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However, research also indicates that these exist alongside the population's use and endorsement of professional help, such as from psychiatrists and doctors [ 16, 18].
More precise specification of the effects that these individual domains of stigma have on the use and endorsement of voluntary counseling and testing (VCT) services is needed, in order to develop effective (targeted) stigma reduction strategies [ 5, 6].
We felt that a provider's overall level of secure messaging may serve as a proxy for his or her overall use and endorsement of the SMR; such an endorsement would encourage patient use.
In this study of the relationships between stigma (negative labeling and devaluation (NLD) and social exclusion (SoE) stigmas) and the use and endorsement of voluntary counseling and testing (VCT) services, the importance of VCT was acknowledged by more than half of the study participants (63%), but actual use was low (only 13% reported lifetime VCT use).
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VCT use and endorsement might differ by domains of stigma held by individuals in the community.
VCT use and endorsement might differ by domains of community stigma.
Most of our findings about correlates of VCT use and endorsement are consistent with the literature on VCT from various settings [ 2, 32, 33].
Blackstone repeatedly wrote of the "wisdom" of these principles as bound up with their long acceptance among the English people; the very fact of their long use and endorsement lent them legitimacy and binding force.
These findings have subsequently led to the publication of clinical practice guidelines on the use of magnesium sulphate for fetal neuroprotection in Canada and Australia, and endorsement of the use of magnesium sulphate for fetal neuroprotection by the American College of Obstetricians and Gynaecologists [ 12- 14].
The UW diagnostic assessment approach was recommended based on its use of specific, quantifiable assessment methods, the accumulated evidence base resulting from its use [ 38, 47, 48, 55, 56], and endorsement of these methods by health professionals [ 14, 22].
Implementation, however, requires faculty understanding and endorsement of the pedagogical use of Web 2.0 applications.
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