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Natural family planning

P S Sidhu
In these days of political vagueness, to use a kinder term, although many would describe the situation as turmoil, in Europe, there are success stories to be lauded. Notwithstanding the direction individual countries choose in relation to closer or not so close co-operation in Europe and the direction the political agenda will travel over the next few years, I believe science and in particular medicine has benefited enormously form close co-operation across the European Union and with colleagues outside this political and trading block of nations...
October 2016: Ultraschall in der Medizin
Humera Ishaq
Present study was planned to search for neuropharmacological properties of methanolic extracts of different parts of Melia azedarach Linn. because conventional medicine shows adverse effects. Recently natural products are studied worldwide, as safer alternatives, which are not duly supported with scientifically proved data. Melia azedarach (Bakayan, China berry tree) is medium sized tree belonging to family Meliaceae. Traditional use of plant is as anthelmintic, antilithic and diuretic. Topical application of oil for cramps and rheumatism is beneficial...
September 2016: Pakistan Journal of Pharmaceutical Sciences
Mabel L Rice
Future perspectives on children with language impairments are framed from what is known about children with specific language impairment (SLI). A summary of the current state of services is followed by discussion of how these children can be overlooked and misunderstood and consideration of why it is so hard for some children to acquire language when it is effortless for most children. Genetic influences are highlighted, with the suggestion that nature plus nurture should be considered in present as well as future intervention approaches...
November 2016: Seminars in Speech and Language
Kathrine Birch Petersen
The overall aim of this thesis was to validate the new concept of the Fertility Assessment and Counselling (FAC) Clinic at Rigshospitalet. The intention was to: explore the prognostic value of fertility risk factors by a risk score and provide an estimate of female fecundity, to quantify the impact of oral contraception (OC) on ovarian reserve parameters defined as Anti Müllerian Hormone (AMH), Antral Follicle Count (AFC) and ovarian volume, and to gain knowledge of attitudes and considerations toward family formation in women of advanced age...
October 2016: Danish Medical Journal
Nooshin Razani, Michael A Kohn, Nancy M Wells, Doug Thompson, Hanna Hamilton Flores, George W Rutherford
BACKGROUND: Contact with nature improves human health; stress reduction is a mediating pathway. Stay Healthy in Nature Everyday (SHINE) is a stress reduction and health promotion intervention for low-income families at an urban Federally Qualified Health Center. We plan to evaluate two service-delivery models for SHINE and present here the intervention design and evaluation protocol. METHODS: Behavioral change theory and environmental education literature informed the intervention...
September 29, 2016: Contemporary Clinical Trials
Danielle B Garfinkel, Kamila A Alexander, Reagan McDonald-Mosley, Tiara C Willie, Michele R Decker
HIV pre-exposure prophylaxis (PrEP) presents new opportunities for HIV prevention. While women comprise approximately 20% of new HIV infections in the US, significant questions remain about how to most effectively facilitate PrEP uptake for this population. Family planning clinics are a dominant source of health care for young women and support an estimated 4.5 million women annually. We explore characteristics associated with HIV risk perception and PrEP acceptability among young adult women seeking reproductive health services in a high-prevalence setting...
September 29, 2016: AIDS Care
Susan E Hickman, Kathleen T Unroe, Mary T Ersek, Bryce Buente, Arif Nazir, Greg A Sachs
OBJECTIVES: To describe processes and preliminary outcomes from the implementation of a systematic advance care planning (ACP) intervention in the nursing home setting. DESIGN: Specially trained project nurses were embedded in 19 nursing homes and engaged in ACP as part of larger demonstration project to reduce potentially avoidable hospitalizations. SETTING: Nursing homes. PARTICIPANTS: Residents enrolled in the demonstration project for a minimum of 30 days between August 2013 and December 2014 (n = 2,709) and residents currently enrolled in March 2015 (n = 1,591)...
September 27, 2016: Journal of the American Geriatrics Society
Emma Beecham, Linda Oostendorp, Joanna Crocker, Paula Kelly, Andrew Dinsdale, June Hemsley, Jessica Russell, Louise Jones, Myra Bluebond-Langner
BACKGROUND: Early engagement in advance care planning (ACP) is seen as fundamental for ensuring the highest standard of care for children and young people with a life-limiting condition (LLC). However, most families have little knowledge or experience of ACP. OBJECTIVE: To investigate how parents of children and young people with LLCs approach and experience ACP. METHODS: Open-ended, semi-structured interviews were conducted with parents of 18 children; nine children who were currently receiving palliative care services, and nine children who had received palliative care and died...
September 26, 2016: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
R C G M Ronald Smetsers, R O Roelf Blaauboer, S A J Fieke Dekkers
A new Euratom directive demands that Member States establish a national action plan for indoor radon. Important requirements are a national reference level for the radon concentration in dwellings, actions to identify dwellings with radon concentrations that might exceed this reference level and the encouragement of appropriate measures to reduce the radon concentrations in dwellings where these are high. This paper provides ingredients and recommendations for a national action plan for radon in dwellings, applicable to the Netherlands...
September 23, 2016: Journal of Environmental Radioactivity
Qiqi Long, Xishi Liu, Qiuming Qi, Sun-Wei Guo
STUDY QUESTION: Does chronic stress in mice accelerate the development of endometriosis, and, if so, through what mechanism? SUMMARY ANSWER: Exposure to chronic stress accelerates the development of endometriosis and exacerbates the endometriosis-associated generalized hyperalgesia, most likely through activation of the adrenoceptor β2 (ADRB2) and cAMP responsive element-binding protein (CREB). WHAT IS KNOWN ALREADY: Women with endometriosis tend to have higher levels of psychological stress, which is known to impact negatively on health in general and to promote tumor growth and metastasis in particular...
September 24, 2016: Human Reproduction
Chrishanthy Grace Jayarajah, Trudi Seneviratne
Unplanned pregnancies are a unique, yet significant risk factor in perinatal mental health. Our aim was to create an assessment tool to assess mother's views on contraception as part of the discharge planning process. We used a quantitative-qualitative approach. A clinician-guided questionnaire was completed by patients prior to their discharge from hospital and analysed using Microsoft Excel. Semi-structured interviews were used to explore views regarding family planning in greater depth. Interviews were recorded and transcribed verbatim onto Microsoft Word...
September 23, 2016: Archives of Women's Mental Health
F Chabaud, I Benradia, R Bouet, A Caria, J L Roelandt
INTRODUCTION: Mental Health in General Population survey (MHGP) is a socio-anthropological and epidemiological multicentre research carried out by the WHO Collaborating Centre for Research and Training in Mental Health (Lille, France). It assessed the prevalence of major mental disorders in the general population with 15,747 people aged 18 years and above in 18 sites worldwide: 6 European sites, 4 sites in the Maghreb, 4 sites in the Indian Ocean, 2 sites in the Caribbean and two sites in the Pacific Ocean...
September 20, 2016: L'Encéphale
Rowan Hillis, Maria Brenner, Philip J Larkin, Des Cawley, Michael Connolly
INTRODUCTION: This systematic review seeks to identify the intended components of the role of care coordinator for children with complex care needs and the factors that determine its composition in practice. THEORY AND METHODS: The initial search identified 1,157 articles, of which 37 met the inclusion criteria. They were quality assessed using the SIGN hierarchy of evidence structure. RESULTS: Core components of the role include: coordination of care needs, planning and assessment, specialist support, emotional support, administration and logistics and continuing professional development...
2016: International Journal of Integrated Care
Alice Gowing, Claire Dickinson, Tom Gorman, Louise Robinson, Rachel Duncan
OBJECTIVES: To explore the views and experiences of patients on the care they have received while enrolled on the Northumberland High Risk Patient Programme (NHRPP). This programme involved case finding of frail patients using a multidisciplinary team (MDT)-led community case management programme, and support of patients through care planning and regular reviews using primary, community, secondary and social care professionals. DESIGN: A qualitative study using semistructured interviews, which were digitally recorded, transcribed and subject to thematic analysis...
2016: BMJ Open
Yvonne Bombard, Fiona A Miller, Carolyn J Barg, Sarah J Patton, June C Carroll, Pranesh Chakraborty, Beth K Potter, Karen Tam, Louise Taylor, Elizabeth Kerr, Christine Davies, Jennifer Milburn, Felix Ratjen, Astrid Guttmann, Robin Z Hayeems
PURPOSE: Newborn screening (NBS) for cystic fibrosis (CF) can identify carriers, which is considered a benefit that enables reproductive planning. We examined the reproductive impact of carrier result disclosure of NBS for CF. METHODS: We surveyed mothers of carrier infants after NBS (Time 1) and 1 year later (Time 2) to ascertain intended and reported communication of their infants' carrier results to relatives, carrier testing for themselves/other children, and reproductive decisions...
September 8, 2016: Genetics in Medicine: Official Journal of the American College of Medical Genetics
Xue Zhang, Li-Juan Fu, Xue-Qing Liu, Zhuo-Ying Hu, Yu Jiang, Ru-Fei Gao, Qian Feng, Xi Lan, Yan-Qing Geng, Xue-Mei Chen, Jun-Lin He, Ying-Xiong Wang, Yu-Bin Ding
STUDY QUESTION: Does nm23 have functional significance in decidualization in mice and humans? SUMMARY ANSWER: nm23 affects decidualization via the phosphoinositide 3 kinase/mammalian target of rapamycin (PI3K-Akt-mTOR) signaling pathways in mouse endometrial stromal cells (ESCs; mESCs) and human ESCs. WHAT IS KNOWN ALREADY: The function of nm23 in suppressing metastasis has been demonstrated in a variety of cancer types. nm23 also participates in the control of DNA replication and cell proliferation and differentiation...
October 2016: Human Reproduction
Kirrilly Thompson, Joshua Trigg, Bradley Smith
CONTEXT: Few studies have examined the prevalence of animal ownership among populations likely to be at greater risk from disaster events within a bushfire context. OBJECTIVE: To investigate the proportion of vulnerable community members keeping animals and the types of animals kept, as well as perceived risk of harm to pets, and their inclusion in bushfire survival planning. DESIGN: Statewide anonymous online survey in 2014 of adult South Australian animal owners threatened by bushfire in January 2014...
September 2, 2016: Journal of Public Health Management and Practice: JPHMP
S Lana Timmermans
People with fecal incontinence (FI) symptoms often do not report their symptoms to their care providers, which may adversely impact their quality of life. Although the differential diagnosis for the cause of an individual's FI symptoms can be done by a family doctor, nurse practitioner, or a specialist, many other healthcare professionals have the training and education to competently screen patients for FI risk factors. Those individuals identified with FI symptoms can be supported to disclose this information to their healthcare professional in a timely manner...
September 2016: Home Healthcare Now
Rafaella Brandão Dias, Rita Narriman Silva de Oliveira Boery, Alba Benemérita Alves Vilela
This study sought to analyze the knowledge of nurses about the benefits of breastfeeding for the family and describe the inclusion of family involvement in health activities associated with breastfeeding. A qualitative, exploratory and descriptive study was conducted with 8 nurses in the municipality of Itapetinga in the state of Bahia in the first semester of 2014. Semi-structured interviews were used for data gathering and the thematic content analysis technique was used for processing the data. It was found that awareness of nurses about the benefits of breastfeeding for the family corresponds to the information released by the Ministry of Health and to the data found in the literature...
August 2016: Ciência & Saúde Coletiva
Lina Čiaplinskienė, Birutė Žilaitienė, Rasa Verkauskienė, Rimantas Žalinkevičius, Žana Bumbulienė, Virginija Vanagienė, Johannes Bitzer
OBJECTIVES: The study investigated the effects on female sexual function of a progestogen-containing combined oral contraceptives (COCs) with an antiandrogenic profile taken in a continuous regimen. METHODS: In this prospective randomised single-institution study, 80 healthy women with a monogamous partner and an active sexual life were randomised into two groups for a period of 3 months. Women in the exposed group (n = 40) took a COCs containing 30 μg ethinylestradiol (EE) and 3 mg drospirenone (DRSP) in a 21/7 regimen...
October 2016: European Journal of Contraception & Reproductive Health Care
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