High-altitude Tibetan populations in the remote Himalaya: social transformation and its demographic, economic, and ecological consequences.
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Biomedical subjects
Publications and source records attributed to M C Goldstein.
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Tooth movement into a suspected area of periodontosis is possible if sufficient time is allowed for filling of the socket. This report describes a 19-year-old woman with periodontosis who had orthodontic therapy and periodontal surgery five years after the initial examination. The disease was arrested and occlusion established through the combined approach of orthodontic and periodontic treatment.
Recent data from Nepal indicate that in the urban areas reproductive attitudes are changing much more rapidly than behavior, resulting in many unwanted births. Based on transcripts from in-depth interviews conducted in 1982 by the Urban Fertility and Contraceptive Use Project, this article analyzes the "contraceptive lag" in urban Nepal by examining contraceptive decision-making among urban couples in Kathmandu. Tracing links between attitudes, knowledge, values, and specific behavioral outcomes, the analysis reveals that for the majority of the couples in the study, unwanted births occurred for reasons that might have been obviated through more effective provision of family planning services.
To investigate why family planning (FP) services in the Kathmandu Valley of Nepal are underused, a study was initiated under the auspices of the Nepal Family Planning/Maternal--Child Health Project. The study was intended to provide a user perspective, by examining interactions between FP clinic staff and their clientele. "Simulated" clients were sent to 16 FP clinics in Kathmandu to request information and advice. The study revealed that in the impersonal setting of a family planning clinic, clients and staff fall into traditional, hierarchical modes of interaction. In the process, the client's "modern" goal of limiting her family size is subverted by the service system that was created to support this goal. Particularly when status differences are greatest, that is, with lower-class and low caste clients, transmission of information is inhibited.