Counseling students’ attitudes toward complementary and alternative medicine integration in counseling practice

This study explored counseling students’ attitudes toward beliefs and personal experience with complementary and alternative medicine (CAM) integration in counseling practices. A total of 113 clinical mental health counseling students completed a demographic questionnaire, the CAM use, and the Complementary and Alternative Medicine Beliefs Inventory. Data were analyzed using descriptive statistics, nonparametric Chi-Square testing, Mann–Whitney U test, and logistic regression analysis to determine the prevalence of CAM use, CAM beliefs, and predictive factors of CAM integration. The results indicated differences in ethnicity, gender, and age for CAM use, CAM beliefs, and predictors of attitudes toward CAM integration. Recommendations for counseling practice and education regarding CAM use and community-based health promotion were discussed

Ripening stage and drying method affecting colour and quality attributes of Ziziphus mauritiana fruits in Zimbabwe

Ziziphus mauritiana Lamk. (Ber) fruit is harvested at different stages of ripening in the Zambezi valley of Zimbabwe. We hypothesize that the organoleptic quality attributes of fruits depend on post-harvestdrying method and ripening stage at harvest. This study was carried out to evaluate the effect of different stages of ripening on the quality of Z. mauritiana fruits during drying. The fruits were graded into green, yellowish-brown and brown categories and these formed the treatments. Some of these fruits were blanched before drying for 1, 2 and 3 weeks under the solar dryer and the open sun drying methods. The green fruits lost significantly (

Public attitude towards modern biotechnology

This article reviews the literature related to the main idea of the study, rooting from the definition of biotechnology, global status of commercialized biotechnology products, and global and local public attitudes towards modern biotechnology and past models for attitude towards modern biotechnology. The first section of the review will be the in-depth-discussion regarding the definition of modern biotechnology according to several established international organizations, followed by global status of commercialized biotechnology products which will emphasize on how modern biotechnology is classified and which area are being focused more by the stakeholders, and global and local public attitudes towards modern biotechnology based on previous studies. Last but not least, the final section is credited to past studies related to attitudes and past models of public attitudes towards biotechnology, both globally and locally. A developing country like Malaysia was chosen in this article as an example of the case study related to local situation of modern biotechnology.Key words: Modern biotechnology, genetically modified (GM), public attitude, Malaysi

Pharmaceutical patents and access to essential medicines in sub-Saharan Africa

The World Trade Organisation (WTO) agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) has reawakened old arguments over the impact of the intellectual property (IP) system on public access to essential medicines. As used here, essential medicines are those needed in symptom management, palliative care, and in the treatment of infections, such as human immunodeficiency virus (HIV), malaria, tuberculosis, and sleeping sickness in places like sub-Saharan Africa. Some argue that patents will further inhibit access to these medicines in sub-Saharan Africa. Others, however, argue the opposite. The latter maintain that patent protection under TRIPS can promote the growth of the pharmaceutical industry in places like sub-Saharan Africa. Moreover, they assert that pharmaceutical patents are not responsible for the limited access to essential medicines in sub-Saharan Africa. Instead, they trace the problem of access to non-patent factors, such as poverty, the lack of supportive infrastructure, and poor governance. This paper set out to assess these contrasting arguments, with a view to determining the actual impact that pharmaceutical patents may be having on access to essential medicines in sub-Saharan Africa. Keyword search of electronic databases was conducted, in addition to a review of relevant literature from print sources. A manual analysis then followed. It was found that, rather than a single set of factors, both patent and nonpatent factors combine to inhibit access to essential medicines in sub-Saharan Africa. It is imperative for sub-Saharan African countries to review current tariff and taxation policies, take steps to improve the supply of vital infrastructure, and strengthen their overall healthcare systems. They should also ensure that their IP systems are supportive of public healthcare needs. Equally important, is that TRIPS and the IP system should be more supportive of sub-Saharan Africa’s struggle to bear its disease burden, rather than focusing narrowly on profit maximisation for pharmaceutical companies. Sub-Saharan Africa also needs increased international financing, private-public collaboration in research, and the sharing of benefits in order to cater effectively for the health needs of its citizens.Key words: Trade-related aspects of intellectual property rights (trips), essential medicines, sub-Saharan Africa, pharmaceutical, patents, access, malaria, human immunodeficiency virus/ acquired immunodeficiency syndrome (HIV/AIDS)

Stem rust resistance in South African wheat cultivars

The aim of this study was to attempt to identify reliable factors associated with dropout risk in a sample of 161 panic disorder patients treated with manualized cognitive behavior therapy. Four possible predictors of dropout were selected from the literature: level of education, treatment motivation, personality psychopathology, and initial symptom severity. Thirty-two patients (19.9%) were dropouts. Level of education and motivation were significantly associated with dropout, but the associations were small. Personality psychopathology and initial symptom severity were not associated with dropout. It is concluded that, at present, we are unable to make precise dropout risk predictions, even in a homogeneous group of patients treated using standardized treatment

Biopiracy and states’ sovereignty over their biological resources

In the last several decades, indigenous communities had to contend with the misappropriation of their biological resources and associated traditional knowledge (TK) through the inappropriate exercise of intellectual property rights (IPRs). The advent of modern biotechnology has intensified this problem leaving indigenous communities increasingly vulnerable. As a counter measure, the Convention on Biological Diversity (CBD) was adopted in 1992, proclaiming the sovereignty of states over their biological resources, and requiring their consent and the equitable sharing of benefits on mutually agreed terms as conditions for access. On October 29, 2010, the Nagoya Protocol was adopted to implement these provisions. Nevertheless, the CBD has attracted critical comments from those opposed to the idea of state sovereignty over biological resources, especially when the exercise of sovereignty transcends a state’s territorial borders. Two alternative doctrines; “the common heritage of mankind”, and “the global commons”, have been canvassed. This paper set out to analyse these arguments together with the alternative doctrines, in order to determine whether state sovereignty over biological resources as proclaimed by the CBD is justified. The merits of each doctrine were examined against the background of the problems presented to indigenous communities by the trinity of biopiracy, IPRs and modern biotechnology. The paper found that the doctrine of state sovereignty over biological resources, whilst having its limitations, is not only normatively justified, but is also, comparatively more capable of helping to protect the biological resources and associated TK of indigenous communities against piracy.Key words: Indigenous communities, biological resources, traditional knowledge, biopiracy, Convention on Biological Diversity (CBD), plant breeders’ rights, patents, sovereignty

Effect of demographic variables on public attitudes towards genetically modified insulin

Earlier studies on public attitude and risk perception have concluded that the public’s attitudes towards biotechnology was primarily driven by several factors such as familiarity, perceived benefits, perceived risks, risk acceptance, moral concerns and encouragement. Demographic characteristics have been known to affect attitudes towards science. The purpose of this paper is to compare the attitude of the Malaysian public towards genetically modified (GM) insulin across several background variables such as religion, race, education level and age. A survey was carried out on 1017 respondents stratified according to various stakeholder groups in the Klang Valley region. Analyses of Variance (ANOVAs) showed significant differences in the mean scores for familiarity of GM insulin across religions, races and ages but not across education levels and gender. Both perceived benefits and perceived risks were found to differ across races, education levels and gender but not across religions and ages. On the other hand, moral concern was found to differ in all four background variables except gender while risk acceptance differed across races and gender and encouragement only differed across education  levels. In conclusion, background variables do have a significant effect on some of the dimensions of Malaysians’ attitudes towards modern biotechnology. The research findings will be useful for understanding the effect of background variables on public attitudes towards the application of gene technology in medicine. More in-depth empirical studies should be carried out to understand the underlying causes behind the differences.Key words: Attitude, gene technology, medicine, GM (genetically modified) insulin, background variables, Malaysia

Evaluation of health workforce competence in maternal and neonatal issues in public health sector of Pakistan: an Assessment of their training needs

<p>Abstract</p> <p>Background</p> <p>More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period) and over 500,000 women die from complications related to childbirth. The major direct causes of neonatal death are infections (36%), Prematurity (28%) and Asphyxia (23%). Pakistan has one of the highest perinatal and neonatal mortality rates in the region and contributes significantly to global neonatal mortality. The high mortality rates are partially attributable to scarcity of trained skilled birth attendants and paucity of resources. Empowerment of health care providers with adequate knowledge and skills can serve as instrument of change.</p> <p>Methods</p> <p>We carried out training needs assessment analysis in the public health sector of Pakistan to recognize gaps in the processes and quality of MNCH care provided. An assessment of Knowledge, Attitude, and Practices of Health Care Providers on key aspects was evaluated through a standardized pragmatic approach. Meticulously designed tools were tested on three tiers of health care personnel providing MNCH in the community and across the public health care system. The Lady Health Workers (LHWs) form the first tier of trained cadre that provides MNCH at primary care level (BHU) and in the community. The Lady Health Visitor (LHVs), Nurses, midwives) cadre follow next and provide facility based MNCH care at secondary and tertiary level (RHCs, Taluka/Tehsil, and DHQ Hospitals). The physician/doctor is the specialized cadre that forms the third tier of health care providers positioned in secondary and tertiary care hospitals (Taluka/Tehsil and DHQ Hospitals). The evaluation tools were designed to provide quantitative estimates across various domains of knowledge and skills. A priori thresholds were established for performance rating.</p> <p>Results</p> <p>The performance of LHWs in knowledge of MNCH was good with 30% scoring more than 70%. The Medical officers (MOs), in comparison, performed poorly in their knowledge of MNCH with only 6% scoring more than 70%. All three cadres of health care providers performed poorly in the resuscitation skill and only 50% were able to demonstrate steps of immediate newborn care. The MOs performed far better in counselling skills compare to the LHWs. Only 50 per cent of LHWs could secure competency scale in this critical component of skills assessment.</p> <p>Conclusions</p> <p>All three cadres of health care providers performed well below competency levels for MNCH knowledge and skills. Standardized training and counselling modules, tailored to the needs and resources at district level need to be developed and implemented. This evaluation highlighted the need for periodic assessment of health worker training and skills to address gaps and develop targeted continuing education modules. To achieve MDG4 and 5 goals, it is imperative that such deficiencies are identified and addressed.</p