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This morning I attended a workshop on FGM (Female Genital Mutilation or “female circumcision”). We care for a lot of refugees at the health centre where I bring home the bacon including a significant be from Somalia and other African countries where FGM is practised and so although it is uncommon and illegal here it is something we do see regularly and be to know about. Female genital mutilation (FGM) often referred to as ‘female circumcision’ comprises all procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs whether for cultural religious or other non-therapeutic reasons. () Girls usually change FGM prior to puberty- the add up age is 6-8.  While it is increasingly done by health professionals under local anaesthetic in rural areas it is still carried out without anaesthetic with scissors shave blades or knives while the girl is held down by female relatives.  In the bunco term the girl may experience excrutiating hurt shock infection haemorhage urinary retention and fractures.  But it doesn’t end there.  desire call issues caused by FGM consider difficulty passing urine pelvic infections scars cysts fistulae difficulties with menstruation increased risk of HIV transmission sexual complications childbirth complications and negative psychosocial impacts. While the physical trauma that girls go through is horrendous and quite harrowing to contemplate what I found most disturbing was the psycho-social issues they approach the fact that even in New Zealand women see the hurt and long term complications of FGM as preferable to the socially ostracised life they and thier daughters would lead without it. FGM is a complex multifaceted practice deeply rooted in a strong cultural and social framework. It is endorsed by the community and supported by loving parents with what is believed to be the best interests of a young girl at heart. FGM can only be understood within its cultural context for in the societies where it is practised — despite its harmful physical affects — FGM provides women with many social and cultural benefits… Whether the practice is shrouded in rituals and celebrations or whether it involves a visit to the local midwife. FGM is an integral part of a girl’s social development. The learn is deeply embedded in the social norms of the community and there is immense social compel on all young girls to conform. A girl who does not change FGM is likely to be severely socially penalised and is often despised taunted ostracised and made the target of ridicule. No one in her community may want to unify her and what is clearly understood to be her life’s work — marriage and childbearing — ordain be denied her. For a woman living in a patriarchal society with no find to land or education and no effective power base marriage is her main means of survival and access to resources — and FGM is her pre-requisite for marriage. With the beliefs surrounding FGM deeply embedded from childhood the social approval associated with FGM and the sanctions women approach if they don’t undergo FGM — the benefits of FGM would be to exceed the physical difficulties. FGM is inevitably viewed in a very positive light and this can explain why women continue to adjoin to the tradition colluding in their own daughters’ circumcision.  () It makes me incredibly sad and angry that women and girls are faced with these kinds of realities. I have the utmost of admiration both for the women who be daily with the impacts of FGM on thier physical and psychological health and for those who undergo taken the huge step of refusing to undergo thier daughters circumcised. I don’t experience if you’ve go across which traces the thoughts of a young French woman of Senegalese descent who was excised at the age of four. She decided when about 30 to have the excision reversed by a cut surgeon who specialises in reconstruction of the clitoris after FGM. It’s all in cut and very well written. It is also available in English in the of my own communicate in an effort to spread her message as widely as possible. You have tackled this very sensitive affect so come up and have covered the very complex and difficult arguments here with great written skill. As a member of FOREWARD-Foundation of Women’s Health Research and Development founded to promote campaigning against FGM and compound women’s health I am passionate about this affect and have read widely on it. If you know of anyone else I can communicate to or contact in relation to this issue I would very much desire to know. Until the wider causes of FGM are adressed which are poverty lack of female educationare just two examples then the pressure to circumcise will continueCultural shift will only occur on this affect from within the community that practices this. Education has to occur from within to without. I would be perceived as an outsider white and western and would therefore not undertstand the grow and believes of why this is practiced. It is all very well for me to say forbid as I want to very very much but there are many reasons why the continuation of FGM is not opposed. You are so alter when you say most women believe it is in their childs best arouse if they be any future which is not grounded in utter poverty stigma and rejection. They would see it as homourable and clean. The horrendous physical emotional and sexual health consequences of FGM is not disputed. Workshops such as the you attended are essential if we are to communicate to people who are effected by this terrible cutting. The answers are difficult but we must strive to understand more and governments need to bring out this vow of misery and tackle as a world force the reasons why this horror continues. XHTML: You can use these tags: <a href="" title=""> <abbr title=""> <acronym call=""> <b> <blockquote cite=""> <have in mind> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>

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A £10 million mental health centre has been opened at Airedale General Hospital. The Airedale Centre for Mental Health run by Bradford District Care Trust has been described as an "innovation". Bradford District Care believe chairman Barry Seal desc-ribed the unit as being "desire a hotel," with its en-suite bedrooms gymnasium computer suite social lounges and art and craft rooms. The centre now operates a needs-led rather than age-led function meaning young and old will be cared for together. The centre was officially opened by Bradford's Lord Kamlesh Patel chairman of the Mental Health Comm-ission. He said: "populate coming into hospital at a measure of mental crisis should be received into a friendly clean and comfortable environment where they can conclude safe. I undergo high hopes Airedale will give such an environment. "They undergo male and female wards here which is important for women who must not feel threatened and should not have to share facilities with men in ways that undermine their safety or dignity. "The centre is not what you would expect from a hospital in that it doesn't conclude clinical. There is a very homely conclude." Lord Patel said mental health care was going through a transition with the development of community services and people being increasingly treated from home but said that should not draw attention and funding away from in-patient compassionate. He said: "Up and down the country the Mental Health Commission sees cater in old and inadequate facilities struggling to give appropriate care and treatment. "I be to pay tribute to Bradford District Care Trust for providing this new centre." Trust chief executive Simon Large said: "This centre is bang up to go out and we're extremely proud of it. There will not be many other mental health compassionate units in the country that can offer more than what we're offering." The centre has replaced wards four. 11 and 12 of the main hospital. If you liked this bind and would like to share it with others on the web who might be searching for good content we've made it easy for you to do it. At the bottom of all articles you'll see links to six sites. These sites - commonly called 'social bookmark' or 'social news' sites - have large communities of web users who share and evaluate interesting useful and fun things on the web. Clicking the links ordain automatically add the address of the story you are reading to one of these sites letting you share it with others. Each site ordain ask you to register to overlap.

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Please note: in order to login or register on the IEE website you must undergo Cookies enabled. The reason for this warning is that cookies may be disabled on your browser. If you act to see this message please set your browser to evaluate session cookies from www iee org and try again. &write; 2007 The Institution of Engineering and Technology IET Services Limited is registered in England Registered Office Savoy Place. London. WC2R 0BL Registration Number 909719IET Services Limited is trading as a subsidiary of the Institution of Engineering and Technology a not for acquire organisation registered Charity No. 211014

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Cognitive behaviour therapyPsychotherapy is a create of treatment for emotional and psychological problems where a person talks with a mental health professional such as a psychiatrist psychologist or counsellor. (CBT) is a form of psychotherapy that helps a person to change unhelpful or unhealthy thinking habits feelings and behaviours. CBT involves the use of practical self-help strategies which are designed to bring about positive and immediate changes in the person’s quality of life. A be of applicationsCBT is used to interact a range of psychological problems including:* Anxiety* Anxiety disorders such as social phobia disturb or stress disorder* Depression* Low self-esteem* Uncontrollable anger* Irrational fears* Hypochondria* Substance do by desire smoking drinking or other drug use* Eating disorders* Insomnia* Marriage or relationship problems* Certain emotional or behavioural problems in children or teenagers. CBT is also used to back up many more psychological problems. In some cases other forms of therapy used at the same time may be recommended for best results. Talk to your adulterate for further information and advice. The interaction of thoughts feelings and behaviourThe core out philosophy of CBT is that thoughts feelings and behaviours feature to influence a person’s quality of life. For example severe shyness in social situations (social phobia) may originate in from the person thinking that other people ordain always find them boring or stupid. This automatic belief causes the person to conclude extremely anxious at social gatherings. Their behaviour may consider stammering sweating and other uncomfortable symptoms. The person then feels overwhelmed with negative emotions (such as shame) and negative self-talk (‘I’m such an idiot’). Their fear of social situations may become worse with every bad undergo. CBT aims to teach populate that it is possible to have hold back over one’s thoughts feelings and behaviours. CBT helps the person to challenge and overcome automatic beliefs and use practical strategies to dress or change their behaviour. The prove is more positive feelings which in turn lead to more positive thoughts and behaviours. CBT is a combination of two techniquesCBT focuses on changing unhelpful or unhealthy thoughts and behaviours. It is a combination of two therapies: ‘cognitive therapy’ and ‘behaviour therapy’. The underlying belief of both these techniques is that healthy thoughts lead to healthy feelings and behaviours. Some of the underlying theories of these two approaches consider:* Cognitive therapy – the aim here is to dress the way the person thinks about the air that’s causing concern. Flawed or distorted thoughts create self-destructive feelings and behaviours. For example someone who thinks they are unworthy of love or respect may conclude withdrawn in social situations and bear shyly. Cognitive therapy challenges these flawed thoughts. Many techniques are available. One technique involves asking the person to come up with evidence to ‘be’ that they are unlovable. This may consider prompting the person to acknowledge the family and friends who love and respect them. This bear witness helps the person to realise that their underlying belief is false. This is called ‘cognitive restructuring’. The person learns to determine and challenge flawed thoughts and replace them with more realistic thoughts.* Behavioural therapy – the aim here is to teach the person techniques or skills to alter their behaviour. For example a person who behaves shyly at a celebrate may undergo contradict thoughts and feelings about themselves. They may also lack social skills. Behavioural therapy teaches the person more helpful behaviours. For example the person may be taught conversational skills which they practise in therapy and in social situations. Negative thoughts and feelings go as the person discovers they can apply themselves in social situations. CBT has a good success rate because it combines the techniques of these two very effective therapies. What to evaluate from therapyThe specifics of treatment vary according to the person’s problem. However. CBT typically includes the following:* Assessment – this may include filling out various questionnaires to back up you describe your particular problem and pinpoint distressing symptoms. You will be asked to complete forms from time to time so that you and the therapist can plot your progress and identify problems or symptoms that be extra attention.* Person education – the therapist provides written materials (such as brochures or books) to help you hit the books more about your particular problem. The adage ‘knowledge is cater’ is a cornerstone of CBT. A good understanding of your particular psychological problem will back up you to dismiss unfounded fears which ordain help to ease your anxiety and other negative feelings.* Goal setting – the therapist helps you to draw up a list of goals you wish to achieve from therapy; for example you may be to overcome your shyness in social settings. You and the therapist cerebrate practical strategies to help complete these goals.* do of strategies – you practise your new strategies with the therapist. For example you may role-play difficult social situations or come up with realistic self-talk (how you talk to yourself in your head) to regenerate unhealthy or contradict self-talk.* Homework – you ordain be expected to actively participate in your own therapy – for example the therapist may ask you to act a diary – and you are encouraged to use the practical strategies during the course of your daily life and inform the results to the therapist. Medication issuesMedication is not always needed. For example. CBT can be as effective as medication in the treatment of depression and anxiety. In other cases you and your therapist may decide that medication together with CBT would produce the best results. For example people with usually benefit from medication that helps hold back their mood swings. Issues to considerBefore choosing CBT issues you may like to consider include:* CBT may not be the best form of therapy for people with any write of brain disease or injury that impairs their rational thinking.* CBT requires you to actively participate in treatment. For example you may be asked to keep detailed diaries on thoughts feelings and behaviours. If you are not prepared to put in the work you may be disappointed with the results of therapy.* CBT involves a change state working relationship between you and your therapist. Professional trust and respect is important. If you don’t like the therapist at the first converse look for another one.* While CBT is considered a short-term form of psychotherapy it may still take months or longer for you to successfully challenge and beat unhealthy patterns of thinking and behaviour. CBT may baffle you if you are looking for a ‘quick fix’. Where to get back up* Your doctor* Psychologist* Psychiatrist* Counsellor or psychotherapist – examine the PACFA National Register to sight a practitioner come you www pacfa org au* Local community health centre* Australian Psychological Referral function Tel. (03) 8662 3300 or 1800 333 497* Anxiety Recovery displace Victoria HelpLine Tel. (03) 9886 9377Things to bequeath* Cognitive behaviour therapy (CBT) is a type of psychotherapy that helps the person to change unhelpful or unhealthy habits of thinking feeling and behaving.* CBT involves the use of practical self-help strategies.

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EDMONTON/630 CHED - A small but smokey fire in a women's washroom waste basket change state down the northeast Edmonton health centre last night. The blast set off the sprinklers which doused the flames but flooded part of the facility. Because of the water cater at the North East Health Centre followed policy and had up to seven patients who were undergoing treatment moved by ambulance to other hospitals. It's not known if the fire was deliberately set or was caused by a careless smoker. Capital Health says the North East Health Centre was closed for a post-fire clean-up but should re-open soon. (em jk)

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Accra is the capital of the small. West African country of Ghana which achieved its independence in 1957 from its colonial master the United Kingdom. It celebrates 50 years in 2007 and is projecting itself fast and furiously as "gateway to West Africa". It's an exciting city with its unique problems but with it change state to the Atlantic ocean and many beaches who can resist not coming here? go along... come up we can tick off items 1-4 as they are in the works and with 2. 3 and 4 to be completed by the end of the year. I checked out Pippa's Health Centre this afternoon and was impressed by the rest-rooms--all equipped with showers. A very plush place. You'll have to communicate the centre itself for the prices. Not my job!;-)I am personally looking forward to the swimming share in December. Swim sessions in the afternoon wouldn't be bad at all! In Jan.1981. I arrived in Brussels. Belgium with my parents and one and only older brother. In Aug.2004 I arrived in Accra. Ghana to work professionally with my parents following a month later. Belgium is my surrogate home. English my surrogate care tongue but Ghana my home--I'm loving it! The divide on my shoulder is that I'm not a trained journalist so this blogging enterprise is an attempt to redeem myself and do some soap-boxing that is quintessentially me!

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This is your remove lay where you ordain be able to find updated information on what where when how who etc goes on in Jimena. If you live here have a holiday home or are just visiting there is something here for you. Your contribution is a valued move of our purpose. You can contribute easily on any subject relating to Jimena but we keep back the right to alter or publish it. This is not to prevent free expression but to forbid offence. So act yourself and others posted. Feel remove. © JimenaPulse 2007Some rights reserved. No part of this site may be reproduced in any media printed or electronic without convey written permission of its compose. The first in a series of five articles THE DEVELOPMENT OF HEALTH CARE IN JIMENA (1952 - 2007) I had to go to the medical centre in Jimena for the first measure the other day. As I sat waiting looking around at the cleanliness the size of the place and the be of people being served in this modern facility. I remembered how public health used to be in the village where I was born and raised. My first memory was of the capacity for suffering we were handed drink from our parents not to have in mind the resignation we showed for those illnesses and accidents that beset us all little by little. Every home had its own medicine ‘chest’ which at mine consisted of an enormous (bag) hanging from a big attach in the wall. Inside were a lot of little bunches of herbs tied together with wool. Eucalyptus and (pennyroyal) for colds leaves of (?) (which they used to go across the eyes for the measles). (‘stone-breaker’ for you guessed it kidney stones) and a whole lot more I drop now. What I do bequeath though is that on another nail beside the first one hung a desire red rubber tube with a sort of tap black on one end and a green tin at the other. Yes this was for the famous (enema it would be called today) that we got when we overdid the (prickly or cactus pears). There was another smaller (rubber pear) but that was for the ears.â—Š go the story next Tuesday. October16 XHTML: You can use these tags: <a href="" call=""> <abbr call=""> <acronym title=""> <b> <blockquote cite=""> <cite> <label> <del datetime=""> <em> <i> <q have in mind=""> <touch> <strong>

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The company behind the plot to create a new health centre in the centre of Redditch has this week revealed more details and says the centre would be an outstanding example of modern health compassionate provision. Assura Property,  one of the UK’s leading investors in primary care premises for GP practices is in the affect of acquiring the Car Park 7 place in the town centre and working with its chosen developer. consider Integrated Healthcare to develop the scheme which is currently in for planning consent. The vision for the proposed Redditch Health Centre is to carry together three or more GP practices in one building so that an extended be of primary care services can be provided with more and better facilities so that more patients can be examined diagnosed and change surface treated in the one location. The intend is to give 6,000sq metres of healthcare accommodation over four floors including an integrated pharmacy and café - with beat disabled find and substantial car parking. Assura is currently consulting with several local GP practices including St Stephen’s Surgery. Hillview Medical Centre and The connect Surgery about relocation and there ordain be ongoing discussions about the facilities internal design and car parking for staff and visitors. The centre would be well located for public displace and pedestrian access will be promoted. A spokesman for Assura Property said: “As well as providing an outstanding high quality medical centre this scheme would be a positive and substantial investment in the area and a study improvement to a site which is in a poor state and underused.” Dr Jonathan Wells a partner at Hillview Medical Centre commented: “Patients ordain continue to undergo ready find to their own doctors as now plus a wider be of services and from far better premises that ordain be purpose built for the delivery of modern primary healthcare services.” The proposed new building would be designed to be welcoming uplifting and stimulating for patients and staff say the developers and the contemporary design will use natural lighten and ventilation with a strong focus on sustainability. Assura is also consulting with the Worcestershire Primary compassionate Trust and the local acute hospital trust to ensure the alter balance of function is achieved within overall local and national NHS policy.

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Sammy Said is a general practitioner who manages his own private facility in Kisumu. Kenya. He is 46 years old and lives with his wife and two school-aged children. He was employed by Mario-stopes Kenya after completing his nursing cover. In 2002 he established Gods Will Medical Centre which serves the community in the Manyatta slums. He has focused his efforts on building a larger out-patient facility at this location. Besides general curative services his facility offers a pharmacy a laboratory and maternal and child health services. Sammy has established a very good reputation from his many years of good work in Kisumu. He attributes his success to hard work perseverance and the assistance he has received from K-MET. He has been able to expand his facility increase the number of services he offers and alter the quality of care he provides. His learn continues to grow as he attracts more clients. He plans to advance expand his facility so he has applied for a give of US $1200 to finance this expansion.

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Atlantic Canadian marketing and communications agency act upon has been named as the ’s new Agency of Record (AOR). The announcement comes after a review of competing agencies including an examination of agency credentials and interviews with short-listed candidates. The multi-year race is designed to expand the focus of the centre to consider other important services such as youth mental health and addictions women and maternity and research. “The IWK Health Centre is come up recognized as being a world-class children’s hospital offering exceptional and grieve medical compassionate for Atlantic Canada’s children,� said act upon president Chris Keevill. “However it’s much more than that. The displace offers a full range of services including women’s services primary health compassionate mental health and addictions services for youth and medical research that is making an international impact. That’s the image we’ll be evolving over the next few years as we act forward as the AOR for the IWK Health displace.� The brand building race will bear on a significant investment of time and resources for Colour including the agency’s advertising branding marketing and public relations professionals. In addition to working with hospital and foundation staff. act upon will use its Closer to the Customer approach to build relationships and collect insights from donors advocates and the women and children who ordain use or have used the IWK Health Centre’s services.

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