Bringing health care to the homeless.
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Biomedical subjects
Publications and source records attributed to O Lechky.
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Having a multitude of different ethnic communities forces Canada's AIDS educators to use many different methods to deliver their messages. These range from an AIDS bingo game that has been used to educate natives in northern Manitoba to attempts to take AIDS education to the streets of Toronto. With AIDS education, reports Olga Lechky, one message definitely does not fit all.
Ontario researchers hope a major study will determine conclusively if a link exists between high-fat diets and breast cancer. The study will involve about 4700 women in 4 centres. Some researchers think there is a link because the incidence for the disease is much higher in North America and northern Europe, where high-fat diets are common, than in Japan, where low-fat diets prevail. "At some point between now and 2005 we'll definitely know [the answer]," says Dr. Norman Boyd, the principal investigator.
Many people can cope with demanding work environments, busy lives, personal losses and tragedies without becoming ill. Yet others become ill under the same circumstances, some as a result of only relatively small amounts of stress. A Montreal researcher says social isolation plays a major role in patients' inability to deal with stress.
Because many Canadians are travelling to exotic destinations, family physicians may be asked for advice on immunization and health tips to prevent illnesses such as malaria, altitude disease, meningitis and schistosomiasis. A Toronto family physician who is on staff at a travel clinic says a few guiding principles and good resources can help family physicians ensure that their patients are healthy when they return from a trip.
Although patients may say they are consulting their family physician about a physical complaint, it is estimated that between one-half and two-thirds are really seeking help with problems such as depression, anxiety or severe stress. Many family practitioners are improving their knowledge about diagnosing and treating emotional and psychosocial problems, says a Toronto psychiatrist.
When alcoholic women seek medical assistance, it is more likely to be because of distress over interpersonal or family problems, and their complaints of anxiety, depression and insomnia will be treated with prescription drugs. The alcoholism, which presents differently in women than men, is often left undiagnosed and untreated. However, even when women seek help for a drinking problem, traditional and male-dominated support groups may not meet their unique needs. When it comes to alcoholism, men and women are certainly not created equal.
Although surveys show that Canadians are concerned about good nutrition, they also reveal that taste and price outrank health concerns when consumers fill their shopping carts. Such attitudes are among the biggest barriers for health care practitioners who are trying to persuade patients to adopt a balanced diet that is low in fat and sugar and high in fibre. A marketing-communications expert says physicians and dietitians can fight fire with fire by adopting persuasion strategies that have been used successfully by advertisers to sell food products.
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