Milk banks through the lens of Muslim scholars: one text in two contexts

When Muslims thought of establishing milk banks, religious reservations were raised. These reservations were based on the concept that women's milk creates 'milk kinship' believed to impede marriage in Islamic Law. This type of kinship is, however, a distinctive phenomenon of Arab tradition and relatively unknown in Western cultures. This article is a pioneer study which fathoms out the contemporary discussions of Muslim scholars on this issue. The main focus here is a religious guideline (fatwa) issued in 1983, referred to in this article as 'one text', by the Egyptian scholar Yūsuf al-Qaradāwī who saw no religious problem in establishing or using these banks. After a number of introductory remarks on the 'Western' phenomenon of milk banks and the 'Islamic' phenomenon of 'milk kinship', this article analyses the fatwa of al-Qaradāwī 'one text' and investigates the 'two contexts' in which this fatwa was discussed, namely, the context of the Muslim world and that of Muslim minorities living in the West. The first context led to rejecting the fatwa and refusing to introduce the milk banking system in the Muslim world. The second context led to accepting this system and thus allowing Muslims living in the West to donate and receive milk from these banks. Besides its relevance to specialists in the fields of Islamic studies, anthropology and medical ethics, this article will also be helpful to physicians and nurses who deal with patients of Islamic background.     

Indexation of psychiatric journals from low‐ and middle‐income countries: a survey and a case study

There is a marked underepresentation of low- and middle-income countries (LAMIC) in the psychiatric literature, which may reflect an overall low representation of LAMIC publications in databases of indexed journals. This paper investigates the worldwide distribution of indexed psychiatric journals. A survey in both Medline and ISI Web of Science was performed in order to identify journals in the field of psychiatry according to their country of origin. Two hundred and twenty-two indexed psychiatric journals were found. Of these, 213 originated from high-income countries and only nine (4.1%) from middle-income countries. None were found in low-income countries. We also present the experience of a LAMIC psychiatric journal, the Revista Brasileira de Psiquiatria, in its recent indexation process. This case study may serve as an example for other LAMIC journals to pursue indexation in major databases as a strategy to widen the international foundation of psychiatric research. There is an important need for the inclusion of LAMIC psychiatric publications in the major indexation databases. This process will require multiple agents to partner with journals from LAMIC to improve their quality and strengthen their chances of being indexed.     

Cervical cancer screening in Mediterranean countries: implications for the future

K. Syrjänen, L. Di Bonito, L. Gonçalves, L. Murjal, M. Santamaria, V. Mahovlic, P. Karakitsos, B. Önal and F. C. Schmitt Cervical cancer screening in Mediterranean countries: implications for the future Prompted by feedback from the 34th European Congress of Cytology (ECC), the practice of including a special symposium in the programme was continued in the 35th ECC in Lisbon (2009) by arranging a satellite symposium entitled ‘Cervical Cancer Screening in the Mediterranean Countries’. Because of the importance to the future of this discipline, it was felt appropriate to summarize the highlights of this symposium here. Cervical cancer prevention strategies in the countries participating in the symposium (Portugal, Spain, Italy, Croatia, Greece and Turkey) appear to be highly variable. As yet, none of these countries can demonstrate a fully implemented national screening programme, but all are in different phases of designing and/or setting up such a programme, which is important. At present, the time‐honoured concept of cervical cancer prevention by Pap smear screening is under review, because prophylactic human papillomavirus (HPV) vaccines demonstrate a potential to prevent the vast majority (albeit not all) of cases of cervical cancer in the foreseeable future. Cervical cancer screening is still needed in this emerging era of HPV vaccination, but clearly the existing screening strategies must be modified to provide a cost‐effective combination of vaccination and screening. If the currently evaluated new screening strategies, such as HPV testing followed by cytology triage, become a reality, there is the likelihood that the Pap test will have only a secondary role, subordinate to HPV testing. Supporters of this scenario claim that Pap test performance will deteriorate in vaccinated populations. Reduced positive predictive value (PPV), due to lower disease prevalence, is inevitable, however, and this would also affect HPV tests. Any decline in sensitivity and specificity depends on human performance, and as such is avoidable by taking appropriate preventive measures. As clinical cytologists, we should focus attention on minimizing the risk to the Pap test of falling sensitivity because of unfamiliarity with abnormal cells, and also of reduced specificity if the fear of missing significant disease leads to overcalling of benign abnormalities.     

Global uptake of fertility preservation by women undergoing cancer treatment: An unmet need in low to high-income countries

Although the incidence of cancers is on the rise globally, mortality has continued to decrease due to advances in early detection and treatment. Cancer treatments such as chemotherapy and radiotherapy can impact the reproductive capacity of survivors by inducing premature ovarian failure and subsequent infertility causing significant psychological distress with decreased quality of life. Despite the increasing need for fertility preservation services for the rising number of cancer survivors and the recent advances in assisted reproductive technology, many women with cancers in low, middle, and to a lesser extent, high-income countries have no access to these services. This article, therefore, presents an overview of the effect of cancer treatment on fertility, options of fertility preservation, and factors influencing fertility preservation utilization by women who had a cancer diagnosis. In addition, we discuss the availability, practices, and outcomes of fertility preservation services in low, middle, and high-income countries and highlight pragmatic steps to improving access to oncofertility care for women with cancers globally.     

OBPC Symposium: maize 2004 &; beyond—Can agricultural biotechnology contribute to global food security?

Summary Bioengineering approaches provide unprecedented opportunities for reducing poverty, food insecurity, child malnutrition, and natural resource degradation. Genetic engineering offers outstanding potential to increase the efficiency of crop improvement. Thus agricultural biotechnology could enhance global food production and availability in a sustainable way. Small farmers in developing countries are faced with many problems and constraints which biotechnology may assist. Yet, there are varying levels of opposition to the use of this technology in most countries and it is especially intense in Europe. While there is certain public apprehension with the use of bioengineering in food improvement, the primary hurdles facing this technology are the stringent and burdensome regulatory requirements for commercialization, opposition from the special interest groups, apprehension by the food industry especially with the whole foods, and trade barriers including rigid policies on traceability and labeling. Bioengineered crops such as soybean, maize, cotton, and canola with a few traits have already made a remarkable impaet on food production and environmental quality. But, in the developing world, bioengineering of crops such as bananas, cassava, yams, sweet potatoes, sorghum, rice, maize, wheat, millet, and legumes, along with livestock, can elearly contribute to global food security. However, the integration of biotechnology into agricultural research in developing countries faces many challenges which must be addressed: financial, technical, political, environmental, activism, intellectual-property, biosafety, and trade-related issues. To ensure that developing countries can harness the benefit of this technology with minimal problems, concerted efforts must be pursued to create an awareness of its potential benefits and to address the concerns related to its use through dialog among the various stakeholders: policy makers, scientists, trade groups, food industry, consumer organizations, farmer groups, media, and non-governmental organizations. Biotechnology holds great promise as a new tool in the scientific toolkit for generating applied agricultural technologies; however, per se it is not a panacea for the worlds problems of hunger and poverty.     

Effect of resistance training during the month of Ramadan on antioxidants and oxidative stress biomarkers in recreational bodybuilders

The aim of this study was to investigate the effect of a hypertrophic training program during Ramadan on levels of circulating antioxidants and oxidative stress biomarkers in trained bodybuilders. Eight male bodybuilders visited the laboratory two days before the start of Ramadan and on the 29th day of Ramadan (end-Ramadan), to undergo anthropometric measurement, to complete a dietary questionnaire, and to provide fasting blood and urine samples. Plasma thiobarbituric acid reactive substance and protein-bound carbonyl concentrations were measured in the plasma to indicate lipid and protein oxidation, respectively. These did not change significantly during Ramadan. Superoxide dismutase and glutathione peroxidase activities, indices of erythrocytes antioxidant status, increased by 24% (p = 0.011) and 12% (p = 0.01), respectively, from before to the end of Ramadan. However, erythrocyte catalase activity did not change significantly. Uric acid values increased by 17% (p < 0.001) from before to the end of Ramadan, but ferric-reducing ability and Vitamin E levels of the plasma remained unchanged. A significant correlation was found between uric acid values and urine specific gravity (r = 0.70; p < 0.05) only at the end of Ramadan. We conclude that continuing a hypertrophic training program during Ramadan fasting does not increase oxidative stress but does increase antioxidant status in bodybuilders.     

Ecological Restoration in a Developing Island Nation: How Useful is the Science?

Restoration science is a relatively young branch of ecology that is growing in importance owing to the sheer scale and trend of habitat degradation worldwide and the range of strong benefits that it is seen to potentially carry. Although spearheaded mainly by developed countries, its usefulness at least for the conservation of biodiversity may be greatest in the developing world. Here we examine how Mauritius, a developing island nation that may be regarded as well equipped among developing countries in terms of access to restoration science, is using science to inform the ecological restoration of its degraded native habitats for biodiversity conservation. While Mauritius is known for a number of proactive and at times innovative approaches that may even be setting the pace worldwide, we found that the restoration activities which are impacting the largest areas and an overwhelming proportion of native biodiversity of the country sometimes remain averse to even basic ecological principles. This includes the removal from restoration areas of fast growing native pioneer species with proven nurse‐tree potential to be replaced by a multitude of nursery grown and much slower growing plants that would have naturally grown anyway. Besides representing setbacks to areas undergoing restoration, this elevates restoration costs in the face of scarcity of conservation resources and urgency to restore more than the tiny and isolated areas currently targeted. Research worldwide continues to improve restoration science but blockages to knowledge transfer can seriously undermine its impact where it is most needed.     

Educational performance of native and immigrant children from various countries of origin

Mostly due to the lack of suitable data, cross-national research on the integration of migrant pupils is still scarce. We aim to fill this gap by addressing the question of the extent to which native and first- and second-generation migrants from various regions of origin, living in thirteen different countries of destination, differ in their scholastic ability. Using the PISA 2003 data, we focus primarily on the impact of origin and destination effects on the scholastic achievement of migrants.

The results indicate that family characteristics and origin and destination effects can offer a significant contribution to the explanation of difference in scholastic knowledge between natives and first- and second-generation migrants. However, certain primary origin and destination effects, as well as interactions between these and family characteristics, remain significant and substantive after controlling for family characteristics, suggesting serious integration problems in the case of migrants from a few regions of origin in some European countries of destination.     

Estimates of the number of patients with high cumulative doses through recurrent CT exams in 35 OECD countries

PurposeTo estimate the number of patients in OECD (Organization for Economic Co-operation and Development) countries who receive a cumulative effective dose (CED) ≥ 100 mSv from recurrent computed tomography (CT) exams.MethodsTaking into account recently published data on the number of CTs per patient and the fraction of patients with CED ≥ 100 mSv as well as country-specific data for the number of CT exams/1,000 population from OECD publication, this paper makes estimations for 35 OECD countries.ResultsThe estimated total number of patients with CED ≥ 100 mSv for all 35 OECD countries combined in a 5-year period is around 2.5 million (2,493,685) in a population of 1.2 billion (1,176,641,900), i.e., 0.21% of the population. Expressed per 1,000 population, the range is from 0.51 for Finland to 2.94 for the US, a nearly six-fold difference. Countries with more than 2 patients with CED ≥ 100 mSv in a 5-yr period per 1,000 population are: Belgium, France, Iceland, Japan, Korea, Luxembourg, Portugal, Turkey, and US.ConclusionsThe first estimates of the number of patients likely receiving CED ≥ 100 mSv through recurrent CT exams in 35 OECD countries indicate that 2.5 million patients reach this level in a 5-year period. There is an urgent need for various stakeholders including medical physicists, referring physicians, health policy makers, manufacturers of CT equipment and epidemiologists to attend to the issue in the interest of patient radiation safety.