Sophie Keller

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AIM The aim of the present study was to explore the impact of strategies to reduce polypharmacy on mortality, hospitalization and change in number of drugs. METHODS Systematic review and meta-analysis: a systematic literature search targeting patients ≥65 years with polypharmacy (≥4 drugs), focusing on patient-relevant outcome measures, was conducted. We(More)
Many adolescents are embarrassed or unwilling to take precautions against sexually transmitted diseases (STDs). In African countries polygamy or sex with older partners can increase for young women the risk of contracting HIV and other STDs. Their feelings of insecurity and lack of self-confidence prevents them from seeking reproductive health services(More)
Background This study aimed to explore if group-based peer support as an additional component to a disease management programme (DMP) in type 2 diabetes can reduce the number of prescribed drugs; hospital admissions; and length of hospital stay and therefore be a cost-effective model. Methods Controlled study based on a secondary data analysis of a(More)
Sexually active young adults tend to be poorly informed about their contraceptive choices and risks of contracting a sexually transmitted disease (STD). Some who venture to clinics are refused services or treated rudely. Inconvenient hours and high costs may also be obstacles to clinic uptake. However, compared to older men and women, adolescents are(More)
Modeled after the naturally occurring hormone progesterone, progestins are the synthetic hormones used in Norplant, depot-medroxyprogesterone acetate (DMPA), and progestin-only pills (POPs). Progestin-only contraceptives alter a woman's hormonal balance. In so doing, progestin-only contraceptives block a series of chemical signals essential to the(More)
A survey of reproductive health activities in 50 countries shows that 25% of family planning programs provided all types of reproductive health services: family planning or safe regulation of fertility, maternal health and nutrition, protection from sexually transmitted diseases (STDs), and reproductive rights. Integrated reproductive health services reduce(More)
Sexual partners who communicate about reproductive health issues reduce their risk of acquiring a sexually transmitted disease (STD) or of unintended pregnancy, but few couples feel comfortable talking openly about sex. AIDS prevention programs have focused on improving couple communication, but family planning programs have emphasized women-controlled(More)
Clients need both skill and motivation to effectively use natural family planning (NFP). Thus, NFP services must provide adequate counseling and training to clients. A good teacher of NFP does not need formal health care training but she/must have good communication skills. A teacher usually needs to meet with a client four times over a period of several(More)