...ORIGINAL ARTICLE JK-PRACTITIONER Abstract: The study was carried out on 88 patients of infertility irrespective of duration, type or cause. The patients were seen in the OPD of Obstetrics Hospital at Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar (SKIMS). A detailed history was taken and routine examination was done. All expensive and invasive investigations were deferred and patients were put on 5mg of folic acid and 100mg of Vitamin B6 daily. It was found that 62 patients (70.45%) conceived within 4 months of treatment. Conception rate was more in primary infertility cases (76.39%), than in Secondary infertility cases (43.75%). Likewise conception rate was more in younger age group with marital life of 2-3 years. Key Words: Infertility, Primary infertility, Secondary infertility, Folic acid, Vitamin B6. JK-Practitioner 2002; 9(4): 242-243 Inability of a couple to conceive after one year of unprotected coitus with adequate coital frequency is labelled as infertility. It is a common cause for consultation with both the general practitioner and specialist affecting one in six couples. 80-90% of fertile couples will achieve a pregnancy within one year of trying and 95% within 2 years. Aetiology is usually multifactorial and varies with the duration of infertility. Aetiology at an early stage includes unexplained infertility (3 0%) (really delayed normal fertility); male factors (25%) (single most common defined cause); ovulatory failure (20%); tubal damage...
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...Should Abortion be legal? Nearly half of pregnancies among American women are unintended, and about four in ten of these are terminated by abortion. In 1973 Roe V. Wade decision, the supreme Court ruled that women, in consultation with their physician, have a constitutionally protected right to have an abortion in the early stages of pregnancy. Abortion is a very serious and dangerous thing to decide 50% of women who have had abortions report experiencing emotion and psychological problems lasting for months or years. Only 12% women reported having a physical problem with their health among having an abortion like an infection called hemorrhage and uterine perforation. My personal experience having an abortion is when my mom had one in 2000. She said that she was not ready to raise other child at this moment in her life, because she just moved to North Carolina and was looking for a job. She felt no guilt about what she has done she thought it was the right thing to do at this point in her life. Most people would argue that abortion is not only wrong, but it is murder to an innocent child with no fault of its own. The first reason that abortion should be illegal because it is murder! For example, the fetus is a distinct individual therefore its DNA is completely its own while the baby is in the womb the baby will show definite signs of emotion. I think that when a human egg and a human sperm meet, the resulting individual is simply human. The number of American babies killed...
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...of each crucial variable. Sales research helps determine where to place your product- geographically as well as an online strategy. Demographic research details habits of your consumers, including where they get their information so one can make smart advertising buys to promote products or services. Obstetrics and Gynecology Specialists is located in Macon, Georgia. This facility has been caring for generations since 1949. This practice is solely devoted to the care of female patients for the aspects of obstetrics, endocrinology, infertility, office gynecology and gynecological surgery. This practice operates as associates and one physician is always available for obstetrical care or gynecological care, office visits, hospital treatment, or telephone consultation. They offer complete gynecological care with a large amount of the practice being devoted to problems of the pelvic organs, breast, hormones, endocrine problems, infertility, sexual counseling, and routine exams. Obstetrical care is offered for both normal and complicated pregnancies. Once the patient comes to the office, the course of labor and delivery will be discussed individually and any specific needs will be tailored to the patient. These physicians are experienced in gynecologic robotic surgery. They offer robotic hysterectomy, ovarian surgery, and removal of pelvic masses. This technology reduces the pain and shortens recovery time, allowing patients to return to their normal activities more quickly...
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...“Pro-choice Abortion” Abortion has been one of the biggest controversies of all time. Many people believe it is immoral and even consider it to be murder. The definition of abortion is; “The termination of pregnancy by the removal or expulsion from the uterus of a fetus or embryo prior to being capable of normal growth.” 1 These pro-life believers do not support the idea of induced abortion and believe it should be illegal. Many of these supporters do not know that if abortion were illegal they would still be performed, unfortunately by an uneducated staffs. Over 70 thousand maternal deaths occur every year because of unsafe abortions1. These women die, so the idea of supporting pro-life is contradictory, this is why the nation should be pro-choice. Pro-choice believers support the right to privacy and the idea women should have the choice to do what she pleases with her own body. As an example; a woman is raped by a man and becomes pregnant with his child. She decides she doesn’t want to keep the baby; she has an abortion because the idea of raising a child of her rapist is too painful for her to cope with. Pro-choice defenders take sympathies to this woman while she then gets called a murderer by pro-life supporters. Abortions sometimes results in the woman being harassed because of the choice she has made about her own body. That’s what pro-life supports. Often time’s situations like this turns into harassment which can be considered to be part of anti-abortion violence1...
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...Introduction As of October 31, 2011 the world’s population reached the 7th billion, and will hit nearly 9 billion by the year 2040. With up to 4,000 Filipinos being born every day, the Philippines is the 12th most populous country in the world. The country which has the approximate size of the state of Arizona at 116,000 square miles, has an estimated present population of 94 million and could possibly be at 154,000,000 in the year 2050 if the current annual population growth is maintained at about 2.0%. The Reproductive Health bill, or popularly known as RH bill, is Philippine Bill aiming to guarantee universal access to methods and information on birth control and maternal care. It is a way of helping people to be more advance, well prepared, and to widen up each and every individuals mind setting about our society nowadays. The bill mandates the government to “promote, without bias, all effective natural and modern methods of family planning that are medically safe and legal”. Although abortion is recognized as illegal and punishable by law, the bill states that “the government shall ensure that all women needing care for post-abortion complications shall be treated and counseled in a humane, non-judgmental and compassionate manner”. The bill calls for a “multi-dimensional approach” integrates a component of family planning and responsible parenthood into all government anti-poverty programs. Age-appropriate reproductive health and sexuality education is required from...
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...RH LAW [ REPUBLIC ACT NO. 10354 ] AN ACT PROVIDING FOR A NATIONAL POLICY ON RESPONSIBLE PARENTHOOD AND REPRODUCTIVE HEALTH Be it enacted by the Senate and House of Representatives of the Philippines in Congress assembled: SECTION 1. Title. – This Act shall be known as “The Responsible Parenthood and Reproductive Health Act of 2012″. SEC. 2. Declaration of Policy. – The State recognizes and guarantees the human rights of all persons including their right to equality and nondiscrimination of these rights, the right to sustainable human development, the right to health which includes reproductive health, the right to education and information, and the right to choose and make decisions for themselves in accordance with their religious convictions, ethics, cultural beliefs, and the demands of responsible parenthood. Pursuant to the declaration of State policies under Section 12, Article II of the 1987 Philippine Constitution, it is the duty of the State to protect and strengthen the family as a basic autonomous social institution and equally protect the life of the mother and the life of the unborn from conception. The State shall protect and promote the right to health of women especially mothers in particular and of the people in general and instill health consciousness among them. The family is the natural and fundamental unit of society. The State shall likewise protect and advance the right of families in particular and the people in general to a balanced and healthful...
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...INTROCUCTION Cashing in on the increasing demand for quality healthcare, Kolkata-based BP Poddar Group having interests in real estate, textiles, mining, technical education and media is setting up a 200-bed mutlispeciality hospital in the southern part of the city. To be set up at a cost of Rs 50 crores, the hospital will be completed in three phases. The first phase is likely to become operational without the oncology department within the next couple of months. Said Debashish Poddar, managing director, BP Poddar Hospital & Medical Research Limited, "It will not be a so called state-of-the-art hospital but a hospital, which will ensure healthcare deliver of international standards within the affordable limits of the common man. The hospital is the culmination of the dream of Arun Poddar, Chairman of the Group and his family to perpetuate the memory of his father Late BP Poddar, he added. Despite being a multispeciality unit, the focus area of the hospital will be oncology. All possible imaging facilities will be provided at the hospital. The management has applied for necessary regulatory clearances from Bhaba Atomic Research Centre (BARC) to start radiation therapy for treatment of cancer. According to Dr Subrata Das, medical director, BP Poddar Hospital & Medical Research Limited, "With a few dedicated hospitals in the region dedicated to oncology, the proposed hospital will take care of all the needs of the cancer patients. We are in the process of installing the...
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...Graduate School of Business Pamantasan ng Lungsod ng Maynila A Study on the Attitudes of the Female Residents of Pureza, Manila towards the Reproductive Health Law In Partial Fulfillment of the Requirements for Research Methods and Case Writing Submitted to Dr. Dolores Garcia Submitted by Arien Marie A. Guda I. Introduction Population control or population management has been one of the rallying cries of Filipino economists since Pres. Ferdinand Marcos signed the United Nations Declaration on Population in 1967. With an estimated population of 92,337,852 in 2010 according to the National Statistics Office (National Statistics Office [Philippines]), and a land area of 300,000 sq. m., lawmakers and civic groups have been clamoring for a solution to address the constant growth rate vis a vis the dwindling natural resources in the country. While the population growth rate continues to hold steady(estimated to be at 2.36% per annum in 2008) (National Statistics Office [Philippines] and ICF Macro), the country’s resources, has suffered the same fate as that of the rest of the Asia Pacific region, which, the Asian Development Bank, in collaboration with the WWF, says is, “consuming more resources than its ecosystems can sustain, threatening the future of the region’s beleaguered forests, rivers, and oceans as well as the livelihoods of those who depend on them.” In an effort to help address this issue, stakeholders have sought to offer various methods...
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...overweight has increased dramatically. A study done by the Centers of Disease Control showed that since 1980, one third of our adult population has become overweight. America is the richest but also the fattest nation in the world, and our obese backsides are the butt of jokes in every other country (Klein 28). The 1980s were a time when Americans suddenly started going crazy over dieting, jumping onto the treadmills, and buying prepackaged non-fat foods. However, while all of that was going on, the number of obese Americans began to increase. According to a report in the Journal of the American Medical Association, 58 million people in our country weigh over 20 percent of their body’s ideal weight. The article “Fat Times” states, “If this were about tuberculosis, it would be called an epidemic” (Elmer-Dewit 58). The eating habits of society have steadily become more harmful and have started to produce gluttonous children, over-indulgent adults, and a food industry set too much on satisfying our appetites. Obesity can begin at a very young age. Many children in our society are overweight, setting themselves up for serious health problems later in life. Type 2 diabetes, high blood cholesterol, high blood pressure, and heart problems are just some of the risks. Children who are overweight also tend to feel less secure, less happy, and be stressed more than normal weight children do. They get teased, criticized, and judged. In many cases, the problem is not the child’s fault. Being...
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...HOUSE BILL NO. 5043 AN ACT PROVIDING FOR A NATIONAL POLICY ON REPRODUCTIVE HEALTH, RESPONSIBLE PARENTHOOD AND POPULATION DEVELOPMENT, AND FOR OTHER PURPOSES Be it enacted by the Senate and the House of Representatives of the Philippines in Congress assembled: SECTION 1. Short Title. – This Act shall be known as the “Reproductive Health and Population Development Act of 2008“. SEC. 2. Declaration of Policy. – The State upholds and promotes responsible parenthood, informed choice, birth spacing and respect for life in conformity with internationally recognized human rights standards. The State shall uphold the right of the people, particularly women and their organizations, to effective and reasonable participation in the formulation and implementation of the declared policy. This policy is anchored on the rationale that sustainable human development is better assured with a manageable population of healthy, educated and productive citizens. The State likewise guarantees universal access to medically-safe, legal, affordable and quality reproductive health care services, methods, devices, supplies and relevant information thereon even as it prioritizes the needs of women and children,among other underprivileged sectors. SEC. 3. Guiding Principles. – This Act declares the following as basic guiding principles: a. In the promotion of reproductive health, there should be no bias for either modern or natural methods of family planning; b. Reproductive health...
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...INTRODUCTION Every minute, another woman dies in childbirth. Every minute the loss of a mother shatters a family and threatens the well being of surviving children. For every woman who dies, 20 or more experience serious complications. These range from chronic infections to disabling injuries (Such as Obstetric fistula). Maternal death and disability rates mirror the huge discrepancies that exist between the haves and the have-nots both within and between countries. Safe Motherhood begins before conception with proper nutrition and a healthy life style and continues with appropriate prenatal care, the prevention of complications when possible, and the early and effective treatment of complications. The ideal result is a pregnancy at term, without unnecessary interventions, the delivery of a healthy infant, and a healthy post partum period in a positive environment that supports the physical and emotional needs of the woman, infant and family. Working for the survival of mothers is a human rights imperative. It also has enormous socio-economic ramifications-and is a crucial international priority. Both the international conference on Population and Development and Millennium Development Goals call for a 75 percent reduction in maternal mortality between 1990 and 2015. This three prolonged strategy is key to the accomplishment of the goal: -All women have access to contraception to avoid unintended pregnancies. -All pregnant women have access to skilled care at the...
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...Selling ideas can be a very challenging process for a marketer to carry out, particularly when the ideas are centred on modifying someone’s particular beliefs and lifestyle choices. Social marketing is a concept that is used to market this selling of ideas and in this report we shall examine the concept of social marketing in relation to alcohol abuse in Scotland. We shall look to devise a direct marketing campaign to provide a solution to the problems behind alcohol abuse in Scotland. We shall examine particular target markets and analyse what impact, if any, a direct marketing campaign will have in reducing alcohol consumption in Scotland. The rationale for examining alcohol abuse is that it is an ever growing problem in Scotland with alcohol related deaths doubling in the last 15 years and it is also estimated that alcohol abuse costs the Scottish Government £5 billion a year. What is Social Marketing? Firstly, we shall define what social marketing actually is. Social marketing first became an academic practice in the 1970s when Philip Kotler and Gerald Zaltman recognised the fact that the marketing values that were used to market products may also be used to market ideas, beliefs and lifestyle choices. Kotler and Zaltzman outlined social marketing as ‘the design, implementation and control of programs calculated to influence the acceptability of social ideas and involving considerations of product planning, pricing, communication, distribution and marketing research...
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...medicine. Comfort was the nurse's first consideration. A "good nurse" made patients comfortable. In the early 1900's, textbooks emphasized the role of a health care provider in assuring emotional and physical comfort and in adjusting the patient's environment. For example, in 1926, Harmer advocated that nursing care be concerned with providing an atmosphere of comfort. In the 1980's, a modern inquiry of comfort began. Comfort activities were observed. Meanings of comfort were explored. Comfort was conceptualized as multidimensional (emotional, physical, spiritual). Nurses provided comfort through environmental interventions. It was in this decade that Kolcaba began to develop a theory of comfort when she was a graduate student at Case Western Reserve in Cleveland, Ohio. She is currently a nursing professor at the University of Akron in Ohio. Kolcaba's (1992) theory was based on the work of earlier nurse theorists, including Orlando (1961), Benner, Henderson, Nightingale, Watson (1979), and Henderson and Paterson. Other non-nursing influences on Kolcaba's work included Murray (1938). The theory was developed using induction (from practice and experience), deduction (through logic), and from retroaction concepts (concepts from other theories). The basis of Kolcaba's theory is a taxonomic structure or grid that has 12 cells (Kolcaba, 1991; Kolcaba & Fisher, 1996). Three types of comfort are listed at the top of the grid and four contexts in which comfort occurs...
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...AND II IN SPECIALTY AREA COURSE CODE: NUR 822S and NUR 829S PATIENT / FAMILY CASE STUDY (A NURSING PROCESS APPROACH) ON A CLIENT WITH GESTATIONAL TROPHOBLASTIC NEOPLASM BY: CHARLOTTE LAMPTEY SN/ADN/15/0030 AUGUST, 2016 CONTENTS * PREFACE * ACKNOWLEDGEMENT * INTRODUCTION CHAPTER ONE: OVERVIEW OF CLIENT SITUATION I. Literature review of gestational trophoblastic neoplasm CHAPTER TWO: COMPREHENSIVE HOLISTIC ASSESSMENT OF PATIENT/FAMILY I. Patient’s medical and personal history including review of the systems II.Physical examination III.Diagnostic evaluation IV.Nutritional assessment V. Psychosocial history VI. Patient developmental assessment VII.Spiritual assessment VIII.Quality of life assessment IX.Admission of patient CHAPTER THREE: ANALYSIS OF DATA CHAPTER FOUR: COLLABORATIVE PLAN OF CARE I. Presumptive medical diagnosis II.Nursing diagnosis III.Evidence-based interventions IV.Additional diagnostic procedures warranted but not done Medication to be ordered CHAPTER FIVE: DISCHARGE PLAN I. Community service and resource needed II.Client education plan III.Plans for follow-up of care CHAPTER SIX: EVALUATION PLAN Termination of care * SUMMARY * CONCLUSION * REFERENCE PREFACE The patient / family care study is an essential and relevant study undertaken on the patient and the family by a final year nursing student as part of the required curriculum...
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...Practice is becoming more and more apparent. It should not be thought that Ethics merely relates to the “Life and Death” issues in our Professional life – Abortion, Contraception, Euthanasia and the like. Ethical issues affect some part of almost every consultation, even if the ethical issue is something more mundane like obtaining adequate consent for an examination or respecting a patient’s dignity. Indeed, it could be argued that the Consultation skills that we foster so assiduously are actually Ethical skills – and that we need to know the patient’s “Ideas, Concerns and Expectations” in order to respect his Autonomy as well as in order to improve the outcome of the Consultation. In the 1998/99 academic year, I was appointed the deanery’s Medical Ethics fellow with a bursary from the MDU. I developed an approach to the teaching of GP ethics based on two half day sessions, which I presented in each VTS scheme in the deanery. The first session involved a consideration of Ethical theory. However, the more useful session was the second one where each Registrar presented an “Ethical case history” to the Registrar Group. The Case History summarised an Ethical problem that had concerned the Registrar, and in each case was followed by discussion. As...
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