16,210 research outputs found

    Sex workers perspectives on strategies to reduce sexual exploitation and HIV risk: a qualitative study in Tijuana, Mexico.

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    Globally, female sex workers are a population at greatly elevated risk of HIV infection, and the reasons for and context of sex industry involvement have key implications for HIV risk and prevention. Evidence suggests that experiences of sexual exploitation (i.e., forced/coerced sex exchange) contribute to health-related harms. However, public health interventions that address HIV vulnerability and sexual exploitation are lacking. Therefore, the objective of this study was to elicit recommendations for interventions to prevent sexual exploitation and reduce HIV risk from current female sex workers with a history of sexual exploitation or youth sex work. From 2010-2011, we conducted in-depth interviews with sex workers (n = 31) in Tijuana, Mexico who reported having previously experienced sexual exploitation or youth sex work. Participants recommended that interventions aim to (1) reduce susceptibility to sexual exploitation by providing social support and peer-based education; (2) mitigate harms by improving access to HIV prevention resources and psychological support, and reducing gender-based violence; and (3) provide opportunities to exit the sex industry via vocational supports and improved access to effective drug treatment. Structural interventions incorporating these strategies are recommended to reduce susceptibility to sexual exploitation and enhance capacities to prevent HIV infection among marginalized women and girls in Mexico and across international settings

    Aquaculture Asia, Vol. 10, No. 4, pp.1-42, October-December 2005

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    *Table of Contents* Sustainable aquaculture Peter Edwards writes on rural aquaculture: Small-scale pond culture in Bangladesh. People in aquaculture Community based aquaculture - issues and challenges H.K. De and G.S. Saha. Aquaculture as an action programme: An exercise in building confidence and self worth. B. Shanthi, V.S. Chandrasekaran, M. Kailasam, M. Muralidar, T. Ravisankar,.C. Saradad and M. Krishnan The STREAM Column: Transforming policy recommendations into pro-poor service provision Graham Haylor. Research & farming techniques. Grow out of juvenile spotted Babylon to marketable size in earthen ponds II: Polyculture with seabass. S. Kritsanapuntu, N. Chaitanawisuti, W. Santhaweesuk and Y. Natsukari Asia-Pacific Marine Finfish Aquaculture Network. Influence of economic conditions of importing nations and unforeseen global events on grouper markets. Sih Yang Sim. Present status of hatchery technology for cobia in Vietnam. Nhu Van Can. Report on grouper hatchery training course in Indonesia. Nguyen Quoc Thai. Aquatic animal health. Biosecured and improved penaeid shrimp production through organic nursery raceway system in India. Felix. S. and M. Samaya Kannan. Management of monogenean parasites in brackishwater finfish. K.P. Jithendran, M. Natarajan and I.S. Azad. Vembanad Lake: A potential spawner bank of the giant freshwater prawn Macrobrachium rosenbergii on the southwest coast of India. Paramaraj Balamurugan, Pitchaimuthu Mariappan & Chellam Balasundaram

    Non-specialist health worker interventions for mental health care in low- and middle- income countries.

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    This is the protocol for a review and there is no abstract. The objectives are as follows: OVERALL OBJECTIVE: In order to assess the impact of delivery by non-specialist health workers (NSHWs) and other professionals with health roles (OPHRs) on the effectiveness of mental healthcare interventions in low- and middle- income countries (LMICs), we will specifically analyse the effectiveness of NSHWs and OPHRS in delivering acute mental health interventions; as well as the effectiveness of NSHWs and OPHRs in delivering long term follow-up and rehabilitation for people with mental disorders; and the effect of the detection of mental disorders by NSHWs and OPHRs on patient and health delivery outcomes. For each of these objectives we will examine the current evidence for the impact of delivery by NSHWs and OPHRs on the resource use and costs associated with mental healthcare provision in LMICs

    REISCH: incorporating lightweight and reliable algorithms into healthcare applications of WSNs

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    Healthcare institutions require advanced technology to collect patients' data accurately and continuously. The tradition technologies still suffer from two problems: performance and security efficiency. The existing research has serious drawbacks when using public-key mechanisms such as digital signature algorithms. In this paper, we propose Reliable and Efficient Integrity Scheme for Data Collection in HWSN (REISCH) to alleviate these problems by using secure and lightweight signature algorithms. The results of the performance analysis indicate that our scheme provides high efficiency in data integration between sensors and server (saves more than 24% of alive sensors compared to traditional algorithms). Additionally, we use Automated Validation of Internet Security Protocols and Applications (AVISPA) to validate the security procedures in our scheme. Security analysis results confirm that REISCH is safe against some well-known attacks

    A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy

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    Background: Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED. Methods: The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i) Telecollaboration and teleconsultation services between remotely located healthcare providers, ii) telemedicine services in emergencies, iii) home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv) eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc) and persons supporting "at risk" citizens. These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G), and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics. Results: The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances, homes of "at-risk" citizens, and a ferry. Conclusions: The results proved the functionality and utilization of the platform in various rural places in Greece, Cyprus and Italy. However, further actions are needed to enable the local healthcare systems and the different population groups to be familiarized with, and use in their everyday lives, mature technological solutions for the provision of healthcare services

    Blockchain Technology Acceptance in Electronic Medical Record System

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    Blockchain Technology is the advance information technology in medical sector that need secure data sharing among related parties in the network. The investigating factors have impacts on electronic medical record Blockchain technology adoption. Online questionnaire was developed from literature with performance expectation, trust, and risk concepts. Online survey sent to patients and medical personnel. The feedback respondents were 149. The research results showed that the most influential factor affecting the acceptance is performance expectation which includes the recognition of technological benefits and relative advantages. Trust factor has impact on acceptance and low risk has positive impact of the Blockchain technolog

    Smart vest for respiratory rate monitoring of COPD patients based on non-contact capacitive sensing

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    In this paper, a first approach to the design of a portable device for non-contact monitoring of respiratory rate by capacitive sensing is presented. The sensing system is integrated into a smart vest for an untethered, low-cost and comfortable breathing monitoring of Chronic Obstructive Pulmonary Disease (COPD) patients during the rest period between respiratory rehabilitation exercises at home. To provide an extensible solution to the remote monitoring using this sensor and other devices, the design and preliminary development of an e-Health platform based on the Internet of Medical Things (IoMT) paradigm is also presented. In order to validate the proposed solution, two quasi-experimental studies have been developed, comparing the estimations with respect to the golden standard. In a first study with healthy subjects, the mean value of the respiratory rate error, the standard deviation of the error and the correlation coefficient were 0.01 breaths per minute (bpm), 0.97 bpm and 0.995 (p < 0.00001), respectively. In a second study with COPD patients, the values were -0.14 bpm, 0.28 bpm and 0.9988 (p < 0.0000001), respectively. The results for the rest period show the technical and functional feasibility of the prototype and serve as a preliminary validation of the device for respiratory rate monitoring of patients with COPD.Ministerio de Ciencia e Innovación PI15/00306Ministerio de Ciencia e Innovación DTS15/00195Junta de Andalucía PI-0010-2013Junta de Andalucía PI-0041-2014Junta de Andalucía PIN-0394-201
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