Influence of Interrupted Childhood Biographies on Health Development: Evaluation of the Scientific Literature on the Example of Being Taken into Care*

Background: An interrupted family history, as is the case after taking someone into care, can complicate collecting family anamnesis data. In addition, the interrupted family history itself could be considered part of a person’s risk profile. Aim and methods: Literature analysis was conducted to examine whether there are scientific studies on health development after placement in out-of-home-care in order to recognise any existing medical characteristics that may be relevant for internal medical care. Results: There are few scientific publications on the health development of people after being placed in out-of-home-care. Direct reactions to the stress of being taken into custody include nausea and fever. However, effects that go beyond the acute situation and last into adulthood have also been described, such as AD(H)D, asthma, diabetes, cancer, hypertension and cardiovascular diseases (myocardial infarction, stroke), epilepsy and increased overall mortality in adulthood. Studies show that not only previous experience but also the stress of being taken into care is triggers for this. Conclusion: Information about a previous institutionalisation can hence be important for internal medical practice. The available scientific literature shows heterogeneous study methodology and no group of people with experience of out-of-home-placement has yet been scientifically accompanied for a long time period. Further studies on this could help to better weigh up the consequences of omitting and conducting an intervention for child/youth protection as well as to improve the medical care for this group of people.

Characteristics of Authigenic Pyrite and its Sulfur Isotopes Influenced by Methane Seep--Taking the Core A at Site 79 of the Middle Okinawa Trough as an Example

Objective Authigenic pyrite often develops extensively in marine sediments,which is an important product of sulfate reduction in an anoxic environment.It has a specific appearance and complicated sulfur isotopic properties,and acts as important evidence of methane seep in marine sediments.Strong AOM（anaerobic oxidation of methane）activity has developed in the Okinawa Trough.

Change Ideas and Take Initiative in Taking Countermeasures

After the September 11 events, the international pattern and great power relations have readjusted. The importance of non-traditional security factors in international politics rise rapidly. The homeland security issue that various sovereign states are confronting has become prominent. These changes re-challenge the traditional security concept.

Small Food Businesses: Trying to Improve Taking Records with a Mobile Device Application

PDA’s (Personal Digital Assistant) and mobile phones have become multitasking devices that provide an enormous potential in various fields, including HACCP. We have designed a record taking software in order to be used in small food catering establishments, like canteens or restaurants. It’s developed for Windows Mobile? for use in mobile devices such as PDA’s and Smartphone’s. It enables the creation of four types of records: -Reception;-Temperature;-Cleaning;-Chlorine level in water. It’s possible to export data to common file formats like .pdf or .word. An Android OS version is currently under development.

Italian Asset Managers＇ Behavior： Evidence on Overconfidence, Risk Taking and Gender

This paper offers new insights into the Italian mutual fund industry. Surveying Italian professionals, we do not only reveal typical gender differences but also detect divergence to their German counterparts. While disclosing Italian professionals＇ overly positive self-assessment in general, we find evidence for male overconfidence in particular--though without being accompanied by excessive control illusion of the own information level. Asset managers＇ risk taking reveals further differences： Italian female professionals do not only assess themselves as more risk averse than their male colleagues, they also prefer a more passive portfolio management compared to the level they are allowed to. Moreover, in a tournament scenario near the end of the investment period female asset managers do not try to become the ultimate top performer when they have outperformed their peer group so far. However, in case of underperformance, the risk of deviating from the benchmark makes especially female professionals willing to seize a chance of catching up. Overall, compared to their German counterparts, we find Italian asset managers to be slightly more risk averse. Matching bounded former results on Italian mutual funds, we discuss interdependencies as well as impact of our findings at the individual asset managers＇ level on trading activity, management style and performance.

Care Taking of Obstetric Emergencies in the Department of Gynaecology and Obstetrics at Donka National Hospital, University Teaching Hospital (CHU) of Conakry, Guinea

Objectives: The objectives of this work were to calculate the frequency of obstetrical emergencies, to describe the socio-demographic profile of women admitted for obstetric emergencies, to identify the main emergencies, to describe the care taking of emergencies and to establish the maternal foetal prognosis of obstetric emergencies. Methodology: It was a 6-month descriptive prospective study conducted in the Obstetrics and Gynaecology Department of the Donka National Hospital, CHU Conakry, Guinea. The study took place from July 1st to December 31st, 2005. The data collected were entered and corrected using the Word and Excel 2010 software and then transferred to the Epi Info software version 7 for analysis. The results are presented in the form of tables, figures and texts using Word and Excel software, commented on, discussed and compared to current literature data. The limitations of the study: The poor filling of the partograph has been the main problem of our study. Results: The frequency of obstetric emergencies was 19% in the Department. The socio-demographic profile was that of a woman aged 15 to 24 (46.4%), married (92%), housewives (38.1%), out of school (49.5%), nulliparous (34.3%), without prenatal follow-up (47.37%), coming from home (56%), evacuated (44%). The main emergencies are dominated by haemorrhage (34.5%) followed by HTA Arterial hypertension and eclampsia (25.7%). The therapeutic attitude was based on clinical data and was dominated by caesarean section (70%). General anaesthesia was performed in 75% of cases and 1.6% benefited from local anaesthesia. The demand for blood was honoured in 19% of the cases. The maternal morbidity was dominated by anaemia (66.7%) and a lethality of 4%. After the 5th minute, 47% of the newborns had APGAR greater than 7. The neonatal mortality rate was 21%. Conclusion: To avoid and/or reduce obstetric emergencies, it is necessary to detect and treat risk factors during referrals, properly monitor child labor, refurbish providers of basic facilities, promptness in the management of the admission of emergencies and the availability of blood products.

Huangshi:Taking Advantage of Its Own Talents

Chen Jiajie,municipal Party secre-tary and chaiman of the Municipal People's Congress,says that by the end of this century the output value of the city's garment and textile in-dustries will be 6 billion yuan.The city will enter the new century as one of the largest clothing trade centers and garment production and export bases in China.

Feasibility of Taking Safeguard Measures to Agricultural Industry by China

In order to remedy the injuryof agriculture produced by concession ofentering WTO, China can adopt someprotective measures, such as safeguardmeasures. Only if the relevant conditions aresatisfied, the safeguard measures can belegitimate. Under WTO, two kinds ofsafeguard measures for protectingagricultural products can be implemented,general one and special one. They are quitedifferent, and thus discussed in details in thisarticle.

Let the Spirit of Taking on Responsibility Release More Brilliant Light of the Era——On the Spirit of Taking on Responsibility of the Communist Party of China

The 95-year great struggle of the Communist Party of China indicates profoundly that the CPC has always been following the trend of history, taking on the historical responsibility, bold in making great sacrifices, and reflects the selfless and fearless spirit of taking on responsibility. This spirit comes from the Chinese national spirit, the truth of Marxism and the great practice of revolution, construction and reform. The new requirements of the era must be clear and definite and the connotation of the era must be grasped, enabling the spirit of taking on responsibility to release more brilliant light of the era. First, it is striving for and dedicating selflessly of the country, and taking on historical responsibility to achieve the country's prosperity and strength. Second, it is serving the people, reducing difficulties and anxiety for the people and taking on historical responsibility to attain people's well-being. Third, it is sharing cares and burdens for the Party, keeping loyalty to the Party, and taking on historical responsibility so that the Party can provide a strong leadership core for the continued development of socialism with Chinese characteristics. The CPC is expected to produce new and more excellent answers to history and the people.

Taking It Easy

City residents slow down as a healthy lifestyle begins to challenge the frenetic pace of the metropolitan grind by Wang Hairong LIFE was almost all work and no play for Shi Ming,a 40-some-thing worker at a research institute in Beijing,before a heart attack two years ago. As a researcher,he did not just read and write reports in the office,conduct on-site studies,attend academic meetings and

Taking a Path of Human Rights Development Suitable to the Economic Basis and Humanistic Environment of China, Realizing“Chinese Dream”

The Sixth Beijing Forum on Human Rights is opened today, which is co-spon- sored by the China Society for Human Rights Studies and the China Foundation for Human Rights Development. First, on behalf of the China Foundation for Human Rights Development, I would like to express warm congratulations to the opening of the Forum, and heartfelt thanks tothe friends who have always cared for and supported for the development and progress of human rights cause of China.

Taking the Path of Poverty Reduction with Chinese Characteristics to Promote New Progress in China's Human Rights——A Keynote Speech at the Opening Ceremony of 2018 Beijing Forum on Human Rights

The 2018 Beijing Forum on Human Rights opens on this wonderful autumn day.On behalf of the China Society for Human Rights Studies, I wish to express warm congratulations on the opening of the forum and a sincere welcome to all guests from home and abroad.

Importance of communication in medical practice and medical education:An emphasis on empathy and attitudes and their possible influences

BACKGROUND Healthcare professionals need to be prepared to promote healthy lifestyles and care for patients.By focusing on what students should be able to perform one day as clinicians,we can bridge the gap between mere theoretical knowledge and its practical application.Gender aspects in clinical medicine also have to be considered when speaking of personalized medicine and learning curricula.AIM To determine sets of intellectual,personal,social,and emotional abilities that comprise core qualifications in medicine for performing well in anamnesis-taking,in order to identify training needs.METHODS An analysis of training clinicians’conceptions with respect to optimal medical history taking was performed.The chosen study design also aimed to assess gender effects.Structured interviews with supervising clinicians were carried out in a descriptive study at the Medical University of Vienna.Results were analyzed by conducting a qualitative computer-assisted content analysis of the interviews.Inductive category formation was applied.The main questions posed to the supervisors dealt with(1)Observed competencies of students in medical history taking;and(2)The supervisor’s own conceptions of"ideal medical history taking".RESULTS A total of 33 training clinicians(n=33),engaged in supervising medical students according to the MedUni Vienna’s curriculum standards,agreed to be enrolled in the study and met inclusion criteria.The qualitative content analysis revealed the following themes relevant to taking an anamnesis:(1)Knowledge;(2)Soft skills(relationship-building abilities,trust,and attitude);(3)Methodical skills(structuring,precision,and completeness of information gathering);and(4)Environmental/contextual factors(language barrier,time pressure,interruptions).Overall,health care professionals consider empathy and attitude as critical features concerning the quality of medical history taking.When looking at physicians’theoretical conceptions,more general practitioners and psychiatrists mentioned attitude and empathy in the context of"ideal medical history taking",with a higher percentage of females.With respect to observations of students’history taking,a positive impact from attitude and empathy was mainly described by male health care professionals,whereas no predominance of specialty was found.Representatives of general medicine and internal medicine,when observing medical students,more often emphasized a negative impact on history taking when students lacked attitude or showed non-empathetic behavior;no gender-specific difference was detected for this finding.CONCLUSION The analysis reveals that for clinicians engaged in medical student education,only a combination of skills,including adequate knowledge and methodical implementations,is supposed to guarantee acceptable performance.This study’s findings support the importance of concepts like relationship building,attitude,and empathy.However,there may be contextual factors in play as well,and transference of theoretical concepts into the clinical setting might prove challenging.

Taking Diplomatic Strategy Adaptable to Environment

Looking from China’s neighboring environment, the America factor is undoubtedly the most important factor in analyzing China’s neighboring security. Speaking of U. S. influence on China’s neighboring security, some scholars tend to believe that the unfavorable factors play a dominant role. This conclusion comes from the "new moonshape encirclement" already existing since the Cold War in America,

Two Sessions 2019:Taking Action for Further Opening-up

China’s Two Sessions, an annual political event that drew much attention, started on March 3rd 2019when the opening ceremony of the second plenary session of the 13th National Committee of the CPPCC (Chinese People Political Consultative Conference) was held.This year marked the 70th anniversary of the foundation of the People’s Republic of China, and is also a pivotal year for building a moderately prosperous society in an all-round way.

Training of health personnel to improve knowledge and skills in taking Pap: Effect of an educational intervention to prevent cervical cancer

Objective: To evaluate the effectiveness of an educational intervention to improve knowledge and skills in taking Pap smear conducted by health staff implementing the program on Early Detection of Cervical Cancer. Methods: A quasiexperimental, longitudinal and prospective study, held from October 25 2010 to April 11, 2011 at a hospital in San Luis Potosi, Mexico. To select groups applied a non-probabilistic convenience sampling that was composed of 28 people, 15 for the study group and 13 to the control group. The study group received training that was divided into three phases in which assessed the knowledge and skills taking the smear, the control group received conventional training offered by your workplace. Papanicolaou quality was measured before and after the intervention. The reference used international classification system Bethesda 2001. For data analysis we used the Student t test. Results: The study group increased knowledge (t = 8.768, p = 0.000) in the management of official standards, in the anatomy of the lower female genital tract and in the form of testing. Technical skills (t = 8.639, p = 0.000) also increased in the study group after the intervention. The control group showed no significant changes. The quality report of the samples in the study group increased from 60% to 86.7% and in the control group decreased from 92.3% to 84.6%. Conclusions: The training is effective in improving the knowledge and skills in taking Pap. Health staff who received the training improved their performance and showed more interest in providing high quality service to women.

The Acquisition and Utility of the Family Medical History in Primary Care: A Cross-Sectional Study

Background: Acquisition of family medical history (FMH) is emphasized as a part of obtaining a complete medical history, but whether FMH is consistently documented and utilized in primary care, as well as how it can affect patient care in this context, remains unclear. Thus, the objectives of this study were to determine: 1) if FMH is regularly acquired in a representative primary care practice (the Queen’s Family Health Team, QFHT);2) what is included in the FMH obtained;3) what the utility of FMH is with regards to patient management in primary care;and 4) to utilize healthcare practitioners’ perspectives in order to elucidate any findings regarding the acquisition and utility of FMH at the QFHT. Methods: Patients were interviewed in order to obtain their FMH. For each patient, the FMH obtained was compared to the FMH documented in the patient’s record to determine the record’s completeness. Each patient’s FMH was analyzed for significant history of coronary artery disease (CAD), diabetes mellitus type II (DMII), substance abuse (SA) and colorectal cancer (CRC). Participants were patients scheduled for appointments at the QFHT between May and July 2011. Any patient of the QFHT older than 25 years was eligible to participate. Clinical staff of the QFHT completed an online questionnaire to determine healthcare practitioners’ perspectives regarding the acquisition and utility of FMH. Results: 83 patients participated in the study. Participants ranged in age from 25 - 86 years (median: 63 years);69% were female. FMH present in patients’ records was often either incomplete (42% of charts reviewed) or not documented at all (51% of charts reviewed). Knowledge of FMH can affect patient management in primary care for the diseases assessed (CAD, DMII, SA and CRC). HCP do consider FMH to be important in clinical practice and 86% of respondents stated that they regularly inquired about patients’ FMH. Interpretation: Despite the belief by HCP that FMH is important, there is a disparity between this belief and their practices regarding its documentation and utilization. Finally, analysis of the FMH of the representative population studied shows that information commonly missing in patients’ FMH can affect patient management at a primary care level.

Pilot Free Trade Zones:Taking Reform and Opening-up to New Heights

CONSTRUCTION of Pilot Free Trade Zones(PFTZs)is a strategic measure of China’s reform and opening-up policy.Since the 18th National Congress of the Communist Party of China(CPC),it has taken the policy’s effectiveness to new heights.

Factors Influencing Behavior of Taking Medicine in Elderly Patients Undergoing Hemodialysis

Purpose: The elderly are often faced with multiple diseases, in particular hemodialysis (HD) which requires many kinds of medication. This study examined the factors influencing the behavior of taking medicine in elderly patients undergoing HD. Subjects and Methods: The subjects comprised 70 outpatients > 65 years undergoing HD (48 male and 22 female). The mean age of the patients was 72.5 ± 4.4 years. The mean duration of dialysis history was 6.1 ± 5.2 years. We performed a questionnaire survey using Medication Assessment Tool, The Kidney Disease Quality of Life (QOL)-Short Form and Acceptance for Dialysis Instrument. Result: Two factors related to poor behavior of taking medicine: dialysis history < 2 years and poor acceptance of dialysis. The multiple regression analysis showed patient satisfaction (β = –0.329, p < 0.01) and symptoms/problems (β = –0.273, p<0.05) as significant independent variables relating to behavior of taking medicine. Conclusion: Poor behavior of taking medicine is related to a short dialysis period, poor acceptance and poor satisfaction of dialysis therapy in elderly patients.