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This article traces the origins of the familiar quotation, 'there is always something new coming out of Africa'. It demonstrates that the phrase was a proverb that originated in Greece no later than the fourth century BC. It charts the transmission of the phrase from Aristotle to the twentieth century, noting that Erasmus is the most important link in the Renaissance and that he may be responsible for the current form in which the phrase is used. The article also shows that the meaning of the phrase was very different in ancient times from what it is today. Whereas 'something new' to Aristotle meant strange hybrid animals, current writers use the phrase with a sense of admiration.
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A focus group study of women exposed to diethylstiibestrol (DES) in utero (DES daughters) was conducted to gain understanding about exposure to this drug from a patient perspective. Focus group participants reported that learning about their DES exposure was devastating; they experienced strains in their family relationships, emotional shock, a feeling that their health concerns were not appreciated by others and, to some degree, a sense of social isolation. Although many were aware of the need for special gynecological exams and high-risk prenatal care, they were frustrated by what they felt was a lack of reliable and clear information about the effects of DES exposure. Most expressed questions and anxiety about their health. Many found their communication with physicians about their DES exposure unsatisfying. They felt that physicians lacked information about the long-term health effects of DES exposure and as a result did not give them accurate information. Furthermore, they felt that physicians were dismissive of their concerns and often gave what they felt to be false reassurances. Consequently, the women developed an enduring distrust of the medical profession. The results of the study suggest implications for the delivery of health care to DES daughters. Copyright (C) 2000 John Wiley & Sons, Ltd.
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The planning of community health education interventions aimed at multiple levels is complex and challenging. This challenge is increased when a primary audience is difficult to reach. Individuals who were exposed to diethylstilbestrol (DES) decades ago represent a difficult-to-reach audience because they are not always aware of their exposure or the health risks of their exposure. However, DES-exposed individuals need specific screening and health care. An intervention was developed to increase awareness about DES in Nassau County, New York to address this concern. The Precede-Proceed Model was used to develop distinct intervention strategies to reach the general public, which includes individuals who may not be aware that they were exposed; those who are aware of their exposure but may not be following recommended health care practices; and community physicians. Behavioral targets, determining factors, and intervention goals were identified for each group. Specific intervention strategies were planned and implemented for each target audience. Addressing three target audiences simultaneously may produce a synergistic effect, enhancing program impact. © 2000, Sage Publications. All rights reserved.
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In the Western world, the Kyrgyz Republic has been depicted as a democratic success story. Indeed, unlike other Central Asia nation states, the Kyrgyz media appears on the surface relatively free. This paper examines the Kyrgyz press in the context of journalistic ideologies, and suggests that the republic's media is going through an important transitional phase, the central stage of a journalistic rite of passage. Part of that transitional process is an ongoing ideological tug-of-war that awaits resolution. It is suggested that such resolution may occur only when the press becomes economically self-sustaining. © 2005 Taylor & Francis Group, LLC.
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