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Archive for October, 2008

Breakthrough: Protein that helps people hear found‏

Saturday, October 11th, 2008

London: A protein in the inner ear helps people differentiate between sounds and understand speech, French researchers reported in a finding that could help treat the hard of hearing.
The study also helps explain why some people have difficulty hearing in crowded restaurants or other noisy places, said Paul Avan, a researcher at the University of Auvergne, France. “This won’t help cure deafness but will help diagnose why some people have hearing problems, especially in noisy places,” Avan, who worked on the study, said.
The study, which used genetically engineered mice, looked at the part of the inner ear called the cochlea, which contains two types of sensory cells to detect sounds.
Scientists often study mice because of the biological similarities between the animals and humans. Until now people had thought that structures called ion channels found in the cells — which work like a microphone to transform sound into electrical messages — were mainly responsible for distorting sound in the ear.
Distortion is important because it allows people to pick out the correct sounds from a mixture of noises, such as it be competing conversations at a cocktail party.
But the researchers showed how a protein called stereocilin was keeping sensory cells intact and allowing the inner ear to properly distort sounds. The findings could help doctors fit certain people with special hearing aids that eliminate noise from certain directions.
“Until now it was thought that if the ion channels worked everything would be okay,” Avan said. “We show that this is not the case. Sensitivity will be good but that does nothing if you don’t understand anything if it is noisy around you.” REUTERS
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Human Resources For Maternal Health

Wednesday, October 8th, 2008

A crucial question in the aim to attain MDG5 is whether it can be achieved faster with the scaling up of multi-purpose health workers operating in the community or with the scaling up of professional skilled birth attendants working in health facilities. Most advisers concerned with maternal mortality reduction concur to promote births in facilities with professional attendants as the ultimate strategy. The evidence, however, is scarce on what it takes to progress in this path, and on the ‘interim solutions’ for situations where the majority of women still deliver at home. These questions are particularly relevant as we have reached the twentieth anniversary of the safe motherhood initiative without much progress made. In this paper we review the current situation of human resources for maternal health as well as the problems that they face. We propose seven key areas of work that must be addressed when planning for scaling up human resources for maternal health in light of MDG5, and finally we indicate some advances recently made in selected countries and the lessons learned from these experiences. Whilst the focus of this paper is on maternal health, it is acknowledged that the interventions to reduce maternal mortality will also contribute to significantly reducing newborn mortality. Addressing each of the seven key areas of work - recommended by the first International Forum on ‘Midwifery in the Community’, Tunis, December 2006 - is essential for the success of any MDG5 programme We hypothesize that a great deal of the stagnation of maternal health programmes has been the result of confusion and careless choices in scaling up between a limited number of truly skilled birth attendants and large quantities of multi-purpose workers with short training, fewer skills, limited authority and no career pathways. We conclude from the lessons learnt that no significant progress in maternal mortality reduction can be achieved without a strong political decision to empower midwives and others with midwifery skills, and a substantial strengthening of health systems with a focus on quality of care rather than on numbers, to give them the means to respond to the challenge.

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