS. Conclusion: Most of students were aware about the basic knowledge while they also had a misconception which implies that the students should be equipped more, especially since the beginning of their career.

  14. Factors that influence the medication decision making of persons with HIV/AIDS: a taxonomic exploration. (United States)

    Russell, Cynthia K; Bunting, Sheila M; Graney, Marshall; Hartig, Margaret T; Kisner, Patricia; Brown, Brian


    It is well known that patients often alter their medication regimens and that these changes may have profound consequences for their health outcomes. Not so well known are the factors that influence the medication decision making of persons managing their own treatment in their day-to-day home situations. In this study, persons living with HIV/AIDS (PLWH) were asked about factors that affected the taking of their medications. Using semistructured interviews in this study of 57 PLWH, the authors used intensive analysis of the narratives to create taxonomies of the barriers and facilitators to taking HIV medications and the decisions that were involved. Categories of identified facilitators included motivation, factors of faith, routines, and others' influences. Categories of identified barriers included perceptions, psycho-emotional issues, provider/clinic issues, interpersonal factors, and disease and treatment factors. This study showed medication decision making to be a complex process, influenced by often-competing life and treatment issues and affected by participants' beliefs and values. These findings call for research into the everyday selfcare of PLWH to understand the reasoned decision-making that PLWH use in managing not only their medications but also their lives.

  15. Should Health Care Aides Assist With Medications in Long-Term Care?

    Directory of Open Access Journals (Sweden)

    Mubashir Arain PhD


    Full Text Available Objective: The objective of the study was to determine whether health care aides (HCAs could safely assist in medication administration in long-term care (LTC. Method: We obtained medication error reports from LTC facilities that involve HCAs in oral medication assistance and we analyzed Resident Assessment Instrument (RAI data from these facilities. Standard ratings of error severity were “no apparent harm,” “minimum harm,” and “moderate harm.” Results: We retrieved error reports from two LTC facilities with 220 errors reported by all health care providers including HCAs. HCAs were involved in 137 (63% errors, licensed practical nurses (LPNs/registered nurses (RNs in 77 (35%, and pharmacy in four (2%. The analysis of error severity showed that HCAs were significantly less likely to cause errors of moderate severity than other nursing staff (2% vs. 7%, chi-square = 5.1, p value = .04. Conclusion: HCAs’ assistance in oral medications in LTC facilities appears to be safe when provided under the medication assistance guidelines.

  16. Medical aid provided by American, Canadian and British Nationals to the Spanish Republic during the Civil War, 1936-1939. (United States)

    Shapiro, M F


    During international or civil wars, private citizens of noncombatant nations often provide medical aid to one of the contending factions, particularly when they support a participant not favored by their own government. This paper details and analyzes the prominent campaign in the United States, Canada and Great Britain to provide medical aid to the Republicans during the Spanish Civil War (1936 to 1939). The substantial medical aid that was provided clearly alleviated some suffering, but one of the major objectives of the campaign was to arouse public opinion sufficiently to end the boycott of military aid to Republicans; this objective was never achieved. Whether it be in Republican Spain, Vietnam or El Salvador, even a successful medical aid campaign to people in a military conflict may save some lives but may not affect substantially the course of the conflict. Those who are primarily interested in influencing political or military developments, hoping to advance the cause of a particular contending faction, may find tactics other than medical aid campaigns more useful in accomplishing their goals.

  17. Treating an HIV/AIDS Patient's PTSD and Medication Nonadherence with Cognitive-Behavioral Therapy: A Principle-Based Approach (United States)

    Chernoff, Robert A.


    HIV/AIDS patients with medication adherence problems are vulnerable to developing drug resistance, immune system degradation, and opportunistic infections. Poor adherence to antiretroviral medication regimens can be aggravated by psychiatric problems, including depression and posttraumatic stress disorder. This article presents the case study of a…

  18. Three Medical School Responses to the HIV/AIDS Epidemic and the Effect on Students' Knowledge and Attitudes. (United States)

    Anderson, Donna G.; And Others


    A survey of 1991 and 1994 graduating medical school students at medical schools (N=175) in Colorado, New Mexico and South Dakota found that differences in prevalence of AIDS/HIV cases in those states did not affect schools' training programs but indirectly affected students' knowledge and attitudes, which were related to the numbers of…

  19. Botanical geographical aspects of plants cultivated in Medea's garden of medical plants in Colchis. (United States)

    Gagnidze, R; Khelaia, N; Margalitadze, N; Batsatsashvili, K; Churadze, M


    The aim of the present work is to make a detailed investigation of the dissemination and dispersion of the plants which were cultivated in Medea's garden of medical plants in Colchis. It was found that the plants in the Medea's garden were highly heterogeneous from the point of plant geography. Plants from humid and arid Mediterranean basin, Near, Minor and East Asia zones were found in Medea's garden. Among the most important were the plants of floristic centers of Mediterranean basin. Study of the botanical geographical aspects of medical plants gave us opportunities to establish optimal time of dissemination of medical plants diasporas in Colchis; this process is associated with climate oscillations of Holocene and intensive migrations of peoples of Mediterranean.

  20. Psychosocial aspects of cancer in adults: implications for teaching medical students. (United States)

    Blanchard, C G; Ruckdeschel, J C


    This article addresses psychosocial aspects of cancer and the cancer patient that the authors feel are important to teach medical students. A section on understanding the cancer patient deals with patient psychosocial responses to a diagnosis of cancer. Loss of control, anger and guilt, fear of abandonment, fear of pain, psychiatric disorders, and psychosocial factors all need to be explored by the health care team. Interventions, such as education, support groups, environmental manipulation, or psychological counseling including imagery or relaxation have proved to be effective. Relaxation therapy can also help to counteract the side effects of chemotherapy such as anticipatory nausea and vomiting. An increasing openness about discussing dying and the development of hospices have resulted in improvements of the care of the dying patient and family. Family members should be involved in the care of the cancer patient and can support the patient by promoting autonomy and control and by encouraging communication and expression of feelings. The doctor-patient relationship is central, and is changing from a paternalistic model to one encouraging greater patient participation. In studying the behavior of physicians at Albany Medical College, the authors found that oncologists spend more time with patients with the poorest prognoses. Patient satisfaction with the relationship was found to be high. Students can be instructed in these psychosocial aspects of oncology by means of videotapes, role-playing, or patient presentations, and more importantly by using the physicians as a role model. Comprehensive care of the cancer patient necessitates the integration of psychosocial aspects of care into the overall assessment and management plan. This article reviews the psychosocial aspects of care of the adult cancer patient taught to second year medical students as part of a 42 hour course entitled "The Cellular Basis of Cancer Medicine" at Albany Medical College. The didactic

  1. Social and Cutural Aspects of HIV and AIDS in West Africa

    DEFF Research Database (Denmark)

    Samuelsen, Helle; Ostergaard, Lise Rosendal; Norgaard, Ole


    With the increasing focus on the role of social aspects of the HIV epidemic in sub-Saharan Africa, the need for an overview of existing research dealing with such issues has become more urgent. The objective of this article is to provide a thematic overview of existing qualitative research on HIV...

  2. Systematic review of the economic aspects of nonadherence to antipsychotic medication in patients with schizophrenia

    Directory of Open Access Journals (Sweden)

    Dilla T


    Full Text Available Tatiana Dilla, Antonio Ciudad, María ÁlvarezDepartment of Clinical Research and Development, Lilly, S.A. Alcobendas, SpainPurpose: There is strong evidence supporting the link between nonadherence to antipsychotic medication and relapse of schizophrenia. However, less obvious are the economic consequences of nonadherence. The systematic review reported here evaluated the economic aspects of nonadherence to antipsychotic medication.Methods: A systematic review of scientific papers in the PubMed MEDLINE, Embase, PsychINFO, BIOSIS, and Evidence-Based Medicine Reviews databases was undertaken. Studies that measured adherence to antipsychotic medication and that provided comparative information on health care costs were included.Results: Eight studies met the inclusion criteria. All were observational. Despite the differences between the studies in terms of design, adherence measures, and cost components analyzed, the results of this systematic review indicate that nonadherence to antipsychotic medication is associated with increased hospitalization rates and resource utilization, resulting in increased direct health care costs.Conclusion: Nonadherence to antipsychotic medication results in poor health and economic outcomes; therefore, the authors suggest endorsing interventions aimed at improving adherence because they can improve patient health without substantially increasing costs.Keywords: adherence, costs, observational study, hospitalization rates, resource utilization

  3. Medical pluralism on Mfangano Island: Use of medicinal plants among persons living with HIV/AIDS in Suba District, Kenya (United States)

    Nagata, Jason M.; Jew, Alan R.; Kimeu, John M.; Salmen, Charles R.; Bukusi, Elizabeth A.; Cohen, Craig R.


    Ethnopharmacological relevance Given the increasing coverage of antiretroviral therapy (ART) for HIV/AIDS treatment as well as the high utilization of herbal medicine, many persons living with HIV/AIDS in sub-Saharan Africa are thought to practice medical pluralism, or the adoption of more than one medical system for their care and treatment. Using a cross-sectional study we sought to document and identify the herbal medicines used by persons living with HIV/AIDS on Mfangano Island, Suba District, Nyanza Province, Kenya. Materials and Methods We interviewed herbalists and knowledgeable mothers to obtain information regarding medicinal plants, particularly for HIV/AIDS-related symptoms, HIV/AIDS, and chira (an illness concept with similarities to HIV/AIDS regarding sexual transmission and wasting symptoms). Using systematic sampling, 67 persons living with HIV/AIDS (49 of whom were receiving ART) were selected from an Mfangano Island health clinic and participated in semi-structured interviews. Results Interviews with herbalists and mothers identified 40 plant species in 37 genera and 29 families that a person with HIV/AIDS or chira could use for herbal remedies. Overall, 70.1% of persons living with HIV/AIDS had used medicinal plants after HIV diagnosis, most commonly to treat symptoms related to HIV/AIDS. In addition to common vegetables and fruits that can serve medicinal purposes, Azadirachta indica A.Juss. (Meliaceae), Carissa edulis (Forssk.) Vahl (Apocynaceae), and Ximenia americana L. (Olacaceae) were the most frequently cited medicinal plants used by persons living with HIV/AIDS. Conclusions Collaboration and communication between biomedical clinicians and herbalists should be encouraged given high rates of concomitant ART-herb usage. Pharmacological, toxicological, and ART-herb interaction studies based on the plants identified in this study and their constituent ingredients should be considered. PMID:21458556

  4. Study to Assess Awareness about HIV / AIDS among First Year MBBS Students in A Medical College, Vijaypur, Karnataka


    Santosh D Patil; Ravindranath A Bhovi


    "Introduction: The lack of awareness and misconceptions about HIV/AIDS in general population is responsible for rapid spread and social stigma and discrimination in our country. Many studies have revealed that early educational interventions can reduce the Knowledge Attitude Practice (KAP) gap among health professionals. This study was conducted to assess awareness regarding HIV/AIDS in newly admitted medical students. Methodology: A cross sectional study was conducted on MBBS students o...

  5. In search of tools to aid logical thinking and communicating about medical decision making. (United States)

    Hunink, M G


    To have real-time impact on medical decision making, decision analysts need a wide variety of tools to aid logical thinking and communication. Decision models provide a formal framework to integrate evidence and values, but they are commonly perceived as complex and difficult to understand by those unfamiliar with the methods, especially in the context of clinical decision making. The theory of constraints, introduced by Eliyahu Goldratt in the business world, provides a set of tools for logical thinking and communication that could potentially be useful in medical decision making. The author used the concept of a conflict resolution diagram to analyze the decision to perform carotid endarterectomy prior to coronary artery bypass grafting in a patient with both symptomatic coronary and asymptomatic carotid artery disease. The method enabled clinicians to visualize and analyze the issues, identify and discuss the underlying assumptions, search for the best available evidence, and use the evidence to make a well-founded decision. The method also facilitated communication among those involved in the care of the patient. Techniques from fields other than decision analysis can potentially expand the repertoire of tools available to support medical decision making and to facilitate communication in decision consults.

  6. How sick is the defendant? Forensic and emergency medical aspects at trial. (United States)

    Buschmann, C; Peters, M


    The evaluation of a defendant's ability to stand trial is a core task in the field of legal medicine as a supportive instrument of jurisprudence. Before the trial, the court-appointed expert informs him-/herself regarding existing somatic and psychological illness(-es) within the context of preparing an expert evaluation, then composing the written expert evaluation, which reflects the condition of the subject at the time of the examination and arrives at an assessment of the ability to stand trial. The decompensation or aggravation of illnesses - in particular in stressful situations, as is to be expected for the defendant in the courtroom - can thus be taken into consideration such that alongside the current evaluation of the defendant's health condition, emergency medical treatment may also become necessary in court at times. We present three case reports about forensic and emergency medical aspects at trial, considering how the forensic expert can be able to meet the subsequent challenges.

  7. Intestinal parasitic infections in HIV/AIDS patients: epidemiological, nutritional and immunological aspects

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    FAM Amâncio


    Full Text Available This study applied a socioeconomic questionnaire designed to evaluate the frequency of intestinal parasites and characterize epidemiological, nutritional, and immunological variables in 105 HIV/AIDS patients - with and without parasitic infections, attending the Day Hospital in Botucatu, UNESP, from 2007 to 2008. Body mass index was calculated and the following tests performed: parasitological stool examinations; eosinophil, IgE, CD4+ T and CD8+ T lymphocyte cell counts; albumin test; viral load measure; and TNF-α, IFN-γ, IL-2, IL-5 and IL-10 cytokine levels. Results were positive for parasitic intestinal infections in 12.4% of individuals. Most patients had good socioeconomic conditions with basic sanitation, urban dwellings, treated water supply and sewage, good nutritional and immunological status and were undergoing HAART. Parasites were found at the following frequencies: Entamoeba - five patients (38.5%, Giardia lamblia - four (30.7%, Blastocystis hominis - three (23.0%, Endolimax nana - two (15.4%, and Ascaris lumbricoides - one (7.7%. There were no significant differences between the two groups for eosinophils, albumin, IgE, CD4+ T and CD8+ T lymphocytes, INF-γ, IL-2, or IL-10. Most patients also showed undetectable viral load levels. Significant differences were found for TNF-α and IL-5. These results show the importance of new studies on immunodeficient individuals to increase understanding of such variables.

  8. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. (United States)

    Hochberg, Mark S; Seib, Carolyn D; Berman, Russell S; Kalet, Adina L; Zabar, Sondra R; Pachter, H Leon


    Understanding how medical malpractice occurs and is resolved is important to improving patient safety and preserving the viability of a physician's career in academic medicine. Every physician is likely to be sued by a patient, and how the physician responds can change his or her professional life. However, the principles of medical malpractice are rarely taught or addressed during residency training. In fact, many faculty at academic medical centers know little about malpractice.In this article, the authors propose that information about the inciting causes of malpractice claims and their resolution should be incorporated into residency professionalism curricula both to improve patient safety and to decrease physician anxiety about a crucial aspect of medicine that is not well understood. The authors provide information on national trends in malpractice litigation and residents' understanding of malpractice, then share the results of their in-depth review of surgical malpractice claims filed during 2001-2008 against their academic medical center. The authors incorporated those data into an evidence-driven curriculum for residents, which they propose as a model for helping residents better understand the events that lead to malpractice litigation, as well as its process and prevention.

  9. [Hygienic aspects of the lifestyle of medical students under the present conditions]. (United States)

    Kozhevnikova, N G; Kataeva, V A


    The paper gives the results of a study of the lifestyle of medical students. The students' motor activity has been found to be lower and to continue to drop in the undergraduates. Examination of the daily routine has shown that 92% of the students break the study-and-rest routine; the reported reasons for this are a high academic load, a prolonged academic day, a study-work combination, mental stress during examinations, and computer-aided learning. The students' nutrition is inadequate in major nutrients, poor-quality, irregular, and uncontrolled. The college crowd shows a preponderance of bad habits; 85% of cases had these or those combinations of risk factors: smoking, low motor activity, overweight, alcohol consumption, etc.

  10. Social and cultural aspects of HIV and AIDS in West Africa: a narrative review of qualitative research. (United States)

    Samuelsen, Helle; Norgaard, Ole; Ostergaard, Lise Rosendal


    With the increasing focus on the role of social aspects of the HIV epidemic in sub-Saharan Africa, the need for an overview of existing research dealing with such issues has become more urgent. The objective of this article is to provide a thematic overview of existing qualitative research on HIV and AIDS in the West African region and to analyze the main research findings in order to identify possible gaps and recommend new research themes to inform future research-based interventions. The analysis is based on a total of 58 articles published from 2001 to 2009 in English or French identified through a literature search in seven scientific, bibliographical databases. Searches included terms related to qualitative studies combined with various terms related to HIV/AIDS. The results of this narrative review show that there was a geographical concentration on Nigeria, Ghana, Burkina Faso and Côte d'Ivoire and a strong urban bias, with most studies taking place in the capital cities of these countries. The majority of the studies focused on women or women and men; only four articles dealt exclusively with men, of which only two were on men who have sex with men. The main study groups were people living with HIV, young people or female sex workers. Sexual risk-taking and stigmatization were the themes that were most prominently explored in the articles we reviewed. We conclude that research needs to be strengthened in relation to the analysis of experiences with antiretroviral therapy and the non-optimal access to treatment in West Africa. Also, more research is needed on men and their exposure to HIV/AIDS, as well as on the role of concurrent partnership in the spread of HIV.

  11. Anti-HIV-1 integrase activity of medicinal plants used as self medication by AIDS patients

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    Sopa Kummee


    Full Text Available The extracts of selected medicinal plants used as self medication by AIDS patients were investigated for their inhibitory activities against HIV-1 integrase (HIV-1 IN using the multiplate integration assay (MIA. Of these, the water extract of Eclipta prostrata (whole plant exhibited the most potent inhibitory activity with an IC50 value of 4.8 μg/ml, followed by the methanol extract of Eclipta prostrata (whole plant, IC50 = 21.1 μg/ ml, the water extract of Barleria lupulina (stem, IC50 = 26.4 μg/ml, the chloroform extract of Barleria lupulina (stem, IC50 = 33.0 μg/ml, the methanol extract of Barleria lupulina (stem, IC50 = 38.2 μg/ml and the chloroform extract of Piper betle (leaf, IC50 = 39.3 μg/ml, respectively.

  12. Antidepressant treatment and adherence to antiretroviral medications among privately insured persons with HIV/AIDS. (United States)

    Akincigil, Ayse; Wilson, Ira B; Walkup, James T; Siegel, Michele J; Huang, Cecilia; Crystal, Stephen


    In order to examine relationships between depression treatments (antidepressant and/or psychotherapy utilization) and adherence to antiretroviral therapy (ART), we conducted a retrospective analysis of medical and pharmacy insurance claims for privately insured persons living with HIV/AIDS (PLWHA) diagnosed with depression (n = 1,150). Participants were enrolled in 80 insurance plans from all 50 states. Adherence was suboptimal. Depression treatment initiators were significantly more likely to be adherent to ART than the untreated. We did not observe an association between psychotherapy utilization and ART adherence, yet given the limitations of the data (e.g., there is no information on types of psychological treatment and its targets), the lack of association should not be interpreted as lack of efficacy.

  13. Quality of life and people living with AIDS: relationship with sociodemographic and health aspects

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    Tadeu Lessa da Costa


    Full Text Available OBJECTIVE: to analyze the relationship of sociodemographic and health dimensions with the quality of life of people living with the human immunodeficiency virus.METHOD: descriptive and quantitative study. The subjects were 131 seropositive people treated in a specialized center of the Norte-Fluminense municipality, Brazil. A form with sociodemographic and health data was applied, as well as the World Health Organization instrument for the assessment of the quality of life of people with the human immunodeficiency virus.RESULTS: the statistical analysis revealed a significant difference in the assessment of the various dimensions of quality of life by the subjects for gender, education, employment, personal income, medical condition, self-perception of sickness, history of hospitalizations, and bodily alterations due to the antiretroviral drugs.CONCLUSION: professional nursing and health care, as well as public policies in the area, should valorize the quality of life approach, considering the conditions related to its configuration.

  14. The application of computer aided product development techniques in medical modelling topic: rehabilitation and prostheses. (United States)

    Bibb, R; Brown, R


    When considering reconstructive surgery it is often difficult to ascertain the exact nature of affected internal anatomy. Although advances in Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) have enabled the generation of 3D reconstructions of internal anatomy, they are often only available as fixed 2D images. These may obscure important details or prove ambiguous depending upon the angle of view. Another problem is maintaining accuracy of reconstruction that may involve osteotomy, tissue grafts or implants. In such circumstances the ability to plan and rehearse complex procedures can prove invaluable, greatly improving surgical results whilst helping to eliminate potential errors and reducing theatre time. In this context 3D scan data can be treated as the equivalent of Computer Aided Design (CAD) data and can be applied to the production of accurate physical models. The approach undertaken by the DERC is based on close collaboration with surgical departments and enables the rapid and economic production of medical models based on CT/MRI data. This paper illustrates the transfer of product design technologies into a clinical context. Specifically, the use of 3D surface scanning and rapid prototyping technologies as an aid to post operative reconstruction is described. An evaluation of the application of product development tools within a clinical context is presented. The paper concludes with an assessment of likely future application in this area.

  15. The effects of supplemental online learning aids on student performance and student engagement in Medical Microbiology (United States)

    Murray, Kimberly

    The purpose of this study was to determine the effects of online learning aids on student performance and engagement. The thirty-five participants of the current study were students enrolled in two sections of a junior level Medical Microbiology laboratory. The experimental section was required to spend ten minutes each week on an online learning aid. The online program, StudyMate(TM), was used to present text and images in the form of flash cards, multiple choice questions, matching, and crossword puzzles. Both groups completed the Index of Learning Style survey, an initial engagement survey at the start of the course, and a final engagement survey at the end of the course. Statistical analysis showed no significant differences between the groups at the start of the course or after the course was completed for learning style, science grade point average, overall grade point average, initial engagement or final engagement. A moderate correlation was found between microbiology course and laboratory grades and a reflective learning style.

  16. [Implementation of the new quality assurance agreement for the fitting of hearing aids in daily practice. Part 2: New diagnostic aspects of speech audiometry]. (United States)

    Löhler, J; Akcicek, B; Wollenberg, B; Schönweiler, R


    Upon review of the statutory health insurance reimbursement guidelines, a specific quality assurance questionnaire concerned with the provision of hearing aids was introduced that assesses elements of patient satisfaction within Germany's public healthcare system. APHAB questionnaire-based patient evaluation of the benefit of hearing aids represents the third pillar of audiological diagnostics, alongside classical pure-tone and speech audiometry. Another new aspect of the national guidelines is inclusion of free-field measurements in noise with and without hearing aids. Part 2 of this review describes new diagnostic aspects of speech audiometry. In addition to adaptive speech audiometry, a proposed method for applying the gold standard of speech audiometry - the Freiburg monosyllabic speech test - in noise is described. Finally, the quality assurance questionnaire will be explained as an appendix to template 15 of the regulations governing hearing aids.

  17. Introduction to grayscale calibration and related aspects of medical imaging grade liquid crystal displays. (United States)

    Fetterly, Kenneth A; Blume, Hartwig R; Flynn, Michael J; Samei, Ehsan


    Consistent presentation of digital radiographic images at all locations within a medical center can help ensure a high level of patient care. Currently, liquid crystal displays (LCDs) are the electronic display technology of choice for viewing medical images. As the inherent luminance (and thereby perceived contrast) properties of different LCDs can vary substantially, calibration of the luminance response of these displays is required to ensure that observer perception of an image is consistent on all displays. The digital imaging and communication in medicine (DICOM) grayscale standard display function (GSDF) defines the luminance response of a display such that an observer's perception of image contrast is consistent throughout the pixel value range of a displayed image. The main purpose of this work is to review the theoretical and practical aspects of calibration of LCDs to the GSDF. Included herein is a review of LCD technology, principles of calibration, and other practical aspects related to calibration and observer perception of images presented on LCDs. Both grayscale and color displays are considered, and the influence of ambient light on calibration and perception is discussed.

  18. Computer-Aided Drug Design (CADD): Methodological Aspects and Practical Applications in Cancer Research (United States)

    Gianti, Eleonora

    Computer-Aided Drug Design (CADD) has deservedly gained increasing popularity in modern drug discovery (Schneider, G.; Fechner, U. 2005), whether applied to academic basic research or the pharmaceutical industry pipeline. In this work, after reviewing theoretical advancements in CADD, we integrated novel and stateof- the-art methods to assist in the design of small-molecule inhibitors of current cancer drug targets, specifically: Androgen Receptor (AR), a nuclear hormone receptor required for carcinogenesis of Prostate Cancer (PCa); Signal Transducer and Activator of Transcription 5 (STAT5), implicated in PCa progression; and Epstein-Barr Nuclear Antigen-1 (EBNA1), essential to the Epstein Barr Virus (EBV) during latent infections. Androgen Receptor. With the aim of generating binding mode hypotheses for a class (Handratta, V.D. et al. 2005) of dual AR/CYP17 inhibitors (CYP17 is a key enzyme for androgens biosynthesis and therefore implicated in PCa development), we successfully implemented a receptor-based computational strategy based on flexible receptor docking (Gianti, E.; Zauhar, R.J. 2012). Then, with the ultimate goal of identifying novel AR binders, we performed Virtual Screening (VS) by Fragment-Based Shape Signatures, an improved version of the original method developed in our Laboratory (Zauhar, R.J. et al. 2003), and we used the results to fully assess the high-level performance of this innovative tool in computational chemistry. STAT5. The SRC Homology 2 (SH2) domain of STAT5 is responsible for phospho-peptide recognition and activation. As a keystone of Structure-Based Drug Design (SBDD), we characterized key residues responsible for binding. We also generated a model of STAT5 receptor bound to a phospho-peptide ligand, which was validated by docking publicly known STAT5 inhibitors. Then, we performed Shape Signatures- and docking-based VS of the ZINC database (, followed by Molecular Mechanics Generalized Born Surface Area (MMGBSA

  19. NRC Reviewer Aid for Evaluating the Human Factors Engineering Aspects of Small Modular Reactors

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    OHara J. M.; Higgins, J.C.


    Small modular reactors (SMRs) are a promising approach to meeting future energy needs. Although the electrical output of an individual SMR is relatively small compared to that of typical commercial nuclear plants, they can be grouped to produce as much energy as a utility demands. Furthermore, SMRs can be used for other purposes, such as producing hydrogen and generating process heat. The design characteristics of many SMRs differ from those of current conventional plants and may require a distinct concept of operations (ConOps). The U.S. Nuclear Regulatory Commission (NRC) conducted research to examine the human factors engineering (HFE) and the operational aspects of SMRs. The research identified thirty potential human-performance issues that should be considered in the NRC's reviews of SMR designs and in future research activities. The purpose of this report is to support NRC HFE reviewers of SMR applications by identifying some of the questions that can be asked of applicants whose designs have characteristics identified in the issues. The questions for each issue were identified and organized based on the review elements and guidance contained in Chapter 18 of the Standard Review Plan (NUREG-0800), and the Human Factors Engineering Program Review Model (NUREG-0711).

  20. Attention-deficit hyperactivity disorder medication use: factors involved in prescribing, safety aspects and outcomes (United States)

    Martinez-Raga, Jose; Ferreros, Amparo; Knecht, Carlos; de Alvaro, Raquel; Carabal, Eloisa


    While treatment of patients with attention-deficit hyperactivity disorder (ADHD) is based on a multimodal approach that combines medication with specific psychological interventions, pharmacotherapy alone is generally considered an essential and cost-effective element. This paper aims to comprehensively and critically review factors involved in prescribing and medication use in individuals diagnosed with ADHD, focusing on the difficulties facing patients with ADHD seeking treatment, as well as the safety and tolerability aspects of ADHD pharmacotherapies, with particular attention on the cardiovascular adverse events and the potential risk of misuse or diversion of ADHD medications. A comprehensive and systematic literature search of PubMed/MEDLINE database was conducted to identify studies published in peer-reviewed journals until 1 August 2016. Children, adolescents and adults often encounter significant difficulties in the process of accessing specialist assessment and treatment for ADHD as a consequence of disparities in service organization and available treatment provision. Despite the well-established efficacy and overall safety profile, ADHD medications are not exempt from adverse events. The cardiovascular safety of pharmacotherapies used for treating individuals with ADHD has raised particular concerns; however there is little evidence of serious cardiovascular adverse events, including no serious corrected QT (QTc) abnormalities associated with stimulants, atomoxetine or α2-adrenergic receptor agonists. Although the abuse of prescription stimulant drugs, particularly, short-acting stimulants is a prevalent and growing problem, nonmedical use of prescription stimulants within the clinical context is very limited. In addition, nonstimulant ADHD medications lack any reinforcing effects and consequently any abuse potential.

  1. [A young child with trisomy 21. Medical aspects: myths and reality]. (United States)

    Maurel Ollivier, A


    Everyone is familiar with Down syndrome but both the general public and the medical profession are inadequately educated about this disability. In this paper, medical aspects are briefly discussed. The incidence of Down syndrome, which is one in 700, is stable. Maternal age is under 35 years in 75% of cases. Fetal ultrasonography and biochemical screening can be expected to increase the frequency of antenatal fetal chromosome analysis. One of every three children with Down syndrome has congenital heart disease (common atrioventricular canal in 50% of cases); pulmonary hypertension develops unusually early and, consequently, prompt surgical treatment may be indicated. Hyperlaxity is variable and has little effect on motor development. Ocular anomalies and hearing loss should be detected and treated early since they have the potential for increasing the child's intellectual impairment. The life span of Down syndrome patients is increasing gradually as a result of medical advances and changes in lifestyles. Every Down syndrome child has abilities, a social and familial environment, and a personality, and all these elements are closely interrelated. Each child is a unique person to be discovered.

  2. [Proposed medical record to be used in rape cases. New diagnostic and medicolegal aspects]. (United States)

    Grassi, A; Fiorani, F; Ferrero, S; Silvestri, A; Agneni, M; Pisani, G


    The latest report of 1996 on human development in the UN development programme (UNDP) states that 130,000 women are raped every year in the industrialized countries. Illegal "violation" is defined as the sexual penetration of any orifice of the body without the victim's consent. The doctor's contribution is essential in order to ascertain this offence. It can be divided into two stages: precise and complete (... missing? ...) information regarding the sexual aggression which might have taken the form of rape. Management of a rape case represents an extremely complex undertaking for the doctor since it involves medical and legal aspects and requires a number of interventions that lead to a rational evaluation and appropriate treatment. In this context, the doctor's role is not only to protect the psychophysical integrity of the victim, but also to contribute, following an early diagnosis of sexual aggression, to the identification of the particulars of an offence which still risks remaining unpunished, owing to the difficulty of diagnosis and in spite of the recent enactment of Law no. 66 on 15 February 1996. The medical record proposed by the authors consists of a descriptive anamnestic part and a graphic part, thus making the evaluation of the victim more rapid and precise. The proposed medical record is subdivided into anamnesis, objective examination, psychological examination, laboratory tests, any consultancy requested and therapy.

  3. Analysis of the impact of digital watermarking on computer-aided diagnosis in medical imaging. (United States)

    Garcia-Hernandez, Jose Juan; Gomez-Flores, Wilfrido; Rubio-Loyola, Javier


    Medical images (MI) are relevant sources of information for detecting and diagnosing a large number of illnesses and abnormalities. Due to their importance, this study is focused on breast ultrasound (BUS), which is the main adjunct for mammography to detect common breast lesions among women worldwide. On the other hand, aiming to enhance data security, image fidelity, authenticity, and content verification in e-health environments, MI watermarking has been widely used, whose main goal is to embed patient meta-data into MI so that the resulting image keeps its original quality. In this sense, this paper deals with the comparison of two watermarking approaches, namely spread spectrum based on the discrete cosine transform (SS-DCT) and the high-capacity data-hiding (HCDH) algorithm, so that the watermarked BUS images are guaranteed to be adequate for a computer-aided diagnosis (CADx) system, whose two principal outcomes are lesion segmentation and classification. Experimental results show that HCDH algorithm is highly recommended for watermarking medical images, maintaining the image quality and without introducing distortion into the output of CADx.

  4. Medical Students and AIDS: A Few Avoid the Victims; Some Volunteer to Help, and All Are Very Careful. (United States)

    Greene, Elizabeth


    Future physicians say they view acquired immune deficiency syndrome (AIDS) as an unfortunate reality that must be addressed, but with great care. The epidemic has not changed medical students' specialties. Fear of contagion, lack of a cure, unpleasant symptoms, and the youth of many victims are difficult realities for students. (MSE)

  5. Biology and Mechanics of Blood Flows Part II: Mechanics and Medical Aspects

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    Thiriet, Marc


    Biology and Mechanics of Blood Flows presents the basic knowledge and state-of-the-art techniques necessary to carry out investigations of the cardiovascular system using modeling and simulation. Part II of this two-volume sequence, Mechanics and Medical Aspects, refers to the extraction of input data at the macroscopic scale for modeling the cardiovascular system, and complements Part I, which focuses on nanoscopic and microscopic components and processes. This volume contains chapters on anatomy, physiology, continuum mechanics, as well as pathological changes in the vasculature walls including the heart and their treatments. Methods of numerical simulations are given and illustrated in particular by application to wall diseases. This authoritative book will appeal to any biologist, chemist, physicist, or applied mathematician interested in the functioning of the cardiovascular system.

  6. [ISHAM-WG Symposium: Introduction of Medical Phycology, Retrospective Overview, and Prospective Aspect]. (United States)

    Kano, Rui; Matsumoto, Tadahiko


    Protothecosis is an emerging infectious zoonotic disease caused by species of the genus Prototheca (Trebouxiophyceae, Chlorophyta), which are classified as achlorophyllous algae closely related to the green algal genus Chlorella. Prototheca lost the ability to photosynthesize and are widely distributed throughout the natural world in sewage, soil, lakes, and marshes. It is therefore necessary to build an interdisciplinary network connecting human medicine, veterinary medicine, microbiological taxonomy, clinical microbiology, and environmental microbiology to increase knowledge in this area. We have established the working group "Medical Phycology : Protothecosis and Chlorellosis" (approved on May 4, 2014) under the umbrella of the International Society for Human and Animal Mycology (ISHAM) to support all scientific aspects dealing with this topic. We report the current circumstances and future prospects of this working group for the group to become better known by scientists.

  7. Cultural adaptation of a survey to assess medical providers' knowledge of and attitudes towards HIV/AIDS in Albania.

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    Shane D Morrison

    Full Text Available Though the HIV/AIDS epidemic in Southeastern Europe is one of low reported prevalence, numerous studies have described the pervasiveness of medical providers' lack of knowledge of HIV/AIDS in the Balkans. This study sought to culturally adapt an instrument to assess medical providers' knowledge of and attitudes towards HIV/AIDS in Albania. Cultural adaptation was completed through development of a survey from previously validated instruments, translation of the survey into Albanian, blinded back translation, expert committee review of the draft instrument, focus group pre-testing with community- and University Hospital Center of Tirana-based physicians and nurses, and test-retest reliability testing. Blinded back translation of the instrument supported the initial translation with slight changes to the idiomatic and conceptual equivalences. Focus group pre-testing generally supported the instrument, yet some experiential and idiomatic changes were implemented. Based on unweighted kappa and/or prevalence adjusted bias adjusted kappa (PABAK, 20 of the 43 questions were deemed statistically significant at kappa and/or PABAK ≥0.5, while 12 others did not cross zero on the 95% confidence interval for kappa, indicating their probable significance. Subsequently, an instrument to assess medical providers' knowledge of and attitudes toward HIV/AIDS for an Albanian population was developed which can be expanded within Albania and potentially to other countries within the Balkans, which have an Albanian-speaking population.

  8. Aspects Regarding the Medical Data Processing - The Statistical Study of Malocclusions

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    Georgeta ZEGAN


    Full Text Available An important aspect in the analysis of medical data is represented by their statistical processing, which gives useful directions in finding the diagnosis and the most adequate treatment, especially when the amount of statistical data is very large and extended in time. We give an example in this paper, by presenting a statistical evaluation on a consignment of patients who have addressed the Dental Ambulatory for Children (Iaşi for orthodontic consulting over a period of 10 years (2000 – 2010. The study has been performed on 375 patients (157 boys and 218 girls, with ages between 4-24 years and malocclusions. The diagnosis was established by clinical and paraclinical exams (cast and radiological measurements. Both removable and fixed appliances were used in conducting the treatment. The patients in need of orthodontic treatment presented malocclusion I-st Class 63,2%, II-nd Class 28,3%, and III-rd Class 5,8%. The group and isolated malocclusion proportion varied on the basis of the clinical manifestations associated to the malocclusion class. Based on age, the patients were applied with prophylactic treatment 3%, interceptive treatment 5% and curative 92%. The Pearson correlations made on the sample of patients proved the existence of a directly proportional connection between the therapeutic results, the diagnosis of the malocclusions and the treatment chosen to be carried out. The results regarding the prevalence malocclusion types are comparable with those from the literature. The correlations that were carried out were based on medical reasoning. All these results are useful to depict the general characteristics of the Dental Ambulatory’s potential patients and, as a consequence, to establish easier the most accurate treatment.

  9. Autonomy and objectivity as political operators in the medical world: twenty years of public controversy about AIDS treatments in France. (United States)

    Dodier, Nicolas; Barbot, Janine


    The article is based on the controversies relating to conducting experiments and licensing AIDS treatments in France in the 1980s and 1990s. We have identified two political operators, i.e. two issues around which tensions have grown between the different generations of actors involved in these controversies: 1) the way of thinking about patient autonomy, and 2) the way in which objectivity regarding medical decisions is built. The article shows that there are several regimes of objectivity and autonomy, and that it is at the meeting point of the two dimensions that very different political forms of medicine have developed. In the case of AIDS, the article identifies four of these forms (liberal and conservative clinical traditions and therapeutic modernity--enclosed, then participative) and analyzes the dynamics of their emergence and opposition. We discuss an "objectivity/autonomy" diagram as a conceptual framework which enables us (above and beyond AIDS) to think about changes in contemporary medicine.


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    Full Text Available INTRODUCTION: HIV/AIDS epidemic is one of the challenges in public health in India. Young people are more vulnerable for getting in contact with the disease. Medical students during their tenure of student life can play a pivotal role in knowledge transmission about th e disease to the general public. This study was conducted at Bangalore Medical College and Research Institute to find out the awareness of HIV/AIDS among first year medical students. METHODOLOGY: A Cross sectional study was done among 250 MBBS students of Bangalore Medical College and Research Institute during the academic year of 2012 - 2013 . The information was collected from them within 2 - 3 weeks of admission to the course using pre - tested semi structured questionnaire. RESULTS: The mean age of the study population was 18 ( + 1 years. Males comprised 64% and females comprised 36% of respondents. 29% of them were from rural background and 67% from Urban. 97% of the participants know that HIV causative agent is virus. 49% of them said it is contagious , 42% of them said non - contagious and 8.9% say they don’t know. They had adequate knowledge about modes of transmission of HIV/AIDS was through blood transfusion , unsterilized instrument , and mother to child transmission. But regarding sexual transmission among tw o HIV infected person , 40% of them said it is safe . 92% of them felt HIV can be prevented by taking proper precautions. 94% of them got the information from mass media especially from TV. 55% of them received formal sex education in Schools and Colleges. CONCLUSION: Young medical students can be used as a resource persons for educating the youth at the community level.

  11. Special aspects of quality management system functioning in Saratov State Medical University n.a. V.I. Razumovsky

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    Bugaeva I.0.


    Full Text Available The article considers specificity of quality management system functioning in educational institutions and presents an overview of the historical and contemporary aspects of the quality management system's development in Saratov State Medical University n.a. V. I. Razumovsky.

  12. An Overview of Multiple Sclerosis: Medical, Psychosocial, and Vocational Aspects of a Chronic and Unpredictable Neurological Disorder (United States)

    Rumrill, Phillip D., Jr.; Roessler, Richard T.


    This article presents an overview of multiple sclerosis (MS), one of the most common neurological disorders in the western hemisphere. Medical and psychosocial aspects of the disease such as causes and risk factors, diagnosis, incidence and prevalence, symptoms, courses, and treatment are described. Existing research regarding the employment…

  13. Legal and medical aspects of the ethics committee’s work relating to abortion

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    Ponjavić Zoran


    Full Text Available This paper analyses the legal and medical aspects of the work of ethics committees on abortion. According to the legislation of the Republic of Serbia, these committees are competent to determine justifiable terms for abortion after the twentieth week of the fetus. It is well known that abortion is not only a medical but a legal, ethic, social and demographic problem as well. A liberal solution in view of abortion in the first trimester has been accepted in most European countries, as by the legislature of the Republic of Serbia. Since prenatal diagnosis cannot always determine the fetus state with certainty but at times may do so at a later stage, abortion is then required when the child is already capable of extrauterine life. The necessity for performing abortion in the third trimester is thus a result of good knowledge of techno-medicine but also from the limited information it provides. In such situations, the physician needs confirmation and justification of his standpoint with respect to abortion through a legal formulation which should contain "minimum moral". Society has found a way to protect and help him through moral and ethic forms of prevention without anybody’s emotions being affected. Ethics committees should thus help the physician in view of determining the terms for performing late abortion, since the rules of doctor’s ethics are not sufficient in this case. The article especially analyses the work of the Ethics Committee of the Clinical Center in Kragujevac in the period 2000-2010. It is stated that the largest number of cases referred to determined diseases or fetus anomalies while only a negligible number (11.29% to the illness of the mother. There were no requests for abortions due to legal reasons (pregnancies from criminal offences. A significant number (40.28% of requests submitted to the Ethics Committee related to pregnancies under the 24th week of pregnancy. Since a pregnancy of 24 weeks represents a boundary

  14. Assessing receipt of medical care and disparity among persons with HIV/AIDS in San Francisco, 2006-2007. (United States)

    Hsu, Ling C; Chen, Mi; Kali, Jessica; Pipkin, Sharon; Scheer, Susan; Schwarcz, Sandy


    We used data from HIV/AIDS surveillance case registry to assess the timing of entry into medical care, level of care received after HIV diagnosis, and to identify characteristics associated with delayed and insufficient care among persons diagnosed with HIV/AIDS between 2006 and 2007 in San Francisco. Laboratory reports of HIV viral load and CD4 test results were used as a marker for receipt of medical care. The time from HIV diagnosis to entry into care was estimated using Kaplan-Meier product limit method and independent predictors of delayed entry into care were determined using the proportional hazards model. Insufficient care was defined as less than an average of two viral load/CD4 tests per person-year of follow-up. Predictors of insufficient care were evaluated using a logistic regression model. An estimated 85% of persons diagnosed with HIV/AIDS entered care within three months after HIV diagnosis; the proportion increased to 95% within 12 months after diagnosis. Persons who were born outside of the USA and those tested at the public counseling and testing sites were more likely to delay care. Nineteen percent of persons were determined to have received insufficient care. Younger persons and those diagnosed at a hospital were more likely to receive insufficient care. A high proportion of persons diagnosed with HIV/AIDS in San Francisco established timely and adequate care after HIV diagnosis. However, delays for some individuals in entry into care and markers of insufficient care suggest that there remains a need to improve access to and sustainability of HIV-specific medical care.

  15. Men in extreme conditions: some medical and psychological aspects of the Auschwitz concentration camp. (United States)

    Radil-Weiss, T


    The second world war ended many years ago. Most of those who survived the stay at the German concentration camp at Auschwitz have already died of the consequences of their imprisonment; those still alive are already in the last third of their life. Is there any point in returning to the experiences of those days? Consideration of the mental hygiene of former prisoners cautions us that perhaps we should not do it. But consideration of the general interest holds that we are not entitled to ignore any knowledge that can contribute to social development--including medicine and psychology--even if acquired under unspeakably awful conditions. In addition, since the war new generations have grown up that play an increasingly significant role in various spheres of life but have little concrete information about those events; they can neither rationally nor emotionally understand how the horrors connected with fascism and the war could have happened. In a sense it is encouraging that they cannot grasp such inhuman behavior; nevertheless, we must adhere to the following motto: "Nothing must be forgotten, nobody will be forgotten." We owe it to those millions who did not survive--both the victims of the Holocaust and those who fought against it. These are arguments in favor of returning to the facts that are ineffaceably recorded somewhere in our memories. In doing so, however, we must remember that at times we are revisiting experiences of a boy of 14 as recalled by a 50-year-old man. The material below, examining the medical as well as psychological aspects of imprisonment at Auschwitz, is based on my own memories, as an adolescent imprisoned at Auschwitz. I have tried to move from this individual account to more general statements, although the methodological apparatus on which scientific analysis is usually based is absent.

  16. Pobreza e HIV/AIDS: aspectos antropológicos e sociológicos Poverty and HIV/AIDS: anthropological and sociological aspects

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    Richard Parker


    Full Text Available A partir da perspectiva das várias epidemias de HIV/AIDS que coexistem em mesmo espaço, bem como dos dados epidemiológicos do Brasil, acredita-se serem observáveis as variações já descritas alhures - feminilização, pauperização, juvenilização e interiorização - como resultado das profundas desigualdades da sociedade brasileira. Foram examinadas as contribuições de três vertentes de análise dos aspectos sócio-econômicos da AIDS: 1 pesquisas e teorias sociológicas a respeito do impacto da reestruturação econômica e transformação social global recentes e sua relação com a saúde pública; 2 literatura transcultural e transnacional em antropologia e sociologia dedicada aos fatores estruturais que conformam o curso da epidemia em diferentes conjunturas; e 3 corpo de pesquisas antropológicas e sociológicas concernentes aos efeitos sinérgicos do HIV/AIDS, exclusão social, e problemas sociais associados nos bolsões de extrema pobreza encontrados nas grandes cidades de países centrais. Conclui-se que as políticas de prevenção do HIV/AIDS devem abordar, de forma integrada, as várias dimensões que determinam as diferenciadas vulnerabilidades à epidemia, dependendo, portanto, de transformações sociais substantivas.Focusing on the HIV/AIDS epidemic as a summation of several epidemics coexisting in the same space and drawing on Brazilian epidemiological data, we argue that the epidemic there shows variations already described elsewhere, such as feminization, pauperization, juvenization and interiorization, as a result of the deep inequalities characteristic of Brazilian society. We then examine the contributions of three bodies of sociological and anthropological literature related to HIV/AIDS: 1 sociological research and theory on the impact of recent global economic restructuring and social transformation, and its relationship to public health issues; 2 the cross-cultural and cross-national anthropological and

  17. Medical Science Meets 'Development Aid' Transfer and Adaptation of West German Microbiology to Togo, 1960-1980. (United States)

    Rensch, Carola; Bruchhausen, Walter


    After losing the importance it had held around 1900 both as a colonial power and in the field of tropical medicine, Germany searched for a new place in international health care during decolonisation. Under the aegis of early government 'development aid', which started in 1956, medical academics from West German universities became involved in several Asian, African and South American countries. The example selected for closer study is the support for the national hygiene institute in Togo, a former German 'model colony' and now a stout ally of the West. Positioned between public health and scientific research, between 'development aid' and academia and between West German and West African interests, the project required multiple arrangements that are analysed for their impact on the co-operation between the two countries. In a country like Togo, where higher education had been neglected under colonial rule, having qualified national staff became the decisive factor for the project. While routine services soon worked well, research required more sustained 'capacity building' and did not lead to joint work on equal terms. In West Germany, the arrangement with the universities was a mutual benefit deal for government officials and medical academics. West German 'development aid' did not have to create permanent jobs at home for the consulting experts it needed; it improved its chances to find sufficiently qualified German staff to work abroad and it profited from the academic renown of its consultants. The medical scientists secured jobs and research opportunities for their postgraduates, received grants for foreign doctoral students, gained additional expertise and enjoyed international prestige. Independence from foreign politics was not an issue for most West German medical academics in the 1960s.

  18. Beliefs and Attitudes of Medical Students from Public and Private Universities in Malaysia towards Individuals with HIV/AIDS

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    Koh Kwee Choy


    Full Text Available We describe the findings from a survey assessing the beliefs regarding testing, confidentiality, disclosure, and environment of care and attitudes towards care of people with HIV/AIDS (PLHWA, in 1020, 4th and 5th year medical students, from public and private medical universities in Malaysia. A self-administered validated questionnaire based on the UNAIDS Model Questionnaire with a 5-point Likert scale (5, strongly disagree; 4, disagree; 3, neutral; 2, agree; 1, strongly agree was used as a survey tool. The survey included demographic data and data on undergraduate training received on HIV/AIDS. Statistical significance in the demographic data and training received by respondents was evaluated using the chi-square test while the independent Student’s t-test was used for comparison of means between public and private universities. A value of <0.05 was considered statistically significant with 95% confidence interval. Our study revealed less than 20% of medical students received adequate training to care for PLHWA. They had prevalent negative beliefs regarding testing, confidentiality, disclosure and environment of care towards PLHWA although in giving care to PLHWA, their attitudes were largely positive and nondiscriminatory.

  19. New methods of seafarer's training: an internet "refresher course on first-aid and medical care on board". (United States)

    Canals, M L


    Our objective is to facilitate seamen's health education, according to the recommendations of international organisations like IMO (STCW 1995) and EC (Directive 92/29): They recommend a refresher course on first-aid at least every 5 years for persons in charge of medical care on board. In Spain the transposition of this Directive was published (RD 258/99). So, we thought that in order to help seafarers and officers in their training in prevention and in solving health problems derived from their occupational risks on board, continuing education could be implemented using an innovative and adaptable tool. No first-aid course can be useful without practical exercises. The term "refresher" (in this paper) is a way of reminding what people have learnt and practised in a previous practical course. In 1998, the Spanish Society of Maritime Medicine promoted a pilot internet refresher course for seafarers in its web, URL: " +". There are 10 didactic units (resources for medical assistance on board, radio-medical advice, environmental problems, travel medicine, cardio-respiratory resuscitation, prevention of problems in diving, death on board, occupational risk prevention ... etc.). Hypertext linked keywords help the student to revise the subject, a teacher can counsel him by e-mail and a multiple choice test, and clinical cases are included to check the comprehension of the didactic units. A CD and an English version of the course is being prepared.

  20. Medical complications of anorexia nervosa and their treatments: an update on some critical aspects. (United States)

    Brown, Carrie; Mehler, Philip S


    Anorexia nervosa has the highest mortality rate of any psychiatric disorder. Many of the deaths are attributable to medical complications which arise as the malnutrition and weight loss worsens. Every body system may be adversely affected by anorexia nervosa. Yet, remarkably, most of the medical complications of anorexia nervosa are treatable and reversible with optimal medical care, as part of a multidisciplinary team who are often involved in the care of these patients. Herein, we will describe the medical complications of anorexia nervosa and their treatments.

  1. Medical and Social Aspects of Syphilis in the Balkans from the mid-19th Century to the Interwar. (United States)

    Tsiamis, Costas; Vrioni, Georgia; Poulakou-Rebelakou, Effie; Gennimata, Vasiliki; Murdjeva, Mariana А; Tsakris, Athanasios


    The current study presents some aspects of syphilis in the Balkan Peninsula from the 19th century until the Interwar. Ever since the birth of modern Balkan States (Greece, Bulgaria, Turkey and Serbia), urbanization, poverty and the frequent wars have been considered the major factors conducive to the spread of syphilis. The measures against sex work and sexually transmitted diseases (STDs) were taken in two aspects, one medical and the other legislative. In this period, numerous hospitals for venereal diseases were established in the Balkan countries. In line with the international diagnostic approach and therapeutic standards, laboratory examinations in these Balkan hospitals included spirochete examination, Wassermann reaction, precipitation reaction and cerebrospinal fluid examination. Despite the strict legislation and the adoption of relevant laws against illegal sex work, public health services were unable to curb the spread of syphilis. Medical and social factors such as poverty, citizen's ignorance of STDs, misguided medical perceptions, lack of sanitary control of prostitution and epidemiological studies, are highlighted in this study. These factors were the major causes that helped syphilis spread in the Balkan countries during the 19th and early 20th century. The value of these aspects as a historic paradigm is diachronic. Failure to comply with the laws and the dysfunction of public services during periods of war or socioeconomic crises are both factors facilitating the spread of STDs.

  2. Medical and Social Aspects of Syphilis in the Balkans from the mid-19th Century to the Interwar

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    Tsiamis Costas


    Full Text Available The current study presents some aspects of syphilis in the Balkan Peninsula from the 19th century until the Interwar. Ever since the birth of modern Balkan States (Greece, Bulgaria, Turkey and Serbia, urbanization, poverty and the frequent wars have been considered the major factors conducive to the spread of syphilis. The measures against sex work and sexually transmitted diseases (STDs were taken in two aspects, one medical and the other legislative. In this period, numerous hospitals for venereal diseases were established in the Balkan countries. In line with the international diagnostic approach and therapeutic standards, laboratory examinations in these Balkan hospitals included spirochete examination, Wassermann reaction, precipitation reaction and cerebrospinal fluid examination. Despite the strict legislation and the adoption of relevant laws against illegal sex work, public health services were unable to curb the spread of syphilis. Medical and social factors such as poverty, citizen’s ignorance of STDs, misguided medical perceptions, lack of sanitary control of prostitution and epidemiological studies, are highlighted in this study. These factors were the major causes that helped syphilis spread in the Balkan countries during the 19th and early 20th century. The value of these aspects as a historic paradigm is diachronic. Failure to comply with the laws and the dysfunction of public services during periods of war or socioeconomic crises are both factors facilitating the spread of STDs.

  3. Aspects of medical migration with particular reference to the United Kingdom and the Netherlands

    NARCIS (Netherlands)

    Herfs, Paulus


    Background In most countries of the European Economic Area (EEA), there is no large-scale migration of medical graduates with diplomas obtained outside the EEA, which are international medical graduates (IMGs). In the United Kingdom however, health care is in part dependent on the influx of IMGs. In

  4. Aspects of communication in medical life. Doctor-patient communication: differentiation and customization (United States)

    Borţun, D; Matei, CS


    One of the weaknesses of the Romanian medical system is the absence of the communicational culture. This absence is felt at all levels of the healthcare system: doctor-patient relationship, doctor-patient’s relatives relationship, labor relations within the medical teams and units, the management of the large hospitals and of the medical institutions from the public administration system and last, but not least, the relationships of these units and institutions with the public opinion and, particularly, with the stakeholders. This paper tackled with some of the principles and values that underlie an efficient communication, the default of which was felt in various domains of the Romanian medical life. They were analyzed from the perspective of the Romanian and international literature and the conclusions drawn might inspire proposals for the improvement of the medical education as well as for the professional development of the Romanian doctors.

  5. Medical student's perceptions of different teaching aids from a tertiary care teaching institution

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    Inderjit Singh Bagga


    Conclusions: Student's preferences and feedback need to be taken into consideration when using multimedia modalities to present lectures to students. Feasible student suggestions must be implemented for further improving the use of audio-visual aids during didactic lectures to make teaching learning environment better. [Int J Res Med Sci 2016; 4(7.000: 2788-2791

  6. Medical Comics as Tools to Aid in Obtaining Informed Consent for Stroke Care. (United States)

    Furuno, Yuichi; Sasajima, Hiroyasu


    Informed consent has now become common in medical practice. However, a gap still exists between doctors and patients in the understanding of clinical conditions. We designed medical comics about "subarachnoid hemorrhage" and "intracerebral hemorrhage" to help doctors obtain informed consent intuitively, quickly, and comprehensively.Between September 2010 and September 2012, we carried out a questionnaire survey about medical comics with the families of patients who had suffered an intracerebral or subarachnoid hemorrhage. The questionnaire consisted of 6 questions inquiring about their mental condition, reading time, usefulness of the comics in understanding brain function and anatomy, pathogenesis, doctor's explanation, and applicability of these comics.The results showed that 93.8% responders would prefer or strongly prefer the use of comics in other medical situations. When considering the level of understanding of brain function and anatomy, pathology of disease, and doctor's explanation, 81.3%, 75.0%, and 68.8% of responders, respectively, rated these comics as very useful or useful.We think that the visual and narrative illustrations in medical comics would be more helpful for patients than a lengthy explanation by a doctor. Most of the responders hoped that medical comics would be applied to other medical cases. Thus, medical comics could work as a new communication tool between doctors and patients.

  7. Medical ethics and tomorrow's physicians: an aspect of coverage in the formal curriculum. (United States)

    Al-Umran, Khalid Umran; Al-Shaikh, Basil Abdulrahman; Al-Awary, Bassam Hassan; Al-Rubaish, Abdullah Mohammed; Al-Muhanna, Fahd Abdulaziz


    Medical ethics has created contentious issues and requires reforms in medical education such as renewed emphasis on formal instruction. The aim here was to review the current status of bioethics teaching in medical schools, determine Saudi students' perception of its coverage in the formal curriculum and make recommendations. Using a self-administered questionnaire in a cross-sectional study, undergraduate students' opinion about medical ethics coverage was obtained. Fourteen clinical departments and 201 students were studied. Only 46% of respondents were satisfied with the current coverage of ethical issues in the formal curriculum; 23% were unaware of the value of the subject. Students' approval rate was highest in Neurology and Psychiatry (70%). The study confirmed inadequate formal instruction on medical ethics in a developing country. Five recommendations are made. At admission, students' integrity and character should be assessed. Bioethics should be taught in clinical settings. In the Islamic world, medical curricula should include the Islamic code of medical ethics. Peers, nurses and patients should evaluate graduates' performance in ethics at the bedside. Evidence-based assessment and continuous quality improvement are required to maintain the requisite standard.

  8. Breathing difficulties - first aid (United States)

    Difficulty breathing - first aid; Dyspnea - first aid; Shortness of breath - first aid ... Breathing difficulty is almost always a medical emergency. An exception is feeling slightly winded from normal activity, ...

  9. Legislative and ethical aspects of introducing new technologies in medical care for senior citizens in developed countries

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    Kacetl J


    Full Text Available Jaroslav Kacetl,1 Petra Maresova2 1Department of Applied Linguistics, 2Department of Economics, Faculty of Informatics and Management, University of Hradec Kralove, Hradec Kralove, Czech Republic Introduction: The majority of developed countries are currently experiencing demographic aging. The most frequently expressed concerns related to the changing age structure are the increased costs of social and medical care, a lack of labor force in the job market, and financial sustainability of the pension system. These concerns are often based on the pessimistic view of population aging. This view understands aging as a prolonged period of illness and suffering. On the other hand, optimists believe that a longer life span is a result of increased quality of life and better health care. The quality of life may be improved not only by medicaments, but also by rapidly developing area of medical devices, which allow better care for seniors in many areas.Aim: This contribution aims to assess the legislative environment and ethical questions related to the use of medical devices, especially medical devices, in medical care for senior citizens.Methods: The methods used in this study are literature reviews of legislative and ethical environment in the European Union (EU and the US.Results: Main findings of this study result from assessing the state of medical device regulations in Europe and the US. Namely, the US regulation seems to be better arranged, which is probably due to the fact that there is only one responsible body – the US Food and Drug Administration, which is responsible for all medical device regulations. On the other hand, in the EU, talks about new legislation are led by ministers from all the EU member states and it may take a long time before all the EU countries come to an agreement. Keywords: senior citizen, medical devices, legislation, ethical aspects


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    Otstavnov Stanislav Sergeevich


    Full Text Available The article presents the data obtained from comprehensive study of russian hi-tech medical equipment market. The size and the structure of Russian medical equipment market in 2005-2011 were investigated and market size forecast for 2012-2015 was given. Priority segments of Russian high-tech medical equipment market were identified (products with a high degree of visualization, anesthetic and ventilation equipment, patient monitors based on the analysis of literature sources and morbidity structure. Key players in key segments of the market were identified and their financial performance such as number of employees, revenue, net profit, researches and development expenses were compared (according to actual annual reports. Research allowed to draw the following conclusion: today in the key segments of Russian high-tech medical equipment market the leadership of foreign companies (Hitachi, Philips, Siemens, Toshiba, General Electric, Dräger is indisputable, objective preconditions for the fundamental change of the situation are absent. Import substitution requires the consolidation of domestic producers, adequate funding and human resource. The results can be used in practice by medical industry companies and State authorities on purpose to upgrade the medical industry.


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    Станислав Сергеевич Отставнов


    Full Text Available The article presents the data obtained from comprehensive study of russian hi-tech medical equipment market. The size and the structure of Russian medical equipment market in 2005-2011 were investigated and market size forecast for 2012-2015 was given. Priority segments of Russian high-tech medical equipment market were identified (products with a high degree of visualization, anesthetic and ventilation equipment, patient monitors  based on the analysis of literature sources and morbidity structure. Key players in key segments of the market were identified and their financial performance such as number of employees, revenue, net profit, researches and development expenses were compared (according to actual annual reports.Research allowed to draw the following conclusion: today in the key segments of Russian high-tech medical equipment market the leadership of foreign companies  (Hitachi, Philips, Siemens, Toshiba, General Electric, Dräger is indisputable, objective preconditions for the fundamental change of the situation are absent. Import substitution requires the consolidation of domestic producers, adequate funding and human resource.The results can be used in practice by medical industry companies and State authorities on purpose to upgrade the medical industry.DOI:

  12. The Statistical Precision of Medical Screening Procedures: Application to Polygraph and AIDS Antibodies Test Data


    Gastwirth, Joseph L.


    The increased use of screening tests for drug use or antibodies to the HTLV-III (AIDS) virus, as well as pre-employment polygraph testing, has raised concerns about the reliability of the results of these procedures. This paper reviews the mathematical model underlying the analysis of data from screening tests. In addition to the known formulas for the proportion of positive (negative) classifications that are correct, we provide a large sample approximation to their standard errors. The resu...

  13. A semantically-aided approach for online annotation and retrieval of medical images. (United States)

    Kyriazos, George K; Gerostathopoulos, Ilias Th; Kolias, Vassileios D; Stoitsis, John S; Nikita, Konstantina S


    The need for annotating the continuously increasing volume of medical image data is recognized from medical experts for a variety of purposes, regardless if this is medical practice, research or education. The rich information content latent in medical images can be made explicit and formal with the use of well-defined ontologies. Evolution of the Semantic Web now offers a unique opportunity of a web-based, service-oriented approach. Remote access to FMA and ICD-10 reference ontologies provides the ontological annotation framework. The proposed system utilizes this infrastructure to provide a customizable and robust annotation procedure. It also provides an intelligent search mechanism indicating the advantages of semantic over keyword search. The common representation layer discussed facilitates interoperability between institutions and systems, while semantic content enables inference and knowledge integration.

  14. A novel modeling method for manufacturing hearing aid using 3D medical images

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyeong Gyun [Dept of Radiological Science, Far East University, Eumseong (Korea, Republic of)


    This study aimed to suggest a novel method of modeling a hearing aid ear shell based on Digital Imaging and Communication in Medicine (DICOM) in the hearing aid ear shell manufacturing method using a 3D printer. In the experiment, a 3D external auditory meatus was extracted by using the critical values in the DICOM volume images, a nd t he modeling surface structures were compared in standard type STL (STereoLithography) files which could be recognized by a 3D printer. In this 3D modeling method, a conventional ear model was prepared, and the gaps between adjacent isograms produced by a 3D scanner were filled with 3D surface fragments to express the modeling structure. In this study, the same type of triangular surface structures were prepared by using the DICOM images. The result showed that the modeling surface structure based on the DICOM images provide the same environment that the conventional 3D printers may recognize, eventually enabling to print out the hearing aid ear shell shape.

  15. [Role and future aspects of hospital clinical laboratories in medical team approaches]. (United States)

    Suwabe, Akira


    The recent progress in medicine increases the routine works of the physicians or nurses and decreases the chances to obtain the new information on the laboratory medicine. Although the patients desire to know their test results in detail, it is likely to be difficult to obtain them from the physician in charge. Thereby, the quality of the medical services may be deteriorated. In these situations, needs of the medical team approaches in which the medical technologists (MTs) in the hospital laboratories participate are increasing. In Japan, there are a variety of medical team approaches in which MTs are involved. In our university hospital, MTs play important roles in the infection control team (ICT), in the nutrition support team (NST), in the educational class for the patients with diabetes mellitus, in the clinical research center, in the order-made medicine realizing project, in the infertility center and in the laboratory information room. In April 2010, the new payment system for the team approaches such as ICT or NST was established. In the future, the team approaches other than ICT or NST could be chosen for the subjects for the payment if they are recognized as important. The goal of the team approaches is to realize a patient-oriented medicine. MTs can reconfirm that they are working as one of the medical staffs through these team approaches. It is important to always find out a possibility of new team approaches.

  16. Marketing aspects of development of medical waste management in health care institutions in Ukraine

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    Inesa Gurinа


    Full Text Available The concept of marketing approach to medical waste management in health care is suggested.The goal of research was to study the state of marketing activities of health care institutions on medical waste management and development trends of   resolution of outstanding issues.Methods. The methods, which were used in the research, are the methods of mathematical statistics, social studies and scientific knowledge.Results. Environmental marketing institutions of healthcare means perfectly safe for the environment provision of health services. The main directions of environmental marketing concept in health care institutions is the acceptance generally binding legal standards of Use Resources, strict control the formation and licensing of medical waste; economic incentives for workers, aimed at minimizing their interest in the volumes of medical waste; financing of R & D relative to the development of new waste and sound technologies; develop a system of taxes and penalties for polluting the environment and so on.Conclusions. As a result of the implementation of marketing strategies for managing medical waste of healthcare institutions are obtained strategic, social, environmental and economic benefits.


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    B. Nikpour


    Full Text Available In this study a base-scale is prepared for the evaluation of the personality grounds of the Tehran University of Medical Science students. Such a scoring scale may be useful to help the medical science students in career development, psychosocial consultations, and appropriate supportive care plans. A sample of 205 female and male students resident in dormitories were evaluated using “Bernreuter” personality questionnaires and computer programs prepared in this center. The percentiles of each scale is scored and represented in a systematic framework. Considering the normal distribution of the results using their means and standard deviations, the important percentages in each scale is tabulated.

  18. Crystal methamphetamine, its analogues, and HIV infection: medical and psychiatric aspects of a new epidemic. (United States)

    Urbina, Antonio; Jones, Kristina


    The use of the recreational drug crystal methamphetamine among younger homosexual men is expanding, and with it, unsafe sex behaviors that increase the transmission of human immunodeficiency virus (HIV). This article reviews available literature on the medical and psychiatric morbidities associated with methamphetamine abuse in HIV-infected patients. Medical complications include hypertension, hyperthermia, rhabdoymyolysis, and stroke. One fatal case of ingestion of methamphetamine with HIV medication has been documented. Two fatal cases of ingestion of HIV medication with the amphetamine analogue n-methyl-3,4 methylenedioxymethamphetamine (MDMA, or "ecstasy") have also been reported. Some molecular researchers suggest that dopaminergic systems are vulnerable to the combined neurotoxicity of HIV infection and methamphetamine. Population surveys indicate high rates of HIV infection among methamphetamine abusers and high rates of unprotected anal intercourse during drug intoxication. Intoxication can sometimes produce paranoia, auditory hallucinations, and, occasionally, violent behavior. Amphetamine withdrawal commonly results in symptoms of depression. Methamphetamine is a new challenge related to treatment and prevention of HIV infection.

  19. [Legal aspects of medical expert testimony and non-economic damage in civil liability of physician]. (United States)

    Pauković, Hrvoje


    In the establishment of civil liability of physicians for damage caused, it is extremely important to establish all relevant facts for the court to render the appropriate verdict. One of the crucial instruments in the establishment of a presumed civil liability of physicians as well as in the establishment of the criteria for the assessment of a proper award, is the medical expert testimony--utilised as an essential proof. The comprehension of medical and legal professionals' replies to questions which every profession must answer in order to provide an objective access to the claim and a right and full establishment of the factual situation, is the imperative for a correct application of the law in the handling and settling of these claims, especially in the light of the new set up of the concept of non-economic damage. The medical and legal profession shall help placing the problems of civil liability of physicians into real frameworks, preventing any attempts of unnecessary stigmatization of medical profession and cases of unjustified and unfounded indemnification, and it shall objectively and professionally, based on the law, enable a full and absolute protection of patients and third parties and their rights to physical and mental health.

  20. Orientation of Medical Residents to the Psychosocial Aspects of Primary Care: Influence of Training Program. (United States)

    Eisenthal, Sherman; And Others


    A survey of 63 general medical residents found most accepted the psychosocial role of the primary care physician, found it most appropriate in ambulatory care settings, felt ambivalent about their ability to perform it, and assigned it secondary priority in patient care. More attention by training programs to ambulatory care and psychosocial…

  1. Knowledge level estimation of medical workers participating in rendering of emergency medical aid to children at a pre-hospital stage

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    V.M. Popkov


    Full Text Available Purpose: Estimation of qualifying preparation of the doctors participating in rendering of emergency medical aid to children. Material: On the basis of the developed test cards the analysis of doctors' knowledge level of the first help on the basic questions of emergency medicine is carried out. 120 doctors are interrogated. Results compared depending on age, work experience and presence of a qualifying professional category. Results: As a whole answers of respondents were distributed as follows: unsatisfactorily - 2,6 %; satisfactorily - 7,9 %; well - 18,4 %; perfectly - 71,1 %. Distinctions in a dale of right answers on separate sections of knowledge depending on the experience and a qualifying professional category are established. The conclusion: The weakest places in preparation of experts of the first help on which it is necessary to pay special attention in courses of postdegree preparation are revealed

  2. 对外医疗援助的新思维%Innovation of Chinese Medical Foreign Aid

    Institute of Scientific and Technical Information of China (English)

    张善纲; 浦金辉; 赵育新; 杨铭; 谢峻


    我国对外医疗援助取得了巨大成功.但面对新形势,需要在认识、机制、管理、结构、舆论和预案等方面进一步创新:在认识方面,要充分认识援外医疗具有超越政治的便利,它是国际关系的试金石和外交斗争的角力点.在机制方面,应实现援助的一体化,达到全非洲“一盘棋,共进退”;从提高现有资金的效率、丰富合作形式、收取费用和利用国际资金等方面入手,改善医疗队的造血机能以减轻国家的财政负担;开发非官方机制,拓展合作领域,灵活处理产权,提高对外医疗援助的抗击打能力和战斗力.在管理方面,应从医疗队的派遣、队长的选拔和队员的管理入手,完善和探索切实有效的管理制度.在结构上,或可建立非洲总医院,以实现医疗队的升级与升格.在舆论上,要主动作为,正确应对,掌控国际话语权.同时制定各种规避风险的预案.通过以上方式,提高我国对外医疗援助的实效,实现受援国民众健康与我国战略利益的双赢.%Whereas great successes had achieved of China's medical foreign aid,new problems were encountered recent years.Those should be innovated in the fields of recognitions,mechanisms,managements,structures,public opinions and preparatory programs.In the area of recognitions,the beyond-political convenience of the aid should be fully understood and the touchstone role in international relations and the wrestle point in diplomatic struggles should be recognized completely.In mechanisms,in order to improve the endurance and vitality of medical foreign aid,an integrated situation interpreted as "complete game,closely aligned" should be cultivated.Such ways as utilizing the existing funds efficiently,enriching the forms of cooperation and adopting international funds could be applied as the hematopoietic mechanisms of the medical teams to alleviate the financial burden of the state.At the same time,unofficial mechanisms should

  3. Three Aspects of PLATO Use at Chanute AFB: CBE Production Techniques, Computer-Aided Management, Formative Development of CBE Lessons. (United States)

    Klecka, Joseph A.

    This report describes various aspects of lesson production and use of the PLATO system at Chanute Air Force Base. The first chapter considers four major factors influencing lesson production: (1) implementation of the "lean approach," (2) the Instructional Systems Development (ISD) role in lesson production, (3) the transfer of…

  4. Political dimensions of AIDS. (United States)

    Blewett, N


    World political aspects and the example of Australia as a national political response to AIDS are presented. Global policy on AIDS is influenced by the fact that the AIDS epidemic is the 1st to be largely predictable, that long lag times occur between intervention and measurable events, and by the prompt, professional leadership of WHO, lead by Dr. J. Mann. WHO began a Global Programme on AIDS in 1987, modelled on the responses of Canada and Australia. A world summit of Ministers of Health was convened in January 1988. These moves generated a response qualified by openness, cooperation, hope and common sense. The AIDS epidemic calls for unprecedented involvement of politicians: they must coordinate medical knowledge with community action, deal with public fear, exert strong, rational leadership and avoid quick, appealing counterproductive responses. 3 clear directions must be taken to deal with the epidemic: 1) strong research and education campaigns; 2) close contact with political colleagues, interest groups and the community; 3) a national strategy which enjoins diverse interest groups, with courage, rationality and compassion. In Australia, the AIDS response began with the unwitting infection of 3 infants by blood transfusion. A public information campaign emphasizing a penetrating TV ad campaign was instituted in 1987. Policy discussions were held in all parliamentary bodies. The AIDS epidemic demands rapid, creative responses, a break from traditions in health bureaucracy, continual scrutiny of funding procedures and administrative arrangements. In practical terms in Australia, this meant establishing a special AIDS branch within the Health Advancement Division of the Community Health Department. AIDS issues must remain depoliticized to defuse adversary politics and keep leaders in a united front.

  5. The use of oscillometry as a measure of airway responsiveness in asthmatic children after histamine and methacholine bronchoprovocation with dosimeter-MedicAid and DeVilbiss nebulizers. (United States)

    Kopriva, F; Szotkowská, J; Plocová, A; Závodská, J; Zápalka, M; Smatanová, D; Látalová, M; Slezáková, L; Radová, L


    To explore the use of oscillometry as a measure of airway responsiveness, 69 asthmatic children underwent histamine and methacholine bronchoprovocation using dosimeter-MedicAid (Jaeger Co.; Germany) and DeVilbiss nebulizers (DeVilbiss, Bornemouth; England). The mean increase in R5 resistance in challenge testing measured after methacholine with the dosimeter-MedicAid nebulizer was 77.14% compared with 65.05% using histamine. Using the dosimeter-DeVilbiss nebulizer, the mean increases in R5 resistance following methacholine and histamine testing were 57.50% and 59.36%, respectively. The resistance R5 over R20 significantly correlated with forced expiratory volume in 1 second (FEV1). The MedicAid produced a more aggressive challenge than the DeVilbliss nebulizer. Oscillometry can be used to monitor the level of airway hyperresponsiveness following bronchoprovocation tests.

  6. 14 CFR Appendix A to Part 121 - First Aid Kits and Emergency Medical Kits (United States)


    ... administer required drugs) 4 Needles (sizes necessary to administer required drugs) 6 50% Dextrose injection... dose ampule or equivalent 2 Nitroglycerin tablets 10 Basic instructions for use of the drugs in the kit... administer required medications) 4 Analgesic, non-narcotic, tablets, 325 mg 4 Antihistamine tablets, 25 mg...

  7. Emerging medical informatics with case-based reasoning for aiding clinical decision in multi-agent system. (United States)

    Shen, Ying; Colloc, Joël; Jacquet-Andrieu, Armelle; Lei, Kai


    This research aims to depict the methodological steps and tools about the combined operation of case-based reasoning (CBR) and multi-agent system (MAS) to expose the ontological application in the field of clinical decision support. The multi-agent architecture works for the consideration of the whole cycle of clinical decision-making adaptable to many medical aspects such as the diagnosis, prognosis, treatment, therapeutic monitoring of gastric cancer. In the multi-agent architecture, the ontological agent type employs the domain knowledge to ease the extraction of similar clinical cases and provide treatment suggestions to patients and physicians. Ontological agent is used for the extension of domain hierarchy and the interpretation of input requests. Case-based reasoning memorizes and restores experience data for solving similar problems, with the help of matching approach and defined interfaces of ontologies. A typical case is developed to illustrate the implementation of the knowledge acquisition and restitution of medical experts.

  8. Can eosinophilic bronchitis be considered as an occupational disease? Medical certification aspects

    Directory of Open Access Journals (Sweden)

    Aneta Kleniewska


    Full Text Available Eosinophilic bronchitis (EB is a condition which can be associated with occupational exposure to low, as well as to high molecular weight allergens. The prevalence of occupational eosinophilic bronchitis is unknown and the data concerning its work-related etiology are available only from the case reports. However, there is a need to establish the principles, especially in the context of medical certification among workers occupationally exposed to allergens. This paper reviews current knowledge on the etiology, clinical features, and diagnostic procedures in the eosinophilic bronchitis. The importance of EB, especially in view of the problems emerging in the prophylactic care taken by occupational health services and the principles of medical certification when occupational etiology is suspected are also presented. Med Pr 2013;64(4:569–578

  9. Medication for older people - aspects of rational therapy from the general practitioner's point of view

    DEFF Research Database (Denmark)

    Vass, M; Hendriksen, C


    people and to consider different approaches when evaluating evidence of risk and benefit for the individual. Old people are facing a considerable risk of adverse drug reactions and recent initiatives, including the Continuous Medical Educational Efforts Programme, address issues of inappropriate...... state that a number of pharmacological regimens for older people are outperformed by non-pharmacological treatment alternatives involving competent individualised counselling and public provision of easy (transportation) possibilities for joining centres offering staff and equipment for physical......This paper discusses GP perspectives on the principles underlying rational pharmacotherapy for older people. The rising use of prescription medicine forces the GP to balance the benefit of evidence group-based appropriate drug use against the problems arising when medication is given to older...

  10. Differences in Knowledge, Attitude, and Behavior towards HIV/AIDS and Sexually Transmitted Infections between Sexually Active Foreign and Chinese Medical Students. (United States)

    Kuete, Martin; Huang, Qiao; Rashid, Abid; Ma, Xiu Lan; Yuan, HongFang; Escalera Antezana, Juan Pablo; Yeltay, Rakhmanov; Rao, Meng; He, Qian; Xiong, ChengLiang; Zhang, HuiPing


    Although the prevalence of human immunodeficiency virus (HIV) decreased in the last decade worldwide, the number of deaths due to HIV/AIDS and communicable diseases including syphilis, hepatitis, and tuberculosis had dramatically increased in developing countries. Education and behavior are incredibly important factors to prevent these diseases' spread. This study highlights the range of differences in knowledge, attitude, and behavior of 434 sexually active medical students towards HIV/AIDS and sexually transmitted infections (STIs). Because the surveyed population constitutes the forefront of healthcare providers and was originated from different area of the world, this is the first time a study sought to investigate the behavioral attitude of this group of population irrespective of the three levels of their academic and professional knowledge. Several factors including sociodemographic characteristics, sexual behavior, HIV/AIDS, and STIs related patterns play a key role in medical student attitude and behavior towards people infected with HIV/AIDS and STIs. Our findings add consistent value in prior studies which aimed to stop new infections and also imply further investigations on the management of the studied infections by medical students. The present study arouses much interest among participants and provides evidence of reinforcing medical students' education on HIV/AIDS and STIs.

  11. Differences in Knowledge, Attitude, and Behavior towards HIV/AIDS and Sexually Transmitted Infections between Sexually Active Foreign and Chinese Medical Students

    Directory of Open Access Journals (Sweden)

    Martin Kuete


    Full Text Available Although the prevalence of human immunodeficiency virus (HIV decreased in the last decade worldwide, the number of deaths due to HIV/AIDS and communicable diseases including syphilis, hepatitis, and tuberculosis had dramatically increased in developing countries. Education and behavior are incredibly important factors to prevent these diseases’ spread. This study highlights the range of differences in knowledge, attitude, and behavior of 434 sexually active medical students towards HIV/AIDS and sexually transmitted infections (STIs. Because the surveyed population constitutes the forefront of healthcare providers and was originated from different area of the world, this is the first time a study sought to investigate the behavioral attitude of this group of population irrespective of the three levels of their academic and professional knowledge. Several factors including sociodemographic characteristics, sexual behavior, HIV/AIDS, and STIs related patterns play a key role in medical student attitude and behavior towards people infected with HIV/AIDS and STIs. Our findings add consistent value in prior studies which aimed to stop new infections and also imply further investigations on the management of the studied infections by medical students. The present study arouses much interest among participants and provides evidence of reinforcing medical students’ education on HIV/AIDS and STIs.

  12. Methabolic Evaluation and Medical Aspects of Recurrent Urinary Tract Calcium Stones


    Naime Canoruç; Fatih Atuğ


    Recurrent Stone formation in the urinary tract is a common and important problem. The most important component in the medical treatment of stones is establishing the correct metabolic diagnosis. Unfortunately a significant proportion of patients with recurrent stones do not undergo proper metabolic evaluation. Dietary modification still remains one of the most important strategies for therapy. Recent studies suggest that severe calcium restriction is not useful in patients with recurrent calc...


    Directory of Open Access Journals (Sweden)



    Full Text Available This study explored medical students’ knowledge and attitude on the medico - legal autopsy demonstrations which formed part of their training in Forensic Medicine. 300 students of 2010, 2011 and 2012 batch of college were obtained by asking them to answer a questionnaire on the subject. The students were asked to respond anonymously to a questionnaire which dealt with their views on the autopsy practice, the knowledge of the procedure, attitude and perception towards medico legal autopsy. In present study majority of the students were aware of the situations where medico legal postmortem examination is mandatory as per Indian law and taking out of viscera for chemical analysis and histo - pathological examination for the purpose of medico - legal autopsy. 96% of the students agreed that autopsy is necessary in medical education. 37.95% of the students were very uncomfortable on the first exposure to postmortem examination. This study showed that medical students appreciate the medico - legal autopsy demonstration as a learning experience.

  14. Selecting and Dispatching Foreign Aid Medical Team%援外军医组抽组选派的做法

    Institute of Scientific and Technical Information of China (English)

    刘磊汉; 夏挺


    本文在两次派出援外军医抽组实践的基础上,总结归纳“深入进行宣传发动,选拔德才兼备骨干,周密组织训练,细致做好保障”等经验做法,并就派遣工作中存在的问题进行探讨。%Based on the practices of two foreign aid medical teams dispatched , the author summarized the experience of in-depth propaganda , selecting members with both ability and political integrity , training carefully and providing meticulous service .In the end , the problems existing in the process of dispatching were discussed .

  15. Computergraphics: a scientific tool and an aid to the medical illustrator. (United States)

    Jessup, M E


    This article discusses some of the many ways that computergraphics technology is used in the medical and scientific communities to accurately quantify, record, and image natural structures and phenomena. What becomes obvious from the information presented is that computer-generated graphics have become routine for the constituency that the biocommunicator serves. To ignore the significance of these developments would be to put one's head in the sand.

  16. [Actual sanitary, epidemiological and hygienic aspects of a dietitian's activities in stationary medical institutions]. (United States)

    Sukhanov, B P; Kerimoval, M G; Elizarova, E V; Petrenko, A S


    The article shows the relevance of the main areas of dietitians' training to sanitary and epidemiological and hygienic issues of organization of clinical nutrition in stationary medical institutions (MIs) at training and refresher courses on dietetics. The attention is focused on the new legislative, policy and regulatory instruments, sanitary and epidemiological and hygienic requirements, providing high quality, safety and efficacy of nutritional therapy in MIs. The role of dietitian in the organization of clinical nutrition is highlighted. There were set out rights and responsibilities of a dietitian as a representative of MI under inspections by Rospotrebnadzor bodies; the demands, put forward by these bodies to the tested object, and actions, taken by them.

  17. Medical aspects of ageing in a population with intellectual disability: II. Hearing impairment. (United States)

    Evenhuis, H M


    Hearing function of an institutionalized population with intellectual disability, consisting of 70 subjects with a mean age of 70.1 (range 60-92) years at initial evaluation, was assessed during a 10-year longitudinal study. One subject had Down's syndrome and could not be assessed as a result of dementia. The total prevalence of mild to severe hearing loss (33.3% in the 60-70 age group and 70.4% in those over age 70) was comparable to reported data from an ageing population without intellectual disability in the United Kingdom (37%, respectively 60%). However, the proportion of moderate to severe losses might be higher (16.7% vs. 7% in the 60-70 age group and 33.3% vs. 18% in the older age group). Excess impairment was caused by severe congenital and childhood hearing impairment on one hand, and by conductive losses, probably caused by unrecognized chronic middle ear infections, superposed upon presbyacusis, on the other. Impacted ear wax was also a major problem. The incidence of new cases with hearing loss during follow-up was 50%. After individual habituation training hearing aids were used without difficulties by 20 out of 24 subjects. The importance of active screening and treatment of middle ear infections and hearing impairment from a young age onwards, and regular cleaning of the external ear canals is stressed.

  18. The limits of social justice as an aspect of medical professionalism. (United States)

    Huddle, Thomas S


    Contemporary accounts of medical ethics and professionalism emphasize the importance of social justice as an ideal for physicians. This ideal is often specified as a commitment to attaining the universal availability of some level of health care, if not of other elements of a "decent minimum" standard of living. I observe that physicians, in general, have not accepted the importance of social justice for professional ethics, and I further argue that social justice does not belong among professional norms. Social justice is a norm of civic rather than professional life; professional groups may demand that their members conform to the requirements of citizenship but ought not to require civic virtues such as social justice. Nor should any such requirements foreclose reasonable disagreement as to the content of civic norms, as requiring adherence to common specifications of social justice would do. Demands for any given form of social justice among physicians are unlikely to bear fruit as medical education is powerless to produce this virtue.

  19. Widespread use of toxic skin lightening compounds: medical and psychosocial aspects. (United States)

    Ladizinski, Barry; Mistry, Nisha; Kundu, Roopal V


    Hyperpigmentation disorders and skin lightening treatments have a significant impact on the dermatologic, physiologic, psychologic, economic, social, and cultural aspects of life. Skin lightening compounds, such as hydroquinone and topical corticosteroids, are often used to treat hyperpigmentation disorders, such as melasma, or lighten skin for cosmetic purposes. Despite their established effectiveness, a multitude of dermatologic and systemic complications have been associated with these agents. Regulatory agencies have also recognized the adverse effects of skin lighteners and many countries around the world now forbid the production and sale of these compounds, although this prohibition has not significantly curtailed distribution. Dermatologists and users of cosmetic products should be aware of the various components in bleaching compounds, their potential adverse effects, and alternative options for skin lightening.

  20. Some nuclear chemical aspects of medical generator nuclide production at the Los Alamos hot cell facility

    CERN Document Server

    Fassbender, M; Heaton, R C; Jamriska, D J; Kitten, J J; Nortier, F M; Peterson, E J; Phillips, D R; Pitt, L R; Salazar, L L; Valdez, F O; 10.1524/ract.


    Generator nuclides constitute a convenient tool for applications in nuclear medicine. In this paper, some radiochemical aspects of generator nuclide parents regularly processed at Los Alamos are introduced. The bulk production of the parent nuclides /sup 68/Ge, /sup 82/Sr, /sup 109/Cd and /sup 88/Zr using charged particle beams is discussed. Production nuclear reactions for these radioisotopes, and chemical separation procedures are presented. Experimental processing yields correspond to 80%-98% of the theoretical thick target yield. Reaction cross sections are modeled using the code ALICE-IPPE; it is observed that the model largely disagrees with experimental values for the nuclear processes treated. Radionuclide production batches are prepared 1-6 times yearly for sales. Batch activities range from 40MBq to 75 GBq.

  1. Longitudinal PBL in Undergraduate Medical Education Develops Lifelong-Learning Habits and Clinical Competencies in Social Aspects. (United States)

    Okubo, Yumiko; Matsushita, Susumu; Takakuwa, Yuichi; Yoshioka, Toshimasa; Nitta, Kosaku


    Problem-based learning (PBL) is popular in medical education in Japan. We wished to understand the influence of PBL on the clinical competence of medical residents, using self-assessment and observer assessment. Tokyo Women's Medical University (TWMU) implemented PBL longitudinally (long-time) for four years, and on this basis we analyzed whether long-time PBL education is useful for clinical work. A self-assessment questionnaire was sent to junior and senior residents who were alumni of several schools, and an observation-based assessment questionnaire to senior doctors instructing them. Respondents were asked if they had used the PBL process in daily clinical tasks, and if so in what processes. Senior doctors were asked whether TWMU graduates perform differently from graduates of other schools. TWMU graduates answered "used a lot" and "used a little" with regard to PBL at significantly higher rates than other graduates. As useful points of PBL, they mentioned extracting clinical problems, solving clinical problems, self-directed leaning, positive attitude, collaboration with others, presentation, doctor-patient relations, self-assessment, and share the knowledge with doctors at lower levels and students. Observer assessments of TWMU graduates by senior doctors represented them as adaptive, good at presenting, good at listening to others' opinions, practical, selfish, and eager in their instructional practice. Longitudinal PBL can be a good educational method to develop lifelong-learning habits and clinical competencies especially in terms of the social aspect.

  2. Legal aspects regarding the use and integration of electronic medical records for epidemiological purposes with focus on the Italian situation

    Directory of Open Access Journals (Sweden)

    Antonietta Stendardo


    Full Text Available The "Observational Studies" working group of the Italian Association of Medical Statistics and Clinical Epidemiology (SISMEC has undertaken to study the impact of recent healthcare sector regulations on the legal and organisational aspects of managing all EMR databases with emphasis on Legislative Decree No. 196/2003 (the Italian Personal Data Protection Law. This paper examines six issues relating to theirs legal implications. The first section, “Confidentiality”, provides definitions and the regulatory context for the terms "confidentiality" and "personal data". In the second, “Nature of data held in electronic medical record archives”, we discuss the problem of sensitive data and procedures to make the identification code anonymous. In “Data ownership” we highlight the difference between the data controller and the database controller. The fourth section, “Conditions for processing”, discusses problems associated with using research data from one study in other investigations. In the fifth, “Patient consent”, we address the problems related to patient consent. Finally in “Penalties” we outline the main civil and criminal liability issues applied in case of non-compliance with the provisions of the Personal Data Protection Code. Where possible, we provide suggestions on how to comply with the legal requirements of managing medical record archives in order to make it easier for researchers to remain in compliance with the relevant provisions. 

  3. Medical emergency aid through telematics: design, implementation guidelines and analysis of user requirements for the MERMAID project. (United States)

    Anogianakis, G; Maglavera, S; Pomportsis, A; Bountzioukas, S; Beltrame, F; Orsi, G


    MERMAID is an EU financed telemedicine project with global reach and 24-h, multilingual capability. It aspires to provide a model for the provision of health care services based on the electronic transmission of medical information, via ISDN based videoconferencing. This model will not be limited to medical diagnostics but it will encompass all cases where the actual delivery of health care services involves a patient who is not located where the provider is. Its implementation requires the commissioning of an expensive telecommunications infrastructure and the exploration of a number of solutions. In fact, all categories of telemedical applications (audio and video conferencing, multimedia communications, flat file and image transfer with low, medium and high bandwidth data requirements) are considered while the full range of network choices (digital land lines, cellular/wireless, satellite and broadband) are being tested in terms of cost/performance tradeoffs that are inherent to them and the developmental stage each of these options occupies in their in its life cycle. Finally, out that MERMAID utilises advanced land based line transmission technologies to aid the remote patient by making available the specialist care that is best suited in the particular case.

  4. Personality preference influences medical student use of specific computer-aided instruction (CAI

    Directory of Open Access Journals (Sweden)

    Halsey Martha


    Full Text Available Abstract Background The objective of this study was to test the hypothesis that personality preference, which can be related to learning style, influences individual utilization of CAI applications developed specifically for the undergraduate medical curriculum. Methods Personality preferences of students were obtained using the Myers-Briggs Type Indicator (MBTI test. CAI utilization for individual students was collected from entry logs for two different web-based applications (a discussion forum and a tutorial used in the basic science course on human anatomy. Individual login data were sorted by personality preference and the data statistically analyzed by 2-way mixed ANOVA and correlation. Results There was a wide discrepancy in the level and pattern of student use of both CAI. Although individual use of both CAI was positively correlated irrespective of MBTI preference, students with a "Sensing" preference tended to use both CAI applications more than the "iNtuitives". Differences in the level of use of these CAI applications (i.e., higher use of discussion forum vs. a tutorial were also found for the "Perceiving/Judging" dimension. Conclusion We conclude that personality/learning preferences of individual students influence their use of CAI in the medical curriculum.

  5. Medical aspects of room air quality and CO/sub 2/ sensors

    Energy Technology Data Exchange (ETDEWEB)

    Ranscht-Froemsdorff, W.


    So far, CO/sub 2/ received only peripheral interest in the search for relevant factors and trace elements that are detrimental to comfort in living rooms and offices. Medically speaking, CO/sub 2/ is an analeptic substance, i.e. a substance that, given in small doses, stimulates like coffein; in larger doses, it has an alcohol-like effect, and overdoses are lethal as they arrest breathing. The author assumes that a rise in CO/sub 2/ in closed rooms will be accompanied by a rise in other trace elements, possibly with synergetic effects on the human organism. In the last few years, portable, light-weight sensors have become available. The use of CO/sub 2/ sensors is particularly important in air-conditioned rooms, where the fresh air supply exceeds the actual requirements, i.e. where an energy-saving effect could be achieved by combining the sensors with the air conditioning unit. (BWI).

  6. [Medical and legal aspects of genital mutilation and circumcision part I: female genital mutilation (FGM)]. (United States)

    Dettmeyer, Reinhard; Laux, Johannes; Friedl, Hannah; Zedler, Barbara; Bratzke, Hansjürgen; Parzeller, Markus


    Female genital mutilation (FGM) is considered to be against the law and against morality not only in Western countries, although a woman of age and able to consent may sometimes think differently. The procedure may have serious physical and emotional consequences for the girl or woman. Nevertheless there are attempts to justify the procedure with medical and hygienic pseudoarguments, ideology, freedom of religion, cultural identity and social adequacy. Outside the Western world, some people claim that religion and culture alone justify the practice. In Germany, parents can lose the right to determine the residence of their daughter, if she is faced with the risk of genital mutilation in order to prevent that the child or girl is taken to her home country. Genital mutilation as a gender-specific threat is recognized as a reason to grant asylum or prevent deportation. Proposals to make genital mutilation a separate punishable offence are presently discussed by the legislator.

  7. [Medical and legal aspects of genital mutilation and circumcision. Part II: Male circumcision]. (United States)

    Dettmeyer, Reinhard; Parzeller, Markus; Laux, Johannes; Friedl, Hannah; Zedler, Barbara; Bratzke, Hansjürgen


    In the last few years, male circumcision has become the subject of controversial discussion. On the one hand, medical and hygienic arguments, ideology, freedom of religion, cultural identity and social adequacy are claimed by those supporting male circumcision. On the other hand, the justification of this practice also has to be critically scrutinized just as the question whether the parents have the right to consent to the operation. Today, opinions range from those who claim that religion and culture alone justify the practice to those who consider circumcision of minors unable to give their consent as bodily injury subject to punishment. In contrast to female genital mutilation, most positions do not postulate that circumcision violates morality. If the person concerned is able to give his consent, freedom of religion may also justify circumcision after weighing its pros and cons as well as its risks and potential side effects.

  8. [Medical, psychological, social and gender aspects of aging in modern Russia]. (United States)

    Miakotnykh, V S; Sidenkova, A P; Borovkova, T A; Berezina, D A


    In this article, the authors considered controversial issues ambiguous attitude to the aging process of the population of the Russian Federation on the basis of a number of individual differences--psychological, social, sexual, and medical. The thesis is that, unfortunately, the fight against aging appears rather to be more a struggle with an already existing old age, and you need to develop preventive measures against aging much earlier than is currently done. Submissions own research confirm this position. The system of training, adjustment to a new level of life, to the new conditions associated with aging process, in the form of a special kind of multidisciplinary centers that carry out the tasks of improving health and young is proposed.

  9. TU-CD-213-00: Administrative Aspects of Medical Physics

    Energy Technology Data Exchange (ETDEWEB)



    As part of the AAPM’s Scope of Practice, medical physicists are expected to collaborate effectively with practioners and allied health care providers. Interpersonal skills such as communication, negotiation and persuasion are vital for successful collaboration to achieve shared goals. This session will provide some theoretical background of these interpersonal skills as well as specific techniques and practical tools to influence others. Applications of these interpersonal skills for administrative and human resource management purposes vital to medical physicists will be shared. Session attendees will gain knowledge and tools to help them effectively collaborate with administrative and physician leaders in areas such as capital and human resource selection, prioritization, and implementation. Participants will hear methods of how to articulate their goals and to understand the goals of administration, helping ensure alignment of purpose. Session speakers will present one of the topics: equipment selection, budget creation, contracts, and program-related policy development. Specifics may include designing a business case in language that administrators understand, calculating the prioritization of budget requests, and influencing policies for safe and effective care. Human resource topics may include staffing justification, recruitment for fit, employment contracts, and benefits. Speakers will provide examples in both radiation therapy and diagnostic imaging departments and will share experiences and outcomes of their approaches for better results. Learning Objectives: After this course attendees will be better able to Understand the shared goal between administrative and physicist leadership. Articulate the “why” of the technical or human resource need. Utilize communication, negotiation and persuasion tools to improve collaboration.

  10. The Case of Pharmacological Neuroenhancement: Medical, Judicial and Ethical Aspects from a German Perspective. (United States)

    Franke, A G; Northoff, R; Hildt, E


    Pharmacological neuroenhancement (PN) describes the use of psychoactive drugs for the purpose of enhancing cognition (e. g., fatigue, concentration, memory etc.) by healthy subjects without medical need. Drugs used for this purpose can be divided into freely available, over-the-counter drugs (e. g., methylxanthines such as caffeine), prescription drugs (e. g., antidementia drugs, methylphenidate) and illicit drugs (e. g., illicit amphetamines). Clinical studies have shown that the aforementioned substances only have limited pro-cognitive effects and have considerable safety risks and side effects.The German judicial perspective shows legal differences between substances (drugs, food, food supplements, fortified food) that can be bought in a supermarket, drugs that can be bought in a pharmacy as over-the-counter- (OTC-) drugs, drugs with or without the need for a prescription and illicit drugs. Supermarket drugs and fortified food can be sold freely and follow the general rules of civil and penal law; regarding acquisition, parents are responsible for their children. OTC drugs require special information about therapy. Regarding prescription drugs, there are legal problems caused by an off-label use and the non-medical purposes of PN drugs. Furthermore, prescription stimulants for PN are governed by the specialized law for narcotics, and their use might be punished. Beyond the general lack of rules for regulation for PN drug use there are specific needs for prevention (e. g., control of the black market, etc.).Possible future policy will depend, among others, on the probability with which effective PN drugs with an acceptable risk-benefit ratio will be available, on individual and societal implications, and on public opinion towards PN. While 4 different general policy scenarios can be identified, it is important to advance a broad societal debate on PN to collect relevant empirical data and to address enhancement-related conceptual issues.

  11. Perfil da automedicação no Brasil Aspects of self-medication in Brazil

    Directory of Open Access Journals (Sweden)

    Paulo Sérgio D. Arrais


    Full Text Available INTRODUÇÃO: Os dados apresentados fazem parte de um estudo multicêntrico sobre automedicação na América Latina realizado pela Organização Mundial de Saúde (OMS. Objetivou-se traçar um perfil da automedicação através da análise da procura de medicamentos em farmácias sem prescrição médica ou aconselhamento do farmacêutico/balconista. MATERIAL E MÉTODO: As especialidades farmacêuticas foram classificadas pelo código "Anatomical Therapeutical Classification" e analisadas sob quatro aspectos qualitativos: valor intrínseco, essencialidade (lista da OMS e Relação Nacional de Medicamentos Essenciais (RENAME, combinação em dose fixa e necessidade de prescrição médica. RESULTADOS: Foram solicitadas 5.332 especialidades farmacêuticas (785 diferentes princípios ativos, sendo 49,5% combinações em dose fixas, 53,0% de valor intrínseco não elevado, 44,1% sujeitos a prescrição médica, 71,0% não essenciais e 40,0% baseados em prescrições médicas anteriores. Os medicamentos mais solicitados foram analgésicos (17,3%, descongestionantes nasais (7,0%, antiinflamatório/antireumático e antiinfecciosos de uso sistêmico, ambos com 5,6%. CONCLUSÕES: Os dados sugerem que a automedicação no Brasil reflete as carências e hábitos da população, é consideravelmente influenciada pela prescrição médica e tem a sua qualidade prejudicada pela baixa seletividade do mercado farmacêutico.INTRODUCTION: The data presented are part of a World Health Organization (WHO multicenter study of self-medication in Latin America. Brazilian sites included: Belo Horizonte, Fortaleza, the city of S. Paulo and outlying locations. The objective was to characterize self-medication practices by analyzing drugs sought by consumers in pharmacies without a physician's prescription. MATERIAL AND METHOD: Drugs were classified according to the Anatomic Therapeutic Classification codes, and analyzed with respect to 1 intrinsic value; 2 recognition as

  12. Physiological and Medical Aspects That Put Women Soldiers at Increased Risk for Overuse Injuries. (United States)

    Epstein, Yoram; Fleischmann, Chen; Yanovich, Ran; Heled, Yuval


    Anthropometric and physiological factors place female soldiers at a disadvantage relative to male soldiers in most aspects of physical performance. Average aerobic and anaerobic fitness levels are lower in women than in men. Thus, women have a lower overall work capacity and must exert themselves more than men to achieve the same output. The lower weight and fat-free mass and the higher body fat of women are associated with lower muscle strength and endurance, placing them at a disadvantage compared with men in performing military tasks such as lifting and carrying weights, or marching with a load. Working at a higher percentage of their maximal capacity to achieve the same performance levels as men, women tire earlier. Their smaller size, skeletal anatomy, and different bone geometry also predispose women to a higher incidence of exercise-related injuries. Consequently, the attrition rate of female soldiers in combat units is higher than that of their male counterparts. This review summarizes the literature on gender-related physiological and anatomical differences that put female soldiers at an increased risk of exercise-related injuries.

  13. [The psychodiagnostic aspects of the compliance with treatment in the course of medical rehabilitation]. (United States)

    Kotel'nikova, A V; Kukshina, A A


    The objective of the present study was to elucidate the possibility of using psycho-diagnostic tools for the preventive diagnostics of the patients' adherence to the treatment in the course of medical rehabilitation. The article presents the overview of the available literature concerning the problem of interest. It is shown that the important factors of preventive diagnostics of the compliance include the peculiar steady-state and dynamic features of the individual patients presenting with chronic pathology, their current emotional state, intellectual and motivational preparedness for the active and meaningful participation in the rehabilitation process. The psychometric characteristics of the main methodological techniques that can be used for diagnostics of these parameters are described. Also reported are the data illustrating the necessity of the neuropsychological studies of the higher mental functions as well as formal standard testing and clinical interviewing of the patients by health providers for the purpose of determining the patient's preparedness for the efficient engagement in the process of rehabilitation.

  14. Medical Aid, Repression, and International Relations: The East German Hospital at Metema. (United States)

    Borowy, Iris


    Between 1984 and 1988, the German Democratic Republic (GDR) built a hospital in a remote part of Ethiopia, close to the Sudanese border. The project evolved in a complex combination of contexts, including the general foreign policy goals of the GDR, its specific alliance with Ethiopia, the famine of 1984-85, civil war in Ethiopia, and a controversial resettlement program by the government of Mengistu Haile Mariam. Though almost unknown today, it was a high-profile project at the time, which received the personal support both by Erich Honecker in the GDR and Mengistu Haile Mariam in Ethiopia. However, their interest was directed more at the political goals the project was expected to serve than at the hospital itself. Both the preparation and the implementation of the project were extremely difficult and almost failed due to problems of transportation, of red tape, and of security. The operation of the hospital was also not ideal, involving frustrated personnel and less than complete acceptance by the local population. Ironically, for all its practical difficulties, the hospital has outlived both governments and their political goals, surviving as a medical institution.

  15. Load carriage using packs: a review of physiological, biomechanical and medical aspects. (United States)

    Knapik, J; Harman, E; Reynolds, K


    This paper reviews the biomedical aspects of transporting loads in packs and offers suggestions for improving load-carriage capability. Locating the load mass as close as possible to the body center of gravity appears to result in the lowest energy cost when carrying a pack. Thus, the double pack (half the load on the front of the body and half the load on the back) has a lower energy cost than the backpack. However, backpacks provide greater versatility in most situations. The energy cost of walking with backpack loads increases progressively with increases in load mass, body mass, walking speed or grade; type of terrain also influences energy cost. Predictive equations have been developed for estimating the energy cost of carrying loads during locomotion but these may not be accurate for prolonged (>2 h) or downhill carriage. Training with loads can result in greater energy efficiency since walking with backpack loads over several weeks decreases energy cost. Load-carriage speed can be increased with physical training that involves regular running and resistance training. Erector spinae electrical activity (EMG) is lower during load carriage than in unloaded walking until loads exceed 30-40 kg, at which point erector spinae EMG activity is higher than during unloaded walking. EMGs of the quadriceps and gastrocnemius, but not the tibialis anterior or hamstrings, increase with load. Framed packs with hip belts reduce the electrical activity of the trapezius muscles, presumably by shifting forces from the shoulders to the hips. Increases in the backpack load mass result in increases in forces exerted on the grounds, amount of knee flexion and the forward inclination of the trunk. Compared to backpacks, double packs produce fewer deviations from normal walking. Common injuries associated with prolonged load carriage include foot blisters, stress fractures, back strains, metatarsalgia (foot pain), rucksack palsy (shoulder traction injury) and knee pain. Closed

  16. The Affordable Care Act and the Burden of High Cost Sharing and Utilization Management Restrictions on Access to HIV Medications for People Living with HIV/AIDS. (United States)

    Zamani-Hank, Yasamean


    The HIV/AIDS epidemic continues to be a critical public health issue in the United States, where an estimated 1.2 million individuals live with HIV infection. Viral suppression is one of the primary public health goals for People Living with HIV/AIDS (PLWHA). A crucial component of this goal involves adequate access to health care, specifically anti-retroviral HIV medications. The enactment of the Affordable Care Act (ACA) in 2010 raised hopes for millions of PLWHA without access to health care coverage. High cost-sharing requirements enacted by health plans place a financial burden on PLWHA who need ongoing access to these life-saving medications. Plighted with poverty, Detroit, Michigan, is a center of attention for examining the financial burden of HIV medications on PLWHA under the new health plans. From November 2014 to January 2015, monthly out-of-pocket costs and medication utilization requirements for 31 HIV medications were examined for the top 12 insurance carriers offering Qualified Health Plans on Michigan's Health Insurance Marketplace Exchange. The percentage of medications requiring quantity limits and prior authorization were calculated. The average monthly out-of-pocket cost per person ranged from $12 to $667 per medication. Three insurance carriers placed all 31 HIV medications on the highest cost-sharing tier, charging 50% coinsurance. High out-of-pocket costs and medication utilization restrictions discourage PLWHA from enrolling in health plans and threaten interrupted medication adherence, drug resistance, and increased risk of viral transmission. Health plans inflicting high costs and medication restrictions violate provisions of the ACA and undermine health care quality for PLWHA. (Population Health Management 2016;19:272-278).

  17. Research trends in biomimetic medical materials for tissue engineering: 3D bioprinting, surface modification, nano/micro-technology and clinical aspects in tissue engineering of cartilage and bone. (United States)

    Chen, Cen; Bang, Sumi; Cho, Younghak; Lee, Sahnghoon; Lee, Inseop; Zhang, ShengMin; Noh, Insup


    This review discusses about biomimetic medical materials for tissue engineering of bone and cartilage, after previous scientific commentary of the invitation-based, Korea-China joint symposium on biomimetic medical materials, which was held in Seoul, Korea, from October 22 to 26, 2015. The contents of this review were evolved from the presentations of that symposium. Four topics of biomimetic medical materials were discussed from different research groups here: 1) 3D bioprinting medical materials, 2) nano/micro-technology, 3) surface modification of biomaterials for their interactions with cells and 4) clinical aspects of biomaterials for cartilage focusing on cells, scaffolds and cytokines.

  18. A Review of Supplementary Medical Aspects of Post-Cold War UN Peacekeeping Operations: Trends, Lessons Learned, Courses of Action, and Recommendations. (United States)

    Johnson, Ralph J


    Post-Cold War United Nations Peace Keeping Operations (UN PKOs) have been increasingly involved in dangerous areas with ill-defined boundaries, harsh and remote geographies, simmering internecine armed conflict, and disregard on the part of some local parties for peacekeepers' security and role. In the interest of force protection and optimizing operations, a key component of UN PKOs is healthcare and medical treatment. The expectation is that UN PKO medical support will adjust to the general intent and structure of UN PKOs. To do so requires effective policies and planning informed by a review of all medical aspects of UN PKO operations, including those considered supplementary, that is, less crucial but contributing nonetheless. Medical aspects considered paramount and key to UN PKOs have received relatively thorough treatment elsewhere. The intent of this article is to report on ancillary and supplemental medical aspects practical to post-Cold War UN PKO operations assembled through an iterative inquiry of open-source articles. Recommendations are made about possible courses of action in terms of addressing trends found in such medical aspects of PKOs and relevance of US/NATO/European Union models and research.

  19. Verifying quantitative stigma and medication adherence scales using qualitative methods among Thai youth living with HIV/AIDS. (United States)

    Fongkaew, Warunee; Viseskul, Nongkran; Suksatit, Benjamas; Settheekul, Saowaluck; Chontawan, Ratanawadee; Grimes, Richard M; Grimes, Deanna E


    HIV/AIDS-related stigma has been linked to poor adherence resulting in drug resistance and the failure to control HIV. This study used both quantitative and qualitative methods to examine stigma and its relationship to adherence in 30 HIV-infected Thai youth aged 14 to 21 years. Stigma was measured using the HIV stigma scale and its 4 subscales, and adherence was measured using a visual analog scale. Stigma and adherence were also examined by in-depth interviews. The interviews were to determine whether verbal responses would match the scale's results. The mean score of stigma perception from the overall scale and its 4 subscales ranged from 2.14 to 2.45 on a scale of 1 to 4, indicating moderate levels of stigma. The mean adherence score was .74. The stigma scale and its subscales did not correlate with the adherence. Totally, 17 of the respondents were interviewed. Contrary to the quantitative results, the interviewees reported that the stigma led to poor adherence because the fear of disclosure often caused them to miss medication doses. The differences between the quantitative and the qualitative results highlight the importance of validating psychometric scales when they are translated and used in other cultures.

  20. 艾滋病医学营养治疗%Medical nutrition treatment for people living with HIV/AIDS

    Institute of Scientific and Technical Information of China (English)



    Malnutrition, a major factor for poor prognosis, has been found to be prevalent in AIDS patients or people living with HIV/AIDS (PLWHA) by some domestic studies.For patients undergoing anti-retroviral treatment (ART),routinal screening of malnutrition should be performed so as to identify the condition at an early stage.Nutrition counseling lays fundamental to medical nutrition treatment (MNT) and appears effective in promoting calorie/protein intake to meet daily standards.For those whose calorie/protein intake can not reach the standards after nutrition counseling, enteral nutrition ( EA ) should be given as a first-line option.Blood lipids should be monitored for those who are receiving ART.Dyslipidemia can be addressed by adjustment of dietary structure.In conclusion,malnutrition has been a major challenge for PLWHA in China.Calorie and protein intake should be a focus in HIV/AIDS caring programs.Furthermore, MNT should be incorporated in national or community guidelines for treatment of HIV/AIDS.%营养不良是导致人免疫缺陷病毒(HIV)感染者和艾滋病患者出现不良预后的重要因紊,国内一些研究证据发现,营养不良在HIV感染者和艾滋病患者中普遍存在.对接受抗病毒治疗的患者,都应定期对其进行常规营养不良筛查,以早期发现营养不良.营养咨询是医学营养治疗的基础,可有效促进蛋白质和热量摄入达到标准.时于经咨询后经口摄入仍不能达标的患者,应首先给予肠内营养支持.血脂是接受艾滋病抗病毒治疗(ART)患者需要长期关注的问题,对于脂代谢异常者,应首先考虑调整膳食结构.总之,营养不良已经成为中国HIV感染者和艾滋病患者面临的主要挑战.现有各种艾滋病关怀项目应重视患者的热量和蛋白质摄入问题.应将医学营养治疗纳入国家和社区艾滋病治疗指南的一部分.

  1. Aspectos epidemiológicos da AIDS em Florianópolis/SC, Brasil Aspectos epidemiológicos del sida en Florianópolis/SC, Brasil Epidemiological aspects of AIDS in the city of Florianopolis, Brazil

    Directory of Open Access Journals (Sweden)

    Janelice de Azevedo Neves Bastiani


    Salud de la Familia y la supervisión de los sistemas de información en los distritos de salud para evaluar la eficiencia y la eficacia de las estrategias la prevención del SIDA en Florianópolis/SC.The purpose is to describe epidemiological aspects of people living with AIDS for 13 years or over in the city of Florianopolis, Brazil, from 1986 to 2006. It's a descriptive and cross-sectional study, with the following data collected: year of diagnosis, gender, age, exposure category, education level, skin color and the registration of the residence at the Regional Health Program, in the National Notifiable Diseases System and in the Information System about Mortality. It was realized the magnitude of men infected by AIDS, with a basic education, white color, age between 20 and 49 years, and heterosexuals. It was noticed the female vulnerability concerning to the reduction of rational between male and female during the period in question. It shows the social base and the specificity of AIDS patients in Florianopolis, suggesting the investments on the territorial diagnosis in the Health Family Strategy and a follow up at the Regional Health Program, in order to evaluate the efficiency and effectiveness of the strategies in preventing AIDS in Florianopolis.

  2. Computer-aided diagnosis workstation and teleradiology network system for chest diagnosis using the web medical image conference system with a new information security solution (United States)

    Satoh, Hitoshi; Niki, Noboru; Eguchi, Kenji; Ohmatsu, Hironobu; Kaneko, Masahiro; Kakinuma, Ryutaro; Moriyama, Noriyuki


    Diagnostic MDCT imaging requires a considerable number of images to be read. Moreover, the doctor who diagnoses a medical image is insufficient in Japan. Because of such a background, we have provided diagnostic assistance methods to medical screening specialists by developing a lung cancer screening algorithm that automatically detects suspected lung cancers in helical CT images, a coronary artery calcification screening algorithm that automatically detects suspected coronary artery calcification and a vertebra body analysis algorithm for quantitative evaluation of osteoporosis. We also have developed the teleradiology network system by using web medical image conference system. In the teleradiology network system, the security of information network is very important subjects. Our teleradiology network system can perform Web medical image conference in the medical institutions of a remote place using the web medical image conference system. We completed the basic proof experiment of the web medical image conference system with information security solution. We can share the screen of web medical image conference system from two or more web conference terminals at the same time. An opinion can be exchanged mutually by using a camera and a microphone that are connected with the workstation that builds in some diagnostic assistance methods. Biometric face authentication used on site of teleradiology makes "Encryption of file" and "Success in login" effective. Our Privacy and information security technology of information security solution ensures compliance with Japanese regulations. As a result, patients' private information is protected. Based on these diagnostic assistance methods, we have developed a new computer-aided workstation and a new teleradiology network that can display suspected lesions three-dimensionally in a short time. The results of this study indicate that our radiological information system without film by using computer-aided diagnosis

  3. Medical Aspects of Lightning (United States)

    ... StormReady TsunamiReady Owlie Kid's Page Cooperative Observers SKYWARN Storm Spotters NOAA Weather Radio Program Offices Daily Briefing ... an injury to the nervous system, often with brain injury and nerve injury. Serious burns seldom occur. ...

  4. Nonsubsampled rotated complex wavelet transform (NSRCxWT) for medical image fusion related to clinical aspects in neurocysticercosis. (United States)

    Chavan, Satishkumar S; Mahajan, Abhishek; Talbar, Sanjay N; Desai, Subhash; Thakur, Meenakshi; D'cruz, Anil


    Neurocysticercosis (NCC) is a parasite infection caused by the tapeworm Taenia solium in its larvae stage which affects the central nervous system of the human body (a definite host). It results in the formation of multiple lesions in the brain at different locations during its various stages. During diagnosis of such symptomatic patients, these lesions can be better visualized using a feature based fusion of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI). This paper presents a novel approach to Multimodality Medical Image Fusion (MMIF) used for the analysis of the lesions for the diagnostic purpose and post treatment review of NCC. The MMIF presented here is a technique of combining CT and MRI data of the same patient into a new slice using a Nonsubsampled Rotated Complex Wavelet Transform (NSRCxWT). The forward NSRCxWT is applied on both the source modalities separately to extract the complementary and the edge related features. These features are then combined to form a composite spectral plane using average and maximum value selection fusion rules. The inverse transformation on this composite plane results into a new, visually better, and enriched fused image. The proposed technique is tested on the pilot study data sets of patients infected with NCC. The quality of these fused images is measured using objective and subjective evaluation metrics. Objective evaluation is performed by estimating the fusion parameters like entropy, fusion factor, image quality index, edge quality measure, mean structural similarity index measure, etc. The fused images are also evaluated for their visual quality using subjective analysis with the help of three expert radiologists. The experimental results on 43 image data sets of 17 patients are promising and superior when compared with the state of the art wavelet based fusion algorithms. The proposed algorithm can be a part of computer-aided detection and diagnosis (CADD) system which assists the radiologists in

  5. Demographic, medical and visual aspects of Dia- betic Retinopathy (DR and Diabetic Macular Edema (DME in South African diabetic patients*

    Directory of Open Access Journals (Sweden)

    Anusha Y. Sukha


    Full Text Available Objective: To investigate some of the demographic, medical, and visual aspects of diabetic retinopathy (DR and diabetic macula edema (DME in diabetics attending an urban clinic in Johannesburg, Gauteng.Design: In this cross-sectional study, 202 diabetic patients were recruited. Demographic variables included age, gender, race, age of diagnosis, duration of diabetes mellitus (DM, and social habits. Medical variables included systemic conditions present, blood pressures, body mass indices (BMI, lipid profiles, glycerated haemoglobin (HbA1c, and other biochemical data. Visual variables included distance, pinhole and near visual acuities, contrast visual acuities (CVA, refractive status, colour vision, central visual field evaluation with the Amsler grid, intraocular pressures (IOP, fundus photography and administration of the Impact of Visual Impairment (IVI questionnaire. All variables were compared between diabetic subjects with and with-out DR and DME in both right and left eyes.Results: Overall prevalence of DR was 22.8% and DME 12.5%. In DR subjects, significant results indicated that Whites were more likely to present with DR (p = 0.002. Subjects with DR had a higher mean duration of DM (p = 0.002 and a higher mean diastolic blood pressure (p = 0.035. Autorefraction suggested that more myopia and less astigmatism might be associated with DR. A higher mean CVA at the 2.5% level in DR was significant in both the right eyes (p = 0.042 and left eyes (p = 0.035. These subjects also reported a higher mean IVI score in the consumer and social interaction domain (p = 0.032. Similarly, DME subjects displayed a higher mean duration of DM (p = 0.042 and a higher mean diastolic blood pressure (p = 0.048. A higher mean CVA was associated at both the 10% level: right eyes (p = 0.021; and left eyes (p = 0.046, and at the 2.5% level: right eyes (p = 0.033 and left eyes (p = 0.045. A higher mean IVI score in leisure and work (p = 0.026, consumer and social

  6. Neutral Caregivers or Military Support? The British Red Cross, the Friends’ Ambulance Unit, and the Problems of Voluntary Medical Aid in Wartime (United States)


    During the First World War the British Red Cross Society (BRCS) served as the coordinating body for voluntary medical aid giving in Britain. Among the many units which came within its purview was the Friends’ Ambulance Unit (FAU), formed by a group of young men whose desire to serve their nation in wartime conflicted with their pacifist principles. Both the BRCS and the FAU were wracked by ideological conflicts in the years which preceded and throughout the war. These struggles over voluntarist identity highlight the contested meanings of service and conscience in wartime. Through a critical examination of the language of official histories and biographies, this article will argue that the war formed a key moment in the relationship between the British state and voluntary medical aid, with the state’s increasing role in the work of such organizations raising questions about the voluntarist principles to which aid organizations laid claim. The struggles that both organizations and individuals within them faced in reconciling the competing pressures that this new relationship created form a legacy of the war which continues to have important implications for the place of medical voluntarism in wartime today. PMID:26213442

  7. Neutral Caregivers or Military Support? The British Red Cross, the Friends' Ambulance Unit, and the Problems of Voluntary Medical Aid in Wartime. (United States)

    Meyer, Jessica


    During the First World War the British Red Cross Society (BRCS) served as the coordinating body for voluntary medical aid giving in Britain. Among the many units which came within its purview was the Friends' Ambulance Unit (FAU), formed by a group of young men whose desire to serve their nation in wartime conflicted with their pacifist principles. Both the BRCS and the FAU were wracked by ideological conflicts in the years which preceded and throughout the war. These struggles over voluntarist identity highlight the contested meanings of service and conscience in wartime. Through a critical examination of the language of official histories and biographies, this article will argue that the war formed a key moment in the relationship between the British state and voluntary medical aid, with the state's increasing role in the work of such organizations raising questions about the voluntarist principles to which aid organizations laid claim. The struggles that both organizations and individuals within them faced in reconciling the competing pressures that this new relationship created form a legacy of the war which continues to have important implications for the place of medical voluntarism in wartime today.

  8. Towards Promoting An African Medical System: A critique of government responses to claims of a cure for HIV/AIDS in Nigeria, 1986-2007

    Directory of Open Access Journals (Sweden)

    S. B. Amusa


    Full Text Available The HIV/AIDS epidemic has been described as the greatest health challenge of our era. Aside from Highly Active Antiretroviral Treatment (HAART, the virus has defied any other form of permanent cure or disease control. The continents of Africa and Asia are the worst-hit areas by the scourge of the pandemic. Yet in Africa, there have been claims of HIV/AIDS being cured by African indigenous medical practitioners. Our paper examines the official responses of the Federal Government of Nigeria to such claims. We will examine the emergence and national responses to the epidemic in Nigeria and assess the government’s contempt for the efforts of indigenous medical practitioners in the quest for a viable cure. We conclude by asserting that until African governments realize, recognize and appropriate indigenous medical achievements into mainstream health strategy and policy, Africa will not only remain at the periphery of global health systems but will also continue to be ravaged by HIV/AIDS.

  9. Two Similarity Metrics for Medical Subject Headings (MeSH): An Aid to Biomedical Text Mining and Author Name Disambiguation. (United States)

    Smalheiser, Neil R; Bonifield, Gary


    In the present paper, we have created and characterized several similarity metrics for relating any two Medical Subject Headings (MeSH terms) to each other. The article-based metric measures the tendency of two MeSH terms to appear in the MEDLINE record of the same article. The author-based metric measures the tendency of two MeSH terms to appear in the body of articles written by the same individual (using the 2009 Author-ity author name disambiguation dataset as a gold standard). The two metrics are only modestly correlated with each other (r = 0.50), indicating that they capture different aspects of term usage. The article-based metric provides a measure of semantic relatedness, and MeSH term pairs that co-occur more often than expected by chance may reflect relations between the two terms. In contrast, the author metric is indicative of how individuals practice science, and may have value for author name disambiguation and studies of scientific discovery. We have calculated article metrics for all MeSH terms appearing in at least 25 articles in MEDLINE (as of 2014) and author metrics for MeSH terms published as of 2009. The dataset is freely available for download and can be queried at Handling editor: Elizabeth Workman, MLIS, PhD.

  10. [Perspectives on the development of quality management system for medical devices in China from the GMP aspects]. (United States)

    Jiang, Haihong


    The full implementation of GMP for medical devices, which is an important step to improve quality management system of medical devices production, will have a positive impact on the quality management system of medical device. It will improve and promote the development of quality management system for medical device, by updating the idea and rebuilding the frame and optimizing the contents.

  11. Patients' attitudes to medical and psychosocial aspects of care in fertility clinics: Findings from the Copenhagen Multi-centre Psychosocial Infertility (COMPI) Research Programme

    DEFF Research Database (Denmark)

    Schmidt, L; Holstein, B E; Boivin, J;


    among infertile people. METHODS: We conducted an epidemiological study based on questionnaires among all new couples attending five fertility clinics with a response rate of 80.0% and a total of 2250 patients. RESULTS: The vast majority of both men and women considered a high level of medical......BACKGROUND: The aims were (i) to identify gender differences in motivations to seek assisted reproduction and gender differences in expectations about medical and psychosocial services and (ii) to examine factors that predict the perceived importance of, and intention to use, psychosocial services...... services for both men and women was high infertility-related stress in the marital, personal and social domain. CONCLUSIONS: A supportive attitude from medical staff and the provision of both medical and psychosocial information and support should be integral aspects of medical care in fertility clinics...

  12. Working Methods and Experiences of Nursing Groups in Blast Injury External Aid Medical Team%爆炸伤外援医疗队护理组的工作方法与体会

    Institute of Scientific and Technical Information of China (English)

    柏素萍; 蒋玲


    目的 探讨爆炸伤外援医疗队护理组的工作方法.方法 迅速组成医疗队护理组,制定外援护理组工作职责和制度.根据患者的病情发展,实施烧伤专科的理论培训及技能训练.同时加强与各方信息沟通,及时做好反馈.严格执行患者安全管理制度,严防不良事件.结果 参与救治患者11例中,1例在48 h内死亡,其余10例危重患者经一个月护理,未发生与护理相关的并发症.结论 外援医疗队护理组能做好医疗点爆炸伤护理工作的支援帮带,对提高护理质量及救治成功率有积极作用.%Objective To explore the working methods and experiences of nursing groups in blast injury external aid medical team.Methods Formulate the working responsibilities and systems of foreign aid medical nursing groups rapidly. Based on patients' disease progression to implement training of burns specialist theory and skill. Meanwhile, reinforce the communication with all aspects and make feedback timely. Execute the system of patient safety management strictly and avoid adverse event. Results In the treatment of 11 patients, 1 patient died in 48 hours and others did not displayed related nursing complications within 1 months' nursing treatment.Conclusion External aid medical team nursing groups can provide blast injury nursing work in the medical post with effective support and help and exert positive role in improving nursing quality and treatment success rate.

  13. 加强120急救中心院前急救医疗服务体系的管理%Strengthening Administration of Pre-hospital Care Medical Service System in 120 First-aid Center

    Institute of Scientific and Technical Information of China (English)



    目的:为完善120急救中心院前急救医疗服务体系,强化其管理,寻求最佳方式。方法分析当前120急救中心急救医疗服务体系管理中的不足,并提出相应的解决方案与措施。结果120急救中心院前急救医疗服务体系中存在着急救意识淡薄、信息获取模糊、救护人员医疗技术水平较低三个方面的不足,解决当前的现状则需要建立行之有效的急救医疗服务体系。结论加强120急救中西院前急救医疗服务体系的管理,对加强120应对临时事故的应对能力有着重要的现实意义。%Objective To improve the 120 emergency center of pre-hospital emergency medical services system, strengthen its management, seeking the best way. Methods Analyzing the 120 emergency center management of emergency medical services system is insufficient, and put forward corresponding solutions and measures. Results The 120 emergency center in the pre-hospital emergency medical services system there exists a weak consciousness of first aid, access to information fuzzy, rescuers have a relatively low level of medical technology, the shortage of the three aspects, the current situation requires to build a effective emergency medical service system. Conclusion To strengthen 120 ifrst aid of pre-hospital emergency medical service system of Chinese and western management, to strengthen the response capacity in coping with temporary accident have important practical signiifcance.

  14. Historical Review: The U.S. Army Medical Belt for Front Line First Aid: A Well-Considered Design That Failed the Medical Department During the First World War. (United States)

    Wever, Peter C; Korst, Mike B J M; Otte, Maarten


    In December 1913, a board of medical officers was appointed to adapt new U.S. Army equipment to the needs of the Hospital Corps. One of the improvements concerned substitution of the satchel-like Hospital Corps pouch used to carry first aid equipment. A waist belt with 10 pockets, known as the medical belt, was devised, and supplied with a tourniquet, adhesive plaster, safety pins, iodine swabs, sublimated gauze, individual dressing packets, gauze bandages, aromatic spirit of ammonia, and common pins. In addition, an ax carrier accommodating a hand ax, a canteen hanger, and a pouch to carry diagnosis tags and instruments were attached to the medical belt. In 1916, the medical belt was incorporated in the field supply tables in the Manual for the Medical Department. The next year, on April 6, 1917, the U.S. Congress declared war on Germany in reaction to sinking of American ships by German submarines. Although the medical belt had given satisfaction in preliminary trials, it did not withstand the test of war. In practice, the medical belt proved a source of dissatisfaction both as to the methods of packing and its contents, which were considered useless in modern warfare. Subsequently, discontinuance of the medical belt was recommended.

  15. HIV/AIDS related mortality among adult medical patients in a tertiary health institution in South-South, Nigeria

    Institute of Scientific and Technical Information of China (English)

    Gyuse AN; Bassey IE; Udonwa NE; Okokon IB; Philip-Ephraim EE


    Objective: To determine the causes of death among human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) patients as a step to planning strategies to improve mortality from this condition.Methods: This study retrospectively analyzed the mortality pattern of adult HIV/AIDS patients in the University of Calabar Teaching Hospital from January 2005 to December 2007. The data were obtained from sexually transmitted infection/acquired immunodeficiency syndrome (STI/AIDS) clinic register, admissions and discharge/death registers as well as the patients' case records and the hospitals monthly mortality reviews. Information obtained included age, sex, diagnosis and cause(s) of death. The causes of death considered were the directcauses of death, since the originating antecedent cause of death is the same in all the patients, in this case, HIV/AIDS. Data was analysed using Epi Info 2002.Results: The total number of mortalities during the study period was 350,100 were HIV positive representing 28.6% of all deaths. While advanced HIV/AIDS disease was the leading cause of death in our study representing 27.0%, tuberculosis was the single leading cause of deaths in HIV/AIDS patients constituting about 24.0% of deaths. This was followed by sepsis and septicaemia (13.0%), meningitis and encephalitis, and anaemia accounting for 11.0%, while respiratory diseases constituted 5.0% of the mortality burden. The highest number of deaths occurred in those aged between 21-50 years (82.0%).Conclusions: The study has shown that HIV/AIDS is a major cause of morbidity and mortality in our hospital. The causes of death reflect the varied spectrum of infection and other forms of organ involvement that affect HIV/AIDS patients. The present dismal situation of adult patients living with HIV/AIDS calls for enhanced strategies to decrease the mortality trend observed in Nigeria and sub-Saharan Africa.

  16. [The role and place of pathology services in ensuring and improving the quality of medical care: Organizational and legal aspects]. (United States)

    Timofeev, I V


    The paper considers the legal and organizational issues of the activity of pathology services in improving medical care. It shows the main (diagnostic and medico-organizational) areas of pathology work to improve the quality of medical care.

  17. Stroke: First Aid (United States)

    First aid Stroke: First aid Stroke: First aid By Mayo Clinic Staff A stroke occurs when there's bleeding into your brain or when normal blood flow to ... next several hours. Seek immediate medical assistance. A stroke is a true emergency. The sooner treatment is ...

  18. 大学生急救能力相关调查及比较研究%First aid ability related investigation and comparative study of medical students and non medical students

    Institute of Scientific and Technical Information of China (English)

    王超; 黄丹; 武继文


    ①目的全面了解大学生基础急救技能的掌握情况与培训需求。②方法采取方便抽样的调查方式,对南京城区医学与非医学专业大学生急救相关情况进行初步调研。③结果889.%的大学生知道急救电话是120,自评“会操作”各单项基础急救技能的概率在10%左右;947.%以上的大学生认为有必要掌握基础急救技能;网络电视和学校培训是目前大学生获得急救知识的主要途径;认为培训最佳场所是学校的大学生相对较多,培训最佳方式选择利用专门的人体模型模拟练习的占大多数;医学生急救技能明显高于非医学生。④结论大学生对急救技能需求较强,对大学生的急救技能培训工作十分迫切;培训地点可选择在校园内,讲座结合模拟练习应是最佳培训方式。医学院校可以在大学城急救培训中发挥积极作用。%[ABBSTRACT] Objective To fully understand the students'basic first aid skills and training needs . Methods Taking the convenience sample survey method ,the relevant circumstances of the first aid a‐bility of the medical and non medical college students in Nanjing city were investigated preliminarily . Results Only 88 9.% of the students know the emergency telephone number is 120 .The ratio of self -assessment "mastering the operation"of each individual basic first aid skill is around 10% .More than 94 7.% college students think it is necessary to grasp the basic first aid skills .Network and television to‐gether with school training are the main ways to obtain first aid knowledge for college students .More college students believe that the best place for training is campus and the best way is the simulative ex‐ercising on specialized human model .Medical students'first aid skills were significantly higher than those of non medical students .Conclusion Students have strong demand for first aid skills ,and first aid Publicity and training

  19. 医学专业和非医学专业大学生艾滋病知信行比较研究%Comparative Study of AIDS KAP between Medical Students and Non-medical Students

    Institute of Scientific and Technical Information of China (English)

    连肖; 肖模银


    Objective:To Learn the acknowledgement,highly-risky behaviors and attitudes towards AIDS among medical students and non-rnedical students in the comprehensive university, in order to find out the defects in health-care education of AIDS and to provide scientific suggestions for drawing up all-sides and systemic measures for health education.Methods: A total of 299 medical students and 1412 non-medical students were selected by using the stratified cluster sampling method in a comprehensive university and surveyed by self-designed questionnaire.Results: The difference of AIDS awareness and attitude between medical students and non-medical students was significant-There are some students who used to have dangerous behaviors of AIDS in both medical students and non-medical students^ and the difference of behaviors between two groups is not significant. The students mainly get information of AIDS from media, like telecast and internet. Conclusion: Medical students' score is better than that of non-medical students in AIDS-related knowledge and attitudes toward AIDS, both of the two majors have a high awareness of the three major routes of AIDS transmission and basic knowledge of AIDS. Based on different characteristics and demands of different departments in universities, university authorities should draw up a systematic and particular health education measures on AIDS, meanwhile, universities should make full use of the professional status of medical students, and let them play a role of YPE to other non-medical students. Arouse the whole society to give health education of AIDS to students.%目的:了解综合性大学医学专业和非医学专业学生艾滋病相关的知识、行为以及态度,为制定全面系统的大学生艾滋病健康教育提供科学建议.方法:自行设计调查问卷,采用多级分层整群抽样方法选取医学生229名、非医学生1412名进-问卷调查.结果:医学生与非医学生对艾滋病基本知识和传播途径

  20. Aspects of spirituality in medical doctors and their relation to specific views of illness and dealing with their patients' individual situation

    DEFF Research Database (Denmark)

    Büssing, Arndt; Hirdes, Almut Tabea; Baumann, Klaus


    We intended to analyse which aspects of spirituality are of relevance for medical doctors in a mostly secular society and how their spiritual/religious attitudes are related to specific views of illness, their dealing with patients' individual situation, and finally physicians' life satisfaction...... they assume that they would deal with their patients' individual situation. Of interest, the specific aspects of spirituality were negatively correlated with the view of "illness as a meaningless interruption" of life, indicating that physicians with a spiritual attitude would see illness also as a chance...... for an "individual development" and associated with a "biographical meaning" rather than just a "useless interruption" of life....

  1. Development of an informative system on aspects of radiological protection in the medical practices; Desarrollo de un sistema informativo sobre aspectos de proteccion radiologica en las practicas medicas

    Energy Technology Data Exchange (ETDEWEB)

    Lopez B, G.M.; Martinez G, A.; Gonzalez R, N.; Hernandez A, R.; Valdes R, M.; Cardenas H, J.; Zaldivar H, W. [CPHR, Calle 20 No. 4113 e/41 y 47, Playa C.P. 11300 La Habana (Cuba); Diaz B, M.; Machado T, A. [Centro Nacional de Seguridad Nuclear, Ciudad de la Habana (Cuba)]. e-mail:


    Today in day is difficult to imagine the development of the medical practices in the diagnosis and treatment of diverse illnesses without the use of the ionizing radiations. In spite of the diffusion and application of these practices, the patients and the public in general don't have full conscience of like the procedures are carried out and the risks that these involve. For it diverse international and national organizations in the last years recommend to include in the programs of radiological protection, all the information that should be given to the patients and the one public that attend as users to the medical institutions to undergo to procedures that imply the use of the ionizing radiations. In Cuba a growing and quick tendency exists to the introduction of nuclear techniques for medical ends, however paradoxically the relative aspects to the communication to the patients and the public in general about the risks of the procedures to that they will be subjected and in consequence on the measures to minimize them is not adequate. Keeping in mind the above-mentioned, specialists of national centers linked to the control and consultant ship in the topics of radiological protection in the medical practices that use ionizing radiations, they worked in the country in the design of an information system that should contribute to elevate the population's culture before the mentioned aspects. The present work describes the structure of this system in function of the different medical attention levels of our national health system. Additionally it exposes the development of a package of varied informative and training tools among those that are folding, posters, guides, instructions, CD Show that its approach general and specific aspects of the uses and risks of medical practices in nuclear medicine, radiodiagnostic and radiotherapy directed so much to health professionals, patients as public in general. (Author)

  2. AIDS-associated diarrhea and wasting in northeast Brazil is associated with subtherapeutic plasma levels of antiretroviral medications and with both bovine and human subtypes of Cryptosporidium parvum

    Directory of Open Access Journals (Sweden)

    Richard K. Brantley


    Full Text Available Advanced HIV infection is frequently complicated by diarrhea, disruption of bowel structure and function, and malnutrition. Resulting malabsorption of or pharmacokinetic changes in antiretroviral agents might lead to subtherapeutic drug dosing and treatment failure in individual patients, and could require dose adjustment and/or dietary supplements during periods of diarrheal illness. We determined the plasma levels of antiretroviral medications in patients that had already been started on medication by their physicians in an urban infectious diseases hospital in northeast Brazil. We also obtained blood samples from patients hospitalized for diarrhea or AIDS-associated wasting, and we found reduced stavudine and didanosine levels in comparison with outpatients without diarrhea or wasting who had been treated at the same hospital clinic. There was a predominance of the protozoal pathogens Cryptosporidium and Isospora belli, typical opportunistic pathogens of AIDS-infected humans, in the stool samples of inpatients with diarrhea. We conclude that severe diarrhea and wasting in this population is associated with both protozoal pathogens and subtherapeutic levels of antiretroviral medications.

  3. A study of knowledge beliefs and attitudes regarding aids and human sexuality among medical college, engineering college and university Undergraduates of gorakhpur.

    Directory of Open Access Journals (Sweden)

    Puneet Misra


    Full Text Available Research Problem: i What is the level of knowledge and altitude of undergraduates about AIDS and human sexuality? ii What arc the preferred modes of obtaining such knowledge?.Objectives: To assess the knowledge, beliefs and attitudes of undergraduate students regarding AIDS and human sexuality.Study Design: Self administered questionnaire.Setting and Participants: 1289 undergraduates from B.R.D. Medical College., M. M. M. Engineering College and University of Gorakhpur.                                                                  .Study Variables: Knowledge, beliefs and attitudes regarding AIDS and sexuality.Outcome Variables: Proportion of students having correct knowledge and positive attitudes.Statistical Analysis: By proportions.Result: l.evcl of knowledge about AIDS was generally high. Most of the students obtained knowledge about it through mass media. Few students had misconceptions about transmission of 1IIV infection. Knowledge about sex was obtained mainly from friends (36% and books (31.31%. Most of the students preferred doctors (44.15% and friends (43.66% for asking something about sex. and not their parents (4.37% or teachers (4.61%. 59.13% of boys and 34.49% of girls thought that students of their age had sex.Conclusion and Recommendations: The most peculiar fact in (his study is that students have no reliable means of obtaining correct information about subjects related to sex. Medical profession contributed very little in providing such knowledge. Most of them relied on their friends for such information. So. emphasis is to be given on recommending proper education material for the youth.

  4. Attitude of medical students towards the use of audio visual aids during didactic lectures in pharmacology in a medical college of central India

    Directory of Open Access Journals (Sweden)

    Mehul Agrawal


    Conclusions: In our study we found that students preferred mixture of audio visual aids over other teaching methods. Teachers should consider the suggestions given by the students while preparing their lectures. [Int J Basic Clin Pharmacol 2016; 5(2.000: 416-422

  5. 浅论国际医疗援助中的患者知情同意权%On the Right of Informed Consent in International Medical Aid

    Institute of Scientific and Technical Information of China (English)



    从国际医疗援助中患者知情同意权遭遇的尴尬入手,剖析了国际医疗援助中医患关系的独特性,即医患关系的复杂多变性、医患关系的临时应急性、患者自主选择权相对弱化、医生和患者的角色在一定条件下可转换.在此基础上,探究了国际医疗援助中落实患者知情同意权应把握的几个问题:人本理念至上;强化时效救治意识;采用人性化的沟通方式;落实患者知情同意权的评价原则.%This article, from the embarrassment of the right of informed consent in international medical aid action , analyzed the uniqueness of the doctor - patient relationship in the international medical aid, namely the complicated variety, the temporary emergency, weak independent option of patients, shifts of the doctors and patients in certain conditions. On this basis, some points of carrying out the informed consent in the international medical aid were proposed and need to paid attention to, that is, human ?based first; strengthening the consciousness of aging treatment; using humanistic communication way; carrying out the evaluation principle of patients'right of informed consent.

  6. 试从中医角度评论扩大建立艾滋病VCT门诊的必要性%Necessity and Importance to Expand the Establishment of AIDS VCT from TCM Theory Aspect

    Institute of Scientific and Technical Information of China (English)

    刘振威; 梁健; 庞军; 邓鑫; 苏齐鉴; 张亚萍; 吴卫群; 黄丽欢; 马丽萍


    目前,中国艾滋病的流行已进入快速增长期,大多数艾滋病病毒(HⅣ)感染者和艾滋病病人并不了解自己的感染状况,公开报告人数远低于实际感染人数,加大了防控难度,流行现状不容乐观.艾滋病自愿咨询检测(VCT)可及早发现HIV感染者,作为对HⅣ感染者进行干预、治疗、关怀的切入点,是目前艾滋病防控的重要工作之一.艾滋病VCT服务对增加HIV感染知晓率,提高艾滋病预防、治疗、关怀及支持服务有重要作用.文章从中医"治未病"、"情志致病"学说来评论进一步扩大建立艾滋病VCT门诊的重要性及必要性.%At present, AIDS popular entered the fast rise period in Chinese.Majority of AIDS virus ( HIV ) infected person and AIDS patient did not understand their own infection condition, the population of reported publicly is far lower than the population of actual infection.So that it enlarge the difficulty of prevention and control of AIDS.The situation of AIDS popular was unoptimistic presently.The AIDS voluntary consultation test ( VCT ) is one of important works which to prevent and control AIDS presently.It can discover the HIV infected person early.We may carry on the intervention, the treatment, the concern to the HIV infected person in the VCT outpatient service.AIDS VCT service may enhance everybody to understand the knowledge of HIV infection, and it cause the preventing, the treatment, the concern and the support service to the HIV infected person or AIDS patient become possibly.This article comments the necessity and importance to expand the establishment of AIDS VCT from the Chinese medicine "Treatment Weibing", "Emotion causes disease" theory aspect.

  7. 高校医务人员急救技能培训效果分析%Effect analysis on the first aid training for universities medical staff

    Institute of Scientific and Technical Information of China (English)

    卓强; 王润娟


    Objective To learn the situation of universities medical staff on grasp of the first aid training. Methods The first aid training was conducted among 174 universities medical staff, training included emergency hemostasis and cardiopulmonary resuscitation. The examination results between the pre and post training were compared. Results The score of emergency hemostasis was 61. 51±12. 71 before training, and the score was 88. 59±6. 56 after training. The average score of cardiopulmonary resuscitation was 58. 01 ±14. 17 before training, and the score was 88. 47 ±8. 18 after training and the ability of the first aid skills significantly improved(P<0. 05). Conclusion To improve the first aid skills, universities medical staff should be trained regularly.%目的 了解高校医务人员对急救技能的掌握情况.方法 对成都市大中专院校医务人员174名进行急救技能培训,培训内容包括紧急止血法(止血、包扎、固定及搬运)和心肺复苏术,将对培训前后急救技能水平考核结果进行比较.结果 培训前医务人员紧急止血法平均分数为(61.51±12.71)分,培训后分数为(88.59±6.56)分;培训前心肺复苏平均为(58.01±14.17)分,培训后为(88.47±8.18)分,医务人员经培训后紧急止血和心肺复苏能力显著提高(P<0.05).结论 高校医务人员应定期进行急救知识培训,以提高医务人员的急救技能水平.

  8. A survey on AIDS discrimination among medical college students%医学院校学生艾滋病歧视现状调查

    Institute of Scientific and Technical Information of China (English)

    刘家虹; 姜红英; 陈红; 廖清华; 付俊; 卢飞豹; 刘伟新; 李悦


    Objective To understand the related knowledge, discrimination attitudes toward HIV/ AIDS among medical college students, and to provide scientific evidence for further HIV/AIDS anti-discrimination intervention. Methods By means of stratified cluster sannpling to classes, 2844 undergraduate students were randomly selected from medical colleges. A self-deaigned and serf-administered questionnaire survey was conducted, and SPSS 13.0 software was used for data analysis. Results 2501 valid questionnaires had been collected. The overall HIV/AIDS knowledge rate of the respondents was 73.1% (1828/2501) ; The HIV/AIDS discrimination rates in different questions were varying, the discrimination rate of infected with AIDS by bad sex and sharing needles was 83.1% (2078/2501) and 77.7% (1943/2501)respectively,the discrimination rates in term of contacting with HIV patients and their daily necessities, sharing desks, personal social were all exceeding 40% . Conclusion The medical students held serious discrimination attitudes to HIV infected persons and panients; it is necessary to strengthen anti-discrimination education about HIV/AIDS among medical students.%目的 了解医学院校学生对艾滋病相关知识、歧视态度情况,为进一步开展艾滋病反歧视干预工作提供科学依据.方法 以班级为单位采用分层整群抽样法,从某医学院本科生中抽取2844名,采用自行设计的问卷以学生自填方式进行调查,采用SPSS 13.0软件进行统计分析.结果 共收集有效问卷2501份.调查对象艾滋病相关知识知晓率为73.1%(1828/2501);对HIV感染者和AIDS患者不同问题的歧视率不同,对不良性行为、共用针具感染艾滋病的歧视态度高达83.1%(2078/2501)、77.7%(1943/2501),对于身体接触、接触其生活用品、共用课桌、个人社交的歧视率均在40%以上.结论 医学院校学生对HIV感染者/AIDS患者歧视严重,亟须加强医学院校学生艾滋病反歧视教育.

  9. Medical image feature extraction and computer aided diagnosis research%医学影像特征提取及计算机辅助诊断研究

    Institute of Scientific and Technical Information of China (English)

    王玉清; 刘忠岐; 王晓夫; 谭丽


    目的:实现《医学影像诊断特征的提取及计算机辅助诊断过滤的研究》这一科研项目的软件开发。方法使用开源免费跨平台的面向对象的Java 编程语言和netbeans集成开发环境进行开发。采用Singleton设计模式。结果该项研究实现了由临床特征及医学影像特征到疾病诊断的过程。结论通过计算机技术实现计算机对疾病的辅助诊断是可行的。%Objective To realize the software development of the scientific research project "Study on Extraction of Medical Imaging Features and Computer-Aided Diagnosis and Filtration". Methods The Java programming language and Netbeans integrated development environment from the open source free cross-platform were used for development. The Singleton design mode was used. Results This project realized the process from clinical features and medical imaging features to disease diagnosis. Conclusion Realizing computer-aided disease diagnosis through computer techniques is feasible.

  10. 医务人员对HIV/AIDS感染者歧视的原因分析%Analysis of the Reasons of the Discrimination on HIV/AIDS Infectors among the Medical Personnel

    Institute of Scientific and Technical Information of China (English)

    施佳; 邹从清


    艾滋病自发现以来,受其感染者一直遭受着人们的歧视.对HIV/AIDS感染者的歧视,尤其是医务人员的歧视,加剧了HIV/AIDS感染者人群同社会的隔离,严重影响了我国艾滋病防治工作的开展.本文根据艾滋病的3个基本特点及被误解的传播途径,结合医务人员的职业特点,分析医务人员HIV/AIDS感染者歧视的直接原因,并提出相应的干预措施.%Since its birth, AIDS has been subjected to the discrimination from people. Discrimination on HIV/AIDS infectors, especially among the medical personnel, exacerbates the isolation of HIV/AIDS infected population from the public, and carries a serious impact on the HIV/AIDS prevention and control work. According to the occupational traits of the medical personnel, we analyze the directory reasons of the discrimination on HIV/AIDS infectors among the medical personnel based on the three main features and misunderstood transmission routes of AIDS, then put forward some corresponding measures to eliminate the discrimination on HIV/AIDS infectors.

  11. BACLAB: A Computer Simulation of a Medical Bacteriology Laboratory--An Aid for Teaching Tertiary Level Microbiology. (United States)

    Lewington, J.; And Others


    Describes a computer simulation program which helps students learn the main biochemical tests and profiles for identifying medically important bacteria. Also discusses the advantages and applications of this type of approach. (ML)

  12. An Internet-based exercise as a component of an overall training program addressing medical aspects of radiation emergency management. (United States)

    Levy, K; Aghababian, R V; Hirsch, E F; Screnci, D; Boshyan, A; Ricks, R C; Samiei, M


    The use of ionizing radiation and radioactive materials continues to increase worldwide in industry, medicine, agriculture, research, electrical power generation, and nuclear weaponry. The risk of terrorism using weapons of mass destruction or simple radiological devices also has increased, leading to heightened concerns. Radiation accidents occur as a consequence of errors in transportation of radionuclides, use of radiation in medical diagnosis and therapy, industrial monitoring and sterilization procedures, and rarely, nuclear power generation. Compared to other industries, a small number of serious radiation accidents have occurred over the last six decades with recent cases in the Republic of Georgia, Peru, Japan, and Thailand. The medical, psychological, and political consequences of such accidents can be considerable. A number of programs designed to train medical responders in the techniques of radiation accident management have been developed and delivered in many countries. The low frequency of serious radiation accidents requires constant re-training, as skills are lost and medical staff turnover occurs. Not all of the training involves drills or exercises in which responders demonstrate learning or communication over the broad spectrum of medical response capabilities. Medical preparedness within the context of a total emergency response program is lacking in many parts of the world, particularly in Central and Eastern Europe and the Newly Independent States. This paper describes an effort to enhance medical preparedness in the context of a total program of international cooperation and conventions facilitated by the International Atomic Energy Agency. The paper concludes that novel application of telecommunications technology as part of a training activity in radiation accident preparedness can help address gaps in training in this field in which preparedness is essential but experience and practical field exercises are lacking.

  13. Legislative and ethical aspects of introducing new technologies in medical care for senior citizens in developed countries (United States)

    Kacetl, Jaroslav; Maresova, Petra


    Introduction The majority of developed countries are currently experiencing demographic aging. The most frequently expressed concerns related to the changing age structure are the increased costs of social and medical care, a lack of labor force in the job market, and financial sustainability of the pension system. These concerns are often based on the pessimistic view of population aging. This view understands aging as a prolonged period of illness and suffering. On the other hand, optimists believe that a longer life span is a result of increased quality of life and better health care. The quality of life may be improved not only by medicaments, but also by rapidly developing area of medical devices, which allow better care for seniors in many areas. Aim This contribution aims to assess the legislative environment and ethical questions related to the use of medical devices, especially medical devices, in medical care for senior citizens. Methods The methods used in this study are literature reviews of legislative and ethical environment in the European Union (EU) and the US. Results Main findings of this study result from assessing the state of medical device regulations in Europe and the US. Namely, the US regulation seems to be better arranged, which is probably due to the fact that there is only one responsible body – the US Food and Drug Administration, which is responsible for all medical device regulations. On the other hand, in the EU, talks about new legislation are led by ministers from all the EU member states and it may take a long time before all the EU countries come to an agreement. PMID:27499618

  14. 中国中部农村艾滋病高发区医务人员现状调查%Inventory Survey of Medical Personnel of High-Prevalence of AIDS in Central China's Rural

    Institute of Scientific and Technical Information of China (English)

    许前磊; 许菲斐; 徐立然; 蒋士卿; 符林春


    目的:调查中国中部农村艾滋病高发区医务人员对艾滋病的认知、态度、政策及工作情况.方法:在文献研究的基础上,运用流行病学的研究方法,制定医务人员现况调查问卷,对中部农村艾滋病高发区的医务人员进行调查.结果:农村医务人员对艾滋病认知水平普遍较高,对艾滋病患者态度较好,对国家的政策掌握较好,不过当地医护人员的工作强度大,收入低.结论:艾滋病高发区的医务人员在当地艾滋病防治工作中起着重要作用,要积极开展多种渠道的医护人员业务培训,提高医护人员的福利待遇,充分调动医护人员在艾滋病防治工作中的积极性,发挥医护人员在艾滋病防控工作中的作用.%Objective:To investigate medical personnel's cognition,attitude,policy and working conditions for AIDS in high-prevalence of AIDS of entral China's rural. Methods: Medical personnel inventory survey questionnaire was established to investigate medical personnel of high-prevalence of AIDS in central China's rural on the basis of literature research and applying epidemiological research methods. Results: Rural medical personnel have high cognitive level of AIDS generally,good attitude to AIDS patients,and better grasp of national policy,but the local medical personnel have heavy working intensity,and low income. Conclusion:Medical personnel of high-prevalence of AIDS plays an important role in AIDS prevention and treatment work in local, and a variety of channels of vocational training of medical personnel shall be carried out actively, staff welfare shall be improved, and initiative of medical personnel shall be fully mobilized in AIDS prevention and treatment work,so as to play the role of medical personnel in AIDS prevention and treatment work.

  15. What Is HIV/AIDS? (United States)

    ... AIDS? Subscribe Translate Text Size Print What Is HIV/AIDS? Human Immunodeficiency Virus (HIV) HIV stands for human immunodeficiency virus. If left ... need medical treatment to prevent death. Where DId HIV Come From? Scientists identified a type of chimpanzee ...

  16. Assimetria nas relações internacionais, propriedade industrial e medicamentos anti-aids Asymmetry in international relations, industrial property rights and anti-HIV medication

    Directory of Open Access Journals (Sweden)

    Maria Helena Costa-Couto


    Full Text Available Este artigo analisa a assimetria nas relações internacionais entre países no que diz respeito ao reconhecimento da propriedade industrial no setor específico da indústria farmacêutica. O foco é o impacto destas relações no acesso a medicamentos anti-retrovirais (ARV, questão de interesse mundial em face da sua relação com o desenvolvimento das nações. A disputa de interesses no campo e o posicionamento de alguns países frente às leis patentárias, ao longo do tempo, apontam um cenário pouco favorável para acesso aos medicamentos anti-aids pelos países que não pertencem ao núcleo do sistema mundial. O sucesso do programa brasileiro de Doenças Sexualmente Transmissíveis (DSTs e Aids nas negociações dos preços dos ARV, ao contrário, aponta para novas possibilidades de enfrentamento desta realidade. A saída parece ser o fortalecimento interno dos Estados Nacionais e um papel ativo das Agências do Sistema das Nações Unidas na defesa dos interesses humanos coletivos.This paper analyzes the asymmetry in the international relations as refers to the recognition of industrial property rights in the pharmaceutical industry. It focuses on the impact of such relations upon the access to ARV medication, an issue of worldwide interest due to its connection with the development of the nations. Clashing interests and the position taken by some countries in their patent laws point to a scenario less favorable for the access of peripheral countries to anti-HIV/AIDS medication. On the other hand, it seems that the success of the Brazilian STD/AIDS program in negotiating ARV prices will open new possibilities. The solution may be the internal strengthening of the National States and the active role played by the Agencies of the United Nations System in defense of the collective human interests.

  17. Oxygen/ozone as a medical gas mixture. A critical evaluation of the various methods clarifies positive and negative aspects

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    Bocci Velio


    Full Text Available Abstract Besides oxygen, several other gases such as NO, CO, H2, H2S, Xe and O3 have come to age over the past few years. With regards to O3, its mechanisms of action in medicine have been clarified during the last two decades so that now a comprehensive framework for understanding and recommending ozone therapy in various pathologies is available. O3 used within the determined therapeutic window is absolutely safe and more effective than golden standard medications in numerous pathologies, like vascular diseases. However, ozone therapy is mostly in practitioners' hands and some recent developments for increasing cost effectiveness and speed of treatment are neither standardized, nor evaluated toxicologically. Hence, the aim of this article is to emphasize the need to objectively assess the pros and cons of oxygen/ozone as a medical gas mixture in the hope that ozone therapy will be accepted by orthodox medicine in the near future.


    Directory of Open Access Journals (Sweden)

    V. V. Omelchuk


    Full Text Available An article presents materials describing the historical stages of the development of radiation hygiene training in the Military Medical Academy after S.M. Kirov. Particular attention is paid to the development of scientific, methodological and pedagogical potential of the staff of naval and radiation hygiene department. The main achievements of doctoral and teaching staff in the radiation hygiene training are presented.

  19. The Medical Research Council (UK)/Uganda Virus Research Institute Uganda Research Unit on AIDS--'25 years of research through partnerships'. (United States)

    Kaleebu, P; Kamali, A; Seeley, J; Elliott, A M; Katongole-Mbidde, E


    For the past 25 years, the Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS has conducted research on HIV-1, coinfections and, more recently, on non-communicable diseases. Working with various partners, the research findings of the Unit have contributed to the understanding and control of the HIV epidemic both in Uganda and globally, and informed the future development of biomedical HIV interventions, health policy and practice. In this report, as we celebrate our silver jubilee, we describe some of these achievements and the Unit's multidisciplinary approach to research. We also discuss the future direction of the Unit; an exemplar of a partnership that has been largely funded from the north but led in the south.

  20. The in vitro anti-giardial activity of extracts from plants that are used for self-medication by AIDS patients in southern Thailand. (United States)

    Sawangjaroen, N; Subhadhirasakul, S; Phongpaichit, S; Siripanth, C; Jamjaroen, K; Sawangjaroen, K


    This study evaluated the anti-giardial activity of chloroform, methanol and water extracts of 12 medicinal plants (39 extracts), commonly used as self medication by AIDS patients in southern Thailand. The plant extracts and a standard drug, metronidazole, were incubated with 2x10(5) trophozoites of Giardia intestinalis per millilitre of growth medium in 96-well tissue culture plates under anaerobic conditions for 24 h. The cultures were examined with an inverted microscope and the minimum inhibitory concentration and the IC50 value for each extract was determined. The chloroform extracts from Alpinia galanga, Boesenbergia pandurata, Eclipta prostrata, Piper betle, Piper chaba, Zingiber zerumbet, and the methanol extracts from B. pandurata and E. prostrata were classified as "active", i.e. with an IC50 of Murraya paniculata was classified as being "moderately active". This study shows that extracts from some medicinal plants have potential for use as therapeutic agents against G. intestinalis infections.

  1. Obsessive-compulsive aspects as predictors of poor response to treatments in patients with chronic migraine and medication overuse. (United States)

    Curone, M; D'Amico, D; Bussone, G


    Patients with chronic migraine (CM) and medication overuse (MO) have a high frequency of psychiatric comorbidity or psychopathological traits, the presence of which may have important implications for the course of the CM and the MO, both for response to treatment and possible relapses. Overuse of symptomatic drugs is regarded as one of the most important risk factor for the transformation of episodic migraine into CM and drug-seeking tendency due to fear of headache in chronic migraine patients shares with obsessive-compulsive disorder (OCD) the compulsive quality of the behavior. Aim of this study was to review the clinical history of a sample of CM patients with MO in which an obsessive-compulsive trait was identified, performing a comparison with a sample of patients without obsessive-compulsive trait. We selected 14 patients with positivity to Spectrum Project OBS (obsessive-compulsive disorder) questionnaire and other 14 patients with negativity to the same tool from among a sample of patients who were enrolled in a previous study on the psychopathological profile of patients suffering from CM with MO. According to data obtained from the clinical records referring to the previous 5 years, patients with OBS questionnaire positivity showed a worse clinical course and a tendency to early relapse in MO after symptomatic medication withdrawal. Our results show that the comorbidity of OCD should be always evaluated in patients with CM and MO as it may play a relevant role--particularly if not treated--among the risk factors favoring the progression of episodic migraine to the chronic form, and/or the tendency to a pathological behavior that prompts the overuse of symptomatic medications.

  2. China vs. AIDS

    Institute of Scientific and Technical Information of China (English)



    CHINA's first HIV positive diagnosis was in 1985, the victim an ArgentineAmerican. At that time most Chinese,medical workers included, thought of AIDS as a phenomenon occurring outside of China. Twenty years later, the number of HIV/AIDS patients has risen alarmingly. In 2003, the Chinese Ministry of Health launched an AIDS Epidemiological Investigation across China with the support of the WHO and UN AIDS Program. Its results show that there are currently 840,000 HIV carriers, including 80,000 people with full-blown AIDS, in 31 Chinese provinces, municipalities and autonomous regions. This means China has the second highest number of HIV/AIDS cases in Asia and 14th highest in the world. Statistics from the Chinese Venereal Disease and AIDS Prevention Association indicate that the majority of Chinese HIV carriers are young to middle aged, more than half of them between the ages of 20 and 29.

  3. Attitudes towards and Knowledge of AIDS. (United States)

    Edwards, Andrew; Hiday, Virginia Aldige'

    Most research on Acquired Immune Deficiency Syndrome (AIDS) has been medical and most social science research on AIDS has been concerned with social factors in its spread and with social-psychological effects of contracting AIDS. This study was conducted to examine public attitudes toward, and public knowledge about AIDS. Knowledge about AIDS was…

  4. Femtosecond laser aided processing of optical sensor fibers for 3D medical navigation and tracking (FiberNavi) (United States)

    Waltermann, Christian; Koch, Jan; Angelmahr, Martin; Schade, Wolfgang; Witte, Michael; Kohn, Nils; Wilhelm, Dirk; Schneider, Armin; Reiser, Silvano; Feußner, Hubertus


    A new concept for fiber-optical 3D shape sensing applying femtosecond laser technology for highprecision direct writing of Bragg gratings within the core and the cladding of single core standard telecom fibers is presented. This new technology enables a cost-efficient and real-time 3D shape sensing and navigation of medical catheters or endoscopes only by means of passive optical sensor elements. First prototypes showed the possibility to achieve absolute navigation accuracy of four mm per meter and have successfully been tested in clinical environment.

  5. Extended Analyses of the German IVF Registry (DIR: Andrological Aspects, Medical-Economical Assumptions Related to the Shift from IVF to ICSI and Stimulation with Gonadotropins

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    Bals-Pratsch M


    Full Text Available In addition to the annual report of the German IVF Registry (D·I·R the database of 498,784 ART cycles between 1998 and 2008 was analysed for aspects regarding andrology, medical and economical aspects of ICSI and stimulation with gonadotropins. The indication for an ICSI procedure is related to the retrieval of sperm. Seven percent of all ART cycles in the DIR are already performed with epididymal or testicular sperm due to azoospermia. The analysis of cycles with testicular sperm revealed that fertilisation and pregnancy rates are reduced in comparison to ejaculated or frozen sperm, but miscarriage and birth rates do not increase. The data recording of lifestyle parameters can be valuable in the future. The analysis of the D·I·R data demonstrates that restrictions on the reimbursement for ART cycles have significant impact on the use of IVF and ICSI treatments. Medical indications rather than economic reasons seem to be responsible for the increase in ICSI treatment. Since the commercial launch of GnRH antagonists in 1999 and 2000 more than 90 % of IVF and ICSI protocols in Germany are now performed with GnRH agonists (54.8 % and GnRH antagonists (31.5 %. Approximately 90% of the IVF and ICSI cycles in Germany are performed with recombinant FSH (rFSH, highly purified menotropin (HP-hMG or a combination of both. Non-medical factors can influence the choice of gonadotropins for stimulation. Women beyond the age of 34 probably have better IVF or ICSI outcome when the stimulation is performed with rFSH. J

  6. Aspectos da epidemia de Aids em município de médio porte do Rio de Janeiro, 2000-2004 Aspects of the Aids epidemic in a medium-sized municipality of he state of Rio de Janeiro, 2000-2004

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    Rafael Brandão Varella


    Full Text Available Políticas de saúde adotadas pelo governo brasileiro têm resultado em uma estabilização e mesmo redução da Aids no país, muito embora esta tendência não venha acontecendo em municípios de menor porte. Neste contexto, analisamos o impacto da Aids no município de Teresópolis/RJ, com a finalidade de obter um perfil regional da epidemia como modelo para cidades com características demográficas similares. Para tal, comparamos diversos critérios epidemiológicos para a epidemia entre o município de Teresópolis, o Estado do Rio de Janeiro (RJ e o Brasil, entre 2000-2004, bem como a incidência da doença em cidades do Estado do RJ entre 1996-2004, utilizando para isto informações provenientes dos bancos de dados do Sistema Nacional de Agravos Notificáveis (SINAN e Instituto Brasileiro de Geografia e Estatística (IBGE. Os resultados indicam que a epidemia de Aids em Teresópolis apresenta um perfil semelhante ao estadual e nacional com pequenas variações, embora a incidência de Aids no município esteja elevada em relação aos demais municípios do Estado. Concluindo, apesar de o país tratar a questão da Aids de forma prioritária, é necessária uma investigação mais cuidadosa nos municípios de menor porte fora das regiões metropolitanas, de forma a controlar a tendência da epidemia de Aids nestas localidades.The healthcare policies adopted by the Brazilian government resulted in the stabilization or even reduction of the Aids epidemic in the country, although the incidence of the disease seems to be increasing in smaller municipalities. In this context, the impact of Aids in Teresópolis/RJ was studied in order to obtain a regional profile of the epidemic as a model for demographically similar cities. To achieve this purpose, many epidemiological relevant aspects of Aids were compared between Teresópolis, the state of Rio de Janeiro (RJ and Brazil from 2000-2004, as well as the incidences of the disease in many cities

  7. The “humane” aspect of international aids: An evaluation of global poverty reduction programs from a human rights-based perspective

    Directory of Open Access Journals (Sweden)

    Arzu İçağasıoğlu Çoban


    Full Text Available Poverty, as the most devastating problem of the contemporary society, is at the core of economical and social policies at the national and international level. Beyond the economical discourse, poverty is basically the violation of the rights raised from being human. In this sense, struggle against poverty should be accepted as the struggle for human rights. But different criterions in definition and measurement of poverty reveals that there is no universally standart solution for the problem. Under these circumstances, it is also questionable that there is a universal and standart way of struggle against poverty. International organizations has a unique position with their different policies and programmes at the global level for struggling against poverty. In this study, which aims to evaluate the international aids through the lens of human rights perspective, the international aid organizations having an important effect on the economical stability of the World’s economy after World War II (i.e.UNDP, IMF and World Bank and their financial support and structural adjustment programmes was chosen for the focus of analysis. It is aimed to introduce the contradictions between the human rights philosophy and mechanisms of these programmes.

  8. Some aspects of a medical anthropology: pathic existence and causality in Viktor von Weizsäcker. (United States)

    Wiedebach, Hartwig


    'Life is not only an "event" that happens--but also something that is suffered'; this is the core principle of what Viktor von Weizsäcker (1886-1957), the German physician and founder of a 'Medical Anthropology', called the 'pathic' dimension. The personal voice of the human being himself becomes a constitutive principle within the medium of science. Concepts of cause and effect are no longer applicable in the customary functional sense of aetiology. Even the intellect or spirit (Geist) can no longer be regarded as unscathed. In order to handle pathic 'causality' Weizsäcker introduced his 'pathic pentagram'. The interplay of five modalities--must / may / want / should / can--creates a ground or reason of psychological and/or somatic explanation. Necessity and freedom of a person appear interwoven in a constitutive manner.

  9. Non-AIDS Kaposi's sarcoma in the head and neck area. (United States)

    Patrikidou, Anna; Vahtsevanos, Kostas; Charalambidou, Martha; Valeri, Rosalia-Maria; Xirou, Persefoni; Antoniades, Kostas


    Kaposi's sarcoma is classified into 4 types: classic (sporadic), African (endemic), iatrogenic (transplant recipients), and epidemic (acquired immunodeficiency syndrome [AIDS]-associated). This article aims to feature a comprehensive review of non-AIDS Kaposi's sarcoma, including literature review and report of 3 cases. Case material was from our hospital's archive. Literature review was conducted via electronic and manual medical database searches. Biological aspects, diagnostic difficulties, investigation protocols, and management modalities are discussed.

  10. Evaluation of My Medication Passport: a patient-completed aide-memoire designed by patients, for patients, to help towards medicines optimisation (United States)

    Barber, Susan; Thakkar, Kandarp; Marvin, Vanessa; Franklin, Bryony Dean; Bell, Derek


    Objectives A passport-sized booklet, designed by patients for patients to record details about their medicines, has been developed as part of a wider project focusing on improving prescribing in the elderly (‘ImPE’). We undertook an evaluation of ‘My Medication Passport’ to gain an understanding of its value to patients and how it may be used in communications about medicines. Setting The Passport was launched in secondary care with the initial users being older people discharged home after an admission to one of the four North West London participating Trusts. The uptake subsequently spread to other (community) locations and other age groups. Participants We recruited more than 200 patients from a cohort who had been given a passport as part of the improvement projects at one of four sites. Of them, 63% (133) completed the structured telephone questionnaire including 27% for whom English was not their first language. Approximately half of the respondents were male and 40% were over 70 years of age. Results More than half of the respondents had found their medication passport useful or helpful in some way; 42% through sharing details from it with others (most frequently family, carer or doctor) or using it as a platform for conversations with healthcare professionals. One-third of those questioned carried the passport with them at all times. Conclusions My Medication Passport has been positively evaluated; we have a better understanding of how it is used by patients, what they are recording and how it can be an aid to dialogue about medicines with family, carers and healthcare professionals. Further development and spread is underway including an App for smartphones that will be subject to wider evaluation to include feedback from clinicians. PMID:25138809

  11. Teaching AIDS. (United States)

    Short, R V


    This article reviews a peer group Acquired Immunodeficiency Syndrome (AIDS) educational program at a university in Australia. Studies in the US have shown that most adolescents, although sexually active, do not believe they are likely to become infected with the Human Immunodeficiency Virus, and therefore do not attempt to modify their sexual behavior. A 1st step in educating students is to introduce them to condoms and impress upon them the fact that condoms should be used at the beginning of all sexual relationships, whether homosexual or heterosexual. In this program 3rd year medical students were targeted, as they are effective communicators and disseminators of information to the rest of the student body. After class members blow up condoms, giving them a chance to handle various brands and observe the varying degrees of strength, statistical evidence about the contraceptive failure rate of condoms (0.6-14.7 per 100 women-years) is discussed. Spermicides, such as nonoxynol-9 used in conjunction with condoms, are also discussed, as are condoms for women, packaging and marketing of condoms, including those made from latex and from the caecum of sheep, the latter condoms being of questionable effectiveness in preventing transmission of the virus. The care of terminal AIDS cases and current global and national statistics on AIDS are presented. The program also includes cash prizes for the best student essays on condom use, the distribution of condoms, condom key rings and T-shirts, and a student-run safe sex stand during orientation week. All of these activities are intended to involve students and attract the interest of the undergraduate community. Questionnaires administered to students at the end of the course revealed that the lectures were received favorably. Questionnaires administered to new medical and English students attending orientation week revealed that 72% of students thought the stand was a good idea and 81% and 83%, respectively found it

  12. Improving mining technology and organization of labor in the light of medical-biological aspects of physical health of miners

    Energy Technology Data Exchange (ETDEWEB)

    Egorov, P.V.; Nirenburg, K.G.; Davydova, N.N.; Dyatlova, L.A. (Kuzbasskii Politekhnicheskii Institut (USSR))


    Transfer to a contract-bonus system in mines of the Severokuzbassugol' and Leninskugol' associations (USSR) increased coal mining productivity by 42.2-54.4%, but, at the same time, problems concerning miners' health were noted. Presents data on the productivity and labor conditions of contract teams working at coal mining and in development faces. The influence of noise and vibration induced stresses on organisms of underground workers is analyzed. Investigations showed that 3 stages of exhaustion are likely to develop and that the most vulnerable are the cardiovascular system and the respiratory tract. The 3 stages of exhaustion and ability to recover were studied on mining machine operators and drivers of heading machines. Data showed that during the 1985-89 period, 972 miners received disability certificates; the rate of disability was 2.6 miners per 1 Mt of coal; 40.5% of miners over 40 years working on labor-intensive jobs had three or more chronic diseases which could cause permanent disability. In the structure of disability, cardio-vascular system cases accounted for 25%, osseous-muscular system cases for 20% and pulmonary diseases for 13%. Stresses the need for every mine to maintain its own medical center equipped with inhalation therapy, psychological relief, acupuncture and physiotherapy facilities.

  13. Comparison of the Teaching Quality Aspects by Student Evaluation of Education Quality (SEEQ and Students Survey Questionnaires Health School, Kermanshah University of Medical Sciences

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    Gharatapeh A


    Full Text Available Aims: The purpose of the professors’ evaluation which partly left up to the students is to improve the teaching quality and enhance the educational level in universities. Regarding this, the use of valid evaluation forms that lead to the recognition of the problems of teaching and learning is important. This study aimed to compare the teaching quality aspects between Student Evaluation of Education Quality and Students Survey questionnaires. Instrument & Methods: In this descriptive-analytic study by correlation type that was performed during the second semester of 2012-13 academic year, 251 students of Health Department of Kermanshah University of Medical Sciences participated by census method. The research tools were the Student Evaluation of Education Quality and Students Survey questionnaires. For data analysis, independent- and paired T, Chi-square, Mann-Whitney U, Kruskal-Wallis, Pearson correlation coefficient and Tukey tests were utilized.  Findings: The difference of total evaluation scores of the professors based on their scientific degree and also the education level and major of students was significant between 2 questionnaires (p<0.05. There was also a significant relationship between the workload and level of interest for each course and the total evaluation score of the professors based on student evaluation of education quality questionnaire (p<0.001. Conclusion: Both questionnaires have acceptable reliability, but the student evaluation of education quality questionnaire highlights the multi aspects of teaching better and is more efficient in demonstrating the strength and weaknesses of teaching.

  14. [Current states and future aspects of graduate schools for adult graduate students: experiences of the master's course as a medical technologist]. (United States)

    Obara, Takehiro; Suwabe, Akira


    The educational system for medical technologists (MTs) has gradually shifted from a three-year technical school system to a four-year university system. It is worthwhile for MTs to advance to a graduate school, in order to improve their routine-work skills, performances, and also to advance their own research as well as to learn how to direct younger MTs. Recently, MTs who advance to the graduate school as adult graduate students are increasing. In this article, the current states and future aspects of the graduate school of Iwate Medical University are reported. In our Department of Central Clinical Laboratory in Iwate Medical University Hospital, three of my colleagues have completed the master's course of the graduate school as adult graduate students, and three are currently attending the school. Nevertheless, none of them has advanced to the doctor's course yet. The primary reason why they do not advance is the heavy burden on any adult graduate students physically, mentally, and financially to study in the graduate school and carry out routine duties at the same time. Thus, in order to encourage MTs to go or to graduate school education, it is important to arrange systems which will enable MTs to advance to the graduate school as adult graduate students. I believe there are three key elements to make this possible. Firstly, prepare easier access to curriculums for MTs to study special fields and learn special skills. Secondly, arrange an increase in the salary scheme depending on the degree attained from the graduate school. Thirdly, provide financial support for graduate school expenses. In conclusion, it is expected that a large number of MTs will advance to the graduate school if these changes for a better educational environment are made.

  15. [Use and abuse of visual aids--presentation technique]. (United States)

    Bland, J D


    In today's health service, doctors cannot avoid teaching or lectures. Visual aids are an important part of any successful presentation. Adequate overheads and slides can be easily made using ordinary office equipment and simple cameras. Modern computers and laser printers are also an exciting medium for producing visual aids. Nevertheless, if the talk is to achieve its purpose, good pictures must be presented in the correct way, along with an absorbing commentary. Both these aspects of presentation technique require careful preparation, but are seldom taught to medical students or junior staff as a necessary tool for their future work as doctors.

  16. La filiation et l’aide médicale à la procréation Filiation and medical assistance to procreation

    Directory of Open Access Journals (Sweden)

    Anne Cadoret


    Full Text Available L’aide médicale à la procréation permet une procréation aussi proche que possible du processus naturel de fabrication d’un enfant en s’appuyant sur les éléments de base de la procréation, substances (sperme et ovule. A partir de cette base technique, chaque société va dire les combinaisons obligatoires pour aboutir à une filiation et transcrire une donnée naturelle de la procréation en une donnée sociale. Comment se passe cette transcription ? Que nous dit-elle du passage de la transformation du corps et de la sexualité en parenté ? Y aurait-il d’autres montages possibles de la filiation ?Medical assistance to procreation allows for procreation which is as close as possible from the natural process of the making of a child by relying on basic elements of procreation i.e. substances (sperm and ovum. From this technical basis, every society determines the combinations required to establish a filiation and transcribes a natural data of procreation into a social data. How is this transcription produced? What does it tell us about the transformation of the body and sexuality into parenthood? Would there be other possible constructions of the filiation?

  17. Investigation on AIDS/STD related knowledge, attitude and behavior among junior college students in medical college%医学院校低年级大学生AIDS/STD相关知识、态度及行为调查

    Institute of Scientific and Technical Information of China (English)

    黄翔; 陆杰灵; 苏国生


    Objective To investigate the knowledge, attitude and behavior related to acquire immune deifciency syndrome and sexually transmitted disease (AIDS/STD) among junior college students in medical college, and to provide suggestion on the future health education on AIDS/STD and recruitment of low-risk blood donors for junior students. Methods The self-designed questionnaire and random sampling were used to investigate on freshmen whose number was 1 250 in a medical college. Results Respondents’ awareness rate of three major routes of AIDS transmission was from 79.67%to 91.79%. Nearly 9.20%of the respondents agree on the premarital sexual behavior. And about 18.7%of the students showed the fear to AIDS and they were reluctant to admit patients with AIDS. Conclusions The health education on AIDS/STD related knowledge should be made to be universal, and enhance sexual morality, safe sexual behavior and ethics training.%目的:研究了解医学院(校)低年级大学生的艾滋病/性病(AIDS/STD)相关知识、态度及行为的现状及性知识需求,为今后开展低年级大学生AIDS/STD的宣教和低危献血者的招募提供依据。方法自行设计问卷,采取随机抽样的方法对某医学院(校)大一新生1250人进行自填式问卷调查。结果被访者对AIDS三大主要传播途径知晓率为79.67%~91.79%;近9.20%的被访者对婚前性行为表示赞同;18.7%的学生表示对AIDS恐惧,并在将来的工作中不愿接收AIDS患者。结论普及AIDS/STD相关知识的宣教并增强性道德、安全性行为及职业道德的培养。

  18. The expansion and extension of the fire field medical aid to the current pre-hospital first aid in our country%消防部队现场医疗救助应成为我国现行院前急救模式的拓展和延伸

    Institute of Scientific and Technical Information of China (English)

    韩雨; 陈向芳; 林炜栋


    To analyze both the deficiency and the existing problems of current prehospital first aid management and the advantage of the fire force medical assistance, to observe the bridging role of the fire field medical aid practice,and put forward prospects of the future of China′s prehospital first aid.By utilizing all the advantages of the fire force, the integration of the fire field medical aid into current prehospital emergency system together with granted corresponding legal rights and responsibility can significantly improve our pre⁃hospital first aid service level, relieve the pressure of hospital first⁃aid, improve the emergency response capability of a city,and increase the public′s sense of security.Applying emergency resources other than current hospitals can effectively increase the prehospital aid capability. As an important comprehensive medical aid force,fire force should be integrated into current medical aid system,and the combination of both can not only benefit the whole society greatly but also can bring China′s prehospital first aid in line with international practice.%分析我国现有院前急救管理办法、院前急救现实中存在的不足以及消防部队现场医疗救助的优势,以观察消防现场医疗救助对于院前急救的弥合作用,并提出未来我国院前急救发展前景。应充分利用消防部队的各种优势,把消防的现场医疗急救有机融合到院前急救体系中,并赋予相应的法律权限和职责,能够显著提高我国院前急救水平,缓解急救矛盾,以提高城市应急能力,增加城市安全感。在我国现有院前急救体制下,应充分利用医疗系统以外的社会急救力量,消防部队作为我国现役的一支社会综合救援力量,二者有机结合才能够突破现有急救瓶颈,适应现实社会发展需要,使我国院前急救逐渐与国际接轨。

  19. [Undergraduate Medical Students "On Call" to Assist in Theatre: Analysis of the Financial Aspects and a Mixed-Method Study Exploring Their Motives for Working]. (United States)

    Rabe, C; Ghadimi, M; König, S


    Background/Purpose: Surgical patient care has grown in complexity, as hospital workload has continuously increased. We therefore established a pool of "undergraduate medical students on call" to assist in the theatre outside working hours. We aimed to recruit talented students to reduce the burden on physicians and to motivate students into entering surgery. Methods: An exploratory mixed-method study was performed. In a qualitative study, guided interviews were conducted with five students about their reasons for working in the theatre and the results were used to construct an online questionnaire using EvaSys®. This was presented to 16 current and former students in a subsequent quantitative study. Furthermore, the cost of student employment was calculated and compared with physicians' salaries. Results: In 2013 and 2014, 8-9 students worked a total of 1063 and 1211 hours in the theatre, respectively. The difference in salaries between the students and surgical residents was € 28.37 per hour. We calculated that the annual savings were approximately € 60,000. When questioned on their motives during the interview, only a few students emphasised the financial aspects, whereas the majority emphasised the gain in experience. The analysis was based on comparison of the mean values (online survey) with a 4-point Likert scale (1 = high acceptance; 4 = no acceptance). We defined the motives with a mean ≤ 1.3 as primary. Based on this selection, gathering experience, fun/enjoyment, interest in surgery, and the change from studying were considered as distinct motives. In the interviews, students clearly pointed out that teaching and learning opportunities in the theatre were not commonly taken advantage of and that interaction with the surgeons should be improved. Conclusion: Students actively chose to work as assistants in the theatre, for a variety of motives. The financial aspects were subordinate. The concept of students assisting in the theatre is

  20. Hearing Aids (United States)

    ... more in both quiet and noisy situations. Hearing aids help people who have hearing loss from damage ... your doctor. There are different kinds of hearing aids. They differ by size, their placement on or ...

  1. AIDS (image) (United States)

    AIDS (acquired immune deficiency syndrome) is caused by HIV (human immunodeficiency virus), and is a syndrome that ... life-threatening illnesses. There is no cure for AIDS, but treatment with antiviral medicine can suppress symptoms. ...

  2. Introduction to audiology: Some basics about hearing loss, hearing technologies and barriers to hearing aid use

    DEFF Research Database (Denmark)

    Mourtou, Eleni; Meis, Markus


    loss and their various effects on communication, (3) the different degrees of hearing loss as defined by different national and international organizations, (4) statistics on the preva- lence of hearing loss worldwide, (5) some technological aspects of hearing instruments, (6) sta- tistics on non......This chapter provides background information for researchers who wish to become familiar with some basic medical and audiological aspects of hearing loss and the technology of hearing aids. It introduces (1) the disciplines involved in research on hearing loss, (2) the medical categories of hearing...


    Directory of Open Access Journals (Sweden)

    Z Khan


    Full Text Available HIV infection and AIDS is increasingly becoming a major public health problem in our country. Currently, the reported cases represent only the 'tip of the iceberg' of the problem. In view of the fact that no cure or vaccine for the disease has yet been found, spreading knowledge and removing misconceptions is about the only way that AIDS can be effectively tackled.This handbook, developed by Prof. Shankar Chowdhury and associates, seeks to address all levels of medical and non-medical AIDS workers, as well as the layman. It deals with topics ranging from biology of the virus, symptoms and transmission of disease, to prevention, counselling for infected persons and action plan for AIDS education.The biology of the virus and the immune system is described in simple terms, as well as methods of testing for HIV, and what these test results mean. The progression of disease in adults and children, development of symptoms, diagnostic criteria for AIDS, treatment and outcome of disease is dealt with. How AIDS spreads between people, and the health risk for health workers and families is examined. The various ways in which transmission of HIV can be prevented is looked at in detail, including public health measures, national and internatonal action, and ethical and human rights issues involved.

  4. 艾滋病病人机会性感染救治保障机制研究%Analysis of the current medical care system to treat and relieve AIDS patients with opportunistic infections

    Institute of Scientific and Technical Information of China (English)

    李佳; 王俊杰; 周郁; 许文青; 陈清峰


    目的 分析中国艾滋病病人机会性感染救治保障机制的现状及存在问题,为进一步完善该机制提供建议.方法 采取定量和定性调查相结合的方法.结果 中国制定了“四免一关怀”等机会性感染医疗费用减免政策,并结合医疗体制改革要求通过医保、救助等进一步减轻费用负担.各地主要采取了医保和新农合报销补偿政策倾斜、定额医疗补助、医疗救助以及直接减免部分治疗费用等4种方式落实减免政策.目前仍存在缺乏对病种、临床路径的明确界定,医疗费用减免措施尚未覆盖所有贫困患者,医疗保障水平仍较低,救治保障资金缺口较大等问题.结论 建议明确纳入医疗保障范围的常见机会性感染病种等机会性感染治疗服务体系中存在的问题;短期可通过城乡医疗救助,长期可通过将机会性感染纳入重大疾病保障;建立分级负担、多渠道的机会性感染医疗保障经费筹措机制;加强艾滋病治疗定点医疗机构的综合诊疗能力建设;进一步开展相关专题研究等.%Objective To analyze the current medical care system to treat and relieve AIDS patients with opportunistic infections (OIs) and existing bottlenecks,and to provide suggestions to improve this system.Methods Combined qualitative and quantitative surveys were undertaken.Results Policies including "Four Free One Care" were adopted to reduce financial burden of AIDS patients with OIs under medical treatment,and commitments were made to further reduce the burden through essential medical insurance and relief system in combination with national health care system reform.Local governments progressively implemented these policies by increasing ratio of reimbursement from essential medical insurance and new rural medical cooperative scheme,providing lump-sum medical subsidies,medical relief and direct deducting medical fee.The existing bottlenecks included:lack of clear definition of

  5. Aid Effectiveness

    DEFF Research Database (Denmark)

    Arndt, Channing; Jones, Edward Samuel; Tarp, Finn

    Controversy over the aggregate impact of foreign aid has focused on reduced form estimates of the aid-growth link. The causal chain, through which aid affects developmental outcomes including growth, has received much less attention. We address this gap by: (i) specifying a structural model of th...

  6. Virological and Immunological Aspects of AIDS Pathogenesis

    Directory of Open Access Journals (Sweden)

    Brian Conway


    Full Text Available The most common and serious problem associated with long term antiretroviral therapy is waning efficacy over time. To date. a number of studies has suggested an association between drug resistance and clinical deterioration. However. a precise causal relationship has yet to be demonstrated. In a large American clinical trial. resistance to zidovudine (ZDV was predictive of subsequent disease progression if this therapy was continued. Surprisingly. this was also predictive of deterioration if therapy was changed to didanosine (ddl. This suggests that other factors (perhaps virological and immunological which may be present in addition to resistance. were as important (if not more so in predicting clinical outcomes. It is likely that viral load. resistance. viral phenotype and alterations in immune function interact in this regard. Proper· studies may allow us to determine a “threshold” for a composite virological and immunological parameter beyond which disease progression will occur. As more antiretroviral agents become available. we will be in a position to intervene to “improve” laboratory markers and monitor them prospectively. potentially to maintain clinical latency for an indefinite period of time. In the authors' laboratories, a quantitative polymerase chain reaction assay for the evaluation of circulating proviral load has been developed. In an initial study of 70 patients. proviral load/ 106 CD4 cells was clearly associated with the severity of immune disease. with up to 9.6% of cells being infected in subjects with CD4 cell counts below 200/µL. However. large variability in proviral load among individuals with comparable or dissimilar CD4 cell counts precludes the use of this measurement as an individual marker of the severity of immune disease. More recent work evaluated the combined use of proviral load (expressed as a dichotomous variable based on values above or below one copy/a03 CD4 cells and resistance in a prospective fashion. In five patients with high proviral loads and isolates resistant to their current therapy. a mean decrease of 72 CD4 cells/µL was observed over 12 months of observation. In contrast. in six patients with low proviral loads and sensitive isolates. there was a mean increase of 43 CD4 cells/µL. It appears that virological markers are associated with immune disease progression in this small cohort of patients. The association appears most marked when the two virological parameters are considered together rather than individually. The association is not always a tight one. and this may relate to a number of unmeasured factors. including viral phenotype. plasma viremia. and the immune response to HIV infection. Additional work incorporating these parameters into analysis is currently underway in the authors’ centre.

  7. Aspects of Hearing Aid Fitting Procedures

    NARCIS (Netherlands)

    R.M. Metselaar (Mick)


    textabstractSensorineural hearing loss is a common and chronic disorder that affects almost ten percent of the world population. In the Netherlands, it is also the major disorder in the working population [NCvB, 2008]. Hearing loss leads to restriction in the interaction with others and withdrawal f

  8. Enteric parasites and AIDS

    Directory of Open Access Journals (Sweden)

    Sérgio Cimerman


    Full Text Available OBJECTIVE: To report on the importance of intestinal parasites in patients with AIDS, showing relevant data in the medical literature, with special emphasis on epidemiology, diagnosis and treatment of enteroparasitosis, especially cryptosporidiasis, isosporiasis, microsporidiasis and strongyloidiasis. DESIGN: Narrative review.

  9. HIV and/or AIDS-related deaths and modifiable risk factors: A descriptive study of medical admissions at Oshakati Intermediate Hospital in Northern Namibia

    Directory of Open Access Journals (Sweden)

    N.K. Mgori


    Full Text Available Background: High rates of HIV infection have decreased life expectancy in many African countries. Regardless of worldwide efforts to escalate treatment, care and prevention strategies, the number of deaths due to AIDS-related disorders is still high. Local healthcare workers suspect that there are modifiable factors in the care of HIV and/or AIDS patients which can be identified and improved.Aim: To describe the HIV and/or AIDS-related causes of adult mortality and identify modifiable factors amongst patients admitted to Oshakati Intermediate Hospital, northern Namibia.Methods: Data was extracted retrospectively and coded using the modified CoDe protocol for AIDS. Modifiable factors relating to the patient, health system or clinical care were identified using a standardised data collection tool.Results: A total of 177 HIV and/or AIDS patients were identified, 94 (53.1% were male and 120 (68% had a CD4 count of less than 200 cells/mL. The common HIV-related causes of death were tuberculosis (25.9%, renal failure (15.8%, Pneumocystis jirovecii pneumonia (11.3%, cryptococcal meningitis (9%, HIV wasting syndrome (7.9% and AIDS-defining malignancy (7.9%. The analysis revealed 281 modifiable factors; patient-related factors were the most common (153 [54.4%], followed by health system factors (97 [34.5%] and healthcare personnel factors (31 [11%].Conclusion: Our findings have highlighted the challenges in overall HIV and/or AIDS inpatient care and surrounding primary care facilities. The identification of specific modifiable factors can be used to reduce mortality by providing training as well as rational monitoring, planning and resource allocation.

  10. Nominal aspect

    DEFF Research Database (Denmark)

    Rijkhoff, Jan


    In a general way the notion 'aspect' can be defined as the way in which a property or relation is represented in some dimension. Two kinds of aspect can be distinguished: verbal and nominal aspect. The study of verbal aspect has a long tradition, but nominal aspect has only been introduced recently......, at least in the sense in which it is used here (Rijkhoff 1989b, 1990a, 1990b). After a brief look at the more familiar verbal aspects, each of the nominal aspects is discussed in some detail. Then the relevance of nominal aspect will be considered in connection with (i) certain 'number markers' (which...... will be analysed as nominal aspect markers below), (ii) noun-incorporation, and (iii) predicate nouns....

  11. Brand Aid

    DEFF Research Database (Denmark)

    Richey, Lisa Ann; Ponte, Stefano

    A critical account of the rise of celebrity-driven “compassionate consumption” Cofounded by the rock star Bono in 2006, Product RED exemplifies a new trend in celebrity-driven international aid and development, one explicitly linked to commerce, not philanthropy. Brand Aid offers a deeply informed...

  12. Foreign aid

    DEFF Research Database (Denmark)

    Tarp, Finn


    Foreign aid has evolved significantly since the Second World War in response to a dramatically changing global political and economic context. This article (a) reviews this process and associated trends in the volume and distribution of foreign aid; (b) reviews the goals, principles...

  13. Are You Taking Medication as Prescribed? (United States)

    ... Home For Consumers Consumer Updates Are You Taking Medication as Prescribed? Share Tweet Linkedin Pin it More ... another time. back to top Taking HIV/AIDS Medications People with HIV/AIDS can have a particularly ...

  14. Student′s preference of various audiovisual aids used in teaching pre- and para-clinical areas of medicine

    Directory of Open Access Journals (Sweden)

    Navatha Vangala


    Full Text Available Introduction: The formal lecture is among the oldest teaching methods that have been widely used in medical education. Delivering a lecture is made easy and better by use of audiovisual aids (AV aids such as blackboard or whiteboard, an overhead projector, and PowerPoint presentation (PPT. Objective: To know the students preference of various AV aids and their use in medical education with an aim to improve their use in didactic lectures. Materials and Methods: The study was carried out among 230 undergraduate medical students of first and second M.B.B.S studying at Malla Reddy Medical College for Women, Hyderabad, Telangana, India during the month of November 2014. Students were asked to answer a questionnaire on the use of AV aids for various aspects of learning. Results: This study indicates that students preferred PPT, the most for a didactic lecture, for better perception of diagrams and flowcharts. Ninety-five percent of the students (first and second M.B.B.S were stimulated for further reading if they attended a lecture augmented by the use of visual aids. Teacher with good teaching skills and AV aids (58% was preferred most than a teacher with only good teaching skills (42%. Conclusion: Our study demonstrates that lecture delivered using PPT was more appreciated and preferred by the students. Furthermore, teachers with a proper lesson plan, good interactive and communicating skills are needed for an effective presentation of lecture.

  15. [AIDS mortality in France]. (United States)

    Hatton, F; Maguin, P; Nicaud, V; Renaud, G


    A study about mortality by AIDS had been undertaken since July 1st 1983, in the Service of Information on Medical causes of Death (INSERM SC8), which is in charge of developing mortality statistics in France. From July 1st 1983 to September 30th 1985, 243 deaths due to AIDS were recorded. Only the cases where this diagnosis was clearly mentioned were selected; more than 90% were notified by hospitals and mainly by highly specialized services. The number of deaths, which was low and varied rather irregularly at the beginning, then increased by successive stages. The first year, during which a tenth of deaths was recorded every three months, was followed by a great increase, doubling, then tripling the initial numbers. Lastly, a second and sudden rise occurred during the third trimester of 1985, the trimestrial number of deaths due to AIDS reaching 80.

  16. Cytomegalovirus viral load kinetics in patients with HIV/AIDS admitted to a medical intensive care unit: a case for pre-emptive therapy.

    Directory of Open Access Journals (Sweden)

    Simnikiwe H Mayaphi

    Full Text Available BACKGROUND: Cytomegalovirus (CMV infection is associated with severe diseases in immunosuppressed patients; however, there is a lack of data for pre-emptive therapy in patients with HIV/AIDS. METHOD: This was a retrospective study, which enrolled patients diagnosed with HIV/AIDS (CD41,000 copies/ml at baseline testing had significantly higher mortality compared to those who had 5,100 copies/ml and did not receive ganciclovir had 100% mortality compared to 58% mortality in those who received ganciclovir at VLs of >5,100 copies/ml, 50% mortality in those who were not treated and had low VLs of <5,100 copies/ml, and 44% mortality in those who had ganciclovir treatment at VLs of <5,100 copies/ml (p = 0.084, 0.046, 0.037, respectively. CONCLUSION: This study showed a significantly increased mortality in patients with HIV/AIDS who had high CMV VLs, and suggests that a threshold value of 1,000 copies/ml may be appropriate for pre-emptive treatment in this group.

  17. Achievement report on research and development of medical and welfare equipment technology. Esophageal speech aid system; Iryo fukushi kiki gijutsu kenkyu kaihatsu seika hokokusho. Shokudo hassei hojo sochi

    Energy Technology Data Exchange (ETDEWEB)



    Research and development of an esophageal speech aid system is carried out to assist patients with the vocal chords lost in pharyngectomy. The goal is to develop a device to enable people, who have had their pharynges removed but can communicate under noiseless circumstances, to communicate easily even in the noisy street. The study involves the development of a voice pickup means, speech signal processing technology, integrated circuit dedicated to the present purpose, esophageal speech signal analyzer, and improvement on the user's comfort. The effort results in a highly directional microphone and a small, high-output loudspeaker. Several real-time signal processing algorithms are developed, including one related to the bandwidth division type analysis and synthesis technique that ensures stable voice conversion. An esophageal speech database is built. A portable esophageal speech aid system is manufactured by way of experiment, which is equipped with the functions of analog simple voice magnification and digital voice conversion. This device serves concurrently as a telephone speech aid system. (NEDO)

  18. The neglected topic: presentation of cost information in patient decision AIDS. (United States)

    Blumenthal-Barby, J S; Robinson, Emily; Cantor, Scott B; Naik, Aanand D; Russell, Heidi Voelker; Volk, Robert J


    Costs are an important component of patients' decision making, but a comparatively underemphasized aspect of formal shared decision making. We hypothesized that decision aids also avoid discussion of costs, despite their being tools designed to facilitate shared decision making about patient-centered outcomes. We sought to define the frequency of cost-related information and identify the common modes of presenting cost and cost-related information in the 290 decision aids catalogued in the Ottawa Hospital Research Institute's Decision Aid Library Inventory (DALI) system. We found that 56% (n = 161) of the decision aids mentioned cost in some way, but only 13% (n = 37) gave a specific price or range of prices. We identified 9 different ways in which cost was mentioned. The most common approach was as a "pro" of one of the treatment options (e.g., "you avoid the cost of medication"). Of the 37 decision aids that gave specific prices or ranges of prices for treatment options, only 2 were about surgery decisions despite the fact that surgery decision aids were the most common. Our findings suggest that presentation of cost information in decision aids is highly variable. Evidence-based guidelines should be developed by the International Patient Decision Aid Standards (IPDAS) Collaboration.

  19. Correlates of participation in AIDS education and HIV antibody testing by methadone patients. (United States)

    Magura, S; Grossman, J I; Lipton, D S; Amann, K R; Koger, J; Gehan, K


    The authors examined the factors associated with methadone patients' decisions about participating in a clinic-based AIDS prevention protocol. Despite the offer of incentives, only 27 percent attended AIDS education and only 12 percent obtained voluntary HIV antibody (ab) testing. However, AIDS education was attended by proportionately more of those who were at highest risk for AIDS because of current intravenous drug use. The availability of HIV-ab testing neither encouraged nor discouraged participation in AIDS education. Patients who were relatively more likely to choose HIV-ab testing were older, had been or were married, had plans to have children, believed the test to be useful, and believed that their counselors support their decision to be tested. Those who declined to be tested were reluctant to confront the emotional aspects of their risk status, were concerned about possible breaches of confidentiality, and doubted the value of testing. The implications of the findings for implementing AIDS prevention measures in methadone programs are discussed. Programs need either to require attendance at AIDS education or give patients an incentive to attend. HIV-ab testing should be available but should remain voluntary. A stronger medical rationale for testing is developing and may increase future participation. Methadone programs must continue to engage patients actively in AIDS risk reduction efforts.

  20. Prevenção da AIDS no período de iniciação sexual: aspectos da dimensão simbólica das condutas de homens jovens AIDS prevention in the period of sexual initiation: aspects of the symbolic dimension of the conduct of young men

    Directory of Open Access Journals (Sweden)

    Bruno José Barcellos Fontanella


    Full Text Available Para aprofundar a compreensão sobre o uso não consistente do preservativo, objetivou-se caracterizar aspectos das significações simbólicas das práticas sexuais de jovens do sexo masculino. Entrevistas de 42 sujeitos, cujas iniciações sexuais começaram no final dos anos 90, foram abordadas qualitativamente por meio de análise de enunciados e interpretadas sob as perspectivas teóricas dos roteiros sexuais e do habitus masculino. Eles enfatizaram a importância de exames sorológicos e da análise biográfica das parceiras (para gerar "confiança" e tenderam a utilizar uma semiotécnica não fundamentada para avaliar o estado de saúde delas. Estabeleceram uma tipologia diádica: parcerias "não fixas" e "fixas", exercitando respectivamente dois tipos de roteiros quanto ao uso do preservativo: para prevenção de AIDS-DST e gravidez ou somente para prevenir gravidez. As narrativas resultariam, dentre outros fatores, de um processo de biomedicalização de aspectos de suas sexualidades e de anseios de relacionamentos afetivo-sexuais estáveis e monogâmicos. Entre os participantes, as importantes e recentes mudanças nos roteiros sexuais intrapsíquico e interpessoal não parecem ser, por ora, acompanhadas de mudanças igualmente profundas nos roteiros culturais ou de habitus masculino.To acquire an in-depth grasp of the non-consistent use of condoms, an attempt was made to characterize aspects of the symbolic meanings of sexual conduct in a group of young males. Interviews with forty-two subjects whose sexual initiation occurred in the late 1990s were qualitatively assessed by an analysis of statements interpreted under the theoretical perspectives of sexual scripts and male lifestyle and values. Participants emphasized the importance of blood testing and a biographical analysis of their partners (to generate 'trust' and tended to use personal criteria to assess the state of their partners' health. They established a dyadic typology of

  1. "MedTRIS" (Medical Triage and Registration Informatics System): A Web-based Client Server System for the Registration of Patients Being Treated in First Aid Posts at Public Events and Mass Gatherings. (United States)

    Gogaert, Stefan; Vande Veegaete, Axel; Scholliers, Annelies; Vandekerckhove, Philippe


    First aid (FA) services are provisioned on-site as a preventive measure at most public events. In Flanders, Belgium, the Belgian Red Cross-Flanders (BRCF) is the major provider of these FA services with volunteers being deployed at approximately 10,000 public events annually. The BRCF has systematically registered information on the patients being treated in FA posts at major events and mass gatherings during the last 10 years. This information has been collected in a web-based client server system called "MedTRIS" (Medical Triage and Registration Informatics System). MedTRIS contains data on more than 200,000 patients at 335 mass events. This report describes the MedTRIS architecture, the data collected, and how the system operates in the field. This database consolidates different types of information with regards to FA interventions in a standardized way for a variety of public events. MedTRIS allows close monitoring in "real time" of the situation at mass gatherings and immediate intervention, when necessary; allows more accurate prediction of resources needed; allows to validate conceptual and predictive models for medical resources at (mass) public events; and can contribute to the definition of a standardized minimum data set (MDS) for mass-gathering health research and evaluation. Gogaert S , Vande veegaete A , Scholliers A , Vandekerckhove P . "MedTRIS" (Medical Triage and Registration Informatics System): a web-based client server system for the registration of patients being treated in first aid posts at public events and mass gatherings. Prehosp Disaster Med. 2016;31(5):557-562.

  2. 关于开展急救技术普及教育的方法研究与探讨%First aid skills education among non-medical students: experience from practice in Jiangsu University

    Institute of Scientific and Technical Information of China (English)

    邹圣强; 眭建; 李萍萍; 陈文娟; 潘鑫; 吴敏


    Since 2004 an optional basic first aid course has been held among non-medical students in Jiangsu University in corporation with Zhenjiang Medical Emergency Center. The 24-hour curriculum includesmanual cardiopulmonary resuscitation (CPR), Heimlich maneuver, 5 basic techniques of elementary first aid (ventilation, hemostasia, wound dressing, fixation, and transportation of the wounded), on-the-spot emergency treatment of falling, traffic accidents, drowning, electric shock, suicide, etc, escape techniques and self-help and mutual aid during disasters, such as fire, toxicant gas poisoning, explosion, epidemic of infectious diseases,etc. Different forms of education, such as lecture with modernized acousto-optic technique, practical operation,academic forum, competition of theory and practice, and field exercise were integrated. In 2007 the First Aid Association of Jiangsu University was established. After 7-years' education the knowledge rate of first aid among the non-medical students was raised from 8.29% to 100%, and the qualification rate of CPR was 84.45%. The practice showed that first aid education is necessary and the current forms of education are effective.%从2004年开始江苏大学与镇江市急救医疗中心合作,在非医学生中举办讲授初级急救基础知识和基本急救技能的24学时的选修课.课程包括徒手心肺复苏(CPR),Heimlich氏手法,初级急救五项基本技术(通气、止血、包扎、固定和搬运急救技术),摔伤、交通事故伤、溺水、电击伤、自杀等常见意外伤害和常见急症的现场急救方法,以及火灾、有毒气体中毒、爆炸和常见传染病等突发事件的现场避险逃生技能和自救互救知识.教学形式多样,结合了现代化的声像技术,实际操作,学术论坛,理论和实践竞赛,野外演练等.7年后的调查表明,非医学生中急救知识合格率从8.29%升到100%,CPR合格率84.45%.实践证明急救教育非常必要,目前的教学形式是有效的.

  3. Hearing Aid

    Institute of Scientific and Technical Information of China (English)


    A man realized that he needed to purchase ahearing aid, but he was unwilling to spend muchmoney. "How much do they run?"he asked theclerk. "That depends," said. the salesman. "Theyrun from 2 to 2000."

  4. Hearing Aids (United States)

    ... slightly different from the ITC and is nearly hidden in the ear canal. Both canal hearing aids ... Privacy Policy & Terms of Use Visit the Nemours Web site. Note: All information on TeensHealth® is for ...

  5. 佛山市禅城区艾滋病患者抗病毒治疗服药依从性分析%Study on medication compliance in antiviral therapy among AIDS patients in Chancheng District of Foshan

    Institute of Scientific and Technical Information of China (English)

    杨桂荪; 梁炽强; 文红娟; 聂运洲


    目的 了解广东省佛山市禅城区艾滋病患者抗病毒治疗的服药依从性情况及相关影响因素.方法 选择佛山市禅城区中心医院接受HAART治疗的72例HIV感染者作为研究对象,分别对服药情况、漏服药物原因以及服药后不良反应等情况进行问卷调查.结果 72例患者中服药依从性>95%的为50例(69.44%),有37例(51.39%)在最近1个月内出现过漏服药物的情况.导致患者出现漏服药物的前3位原因为:药物不良反应15例(40.54%)、忘记服药8例(21.62%)和担心别人知道自己服用艾滋病治疗药物6例(16.22%).患者出现的前3位不良反应为头痛和头晕(40.28%),恶心、呕吐、腹泻等胃肠反应(29.17%),药物性皮疹和皮肤瘙痒(23.61%).不同文化程度的患者药物漏服率之间的差异有统计学意义(x2=10.296,P<0.05).结论 艾滋病患者抗病毒治疗情况有待提高,而药物不良反应是导致服药依从性降低的主要原因,通过加强依从性教育、完善家庭和社会支持、优化治疗方案等综合措施,可有效提高患者的服药依从性水平.%Objective To understand the medication compliance level and its influencing factors in antiviral therapy among AIDS patients in Chancheng District of Foshan Guangdong Province.Methods 72 AIDS patients who took highly active anti-retroviral therapy (HAART) were selected as research objects in Chancheng District Central Hospital of Foshan.The status after medication,cause of non-medication and adverse reactions of medication were investigated respectively.Results Among 72 patients,there were 50 patients (69.44%) with medication compliance level exceed 95%,and there were 37 patients (51.39%) who forgot to take medicine in the pass month.The main three causes of forgetting to take medicine were:adverse reactions of medication for 15 patients (40.54%),just forget to take medicine for 8 patients (21.62%) and fear of people knowing their

  6. AccessMedicine – eine perfekte Lernunterlage für das Medizinstudium / AccessMedicine – a perfect learning aid for the medical curriculum (Product Review

    Directory of Open Access Journals (Sweden)

    Schmalstieg, Burhard


    Full Text Available AccessMedicine ( is an innovative online resource that provides students, residents, clinicians, researchers, and other health professionals with access to more than 50 medical book titles, updated content, thousands of photos and illustrations, interactive self-assessment, case files, diagnostic tools, a comprehensive search platform, and the possibility to download content to mobile devices. Updated frequently and expanded continuously, AccessMedicine provides fast and direct access to the information necessary for completing evaluations, diagnoses and case management decisions, as well as pursuing research or medical education. The newly designed homepage reflects the diversity of AccessMedicine users, allowing individuals to customize their own view of the site through their personal profile. Now users can decide whether they prefer a rich view of available features, a comprehensive list of McGraw-Hill's leading medical textbooks or a powerful advanced search interface as their homepage with a top-level tabbed navigation, semantic search engine, and recent updates and enhancements available on all views. Following an interview with university professor Dr. Richard März from the Medical University Vienna, department for Research and International Relations and Special Unit for Medical Education. Interview was carried out by Mr. Burkhard Schmalstieg, Senior Sales Executive for McGraw-Hill.

  7. Computer-aided recording of automatic endoscope washing and disinfection processes as an integral part of medical documentation for quality assurance purposes

    Directory of Open Access Journals (Sweden)

    Klein Stefanie


    Full Text Available Abstract Background The reprocessing of medical endoscopes is carried out using automatic cleaning and disinfection machines. The documentation and archiving of records of properly conducted reprocessing procedures is the last and increasingly important part of the reprocessing cycle for flexible endoscopes. Methods This report describes a new computer program designed to monitor and document the automatic reprocessing of flexible endoscopes and accessories in fully automatic washer-disinfectors; it does not contain nor compensate the manual cleaning step. The program implements national standards for the monitoring of hygiene in flexible endoscopes and the guidelines for the reprocessing of medical products. No FDA approval has been obtained up to now. The advantages of this newly developed computer program are firstly that it simplifies the documentation procedures of medical endoscopes and that it could be used universally with any washer-disinfector and that it is independent of the various interfaces and software products provided by the individual suppliers of washer-disinfectors. Results The computer program presented here has been tested on a total of four washer-disinfectors in more than 6000 medical examinations within 9 months. Conclusions We present for the first time an electronic documentation system for automated washer-disinfectors for medical devices e.g. flexible endoscopes which can be used on any washer-disinfectors that documents the procedures involved in the automatic cleaning process and can be easily connected to most hospital documentation systems.

  8. ["...such refuges are the collections and museums, which represent the current aspects of science, and prepare for its future". Social aspects of anatomy and the collections of the Vienna medical faculty, 1790 - 1840]. (United States)

    Oppenauer, Markus


    This paper arises out of my research which I have been conducting in the context of my dissertation project. It explores the relationship between teaching, research and collecting practices in Viennese anatomy during the late eighteenth and early nineteenth century. In a time in which Viennese medicine tried to reinvent itself through both the creation of a new curriculum and several other institutional measures the practice of establishing comparative and human anatomical collections can be seen as a strategic key field of action. By concentrating on scientific journals, popular texts, catalogues, correspondences and specimens this paper aims at revealing specific social systems which must be understood as parts of the 'social history' of Viennese anatomy. By looking closely at these social aspects of anatomical teaching and research, this work tries to contribute to recent discussions addressed by historians of science and medicine.

  9. Diagnostic aspects of gonorrhoea

    NARCIS (Netherlands)

    E. Stolz (Ernst)


    textabstractIn 1971 an investigation into the epidemiological, clinical, bacteriological and therapeutic aspects of gonorrhoea was started in collaboration with the Bacteriological Laboratory of the University Hospital/Medical Faculty Rotterdam. Jn the framework of this investigation, the data were

  10. [Russian Red Cross Society and its role in providing medical aid to wounded and sick people during the First World War]. (United States)

    Budko, A A; Chigareva, N G


    Russian Red Cross Society during the First World War played a significant role in health care, preservation of human life and return of millions of experienced soldiers to duty. The Red Cross Society formed and sent to the front their medical institutions (military hospitals, hospitals, hospital trains, etc.), trained medical nurses, charity nurses and orderlies of the Red Cross. Famous professor-surgeons worked as the consultants of the Red Cross Society, under their leadership were organized mobile surgical units. Society has created mobile nutrition and dressing units, X-ray units, psychiatric reception and collection points. The Red Cross Society assisted the military Department in the fight against infectious diseases.

  11. Nurses' strategies to address self-care aspects related to medication adherence and symptom recognition in heart failure patients : An in-depth look

    NARCIS (Netherlands)

    Jaarsma, Tiny; Nikolova-Simons, Mariana; van der Wal, Martje H. L.


    OBJECTIVE: Despite an increasing body of knowledge on self-care in heart failure patients, the need for effective interventions remains. We sought to deepen the understanding of interventions that heart failure nurses use in clinical practice to improve patient adherence to medication and symptom mo

  12. Aid Efficacy: An Institutional Approach

    Directory of Open Access Journals (Sweden)

    José Antonio Alonso Rodríguez


    Full Text Available This work aims to explore some of the weaknesses that the international aid system presents for efficaciously operating in promoting development. For this, it adopts an institutionalapproach, attempting to investigate the problems of asymmetry in information that occur both in relationships between donor and receiver and within aid organisations. The analysis of these aspects leads the author to underscore the importance that learning processes have in enriching interventions in development; he also underscores the importance of the attitudes and aptitudes of the agents in fostering these processes of improvement in aid quality.

  13. 台州市艾滋病患者服药依从性及影响因素的临床研究%Clinical studies in patients with AIDS medication compliance and influencing factors of Taizhou

    Institute of Scientific and Technical Information of China (English)

    蔡夏叶; 蔡天国


    Objectives:To investigate the AIDS medication compliance factors,intervention patients im-prove patient medication compliance.Methods:577 cases of AIDS,according to their medication adherence were divided into two groups.For sociodemographic factors,drug factors,and treatment factors were investigated and the two groups were statistically and compared.Results:The age of good compliance group,duration,types of medica-tion and drug use were significantly lower than the compliance time difference between groups was significantly high-er than the annual income of poor adherence group.The difference was statistically significant (P <0.05).Good compliance female patient group,high school education or less,married,disease knowledge and knowledge about drugs,mental health person,medical services and doctor -patient relationships,families with good and caught his own expense significantly more than non -poor compliance persons;alcoholism,drug abuse,and there is signifi-cantly less adverse drug reactions caught with poor medication compliance.The comparison between the two groups was statistically significant (P <0.05).Logistic regression multivariate analysis,age,annual income,type and timing of drug use,disease and drug knowledge to grasp the situation,the existence of adverse reactions,as well as with the families of the extent of the impact of payment of medical expenses AIDS medication compliance independ-ence risk factors (P <0.05).Conclusions:Most patients with AIDS medication compliance is good,and factors affecting medication adherence and more want,including the patient’s own factors,including drug factors and treat-ment factors in clinical work carried out by the intervention of factors improve patient medication compliance.%目的:探讨艾滋病患者服药依从性的影响因素,对患者进行干预提高患者用药依从性。方法:选取艾滋病患者577例,根据其用药依从情况分为两组。对两组患者

  14. Types of Hearing Aids (United States)

    ... Devices Consumer Products Hearing Aids Types of Hearing Aids Share Tweet Linkedin Pin it More sharing options ... some features for hearing aids? What are hearing aids? Hearing aids are sound-amplifying devices designed to ...

  15. A path analysis of psychosocial factors on job burnout in first aid medical staff%医疗急救人员工作倦怠社会心理因素的路径分析

    Institute of Scientific and Technical Information of China (English)

    鲁先灵; 万杰


    Objective To analyze the psychosocial influential factors on job burnout and their interaction models in first aid medical staff.Method A survey was carried out concerning job burnout status,job stress,job overload,work-family conflict,overall job satisfaction,coping styles and social support in 504 first aid medical staffs,by which to seek the psychosocial influential factors of job burnout status and explore their interaction models using stepwise multivariable regression and path analysis.Result (1) The stepwise multivariable regression on the job burnout showed that job overload,work stress,work-family conflict,overall work satisfaction and negative coping style were the key social-psychological influential factors in job burnout(F =90.562,P =0.001).(2) The path analysis showed that the job overload was the major event caused the work stress,and work stress played a direct and indirect roles in the level of job burnout in first aid medical staff,and the work-family conflict and overall work satisfaction was disposition factors of job burnout with direct actions and indirect actions.The negative coping style was an intermedium link between work stress and job burnout.Conclusion Decrease of work intensity and change of bad coping styles can be effective on job burnout in first aid medical staff.%目的 探讨医疗急救人员职业倦怠的影响因素及其相互作用.方法 通过504例医疗急救人员职业倦怠状况及相关社会心理因素的调查,采用多因素逐步分析和通径分析的方法研究社会心理影响因素的作用方式和途径.结果 (1)多因素逐步回归分析结果表明,工作超负荷、工作应激、工作-家庭冲突、工作满意度和消极应付方式先后进入回归方程(F=90.562,P=0.001);(2)路径分析结果表明,工作超负荷是医疗急救人员工作应激的主要来源,工作应激可以直接和通过间接作用影响医疗急救人员的职业倦怠;工作-家庭冲突、工作满意度

  16. The medical services quality evaluation of low-income patients in Xinjiang aid hospital%新疆济困医院低收入患者门诊三阶段医疗服务质量评价

    Institute of Scientific and Technical Information of China (English)

    方娴; 倪渊; 关素珍; 姜婷; 马少伟; 时晓旭


    Objective Through the evaluation of three-stage medical services quality which is registration,diagnosis and treatment, looking for effect factors and providing reference for improving the quality of medical services in one of Xinjiang aid hospital.Methods A survey study was conducted on a sample of 432 patients holding medical certificates using a self-administered questionnaire by statistical and regression analysis.Results The evaluation of low-income patients in three stages were 4.116, 4.259, 3.967. The main factors in register stage were staff attitude and guiding service. The main factors in diagnosis stage were guiding service, doctor atitudes, skils and waiting time. The main influence factors in treatment stage was waiting time, nursing attitude and nursing skills.Conclusions Low-income patients were satisfied with the guiding service and medical staff attitudes. The quality of medical services in aid hospital should be raised by improving the medical environment, and medical staff skill, by extending the community health service and provide medical care service ,this would meet the health service demand of the low-income patients better.%[目的]通过对新疆某济困医院门诊就诊三阶段"挂号、诊断、治疗"医疗服务质量的评价,寻找影响医疗服务质量的因素,为济困医院提高服务质量提供参考依据.[方法] 自制问卷对该济困医院432位持有医疗救助证的患者进行问卷调查,应用统计与回归分析对数据进行处理.[结果] 低收入群体患者对挂号、诊断和治疗三阶段总体评价分别为4.116、4.259、3.967;挂号阶段主要影响因素是人员态度和导医服务,诊断阶段主要影响因素是导医服务、医生态度、医生技能和等候时间;治疗阶段的主要影响因素是等候时间、护理态度、护理技能.[结论] 低收入患者对导医服务态度和医护人员态度较满意,济困医院应通过改善就医环境、提高导医和医护人

  17. The organizational managing methods in the medical - nursing first aid for group food poisoning events%集体食物中毒事件急救医疗护理组织管理对策

    Institute of Scientific and Technical Information of China (English)

    邓亚军; 王义亮; 潘代明


    Objective To explore the organizational managing methods for strengthening the medical - nursing first aid for group food poisoning events.Methods The measures included starting emergency plan promptly, optimizing the first aid routine, allocating human resources rationally, strengthening the management of emergency supplies and rationalizing macro - control.Results All the 252 cases of patients were clinically cured.The survival rate was 100.00% and patient satisfaction was 98.00%.No nursing errors and issues happened.Conclusion Efficient organizational management is the powerful guarantee to the successful rescue of group food poisoning patients.%目的 探讨加强集体食物中毒事件急救医疗护理组织管理方法.方法 迅速启动应急预案、优化急救流程、合理调配人力资源、强化急救物资管理、合理宏观调控等.结果 252例患者全部临床治愈出院,抢救成功率100.00%,患者满意度98.00%,无护理差错及纠纷发生.结论 高效的急救医疗护理组织管理工作是集体食物中毒事件救治成功的有力保障.

  18. Load controlling walk aiding apparatus. Report on results of research and development on medical and welfare device technologies; Kaju seigyoshiki hoko hojo sochi. Iryo fukushi kiki gijutsu kenkyu kaihatsu seika hokokusho

    Energy Technology Data Exchange (ETDEWEB)



    This paper reports a load controlling walk aiding apparatus developed by the Technology Research Association and the Medical and Welfare Device Research Institute under a consignment from NEDO. The development was purposed for physically handicapped people with remarkably deteriorated leg functions. This apparatus consists of a body trunk section with reduced size and weight, a reciprocating mechanism to facilitate moving out of a free leg, a stay varying mechanism to vary leg lengths, driving power supply and controls. The apparatus has realized smoother reciprocal walking motions than with conventional walk aiding systems by having the leg length of a free leg contract and extend matching with walking rhythms when the free leg is moved out. This paper describes the apparatus by dividing it into the following items: the course of research and development works (basic plans, execution of the research and development works, corporations taking charges, organizations, and committees), summary of the research and development (the summary of the developed system, and results of the walking tests), achievements (comparison of the targeted specifications with the results, practical usability, and commercial production), publicization of the research and the state of patent acquisition. 16 figs., 7 tabs.

  19. HIV-Related Stress and Life Chaos Mediate the Association Between Poverty and Medication Adherence Among People Living with HIV/AIDS. (United States)

    Kalichman, Seth C; Kalichman, Moira O


    HIV treatment depends on high-levels of antiretroviral therapy (ART) adherence, which is severely impeded by poverty. Men and women living with HIV infection (N = 92) completed computerized interviews of demographic and health characteristics, poverty markers, stressful life events, and life chaos, as well as unannounced pill counts to determine prospective medication adherence and medical record chart abstractions for HIV viral load. Poverty markers were associated with both stressors and chaos, and the direct effects of all three factors predicted ART non-adherence. The multiple mediation model showed that accounting for stressors and chaos resulted in a non-significant association between poverty markers and ART adherence. The indirect effect of poverty markers on adherence through life chaos was significant, whereas the indirect effect of poverty markers on adherence through stressors was not significant. Factors that render HIV-related stress and create chaos offer intervention targets that are more amenable to change than poverty itself.

  20. AccessMedicine – eine perfekte Lernunterlage für das Medizinstudium / AccessMedicine – a perfect learning aid for the medical curriculum (Product Review)


    Schmalstieg, Burhard; März, Richard


    AccessMedicine ( is an innovative online resource that provides students, residents, clinicians, researchers, and other health professionals with access to more than 50 medical book titles, updated content, thousands of photos and illustrations, interactive self-assessment, case files, diagnostic tools, a comprehensive search platform, and the possibility to download content to mobile devices. Updated frequently and expanded continuously, AccessMedi...

  1. Difference of Knowledge and Attitude about HIV/AIDS between Medical Students and Students Majoring in Other Professions%医学院校与普通高校学生对艾滋病相关知识及态度比较

    Institute of Scientific and Technical Information of China (English)

    卢小飞; 蒋芝月; 杨梨丽; 张红霞; 桂晓玲; 杨敬源; 黄文湧


    目的:了解医学院校和普通高校学生对艾滋病相关知识知晓率的差异,为开展艾滋病健康教育提供依据.方法:采用整群抽样方法,在医学院随机抽取2个班共183名学生、普通高校随机抽取3个班共300名学生进行艾滋病相关知识问卷调查.结果:能正确写出艾滋病三大传播途径的医学院校学生数高于普通院校学生;在艾滋病相关知识知晓情况的调查中,艾滋病的传播途径回答正确率最高,艾滋病预防知识回答正确率最低,两院校学生对艾滋病的非传播途径回答正确率均较低;对艾滋病感染者和病人的态度方面,医学院校学生有53.6%的表示不歧视,高于普通院校的学生(x2=9.670,P<0.05).结论:医学院校学生对艾滋病相关知识的掌握程度高于普通院校,应进一步加强普通高校学生艾滋病的健康教育.%Objective:To study the difference of awareness rates of knowledge about AIDS between medical and non-medical students, and so as to get basic information for direction of AIDS health education. Methods:A questionnaire survey about AIDS related knowledge was carried out among 183 students in 2 classes of medical college and 300 students in 3 classes of general college. These students were selected with cluster sampling method. Results: The percentage of writing 3 routes of AIDS transmission correctly was higher in medical students than that in non-medical students. Among the related questions, the one that be most correctly answered was about AIDS transmission route, and the least correctly answered one was about AIDS prevention knowledge. Correct rates about non-transmission routes of AIDS were low in all the students of both colleges. In regards of the attitude to HIV/AIDS patients, 53.6% medical students did not discriminate them. The rate was higher than that of non-medical students (X2 =9. 67 ,P <0.05). Conclusions: The awareness rate of medical students to AIDS related knowledge is

  2. 加强120急救中心院前急救医疗服务体系的管理%Strengthening administration of pre-hospital care medical service system in 120 first-aid center

    Institute of Scientific and Technical Information of China (English)



    OBJECTIVE To enhance emergency management and establish and further improve pre-hospital emergency medical service center management system,so as to provide better service to patients. METHODS This article summarized the common security risks of the work in 120 emergency centers, and targeted to explore the corresponding emergency medical service management solutions. RESULTS To improve 120 emergency operations and management, it was necessary to establish and improve pre-hospital emergency medical service system, improve the care management system, emergency aid mechanism and regulate treatment. CONCLUSION 120 emergency center pre-hospital emergency medical service system plays an important role in the rescue capabilities of hospitals.%目的 加强急救管理,建立并完善急救中心院前急救医疗服务体系,进一步为患者服务.方法 总结120急救中心园区急救工作中的常见安全隐患,并有针对性急救医疗服务管理对策.结果 主要安全隐患为急救人员急救意识不强、信息提取不清晰、操作技能不熟练等;针对上述问题,应建立并完善院前急救医疗服务体系,健全护理管理体系,加强教育与培训,完善紧急救援机制和规范救治工作.结论 做好120急救中心院前急救医疗服务体系的运行和管理,对提升突发事件医疗救援能力具有重要意义.

  3. AIDS and Africa. Introduction. (United States)

    Kopelman, Loretta M; van Niekerk, Anton A


    Sub-Saharan Africa is the epicenter of the HIV/AIDS epidemic, and in this issue of the Journal, seven authors discuss the moral, social and medical implications of having 70% of those stricken living in this area. Anton A. van Niekerk considers complexities of plague in this region (poverty, denial, poor leadership, illiteracy, women's vulnerability, and disenchantment of intimacy) and the importance of finding responses that empower its people. Solomon Benatar reinforces these issues, but also discusses the role of global politics in sub-Saharan Africa, especially discrimination, imperialism and its exploitation by first world countries. Given the public health crisis, Udo Schüklenk and Richard E. Ashcroft defend compulsory licensing of essential HIV/AIDS medications on consequentialist grounds. Keymanthri Moodley discusses the importance of conducting research and the need to understand a moderate form of communitarianism, also referred to as "ubuntu" or "communalism", to help some Africans understand research as an altruistic endeavour. Godfrey B. Tangwa also defends traditional African values of empathy and ubuntu, discussing how they should be enlisted to fight this pandemic. Loretta M. Kopelman criticizes the tendency among those outside Africa to dismiss the HIV/AIDS pandemic, attributing one source to the ubiquitous and misguided punishment theory of disease. The authors conclude that good solutions must be cooperative ventures among countries within and outside of sub-Saharan Africa with far more support from wealthy countries.

  4. Relationship of coping and patterns of dependent behavior in patients with chronic pancreatitis of biliary and alcoholic etiology in aspect of differentiation of its medical and psychological support

    Directory of Open Access Journals (Sweden)

    Маріанна Владиславівна Маркова


    Full Text Available Choric pancreatitis is an actual medical and psychological problem in Ukraine. The aim of the work was to study the features of coping in patients with chronic pancreatitis of alcoholic and biliary etiology.Methods. For detecting coping-mechanisms the standard method WCQ Р of Lazarus was used. The study of addictive tendencies was carried out with the help of questionnaire AUDIT and UDIT-tests oriented on patterns of dependent behavior.Results. The study of features of coping-mechanisms and an addiction to dependent behavior in patients with chronic pancreatitis revealed intergroup and intragroup differences. Confrontation and low levels of self-control, responsibility and positive assessment were intrinsic for respondents with alcoholic etiology of pancreatitis. Women demonstrated the high addiction to the search of social support, men – to distancing. As to an addictive behavior there was revealed that the typical common tendencies were the consumption of coffee, alcohol, internet-dependence, the specific ones for women – TV, shopping-dependencies, for men – workaholism in patients with biliary and computer-addiction in patients with alcoholic chronic pancreatitis. Intergroup differences were demonstrated by an addiction to disorder of food behavior in patients with biliary and consumption of alcohol and smoking in respondents with alcoholic etiology of pancreatitis.Conclusions. The revealed differences in coping-strategies of patients with different nosological forms of chronic pancreatitis give important information for detecting the targets of medical and psychological influence and constructing of differentiated program of medical and psychological help to patients of this type

  5. Transformações da "aids aguda" para a "aids crônica": percepção corporal e intervenções cirúrgicas entre pessoas vivendo com HIV e aids From "acute AIDS" to "chronic AIDS": body perception and surgical interventions in people living with HIV and AIDS

    Directory of Open Access Journals (Sweden)

    Tatianna Meireles Dantas de Alencar


    Full Text Available Após dez anos de uso da terapia anti-retroviral de alta potência, um novo problema surge: a síndrome lipodistrófica do HIV, uma distribuição irregular de gordura no corpo, decorrente do uso das medicações anti-retrovirais. Se no início da epidemia, a aids era caracterizada, sobretudo, pela magreza, hoje - tempos de "aids crônica"- estamos, uma vez mais, diante do estigma sobre o corpo, só que, paradoxalmente, com sinal trocado - o acúmulo "desordenado" de gordura no corpo. Este artigo apresenta e compara as mudanças corporais percebidas por pessoas que vivem com HIV e aids, ocorridas nos últimos anos da epidemia, com a utilização dos anti-retrovirais. Foram analisadas 32 entrevistas qualitativas com pessoas vivendo com HIV e aids, realizadas nos anos de 1999 e 2005. Ao nos depararmos com as novas questões emergentes e analisarmos sua interação com a crescente disponibilidade e utilização de tecnologias, fica a forte sensação de ressurgimento, sob nova forma, dos mesmos paradoxos previamente existentes nos tempos da aids aguda: o impacto dos sinais e um certo tipo de ressurgimento da desesperança quanto ao futuro de vida dessas pessoas.The Brazilian government has been providing free and universal access to the HAART therapy for people living with HIV and AIDS for ten years. Since then, many epidemiological characteristics have changed, and AIDS passed scientifically and medically to be classified as a chronic condition. This qualitative study aims to comprehend the challenges posed by self-perception of body changes experienced by people living with AIDS during recent years, as a result of prolonged use of antiretroviral medication.With this purpose, in 1999 and 2005, 32 semi-structured interviews with HIV positive individuals were held in the State of Sao Paulo to capture the challenges occurred during this period, in particular with regard to the lipodystrophy syndrome. The analysis of the data indicates that even with

  6. Brand Aid

    DEFF Research Database (Denmark)

    Richey, Lisa Ann; Ponte, Stefano


    activists, scholars and venture capitalists, discusses the pros and cons of changing the world by ‘voting with your dollars’. Lisa Ann Richey and Stefano Ponte (Professor at Roskilde University and Senior Researcher at DIIS respectively), authors of Brand Aid: Shopping Well to Save the World, highlight how...

  7. 从输血感染艾滋病谈医疗风险健康保险%On health insurance for medical risks incurred by AIDS infection from blood transfusion

    Institute of Scientific and Technical Information of China (English)

    王小荣; 仇永贵; 徐朗; 翟高峰


    An analysis of typical cases of AIDS infection incurred by blood transfusion suggests that the error-free infection in blood transfusion calls for a social relief mechanism.The authors also made a feasibility analysis of the compensation of medical risk health insurance for such infection,and explored a new way out for resolving the disputes involving medical risk of such infection.%通过分析输血感染艾滋病引发争议的典型案例,提出无过错输血感染迫切需要一种社会救济机制保障。进而,对输血感染艾滋病以医疗风险健康保险理赔进行了可行性分析,从商业健康保险角度,为输血感染艾滋病医疗风险探索一种解决纷争的新思路。

  8. Medical aspects of renewable energy shown by the example of German hospitals; Umweltmedizinische Gesichtspunkte der regenerativen Energieerzeugung am Beispiel deutscher Krankenhaeuser

    Energy Technology Data Exchange (ETDEWEB)

    Waschnewski, R.


    To what extend are renewable energy sources used in German hospitals? This is the main objective, this is paper is dealing with. The energy consumption profile is very specific in hospitals. In a questionnaire based study, 79 hospitals have been questioned to elucidate the current situation in German hospitals with respect to energy consumption, and to get an idea of the proportion of alternative energy sources already in use. Our analysis reveals that 14% of the hospitals analysed are already using renewable energy sources. Main sources already utilized are photovoltaic, solar thermal devices, and to a lower extend geothermic energy as well comes into operation. Almost three quarters of the questioned institutions claim, they are aware of funding possibilities and the option of contracting with respect to providing financial support in relation to aquisition of new establishments of alternative energy systems within their institution. Roughly half of the hospital's technical supervisors are aware of the precise energy potential of their institution. The situation about information and awareness with respect to possibilities related to the usage of green energy is deficient and should be improved, but the openness with respect to the topic in general seems to be very positive and advantage of that climate should be taken. Our survey allowed to get an initial estimate on the green energy situation in German hospitals. The focus of the discussion is channeled towards the environmental aspects of the energy production. The survey data allow to conclude that the current information situation is deficient. The data further provide insight into what are the main barriers with respect to the use of renewable energy. Based on our results future analyses can not focus on specific aspects and further evaluate approaches allowing to extend the usage of alternative energy sources in hospitals. (orig.)

  9. 援博茨瓦纳医疗队队员 HIV 职业暴露分析%Analysis occupational exposure to HIV for secondary aid to botswana medical team

    Institute of Scientific and Technical Information of China (English)



    Objective:To investigate the risk factors of aid to Botswana medical team AIDS ( HIV) occupational exposure, improve and perfect the protective measures.Methods:To analyze 13 cases of occupational exposure to HIV occurred to China medical team members in Botswana between March 2012 to April 2014.Results:The highest occurrence rate of occupational exposure to HIV in operating,53.8% of the expose items most blades or hollowneedle,stitches, and secondary and tertiary exposed to the highest.Conclusion:The occurrence rate of occupational exposure to HIV could be effectively reduced through im-proving the occupational safety education and training of preventing such exposure for the medical staff ,strengthening the ability of assessing the risks of oc-cupational exposure to HIV as well as enhancing self-protection and post-exposure treatment.%目的:分析援博茨瓦纳医疗队队员获得性人类免疫缺陷病毒( HIV)职业暴露的危险因素,健全和完善防护措施。方法:对援博茨瓦纳医疗队队员在2012年3月~2014年4月发生的13例次HIV职业暴露进行分析。结果:HIV暴露环节以手术操作为最高,暴露物品分类以空心针、缝针或刀片为最高,暴露分级二级三级最高。结论:应加强医务人员卫生职业安全教育、预防职业暴露培训等措施,并加强 HIV职业暴露风险的评估,自我防护,以及暴露后处理,才能有效降低HIV职业暴露的发生率。

  10. Research and Implementation of Military Aid and Command System for Medical Emergency%军队应急医疗救治指挥信息系统研究与实现

    Institute of Scientific and Technical Information of China (English)

    蒲卫; 陈宇行; 刘运成; 马建丽; 郑重; 胡呈炜; 那宇


    The development of emergency aid and command system could improve the emergency treatment ability and efficiency of the military, and enhance survival rate of wounded personnel. The article studied the key technologies of emergency treatment and command information management platform, and provided science and technology support for emergency medical treatment. The military aid and command system for natural disasters and public health emergency was also built to form the mechanism of unified command, rapid reaction and high - efficient operation, thereby ensuring the varieties of medical treatment work could be executed orderly, rapidly and efficiently and improving the abilities of quick response to public health emergency, the utilization rate of resources and decision making. The success rate of medical treatment under emergency condition could be enhanced and thus the military could play a better role of emergency treatment.%提高军队伤员救治效率和成功率,需要有应急医疗救治指挥体系的支持.本文针对应急救治和指挥信息化支撑平台及其关键技术展开研究,为应急医疗救治提供技术保障和科技支撑.在此基础上,构建面向自然灾害和突发公共事件的应急医疗救治指挥平台系统,支持形成统一指挥、反应灵敏、运转高效的应急机制.从而保障医疗卫生救援工作有序、迅速、高效地进行,提高应对突发公共卫生事件的快速反应、资源有效利用和指挥决策能力,提升应急医疗救治效率,更好地发挥军队应急医疗救治的关键作用.

  11. Clinical observation of medical sodium hyaluronate gel aid in removal of ruptured periocular cyst%应用透明质酸钠凝胶术中辅助破裂囊肿摘除临床观察

    Institute of Scientific and Technical Information of China (English)

    刘立民; 赵伟; 任明玉; 高宇; 高占国


    目的 研究医用透明质酸钠凝胶在摘除眼部破裂液体性囊肿中的应用,为临床提供一种摘除眼部破裂液体性囊肿的切实可靠的方法.方法 回顾性分析2010年5月至2015年6月在河北省眼科医院治疗眼部液体性囊肿摘除术中破裂病例,将医用透明质酸钠凝胶自破裂口注入后摘除,观察其疗效及随访结果.结果 共13例囊肿破裂后应用医用透明质酸钠凝胶,其中泪腺导管囊肿5例,结膜潴留囊肿4例,皮样囊肿(其内为油状液体)2例,植入性囊肿1例,粘液囊肿1例,均囊腔内注入医用透明质酸钠凝胶后使手术顺利进行,随访1月至4年无复发.结论 医用透明质酸钠凝胶辅助摘除眼部破裂薄壁液体性囊肿方法简便,取材容易、效果切实可靠,是一种极好的治疗方法,适合于各阶层医院.%Objective To explore the use of medical sodium hyaluronate gel in removal of ruptured periocular liquid-filled cysts and offer an efficient and reliable method to remove it.Methods Retrospective analyzed the case of ruptured periocular liquid-filled cyst which removed with the aid of medical sodium hyaluronate gel,the therapy effect and result were observed.Results The various types periocular cysts in our study were dacryops 5,conjunctival retention cysts 4,dermoid (which contained oil like liquid) 2,inclusion cysts 1,mucous cyst 1.All cysts were ruptured during operation and removed with the aid of medical sodium hyaluronate gel.The follow up period ranged from 1 month to four years,no one recurrent.Conclusions Medical sodium hyaluronate gel aid in removal of ruptured liquid-filled periocular cyst is easy to perform,the substance can be obtained easily,and the result is reliable.It is a perfect therapy which can be applied in all types of hospitals.

  12. Family physicians' ability to perform population management is associated with adoption of other aspects of the patient-centered medical home. (United States)

    Ottmar, Jessica; Blackburn, Brenna; Phillips, Robert L; Peterson, Lars E; Jaén, Carlos Roberto


    The patient-centered medical home (PCMH) model is considered a promising approach to improving population health, but how elements of these advanced practice models relate to population health capability is unknown. To measure associations between family physicians' performance of population management with PCMH components, a cross-sectional survey was conducted with physicians accessing the American Board of Family Medicine Web site in 2011. Bivariate analysis and logistic regression tested associations between physician and practice demographics and specific PCMH features. The primary outcome was performance of population management. The final sample included 3855 physicians, 37.3% of whom reported performing population management. Demographic characteristics significantly associated with greater use of population management were female sex and graduation from an international medical school. PCMH components that remained associated with population management after adjustment were access to clinical case managers (odds ratio [OR]=2.01, 95% confidence interval [95% CI]: 1.69, 2.39), behavioral health collaboration (OR=1.49, 95% CI: 1.26, 1.77), having an electronic health record that supports meaningful use (OR=1.47, 95% CI: 1.25, 1.74), recent participation in a quality improvement project (OR=2.47, 95% CI: 2.12, 2.89), and routine measurement of patient difficulty securing an appointment (OR=2.87, 95% CI: 2.45, 3.37). Performance of population management was associated with several PCMH elements and resources not present in traditional primary care offices. Attention to these elements likely will enhance delivery of population management services in primary care.

  13. Hearing aid adjustment

    DEFF Research Database (Denmark)

    Heinemann, Trine; Matthews, Ben; Raudaskoski, Pirkko Liisa


    to the interaction during hearing aid fitting. This report of a Danish pilot study describes two such problems. The first problem arises from the requirement that the audiologist needs to ‘translate’ the patient’s subjective hearing description for making technological decisions. The second problem is the way......Conversation analytic research on clinical encounters shows that interactional conduct can be consequential for diagnosis, treatment and compliance. Problems reported for doctor-patient interaction can also be identified in Danish audiological encounters. There are, however, also specific aspects...

  14. Other Injectable Medications (United States)

    ... July 17, 2013 Last Edited: February 22, 2017 Articles from Diabetes Forecast® magazine: cg-infusion-sets,meds-bg-injectables,cg-injection-aids, In this section Treatment and Care Medication Insulin & ...

  15. Psychological first-aid: a practical aide-memoire. (United States)

    Leach, J


    Despite advances made in recent years in medical first aid, psychiatric intervention, survival training and equipment design, many people still perish quickly during and immediately following a disastrous event. In this study, individuals and groups of survivors of life-threatening events were debriefed and the behavior of those who coped well during such a threat to life were compared with those who did not. The behaviors of those who coped well were distilled into a set of principles for psychological first aid; that is, a series of simple actions for use within a disaster which serves to recover victims to functional behavior as quickly as possible, thus increasing their chance for survival. These principles of psychological first aid have recently been introduced into basic first aid and survival training courses for both military and civilian units.

  16. The Medical School Tuition Crunch (United States)

    Craig, John


    New federal policies on student aid favor guaranteed loans rather than direct government aid. Private medical schools may find themselves at a growing competitive disadvantage, and better financial-aid staffing will be needed by all schools. Trustees and administrators should encourage banks to participate in loan programs. (Author/LBH)

  17. Tactile Aids

    Directory of Open Access Journals (Sweden)

    Mohtaramossadat Homayuni


    Full Text Available Tactile aids, which translate sound waves into vibrations that can be felt by the skin, have been used for decades by people with severe/profound hearing loss to enhance speech/language development and improve speechreading.The development of tactile aids dates from the efforts of Goults and his co-workers in the 1920s; Although The power supply was too voluminous and it was difficult to carry specially by children, it was too huge and heavy to be carried outside the laboratories and its application was restricted to the experimental usage. Nowadays great advances have been performed in producing this instrument and its numerous models is available in markets around the world.

  18. Negotiating Aid

    DEFF Research Database (Denmark)

    Whitfield, Lindsay; Fraser, Alastair


    This article presents a new analytical approach to the study of aid negotiations. Building on existing approaches but trying to overcome their limitations, it argues that factors outside of individual negotiations (or the `game' in game-theoretic approaches) significantly affect the preferences...... of actors, the negotiating strategies they fashion, and the success of those strategies. This approach was employed to examine and compare the experiences of eight countries: Botswana, Ethiopia, Ghana, Mali, Mozambique, Rwanda, Tanzania and Zambia. The article presents findings from these country studies...... which investigated the strategies these states have adopted in talks with aid donors, the sources of leverage they have been able to bring to bear in negotiations, and the differing degrees of control that they have been able to exercise over the policies agreed in negotiations and those implemented...

  19. Implantable and semi-implantable hearing AIDS: a review of history, indications, and surgery. (United States)

    Bittencourt, Aline Gomes; Burke, Patrick Rademaker; Jardim, Isabela de Souza; Brito, Rubens de; Tsuji, Robinson Koji; Fonseca, Anna Carolina de Oliveira; Bento, Ricardo Ferreira


    Introduction The complaints associated with the use of conventional amplifying hearing aids prompted research at several centers worldwide that ultimately led to the development of implantable devices for aural rehabilitation. Objectives To review the history, indications, and surgical aspects of the implantable middle ear hearing devices. Data Synthesis Implantable hearing aids, such as the Vibrant Soundbridge system (Med-El Corporation, Innsbruck, Austria), the Maxum system (Ototronix LLC, Houston, Texas, United States), the fourth-generation of Carina prosthesis (Otologics LLC, Boulder, Colorado, United States), and the Esteem device (Envoy Medical Corporation - Minnesota, United States), have their own peculiarities on candidacy and surgical procedure. Conclusion Implantable hearing aids, which are currently in the early stages of development, will unquestionably be the major drivers of advancement in otologic practice in the 21st century, improving the quality of life of an increasingly aged population, which will consequently require increased levels of hearing support.

  20. Implantable and Semi-Implantable Hearing Aids: A Review of History, Indications, and Surgery

    Directory of Open Access Journals (Sweden)

    Bittencourt, Aline Gomes


    Full Text Available Introduction The complaints associated with the use of conventional amplifying hearing aids prompted research at several centers worldwide that ultimately led to the development of implantable devices for aural rehabilitation. Objectives To review the history, indications, and surgical aspects of the implantable middle ear hearing devices. Data Synthesis Implantable hearing aids, such as the Vibrant Soundbridge system (Med-El Corporation, Innsbruck, Austria, the Maxum system (Ototronix LLC, Houston, Texas, United States, the fourth-generation of Carina prosthesis (Otologics LLC, Boulder, Colorado, United States, and the Esteem device (Envoy Medical Corporation - Minnesota, United States, have their own peculiarities on candidacy and surgical procedure. Conclusion Implantable hearing aids, which are currently in the early stages of development, will unquestionably be the major drivers of advancement in otologic practice in the 21st century, improving the quality of life of an increasingly aged population, which will consequently require increased levels of hearing support.

  1. Investigating the condition of medical counseling and some of clinical aspects for fasting in holy month of Ramadan from the perspective of diabetic and hypertensive patients

    Directory of Open Access Journals (Sweden)

    Ahmad Mahmoudian


    Full Text Available Introduction: Although fasting has many benefits for health, it can be dangerous for patients. So it is necessary that physicians have adequate information about clinical aspects of fasting and they should advice patients. Therefore in this study we analyses the condition of physicians counseling about fasting from the perspective of patients. Methods:In this descriptive analytical cross-sectional study, patients with diabetes and hypertension who were going to doctors in Isfahan in holy month of Ramadan of 2012 and 2013 completed the questionnaires. A valid self-regulation questionnaire including patient`s satisfaction from the quality of physicians counseling about fasting (In the area of education, evaluation of the patient condition, communication /relationship with patients, caring for diseases in holy Ramadan and the incidence of symptoms in fasting had been used with  = 0.76. The patients completed the questionnaire after visit. The data was analyzed by Independent t-test, chi-square, Regression, one-way ANOVA in the19 spss software. Results: 285 patients, 199(69.8% female and 86(30.2% male, were selected. The mean satisfaction score of counseling was 70.50 ±13.23. The highest score (75.36±14.16 was referred to counseling of physician, and the least score (66.09±18.84 to patient assessment by physician. Mean score of Patients' satisfaction of specialists was higher than of general practitioner (p-value

  2. Medical-legal aspects of the fungal infection drug therapy in neonatology: evidence-based medicine and off-label prescribing

    Directory of Open Access Journals (Sweden)

    Marta Ciuffi


    Full Text Available The aim of this paper is to focus on the well-known issue of the clinical use of off-label drug therapy in neonatology with respect to evidence-based medicine, with particular reference to antifungal products, in comparison with the wider use in pediatric and adult population. Then we considered the new regulatory approaches carried out in the past decade by the FDA (Food and Drug Administration and the EMA (European Medicine Agency, aimed to improve newborn and children population inclusion into scientific trials and to promote drug labeling with respect to pediatric indications, and the goals nowadays achieved through the American Pediatric Research Equity Act / Best Pharmaceuticals for Children Act and the European Pediatric Investigation Plans. Finally we pointed out, on the basis of the Italian regulatory framework, the Italian medical-legal liability profiles related to the use of off-label therapies in neonatology. Further efforts are required in the international context to carry forward the process started while in the particular Italian scenario it is to be hoped that a general change of mind towards the off-label drug use in neonatology clinical practice may take place.

  3. Study on AIDS related knowledge and homosexual cognition attitude and behavior among medical college students%医学生艾滋病知识及对同性恋认知态度与行为调查

    Institute of Scientific and Technical Information of China (English)

    陈舸; 郑武雄; 林丽


    目的 了解福建省高校医学生艾滋病相关知识及对同性恋的认知、态度和同性性行为情况,为在高校中开展艾滋病预防工作和大学生中同性恋研究提供依据.方法 采用整群抽样方法,对某医学院校492名在校大学生进行匿名问卷调查.结果 对艾滋病传播途径的知晓率较高,均超过85%;而对蚊虫叮咬不会传播的知晓率只有64.0%.对同性恋的认知与态度,37.6%的学生认为是正常的生活方式,42.1%认为社会应该接纳同性恋现象,63.4%认为有必要在学校增加有关同性恋方面的健康教育.8.3%的学生承认有过性行为,0.6%的学生承认尝试过同性性行为.结论 高校医学生对同性恋的认知还存在较多误区,有必要进行同性恋相关健康教育,应结合学生的特点有针对性地开展高校预防艾滋病宣传教育工作.%Objective To investigate AIDS related knowledge and homosexual cognition, attitude and behavior a-mong medical college students in Fujian Province, so as to provide a hasis for further researches regarding homosexuality and AIDS prevention. Methods 492 students selected by cluster sampling from a medical college were surveyed with anonymous uniform questionnaires. Results The awareness rate of AIDS transmission route were over 85%. However, only 64% of the students gave the correct answer to the guestion of mosquito bite could not spread HIV. In cognition and attitude towards homosexuality, 37. 6% took it as a normal lifestyle, and 42. 1% thought that the society should have basic understanding and tolerance of homosexual lifestyle, 63. 4% identified that it was necessary to provide health education towards homosexuality in schools; 8. 3% admitted having had sex experience, and 0. 6% admitted having tried homosexual intercourses. Conclusion Many students' cognition towards homosexuality was not correct. It is necessary to strengthen health education on homosexuality, and efficient work

  4. 基于医学图像的肝癌计算机辅助诊断方法的研究%Study on liver cancer computer-aided diagnosis based on medical imaging

    Institute of Scientific and Technical Information of China (English)

    刘道践; 李源; 安维民; 顾风军


    目的:通过研究肝癌计算机辅助诊断方法,实现自动识别肝癌病灶特征区域,达到辅助医生诊断的目的。方法:针对图像分割及识别等技术难点,在传统计算机辅助诊断的基础上,改进并提出新的图像预处理及图像分割方法;根据已有的大规模标注图像数据进行肝部病灶智能分类,从多方位对肝部病灶进行判断,以提高计算机辅助诊断的可用性。结果:通过试验可较好地对病灶区域进行分割及识别,初步实现了肝癌病灶的识别。结论:利用计算机辅助诊断方法,可敏锐地识别肝癌病灶的细微变化,为肝癌辅助诊断提供参考指标,提高肝部恶性肿瘤识别的准确性。%Objective:To investigate the computer auxiliary diagnosing method of liver cancer to realize the automatic recognition of hepatocellular carcinoma (HCC) lesions characteristic region so as to assist the doctor in diagnosing the tumor. Methods:Facing the technical difficulties in image segmentation and recognition, we put forward a new image preprocessing and segmentation method based on the data of traditional computer-aided diagnosis. Meanwhile, we made intelligent classification of liver lesions according to a large number of existing image annotation data to improve the usability of computer-aided diagnosis through the judgment of liver lesions in many aspects. Results: Better segmentation and recognition of the lesions were achieved to realize the identification of HCC lesions. Conclusion:The use of computer-aided diagnosis of HCC results in keen recognition of slight changes of lesions in patients. Furthermore, it can provide a reference for the auxiliary diagnosis of HCC. As a result, the diagnosing accuracy of liver malignant tumor can be improved combining with the doctor's clinical experience.

  5. Practical aspects of change management at the Obstetrics and Gynecology Clinic at the University Hospital of Medical Sciences in Poznań, Poland

    Directory of Open Access Journals (Sweden)

    Maciej Sobkowski


    Full Text Available introduction and objectives. Recent changes to the Polish healthcare system have forced healthcare managers and administrators to implement modern instruments for strategic and operations management. The main aim of the study was to analyze the effect of managerial decisions in the area of human resources, resulting from the adopted restructuring program, on the economic situation of the OGCH, PUMS. material and methods. The research material comprised of secondary sources on finance, accounting and human resources data: financial statements, analysis of costs incurred by individual hospital departments, reports on the implementation of NHF contracts for providing health services and on hospital workforce at the time of the study, as well as the results of patient satisfaction survey at the OGCH, PUMS. results. After implementation of the restructuring program all clinics apart from one – Surgical Gynecology Clinic – reached better beds occupancy rates in 2012 as compared to 2009, as well as significantly improved profit/per hospital bed. Over the course of three years, since the launch of the hospital restructuring program, a significant (20% increase in the revenues from selling healthcare services and a simultaneous decrease (2% of the operating cost was observed. conclusions. Inclusion of department heads into the decision making processes of managerial accounting seems to be necessary to improve the overall financial condition of a hospital. However, it requires a more flexible hospital structure, what can be achieved by implementing a divisional organizational structure, which grants individual organizational units a certain autonomy in the process of making medical-financial decisions.

  6. Aspectos médico legales de la infección por gonococo: gonorrea Medical legal aspects of the gonococcal infection: gonorrhea

    Directory of Open Access Journals (Sweden)

    Edgar Alonso Madrigal Ramírez


    Full Text Available El diagnóstico de una enfermedad de transmisión sexual en una víctima de abuso sexual debe ser adecuadamente interpretado a la luz de la historia médico legal, los hallazgos físicos, el laboratorio y la investigación sobre otras posibles formas de contagio. El objetivo de esta revisión bibliográfica, es actualizar los conocimientos sobre la Gonorrea, enfermedad que afecta principalmente la mucosa de los genitales masculinos y femeninos, la conjuntiva del ojo, la región anorectal y la faringe. En el niño menor de un año, la forma más frecuente de contagio es a través del canal de parto o por contacto accidental, sin embargo, la evidencia sugiere fuertemente que la gonorrea en niños mayores de un año y preadolescentes, al igual que en el adulto, es transmitida sexualmente. La transmisión vía fomites no ha sido comprobada, a pesar de que se ha aislado el microorganismo en objetos inanimados. Debido a las implicaciones legales del diagnóstico de gonorrea en niños, sólo se debe usar el procedimiento de cultivo estándar para aislar el germen.The diagnose of a sexual transmission disease in a sexually abused victim must be adequately interpreted under the knowledge of its medical?-legal history, physical findings, lab results and the research of different ways of contagious. The goal of this bibliographic revisit is to update the knowledge about Gonorrhea, disease that affects mainly male and female genital mucosa, the eyes conjuntive, annal rectal area and the faringe. Under one year-old children means of transmission are usually ? by birth process or accidental contact, but evidence strongly suggest that gonorrea on children older than one year, pre-adolescents and adults, is sexually transmitted. The transmission via fomites (via fomites transmission? has not been confirmed even though the micro-organism has been isolated in unanimated objects. Due to legal implications of gonorrhea diagnose on children, it should only be used

  7. Brand Aid

    DEFF Research Database (Denmark)

    Richey, Lisa Ann; Ponte, Stefano


    activists, scholars and venture capitalists, discusses the pros and cons of changing the world by ‘voting with your dollars’. Lisa Ann Richey and Stefano Ponte (Professor at Roskilde University and Senior Researcher at DIIS respectively), authors of Brand Aid: Shopping Well to Save the World, highlight how......Can Citizen Consumers Make a Difference? DIIS researcher contributes to a Boston Review - New Democracy Forum In the current issue of Boston Review (November/December 2011), contributors to a ‘New Democracy Forum’ debate whether Citizen Consumers can make a difference in stimulating responsible...

  8. The Role of Haptics in Medical Training Simulators: A Survey of the State of the Art. (United States)

    Coles, T R; Meglan, D; John, N W


    This review paper discusses the role of haptics within virtual medical training applications, particularly, where it can be used to aid a practitioner to learn and practice a task. The review summarizes aspects to be considered in the deployment of haptics technologies in medical training. First, both force/torque and tactile feedback hardware solutions that are currently produced commercially and in academia are reviewed, followed by the available haptics-related software and then an in-depth analysis of medical training simulations that include haptic feedback. The review is summarized with scrutiny of emerging technologies and discusses future directions in the field.

  9. To Use or Not? Evaluating ASPECTS of Smartphone Apps and Mobile Technology for Clinical Care in Psychiatry. (United States)

    Torous, John B; Chan, Steven R; Yellowlees, Peter M; Boland, Robert


    In this commentary, we discuss smartphone apps for psychiatry and the lack of resources to assist clinicians in evaluating the utility, safety, and efficacy of apps. Evaluating an app requires new considerations that are beyond those employed in evaluating a medication or typical clinical intervention. Based on our software engineering, informatics, and clinical knowledge and experiences, we propose an evaluation framework, "ASPECTS," to spark discussion about apps and aid clinicians in determining whether an app is Actionable, Secure, Professional, Evidence-based, Customizable, and TranSparent. Clinicians who use the ASPECTS guide will be more informed and able to make more thorough evaluations of apps.

  10. How to perform first aid. (United States)

    Gloster, Annabella Satu; Johnson, Phillip John


    RATIONALE AND KEY POINTS: This article aims to help nurses to perform first aid in a safe, effective and patient-centred manner. First aid comprises a series of simple, potentially life-saving steps that an individual can perform with minimal equipment. Although it is not a legal requirement to respond to an emergency situation outside of work, nurses have a professional duty to respond and provide care within the limits of their competency. First aid is the provision of immediate medical assistance to an ill or injured person until definitive medical treatment can be accessed. First aid can save lives and it is essential that nurses understand the basic principles. REFLECTIVE ACTIVITY: Clinical skills articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: 1. Your skill in performing first aid and any areas where you may need to extend your knowledge. 2. How reading this article will change your practice. Subscribers can upload their reflective accounts at: .

  11. Aspectos quirúrgicos del síndrome de inmunodeficiencia adquirida: revisión del tema y presentación de 5 casos Surgical aspects of AIDS: review of the subjetc and presentation of 5 cases

    Directory of Open Access Journals (Sweden)

    Carlos Lerma


    Full Text Available

    Se presenta una revisión de la literatura sobre los aspectos quirúrgicos del síndrome de inmunodeficiencia adquirida (SIDA, con base en los artículos publicados en los años 1980-1988, haciendo especial énfasis en las características clínicas de la entidad que la hacen susceptible de tratamiento quirúrgico. Como la incidencia del SIDA continúa en aumento la evaluación y la intervención quirúrgica oportunas se requerirán con mayor frecuencia. Se llama especialmente la atención sobre la etiología del abdomen agudo bien sea por Infecciones oportunistas o por neoplasias. Se Insiste en el diagnóstico diferencial y se analizan las pautas para el manejo adecuado. Finalmente, se presenta la estadística de los 5 casos de SIDA que requirieron intervención quirúrgica, entre los 34 de este síndrome diagnosticados en el Hospital Universitario San Vicente de Paúl, de Medellín, Colombia, desde el año 1.984.

    A review of the literature on surgical complications of AIDS Is presented. It is based on articles published between 1980 and 1988, with special emphasis on the clinical characteristics that make these complications surgically treatable. As the frequency of AIDS Increases timely surgical evaluation and intervention will become more necessary. Attention is called to acute abdomen induced by opportunistic infections or neoplasias. Differential diagnosis and management are discussed. Finally, the 5 cases of AIDS that required surgical interventions among the 34 patients with this syndrome observed since 1984 at Hospital Universitario San Vicente de Paúl, Medellín, Colombia, are analyzed.

  12. Chlamydial partner notification in the British Association for Sexual Health and HIV (BASHH) 2011 UK national audit against the BASHH Medical Foundation for AIDS and Sexual Health Sexually Transmitted Infections Management Standards. (United States)

    McClean, H; Carne, C A; Sullivan, A K; Radcliffe, K W; Ahmed-Jushuf, I


    This paper reports on chlamydial partner notification (PN) performance in the 2011 BASHH national audit against the British Association for Sexual Health and HIV (BASHH) Medical Foundation for AIDS Sexual Health (MedFASH) Sexually Transmitted Infection Management Standards (STIMS). There was wide regional variation in level 3 clinic PN performance against the current standard of index case-reported chlamydial PN, with 43% (regional range 0-80%) of clinics outside London meeting the ≥0.6 contacts seen per index standard, and 85% of clinics (regional range 82-88%) in London meeting the ≥0.4 standard. For level 2 clinics, 39% (regional range 0-100%) of clinics outside London met the ≥0.6 standard, and 43% (regional range 40-50%) of clinics in London met the ≥0.4 standard. Performance for health-care worker (HCW)-verified contact attendance is also reported. New standards for each of these performance measures are proposed for all level 3 clinics: ≥0.6 contacts seen per index case based on index case report, and ≥0.4 contacts seen per index case based on HCW verification, both within four weeks of the first partner notification interview. The results are discussed with regard to the importance of adoption of standards by commissioners of services, relevance to national quality agendas, and the need for development of a national system of PN quality assurance measurement and reporting.

  13. 某人防医疗救护站工程的通风与空调设计%Design of Ventilation and Air Conditioning for a Medical Aid Station of Civil Air Defence

    Institute of Scientific and Technical Information of China (English)

    孙雁飞; 张晨


    在新规范的指导下,对某社区卫生服务中心地下人防医疗救护站工程的通风空调设计及平战结合与转换进行了详细介绍,并就设计过程中遇到的难题提出了解决方案及新思路。此外,简要说明了降噪减振等几点值得注意的内容。%Under the guidance of new standard, this paper introduces in detail the design of ventilation and air conditioning for a community health center underground medical aid station of civil air defence. Also, the combination of peacetime and wartime and conversion is introduced. The author puts forward some new ideas and solutions to problems encountered in the process of design. Moreover, noise and vibration reduction measures and several noteworthy issues were briefly explained.

  14. UK national audit against the key performance indicators in the British Association for Sexual Health and HIV Medical Foundation for AIDS and Sexual Health Sexually Transmitted Infections Management Standards. (United States)

    McClean, H; Sullivan, A K; Carne, C A; Warwick, Z; Menon-Johansson, A; Clutterbuck, D


    A national audit of practice performance against the key performance indicators in the British Association for Sexual Health and HIV (BASHH) and HIV Medical Foundation for AIDS Sexual Health Standards for the Management of Sexually Transmitted Infections (STIs) was conducted in 2011. Approximately 60% and 8% of level 3 and level 2 services, respectively, participated. Excluding partner notification performance, the five lowest areas of performance for level 3 clinics were the STI/HIV risk assessment, care pathways linking care in level 2 clinics to local level 3 services, HIV test offer to patients with concern about STIs, information governance and receipt of chlamydial test results by clinicians within seven working days (the worst area of performance). The five lowest areas of performance for level 2 clinics were participating in audit, having an audit plan for the management of STIs for 2009-2010, the STI/HIV risk assessment, HIV test offer to patients with concern about STIs and information governance. The results are discussed with regard to the importance of adoption of the standards by commissioners of services because of their relevance to other national quality assurance drivers, and the need for development of a national system of STI management quality assurance measurement and reporting.

  15. Clinical Criteria for Physician Aid in Dying. (United States)

    Orentlicher, David; Pope, Thaddeus Mason; Rich, Ben A


    More than 20 years ago, even before voters in Oregon had enacted the first aid in dying (AID) statute in the United States, Timothy Quill and colleagues proposed clinical criteria AID. Their proposal was carefully considered and temperate, but there were little data on the practice of AID at the time. (With AID, a physician writes a prescription for life-ending medication for a terminally ill, mentally capacitated adult.) With the passage of time, a substantial body of data on AID has developed from the states of Oregon and Washington. For more than 17 years, physicians in Oregon have been authorized to provide a prescription for AID. Accordingly, we have updated the clinical criteria of Quill, et al., based on the many years of experience with AID. With more jurisdictions authorizing AID, it is critical that physicians can turn to reliable clinical criteria. As with any medical practice, AID must be provided in a safe and effective manner. Physicians need to know (1) how to respond to a patient's inquiry about AID, (2) how to assess patient decision making capacity, and (3) how to address a range of other issues that may arise. To ensure that physicians have the guidance they need, Compassion & Choices convened the Physician Aid-in-Dying Clinical Criteria Committee, in July 2012, to create clinical criteria for physicians who are willing to provide AID to patients who request it. The committee includes experts in medicine, law, bioethics, hospice, nursing, social work, and pharmacy. Using an iterative consensus process, the Committee drafted the criteria over a one-year period.

  16. 21 CFR 886.5900 - Electronic vision aid. (United States)


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Electronic vision aid. 886.5900 Section 886.5900...) MEDICAL DEVICES OPHTHALMIC DEVICES Therapeutic Devices § 886.5900 Electronic vision aid. (a) Identification. An electronic vision aid is an AC-powered or battery-powered device that consists of...

  17. Concerns regarding Direct-to-Consumer Hearing Aid Purchasing (United States)

    Kimball, Suzanne H.


    An individual over age 18 can purchase a hearing aid online or through mail order if they sign a waiver declining a medical evaluation, while those under 18 are required to be seen by a physician to obtain medical consent. However, in many states there is nothing to prevent a parent or caregiver from purchasing hearing aids for their child from a…

  18. Conducting the Medical History (United States)

    Finkel, Martin A.; Alexander, Randell A.


    A key portion of the medical evaluation of child sexual abuse is the medical history. This differs from interviews or histories obtained by other professionals in that it is focuses more on the health and well-being of the child. Careful questions should be asked about all aspects of the child's medical history by a skilled, compassionate,…

  19. Medical education. (United States)

    Krishnan, P


    In theory, the Medical Council of India (MCI) determines the standards and qualifications of medical schools. It also sanctions curricula and ensures standards. Yet no standards exist on the mode of selection in medical schools, duration of study, course content, student stipends or period of internship. It takes 4.5 years to finish medical school. Students undergo preclinical, paraclinical, and clinical training. Most courses are in English which tends to favor the urban elite. Students cannot always communicate with patients in local languages. Textbooks often provide medical examples unrelated to India. Pedagogy consists mainly of lectures and rote learning predominates. Curricula tend not to provide courses in community health. Students pick up on the elitist attitudes of the faculty. For example, faculty do not put much emphasis on community health, individual health, equity in health care delivery, and teamwork. Further the education system is not patient oriented, but hospital or disease oriented. Faculty should train students in creating sanitation programs, knowing local nutritious foods, and in making community diagnoses. Yet they tend to be practitioners 1st then educators. Further faculty are not paid well and are not always invited to take part in improving curriculum, so morale is often low. Moreover experience in health planning and management issues is not required for administrators. In addition, medical schools are not well equipped with learning aids, libraries, or teaching staff. Tax revenues finance medical education. 75% of graduating physicians set up a private practice. Further many physicians go to urban areas. 34-57% emigrate to other countries. The problems of medical education will not be solved until the political and economic system becomes more responsive to the health needs of the people.

  20. (United States)

    ... concerns. Search Services Share This Help National HIV/AIDS Strategy Check out NHAS's latest progress in the ... from Read more tweets HIV/AIDS Basics • Federal Resources • Using New ...

  1. Aids for Handicapped Readers. (United States)

    Library of Congress, Washington, DC. Div. for the Blind and Physically Handicapped.

    The reference circular provides information on approximately 50 reading and writing aids intended for physically or visually handicapped individuals. Described are low vision aids, aids for holding a book or turning pages, aids for reading in bed, handwriting aids, typewriters and accessories, braille writing equipment, sound reproducers, and aids…

  2. Macroeconomic Issues in Foreign Aid

    DEFF Research Database (Denmark)

    Hjertholm, Peter; Laursen, Jytte; White, Howard

    foreign aid, macroeconomics of aid, gap models, aid fungibility, fiscal response models, foreign debt,......foreign aid, macroeconomics of aid, gap models, aid fungibility, fiscal response models, foreign debt,...

  3. Crawling Aid (United States)


    The Institute for the Achievement of Human Potential developed a device known as the Vehicle for Initial Crawling (VIC); the acronym is a tribute to the crawler's inventor, Hubert "Vic" Vykukal; is an effective crawling aid. The VIC is used by brain injured children who are unable to crawl due to the problems of weight-bearing and friction, caused by gravity. It is a rounded plywood frame large enough to support the child's torso, leaving arms and legs free to move. On its underside are three aluminum discs through which air is pumped to create an air-bearing surface that has less friction than a film of oil. Upper side contains the connection to the air supply and a pair of straps which restrain the child and cause the device to move with him. VIC is used with the intent to recreate the normal neurological connection between brain and muscles. Over repetitive use of the device the child develops his arm and leg muscles as well as coordination. Children are given alternating therapy, with and without the VIC until eventually the device is no longer needed.

  4. Sports medical aspects of fitness and wellness


    HOFFMANN, G; Siegfried, I


    Kongreßbericht: Seminar des Arbeitskreises Sportmedizin der Akademie für ärztliche Fortbildung und Weiterbildung der Landesärztekammer Hessen. Bad Nauheim, 18.03.2006. Ziel des Seminars war, sportmedizinische und präventivmedizinische Aspekte zu Fitness und Wellness zu präsentieren und hierbei insbesondere auf die historische Entwicklung der Sportmedizin einzugehen sowie Techniken und Wirkungen verschiedener Massageformen und ganzheitliche asiatische Gesundheitsansätze und Bewegungskünste zu ...

  5. Medical Aspects of Harsh Environments. Volume 2 (United States)


    Unilateral high-altitude pulmonary edema in a subject with right pulmonary artery hypoplasia . Respiration. 1994;61:51–54. 91. Torrington KG. Recurrent...enough to cause rupture of the round window with cochlear and vestibular damage (see Inner Ear Barotrauma, below). The Frenzel maneuver consists of...probably due to cochlear membrane rupture or hemorrhage. If deafness is instantaneous and present in all frequencies, it is probably due to se- vere round

  6. Medical physics aspects of particle therapy. (United States)

    Jäkel, Oliver


    Charged particle beams offer an improved dose conformation to the target volume when compared with photon radiotherapy, with better sparing of normal tissue structures close to the target. In addition, beams of heavier ions exhibit a strong increase of the linear energy transfer in the Bragg peak when compared with the entrance region. These physical and biological properties make ion beams more favourable for radiation therapy of cancer than photon beams. As a consequence, particle therapy with protons and heavy ions has gained increasing interest worldwide. This contribution summarises the physical and biological principles of charged particle therapy with ion beams and highlights some of the developments in the field of beam delivery, the principles of treatment planning and the determination of absorbed dose in ion beams. The clinical experience gathered so far with carbon ion therapy is briefly reviewed.

  7. Medical aspects of ketone body metabolism. (United States)

    Mitchell, G A; Kassovska-Bratinova, S; Boukaftane, Y; Robert, M F; Wang, S P; Ashmarina, L; Lambert, M; Lapierre, P; Potier, E


    Ketone bodies are produced in the liver, mainly from the oxidation of fatty acids, and are exported to peripheral tissues for use as an energy source. They are particularly important for the brain, which has no other substantial non-glucose-derived energy source. The 2 main ketone bodies are 3-hydroxybutyrate (3HB) and acetoacetate (AcAc). Biochemically, abnormalities of ketone body metabolism can present in 3 fashions: ketosis, hypoketotic hypoglycemia, and abnormalities of the 3HB/AcAc ratio. Normally, the presence of ketosis implies 2 things: that lipid energy metabolism has been activated and that the entire pathway of lipid degradation is intact. In rare patients, ketosis reflects an inability to utilize ketone bodies. Ketosis is normal during fasting, after prolonged exercise, and when a high-fat diet is consumed. During the neonatal period, infancy and pregnancy, times at which lipid energy metabolism is particularly active, ketosis develops readily. Pathologic causes of ketosis include diabetes, ketotic hypoglycemia of childhood, corticosteroid or growth hormone deficiency, intoxication with alcohol or salicylates, and several inborn errors of metabolism. The absence of ketosis in a patient with hypoglycemia is abnormal and suggests the diagnosis of either hyperinsulinism or an inborn error of fat energy metabolism. An abnormal elevation of the 3HB/AcAc ratio usually implies a non-oxidized state of the hepatocyte mitochondrial matrix resulting from hypoxia-ischemia or other causes. We summarize the differential diagnosis of abnormalities of ketone body metabolism, as well as pertinent recent advances in research.

  8. HIV and AIDS (United States)

    ... Emergency Room? What Happens in the Operating Room? HIV and AIDS KidsHealth > For Kids > HIV and AIDS ... actually the virus that causes the disease AIDS. HIV Hurts the Immune System People who are HIV ...

  9. Heart attack first aid (United States)

    First aid - heart attack; First aid - cardiopulmonary arrest; First aid - cardiac arrest ... A heart attack occurs when the blood flow that carries oxygen to the heart is blocked. The heart muscle ...

  10. Cheap computer aids for medical photography departments. (United States)

    Jankowski, R A


    Most departments now use computers to assist in administration. Choice of hardware and software is very much dependent upon the complexity of the tasks and also on the amount of money available to purchase such equipment. This paper gives an insight into how a low cost computer system is successfully introduced into a department and is proving good value for money.

  11. Traditional healing, biomedicine and the treatment of HIV/AIDS: contrasting south african and native American experiences. (United States)

    Flint, Adrian


    Traditional healing remains an important aspect of many people's engagement with healthcare and, in this, responses to the treatment of HIV/AIDS are no different. However, given the gravity of the global HIV/AIDS pandemic, there has been much debate as to the value of traditional healing in this respect. Accordingly, this paper explores the extent to which meaningful accommodation between the biomedical and traditional sectors is possible (and/or even desirable). It does this through a consideration of Native American and South African experiences, looking at how the respective groups, in which medical pluralism is common, have addressed the issue of HIV/AIDS. The paper points to the importance of developing "culturally appropriate" forms of treatment that emphasise complementary rather than adversarial engagement between the traditional and biomedical systems and how policymakers can best facilitate this.

  12. Medical Technology Base Master Plan (United States)


    action of candidate mnedical1 countermeasures - Analysis and characterization of candidate compounds and their inetabolites - Application of molecular ...expected that research in molecular biology will lead to medical ,.vphylaes and treatments that ofter improved speclicity and potency, thus increasing...Disease Hazards Research (Inlectious Disease, Medical Biologia Defense, and Military AIDS), Conbat Casualty Care Research, Medical Chem"ca Defense Research

  13. Regulatory aspects (United States)

    Stern, Arthur M.


    At this time, there is no US legislation that is specifically aimed at regulating the environmental release of genetically engineered organisms or their modified components, either during the research and development stage or during application. There are some statutes, administered by several federal agencies, whose language is broad enough to allow the extension of intended coverage to include certain aspects of biotechnology. The one possible exception is FIFRA, which has already brought about the registration of several natural microbial pesticides but which also has provision for requiring the registration of “strain improved” microbial pesticides. Nevertheless, there may be gaps in coverage even if all pertinent statutes were to be actively applied to the control of environmental release of genetically modified substances. The decision to regulate biotechnology under TSCA was justified, in part, on the basis of its intended role as a gap-filling piece of environmental legislation. The advantage of regulating biotechnology under TSCA is that this statute, unlike others, is concerned with all media of exposure (air, water, soil, sediment, biota) that may pose health and environmental hazards. Experience may show that extending existing legislation to regulate biotechnology is a poor compromise compared to the promulgation of new legislation specifically designed for this purpose. It appears that many other countries are ultimately going to take the latter course to regulate biotechnology.

  14. First-aid boxes - Reminder

    CERN Multimedia

    GS Department


    With a view to ensuring optimum use of the first-aid boxes on the CERN site, we should like to remind you of various changes introduced in March 2009: The TSO of the buildings concerned is responsible for the first-aid boxes, including checking their contents.   First-aid boxes may be restocked ONLY at the CERN stores (SCEM No. 54.99.80). This is no longer possible at the Infirmary. The associated cost is charged to the Departments.   First-aid boxes should be used only for mild injuries. All other cases should be referred to the Medical Service Infirmary (Bldg. 57 – ground-floor, tel. 73802) between 8.00 a.m. and 5.30 p.m. or to the Fire and Rescue Service (tel. 74444). N.B.: This information does not apply to the red emergency first-aid boxes in the underground areas or to the emergency kits for use in the event of being splashed with hydrofluoric acid.

  15. Design and development of the application (App) of AIDS occupational protection to educate medical students of dentistry%基于手机应用软件的艾滋病职业防护知识设计及对口腔科医学生教育干预前后的分析

    Institute of Scientific and Technical Information of China (English)

    李茵; 王蓓蓓; 曾辉; 郑东翔


    To design and develop the application (App) of AIDS occupational protection to educate medical students of dentistry, and investigate the status of AIDS occupational protection and effect after education intervention. Design and develop the application (App) of AIDS occupational protection by Appery online App development system. Push the information including AIDS occupational protection and self-test page of education and assessment questionnaire. Sixty-nine oral medical students (School system 5-years and 7-years) have been selected from Capital Medical University School of Stomatology and Peking University School of Stomatology. After the intervention of all the students by application (App) of AIDS occupational protection, oral medical students participated in the study and conducted online survey. The application (App) of AIDS occupational protection was designed by Appery online App development system. The main push contents of App included: basic knowledge of AIDS, clinical knowledge of AIDS, AIDS oral manifestations, clinical infection protection and infection control, doctor-patient communication skills, self-test questionnaires and assessment layout. The investigation and analysis of 69 medical students showed: the App intervention by occupational protection education students oral medicine for HIV AIDS oundation, mastery of clinical knowledge has significantly improved (P < 0.05). App intervention training could significantly improve understanding and mastery of AIDS prevention and control knowledge in oral clinical medical students (P < 0.05). Moreover, App intervention improved medical students to willingness to treat AIDS patients and communication skills. Conclusions The App of AIDS occupational protection targeted development of education can make oral medical students to participate in training more conveniently, efficiently and effectively learning oral clinical AIDS protection and infection control knowledge.%设计并开发艾滋病职业防


    Directory of Open Access Journals (Sweden)

    Abdolreza Sotoodeh Jahromi


    Full Text Available Training physicians who are expert in many medical aspects is the most improtant mission of medical universities. One of these aspects, is professional behavior achievement. One of the important goals in training of ethics, is recognition of conflicts in different parts of ethics and having logical viewpoint for resolving and analyzing these conflicts. This descriptive and analytical study was done to evaluate the efficacy of medical ethics education in medical students´ professional attitudes improvement. One hundred and two medical students were selected randomly in different steps of education and were questioned and their opinions correlation with stage of education and gender were evaluated. There was a significant difference between female viewpoint (in roles of ethic course which is presented in preclinical step in professional attitude improvement (P = 0.009 and also a significant difference was seen in the viewpoint score between student stage with intern stage (P = 0.031. Medical students in educational student stage believe ethic course improve medical professionalism. Since there is no special course to train medical students in professionalism, some interventions are required in this field to improve this aspect of physicians' professional life.

  17. 21 CFR 801.421 - Hearing aid devices; conditions for sale. (United States)


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hearing aid devices; conditions for sale. 801.421... (CONTINUED) MEDICAL DEVICES LABELING Special Requirements for Specific Devices § 801.421 Hearing aid devices...) of this section, a hearing aid dispenser shall not sell a hearing aid unless the prospective user...

  18. Computer-Aided Modelling Methods and Tools

    DEFF Research Database (Denmark)

    Cameron, Ian; Gani, Rafiqul


    The development of models for a range of applications requires methods and tools. In many cases a reference model is required that allows the generation of application specific models that are fit for purpose. There are a range of computer aided modelling tools available that help to define...... a taxonomy of aspects around conservation, constraints and constitutive relations. Aspects of the ICAS-MoT toolbox are given to illustrate the functionality of a computer aided modelling tool, which incorporates an interface to MS Excel....

  19. Home Health Aides (United States)

    ... specifications Help to keep clients engaged in their social networks and communities Home health aides, unlike personal care aides , typically work ... self-care and everyday tasks. They also provide social supports and assistance that enable clients to participate in their ... more information about home health aides, including voluntary credentials for aides, visit ...

  20. Ototoxic Medications (Medication Effects) (United States)

    ... Information for the Public / Hearing and Balance Ototoxic Medications (Medication Effects) By Barbara Cone, Patricia Dorn, Dawn Konrad- ... Audiology Information Series [PDF]. What Is Ototoxicity? Certain medications can damage the ear, resulting in hearing loss, ...

  1. Aid and Development

    DEFF Research Database (Denmark)

    Tarp, Finn

    Foreign aid looms large in the public discourse; and international development assistance remains squarely on most policy agendas concerned with growth, poverty and inequality in Africa and elsewhere in the developing world. The present review takes a retrospective look at how foreign aid has...... evolved since World War II in response to a dramatically changing global political and economic context. I review the aid process and associated trends in the volume and distribution of aid and categorize some of the key goals, principles and institutions of the aid system. The evidence on whether aid has...... for aid in the future...

  2. Types of Foreign Aid

    DEFF Research Database (Denmark)

    Bjørnskov, Christian

    Foreign aid is given for many purposes and different intentions, yet most studies treat aid flows as a unitary concept. This paper uses factor analysis to separate aid flows into different types. The main types can be interpreted as aid for economic purposes, social purposes, and reconstruction......; a residual category captures remaining purposes. Estimating the growth effects of separable types of aid suggests that most aid has no effects while reconstruction aid has direct positive effects. Although this type only applies in special circumstances, it has become more prevalent in more recent years....

  3. [Design and application of implantable medical device information management system]. (United States)

    Cao, Shaoping; Yin, Chunguang; Zhao, Zhenying


    Through the establishment of implantable medical device information management system, with the aid of the regional joint sharing of resources, we further enhance the implantable medical device traceability management level, strengthen quality management, control of medical risk.

  4. Operations Research and Its Application in Medical-aid for the Poorest in Poverty Areas%运作式研究--医疗救助项目管理的一种有用工具

    Institute of Scientific and Technical Information of China (English)

    张开宁; 方菁; 杜克琳


    运作式研究是贫困人群医疗救助项目的管理者以及研究机构的一种有用的工具,它是一种以保证项目成功和改善服务的可及性、提高服务质量和效率为基本目标的研究方法,又是一种项目的有效、科学的管理工具,它注重应用各种研究方法及技巧,系统地研究与服务质量、服务效率、可及性等密切相关的各种因素,并指导对这些因素进行调整、改变和操作,以便使贫困人群得到更为理想、更为完善的服务,顺利实现预期的项目结果。阐述了运作式研究的特点、关键问题及其在医疗救助项目管理中的作用。%Operatiom Research(OR)has been widely used in health studies,as a very useful research tool as well as an invaluable means of program management. OR is identified with two features: (1) It focuses on factors under the control of program managers; (2) It includes indicators of program success in its evaluation system. Independent variables or interventions in OR include:type of training, frequency of supervision……Dependent variables in OR include:indicators of program success-Program outputs(services delivered under operations…);outcomes(client knowledge,prevalence rates,… )and individual or population impact,or cost-effectiveness of program……This paper presents an overview of OR, followed by a discussion of the role of OR in medical-aid for the poorest inpoverty areas.

  5. To reiterate the concept of self-aid and buddy-aid for combat wounded

    Directory of Open Access Journals (Sweden)

    Zhong-jie HE


    Full Text Available Explore new concept of self-aid and buddy-aid for combat wounded based on the emergency timeliness and the challenges we are going to face in the future combats, the importance of self-aid, buddy-aid and rescue are discussed. The concept and characteristics of self-aid and buddy-aid in our army are reviewed, and the care of the wounded in foreign armies were reviewed. Based on the experiences gained from previous combats, and the results of "Medical Service Mission-2014 Drill", it was believed that the emergency rescue of battle wounded should follow the timeliness rule and the principle of self-aid and buddy-aid technology. It might be beneficial to use cell protective agent, urgent relief of life-threatening conditions such as profuse bleeding from extremities, suffocation, pneumothorax, and traumatic shock etc., in order to stabilize the general condition of the wounded, according to the regime of "Platinum 10 minutes" and "golden 1 hour", self-aid and buddy-aid might play an important role in preventing early death and late morbidity of the wounded, thus helps reduce the mortality rate or the victims of combat wounds. DOI: 10.11855/j.issn.0577-7402.2015.11.01

  6. 77 FR 72924 - Taxable Medical Devices (United States)


    ... lenses, hearing aids, and any other medical device determined by the Secretary to be of a type that is...) provides that the term taxable medical device does not include eyeglasses, contact lenses, hearing aids... taxes imposed on the sales of taxable articles by manufacturers, producers, and importers...

  7. Aid and growth regressions

    DEFF Research Database (Denmark)

    Hansen, Henrik; Tarp, Finn


    This paper examines the relationship between foreign aid and growth in real GDP per capita as it emerges from simple augmentations of popular cross country growth specifications. It is shown that aid in all likelihood increases the growth rate, and this result is not conditional on ‘good’ policy....... There are, however, decreasing returns to aid, and the estimated effectiveness of aid is highly sensitive to the choice of estimator and the set of control variables. When investment and human capital are controlled for, no positive effect of aid is found. Yet, aid continues to impact on growth via...

  8. Aid and Development

    DEFF Research Database (Denmark)

    Tarp, Finn

    evolved since World War II in response to a dramatically changing global political and economic context. I review the aid process and associated trends in the volume and distribution of aid and categorize some of the key goals, principles and institutions of the aid system. The evidence on whether aid has......Foreign aid looms large in the public discourse; and international development assistance remains squarely on most policy agendas concerned with growth, poverty and inequality in Africa and elsewhere in the developing world. The present review takes a retrospective look at how foreign aid has...

  9. Aid and development

    DEFF Research Database (Denmark)

    Tarp, Finn


    evolved since World War II in response to a dramatically changing global political and economic context. I review the aid process and associated trends in the volume and distribution of aid and categorize some of the key goals, principles and institutions of the aid system. The evidence on whether aid has......Foreign aid looms large in the public discourse; and international development assistance remains squarely on most policy agendas concerned with growth, poverty and inequality in Africa and elsewhere in the developing world. The present review takes a retrospective look at how foreign aid has...

  10. [HIV/AIDS infection. The Brazilian view. AIDS in Brazil]. (United States)

    Gonçalves, A P; De Sa, C A; Rubini, N


    The Ministry of Health coordinates and orients in Brazil all the activities concerning the acquired immunodeficiency syndrome which is officially designated as AIDS. The first AIDS' case registered in Brazil was, by retrospective diagnosis, in 1981 but it was in 1982 that the first two diagnosis in live patients were made. The incidence is very high in this country that is among the ones where the higher number of cases are being registered. The great majority of the Brazilian cases occurs in the cities and in direct proportion to the population index. The groups of risk are the same universally known and a comparative increase of heterosexual transmission is noted, chiefly due to the use of injectable drugs and bisexuality of the male partners. Another problem that is being increased is pediatric AIDS, with raising importance of perinatal transmission as well as the use of injectable drugs and precocious prostitution in adolescence. The transfusional and haemophilic AIDS have proportionally decreased due to the control of blood products. The control and the orientation activity of the Ministry of Health is directed to varied points such as: compulsory cases notification, cooperation between public and private sectors, preventive and sexual orientation, freely delivered medication and laboratory tests including sigilous tests, lay and technical personnel preparation, diversified informative and educational campaigns. Trial tests with anti-HIV vaccines have begun to be performed. Multiple Reference Centers were officially established by the administration. Among them is to be quoted the Hospital Universitário Gaffrée Guinle of Rio de Janeiro where the authors work. It is credited for its intensive activity and pioneerism. In this Institution special attention was due against discrimination of HIV-infected patients, to diagnosis, to anonymous and sigilous tests, to medical and psychological assistance, to myocardium involvement, to the virologic study of the

  11. [First aid to persons with explosion trauma]. (United States)

    Shapovalov, V M; Samokhvalov, I M


    Modern organization providing medical aid to victims of explosion trauma in peace time, the success of which largely depends on the timely and professional interaction among the structures involeved into emergency relief operation is represented in the article. Content and sequence of events providing emergency medical and first medical aid to victims of the explosions, and the appropriateness of allocation affected groups, based on the predicted effectiveness of medical care is analyzed. The algorithm, currently used by ambulance crews, of assistance to victims with explosion and order evacuations is analyzed. The content of therapeutic measures in receipt of the wounded on the steps of skilled and specialized surgical care in accordance with the idea of a separation surgery on three stages (damage control). The content of the main levels of damage control orthopedics is introduced.

  12. Bioethical aspects of the management of patients with Acquired immunodeficiency syndrome

    Directory of Open Access Journals (Sweden)

    Maria de Jesús Sánchez Bouza


    Full Text Available Bioethical aspects related with the prevention, diagnosis and treatment of patients with AIDS are present in the Cuban strategy to fight the epidemic. Through the revision of the essentials and principles of Bioethics, we analyze the problems that doctors face when treating these patients and aspects related with education for health in the case of this disease. It also outlines the association between these principles and the disposition, manifested or not, of theses patients to be part of some researches. This infection should be the target of permanent analysis by the Bioethics due to the constant challenges that it represent for medical staff and for society, either for the prevention, treatment and care, or for other kids of actions. Cuba has exceptional results in this field.

  13. Everyday practices of humanitarian aid: tsunami response in Sri Lanka

    NARCIS (Netherlands)

    Fernando, U.; Hilhorst, D.J.M.


    This article underlines the importance of grounding the analysis of humanitarian aid in an understanding of everyday practice. It presents ethnographic vignettes illustrating three aspects of aid response in Sri Lanka following the tsunami disaster in 2004. The first deals with the nature of humanit

  14. Nasal colonization with Staphylococcus aureus in individuals with HIV/ AIDS attended in a Brazilian Teaching Hospital

    Directory of Open Access Journals (Sweden)

    Lilian Andreia Fleck Reinato


    Full Text Available OBJECTIVE: to evaluate the prevalence of nasal colonization with Staphylococcus aureus in individuals with HIV/AIDS under inpatient treatment in a teaching hospital in the state of São Paulo (Brazil. METHOD: a cross-sectional study undertaken in two units specialized in attending people living with HIV/AIDS, in the period August 2011 - July 2012. Socio-demographic and clinical data was collected through individual interviews and from the medical records; samples of nasal secretion were collected with Stuart swabs on the first day of inpatient treatment. Ethical aspects were respected. RESULT: of the 229 individuals with HIV/AIDS hospitalized in this period, 169 participated in the study, with Staphylococcus aureus being identified in the culture tests of 46 (27.2% of the individuals, resistance to oxacillin being evidenced in 10 (21.8% participants. CONCLUSION: the results of the research indicate that the prevalence of colonization with Staphylococcus aureus in individuals with HIV/AIDS in the specialized units was considered relevant, possibly contributing to future investigations and, moreover, to the implementation of measures to prevent and control this pathogen in this population.

  15. Application of Ozone Concentration Detection in the Medical Aspects and Its Development%臭氧浓度检测在医疗方面的应用及发展

    Institute of Scientific and Technical Information of China (English)

    金海龙; 成少彦; 宋俊杰


    This article introduces some commonly used methods of ozone concentration detection,including chemical method, UV absorption method, and electrochemical method etc, introduces the latest four ozone concentration sensors, and summarizes the advantages and disadvantages of each method. In addition, the article emphatically introduces the ozone's applications and development in the medical aspects. Prospects for the use of ozone concentration detection, ozone treatment and ozone therapy instrument are also demonstrated in it. The literature collected and reviewed on ozone concentration detection and ozone therapy includes 37 papers in English, and 50 papers in Chinese.but only 30 articles among them are included in this review (19 in Chinese and 11 in English) , according to the principle of eliminating the old information and repetitive contents. The present paper selects only those on ozone, ozone concentration, ozone therapy and ozone therapy instrument.%本文评述了几种常用的臭氧浓度检测方法,包括化学法、紫外线吸收法和电化学法等,介绍了四种最新的臭氧浓度传感器,总结了各种方法的利弊;另外还着重介绍了臭氧在医疗卫生方面的应用及发展,并对臭氧浓度检测、臭氧治疗和臭氧治疗仪的应用前景进行了展望.共收集到关于臭氧浓度检测以及臭氧治疗的英文文献37篇,中文文献50篇.按照排除资料年久和内容重复的原则,选取包括臭氧、臭氧浓度、臭氧治疗和臭氧治疗仪的文献.总共纳入30篇(中文文献19篇、英文文献11篇)符合要求的文献.

  16. HIV/AIDS Coinfection (United States)

    ... Laotian Mongolian Spanish Turkish Vietnamese Hindi Subscribe HIV/AIDS Coinfection Approximately 10% of the HIV-infected population ... Control and Prevention website to learn about HIV/AIDS and Viral Hepatitis guidelines and resources. Home About ...

  17. HIV/AIDS Basics (United States)

    ... Partner Spotlight Awareness Days Get Tested Find an HIV testing site near you. Enter ZIP code or ... AIDS Get Email Updates on AAA Anonymous Feedback HIV/AIDS Media Infographics Syndicated Content Podcasts Slide Sets ...

  18. Neurological Complications of AIDS (United States)

    ... in recent years has improved significantly because of new drugs and treatments. AIDS clinicians often fail to recognize ... in recent years has improved significantly because of new drugs and treatments. AIDS clinicians often fail to recognize ...

  19. Psychiatric Aspects of Infertility

    Directory of Open Access Journals (Sweden)

    Hacer Sezgin


    Full Text Available Infertility can be defined as a crisis with cultural, religious, and class related aspects, which coexists with medical, psychiatric, psychological, and social problems. Relation between psychiatric and psychological factors stem from a mutual interaction of both. Family is an important institution in maintaining human existence and raising individuals in line with society's expectations. Fertility and reproduction are seen as universal functions unique to women with raising children as the expected result of the family institution. Incidence of infertility has increased recently and can become a life crisis for a couple. Even though not being able to have a child affects both sexes emotionally, women feel greater amounts of stress, pressure, anxiety, and depression.Consequences of infertility arise from short and long-term devastating effects on both individual's physical and mental health, and marital system. Many studies focus on infertility related psychological and psychiatric disorders (depression, anxiety, grief, marital conflict, gender differences, relation between the causes of infertility and psychopathology, the effects of psychiatric evaluation and intervention -when necessaryon the course of infertility treatment, pregnancy rates, and childbirth. The most important underlying causes of high levels of stress and anxiety that infertile women experience are the loss of maternity, reproduction, sense of self, and genetic continuity. In this review article is to investigate the relationship between medically unexplained symptoms and psychiatric symptoms. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(2.000: 165-185

  20. Fundamentals of Medical Ultrasonics

    CERN Document Server

    Postema, Michiel


    This book sets out the physical and engineering principles of acoustics and ultrasound as used for medical applications. It covers the basics of linear acoustics, wave propagation, non-linear acoustics, acoustic properties of tissue, transducer components, and ultrasonic imaging modes, as well as the most common diagnostic and therapeutic applications. It offers students and professionals in medical physics and engineering a detailed overview of the technical aspects of medical ultrasonic imaging, whilst serving as a reference for clinical and research staff.

  1. Aspects and Polymorphism in AspectJ

    DEFF Research Database (Denmark)

    Lorenz, David Harel; Ernst, Erik


    -oriented programming (AOP). In AOP, pieces of crosscutting behavior are extracted from the base code and localized in aspects, losing as a result their polymorphic capabilities while introducing new and unexplored issues. In this paper, we explore what kinds of polymorphism AOP languages should support, using AspectJ...... as the basis for the presentation. The results are not exclusive to AspectJ---aspectual polymorphism may make aspects in any comparable AOSD language more expressive and reusable across programs, while preserving safety....

  2. Aid and growth regressions

    DEFF Research Database (Denmark)

    Hansen, Henrik; Tarp, Finn


    . There are, however, decreasing returns to aid, and the estimated effectiveness of aid is highly sensitive to the choice of estimator and the set of control variables. When investment and human capital are controlled for, no positive effect of aid is found. Yet, aid continues to impact on growth via...... investment. We conclude by stressing the need for more theoretical work before this kind of cross-country regressions are used for policy purposes....

  3. Designing State Aid Formulas (United States)

    Zhao, Bo; Bradbury, Katharine


    This paper designs a new equalization-aid formula based on fiscal gaps of local communities. When states are in transition to a new local aid formula, the issue of whether and how to hold existing aid harmless poses a challenge. The authors show that some previous studies and the formulas derived from them give differential weights to existing and…

  4. Determinants of State Aid

    NARCIS (Netherlands)

    Buiren, K.; Brouwer, E.


    From economic theory we derive a set of hypotheses on the determination of state aid. Econometric analysis on EU state aid panel data is carried out to test whether the determinants we expect on the basis of theory, correspond to the occurrence of state aid in practice in the EU. We find that politi

  5. Fever: First Aid (United States)

    First aid Fever: First aid Fever: First aid By Mayo Clinic Staff A fever is a rise in body temperature. It's usually a sign of infection. The ... 2 C) or higher Should I treat a fever? When you or your child is sick, the ...

  6. Aid and Development

    DEFF Research Database (Denmark)

    Tarp, Finn; Arndt, Channing; Jones, Edward Samuel

    inputs. We take as our point of departure a growth accounting analysis and review both intended and unintended effects of aid. Mozambique has benefited from sustained aid inflows in conflict, post-conflict and reconstruction periods. In each of these phases aid has made an unambiguous, positive...

  7. Clinical characteristics of 297 newly diagnosed Chinese HIV / AIDS patients

    Institute of Scientific and Technical Information of China (English)



    Objective To determine the clinical characteristics of HIV infected patients in China in order to improve early recognition and diagnosis of AIDS.Methods A total of297 newly diagnosed HIV/AIDS patients were enrolled in Peking Union Medical College Hospital(PUMCH)from January 2001 to December 2012,including 19 patients of primary phase,115 of asymptomatic phase and 163 of AIDS phase.Clinical characteristics of these patients were retrospectively analyzed.Results Two hundred and

  8. AspectKE*

    DEFF Research Database (Denmark)

    Yang, Fan; Masuhara, Hidehiko; Aotani, Tomoyuki


    Enforcing security policies to distributed systems is difficult, in particular, when a system contains untrusted components. We designed AspectKE*, a distributed AOP language based on a tuple space, to tackle this issue. In AspectKE*, aspects can enforce access control policies that depend......KE*, and demonstrate usefulness of AspectKE* through a security aspect for a distributed chat system....

  9. [Aged woman's vulnerability related to AIDS]. (United States)

    Silva, Carla Marins; Lopes, Fernanda Maria do Valle Martins; Vargens, Octavio Muniz da Costa


    This article is a systhematic literature review including the period from 1994 to 2009, whose objective was to discuss the aged woman's vulnerability in relation to Acquired Imunodeficiency Syndrome (Aids). The search for scientific texts was accomplished in the following databases: Biblioteca Virtual em Saúde, Scientific Eletronic Library Online (SciELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE). The descriptors used were vulnerability, woman and Aids. Eighteen texts were analyzed, including articles in scientific journals, thesis and dissertations. As a conclusion, it was noted that aged women and vulnerability to Aids are directly related, through gender characteristics including submission and that were built historical and socially. We consider as fundamental the development of studies which may generate publications accessible to women, in order to help them see themselves as persons vulnerable to Aids contagion just for being women.

  10. Health Technology Assessment: managing the introduction and use of medical devices in clinical practice in Italy. (United States)

    Migliore, Antonio; Ratti, Marco; Cerbo, Marina; Jefferson, Tom


    Technology assumes a key role in current clinical practice. A number of innovative or improved products are constantly being launched on the market and offered directly to the users (i.e., clinicians) or even to the patients. However, in most cases, the regulation for admission to commerce is slower than the innovation process and may be inadequate for assessing the real clinical effectiveness and safety of medical devices in the premarket phase. Health Technology Assessment (HTA) can be used as a tool for the evaluation of clinical effectiveness, cost-effectiveness and risk to patients of medical devices. HTA products (e.g., periodic reports) may aid healthcare payers to make informed choices regarding the appropriate use, coverage and reimbursement of medical devices. We present the strengths and limitations of the first three Italian HTA reports we coauthored and critically explore some of the aspects related to the introduction, adoption and use of medical technologies in clinical practice.

  11. Conditional Aid Effectiveness

    DEFF Research Database (Denmark)

    Doucouliagos, Hristos; Paldam, Martin

    The AEL (aid effectiveness literature) studies the effect of development aid using econometrics on macro data. It contains about 100 papers of which a third analyzes conditional models where aid effectiveness depends upon z, so that aid only works for a certain range of the variable. The key term...... in this family of AEL models is thus an interaction term of z times aid. The leading candidates for z are a good policy index and aid itself. In this paper, meta-analysis techniques are used (i) to determine whether the AEL has established the said interaction terms, and (ii) to identify some of the determinants...... of the differences in results between studies. Taking all available studies in consideration, we find no support for conditionality with respect to policy, while conditionality regarding aid itself is dubious. However, the results differ depending on the authors’ institutional affiliation....

  12. Aid and Development

    DEFF Research Database (Denmark)

    Tarp, Finn; Arndt, Channing; Jones, Edward Samuel

    This paper considers the relationship between external aid and development in Mozambique from 1980 to 2004. The main objective is to identify the specific mechanisms through which aid has influenced the developmental trajectory of the country and whether one can plausibly link outcomes to aid...... inputs. We take as our point of departure a growth accounting analysis and review both intended and unintended effects of aid. Mozambique has benefited from sustained aid inflows in conflict, post-conflict and reconstruction periods. In each of these phases aid has made an unambiguous, positive...... contribution both enabling and supporting rapid growth since 1992. At the same time, the proliferation of donors and aid-supported interventions has burdened local administration and there is a distinct need to develop government accountability to its own citizens rather than donor agencies. In ensuring...

  13. Aid Effectiveness on Growth

    DEFF Research Database (Denmark)

    Doucouliagos, Hristos; Paldam, Martin

    The AEL (aid effectiveness literature) is econo¬metric studies of the macroeconomic effects of development aid. It contains about 100 papers of which 68 are reduced form estimates of theeffect of aid on growth in the recipient country. The raw data show that growth is unconnected to aid......, but the AEL has put so much structure on the data that all results possible have emerged. The present meta study considers both the best-set of the 68 papers and the all-set of 543 regressions published. Both sets have a positive average aid-growth elasticity, but it is small and insignificant: The AEL has...... betweenstudies is real. In particular, the aid-growth association is stronger for Asian countries, and the aid-growth association is shown to have been weaker in the 1970s....

  14. Pediatric palliative care for youth with HIV/AIDS: systematic review of the literature

    Directory of Open Access Journals (Sweden)

    Wilkins ML


    Full Text Available Megan L Wilkins,1 Ronald H Dallas,1 Kathleen E Fanone,2 Maureen E Lyon3,4 1St Jude Children's Research Hospital, Department of Infectious Diseases, Memphis, TN, USA; 2Johns Hopkins Medical Center, Department of Pediatric Medicine, Baltimore, MD, USA; 3Children's National Medical Center, 4George Washington University School of Medicine and Health Sciences, Washington, DC, USA Abstract: Improvement in treatment has led to decreased death in youth with human immunodeficiency virus (HIV in developed countries. Despite this, youth with HIV are still at risk for increased mortality and morbidity compared with their uninfected counterparts. In developing countries, high numbers of youth die from acquired immune deficiency syndrome (AIDS-related illnesses due to lack of access to consistent antiretroviral treatment. As a result, pediatric palliative care is a relevant topic for those providing care to youth with HIV. A systematic review was conducted to gather information regarding the status of the literature related to pediatric palliative care and medical decision-making for youth with HIV. The relevant literature published between January 2002 and June 2012 was identified through searches conducted using PubMed, CINAHL, Scopus, and PSYCInfo databases and a series of key words. Articles were reviewed by thematic analysis using the pillars of palliative care set out by the National Consensus Project. Twenty-one articles were retained after review and are summarized by theme. In general, few empirically based studies evaluating palliative care and medical decision-making in youth with HIV were identified. Articles identified focused primarily on physical aspects of care, with less attention paid to psychological, social, ethical, and cultural aspects of care. We recommend that future research focuses on broadening the evaluation of pediatric palliative care among youth with HIV by directly evaluating the psychological, social, ethical, and cultural

  15. A Study On The Frequency Of Different Types Of Optical Low Vision Aids Prescribed For Low Vision Patients Examined In The Clinic Of Optometry, Faculty Of Rehabilitation Sciences Shahid Beheshti University Of Medical Sciences, Tehran, 1387

    Directory of Open Access Journals (Sweden)

    Mohammad Ghassemi Broumand


    Full Text Available Background and Aim: Different diseases can be the cause of low vision. In the case of low vision, visual acuity with conventional optical devices such as glasses and contact lenses is between” 20/70 to 20/200”. To improve the visual performance in these patients, low vision aids are prescribed.The types of prescribed low vision aids vary in different diseases. The purpose of this study is to determine the type and frequency of optical aids prescribed for low vision patients examined in optometry clinic of Rehabilitation faculty of shahid Beheshti University in 1387. Materials and Methods: In this retrospective cross-sectional study, 204 low vision patients went under investigation. In the present study variables including type and rate of refractive error, visual acuity with the best correction, type of diseases and type of prescribed optical low vision aids were investigated.Results: The frequency of prescribed distance glasses in diabetic retinopathy was 97%, age related macular degeneration 86.2%, Stargarts 92%, retinitis pigmentosa 86.4% and albinism 88.2%, Also the frequency of prescribed microscope in diabetic retinopathy was 81.82% , age related macular degeneration 48.27%, Stargarts 40% , retinitis pigmentosa 35.3% , albinism 35.3% and the frequency of prescribed magnifier in diabetic retinopathy was18.18%, age related macular degeneration 24.12% , Stargarts 52%, retinitis pigmentosa18.18% and albinism 29.4%.Conclusion: In many low vision conditions, it is more suitable to prescribe distance glasses rather than telescope. In this study the distance glass with the frequency of 84.8% is seen more acceptable in comparison with the telescope with the frequency of 41.7%. Among near optical low vision aids, microscope with the frequency of 50.5% is more accepted by the patients compared to magnifier with the frequency of 26% and CCTV with the frequency of 0.50%.


    Directory of Open Access Journals (Sweden)

    E. O. Rodionov


    Full Text Available Introduction. The development of modern, complete-standard issue equipment for the Armed Forces Medical Service is an urgent organizational and management task. First aid kits, medical bags, sets of medical equipment, medical kits and packing existed until recently; no longer meet modern requirements for a number of objective reasons. The aim of the study was the formation of programs of development of modern samples of complete-standard-issue equipment. Materials and methods. The study was conducted based on the analysis of scientific literature and guidelines which regulate different aspects of the Armed Forces Medical Service complete-standard issue equipment. The study used methods like: retrospective, content analysis, comparison and description, logical, structural and functional analysis, expert assessments, decision-making, as well as the methods of the theory of constraints and other systems. Results and discussion. rmation of the range of medical property in modern conditions for inclusion into complete-standard issue equipment is connected with the need to make timely decisions on choosing the most efficient models, taking into account market conditions and economic opportunities. There are requirements established for the complete-samples standard issue equipment for their use outside a medical organization. Development program structure of complete-standard-issue equipment is shown, as well as examples of the formation of the content of medical equipment kits. On the basis of the offered program a new complete-standard issue equipment of the Armed Forces Medical Service was created. In accordance with the principles of the theory of constraints a strategy to optimize the composition of sets of medical equipment was developed. It included comprehensive solutions aimed at stabilizing the activity of the pharmaceutical industry in the interest of the Armed Forces Medical Service. Conclusions. An offered program has allowed developing

  17. European Financial Aid Use for Environmental Protection in Romania

    Directory of Open Access Journals (Sweden)

    Carmen Valentina RADULESCU


    Full Text Available The paper deals with the basic theoretical aspects and the policy of the European Union, which is financed by a number of budgetary instruments. Under this policy, Romania is qualified for financial aid to support economic and social development of the country. This aid is considerably higher than that the aid received by the pre-accession PHARE, ISPA and SAPARD programs. The EU serves for the financing of policies, the largest amounts being allocated to the common agricultural policy. The paper bring in details on several aspects such as: what are the structural funds, which are institutions that manage them, and the ways of accessing these funds.

  18. Medical robotics. (United States)

    Ferrigno, Giancarlo; Baroni, Guido; Casolo, Federico; De Momi, Elena; Gini, Giuseppina; Matteucci, Matteo; Pedrocchi, Alessandra


    Information and communication technology (ICT) and mechatronics play a basic role in medical robotics and computer-aided therapy. In the last three decades, in fact, ICT technology has strongly entered the health-care field, bringing in new techniques to support therapy and rehabilitation. In this frame, medical robotics is an expansion of the service and professional robotics as well as other technologies, as surgical navigation has been introduced especially in minimally invasive surgery. Localization systems also provide treatments in radiotherapy and radiosurgery with high precision. Virtual or augmented reality plays a role for both surgical training and planning and for safe rehabilitation in the first stage of the recovery from neurological diseases. Also, in the chronic phase of motor diseases, robotics helps with special assistive devices and prostheses. Although, in the past, the actual need and advantage of navigation, localization, and robotics in surgery and therapy has been in doubt, today, the availability of better hardware (e.g., microrobots) and more sophisticated algorithms(e.g., machine learning and other cognitive approaches)has largely increased the field of applications of these technologies,making it more likely that, in the near future, their presence will be dramatically increased, taking advantage of the generational change of the end users and the increasing request of quality in health-care delivery and management.

  19. Systemic lupus erythematosus: Clinical and experimental aspects

    Energy Technology Data Exchange (ETDEWEB)

    Smolen, J.S.


    This text covers questions related to the history, etiology, pathogenesis, clinical aspects and therapy of systematic lupus erythematosus (SLE). Both animal models and human SLE are considered. With regard to basic science, concise information on cellular immunology, autoantibodies, viral aspects and molecular biology in SLE is provided. Clinical topics then deal with medical, dermatologic, neurologic, radiologic, pathologic, and therapeutic aspects. The book not only presents the most recent information on clinical and experimental insights, but also looks at future aspects related to the diagnosis and therapy of SLE.

  20. A physician's guide to the world of medical publications

    Directory of Open Access Journals (Sweden)

    Karishma Rosann Pereira


    Full Text Available Introduction: It is thrilling for any physician to write and publish a paper, because it reflects their study and expertise. It has become imperative in today's ever evolving world of medical science to keep abreast with academia by actively engaging in publication of scientific literature. The number of publications a physician has to his/her credit speaks volumes about their subject interest, command and passion. On the other hand, medical journals serve as sources of the most recent up-to-date information, which aids physicians in providing their patients with latest care in their specialty. Method: Having worked closely with a wide array of practicing physicians, right from fresh graduates to seasoned consultants; I have gained useful insight into the lacuna aspects when it comes to medical publications. Results: This paper aims to help every medical practitioner by bridging the gap between possessing vast amounts of data to structurally organising it and getting your information successfully published. I attempt to bring forth a ready reckoner that could serve as a step-wise checklist and guide to simplify the process of getting medical literature published; keeping in mind the time crunched and hectic schedules of medical practitioners.

  1. 台州市基层医护人员台风灾害现场急救技能及培训需求的调查分析%Investigative analysis of on-site first aid techniques and training demand for primary level medical assistants in hurricane disaster

    Institute of Scientific and Technical Information of China (English)

    莫选荣; 罗心静; 周玲玲; 王欣鹃; 李翠萍


    目的:调查台州市基层医护人员台风灾害现场急救能力及培训需求,为针对性开展培训提供参考。方法随机整群抽取台州市部分乡镇卫生院和社区卫生服务中心的178名医护人员为调查对象,采用自制问卷进行调查。结果基层医护人员除了对台风高发时段知晓率较高(86.5%)外,其余各项台风相关知识知晓率均不足50%;现场急救能力除了对氧气袋的使用熟练掌握率较高(61.2%)外,其余项目熟练掌握率为2.8%~41.6%;不同职业、职称、学历的基层医护人员现场急救技能掌握情况存在统计学差异(P<0.01),但不同工作年限之间无显著差异;培训需求前五位依次为急救仪器使用、休克急救、心肺复苏、外伤包扎止血和急救药品使用等临床常用项目。结论基层医护人员灾害知识及现场急救能力不足,不能满足频发的灾害对现场救援的需求。相关部门应因地制宜,按需培训,以提高基层医疗系统灾害应对能力。%Objective To understand the primary level medical assistants’on-site first aid techniques and training demand for hurricane disaster, and provide valuable preference for creating specific trainings. Methods A self-created questionnaire was answered by 178 primary level medical assistants randomly selected from the hygiene institutes and hygiene services in Taizhou. Results It reflected a 86.5%accuracy on hurricane occurrence time frame, a less than 50%of understanding on a comprehensive knowledge of hurricane;61.2%of being capable for using oxygen bag;between 2.8%and 41.6%for all rest subjects, among the 178 people. The primary level medical assistants who were in different profession and educational backgrounds also reflected a statistical difference on first aid knowledge (P<0.01), with no difference found in years of working. Demands for training were how to use first aid equipment, resuscitation, CPR, trauma

  2. [An organized sector mobilized against AIDS]. (United States)

    Mehra-Kerpelman, K


    A seminar of the International Labor Organization (ILO) was held to shed light on the role of AIDS in decimating qualified professionals in Anglophone Africa. The estimates of the World Health Organization indicate that the number of people infected with HIV in the whole world was 13-15 million persons at the end of 1994, of which 8 million lived in sub-Saharan Africa. In Uganda it is calculated that 1.5 million people are carriers of HIV, and by 1998 this figure could increase to 1.9 million. In both Zambia and Zimbabwe, in the 20-39 year age group, AIDS cases amount to 70% and 74%, respectively. Studies carried out in Rwanda, Zaire, Swaziland, and Zimbabwe revealed that AIDS is most frequent among members of the higher socioeconomic classes. The inability to find replacements for jobs requiring higher qualifications will result in dire consequences for these economies. During the 6-year period between 1988-89 and 1993-94 the Uganda Commercial Bank registered 229 deaths due to AIDS among its 1600 employees (14%). AIDS also requires the expenditure of scarce health resources on treatment: in 1992, hospital occupancy for diseases associated with AIDS reached 40-60% in Kinshasa, Zaire; 50% in Lusaka, Zambia; 60% in Kigali, Rwanda; and 70% in Bujumbura, Burundi. Various programs have been launched to fight HIV/AIDS in Zimbabwe, Zambia, and Uganda, to sensitize and educate people about the epidemic. The protection of human rights, the avoidance of discrimination, and the adoption of safe sex techniques are promoted by these programs. Companies have programs to combat AIDS. Ubombo Ranches Ltd. in Swaziland started an information program in 1991 and distributed free condoms. BAT Uganda Ltd. also started an information and training-of-trainers program in 1989, which by 1994 had benefitted about 90% of the employees. This has resulted in the reduction of AIDS cases and associated medical costs.

  3. Perceived Barriers and Facilitators of Using a Web-Based Interactive Decision Aid for Colorectal Cancer Screening in Community Practice Settings: Findings From Focus Groups With Primary Care Clinicians and Medical Office Staff



    Background Information is lacking about the capacity of those working in community practice settings to utilize health information technology for colorectal cancer screening. Objective To address this gap we asked those working in community practice settings to share their perspectives about how the implementation of a Web-based patient-led decision aid might affect patient-clinician conversations about colorectal cancer screening and the day-to-day clinical workflow. Methods Five focus group...

  4. 艾滋病中医证候研究的实践与思考%Practices and thoughts of research in the traditional Chinese medical symptoms of HIV/AIDS

    Institute of Scientific and Technical Information of China (English)

    许前磊; 武兴伟; 谢世平; 陈建设; 彭勃; 潘万旗; 刘爱华; 郭选贤


    艾滋病中医证候学研究是发挥中医药防治艾滋病优势的基础和前提,对艾滋病中医病因病机、辨证论治理论体系的构建具有重要意义.课题组在“十五”、“十一五”期间运用文献学、流行病学、系统生物学等研究方法,对艾滋病中医证候进行了系统的研究,建立了艾滋病中医证候数据库,初步掌握了HIV/AIDS中医证候分布及演变规律,拟定了艾滋病中医常见基本证候辨证标准,搭建了艾滋病中医证候系统生物学研究平台,并对“十二五”艾滋病中医证候科研工作进行了展望.%The Research in the TCM Symptoms of HIV/AIDS is to play basis and prerequisite role for the advantage of Chinese medicine to prevent and cure HIV/AIDS, and it's important to build the theoretical system of TCM Pathogenesis, diagnosis and treatment by differentiation of signs of HIV/AIDS.During the Tenth and Eleventh Five-year Plan Period, using of literature, epidemiology, systems biology and other research methods, research group had processed systematic rearch on TCM Symptoms of HTV/ATDS, built up TCM Symptoms database, mastered preliminarily TCM symptoms distribution and evolution, protocoled TCM basic diagonostic criteria of commom symptoms, constructed biology research platform on TCM symptoms of HIV/AIDS, and prospected scientific research of TCM Symptoms in the Twelveth Five-year Plan Period.

  5. Aid and Growth

    DEFF Research Database (Denmark)

    Arndt, Channing; Jones, Edward Samuel; Tarp, Finn

    The micro-macro paradox has been revived. Despite broadly positive evaluations at the micro and meso-levels, recent literature has turned decidedly pessimistic with respect to the ability of foreign aid to foster economic growth. Policy implications, such as the complete cessation of aid to Africa......, are being drawn on the basis of fragile evidence. This paper first assesses the aid-growth literature with a focus on recent contributions. The aid-growth literature is then framed, for the first time, in terms of the Rubin Causal Model, applied at the macroeconomic level. Our results show that aid has...... a positive and statistically significant causal effect on growth over the long run with point estimates at levels suggested by growth theory. We conclude that aid remains an important tool for enhancing the development prospects of poor nations....

  6. Aid and Growth

    DEFF Research Database (Denmark)

    Arndt, Channing; Jones, Edward Samuel; Tarp, Finn


    The micro-macro paradox has been revived. Despite broadly positive evaluations at the micro and meso-levels, recent literature has turned decidedly pessimistic with respect to the ability of foreign aid to foster economic growth. Policy implications, such as the complete cessation of aid to Africa......, are being drawn on the basis of fragile evidence. This paper first assesses the aid-growth literature with a focus on recent contributions. The aid-growth literature is then framed, for the first time, in terms of the Rubin Causal Model, applied at the macroeconomic level. Our results show that aid has...... a positive and statistically significant causal effect on growth over the long run with point estimates at levels suggested by growth theory. We conclude that aid remains an important tool for enhancing the development prospects of poor nations....

  7. Aspect and Reference time

    NARCIS (Netherlands)

    Borik, O.


    This thesis provides a theory of aspect in Russian based on the notion of Reference time. The main claim advocated in this study is that there are two types of aspect, predicational/telicity aspect and perspective or Reference time aspect. It is argued that these two types should be carefully distin

  8. Computer aided surface representation

    Energy Technology Data Exchange (ETDEWEB)

    Barnhill, R.E.


    The central research problem of this project is the effective representation and display of surfaces, interpolating to given information, in three or more dimensions. In a typical problem, we wish to create a surface from some discrete information. If this information is itself on another surface, the problem is to determine a surface defined on a surface,'' which is discussed below. Often, properties of an already constructed surface are desired: such geometry processing'' is described below. The Summary of Proposed Research from our original proposal describes the aims of this research project. This Summary and the Table of Contents from the original proposal are enclosed as an Appendix to this Progress Report. The broad sweep from constructive mathematics through algorithms and computer graphics displays is utilized in the research. The wide range of activity, directed in both theory and applications, makes this project unique. Last month in the first Ardent Titan delivered in the State of Arizona came to our group, funded by the DOE and Arizona State University. Although the Titan is a commercial product, its newness requires our close collaboration with Ardent to maximize results. During the past year, four faculty members and several graduate research assistants have worked on this DOE project. The gaining of new professionals is an important aspect of this project. A listing of the students and their topics is given in the Appendix. The most significant publication during the past year is the book, Curves and Surfaces for Computer Aided Geometric Design, by Dr. Gerald Farin. This 300 page volume helps fill a considerable gap in the subject and includes many new results on Bernstein-Bezier curves and surfaces.

  9. Influence of motivational interviewing with guidance of transtheoretical model on medication compliance of AIDS patients%以跨理论模型为指导的动机性访谈对艾滋病病人服药依从性的影响

    Institute of Scientific and Technical Information of China (English)



    Objective:To probe into the influence of motivational interviewing with the guidance of transtheoreti-cal model on the medication compliance of AIDS patients.Methods:A total of 50 AIDS patients who received the antiviral therapy were randomly divided into control group and observation group,the patients in observa-tion group received the motivational interviewing intervention method with the guidance of transtheoretical model,while the patients in control group received the conventional intervention method,and then to compare the change of medication compliance and CD4 +T lymphocyte count after antiviral treatment for 6 months and 1 2 months between both groups.Results:The patients'medication compliance and CD4 +T lymphocyte count in ob-servation group were all higher than those in control group after antiviral treatment for 6 and 1 2 months,and the difference was statistically significant (P<0.05).Conclusion:The motivational interviewing with the guid-ance of transtheoretical model can improve the medication compliance of AIDS patients.%[目的]探讨以跨理论模型为指导的动机性访谈对艾滋病病人服药依从性的影响。[方法]将接受抗病毒治疗的艾滋病病人50例随机分为对照组和观察组,观察组采用跨理论模型为指导的动机性访谈干预方法,对照组采用常规干预方法,比较两组病人在抗病毒治疗后6个月、12个月服药依从性和CD4+T淋巴细胞计数的变化。[结果]在抗病毒治疗后6个月、12个月,观察组服药依从性、CD4+T淋巴细胞计数均高于对照组,差异有统计学意义(P<0.05)。[结论]以跨理论模型为指导的动机性访谈可提高艾滋病病人的服药依从性。

  10. AIDS in South Africa. (United States)

    Ijsselmuiden, C; Evian, C; Matjilla, J; Steinberg, M; Schneider, H


    The National AIDS Convention in South Africa (NACOSA) in October 1992 was the first real attempt to address HIV/AIDS. In Soweto, government, the African National Congress, nongovernmental organizations, and organized industry and labor representatives worked for 2 days to develop a national plan of action, but it did not result in a united effort to fight AIDS. The highest HIV infection rates in South Africa are among the KwaZulu in Natal, yet the Inkatha Freedom Party did not attend NACOSA. This episode exemplifies the key obstacles for South Africa to prevent and control AIDS. Inequality of access to health care may explain why health workers did not diagnose the first AIDS case in blacks until 1985. Migrant labor, Bantu education, and uprooted communities affect the epidemiology of HIV infection. Further, political and social polarization between blacks and whites contributes to a mindset that AIDS is limited to the other race which only diminishes the personal and collective sense of susceptibility and the volition and aptitude to act. The Department of National Health and Population Development's voluntary register of anonymously reported cases of AIDS specifies 1517 cumulative AIDS cases (October 1992), but this number is low. Seroprevalence studies show between 400,000-450,000 HIV positive cases. Public hospitals cannot give AIDS patients AZT and DDI. Few communities provided community-based care. Not all hospitals honor confidentiality and patients' need for autonomy. Even though HIV testing is not mandatory, it is required sometimes, e.g., HIV testing of immigrants. AIDS Training, Information and Counselling Centers are in urban areas, but not in poor areas where the need is most acute. The government just recently developed in AIDS education package for schools, but too many people consider it improper, so it is not being used. The poor quality education provided blacks would make it useless anyhow. Lifting of the academic boycott will allow South African

  11. JPRS Report, Epidemiology, Aids (United States)


    at home. For this they can thank the National Federation of Gays and Lesbians (LBL). -To develop an adequate core of specialists in AIDS prevention... Homosexuality [Vusie Ginindza; Mbabane THE TIMES OF SWAZILAND, 15 May 91] ...................................... 4 JPRS-TEP-91-012 5 June 1991 2 AIDS TANZANIA...sensitivity and not to sensa- tionalize the issue. Health Workers ’Alarmed’ at rise in AIDS, Homosexuality SWAZILAND MB1505085891 Mbabane THE TIMES

  12. Radiographic imaging of aids

    CERN Document Server

    Mahmoud, M B


    The acquired immunodeficiency syndrome (AIDS) has impacted the civilized world like no other disease. This research aimed to discuss some of the main aids-related complications and their detection by radiology tests, specifically central nervous system and musculoskeletal system disorders. The objectives are: to show specific characteristics of various diseases of HIV patient, to analyze the effect of pathology in patients by radiology, to enhance the knowledge of technologists in aids imaging and to improve communication skills between patient and radiology technologists.

  13. Pediatric palliative care for youth with HIV/AIDS: systematic review of the literature. (United States)

    Wilkins, Megan L; Dallas, Ronald H; Fanone, Kathleen E; Lyon, Maureen E


    Improvement in treatment has led to decreased death in youth with human immunodeficiency virus (HIV) in developed countries. Despite this, youth with HIV are still at risk for increased mortality and morbidity compared with their uninfected counterparts. In developing countries, high numbers of youth die from acquired immune deficiency syndrome (AIDS)-related illnesses due to lack of access to consistent antiretroviral treatment. As a result, pediatric palliative care is a relevant topic for those providing care to youth with HIV. A systematic review was conducted to gather information regarding the status of the literature related to pediatric palliative care and medical decision-making for youth with HIV. The relevant literature published between January 2002 and June 2012 was identified through searches conducted using PubMed, CINAHL, Scopus, and PSYCInfo databases and a series of key words. Articles were reviewed by thematic analysis using the pillars of palliative care set out by the National Consensus Project. Twenty-one articles were retained after review and are summarized by theme. In general, few empirically based studies evaluating palliative care and medical decision-making in youth with HIV were identified. Articles identified focused primarily on physical aspects of care, with less attention paid to psychological, social, ethical, and cultural aspects of care. We recommend that future research focuses on broadening the evaluation of pediatric palliative care among youth with HIV by directly evaluating the psychological, social, ethical, and cultural aspects of care and investigating the needs of all involved stakeholders.

  14. Infections and inequalities: anemia in AIDS, the disadvantages of poverty

    Directory of Open Access Journals (Sweden)

    Lucia Gonzalez


    Conclusions: The high prevalence of anemia found in poor patients with AIDS suggests that poverty increases the risk to suffer from this hematological complication. The relationship between economic development policies and AIDS is complex. Our results seem to point to the fact that AIDS epidemic may affect economic development and in turn be affected by it. If we consider that AIDS affects the economically active adult population, despite recent medical progress it usually brings about fatal consequences, especially within the poorest sectors of society where the disease reduces the average life expectancy, increases health care demand and tends to exacerbate poverty and iniquity.

  15. Music and hearing aids. (United States)

    Madsen, Sara M K; Moore, Brian C J


    The signal processing and fitting methods used for hearing aids have mainly been designed to optimize the intelligibility of speech. Little attention has been paid to the effectiveness of hearing aids for listening to music. Perhaps as a consequence, many hearing-aid users complain that they are not satisfied with their hearing aids when listening to music. This issue inspired the Internet-based survey presented here. The survey was designed to identify the nature and prevalence of problems associated with listening to live and reproduced music with hearing aids. Responses from 523 hearing-aid users to 21 multiple-choice questions are presented and analyzed, and the relationships between responses to questions regarding music and questions concerned with information about the respondents, their hearing aids, and their hearing loss are described. Large proportions of the respondents reported that they found their hearing aids to be helpful for listening to both live and reproduced music, although less so for the former. The survey also identified problems such as distortion, acoustic feedback, insufficient or excessive gain, unbalanced frequency response, and reduced tone quality. The results indicate that the enjoyment of listening to music with hearing aids could be improved by an increase of the input and output dynamic range, extension of the low-frequency response, and improvement of feedback cancellation and automatic gain control systems.

  16. An Investigation on Knowledge, Attitude and Practice(KAP) of Occupational Exposure to AIDS in Medical College Students in Qinghai%青海高职医学生艾滋病职业暴露知识、信念、行为的调查

    Institute of Scientific and Technical Information of China (English)

    祁宝奎; 李保存; 谭向东


    [ Objective ] To understand the current status of knowledge, attitude and practice ( KAP )of occupational exposure to acquired immune deficiency syndrome( AIDS )in medical college students in Qinghai and provide evidences to promote health education in this group. [ Methods ] A total of 750 students were recruited by a stratified cluster sampling design in a medical college in Qinghai. A questionnaire was used to collect information on occupational exposure to AIDS, occupational protection, education needs and personal career building. [ Results ] The highest score rate( 32.5% )was found in answering to proper handling protocol after occupational exposure to AIDS. The lowest score ( 2.72% ) was given to the estimated occupational exposure level. Training year significantly affected the score (P< 0.05 ). The junior students showed the highest score and the freshmen the lowest score. The knowledge score was also varied in different academic majors ( P < 0.05 ). The students of clinic medicine showed the highest score, but the clinic laboratory and radiological imaging students had the lowest score. 7.8% of students contacted AIDS patients in their clinic practice, 21.0% did not have training on AIDS, 8.4% had trained on occupational exposure and protection to AIDS, 10.5% had been trained related topics but did not remember well and 78.0% of students wanted further related educations. 25.6% of students showed interests in AIDS related medical and preventive career. [ Conclusion ] The investigation suggested that medical college students did not have sufficient training on occupational exposure to AIDS and showed low interests to AIDS related medical and preventive career in the future.%[目的]了解青海高职医学生艾滋病职业暴露知识、信念、行为现况,为在高职医学生中开展艾滋病职业暴露及职业防护健康教育提供科学依据.[方法]以教学班级为单位按年级分层随机整群抽样,在

  17. Magnetic Implants Aid Hearing

    Institute of Scientific and Technical Information of China (English)



    The next generation of hearing aids may use tiny magnets that fit inside the ear. Researchersat a California company and an engineer at the University of Virginia are both developing systems that rely on magnets to convey sounds. Conventional hearing aids have three components:a microphone, an amplifier, and a speaker. The microphone picks up sounds and sends them to the am-

  18. Genetic Immunity to AIDS

    Institute of Scientific and Technical Information of China (English)


    In an article on genetic immunity to AIDS published in Science magazine, American and Chinese scientists claim to have discovered why certain HIV carriers do not develop full-blown AIDS. They say that the key to this conundrum lies in a particular protein in the endocrine system that inhibits development of HIV.

  19. Aid and sectoral growth

    DEFF Research Database (Denmark)

    Selaya, Pablo; Thiele, Rainer


    This article examines empirically the proposition that aid to poor countries is detrimental for external competitiveness, giving rise to Dutch disease type effects. At the aggregate level, aid is found to have a positive effect on growth. A sectoral decomposition shows that the effect is (i...

  20. International Aid to Education (United States)

    Benavot, Aaron


    Recent evidence highlights several worrisome trends regarding aid pledges and disbursements, which have been exacerbated by the global financial crisis. First, while overall development assistance rose in 2008, after 2 years of decline, the share of all sector aid going to the education sector has remained virtually unchanged at about 12 percent…

  1. AIDS Epidemiological models (United States)

    Rahmani, Fouad Lazhar


    The aim of this paper is to present mathematical modelling of the spread of infection in the context of the transmission of the human immunodeficiency virus (HIV) and the acquired immune deficiency syndrome (AIDS). These models are based in part on the models suggested in the field of th AIDS mathematical modelling as reported by ISHAM [6].

  2. Aid and Income

    DEFF Research Database (Denmark)

    Lof, Matthijs; Mekasha, Tseday Jemaneh; Tarp, Finn


    to nonrandom omission of a large proportion of observations. Furthermore, we show that NDHKM’s use of co-integrated regressions is not a suitable empirical strategy for estimating the causal effect of aid on income. Evidence from a Panel VAR model estimated on the dataset of NDHKM, suggests a positive...... and statistically significant long-run effect of aid on income....

  3. First Aid: Burns (United States)

    ... Your 1- to 2-Year-Old First Aid: Burns KidsHealth > For Parents > First Aid: Burns A A A Scald burns from hot water and other liquids are the most common burns in early childhood. Because burns range from mild ...

  4. The Aid Effectiveness Literature

    DEFF Research Database (Denmark)

    Doucouliagos, Hristos; Paldam, Martin

    The AEL consists of empirical macro studies of the effects of development aid. At the end of 2004 it had reached 97 studies of three families, which we have summarized in one study each using meta-analysis. Studies of the effect on investments show that they rise by 1/3 of the aid – the rest is c...

  5. First Aid: Diaper Rash (United States)

    ... Your 1- to 2-Year-Old First Aid: Diaper Rash KidsHealth > For Parents > First Aid: Diaper Rash A A A Diaper rash is a common skin condition in babies. ... rash is due to irritation caused by the diaper, but it can have other causes not related ...

  6. First Aid: Burns (United States)

    ... Old Feeding Your 8- to 12-Month-Old Feeding Your 1- to 2-Year-Old First Aid: Burns KidsHealth > For Parents > First Aid: Burns Print A A A Scald burns from hot water and other liquids are the most common burns in early childhood. Because burns range from mild to life threatening, ...

  7. Aid, Development, and Education (United States)

    Klees, Steven J.


    The world faces pervasive poverty and inequality. Hundreds of billions of dollars in international aid have been given or loaned to developing countries though bilateral and multilateral mechanisms, at least, ostensibly, in order to do something about these problems. Has such aid helped? Debates around this question have been ongoing for decades,…

  8. HIV and AIDS (United States)

    ... one HIV test by the time they are teens. If you are having sex, have had sex in the past, or shared ... reviewed: October 2015 previous 1 • 2 • ... STDs How Do People Get AIDS? Can You Get HIV From Having Sex With Someone Who Has AIDS? Can Someone Get ...

  9. First Aid: Falls (United States)

    ... Your 1- to 2-Year-Old First Aid: Falls KidsHealth > For Parents > First Aid: Falls Print A A A en español Folleto de instructiones: Caídas (Falls) With all the running, climbing, and exploring kids ...

  10. AIDS as Metaphor. (United States)

    McMillen, Liz


    Scholarly interest in Acquired Immune Deficiency Syndrome (AIDS) has spread throughout the humanities, attracting the attention of historians of medicine, political scientists, sociologists, public health scholars, and anthropologists. Most theorists hope their research will aid in policymaking or change understanding of the epidemic. (MSE)

  11. Optimising AspectJ

    DEFF Research Database (Denmark)

    Avgustinov, Pavel; Christensen, Aske Simon; Hendren, Laurie


    AspectJ, an aspect-oriented extension of Java, is becoming increasingly popular. However, not much work has been directed at optimising compilers for AspectJ. Optimising AOP languages provides many new and interesting challenges for compiler writers, and this paper identifies and addresses three...... all of the techniques in this paper in abc, our AspectBench Compiler for AspectJ, and we demonstrate significant speedups with empirical results. Some of our techniques have already been integrated into the production AspectJ compiler, ajc 1.2.1....

  12. Pediatric emergency medical services and their drawbacks

    Directory of Open Access Journals (Sweden)

    Abdullah Foraih Al-Anazi


    Full Text Available Aim: To survey the literature on Pediatric Emergency Medical Services (PEMS with an aim to focus its drawbacks and emphasize the means of improvement. Materials and Methods: Published articles selected for inclusion were based on the significance and understanding of literature search on different aspects of PEMS. To meet this criterion, PubMed, PubMed Central, Science Direct, Uptodate, Med Line, comprehensive databases, Cochrane library and the Internet (Google, Yahoo were thoroughly searched. Results: PEMS provide out-of-hospital medical care and/or transport the patients to definitive care. The task force represents specialties of ambulance transport, first aid, emergency medical care, life saving, trauma, emergency medicine, water rescue, and extrication. Preliminary care is undertaken to save the patients from different medical exigencies. The techniques and procedures of basic and advanced life-support are employed. A large number of weaknesses are recorded in PEMS system, such as ambulance transport irregularities, deficit equipment, lack of expertise, and ignorance of the pre-hospital care providers. These are discussed with special reference to a few examples of medical exigencies. Conclusions: The appointments in PEMS should be regularized with specific qualifications, experience, and expertise in different areas. Responsibility of PEMS should not be left to pre-hospital care providers, who are non clinicians and lack proper education and training. Pediatricians should be adequately trained to play an active role in PEMS. Meetings should be convened to discuss the lapses and means of improvement. Networks of co-operation between pre-hospital providers and experts in the emergency department should be established.

  13. Some comments about the medical record

    Directory of Open Access Journals (Sweden)

    Alfredo Darío Espinosa Brito


    Full Text Available Some issues are commented about the medical records at present. There are included aspects as: history, importance, how to teach its performance, different functions, types of medical charts, and individual and institutional responsabilities with this document.

  14. Social accountability of medical education

    DEFF Research Database (Denmark)

    Lindgren, Stefan; Karle, Hans


    Medical doctors constitute a profession which embraces trust from and accountability to society. This responsibility extends to all medical educational institutions. Social accountability of medical education means a willingness and ability to adjust to the needs of patients and health care systems...... accountability of medical education must be included in all accreditation processes at all levels. The global standards programme by World Federation for Medical Education (WFME) provides tools for national or regional accreditation but also guidance for reforms and quality improvement. The standards are used....... In 2011, a revision of the standards for undergraduate education has been instituted. Strengthening of aspects on social accountability of medical education will be a particular concern....

  15. Reducing medication errors. (United States)

    Nute, Christine


    Most nurses are involved in medicines management, which is integral to promoting patient safety. Medicines management is prone to errors, which depending on the error can cause patient injury, increased hospital stay and significant legal expenses. This article describes a new approach to help minimise drug errors within healthcare settings where medications are prescribed, dispensed or administered. The acronym DRAINS, which considers all aspects of medicines management before administration, was devised to reduce medication errors on a cardiothoracic intensive care unit.

  16. AIDS as social construction: text mining of AIDS-related information in the Italian press. (United States)

    Caputo, Andrea; Giacchetta, Agnese; Langher, Viviana


    Given the relevance of AIDS as a public health problem in the Italian context and of the role of mass media in the social construction of the phenomenon, the aim of the present study is twofold: (1) to explore the main AIDS-related themes in the Italian popular press; (2) to analyse the temporal trends of AIDS representations over the last decades. For the research, we decided to consult Italian newspaper articles produced between 1985 and 1990 and between 2005 and 2010 using the archives of the main two national newspapers (La Repubblica and Corriere della Sera), resulting in an overall sample of 446 newspaper articles. A computer-aided content analysis allowed the detection of five different thematic domains (clusters), respectively focused on: Medical care (7.47%), Family support (37.03%), Science and religion debate (27%), Social exclusion (17.6%) and Healthcare policies (10.9%). These thematic domains are conceived along two main latent dimensions (factors) which explain 72.47% of the data variance which respectively deal with: (1) Attitudes towards people with AIDS (care versus avoidance) and (2) Social mandate on AIDS (powerlessness versus control). The study results also reveal the potential evolution of representations of people with AIDS over time: from stigmatised subjects who represent a risk for the entire society within a climate of social control to people progressively symbolised as frail subjects that need to be taken care of.

  17. An Aided Tool for Enterprise Network Design

    Institute of Scientific and Technical Information of China (English)

    冯径; 马小骏; 顾伯萱; 顾冠群


    With the rapid development of network technologies, it is necessary to make use of an aided tool (AT) to help enterprise network design (END). The AT must process many requirements qualitatively and quantitatively, and then give out the logical network guidance and preferred solution. The AT also needs to carry out a simulation program, and gives the feasibility report. This paper will introduce the authors' research work on above aspects.

  18. Medical Information Resources Development in China

    Institute of Scientific and Technical Information of China (English)

    Hao Jiying; Zhan Youxiang


    This paper expatiates on the recent medical information resource development and utilization in China. A comparison isdrawn between the medical information resource development and utilization in China and developed countries in five aspects: outlay of medical information resources, constructing and sharing of medical information resources, medical information policy and related rules of law, revelation of library collections and quadratic exploiture, etc. Finally some suggestions are put forward for the medical information resource development in China.

  19. Osteoporosis, Global and Iranian Aspects

    Directory of Open Access Journals (Sweden)

    B Larijani


    Full Text Available Osteoporosis, characterized by low bone mass and microarchitectural deterioration of bone tissue leading to enlarged bone fragility and a consequent increase in fracture risk is a leading cause of morbidity and mortality in elderly people. The mortality rate in elderly persons with hip fracture approaches 20%. Half of them will be disabled in the remained life. Iranian Multicenter Osteoporosis Study (IMOS developed by Endocrinology and Metabolism Research Center of Tehran University of Medical Sciences (EMRC-TUMS and Ministry of Health and Medical Education in 2000. The aim of this study with more than 6000 participitants, was to determine normal range of BMD in Iranian population and assessing the current calcium and vitamin D status in Iran. The results were used for determining the normrmogram of BMD in Iranians and prevalence of Vit-D deficinecy among them. This document outlines all aspects of osteoporosis including risk factors, diagnosis, treatment and prevention of osteoporosis.

  20. Symphonic electronic music: social aspects

    Directory of Open Access Journals (Sweden)

    Enfi A.


    Full Text Available In the article «Sympho-electronic music as deep-essential psychotherapy's tool of art-humanitarian practice» we provide definitions and characteristics of the new musicological concepts: «sympho-electronic music» (SEM, and show many benefits of using this music in depth-essential psychotherapy of art-humanitarian creativity, based on the implementation of major principles and basic medical-psychological aspects of the Essence Coding Theory (ECT. Demonstrated a specific example example of the use of SEM in psychotherapeutic practice.

  1. Medical Products Research (United States)


    Ventrex Laboratories, Inc. develops, manufactures and markets a line of medical diagnostic assays based on biochemical techniques, in particular immunochemical techniques. Their products are sold worldwide to hospitals and medical laboratories for use in testing blood samples and other biological fluids. Analysis of a patient's body fluids, compared with normal values, aids a physician in confirming or otherwise diagnosing a suspected disease condition. NERAC's rapid information retrieval has provided Ventrex invaluable up-to-date information, and has permitted large scale savings. NERAC's service was particularly important in the development of a new product in the company's Ventre/Sep line, which is used in radioimmunoassays.

  2. Discovering Early Aspects

    NARCIS (Netherlands)

    Baniassad, E.; Clements, P.; Araujo, J.; Moreira, A.; Rashid, A.; Tekinerdogan, B.


    Traditionally, aspect-oriented software development (AOSD) has focused on the software life cycle's implementation phase: aspects are identified and captured mainly in code. But aspects are evident earlier in the life cycle, such as during requirements gathering and architecture development. Identif

  3. 男性医学生的艾滋病预防知识知晓情况和生殖健康现状调查%Awareness Situation of AIDS Prevention Knowledge and Reproductive Health Status of Medical Female Students

    Institute of Scientific and Technical Information of China (English)

    王蕾; 牟李红; 梁浩; 魏莎莉; 秦波


    目的 了解男性医学生对艾滋病预防知识的知晓情况和生殖健康现状及其影响因素,为开发出针对艾滋病宣传重点人群的健康教育材料提供依据.方法 采用整群随机抽样法抽取581名1-4年级的男性医学生,采用统一的调查问卷进行横断面调查.结果 艾滋病的三大传播途径及非传播途径中吃饭、握手、拥抱不会感染艾滋病的知晓率较高(90%以上);蚊虫叮咬、礼节性接吻不会感染艾滋病的知晓率较低(70%左右).多元Logistic回归分析结果表明,性病患病的影响因素为是否有包茎或包皮过长、最近一次性行为是否使用安全套,OR值分别为3.830(1.049,13.981)、0.244(0.064,0.932);安全套使用频率的影响因素为是否有包茎或包皮过长,OR值为0.263(0.082,0.837).结论 我国应该加大相关知识的宣教力度、大力推广包皮环切手术,以降低性传播疾病特别是艾滋病的感染率,提高全民生殖健康水平.%Objective To understand the awareness situation of knowledge of AIDS prevention and reproductive health status of medical students and the influencing factors so as to provide the basis for developing health educates material for key crowd in AIDS awareness. Methods A cluster random sampling method was used to recruit 581 medical female students from grade 1~4, and a cross - sectional questionnaire survey was conducted among them. Results In the three major transmission routes and non - transmission of AIDS, the awareness rate about no infection of AIDS by having dinner together, hand shaking or embrace was high ( above 90% ); but awareness rate about being bitten by mosquito or insects , courtesy kiss could not be affected with AIDS ( 70% or so ). Multiple Logistic regression analysis indicated that the influencing factors of the venereal disease were phimosis, and whether one used condom in the latest sexual activity, the OR values were 3. 830 ( 1. 049, 13. 981 ) and 0. 244 ( 0. 064

  4. Impact of housing on the survival of persons with AIDS

    Directory of Open Access Journals (Sweden)

    Vittinghoff Eric


    Full Text Available Abstract Background Homeless persons with HIV/AIDS have greater morbidity and mortality, more hospitalizations, less use of antiretroviral therapy, and worse medication adherence than HIV-infected persons who are stably housed. We examined the effect of homelessness on the mortality of persons with AIDS and measured the effect of supportive housing on AIDS survival. Methods The San Francisco AIDS registry was used to identify homeless and housed persons who were diagnosed with AIDS between 1996 and 2006. The registry was computer-matched with a housing database of homeless persons who received housing after their AIDS diagnosis. The Kaplan-Meier product limit method was used to compare survival between persons who were homeless at AIDS diagnosis and those who were housed. Proportional hazards models were used to estimate the independent effects of homelessness and supportive housing on survival after AIDS diagnosis. Results Of the 6,558 AIDS cases, 9.8% were homeless at diagnosis. Sixty-seven percent of the persons who were homeless survived five years compared with 81% of those who were housed (p Conclusion Supportive housing ameliorates the negative effect of homelessness on survival with AIDS.

  5. HIV/AIDS and Alcohol (United States)

    ... Psychiatric Disorders Other Substance Abuse HIV/AIDS HIV/AIDS Human immunodeficiency virus (HIV) targets the body’s immune ... and often leads to acquired immune deficiency syndrome (AIDS). Each year in the United States, between 55, ...

  6. HIV, AIDS, and the Future (United States)

    Skip Navigation Bar Home Current Issue Past Issues HIV / AIDS HIV, AIDS, and the Future Past Issues / Summer 2009 ... turn Javascript on. Photo: The NAMES Project Foundation HIV and AIDS are a global catastrophe. While advances ...

  7. Irish medical device industry update. (United States)

    Higgins, Sharon


    The continued growth of the Irish medical technology industry has not been accidental. The sector is proactive in its drive for excellence in all aspects of the business, from concept to commercialisation. This reports on some recent initiatives.

  8. Aid and Growth

    DEFF Research Database (Denmark)

    Tarp, Finn; Mekasha, Tseday Jemaneh


    Recent litterature in the meta-analysis category where results from a range of studies are brought together throws doubt on the ability of foreign aid to foster economic growth and development. This article assesses what meta-analysis has to contribute to the litterature on the effectiveness...... of foreign aid in terms of growth impact. We re-examine key hypotheses, and find that the effect of aid on growth is positive and statistically significant. This significant effect is genuine, and not an artefact of publication selection. We also show why our results differ from those published elsewhere....

  9. Aid Supplies Over Time

    DEFF Research Database (Denmark)

    Jones, Edward Samuel


    What determines how much foreign aid donors provide? Existing answers to this question point to a complex range of influences. However, the tasks of distinguishing between long- and short-run factors, as well as differences between donors, have not been adequately addressed. Taking advantage...... of data spanning nearly 50 years, this paper uses panel cointegration techniques to consider these issues. The analysis provides clear evidence for heterogeneity both between donors and over time, bandwagon effects, and a growing influence of security considerations in aid provision. Domestic...... macroeconomic shocks have a moderate but delayed effect on aid disbursements....

  10. Aid and Growth

    DEFF Research Database (Denmark)

    Mekasha, Tseday Jemaneh; Tarp, Finn

    Some recent literature in the meta-analysis category where results from a range of studies are brought together throws doubt on the ability of foreign aid to foster economic growth and development. This paper assesses what meta-analysis has to say about the effectiveness of foreign aid in terms...... of the growth impact. We re-examine key hypotheses, and find that the effect of aid on growth is positive and statistically significant. This significant effect is genuine, and not an artefact of publication selection. We also show why our results differ from those published elsewhere....

  11. Pulmonary complications of AIDS: radiologic features. [AIDS

    Energy Technology Data Exchange (ETDEWEB)

    Cohen, B.A.; Pomeranz, S.; Rabinowitz, J.G.; Rosen, M.J.; Train, J.S.; Norton, K.I.; Mendelson, D.S.


    Fifty-two patients with pulmonary complications of acquired immunodeficiency syndrome (AIDS) were studied over a 3-year period. The vast majority of the patients were homosexual; however, a significant number were intravenous drug abusers. Thirteen different organisms were noted, of which Pneumocystis carinii was by far the most common. Five patients had neoplasia. Most patients had initial abnormal chest films; however, eight patients subsequently shown to have Pneumocystis carinii pneumonia had normal chest films. A significant overlap in chest radiographic findings was noted among patients with different or multiple organisms. Lung biopsy should be an early consideration for all patients with a clinical history consistent with the pulmonary complications of AIDS. Of the 52 patients, 41 had died by the time this report was completed.

  12. HIV/AIDS (United States)

    ... equity (covering the populations in need of services). Financing for sustainability (covering the costs of services). Innovation for acceleration (looking towards the future). WHO is a cosponsor of the Joint United Nations Programme on AIDS (UNAIDS). Within UNAIDS, WHO leads ...

  13. First Aid: Croup (United States)

    ... Development Infections Diseases & Conditions Pregnancy & Baby Nutrition & Fitness Emotions & Behavior School & Family Life First Aid & Safety Doctors & ... with each breath has a pale or bluish color around the mouth drools or has difficulty swallowing ...

  14. Buying a Hearing Aid (United States)

    ... Contact Us Calendar ENTCareers Marketplace ENT Careers Marketplace Log in b Log in Toggle navigation b Join Now Donate Now ... using your hearing aids in quiet surroundings, gradually building up to noisier environments. Then eventually work up ...

  15. HIV/AIDS (United States)

    HIV stands for human immunodeficiency virus. It harms your immune system by destroying the white blood cells ... It is the final stage of infection with HIV. Not everyone with HIV develops AIDS. HIV most ...

  16. AidData (United States)

    US Agency for International Development — AidData is a research and innovation lab making information on development finance more accessible and actionable. Tracking more than $6 trillion dollars from 90+...

  17. Convulsions - first aid - slideshow (United States)

    ... this page: // Convulsions - first aid - series—Procedure, part 1 To use ... slide 2 out of 2 Overview When a seizure occurs, the main goal is to protect the ...

  18. Hypophyseal pathology in AIDS


    Mosca, L; Costanzi, G; Antonacci, C.; Boldorini, R; Carboni, N.; Cristina, S; Liberani, C.; Parravicini, C.; Pirolo, A.; Vago, L


    One hundred and eleven pituitary glands of patients (93 males, 18 females; mean age 32 years, 5 months) who died of fully developed AIDS or ARC were examined under light microscopy with the aid of immunohistochemistry. On post mortem (p.m.) examination a wide series of multiorgan alterations was noticed. Microscopically vanous lesions in both adeno- and neurohypophysis were seen. These ranged from vessel damage to secondaries to systemic infections, neoplas...

  19. Plasma-aided manufacturing (United States)

    Shohet, J. L.


    Plasma-aided manufacturing is used for producing new materials with unusual and superior properties, for developing new chemical compounds and processes, for machining, and for altering and refining materials and surfaces. Plasma-aided manufacturing has direct applications to semiconductor fabrication, materials synthesis, welding, lighting, polymers, anti-corrosion coatings, machine tools, metallurgy, electrical and electronics devices, hazardous waste removal, high performance ceramics, and many other items in both the high-technology and the more traditional industries in the United States.

  20. Computer-aided design and computer science technology (United States)

    Fulton, R. E.; Voigt, S. J.


    A description is presented of computer-aided design requirements and the resulting computer science advances needed to support aerospace design. The aerospace design environment is examined, taking into account problems of data handling and aspects of computer hardware and software. The interactive terminal is normally the primary interface between the computer system and the engineering designer. Attention is given to user aids, interactive design, interactive computations, the characteristics of design information, data management requirements, hardware advancements, and computer science developments.

  1. Computer-aided Translation Technology and Its Applications

    Institute of Scientific and Technical Information of China (English)

    汪美侠; 何大顺


    This article begins with a brief analysis of the significance of translation technology in different spheres of modern life, followed by a distinction between machine translation (MT) and computer-aided translation (CAT). It then describes some trans-lation resources and tools and examines the negative and positive aspects of computer-aided translations. Finally it comes to a conclusion that it would be greatly efficient and productive for the translators to acquire the new skills in the translation work-place.

  2. Medical marijuana: CAS releases report, government cuts research funding. (United States)

    Betteridge, Glenn


    In June 2006, the Canadian AIDS Society (CAS) released a comprehensive report with recommendations to overcome barriers to the use of cannabis for medical purposes faced by people living with HIV/AIDS in Canada. On 25 September 2006, as part of package of spending cuts, the federal government announced plans to eliminate its marijuana medical research program.

  3. Professionalism in Medical Education (United States)

    Hilton, Sean; Southgate, Lesley


    Medical professionalism in today's society requires the exhibition of a range of qualities deployed in the service of patients, rather than more traditionally defined aspects such as mastery, autonomy and self-regulation. These qualities incorporate demonstrated clinical competence; aspiring to excellence in practice while demonstrating humility…

  4. First Aid and Safety (United States)

    ... Your Child's Medical History Lead Poisoning Leaving Your Child Home Alone Making Sure Your Teen's Job Is Safe Making the Holidays Safe Medications: Using Them Safely Preventing Dog Bites Selecting Safe Pets Sexting: What Parents Need to Know Taking Care ...

  5. First Aid and Safety (United States)

    ... Playground Safety Preventing Children's Sports Injuries Safety Tips: Baseball Safety Tips: Basketball Safety Tips: Hockey Safety Tips: ... it a Medical Emergency? Knowing Your Child's Medical History Nosebleeds Seizures Serious Allergic Reactions (Anaphylaxis) Teaching Your ...

  6. Research on the Balint groups to improve medical staff occupational stress and burnout aspects%巴林特小组改善医护人员职业压力与职业倦怠

    Institute of Scientific and Technical Information of China (English)



    目的::探讨巴林特小组在改善医护人员职业压力和职业倦怠方面的效果,降低医护人员负性情绪体验,有效预防医护人员职业倦怠。方法:选取潍坊市某中医院124名医护人员,采用知觉压力量表(CPSS)、职业倦怠量表(MBI-HSS)、正性负性情绪量表(PANAS),选取量表高分端的27%中的20人为研究对象,随机划分成10人的实验组,进行为期3个月的巴林特小组干预,10人的对照组,无任何干预,在干预前后分别对实验组和对照组进行测量。结果:实验组被试在 CPSS 总分、紧张感、失控感、MBI- HSS 总分、情绪疲惫感、工作冷漠感、负性情绪水平维度上后测得分低于前测,差异有统计学意义(t =4.58,4.58,3.58,4.92,5.60,3.34,8.17;P 0.05)。结论:巴林特小组可以改善医护人员职业压力和职业倦怠。%Objective:To investigate the effect of Balint groups to improve of medical staff occupational stress and job burnout,and then to reduce the negative emotional experience and prevent the job burnout of medical staffs effec-tively.Methods:124 medical staffs from traditional Chinese medical hospital of Linqu were enrolled in this study,u-sing Perceived Stress Scale,Maslach Burnout Inventory,The Positive and Negative Affect Scale to investigate the status.20 people of high scores on PSS,MBI,NA were selected,divided 10 of them into Balint group in random ways and then trained for three months;10 medical staff were divided into control group without any intervention.Both ex-perimental group and control group were asked to complete all the scales before and after the intervention.Results:In scores on CPSS,sense of tension,sense of out of control,MBI- HSS,emotion exhaustion,job burnout,negative af-fect,the experimental group were significantly lower than before(t = 4.58,4.58,3.58,4.92,5.60,3.34,8.1 7;P 0.05).Conclusion:Balint groups can improve occupation-al stress and job burnout of medical staff.

  7. Functional aspects of spina bifida in childhood

    NARCIS (Netherlands)

    Schoenmakers, Maria Adriana Gerdina Cornelia


    Due to advanced medical treatment, more children with spina bifida survive into adulthood. Most outcome studies in the field of spina bifida research focus on disease aspects (‘pathology’) and its relation to one of the domains in the ‘disablement process’ such as physical functioning, cognitive abi

  8. Incisional hernia: new approaches and aspects

    NARCIS (Netherlands)

    D. den Hartog (Dennis)


    textabstractThis thesis is about the anatomy, diagnosis, treatment and outcome of incisional hernia. New approaches and aspects are discussed in the following chapters. The following definitions were derived from Butterworth’s medical dictionary 1. A hernia is the protrusion of an internal organ th

  9. Multilateral Aid | L’aide multilatérale

    Directory of Open Access Journals (Sweden)


    Full Text Available Bilateral and Multilateral Aid, DAC Members, 1960–2010 (in million USD constant, 2009Aide bilatérale et multilatérale des pays membres du CAD, 1960-2010 (en millions USD constants de 2009­Bilateral and Multilateral Aid by Recipient Region, DAC Members, 2008 (in percentage of total aid by RegionAide bilatérale et multilatérale des pays membres du CAD par region de destination, 2008 (en pourcentage de l’aide totale par régionSources: OECD (2010 2010 DAC Report on Multilateral Aid (Paris: O...

  10. Development of a computer-aided design system for comparative medical animal experiments%比较医学动物实验计算机辅助设计系统的研发

    Institute of Scientific and Technical Information of China (English)

    胡樱; 杨斐; 俞伊军; 高诚


    Objective To develop an application software for researchers to design comparative medical animal experiments as well as to learn the designing process independently. Methods The technical information of comparative medical animal researches were screened according to the “science, ethic, economic” principle of laboratory animal usage. The candidate data were analyzed and organized on the basis of relational database schema theory. The framework was designed and the modules were set up refered to the rules and features of comparative medical animal experiment process.The whole program was developed in an user-oriented way by using C + + and MFC library. Result Five modules, including model selecting module, laboratory animal module, environment and condition module, laboratory process module and program output module were established along with the related information database, and the test of whole software was conducted. Conclusions The CAD system for comparative medical animal experiment developed in this study is effective and easy to use in designing animal experiment and self-learning of the design process based on PC.%目的 开发一款辅助研究者设计比较医学动物实验方案和学习实验设计的应用软件.方法 根据实验动物应用的"科学、伦理、经济"原则筛选比较医学动物实验技术资料,运用关系数据库架构原理分析和组织入选数据,通过解析比较医学动物实验规律和特点设计程序框架和模块,采用C++语言、MFC库进行面向用户的程序设计.结果 建立了程序相关资源库和模型选择、实验动物、环境条件、实验步骤、方案输出5个功能模块,并完成整个软件测试.结论 研发成功比较医学动物实验计算机辅助设计系统,该系统能够基于微型计算机为用户提供有效、易用的动物实验辅助设计和自助学习功能.

  11. [Being a mother affected with AIDS: reliving the original sin]. (United States)

    Pereira, M L; Chaves, E C


    This study aimed to understand the meaning of being with AIDS among HIV/AIDS mothers. It looks for to identify the emotions and the way of cope with the situation as a mother has a healthy son. This study was conducted based on the Social Representations Theory. The findings showed "to be mother" and "to have AIDS" represented as a process that does not finish in the disease itself. Also it was found that there is a polarize link between the good and the evil. Indeed, this study brought the sexuality likewise the polarized link, being AIDS linked to evil aspect. These women from this study had perceived themselves as guilty of something, as a result, they deserved the punishment that the AIDS imposed on them.

  12. 云南省某医学高职院校大学生对艾滋病知识、态度及需求的调查研究%A Study on knowledge, attitude and requirement of HIV/AIDS amongst a medical vocational college students in Yunnan

    Institute of Scientific and Technical Information of China (English)

    张晓刚; 罗剑敏; 雷红梅; 张志聪; 秦睿; 周文刚; 唐松源


    Objective To understand awareness of HIV/AIDS related knowledge, attitude, health education demands amongst the medical vocational collage students so as to provide evidence-based information for implementing a set of effective intervention measures in campus.Methods Investigated the students by self-designed questionnaire, collected the data and double-entered by Epidata, and analyzed by SPSS statistical software package. Comparison, Independent-Samples T Test and variance analysis were used. Results The average score of HIV/AIDS knowledge was(14.84±2.99)points out of 19 points. The univariate analysis indicated that the main influential factors associated with students’ knowledge are age, grade, major, education level and getting relative training (p0.05). The survey showed that about one third of students still had a negative attitude towards AIDS patients. Only 18.6% of the student attended STD/HIV/AIDS professional training course. The students’ AIDS knowledge mainly came from school teachers (81.6%) and mass media (79.8%). Meanwhile, 82.6% of students report that they need the knowledge in terms of STI and HIV, followed by sexual psychological education (74.4%).Conclusions Medical students grasped some basic knowledge of AIDS and knew major routes of AIDS transmission, but they were not systemically, accurate and scientific. So we suggested that we should strengthen HIV/AIDS knowledge education, and popularizes condom to prevent AIDS.%[目的]了解昆明某医科类高职院校在校医学生对艾滋病相关知识的了解、态度、需求等情况,为学校进一步开展性健康教育、艾滋病健康教育和推广安全套预防艾滋病的行为干预措施提供参考依据。[方法]采用自行设计的问卷对昆明某医科类高职院校在校医学生进行调查,对收集的数据采用Epidata进行双录入,用SPSS统计软件包进行统计分析,统计方法采用率的比较,t检验、方差分析。[结果]被调查大

  13. Abortion - medical (United States)

    Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion ... A medical, or nonsurgical, abortion can be done within 7 weeks from the first day of the woman's last ...

  14. Oral Medication (United States)

    ... Size: A A A Listen En Español Oral Medication The first treatment for type 2 diabetes blood ... new — even over-the-counter items. Explore: Oral Medication How Much Do Oral Medications Cost? Save money ...

  15. AIDS, public health and the panic reaction (Part II). (United States)

    Priya, R


    Salient points of AIDS control in India are summarized. An autonomous national AIDS control organization has been set up, which received a sizable loan from the World Bank. As a result, the central health budget became skewed with one-fourth of its expenditures going for AIDS and not enough spent on general health services. Among issues inadequately addressed are: 1) HIV surveillance; 2) diagnosis of AIDS; 3) appropriate and safe medical care; 4) wasteful expenditure; 5) educating health workers; and 6) blood bank services. HIV surveillance and testing centers have been attached to a few large hospitals and medical colleges, but more testing and treatment services will be needed. The World Health Organization (WHO) recommends testing only after informed consent has been obtained; however, in India this is impossible because of the high rate of illiteracy. Instead, counseling is provided by special social workers and testing is prescribed by doctors. Special AIDS clinics might be the solution, although they lead to isolation and stigmatization of patients. Doctors and nurses should be made aware about the importance of informed consent and counseling to encourage voluntary and anonymous testing. The present WHO definition of AIDS for diagnosis is too general and is based on the African experience. Its use may lead to misdiagnosis of many cases of tuberculosis, diarrhea, and malnutrition as AIDS. Clinical criteria applicable to the Indian reality need to be developed urgently. Private practitioners have also entered HIV testing, but often they rely only on the ELISA test without confirmation which might result in a high rate of false positives. General medical care of AIDS cases have to be strengthened with routine sterilization to avoid wasteful expenditures, health workers have to be reeducated, blood bank services need to be streamlined, and more AIDS-related research is also required.

  16. [Legal aspects of ritual circumcision]. (United States)

    Schreiber, M; Schott, G E; Rascher, W; Bender, A W


    Female circumcision (genital mutilation) is a criminal violation of human rights under German law. Even with consent of the person to be circumcised and/or her legal representative this procedure must not be carried out since a consent to female circumcision is unethical and therefore void. As much consent as there is on female circumcision the legal situation with ritual male circumcision is very unclear. In practice and unnoticed by the public male circumcision is carried out - be it for medical or ritual reasons - without deeper-going reflexions on the clearness of the medical indication or the legal situation with ritual circumcision. From the medical aspect there are big differences between female and male circumcision but also certain parallels. Various reasons, partly founded in prejudice and misinformation, make people refrain from regarding circumcision of boys also as illegal. Contrary to the prevailing opinion male circumcision also represents a bodily harm which a doctor can only carry out after a preoperative interview and with the consent of the affected person. Since ritual male circumcision does not serve the wellbeing of a child it is not possible for the parents to give their consent to the circumcision in lieu of the child. Male circumcision is only permitted if the child has given his consent and is thus only legally permitted if the child has reached an age at which he is mature enough to understand the meaning and extent of such an action which is hardly the case before he has completed his 16 (th) year.

  17. 艾滋病高发区艾滋病关键知情人医疗保障现状认知及意向调查%Investigation on Medical Insurance among Key Informants with HIV/AIDS in the High HIV Epidemic Area

    Institute of Scientific and Technical Information of China (English)

    陆梅泾; 许燕君; 万瑾; 杨光; 徐鹏; 陈春; 王颖


    Objective: To understand health care burden and medical insurance among People Living with HIV/AIDS in Dali Prefecture of Yunnan Province.Methods: An In-depth literature review among 58 administrators, providers and consumers of health service of HIV/AIDS was conducted at Dali, Yunnan Province.Results:The majority of respondents living with HIV/AIDS lacked enough understanding of medical in-surance, and related reimbursement system.In the opinion of the administrators, providers and more than seventy percent of consumers, disease burden of PLWHA was not heavy but the reimbursement scope was too small.Conclusion:The current reimbursement rate is reasonable and the scope is narrow.Insufficient finance for routine testing is invested by the government, and PLWHA are facing heavy psychological burden.It's suggested that related departments should strengthen related medical insurance and assistance policy, expand the scope of medical insurance reim-bursement, and improve the investment in routine testing.%目的:了解艾滋病高发区艾滋病病毒感染者及病人的费用负担及医疗保障现状。方法:选择艾滋病高发区云南省大理州为样本地区,选取样本地区艾滋病卫生服务提供者、管理者和艾滋病病毒感染者及病人共58人,从供、需、管理三方关键知情人视角就艾滋病医疗保障现状的认知进行调查。结果:绝大多数艾滋病病毒感染者及病人对医疗保障政策、救助政策及报销制度缺乏了解;艾滋病卫生服务提供方、管理方专家以及逾七成卫生服务利用方认为艾滋病患者疾病负担不重,但艾滋病治疗的报销范围过小。结论:现有医保报销比例合理但报销范围褊狭,政府对艾滋病患者常规检测投入不足,且艾滋病患者面临沉重心理负担。应加强对艾滋病相关医保及救助政策的宣传,扩大医疗保障报销范围,增加对艾滋病定点医疗机构常规检测的投入

  18. Pharmacotherapeutic Aspects of Space Medicine (United States)

    Putcha, Lakshmi


    produced by any drug depend upon rates of absorption, distribution, metabolism, and elimination of the drug; space flight-induced changes in blood flow and the function of the gastrointestinal (GI) tract, liver, or kidneys may alter these processes. Another important aspect of clinical efficacy of medications in space is the stability of pharmaceuticals. As the U.S. space program is moving toward extended Space Shuttle flights and beyond, to space station missions and planetary explorations, understanding how space flight affects organ systems and clinical pharmacology is necessary to optimize pharmacotherapeutics in space and ensure adequate safety and health of crewmembers.

  19. Sensor Networks for Medical Care


    Shnayder, Victor; Chen, Bor-rong; Lorincz, Konrad; Fulford-Jones, Thaddeus R. F.; Welsh, Matt


    Sensor networks have the potential to greatly impact many aspects of medical care. By outfitting patients with wireless, wearable vital sign sensors, collecting detailed real-time data on physiological status can be greatly simplified. However, there is a significant gap between existing sensor network systems and the needs of medical care. In particular, medical sensor networks must support multicast routing topologies, node mobility, a wide range of data rates and high degrees of reliabilit...

  20. Women and AIDS: introduction. (United States)

    Krieger, N; Margo, G


    Around the world, more and more women--principally poor women of color--are being diagnosed with and are dying of AIDS, the acquired immune deficiency syndrome. Yet, effective and appropriate prevention programs for women are sorely missing from the global program to control AIDS. To help us understand why this gap exists, and what we must do to close it, the three articles in this issue focus on women and AIDS. Examining the situation in such countries as Zimbabwe and South Africa, as well as in other economically underdeveloped and developed regions, the authors argue that women with the least control over their bodies and their lives are at greatest risk of acquiring AIDS. For example, the high rate of infection among women in Africa cannot be understood apart from the legacy of colonialism (including land expropriation and the forced introduction of a migrant labor system) and the insidious combination of traditional and European patriarchal values. Only by recognizing the socioeconomic and cultural determinants of both disease and sexual behavior, and only by incorporating these insights into our AIDS prevention programs, will we be able to curb the spread of this lethal disease.

  1. AIDS in Africa. (United States)

    Mokhobo, D


    Numerous cultural practices and attitudes in Africa represent formidable obstacles to the prevention of the further spread of acquired immunodeficiency syndrome (AIDS). Polygamy and concubinage are still widely practiced throughout Africa. In fact, sexual promiscuity on the part of males is traditionally viewed as positive--a reflection of male supremacy and male sexual prowess. The disintegration of the rural African family, brought about by urbanization, the migrant labor system, and poverty, has resulted in widespread premarital promiscuity. Contraceptive practices are perceived by many as a white conspiracy aimed at limiting the growth of the black population and thereby diminishing its political power. Condom use is particularly in disfavor. Thus, AIDS prevention campaigns urging Africans to restrict the number of sexual partners and to use condoms are unlikely to be successful. Another problem is that most Africans cannot believe that AIDS is sexually linked in that the disease does not affect the sex organs as is the case with other sexually transmitted diseases. The degree to which African governments are able to allocate resources to AIDS education will determine whether the epidemic can be controlled. Even with a massive outpouring of resources, it may be difficult to arouse public alarm about AIDS since Africans are so acclimated to living with calamities of every kind.


    Institute of Scientific and Technical Information of China (English)


    Chinese Premier Wen Jiabao visits AIDS orphans in Shangcai County,central China’s Henan Province,on November 30,a day before the 20th World AIDS Day. The region of Shangcai has the highest concentration of people living with HIV/AIDS in China. The Chinese Government has released a package of policies that offer people living with HIV/AIDS free medicine,health checks and consultations,as well as free schooling to AIDS orphans.

  3. Modelling AIDS epidemic and treatment with difference equations

    Directory of Open Access Journals (Sweden)

    Ramani A


    Full Text Available We propose two models for the description of the dynamics of an AIDS epidemic and of the effect of a combined-drugs AIDS treatment based on difference equations. We show that our interacting population model, despite its extreme simplicity, describes adequately the evolution of an AIDS epidemic. A cellular-automaton analogue of the discrete system of equations is presented as well. In the case of drug treatment, we identify two different regimes corresponding to efficient and inefficient medication. The effect of the discreteness of the equations is also studied.

  4. Modelling AIDS epidemic and treatment with difference equations

    Directory of Open Access Journals (Sweden)

    A. S. Carstea


    Full Text Available We propose two models for the description of the dynamics of an AIDS epidemic and of the effect of a combined-drugs AIDS treatment based on difference equations. We show that our interacting population model, despite its extreme simplicity, describes adequately the evolution of an AIDS epidemic. A cellular-automaton analogue of the discrete system of equations is presented as well. In the case of drug treatment, we identify two different regimes corresponding to efficient and inefficient medication. The effect of the discreteness of the equations is also studied.

  5. [First-aid in France. Current situation and future perspectives]. (United States)

    Larcan, Alain; Julien, Henri


    First-aid--treatment aimed at enabling a victim to survive pending the arrival of qualified medical support--is less well developed in France than in many other industrialized countries, especially among the general public. The current status of first-aid in France is paradoxical: schooling is free and obligatory, the ambulance service and emergency services are of the highest quality, but the general public are too often passive and unknowledgeable when faced with an emergency situation. This situation is due to several factors, including the complexity of first-aid training and regulations, the involvement of too many public bodies, the legal liability of the first-aider, and a lack of ongoing training. The French National Academy of Medicine recommends 8 measures to improve this situation: Provide a legal definition of first-aid: "a set of recognized measures aimed, in an emergency setting, at preserving the physical and psychological integrity of the victim of an accident or illness, notably pending the arrival of professional medical assistance". Waive, as in many other countries, civil and legal responsibility for the non professional first-aider, except in case of clear negligence. Reinforce the organization of first-aid in France in order to monitor the number and quality of first-aiders, and to ensure theoretical and pedagogic research; create a communications department capable of supporting and promoting first-aid. Improve access to first-aid training by increasing the number of situations in which it is obligatory (driving tuition, school and university examinations, group responsibility, at-risk practices), by providing financial assistance for certain groups, and by ensuring routine training at school, in the armed forces, and in the workplace. Create a progressive and integrated citizen first-aid training course with individual modules, ensuring that first-aiders update and perfect their knowledge throughout life. Soften pedagogic rules and shorten

  6. Visual Aids Improve Diagnostic Inferences and Metacognitive Judgment Calibration

    Directory of Open Access Journals (Sweden)

    Rocio eGarcia-Retamero


    Full Text Available Visual aids can improve comprehension of risks associated with medical treatments, screenings, and lifestyles. Do visual aids also help decision makers accurately assess their risk comprehension? That is, do visual aids help them become well calibrated? To address these questions, we investigated the benefits of visual aids displaying numerical information and measured accuracy of self-assessment of diagnostic inferences (i.e., metacognitive judgment calibration controlling for individual differences in numeracy. Participants included 108 patients who made diagnostic inferences about three medical tests on the basis of information about the sensitivity and false-positive rate of the tests and disease prevalence. Half of the patients received the information in numbers without a visual aid, while the other half received numbers along with a grid representing the numerical information. In the numerical condition, many patients --especially those with low numeracy-- misinterpreted the predictive value of the tests and profoundly overestimated the accuracy of their inferences. Metacognitive judgment calibration mediated the relationship between numeracy and accuracy of diagnostic inferences. In contrast, in the visual aid condition, patients at all levels of numeracy showed high-levels of inferential accuracy and metacognitive judgment calibration. Results indicate that accurate metacognitive assessment may explain the beneficial effects of visual aids and numeracy --a result that accords with theory suggesting that metacognition is an essential part of risk literacy. We conclude that well-designed risk communications can inform patients about health-relevant numerical information while helping them assess the quality of their own risk comprehension.

  7. AIDS in Colombia. (United States)

    Boshell, J; Gacharná, M G; García, M; Jaramillo, L S; Márquez, G; Fergusson, M M; González, S; Prada, E Y; de Rangel, R; de Cabas, R


    Between January 1984 and December 1987 a total of 178 AIDS cases were reported to the Colombian Ministry of Health. The location of these cases suggests that the human immunodeficiency virus (HIV) is widely distributed in Colombia. Most of those afflicted (97%) have been adult males. HIV seroprevalence studies of selected population groups revealed the highest antibody prevalence (5.65% in females, 22.5% in males) among individuals involved in high-risk behaviors who participated in a free AIDS testing program. High prevalences (from 0.6% to 3.9% in females, and 14.6% to 15.9% in males) were also found in patients (primarily female prostitutes and male homosexuals) attending clinics for sexually transmitted diseases in several urban areas. The number of AIDS cases in Colombia has doubled or tripled annually since reporting began in 1984, a pattern similar to that observed worldwide.

  8. Aspects of functioning and environmental factors in medical work capacity evaluations of persons with chronic widespread pain and low back pain can be represented by a combination of applicable ICF Core Sets

    Directory of Open Access Journals (Sweden)

    Schwegler Urban


    Full Text Available Abstract Background Medical work capacity evaluations play a key role in social security schemes because they usually form the basis for eligibility decisions regarding disability benefits. However, the evaluations are often poorly standardized and lack transparency as decisions on work capacity are based on a claimant’s disease rather than on his or her functional capacity. A comprehensive and consistent illustration of a claimant’s lived experience in relation to functioning, applying the International Classification of Functioning, Disability and Health (ICF and the ICF Core Sets (ICF-CS, potentially enhances transparency and standardization of work capacity evaluations. In our study we wanted to establish whether and how the relevant content of work capacity evaluations can be captured by ICF-CS, using disability claimants with chronic widespread pain (CWP and low back pain (LBP as examples. Methods Mixed methods study, involving a qualitative and quantitative content analysis of medical reports. The ICF was used for data coding. The coded categories were ranked according to the percentage of reports in which they were addressed. Relevance thresholds at 25% and 50% were applied. To determine the extent to which the categories above the thresholds are represented by applicable ICF-CS or combinations thereof, measures of the ICF-CS’ degree of coverage (i.e. content validity and efficiency (i.e. practicability were defined. Results Focusing on the 25% threshold and combining the Brief ICF-CS for CWP, LBP and depression for CWP reports, the coverage ratio reached 49% and the efficiency ratio 70%. Combining the Brief ICF-CS for LBP, CWP and obesity for LBP reports led to a coverage of 47% and an efficiency of 78%. Conclusions The relevant content of work capacity evaluations involving CWP and LBP can be represented by a combination of applicable ICF-CS. A suitable standard for documenting such evaluations could consist of the Brief ICF

  9. [The concept of the organ, as a hierarchal unit of human body, and its place in teaching histology at the medical university and medical college]. (United States)

    Miadelets, O D; Miadelets, N Ia; Miadelets, V O


    This paper deals with the methodological aspects of teaching histology at the medical university and medical college. The authors raise the issue of the necessity of teaching of the topic "Introduction to Special Histology" and the inclusion of the appropriate chapter into the textbooks. This is important for the students, as the formation of the general concepts of organ structure and function, components, and classification will aid in the further study of specific organs during the course of Special Histology. The authors describe their own experience in teaching of the section, dedicated to the general regularities of organ structure, present some definitions and classifications that are used by them for a number of years.

  10. Computer aided control engineering

    DEFF Research Database (Denmark)

    Szymkat, Maciej; Ravn, Ole


    Current developments in the field of Computer Aided Control Engineering (CACE) have a visible impact on the design methodologies and the structure of the software tools supporting them. Today control engineers has at their disposal libraries, packages or programming environments that may be speci......Current developments in the field of Computer Aided Control Engineering (CACE) have a visible impact on the design methodologies and the structure of the software tools supporting them. Today control engineers has at their disposal libraries, packages or programming environments that may...

  11. 75 FR 28263 - Part C Early Intervention Services Grant Under the Ryan White HIV/AIDS Program (United States)


    ... Under the Ryan White HIV/AIDS Program AGENCY: Health Resources and Services Administration (HRSA), HHS... with HIV/AIDS, including primary medical care, laboratory testing, oral health care, outpatient mental... providing services after March 31, 2010. HRSA's HIV/AIDS Bureau identified the Rural Health Group as...

  12. 75 FR 54898 - Part C Early Intervention Services Grant Under the Ryan White HIV/AIDS Program (United States)


    ... Under the Ryan White HIV/AIDS Program AGENCY: Health Resources and Services Administration (HRSA... The Ryan White HIV/AIDS Program to support comprehensive primary care services for persons living with HIV/AIDS, including primary medical care, laboratory testing, oral health care, outpatient...

  13. 77 FR 57096 - Part C Early Intervention Services Grant Under the Ryan White HIV/AIDS Program (United States)


    ... Under the Ryan White HIV/AIDS Program AGENCY: Health Resources and Services Administration (HRSA... care services for persons living with HIV/AIDS, including primary adult HIV medical care, adult... the Ryan White HIV/AIDS Program through a contractual agreement with the Comprehensive Care...

  14. 78 FR 31568 - Ryan White HIV/AIDS Program, Part C Early Intervention Services Grant Under the Ryan White HIV... (United States)


    ... White HIV/AIDS Program, Part C Early Intervention Services Grant Under the Ryan White HIV/AIDS Program.... ACTION: Notice of Ryan White HIV/AIDS Program Part C Early Intervention Services One-Time Noncompetitive Award to Ensure Continued HIV Primary Medical Care. SUMMARY: To prevent a lapse in comprehensive...

  15. 77 FR 6028 - Taxable Medical Devices (United States)


    ... related article, including any component, part, or accessory, that is recognized in the official National... ``taxable medical device'' does not include eyeglasses, contact lenses, hearing aids, and any other medical... upon the sales of taxable articles by manufacturers, producers, and importers (commonly referred to...

  16. Practical trials in medical education

    DEFF Research Database (Denmark)

    Tolsgaard, Martin G; Kulasegaram, Kulamakan M; Ringsted, Charlotte


    controlled settings generalise to the real-life education context. One way of bridging this gap is applying the concept of practical trials in medical education. In this paper we elaborate on characteristics of practical trials and based on examples from medical education we discuss the challenges...... administration, quality of care, patient outcomes and cost. CONCLUSIONS: Practical trials in medical education may contribute to bridge the gap between education theory and practice and aid decision makers in making evidence-based choices and priorities. Conducting practical trials is not without challenges...

  17. And in Kenya, an ambitious effort: AIDS cases multiplying despite attacks on problem. (United States)

    Momanyi, R; Ngugi, J


    The existence in Kenya of 750,000 individuals infected with the human immunodeficiency virus (HIV) and 41,000 cases of acquired immunodeficiency syndrome (AIDS) has impelled state officials and nongovernmental organizations to develop a more comprehensive approach to AIDS prevention. For example, PLAN Kiambu's AIDS Education, Prevention, and Community Support Program is providing emergency assistance (food, medical care, financial support) to those with AIDS and their families, facilitating school attendance of children orphaned by AIDS, establishing AIDS support groups, conducting outreach to prostitutes and other high-risk groups, and developing educational materials for children 7-16 years of age. Traditional media, such as drama, songs, and dance, are the preferred communication channels for AIDS education. People with AIDS are recruited to serve as peer counselors. Another nongovernmental organization has targeted female children for educational campaigns aimed at raising their self-esteem and capacity to be assertive.

  18. Prostitution, AIDS, and preventive health behavior. (United States)

    Campbell, C A


    Although considerable attention has been placed on the role of prostitutes in the AIDS epidemic, little attention has been directed to features of prostitutes' work lives which are relevant to the control of AIDS. This article reviews several aspects of prostitution in the United States which have implications for control of the epidemic. The article first reviews the epidemiology of human immunodeficiency virus (HIV) infection among prostitutes. The legalized system of prostitution in Nevada serves as a basis for comparison to illegal prostitution. This article examines the effectiveness of mandatory testing of prostitutes for monitoring and controlling the epidemic. And finally, a peer education approach as a means to control HIV infection among prostitutes is explored.

  19. Studying Aid: Some Methods

    NARCIS (Netherlands)

    D.R. Gasper (Des)


    textabstractINVESTIGATING IDEAS, IDEOLOGIES AND PRACTICES This paper presents some methods for trying to make sense of international aid and of its study.1 Some of the methods may be deemed ethnographic; the others are important partners to them, but rather different. In the course of discussing q

  20. Hearing Aids Communication

    DEFF Research Database (Denmark)

    Globally, hearing loss is the second most frequent disability. About 80% of the persons affected by hearing loss do not use hearing aids. The goal of this edited volume is to present a theoretically founded, interdisciplinary approach geared at understanding and improving social interaction impac...

  1. Parent Hearing Aid Experiences (United States)

    Munoz, Karen; Roberts, Mallory; Mullings, Day; Harward, Richard


    This study addresses parent experiences in obtaining and managing hearing aids for their young child. The purpose was to identify challenges parents encounter to determine what state agencies can do to improve parent access to amplification. Data were collected July through September of 2010; 40 parents of children ages birth to 3 years old…

  2. Hearing Aid Personalization

    DEFF Research Database (Denmark)

    Nielsen, Jens Brehm; Nielsen, Jakob; Jensen, Bjørn Sand


    Modern digital hearing aids require and offer a great level of personalization. Today, this personalization is not performed based directly on what the user actually perceives, but on a hearing-care professional’s interpretation of what the user explains about what is perceived. In this paper, an...

  3. Computer Aided Lecturing. (United States)

    Van Meter, Donald E.


    Surveyed students taking a natural resource conservation course to determine the effects of computer software that provides tools for creating and managing visual presentations to students. Results indicated that 94% of the respondents believed computer-aided lectures helped them and recommended their continued use; note taking was more effective,…

  4. AIDS and associated malignancies

    Institute of Scientific and Technical Information of China (English)

    Charles WOOD; William HARRINGTON Jr


    AIDS associated malignancies (ARL) is a major complication associated with AIDS patients upon immunosuppression.Chronically immunocompromised patients have a markedly increased risk of developing lymphoproliferative disease. In the era of potent antiretrovirals therapy (ARV), the malignant complications due to HIV- 1 infection have decreased in developed nations where ARV is administered, but still poses a major problem in developing countries where HIV- 1incidence is high and ARV is still not yet widely available. Even in ARV treated individuals there is a concern that the prolonged survival of many HIV- 1 carriers is likely to eventually result in an increased number of malignancies diagnosed.Malignancies that were found to have high incidence in HIV-infected individuals are Kaposi's sarcoma (KS), Hodgkin's disease (HD) and non-Hodgkin's lymphoma (NHL). The incidence of NHL has increased nearly 200 fold in HIV-positive patients, and accounts for a greater percentage of AIDS defining illness in the US and Europe since the advent of HAART therapy. These AIDS related lymphomas are distinct from their counterparts seen in HIV- 1 seronegative patients.For example nearly half of all cases of ARL are associated with the presence of a gamma herpesvirus, Epstein Barr virus (EBV) or human herpesvirus-8 (HHV-8)/Kaposi's sarcoma associated herpesvirus (KSHV). The pathogenesis of ARLs is complex. B-cell proliferation driven by chronic antigenemia resulting in the induction of polyclonal and ultimately monoclonal lymphoproliferation may occur in the setting of severe immunosuppression.

  5. [Post-transfusional AIDS]. (United States)

    Azzini, M; Maccabruni, A; Marcellini, M; Michelone, G; Dei Cas, A


    Two cases of post-transfusional AIDS in two premature babies who received blood of the same seropositive donor, are reported. The risk of the susceptibility to HIV infection of these patients, in relation to the immaturity of immune system and to the transfusional treatment often necessary in premature newborns, is stressed.

  6. The CASPAR finding aids


    Meghini, Carlo; Avancini, Henry; Versienti, Loredana


    One of the CASPAR key components is the FIND Components, which is implementing the Finding Aids of OAIS. According to OAIS, FIND manages Description Information that is associated to Information Packages in order to support the discovery of those Packages. FIND allows defining, creating, persisting, querying, browsing, and accessing both Description Information and the association between Information Packages and Description Information

  7. Coil Welding Aid (United States)

    Wiesenbach, W. T.; Clark, M. C.


    Positioner holds coil inside cylinder during tack welding. Welding aid spaces turns of coil inside cylinder and applies contact pressure while coil is tack-welded to cylinder. Device facilitates fabrication of heat exchangers and other structures by eliminating hand-positioning and clamping of individual coil turns.

  8. Stability Analysis of ISS Medications (United States)

    Wotring, V. E.


    It is known that medications degrade over time, and that extreme storage conditions will hasten their degradation. The temperature and humidity conditions of the ISS have been shown to be within the ideal ranges for medication storage, but the effects of other environmental factors, like elevated exposure to radiation, have not yet been evaluated. Current operational procedures ensure that ISS medications are re-stocked before expiration, but this may not be possible on long duration exploration missions. For this reason, medications that have experienced long duration storage on the ISS were returned to JSC for analysis to determine any unusual effects of aging in the low- Earth orbit environment. METHODS Medications were obtained by the JSC Pharmacy from commercial distributors and were re-packaged by JSC pharmacists to conserve up mass and volume. All medication doses were part of the ISS crew medical kit and were transported to the International Space Station (ISS) via NASA's Shuttle Transportation System (Space Shuttle). After 568 days of storage, the medications were removed from the supply chain and returned to Earth on a Dragon (SpaceX) capsule. Upon return to Earth, medications were transferred to temperature and humidity controlled environmental chambers until analysis. Nine medications were chosen on the basis of their availability for study. The medications included several of the most heavily used by US crewmembers: 2 sleep aids, 2 antihistamines/decongestants, 3 pain relievers, an antidiarrheal and an alertness medication. Each medication was available at a single time point; analysis of the same medication at multiple time points was not possible. Because the samples examined in this study were obtained opportunistically from medical supplies, there were no control samples available (i.e. samples aged for a similar period of time on the ground); a significant limitation of this study. Medications were analyzed using the HPLC/MS methods described in

  9. Screening for AIDS. (United States)


    Tests to detect serum antibody to human T-lymphotropic virus type III (HTLV-III), based on an enzyme-linked immunosorbent assay (ELISA) that uses whole disrupted HTLV-III virus antigens, are now commercially available in the US. Recent surveys of groups at high risk for acquired immunodeficiency syndrome (AIDS) have found that 22-65% of homosexual men, 87% of active intravenous drug users, 56-72% of hemophiliacs, and 35% of women who were sexual partners of men with AIDS have had postitive ELISA tests compared with fewer than 1% of those with no known risk factors. A positive ELISA test could be due to subclinical infection, immunity, or cross-reactivity with other viral antigens. Laboratory error can also produce false positive results. Thus, it is recommended that the ELISA test be repeated at least once on all seropositive specimens before the result is reported to the patient. The western blot test appears to be more specific and less sensitive than the ELISA. Studies of asymptomatic seropositive homosexual men followed for 2-5 years have found that over 50% remain asymptomatic, 5-19% develop full blown AIDS, and 25% develop signs suggestive of the AIDS-related complex. Asymptomatic patients with positive ELISA tests should be made aware of early signs and symptoms of AIDS. Other data suggest that seropositive patients have the HTLV-III virus in their blood, semen, and/or saliva and can transmit the infection. Precautions to prevent transmission, such as the use of condoms, should be taken by such patients. Physicians should be sensitive to the fear and anxiety that a positive ELISA test will create.

  10. Regulatory aspects of the medical and occupational exposures in the application of the radiosynoviortesis technique; Aspectos regulatorios de las exposiciones medicas y ocupacionales en la aplicacion de la tecnica de radiosinoviortesis

    Energy Technology Data Exchange (ETDEWEB)

    Dumenigo G, C.; Fuente P, A. de la; Quevedo G, J.R.; Lopez F, Y. [Centro Nacional de Seguridad Nuclear, Calle 28 No. 504 e/5 y 7 Ave. Miramar, Playa, Ciudad de la Habana (Cuba)]. e-mail:


    The Radiosynoviortesis is a to therapeutic proceed that consists in the injection of a radiopharmaceutical beta transmitter in the synovial cavity of the articulations affected by arthropaties. With it is achieved to cause the fibrosis and remodeling of the synovial membrane obtaining a remarkable improvement in the patients that it includes the disappearance of the pain and the increase of the flexibility of the treated articulation. The technique began to be carried out from 1952 in Europe when it was injected Au{sup 196} in patients affected by rheumatoid arthropaties and starting from then it has gone winning followers in Canada, United States, Australia and some countries of Latin America. Their results are satisfactory and they have been endorsed by the practice. In Cuba it was carried out at November 16, 2002 a clinical essay with the use of this technique, the same one was Graduate by the National Center of Nuclear Safety, in their condition of Regulatory Authority, for it the National Institute of Hematology and Immunology presented the technical documentation that bases its safety. However for the generalization of this technique and their inclusion in the Nuclear Medicine services already existent, the Regulatory Authority has indicated a group of requirements that should be kept in mind in a such way that the application of the Radiosynoviortesis fulfills the Regulation of those 'Basic Norms of Radiological Safety' effective in our country. The present work exposes the particularities and challenges that the Radiosynoviortesis outlines from the point of view of the Radiological Protection, as well as the technical aspects that should be kept in mind for its Licensing, in such way that the is guaranteed safety of the same one in the relative thing to the radiological protection of the patients, those workers and the one publishes. The work reaffirms the feasibility of this to therapeutic proceed from the point of view of the radiological

  11. Cognitive Aspects of Prejudice (United States)

    Tajfel, Henri


    This paper is a slightly revised version of a contribution to a symposium on the "Biosocial Aspects of Race," held in London, September, 1968; symposium was published in the "Journal of Biosocial Science," Supplement No. 1, July, 1969. (RJ)

  12. Foundational aspects of security

    DEFF Research Database (Denmark)

    Chatzikokolakis, Konstantinos; Mödersheim, Sebastian Alexander; Palamidessi, Catuscia


    This Special Issue of the Journal of Computer Security focuses on foundational aspects of security, which in recent years have helped change much of the way we think about and approach system security.......This Special Issue of the Journal of Computer Security focuses on foundational aspects of security, which in recent years have helped change much of the way we think about and approach system security....

  13. The Discussion on the New Field of Medical Reform Information System from the Aspect of Children Medicines Selection%从"儿童药物遴选"议医改信息化研究的新领域

    Institute of Scientific and Technical Information of China (English)

    许强; 谢小敏; 张新平


    The aim of universal coverage had been proposed in China. However, there was still lack of the coverage on children, a vulnerable group, so was the absence of medicines selection for children, even after the implement of essential medicines system for nearly 3 years. By the lessons from World Health Organizations experiences, this article implied the main reasons were the undeveloped digital progress of Chinese pediatrics hospitals, the ethnics restricts for children clinical experiments as well as the lack of integration of medicines research and development on children.In conclusion, it suggested building an information integration system of pharmaceutical research and clinic reports for children, and advised to design software in such virgin field of medicines selection for children, with the deepening of medical system reform and the widening of the essential medicines system since 2011.%我国新医改提出"全民医保"的目标,但是对儿童这一弱势群体的保障不够,特别是基本药物制度实施近3年却至今未遴选出儿童药物.通过对比世界卫生组织建立网络数据库辅助儿童药物遴选的经验,指出中国缺少儿童药物的主要原因在于医药信息化水平不高,而儿童医院和一般医院儿科用药临床数据缺乏信息共享.结论:2011年我国医改及基本药物制度的深化,势必要求遴选儿童基本药物,信息化建设应尽快随之拓宽领域.建议建立儿童药物实验和临床信息共享系统,填补儿童药物遴选相关医药软件行业空白.

  14. Psychosocial aspects of rehabilitation in sports. (United States)

    Covassin, Tracey; Beidler, Erica; Ostrowski, Jennifer; Wallace, Jessica


    When an athlete is injured, the primary focus of the sports medicine team is to treat the physical effects of the injury. However, many injured athletes experience negative psychological responses that should also be addressed throughout the rehabilitation process. Sports medicine professions should use psychosocial skills to help decrease the negative consequences of the injury, such as fear of reinjury, anxiety, depression, and adherence to rehabilitation. These psychosocial skills include goal setting, imagery, relaxation techniques, motivation, and self-talk. This article addresses the negative consequences of injury, psychosocial skills used to aid in the rehabilitation process, and clinical implications of the psychological aspects of rehabilitation in sport.

  15. HIV/AIDS and Croatian migrant workers. (United States)

    Stulhofer, Aleksandar; Brouillard, Pamela; Nikolić, Nebojga; Greiner, Nina


    Due to their geographical mobility and long periods of separation from intimate partners, migrant workers are at increased risk for a variety of sexually transmitted infections (STIs) including HIV/AIDS. This study sought to investigate patterns in HIV/AIDS related knowledge, attitudes and sexual behaviour in migrant workers in Croatia. In 2003, 566 male migrant workers were recruited during regular required medical examinations and surveyed at seven locations throughout the country. Each participant was asked to complete a self-administered KABP (sexual knowledge, attitudes, beliefs and practices) questionnaire. The average age of respondents was 38.2 years and the majority worked as seafarers (77.3%) and construction workers (20.5%). Only 18.5% of respondents were able to correctly answer all 13 questions assessing knowledge of HIV/AIDS. Seafarers reported higher levels of knowledge than did construction workers. The average respondent reported having had two sexual partners in the last 12 months, with slightly over half of the respondents (55.3%) reporting condom use at their last intercourse with a casual partner. One fifth of the respondents (20.3%) who reported having had intercourse with a sex worker during the last year reported not using condoms at last intercourse. The number of sexual partners was correlated with age, marital status, faith in God, and personal HIV risk assessment. Attitudes toward condom use, co-workers' HIV/AIDS concerns and the duration of migrant status (within the last two years) were shown to be significant correlates of condom use at last intercourse with a casual partner. The effect of HIV/AIDS related knowledge on analyzed behaviors did not reach statistical significance. Inadequate patterns of migrant workers' condom use, gaps in knowledge about HIV transmission and modes of protection, as well as widespread ignorance regarding available anonymous HIV testing found by this study suggest a critical need for expert intervention to

  16. The 2004 International AIDS Conference and how to globally counter HIV/AIDS. (United States)

    Idemyor, Vincent


    This article reports noteworthy HIV/AIDS clinical trials presented at the XVth International AIDS Conference, Bangkok, July 2004, and also outlines goals of comprehensive prevention, care, treatment, and monitoring plans. The Bangkok conference theme was "Access for All." Outlined are goals of comprehensive prevention, care, and treatment programs: increased education and prevention efforts, greater involvement of national health authorities, reduction of new HIV infections, increased use of voluntary counseling and testing, increased acceptance and use of condoms, acceptance of an individual's right to be protected against HIV infection during sexual activity, increased support of NGOs, reduction of sexual partners, increased sexual fidelity, availability of antiretroviral medication, prevention of mother-to-child transmission, reduction of AIDS deaths, improved surveillance of sexually transmitted infections, improved blood supply security, increased coordination with tuberculosis and malaria treatment, equity for urban and rural persons, increased orphan services, reduction of orphan rate, greater involvement of local leaders, increased media involvement, reducing HIV/AIDS discussion taboo, reduced injecting drug user needle sharing, and continuing education for health care professionals. Monitoring parameters include incidence and prevalence of HIV infections, use of voluntary counseling and testing, condom use and attitudes to right of protection, AIDS deaths, orphan rate, public advertisements, leadership participation, antiretroviral use and availability, public awareness of services, blood supply security, and professional education.

  17. Henan Surveys Blood Donors to Aid AIDS Prevention

    Institute of Scientific and Technical Information of China (English)


    Central China's Henan Province, one of the worst AIDS-hit provinces in the country, launched a sweeping survey in September of past blood donors to ascertain tile number of HIV-infected individuals to aid AIDS prevention and control work.

  18. Perceptions of Aid and Actual Aid in Intergenerational Caregiving. (United States)

    Walker, Alexis J.; And Others


    Compared pairs (n=174) of elderly mothers' and their caregiving daughters' perceptions of aid given to the mothers with actual caregiving activities. Results indicated nearly half of the mothers and daughters were accurate in their perceptions of aid given to the mothers; when mothers' perception of aid was inaccurate, mothers overestimated rather…

  19. A comparative study of bacterial isolates from the urine samples of AIDS and non-AIDS patients in Benue, Nigeria

    Institute of Scientific and Technical Information of China (English)

    Okwori EE; Nwadioha SI; Jombo GTA; Nwokedi EOP; Odimayo MS


    Objective:To determine the common bacterial causes of urinary tract infection and their antibiotic susceptibility pattern in AIDS patients versus non-AIDS patients. Methods: One thousand consecutive AIDS patients with signs and symptoms of AIDS and non-AIDS patients (served as control) each on admission were recruited into the study between January 2005 to January 2008, in Federal Medical Center, Makurdi. Urine samples were collected with sterile universal bottles and analysed with appropriate laboratory methods and antibiotic susceptibility test was carried out by disk diffusion technique in accordance with National Committee for Clinical Laboratory Standards (NCCLS, now CLSI) criteria. The results were analysed using SPSS 11.0 statistical software. Results:Urine samples of AIDS patients with urinary infection had a more spectrum of micro-organisms including Candida organisms, Pseudomonas aeruginosa and Staphylococcus aureus. Ceftriaxone, Ceftazidime or Ciprofloxacin had a remarkably high anti-bacterial activity across the two study groups. A general resistance was recorded in ampicillin, tetracycline and co-trimoxazole. There was no significant difference in antibiotic susceptibility patterns between AIDS and non-AIDS patients(P>0.05). Conclusions:A reduction in unnecessary use of antibiotics as well as infection control should be encouraged in our health facilities.

  20. Does Generosity Beget Generosity? Alumni Giving and Undergraduate Financial Aid. NBER Working Paper No. 17861 (United States)

    Meer, Jonathan; Rosen, Harvey S.


    We investigate how undergraduates' financial aid packages affect their subsequent donative behavior as alumni. The empirical work is based upon micro data on alumni giving at an anonymous research university. We focus on three types of financial aid, scholarships, loans, and campus jobs. A novel aspect of our modeling strategy is that, consistent…