Poor and middle

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  • Contents this book "Guide to investing" including the introduction and the following posts: what should I invest in? pouring a foundation of wealth, the choice, what kind of world do you see?, why investing is confusing, investing is a plan, not a product or procedure, are you planning to be rich, or are you planning to be poor?...

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  • People are shocked, at the beginning of my seminars, when one of the first things I tell them is “Don’t believe a word I say.” Why would I suggest that? Because I can only speak from my own experience. None of the concepts and insights I share are inherently true or false, right or wrong.

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  • If you already have health problems that are likely to mean you will need long-term care (for example, Alzheimer’s or Parkinson’s disease), you probably won’t be able to buy a policy. Insurance companies have medical underwriting standards to keep the cost of long-term care insurance affordable. Without such standards, most people would not buy coverage until they needed long-term care services. Some states have a regulation requiring the insurance company and the agent to go through a worksheet with you to decide if long-term care insurance is right for you.

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  • For the executive, physical needs have probably already been satisfi ed in the preceding middle management career and are not relevant. Security is arguably reduced for the executive, due to higher risk of dismissal for poor performance. Satisfaction of the need for belonging is also questionable, as the holding of the power to discipline or dismiss other employees in a fi rm pre- sumably reduces the ties of friendship to them.

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  • Post-natal infections not only occur more frequently in children stunted in utero but also promote stunting post-natally in young children, particularly in low- and middle-income settings where a high prevalence of infectious illnesses combines with poor sanitation to facilitate fecal- oral transmission of diarrheal and parasitic illnesses (Grantham-McGregor et al 1999b).

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  • The student of India who would at the same time be an historian, discovers to his sorrow that the land of his researches is lamentably poor in historical sources. And if within the realm of historical investigation, a more seductive charm lies for him in the analysis of great personalities than in ascertaining the course of historical development, then verily may he look about in vain for such personalities in the antiquity and middle ages of India. Not that the princely thrones were wanting in great men in ancient India, for we find abundant traces of them in Hindu...

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  • Cervical cancer, caused by sexually-acquired infection with human papillomavirus (HPV), continues to be a public health problem worldwide as it claims the lives of more than 270,000 women every year. In high-income countries early diagnosis and treatment of precancerous lesions has led to a significant reduction in the burden of disease. Because of poor access to high quality screening and treatment services the majority of cervical cancer deaths (85%) occur in women living in low- and middle-income countries.

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  • High medicines prices, low affordability and poor availability are key impediments to access to treatment in many low- and middle-income countries (1–9). Certainly, in those countries where the majority of the population still buys its medicines through out-of-pocket payments, the high cost of medicines (relative to the household budget) means that an illness in the family exposes that family to the risk of catastrophic expenditure. Too often the choice is made to go without.

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  • Mental health care is an essential but often forgotten component of health care. Nurses are core health-care providers and they need to be able to contribute effectively to mental health care. In reality, however, most low and middle income countries do not have adequate numbers of nurses, and the education and training of nurses in these countries provide little of the knowledge and skills necessary for good mental health care. The result is poor or no mental health care for those who need it.

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  • Third, the nature of gender inequalities varies from region to region and country to country. For example, in most middle-income countries in Latin America and the Caribbean, gender disparities in primary school enrollments are very small and, in some cases, favor girls over boys. However, issues such as ownership of land by poor women, gender inequalities in labor markets, returns to education, and gender violence remain important. In the transition countries of Eastern Europe, gender issues arise largely from the patterns associ- ated with the transition.

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  • We advance this literature by using process quality measures that accurately represent the provider’s ability to respond to a range of conditions that promote poor human growth in low- and middle-income settings. Our measure employs clinical case scenarios that offer an objective method of evaluating what occurs during the encounter between a client and provider, and whether provider performance accorded with established standards of care. The specific case scenarios constructed measure the process quality of prenatal and child healthcare.

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