An understanding of the patient’s current and past sexual activity aids in
assessment of sexually transmitted disease risk and contraceptive needs. The
physician should strive to avoid assumptions about a patient’s sexuality. One
way is to ask, “Are you sexually active with men, women, or both?” Similarly,
inquiring whether the patient is interested in contraception rather than as-
suming a patient is only choosing between birth control methods will lead to
a more productive interaction. Current and prior expression of sexual identity
In chapter nineteen, Kaneda et al. develop a
hemagglutinating virus of Japan envelope (HVJ-E) vector using inactivated Sendai
virus, as a pseudovirion for gene and drug delivery. They evaluate the anti-tumor
effects of HVJ-E itself on mouse and human melanoma in animal models, and also the
enhancement of anti-tumor effects of HVJ-E containing IL-12 gene.
Although the quality requirements advocated in this report are of a very basic character,
situations may arise in which it can appear best to depart from these in some way, a matter
which is up to each organization who want to put requirements on car-sharing to decide.
All ground water sources should be
located a safe distance from sources of
contamination. In cases where sources are
severely limited; however, a ground water
aquifer that might become contaminated
may be considered for a water supply, if
treatment is provided. After a decision has
been made to locate a water source in an
area, it is necessary to determine the
distance the source should be placed from
the origin of contamination and the direction
of water movement. A determination of a
safe distance is based on specific local
factors described in the section on "Sanitary
You may monitor the market yourself, though at larger ﬁrms you’ll
be able to rely on the assistance of the money market trading desk.
The traders on the desk will contact broker-dealers to review their in-
ventory of securities and keep them familiar with the needs of your funds.
They’ll also be in touch with corporations interested in issuing commercial
paper directly to the buyers, without a broker-dealer as an intermediary.
The traders will also help out by monitoring the daily cash needs of
As the program and concept of family planning grew more accepted, demand grew for other types of
contraception, resulting in a pioneering project that used CHWs to deliver Depo Provera injections to their
clients in their homes. The community-based distribution program proved so successful, it expanded from its
initial three sites to 72 by the mid-1990s.
Door-to-door delivery, however, is a costly and time-consuming approach to delivering family planning services.
In 1991 Pathfinder’s projects in Bangladesh began to move toward a more sustainable village-based depot approach.
All exhibitions play a vital role in the UK economy in generating exports. Many exhibitions
held in the UK have established themselves as a strong base for international trade.
Exhibitions do more than just sell: they build product branding, strengthen existing customer
relationships, produce high quality leads, educate, have applications for market research,
generate media coverage and are often used to launch new products. Exhibitions play a vital
role in the marketing mix offering a wide range of benefits.
Changing climate and rainfall patterns are expected to have significant impacts on agricultural
productivity, especially in arid and semi‐arid regions that are already marginal for agriculture.
Most climate modeling scenarios indicate that the dry lands of West and Central Asia and North
Africa, for instance, will be severely affected by droughts and high temperatures in the years to
come. This could lead to land degradation and agricultural expansion.
For most stable trauma patients, CT has become the definitive imaging modality of choice
when intraabdominal injury is suspected. CT is rapid and highly sensitive and specific for
many important injury types. The information provided by CT allows prognosis of injury and
selective nonoperative management in both blunt and penetrating trauma. CT is less sensitive
for some important injuries, including bowel and diaphragmatic trauma, a limitation that
must be recognized to prevent clinical errors following a negative CT.
Harmful alcohol consumption is risky both for the drinker and for other people. An
intoxicated person can put people in harm’s way by involving them in trafﬁ c accidents or
violent behaviour, or by negatively affecting co-workers, relatives, friends or strangers.
A survey in Australia found that two thirds of respondents were adversely affected by
someone else’s drinking in the past year. Alcohol consumption also affects society at large.
While the demand for options can arise from many sources, our focus on
jumps stems from fundamental considerations regarding the nature of price pro-
cesses in an arbitrage-free economy. Recently, Madan  has argued that all
arbitrage-free continuous time price processes must be both semi-martingales and
time-changed Brownian motion. Furthermore, it is argued that if the time change
is not locally deterministic, then the resulting price process is discontinuous.
For boys, three
social variables accounted for over 70% of the variance in subcutaneous fat
after controlling for age: number of siblings, age of the mother’s youngest
child, and whether the mother was the senior or junior co-wife, or was
married monogamously. These results accord well with parental investment
theory. Parents experiencing food stress faced a trade-oﬀ between quantity
and quality, and between investing in younger versus older oﬀspring. In
addition, boys with access to more paternal investment (i.e. no stepmother)
were better nourished.
In the figure shown here (Figure 1), teaching contributes to the development of pupils’ action
competence, which in turn should enable the pupils to act with regard to their own lives and living
conditions. Teaching and educational processes have been put in the center of this model in order to
stress that a health promoting school is not only about the food in the canteen, a smoke-free
environment etc. This also means that pupils and teachers are considered to be the key-players at a
health promoting school.
The delivery of technology-assisted distance counseling continues to grow and evolve.
Technology assistance in the form of computer-assisted assessment, computer-assisted
information systems, and telephone counseling has been available and widely used for some time.
The rapid development and use of the Internet to deliver information and foster communication
has resulted in the creation of new forms of counseling. Developments have occurred so rapidly
that it is difficult to communicate a common understanding of these new forms of counseling
The hard surfacing material required for the roads can be extracted in the hilly area to
the east of the Boa Plain.
It is proposed that a project manager with a wide international experience of planta-
tion crop development be appointed to direct the operation and ensure that i t func-
tions efficiently. He should be assisted by a field manager with a sound experience of
oi l palm and rubber planting to ensure a high standard of crop establishment and early
maintenance. Estate managers would be appointed during the development phase to
Because of accessibility and the risk of involvement of bony struc-
tures, treatment with radiotherapy can lead to radionecrosis of the
mandible or maxilla. Moreover, oral cavity squamous cell carcino-
mas may be less sensitive to chemotherapy and radiation, relative to
oropharyngeal or laryngeal cancers. Thus, primary treatment for
most tumors is surgical. Positive surgical margins, multiple involved
lymph nodes, and/or extracapsular tumor extension call for consid-
eration of postoperative chemoradiotherapy, to improve local dis-
According to this edition of the Public Health Status and Forecast Reports (PHSF),
the health of the Dutch population is developing rather well. Dutch life expec-
tancy has increased in recent years, but this is not a reason to put on the brakes.
On the contrary! This forecast shows that investing in health is not only possible
but even essential to the Dutch economy.
This report provides a lot of information on the health of the Dutch and the steps
that need to be taken to improve it. It describes the results that have already
been achieved and those that...
Data gleaned from the various NHA surveys were used to estimate household expenditures. A
household survey was not conducted for this NHA exercise and, despite several requests to contacts
at the Living Conditions Monitoring Survey (LCMS), that survey was not available to the NHA
Table 2 shows the distribution of household out-of-pocket payment directly made to public and
private providers. Households made 31.9 percent of health expenditures at public providers, 65.8
percent at private providers, and 2.4 percent at pharmacies.
The electrospinning technique for the scaffolds designing utilizes the electrostatic force for
the production of polymeric fiber ranging from nanoscale to microscale. This process is
control by high intensity electric field between two electrodes having electric charges of
opposite polarity. One electrode is placed in the polymer solution and other is placed in
collector. Generally polymer solution is pumped as result in forming a drop of solution.