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In order to deal with the many challenges in Northern Uganda, such as poverty and discrimination against
women, AWARE utilizes several strategies to empower women. The encourage women to be part of a
rotating loan scheme as they have found that rotating loans and subsequent economic empowerment
enhance women’s decision-making power in the household. AWARE also holds dialogues with Local
Councils to encourage the council to give women land, and to take other measures to reduce discrimination
against women. As a result of their multi-layered approach, women now receive letters from Local
Councils to...
8/30/2018 1:56:48 AM +00:00
Gynecological cancers as a group comprise approximately 11% of female cancer.
1
In the
United States, it is estimated that nearly 80,720 women will be diagnosed in 2009 with
gynecological cancers and that approximately 28,120 women will die as a result of these
cancers (accounting for 10%of all cancer-related deaths in women). Gynecological cancers
are typically diagnosed by history, physical examination, and selected imaging studies.
There has been an increasing use of PET using 18
F-fluorodeoxyglucose (FDG) for staging
and restaging of these cancers, as well as for assessing response to therapy.
...
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Jennifer Peterson was 35 and pregnant when she discovered a lump in her breast. Tests
showed she had invasive breast cancer.
21 The cancer and its treatment, separate and apart
from the pregnancy, were a threat to her health. A health exception recognizes the added
threat to her health posed by pregnancy during the onset and treatment of her cancer, while
without such an exception Jennifer would have been forced to continue her dangerous
pregnancy. About one in 3,000 pregnant women also has breast cancer during her
pregnancy, and for these women, a health exception is absolutely...
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Gilda Restelli was nearly 30 weeks pregnant when doctors discovered that her fetus had
only fragments of a skull and almost no brain. Medical experts told Gilda and her husband
that their baby had almost no chance of survival after birth. She quit her job, not because
she was physically incapacitated, but because she could no longer bear the hearty
congratulations of strangers who were unaware of the tragic circumstances surrounding her
pregnancy. The Restellis made the agonizing decision to end the pregnancy, and even
though state law included a health exception, the couple had to battle...
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Anti-choice activists already succeeded in changing the legal standards for assessing restrictions
on a woman’s right to choose; in Casey (1992), the court abandoned the most exacting standard
of legal review applied to fundamental rights, “strict scrutiny,” and instead implemented the
less protective standard of asking merely whether a restriction imposes an “undue burden” on a
woman’s right to choose.
33 A second avenue of attack on Roe is to restrict or eliminate
altogether its protections for women’s health. Anti-abortion activists consider the protection of
women’s health to be a “loophole” that must be closed. As they see...
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Women’s nutritional conditions differ widely among and within countries. Such conditions
are worst in the less-developed regions and countries of the world, where poverty, social
disparities, discrimination, and different kinds of malnutrition affect large populations. The
nutritional and health status of women may be severely impaired in societies where the
political and cultural context allows extreme conditions of subordination, as well as in those
countries where the threat of hunger persists because of political conflicts, migration,
environmental degradation, or natural disasters. On the other hand, not all women who live in
developing countries experience nutritional problems in the same way,...
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Experts have made recommendations to incorporate nutrition as an essential component of
primary health care, stressing that programs to deal with women’s nutritional problems must
be based on a life cycle approach. The nutritional needs of women substantially change
during the different stages of their lives. A life cycle approach allows a better recognition of
specific nutritional needs at every stage of women’s lives, as well as a more comprehensive
understanding of the cumulative effects of poor nutrition on women’s health.
In many countries, the nutritional deficiencies that affect thousands of women are still
neglected. Most of the...
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During the last decades, global organizations and women’s rights advocates have called on
governments to recognise the multiple determinants of women’s health, and there has been a
growing consensus about the need to integrate and widen health services to respond to a
broad variety of problems affecting them. Nutrition is a fundamental pillar of women’s well-
being, and women’s right to full and equal access to health care, including adequate nutrition
during pregnancy and lactation, has been recognised at many international conferences,
including the 1979 Convention on the Elimination of All Forms of Discrimination against
Women, the 1987 International Conference on...
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There is no doubt that the protection of women during pregnancy and lactation must be one
of the major priorities of health systems and social policies. The effect of women’s nutritional
status on pregnancy outcomes is particularly strong, and adequate maternal nutrition is
closely related to the survival and well-being of babies and children. However, not all women
are mothers, and their nutritional and health needs go far beyond motherhood and
reproduction.
Women of all ages in developing countries face elevated risks of nutritional deficiencies.
Therefore much more attention should be paid to the nutritional needs...
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Research has suggested a link between nutritional deficiencies in early (including prenatal)
life, and the development of chronic diseases—cardiovascular disease, diabetes mellitus,
hypertension, stroke, cancer, and osteoporosis, among others—some decades later (World
Health Organization 2000a, 2000b; Jacoby 2004). A possible link between early nutritional
deficiencies and obesity has also been suggested, and it remains an area of ongoing research
(Pan American Health Organization 2003). These associations are especially relevant for
women, since they generally live longer than men, and therefore the complications and
disabilities that result from these kinds of diseases are much more common among elderly
women....
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Undernutrition affects large populations of boys and girls in developing countries. Its major
determinant is poverty, which usually combines with other important factors like poor
breastfeeding practices and inadequate complementary foods for babies, as well as lack of
basic health care, safe water and sanitation. Globally, about 150 million children under five
years are undernourished, which comprises 27% of the world’s population in this age group.
Twelve million of these children die every year, and protein-energy malnutrition is
implicated in more than 55% of all these deaths. Undernourished children are much more
likely to get sick and die from...
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The impact of undernutrition on young girls has received special attention. In many parts of
the world, poverty often interacts with sociocultural factors that make girls and adult women
less favoured than men. Female infants and children commonly receive less medical care and
also less and lower-quality food than male children. In a number of countries in the
developing world, these discriminatory attitudes result not only in higher rates of protein-
energy malnutrition among girls but also in an excess of mortality among them (Gómez 1993;
United Nations Children’s Fund 1998, 1999).
Undernourished girls are likely to...
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Nutritional deficiencies during pregnancy usually lead to intrauterine growth retardation,
which is one of the main causes of foetal and infant undernutrition in developing countries.
Every year, 30 million newborns, or 23% of 126 million births per year, are affected by
intrauterine growth retardation; by contrast, in developed countries the rate is only about 2%
(World Health Organization 2000a). A significant proportion of infant mortality, in particular
within the first month of life, is also attributable to poor maternal health and nutrition during
pregnancy and the immediate postpartum period (United Nations Children’s Fund 1999).
...
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Specific micronutrient deficiencies may affect maternal and foetal health. Iodine deficiency
during pregnancy may cause foetal brain damage and mental retardation in infants. Vitamin
A deficiency increases the risk in pregnant women of infection and anaemia, may cause
blindness during pregnancy and early lactation, and has been associated to an elevated risk of
HIV mother-to-child transmission. Folate deficiency may cause severe foetal neural tube
defects like anencephaly and spina bifida. Iron deficiency weakens the maternal body,
impairs intrauterine growth and increases the risk of both maternal and foetal morbidity and
mortality (World Health Organization 2000a).
...
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Anaemia is one of the most common nutritional problems affecting women in developing
countries, where iron deficiency usually combines with other micronutrient deficiencies such
as folate and vitamin B. In addition, the diet of the poorest populations is often monotonous
and mainly based on staple foods, which are low in iron and contain absorption inhibitors.
Other important factors involved in the occurrence of anaemia include malaria and
hookworm infestations, chronic infections such as HIV, and congenital conditions like sickle
cell disease, among others. Available data indicate that in developing countries the
prevalence rates of anaemia among women of ...
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The poor nutritional status of women in developing countries has been associated with
maternal mortality. Maternal deaths do not result from malnutrition alone, however, but
mainly from a lack of access to obstetric care and from previous conditions that may be
aggravated by poor nutrition. For example, maternal deaths caused by obstructed labour are
more common in malnourished adolescents and young women with a short stature and small
pelvic size; and deaths resulting from haemorrhage during childbirth and the immediate
postpartum period may be associated with severe anaemia (Rush 2000). ...
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In a number of developing countries, obesity currently affects all income groups of adult men
and women, but it is rapidly increasing among poor urban populations. The increase in
obesity in these countries is attributed to the conjunction of complex societal factors, such as
urbanization, economic growth and modernization, globalisation of food markets, and
changes in diet and physical activity patterns. In many cities of the developing world, diet has
become higher in fats, refined sugars and processed foods, and the consumption of relatively
cheaper but higher-calorie, lower-nutrient foods has been progressively adopted by poor
populations. These changes in diet...
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Obesity is a chronic disease, and its consequences include an elevated risk of premature death
and a variety of serious health problems such as heart disease, hypertension and stroke,
diabetes, cancer, osteoarthritis, and accidents, among others (World Health Organization
1997, 2000a). An estimated 35 million deaths from chronic diseases were expected to occur
worldwide in 2005, with 80% of them in low-income and middle-income developing
countries. Along with tobacco smoking and physical inactivity, obesity is responsible for
many of these deaths among adults aged 30-69 years (Strong et al. 2005). Obesity is also
associated with nonfatal but debilitating conditions...
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It has been documented, for example, that high maternal pre-pregnancy weight and excessive
weight gain during pregnancy are often associated with adverse pregnancy outcomes,
including greater risks of gestational diabetes, childbirth complications, caesarean sections,
hypertension and pre-eclampsia, and post-partum obesity. Women with severe (morbid)
obesity are more likely to experience even poorer outcomes such as stillbirths or neonatal
deaths. Studies have shown that obesity is frequently associated with hormonal and menstrual
disorders, as well as with polycystic ovary syndrome, infertility, and higher risks of
endometrial, ovarian, cervical, and breast cancer. It has also been reported that obesity may
reduce the...
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The current nutritional and health profiles of the Mexican population reflect notable failures
in the field of social policies. Protein-energy malnutrition and infectious diseases are still
relevant public health matters among poor rural and urban populations, and they remain
common causes of death during infancy and childhood, and even later in life. By contrast,
overweight and obesity affect a large proportion of the adult urban population and are rapidly
increasing among young children and lower income groups; over the last decades, the high
prevalence rates of obesity have been a major factor in the increase of chronic diseases,
which...
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Available information shows that the nutritional status of Mexican women differs widely
within the country, according to geographical regions, urban and rural areas, and income
groups. Nutritional deficiencies, anaemia and stunting, for example, are more common in
poor women who live in the less-developed regions of the country, in rural and indigenous
communities or in marginal urban areas. On the other hand, overweight and obesity currently
affect women of all income groups, but rates are higher in the more economically advanced
regions and big cities. Available information also shows that women’s nutritional needs seem
to remain far too low on...
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Roe v. Wade stands as a milestone to women’s freedom and equality, and one of its most
fundamental tenets is that a woman’s health must always be protected. Yet 39 years after the
Supreme Court recognized the right to choose and the vital importance of women’s health,
1
attacks on women’s privacy, and on health protections in particular, continue. Time after time,
anti-choice lawmakers vote down proposed health exceptions to abortion restrictions,
2 and
prominent anti-choice leaders openly state their opposition to protecting women’s health.
3 And
perhaps most ominously, with the addition of George W. Bush’s appointees Chief...
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Tumor markers are secreted, released, or leaked into the interstitial fluids, and thus into the lymph,
and finally (or directly) into the bloodstream, where they become detectable in serum samples. To be
able to enter the bloodstream directly, larger molecules, often proteins, are cleaved into truncated
forms or fragments, which are sometimes specific to the protease micro-environment of the tumor.
Tumor markers can be associated with patient diagnosis, prognosis, clinical management, and
follow-up. Ideally, a serum marker would only appear in the blood of patients with a true malignancy;
the marker would correlate with tumor stage and response to...
8/30/2018 1:56:48 AM +00:00
Recent advances in clinical proteomics have propelled us into an exciting period of discovery of
new cancer biomarkers, although the available proteomic technologies have their limitations. The
principles of proteomic technology require stringent guidelines for the collection of clinical material,
the application of analytical techniques, and for our interpretation of the data.
In this review, we present an overview of the serum tumor markers in current use. A lack of
sensitivity and specificity has, so far, given most of the tumor markers in current use an unsatisfactory
predictive value. We will discuss the novel biomarkers of the future, where...
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Screening for cervical cancer with cervical cytology reduced the incidence of cervical cancer by
more than 50% over the past 30 years in the United States [8]. However, it is estimated that 50% of the
women in whom cervical cancer is diagnosed each year will have never had cervical cytology
testing [8]. One approach for further reducing the incidence and the mortality of cervical cancer would
be to increase the screening rates among groups of women at highest risk, who currently are not being
screened. Another would be the establishment of appropriate serum testing for the early...
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The significance and potential of the protocol go well beyond Africa. The treaty affirms
reproductive choice and autonomy as a key human right and contains a number of global firsts.
For example, it represents the first time that an international human rights instrument has
explicitly articulated a woman’s right to abortion when pregnancy results from sexual assault,
rape, or incest; when continuation of the pregnancy endangers the life or health of the pregnant
woman; and in cases of grave fetal defects that are incompatible with life. Another first is the
protocol’s call for the prohibition of harmful...
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Sub-Saharan Africa has the worst indicators of women’s health—particularly of reproductive
health—of any world region. These indicators include the highest number of HIV-positive
women and the highest infant, maternal, and HIV-related death rates worldwide. The ability
of a woman to make her own decisions regarding her body and her reproductive life are key to
improving these indicators. The protocol can help advocates pressure governments to address
the underlying social, political, and health-care issues that contribute to the dismal state of
women’s health throughout the continent.
This briefing paper offers concrete suggestions for women’s health and rights advocates
within...
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Although the African Charter is the primary treaty providing a framework for human
rights in the region, its provisions on women’s rights are largely seen as ineffective and
inadequate.
The charter recognizes and affirms women’s rights in three provisions. First, article
18(3) requires states parties to “ensure the elimination of every discrimination against
women and also ensure the protection of the rights of the woman.”4 Second, article
2 provides that the rights and freedoms enshrined in the charter shall be enjoyed by
all, irrespective of race, ethnic group, color, sex, language, national and social origin,
economic status,...
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The Council of Women World Leaders is a network of current and former
prime ministers, presidents and cabinet ministers whose mission is to mobilize
the highest–level women leaders globally for collective action on issues of
critical importance to women and equitable development. Through its networks,
summits, and partnerships, the Council promotes good governance and gen-
der equality, and enhances the experience of democracy globally by increasing
the number, effectiveness, and visibility of women who lead their countries. ...
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Columbia University Mailman School of Public Health is the only accredited
school of public health in New York City and is among the first in the nation.
Its students and multidisciplinary faculty members engage in research, both
locally and globally, concentrating on biostatistics, environmental health sci-
ences, epidemiology, health policy and management, population and family
health, and sociomedical sciences. In the field of global health, the Mailman
School has played a leadership role in improving delivery of health services
through such programs as its Averting Maternal Death and Disability
(AMDD) program, its MTCT–Plus Initiative and other AIDS programs,
and through its involvement in the UN Millennium Project Task Forces...
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