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Physicians' gender and clinical opinions of reproductive health matters.

The purpose of this study was to investigate the effect of physicians' gender when sex-specific conditions are being treated in a country where almost half of the physicians are women. Five Finnish surveys originally conducted for other purposes were reanalyzed. Two surveys examined physicians' and medical students' views about hormone therapy during and after menopause, one survey examined medical students' attitudes about medicines, one survey examined physicians' obstetric practices, and one examined contraceptive counselling. All the surveys showed more similarities than differences in the clinical decision-making of women and men physicians. In opinions about menopause the physician's medical specialty was more important than gender. Physicians' obstetrical practices were also similar in five cases out of six, but in one situation where medical factors were not a deciding issue, women physicians acted differently. These results suggest that socialization into the medical profession makes physicians' practices more alike and diminishes gender differences.

Attitude of Health Personnel↗

Effects of silage diets on health, reproduction, and blood metabolites of dairy cattle.

Forty-eight Hostein dairy cows were assigned uniformly by parity and calving date to three forage treatments for three lactations. Forage treatments were corn silage (F-I), corn silage plus Hay-crop silage (-f-II), and corn silage plus hay (F-III). Records of health and reproductive data were kept to evaluate dietary effects. During the third lactation six animals in each treatment were blood-sampled on a 4-day interval from 24 days prepartum to 60 days postpartum to determine metabolites. Reproductive traits were similar among the treatment groups as were occurrences of mastitis. Corn silage and hay-crop silage cows had more ketosis than hay cows. Corn silage cows had more parturient paresis than the other two groups, and abomasal displacement occurred only in the corn silage group. There were differences in concentrations of plasma metabolites among treatments; however, they appeared to be within normal ranges, and no pathological implications were obvious. Blood pH, blood packed cell volume, blood alkaline reserve, and pH values were similar among treatment groups. Histological evaluation of hepatic and endocrine tissues revealed no treatment effects.

Abomasum↗

The obstetrician-gynecologist and reproductive health. Presidential address.

The sources of nutrition and energy on this planet are limited and already in short supply. Improvement in the health and welfare of individuals and of nations will not be possible unless man promptly and effectively decreases the numbers of children being born to numbers that can be adequately fed and provided a chance of individual development. Currently available knowledge and methodologies do provide effective means of limiting human reproduction to the number of children for whom a family unit can adequately care. Gynecologists and obstetricians might well assume a more significant role in helping to limit the numbers of children being born so that populations can be adequately fed and more individuals will have opportunity to realize health and a hope of individual achievement. Man's current needs, as well as the gynecologist-obstetrician's capabilities, suggest designation of "reproductive health" as a specialty within gynecology and obstetrics, because the management of fertility should be recognized as a major responsibility of the gynecologist and obstetrician.

Adult↗

HIV/AIDS, sexual and reproductive health at AIDS 2000, Durban.

The 13th International AIDS Conference in Durban was a milestone in many ways, the most important being that it took place in southern Africa and brought together many more people from the African region with others from developing countries internationally than any previous conference. This should be repeated often and soon. For women, however, reproductive and sexual health issues were by and large not visible on the main conference agenda, except for prevention of mother-to-child transmission and sexually transmitted disease (STD) interventions, including STD prevalence, efforts at treatment and the effects of treatment on HIV transmission. An analysis of all the abstracts on the conference CD-Rom (including both presentations and posters, a total of almost 5,000 abstracts), using 25 reproductive and sexual health keywords, turned up much valuable work, and some new developments worth knowing about. These are summarised here, followed by condensed versions of some of the most interesting abstracts.

Family Planning Services↗

Integrated reproductive health services: the perspectives of providers.

With the advent of the AIDS epidemic the focus of family planning programmes has shifted from an emphasis on pregnancy prevention to include disease prevention. The move towards integration has meant a major re-orientation in the role of health providers. This article seeks to expand knowledge about the implementation of integrated services from the perspective of providers. It focuses more specifically on the provider's perceptions and experiences of integrated services. A range of methods is used to obtain information from providers, including an inventory of health facilities, in-depth interviews and focus group discussions. The results suggest that the majority of providers expressed favourable attitudes to integrated services. Integrated services are seen as a more client centred approach. However, there is a lack of clarity about the precise from that integration should take. As a result, providers seem more comfortable with the traditional focus on family planning and maternal and child health than sexually transmitted infections.

Acquired Immunodeficiency Syndrome↗