P–739 Fertility and its Preservation: Comparative Analysis about the Knowledge between Two Populations of Doctors and Health Professionals from Argentina and the United States

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
C A Sanche. Sarmiento ◽  
M Herran ◽  
V Herrera ◽  
R Martoglio ◽  
S Carrell ◽  
...  

Abstract Study question Is there any difference in the knowledge that doctors and health professionals from Córdoba (Argentina) and South Carolina (USA) have about fertility preservation or about when it should be applied? Summary answer Both populations have enough knowledge about some aspects of fertility preservation, but its training must be improved so they can give adequate counseling What is known already During the last decades, it has been observed that more young individuals need/decide to preserve fertility, whether for social or medical reasons. This presents a new challenge for the medical community, since, faced with this situation, it is important that society in general has access to information about fertility and the possibilities of preserving it, if necessary. To this end, it is essential that doctors and other health professionals have valid knowledge of the subject and are able to communicate it to their patients. Study design, size, duration Descriptive quantitative study. A total of 721 answers were obtained, 88.7% from Argentina and 11.3% from the United States. 28.43% (205) were doctors and 71.57% (516) were other health professionals. Participants/materials, setting, methods A closed-ended questionnaire of 20 questions was designed (segmentation and aspects about fertility preservation) and distributed to society through social networks. The survey was answered by people from Córdoba (Argentina) and South Carolina (US), of both sexes and different age, educational and socioeconomic levels. Only those with a medical degree or involved in some medical-related activity were selected. All answers were collected through SurveyMonkey and analyzed using calculation programs and statistical tools (Excel–2016, Statistica 8.0). Main results and the role of chance Data showed percentages of correct answers greater than 70% in all groups for the questions that analyze what factors can affect fertility, what situations can determine the need to preserve it, and what is the appropriate age for a woman to cryopreserve her eggs. On average, 82.4% of doctors and 72.87% of other health professionals know when it is the right time for patients diagnosed with cancer to receive information about the possibility of preserving their fertility. However, on average between both countries, only 34.63% of doctors has information about the legal medical coverage of their patients, while the 39.51% is completely unaware of their country’s laws. Finally, the percentages of professionals who do not know what material can be cryopreserved in girls who need to undergo oncological treatments reach 46.34 and 64.33% (doctors and other health professionals respectively). Limitations, reasons for caution The comparison between the two countries may be challenged by the inequality in the response rate to the survey. However, even the smaller number of responses obtained in the USA is sufficient to obtain valid conclusions. Wider implications of the findings: Both populations have sufficient information about factors which affect fertility and its preservation, especially in cancer situations. Misinformation in health personnel about these aspects directly affects possibilities of achieving future pregnancies for patients. Continuous updating and guidance should be a priority, as well as information dissemination and adequate medical counseling. Trial registration number .

2020 ◽  
Vol 22 (1) ◽  
pp. 39-63
Author(s):  
Marjolein Denys ◽  
David Pratt ◽  
Yves Stevens

Both the United States of America and Belgium attach great importance to communication duties in occupational pensions. Several legal sources in both countries provide the right to be informed to participants. The legislation in both countries seeks to ensure accurate, correct, transparent and understandable communication. Despite this resemblance, there are some differences in communication. The countries can learn from one another. Based on a theoretical framework developed in and for the European Union, the communication rights and duties in the USA and Belgium are analysed. This analysis leads to a better understanding of the different legal responsibilities, transparency rules, simplification efforts and technical correctness of the types of occupational pension information analyzed.


2019 ◽  
pp. 58-98 ◽  
Author(s):  
Andrey Urnov

As a self-proclaimed “Global Leader” the United States have made “the assertion, advancement, support and defense of democracy” throughout the world one of the pillars of their foreign policy. This aim invariably figures in all Washington’s program documents pertaining to Africa. A major component of these efforts is an assistance to regular, free and fair elections. The selection of arguments cited to justify such activities has been done skilfully. In each specific case it is emphasized that the United States do not side with any competing party, stand “above the battle”, work for the perfection of electoral process, defend the rights of opposition and rank and file votes, render material and technical help to national electoral committees. Sounds irreproachable. However, the real situation is different. The study of the US practical activities in this field allows to conclude that Washington has one-sidedly awarded itself a role of a judge and supervisor of developments related to elections in the sovereign countries of Africa, tries to control the ways they are prepared and conducted. These activities signify an interference into the internal affairs of African states. The scale and forms of such interference differ and is subjected to tasks the USA try to resolve in this or that country on the national, regional or global levels. However, everywhere it serves as an instrument of penetration and strengthening of the US influence, enhancing the US political presence in African countries. The right of the US to perform this role is presented as indisputable. Sceptics are branded as opponents of democracy. The author explores the US positions and activities connected with elections in Africa during the last years of B.Obama and first two years of D.Trump presidencies. He shows how their policy have been implemented on the continental level and in regard to several countries – South Sudan, Libya, Democratic Republic of Congo, Burundi, Rwanda, Nigeria, Somali, Kenya, Uganda.


2009 ◽  
Vol 37 (2) ◽  
pp. 318-330 ◽  
Author(s):  
Stephen J. Ziegler

Medicalized Death and the Right to Die Movement Prior to the 20th Century, most Americans died at home, surrounded by family, friends, and neighbors. Religion, not medicine, governed the death bed for there was little physicians could do for the dying. Eventually, however, advances in medicine and technology would lead to dramatic changes in the timing and location of death: patients not only began living longer, they were also dying longer, and unlike their predecessors, were more likely to die alone, in institutions, and among strangers. Modern medicine, in its zeal to conquer death, had become obsessed with its curative function and ability to extend the lives of the dying. To many in the medical community, death represented failure and was something to be avoided at all costs, and like many other social problems in the United States, had become medicalized.


2020 ◽  
pp. 9-18
Author(s):  
Charles D. Ross

This chapter tells the story of George Trenholm, one of the savviest businessmen in the United States and probably the richest man in the South when the Civil War began. It describes Trenholm's international powerhouse firm that was highly respected by the powerful in New York and Europe. The chapter then turns to review the impact of Abraham Lincoln's election as president on the slaveholding Southern states and the more industrial Northern states. Three days later George Trenholm introduced a measure in the South Carolina General Assembly denouncing the election and stating that South Carolina should preserve her sovereignty by securing supplies and weapons to arm the state. As South Carolina joined Alabama, Mississippi, Louisiana, Georgia, and Florida in establishing the Confederate States of America, Trenholm started a trend that would be rapidly copied by others: he began to change the registry of his ships to British and obscuring the names of the true owners. The chapter then introduces Captain Sam Whiting, the person who paid the courtesy of dipping his US flag to the Union defenders of the fort. It investigates how both the Union and Confederate governments scrambled to put people in the right places to win the war.


2016 ◽  
Vol 2 (1) ◽  
pp. 0-0
Author(s):  
Тимур Шаяхметов ◽  
Timur Shayakhmetov

This article reviews the development of the legal institution of self-protection in the criminal law of the United States and its lawenforcement practice. The problems of the two-level division of criminal legislation on the illegal self-defense and legal regulation in the field of defense in the territory of the home and private property are viewed in the paper. On the examples of precedent decisions of highest judicial bodies of US on the affairs with the circumstances of self-defense the conditions of validity of the use of deadly opposition in relation to the offender, as well as other legal aspects of self-defense are analyzed. A brief overview of the main trends of the evolution of the United States legislation on the considered institute is given. In the conclusion of this work the strong and weak points of the existing regulatory framework of the right to self-defense in the United States are shown, as well as an assessment of its application in practice.


1916 ◽  
Vol 3 (8) ◽  
pp. 343-347 ◽  
Author(s):  
R. W. Shufeldt

Early in January, 1916, Dr. O. P. Hay, of Washington, D.C., referred to me for description the fossil bone of a large bird that had been discovered in the eastern part of South Carolina some time previously. This specimen I at once recognized as the lower extremity of the right femur of some bird belonging to a species much larger than any existing form in the United States. I find this specimen to be thoroughly fossilized and of a dull-black colour, the edges of both condyles being considerably chipped off. On the antero-internal aspect the shaft appears to be cut away as if by some shaving implement. This, and where the shaft is broken nearly squarely across above, exposes a filling of a dense, very hard, pale-grey matrix, with a grain as fine as clay. Judging from this there should be no doubt but that this femur was a thoroughly pneumatic one in the living bird, and that the thickness of the osseous wall of the shaft was by no means great, as may be appreciated by examining the figures on the accompanying Plate XV.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
M Cullere ◽  
M Herran ◽  
R Martoglio ◽  
V Herrera ◽  
S Carrel ◽  
...  

Abstract Study question Is there any difference in the knowledge that women in Córdoba (Argentina) and South Carolina (United States) have about fertility preservation, according to their socioeconomic and educational level? Summary answer Scarce knowledge about fertility preservation in both populations was registered. Only sectors of higher socioeconomic and educational level responded correctly with values close to 60%. What is known already There are numerous factors that may motivate the need to preserve fertility in young individuals. These factors can be grouped into two causes: social (postponement of motherhood, gender change, etc.), or medical (oncological or surgical treatments). In these situations, it is important that society in general has access to information about fertility and the possibilities of preserving it, if necessary. On the other hand, in each country and region in particular the information on this topic is distributed in different ways, which could generate differences in the level of knowledge on these issues in different population groups. Study design, size, duration Descriptive quantitative study. A total of 3,041 answers were obtained, 88.8% from Argentina and 10.00% from the United States. An 83.72% (2,521) of the answers were made by women. Participants/materials, setting, methods A closed-ended questionnaire of 20 questions was designed (segmentation and aspects of knowledge about fertility and its preservation) and distributed to different sectors of society through social networks. The survey was answered by people from Córdoba (Argentina) and South Carolina (US), of both sexes and different age groups, educational levels (basic/higher) and socioeconomic levels (medium-low/high). All answers were collected through SurveyMonkey and were analyzed using calculation programs and statistical tools (Excel 2016, Statistica 8.0). Main results and the role of chance Data showed that the 47.98% of Argentine women and 42.68% of American women surveyed do not know the age at which fertility begins to decline. The group with the highest percentage of incorrect answers (61.11%) for this question was that of Argentine women who had no previous experience with assisted fertility and come from the lower-middle social class. When asked about the knowledge about the factors that affect fertility, only 55% of Argentine women answered correctly, compared to 64.85% of American women. For the Argentine group, the proportion of correct answers increased to 62.23% for higher education level and to 56.60% for higher socioeconomic level. Regarding whether they know what fertility preservation procedure consists of, only 47.98% of Argentine women and 42.68% of American women answered correctly. On the other hand, 69.37% of the former and 63.18% of the latter do not know which biological materials can be cryopreserved. Finally, only 25.68% of women in Argentina know about the extent of their medical coverage in terms of fertility preservation procedures, while this percentage is 7.95% for the US population. Limitations, reasons for caution The comparison between the two countries may be challenged by the inequality in the response rate to the survey. However, even the smaller number of responses obtained in the USA is sufficient to obtain valid conclusions. Wider implications of the findings: The level of misinformation registered in this study could imply reduced chances of achieving pregnancy in the future, especially for older women, those who wish to postpone motherhood or those who must undergo cancer treatments. This work provides important information in the politics designing promoting information access on fertility preservation. Trial registration number .


2000 ◽  
Vol 90 (1) ◽  
pp. 121-122 ◽  
Author(s):  
Richard Pollard

The incidence of left-handed writing among 590 young Bulgarian adults was 6.4%, significantly lower than that reported in two studies of students in the United States. Of those writing with the right hand, 10.8% stated that they had been forced to change their preferred hand for writing. The parents of the Bulgarian sample had a similar low incidence of left-handed writing (5.9%). Left-handed writing was almost three times more likely if one or both of the parents wrote with the left hand.


Author(s):  
E.S. Burmistrova ◽  
A.A. Chuprikova

The article attempts to analyze the rhetoric and methods of promoting the ideas of far-right groups in the United States of America and Great Britain in the context of immigration processes and the multiculturalism policy connected with them. The authors draw attention to the tendency that right-wing radical groups hold different positions: from moderate to most radical. The focus of the study is on comparing the tactics and discourse of such organizations whose degrees of radicalism differ because of their positions on the problem of national identity. The study attempts to highlight the activities of previously unexplored right-wing radical groups in the United States and Great Britain. The focus is on “Proud Guys” and “Generation of Identity”, trying to create a socially acceptable image; Richard Spencer and Tomi Robinson, who are trying on the image of extreme right-wing leaders; Andrew Anglin and members of "National Action", who occupy ultra right positions in expressing their views. The study deals with a massive selection of sources: mass media materials, statistical reports of public organizations and accessible official resources of right-wing forces. The authors conclude that the modern far-right associations of the USA and Great Britain are similar on the agenda and in its implementation. The main enemies of the right radicals are immigrants, Muslims, Jews and feminists. In this sense, adepts of such ideas constitute a threat to the stability of a democratic society.


2004 ◽  
Vol 6 (1) ◽  
pp. 75-92 ◽  
Author(s):  
James E. Goggin

Interest in the fate of the German psychoanalysts who had to flee Hitler's Germany and find refuge in a new nation, such as the United States, has increased. The ‘émigré research’ shows that several themes recur: (1) the theme of ‘loss’ of one's culture, homeland, language, and family; and (2) the ambiva-lent welcome these émigrés received in their new country. We describe the political-social-cultural context that existed in the United States during the 1930s, 1940s and 1950s. Documentary evidence found in the FBI files of three émigré psychoanalysts, Clara Happel, Martin Grotjahn, and Otto Fenichel, are then presented in combination with other source material. This provides a provisional impression of how each of these three individuals experienced their emigration. As such, it gives us elements of a history. The FBI documents suggest that the American atmosphere of political insecurity and fear-based ethnocentric nationalism may have reinforced their old fears of National Socialism, and contributed to their inclination to inhibit or seal off parts of them-selves and their personal histories in order to adapt to their new home and become Americanized. They abandoned the rich social, cultural, political tradition that was part of European psychoanalysis. Finally, we look at these elements of a history in order to ask a larger question about the appropriate balance between a liberal democratic government's right to protect itself from internal and external threats on the one hand, or crossover into the blatant invasion of civil rights and due process on the other.


Sign in / Sign up

Export Citation Format

Share Document