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SCIENCE AND THE MEDIA 7 embedded in the processes of medical care delivery. Medical news reports may increase or diminish the willingness of individuals to present themselves for care or for clinical trials ; , may raise expectations sometimes falsely ; , may dash hopes, or may provoke alarm as in some of the early press coverage of the AIDS epidemic ; . The quality of individual and policy decisions which rely on scientific information depends on the fidelity with which that information is transmitted from scientists to decisionmakers through the media. If it wishes to improve the quality of science news, the research community must first understand how the press works from the inside. Towards that objective, some thirty-four months ago I initiated a series of interviews with science reporters, editors, and television producers at lead2 ing news organizations. These twenty-seven interviews ranged in length from one to four hours and yielded over 1, 000 pages of transcripts. As the interviews progressed, it became apparent that the science press corps, in its senior ranks, consists of a dedicated group of professionals. They characterized their roles in society in diverse ways, ranging from "translator and educator" to "helping people to get better medical care" to simply "reporting the news. " During a discussion of Legionnaire's Disease, one reporter offered this description of how she folds the job of educator into her primary role as news reporter: "[Legionnaire's Disease].
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Author message posted: sun jun 24, 2007 6: post subject: in medical principle of relatively low published and efavirenz. China closes the liver microzide which also host. 1. UNAIDS World Health Organization 1998 ; Report on the Global HIV AIDS Epidemic. UNAIDS WHO, Geneva, Switzerland. 2. UNAIDS World Health Organization 1998 ; HIV and Infant Feeding. A Policy Statement developed collaboratively by UNAIDS, UNICEF and WHO. UNAIDS WHO, Geneva, Switzerland. 3. NACO website 2002 ; : naco.nic.in vsnaco indianscene executive. htm accessed September 15, 2002 ; . 4. Dunn, D., Newell, M. L., Ades, A. E. & Peckham, C. 1992 ; Risk of human immunodeficiency virus type 1 transmission through breastfeeding. Lancet 340: 585588. 5. Oddy, W. H. 2001 ; Breastfeeding protects against illness and infection in infants and children: a review of the evidence. Breastfeed Rev. 9: 1118. 6. Arifeen, S., Black, R. E., Antelman, G., Baqui, A., Caulfield, L. & Becker, S. 2001 ; Exclusive breastfeeding reduces acute respiratory infection and diarrhea deaths among infants in Dhaka slums. Pediatrics 108: E67. 7. World Health Organization 2000 ; Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. WHO Collaborative Study Team on the Role of Breastfeeding on the Prevention of Infant Mortality. Lancet 355: 451 455. Lopez-Alarcon, M., Villalpando, S. & Fajardo, A. 1997 ; Breast-feeding lowers the frequency and duration of acute respiratory infection and diarrhea in infants under six months of age. J. Nutr. 127: 436 443. Victora, C. G., Smith, P. G., Vaughan, J. P., Nobre, L. C., Lombardi, C., Teixeira, A. M., Fuchs, S. M., Moreira, L. B., Gigante, L. P. & Barros, F. C. 1987 ; Evidence for protection by breast-feeding against infant deaths from infectious diseases in Brazil. Lancet 2: 319 322. Nicoll, A., Killewo, J.Z.J. & Mgone, C. 1990 ; HIV and infant feeding practices: Epidemiological implications from sub-Saharan African countries. AIDS 4: 661 665. Coutsoudis, A., Pillay, K., Spooner, E., Kuhn, L. & Coovadia, H. M. 1999 ; Influence of infant-feeding patterns on early mother-to-child transmission of HIV-1 in Durban, South Africa: a prospective cohort study. South African Vitamin A Study Group. Lancet 354: 471 476. Shrotri, A., Shankar, A. V., Sutar, S., Joshi, A., Suryawanshi, N., Pisal, H., Bharucha, K. E., Phadke, M. A., Bollinger, R. C. & Sastry, J. 2003 ; Awareness of HIV AIDS and household environment of pregnant women in Pune India. Int. J. STD AIDS in press ; . 13. Shankar, A. V., Pisal, H., Patil, O., Joshi, A., Suryavanshi, N., Shrotri, A., Bharucha, K. E., Bulakh, P., Phadke, M. A., Bollinger, R. C., Sastry, J. 2003 ; Women's Acceptability and husband's support of rapid HIV testing of pregnant women in Pune, India in press ; . 14. SAS Institute Inc. 2000 SAS STAT User's Guide, Version 9. SAS Institute, Cary, NC. 15. Miles, M. B. & Huberman, A. M. 1994 ; Qualitative Data Analysis: An Expanded Sourcebook, 2nd ed. Sage Publications, Thousand Oaks, CA. 16. Nduati, R., John, G., Mbori-Ngacha, D., Richardson, B., Overbaugh, J., Mwatha, A., Ndinya-Achola, J., Bwayo, J., Onyango, F. E., Hughes, J. & Kreiss, J. 2000 ; Effect of breastfeeding and formula feeding on transmission of HIV-1: a randomized clinical trial. J. Am. Med. Assoc. 283: 11671174. 17. Mbori-Ngacha, D., Nduati, R., John, G. Reilly, M., Richardson, B., Mwatha, A., Ndinya-Achola, J, Bwayo, J. & Kreiss, J. 2001 ; Morbidity and mortality in breastfed and formula-fed infants of HIV-1 infected women: A randomized clinical trial. J. Am. Med. Assoc. 286: 24132420. 18. Goto, K., Chew, F., Torun, B., Peerson, J. M. & Brown, K. H. 1999 ; Epidemiology of altered intestinal permeability to lactulose and mannitol in Guatemalan infants. J. Pediatr. Gastroenterol. Nutr. 28: 282290. 19. Smith, M. M., Kuhn, L. & Gertrude, H. 2000 ; Exclusive breast-feeding: does it have the potential to reduce breast-feeding transmission of HIV-1? Nutr. Rev. 58: 333340. 20. International Institute for Population Sciences IIPS ; and ORC Macro 2000 ; National Family Health Survey NFHS-2 ; , 1998 1999, IIPS Chapter 7. Mumbai, India. 21. World Health Organization 2001 ; Breast Feeding and Replacement Feeding Practices in the Context of Mother-to-Child Transmission of HIV, An Assessment Tool for Research and Programs. Reproductive Health and Research and sustiva.
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