TAILIEUCHUNG - ASPECTS OF THE ILLNESS: Reproductive Issues

Despite a well-articulated policy framework and effective use of the SWAp structure to coordinate donor activities through technical working groups, there are difficulties in achieving translation of SRH policy into decentralised operations at district level. While progress with maternal and neonatal mortality rates is encouraging, they remain unacceptably high, and with life expectancy at birth only 54 years for females and 52 years for males, and HIV prevalence at 12% in young pregnant women, the challenges are great. District health offices experience many challenges in balancing the requirements of both the MOH and the Ministry of Local Government. The mix. | ASPECTS OF THE ILLNESS Reproductive Issues When it comes to understanding the reproductive and gynecological ramifications of CFS we have few definitive answers. But the research to date reveals some intriguing aspects of the illness. By Pamela Young Director of Publications CFIDS Association of America When Nancy Klimas MD was recently asked what she d say about research on chronic fatigue syndrome and reproductive issues if she had only the duration of an elevator ride to convey the facts her reply was telling. I m afraid the conversation would be over by about the second floor. As director of the Department of Immunology at the University of Miami School of Medicine and as a well-known CFS clinician and researcher Klimas is in a position to know what key advances have been made in this area so her answer is especially sobering. In a disease that affects three to five times more women than men relatively little direct research has been focused on how CFS impacts reproductive and gynecological functions. Challenges to research Why hasn t more research been conducted into how CFS affects reproductive issues Clinicians cite myriad reasons but the challenges fall into three main categories trouble finding appropriate samples to study a lack of gynecologists specializing in CFS and a scarcity of funding. To determine how CFS impacts fertility a researcher would need to find a statistically viable sample of women of childbearing age diagnosed with CFS attempting to get pregnant and well enough to participate in ongoing monitoring. And with a multisystemic disease as complex as CFS many clinical subsets may exist. Even a clinician with a sizable practice may have trouble finding a large enough sample to conduct a thorough study. Furthermore only recently have multicenter collaborative studies become more feasible through Internet-linked technology. Another hindrance to specific research into this area relates to the history of CFS itself. In 1985 CFS was thought to be .

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• Oxytocin and Myometrial
• Contractility in Labor
• Operative Vaginal Deliveries
• BMC Pulmonary Medicine
• Noninvasive pressure support ventilation
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• Rare autoimmune disorder
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• Post extubation phase
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• trình bày báo cáo
• tài liệu báo cáo khoa học
• báo cáo y học
• kiến thức y học
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• Critical care
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• Bubble continuous positive airway pressure