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Analysis Of Intrauterine Device Implementation And Review Of Prevention Strategies To Reduce Adolescent Pregnancy In Nicaragua, Haley Johnson Jan 2018

Analysis Of Intrauterine Device Implementation And Review Of Prevention Strategies To Reduce Adolescent Pregnancy In Nicaragua, Haley Johnson

Theses and Graduate Projects

Adolescent pregnancy is one of the main healthcare issues facing Nicaragua. Prevention strategies are needed to avoid the maternal and fetal outcomes associated with young pregnancies. Extensive literature analysis and face-to-face discussions in Nicaragua were conducted to determine the current incidence of adolescent pregnancy and contraception use, barriers to reproductive health for adolescents, maternal outcomes of adolescent pregnancy, and if intrauterine devices have the potential to be a culturally effective method of contraception. Specific barriers to reproductive health for adolescents were identified to be machismo, societal criticism, lack of reproductive education, fear of infection from IUDs, and underutilization of healthcare …


Barriers To Contraceptive Use In Nicaragua, Ellen Motley Jan 2018

Barriers To Contraceptive Use In Nicaragua, Ellen Motley

Theses and Graduate Projects

Many barriers to contraceptive use exist in sexually active Nicaraguan women, leading to increasingly high rates of unintended pregnancies among these women. Higher rates of depression, domestic abuse, and unemployment are also seen in this group of women. These women face more complications during pregnancy and receive higher rates of unsafe abortions, impacting the mom and the infant, as well as the community in which they live. Some of the barriers to contraceptive use include lack of access to healthcare, lack of knowledge about contraceptive methods, negative attitudes about contraceptives, providers’ fear of criticism, previous dissatisfaction or contraceptive failure, family …


Local Attitudes And Prevention Around The Nicaraguan Sugarcane Worker With Chronic Renal Disease, Matt Cyr Jan 2018

Local Attitudes And Prevention Around The Nicaraguan Sugarcane Worker With Chronic Renal Disease, Matt Cyr

Theses and Graduate Projects

An epidemic of chronic kidney disease (CKD) in Central America and Nicaragua is referred to as Mesoamerican nephropathy (MeN). It’s estimated that the death toll for MeN over the past two decades has reached at least 20,000. Nicaragua is included in the 10 highest overall mortality rate from kidney disease in the world. MeN disproportionately affects young, male agricultural workers who do not exhibit traditional risk factors for CKD such as hypertension and diabetes. A consistent risk factor for MeN is heavy manual labor in the heat, often temperatures over 35 °C with high humidity. Many reasons have been proposed …


Hpv Screening In Nicaragua, Claire Maccani Jan 2018

Hpv Screening In Nicaragua, Claire Maccani

Theses and Graduate Projects

Cervical cancer is the leading cause of mortality due to a malignant neoplasm for young women in Latin America and the leading cause of cancer among women of any age in Nicaragua. Additionally, cervical cancer is the third most common cause of cancer death in females worldwide. This paper will focus on just the screening aspect of prevention. There are also vaccines now available for preventing certain oncologic strains of HPV which ultimately leads to prevention of cervical cancer. There is not yet an organized program offering HPV vaccination in Nicaragua due to the high cost of the vaccine. The …


The Impact Of Sexual Education On Decreasing Adolescent Pregnancy In Nicaragua, Allison Greenwood Jan 2018

The Impact Of Sexual Education On Decreasing Adolescent Pregnancy In Nicaragua, Allison Greenwood

Theses and Graduate Projects

Half of the females of Nicaragua will have given birth by their 20th birthday.1 Nicaragua has one of the highest fertility rates in the world and exceeds the fertility rate average in Latin America with 109 (births per 1000 females aged 15-19) compared to the average of 79 births.1,2 Young maternal age is linked to higher incidences of pregnancy complications such as preterm birth, low birth weight, and neonatal mortality.2 Nicaragua’s high adolescent pregnancy rate is a result of a multifactorial social and political climate. The initiation of a teen's sexual debut is complex and hinges on multiple factors from …


Access And Attitudes Regarding Emergency Contraception And Reproductive Health In Nicaragua, Nadia Commers Jan 2018

Access And Attitudes Regarding Emergency Contraception And Reproductive Health In Nicaragua, Nadia Commers

Theses and Graduate Projects

Unintended pregnancy affects millions of women across the globe and often leads to an increased risk of health complications and socio-economic stress. In Nicaragua, approximately 1 in 6 births are unplanned, a relatively low number in comparison to the United States. However, the rate of unintended pregnancy is particularly problematic within the adolescent age group of Nicaragua, where 50% of women give birth before age 20 and 45% of those births are unplanned. The annual fertility rate of Nicaragua’s adolescents (109 births per 1,000 15-19- year-olds) is the highest in all of North, Central and South America, where the average …


In Developing Countries, Does The Implementation Of Basic Cardio-Pulmonary Resuscitation Education In The Community Improve Patient Outcomes?, Ashley Gross Jan 2018

In Developing Countries, Does The Implementation Of Basic Cardio-Pulmonary Resuscitation Education In The Community Improve Patient Outcomes?, Ashley Gross

Theses and Graduate Projects

Circulatory shock and cardiovascular diseases contribute to significant mortality globally, with an increased burden in developing countries. The compilation of these studies and anecdotal support gathered while in Nicaragua supports the impact education on high-quality CPR among the community can have on out-of- hospital cardiac arrest patient outcomes. Even though some studies showed guideline-compliant CPR does not improve all patient outcomes, we cannot estimate the time it will take a patient to achieve ROSC. Therefore, educating the public and refining the skills of health care professionals can have a significant positive impact on out-of-hospital cardiac arrest patient outcomes if there …


Increased Antibiotic Resistance Of Escherichia Coli In Nicaragua: Potential Causes And Future Implications, Ryan S. Paukert Jan 2018

Increased Antibiotic Resistance Of Escherichia Coli In Nicaragua: Potential Causes And Future Implications, Ryan S. Paukert

Theses and Graduate Projects

Since 1987, no new structural class of antibiotic has been introduced into human medicine. Aside from the absence of a new structural class of antibiotics, there has been a startlingly low number of new antibiotics approved since 1987. With the lack of new antibiotics, finding current antibiotics that are effective is becoming an alarming challenge due to the worldwide emergence of antibiotic resistance. Antibiotic-resistant bacteria presents a major threat to public health because they reduce the effectiveness of antibiotic treatment leading to increased morbidity, mortality, and healthcare expenditure. Without treatment for common infections, like uropathogenic Escherichia coli (UPEC), resistant infections …


The Effects Of Cross-Cultural Experience On Travel Participants, Elizabeth Sander Moreira Aug 1990

The Effects Of Cross-Cultural Experience On Travel Participants, Elizabeth Sander Moreira

Theses and Graduate Projects

The principal hypothesis of this study is that within a group of travel participants, individuals' perceptions of the effects of the trip will differ, but at the same time there will be identifiable convergence of perception. The specific problem addressed is how the lives of Project Minnesota/Leon trip participants have been affected by visiting Nicaragua. The research methodology used was the speech communication theory of Symbolic Convergence and the data was examined by quantal analysis. Three distinct types of participants were found, supporting the validity of this theory and soundly defending the principal hypothesis. A corollary hypothesis is that cross-cultural …