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Conjugated Bilirubin Measurement Re-Examined: A New 'Approach'., Aidan Kelleher

Theses

Conjugated bilirubin is an important but difficult metabolite to measure accurately, elevated levels of conjugated bilirubin in the serum are indicative of obstructive jaundice and therefore can be used to discriminate this disorder from other forms of unconjugated hyper bilirubinaemia.

The Knowledge Of Dementia Among Nursing Staff Working In Special Care Units, Julia M. Gray

Theses

Dementia is a growing concern among the elder population. Special Care Units in long-term settings are becoming common placements for elders with dementia. The nursing staff within Special Care Units ideally have additional training in dementia. The purpose of this thesis is to examine the knowledge of dementia among nursing staff working in Special Care Units.

The Relation Between The Nutritional Status And The Acute Diarrhetic Diseases In Children Younger Than Five Years Of Age In The Indigenous, Black, And Mestizo Ethnic Groups Of The Rural Area In The Imbabura Province, 1998-1999, Tanya Vaca

Theses and Dissertations

The study conducted in the rural area of the province of Imbabura included a total of 518 families that when compared with the estimated sample of 96%, 42.7 % corresponding to the indigenous ethnic group, 28.15% to Black and 25% to mixed-race ethnic groups, these differences of involvement between ethnic groups is due to the fact that the indigenous population is greater than the two remaining populations. Of the 518 families studied they were able to obtain a total of 794 children younger than 5, in which 48.5% pertaining to the male sex and 51.4% to the female sex. In …

Health Promotion Behaviors In Midlife Women In Alabama., Mona Lynn P Lester

All ETDs from UAB

No abstract provided.

Review Of The Policy Process In Bangladesh Following Icpd, Nancy J. Piet-Pelon, Ubaidur Rob, Syeda Nahid Mukith Chowdhury, Abul Barkat, Sushil Ranjan Howlader, Sharif M.I. Hossain, Ismat Bhuiya, Siraj-Us- Saleheen

Reproductive Health

The International Conference on Population and Development (ICPD) in Cairo in 1994 was the culmination of months of national and international discussions. The issues had been crafted into a Program of Action, which represented a potential shift in thinking. Delegates left the conference espousing a new paradigm and a broad definition of what people, especially women, should expect from their national health services. Governments were encouraged to recognize that the improved health status of women could only be achieved by a life-cycle approach and that health depended not only on good family planning information and services but on women’s empowerment …

Reproductive Tract Infections: A Set Of Factsheets, Population Council

Reproductive Health

Reproductive tract infections (RTIs) are being increasingly recognized as a serious global health problem with impact on individual women and men, and their families and communities. RTIs can have severe consequences, including infertility, ectopic pregnancy, chronic pelvic pain, miscarriage, and increased risk of HIV transmission. For effective prevention and management of RTIs, accurate information is necessary and should be widely available. In addition to a brief introduction to RTIs, this document contains 13 factsheets addressing medical and social issues on a variety of topics related to RTIs. The document, produced by the Population Council with support from the Ford Foundation, …

The Tostan Story: Breakthrough In Senegal Ending Female Genital Cutting, Population Council

Reproductive Health

In Senegal, elements of the Tostan education program were fundamental to the ending of the practice of female genital cutting (FGC) which has persisted for centuries, despite outside efforts to abolish such a dangerous and harmful operation. This paper is an attempt by those who lived through these events to share the experience with others. At a time when there has been little reduction in the numbers of women ending FGC in 28 African countries, when different programs and strategies have rarely succeeded in making an impact on the number of women still practicing FGC despite laws abolishing the tradition, …

Indonesia: Analysis Of Conflicting Crisis-Related Research Results, Michelle Gardner, Lila Amaliah

Reproductive Health

This report aims to explain the discrepancies in crisis-related research results in Indonesia, and to recommend methodologies to enhance future crisis-related monitoring and surveillance. The discussion aims to identify where the discrepancies are in the readily available data, and how these discrepancies can be explained. The report does not attempt to clarify the impact that the economic crisis is having on the health status of women and children in Indonesia. Recommendations are made to deal with the following findings: Aggregation of data may hide important crisis impacts; attribution of identified changes to the economic crisis may be misleading; differences in …

Implementing A Reproductive Health Agenda In India: The Beginning, Saroj Pachauri

Reproductive Health

At the International Conference on Population and Development (ICPD) in 1994, the nations of the world agreed to give special attention to girls’ education, women’s health, infant survival, and women’s empowerment, and to provide comprehensive reproductive health (RH) services to enable couples to achieve their reproductive goals. The government of India launched a reproductive and child health program in October 1997. This book begins a review of the processes underway to operationalize the program. It brings together several important initiatives at various stages of development and examines key policy and program issues based on empirical research and field experience. The …

Effect Of Prepregnancy Body Mass Index And Gestational Weight Gain On Birth Weight, S S. Merchant, I A. Momin, A A. Sewani, N F. Zuberi

Department of Obstetrics & Gynaecology

Objective: Nutritional status of women has been considered an important prognostic indicator of birth outcome. The study aims to show the effect of various prepregnancy Body Mass Index (BMI) categories and corresponding gestational weight gain on newborn birth weight.
Methods: Two hundred women were included in the study. These women had regular antenatal visits and later delivered at The Aga Khan University Hospital (AKUH) between the period January 1, 1996 to December 31, 1997.
Results: For women with prepregnancy BMI < 19., mean birth weight of newborns was lower for those gaining < 12.5 kg than those gaining > 12.5 kg (P < 0.001). Women who started their pregnancy with BMI 19.8-26 and gained weight above expected range gave birth to high birth weight babies (P = 0.009). Gestational weight gain did not have a significant association with birth weight for women having prepregnancy BMI > 26.
Conclusion: Efforts should be made to attain adequate prepregnancy weight to reduce the likelihood of low …

Total Parenteral Nutrition-Associated Cholestasisin Surgical Neonates, Alaeddi̇n Di̇lsi̇z

Turkish Journal of Medical Sciences

Purpose: The aim of this study was to determine the risk factors in the development of total parenteral nutrition associated cholestasis which is a significant clinical problem for pediatric surgeons. Methods: The medical records of 54 neonates who had received total parenteral nutrition for more than two weeks were reviewed retros pectively. Prematurity, duration of parenteral nutrition, enteral starvation, composition of the parenteral nutrition solution, the number of septic episodes and the presence of jejunostomy were evaluated as risk factors. The results were analyzed by dividing the patients into two groups, based on conjugated plasma bilirubin levels (greater or less …

Postabortion Care: Lessons From Operations Research, Dale Huntington, Nancy J. Piet-Pelon

Reproductive Health

This book focuses on one central but until now intransigent aspect of women’s health: How to reduce the toll of death and morbidity associated with unsafe abortion. For the first time in the history of international decision-making, Cairo established a consensus on abortion. This was reaffirmed in the 1999 United Nations General Assembly statement. Where abortion is illegal, many women use herbal remedies, take modern drugs in unsupervised ways, attempt to physically self-induce, or seek help from abortion providers working outside the law. Where abortion is illegal, women are exposed to painful, dangerous procedures and many fall so sick that …

The Association Of Fluid Intake With Total Natural-Cause Mortality, Coronary Heart Disease And Fatal Stroke, Jacqueline Chung Lun Chan

Loma Linda University Electronic Theses, Dissertations & Projects

Hypohydration may be more widespread than realized since it does not always arouse a sense of thirst. When thirst is felt, it is often ignored, or satisfied before euhydration is achieved. There is growing evidence indicating that hypohydration contributes to acute and chronic illnesses, and to rheological factors associated with coronary heart disease (CHD) and stroke. Therefore the relationship of fluid intake with risk of total natural-cause mortality, CHD and stroke death was examined using data on 34,192 white, non-Hispanic participants in the Adventist Health Study.

Among the 27,342 reporting no CHD, stroke or diabetes at baseline, during six years …

Body Weight And Mortality Among Adults Who Never Smoked, Pramil N. Singh

Loma Linda University Electronic Theses, Dissertations & Projects

Most prospective studies identify an increased mortality risk for adults of high body mass index (> 27 kg/m²) that is commonly attributed to the effects of excess body fat, and also identify an increased mortality risk for adults of low body mass index (< 21 kg/m²), an association that, if causal among healthy adults, is without adequate pathophysiologic support.

In this dissertation, I have conducted three studies that continue the investigation of adiposity in relation to mortality among never-smoking adults of the California Seventh-day Adventist population. Among never-smoking adults of the Adventist Mortality Study (1960-1985), the relation between …

Benchmarking Financial Operations Using The Premier Operations Outlook Database, Margaret M. Thompson

Community & Environmental Health Theses & Dissertations

Acute-care hospitals have come under increased pressure to reduce costs while increasing the quality of providing care. Historically, increasing costs of providing care has had the greatest impact on the reduction of operating margins necessary to expand capital and for repayment of debt. Facilities can benchmark internal historical data to identify areas where costs have increased and are able to explain the factors that contribute to the increases. One of the challenges facing hospitals in their efforts to reduce operating costs is how, what, and where, do they obtain comparative data to benchmark the cost of operating medical facility to …

Great Suffering, Great Compassion: A Transcultural Opportunity For School Nurses Caring For Cambodian Refugee Children, Teresa L. Tellep

Master's Projects

The unique cultural ways of Cambodian refugee families, combined with the physical and psychological health problems inherent in their refugee experience, present challenging and rewarding opportunities for school nurses to engage in the process of transcultural nursing. The authors discuss the profound and devastating impact of the refugee experience upon the mind, body, and spirit of Cambodian children. The purpose of this exploratory and descriptive study was to understand the nature and meaning of a school district's cross-cultural team's experiences of providing health care for Cambodian refugee children. Focus group interviews of school nurses and Cambodian liaisons were conducted, utilizing …

Development And Testing Of A Quantitative Food Frequency Questionnaire For Use In Gujarat, India, James R. Hébert, Prakash C. Gupta, Ramesh B. Bhonsle, Pesi N. Sinor, Hemali Mehta, Fali S. Mehta

Faculty Publications

Objective: To develop and test a quantitative, interviewer-administered food frequency questionnaire (FFQ) to ascertain nutrient intakes of individuals in northern India. Design: A 92-item FFQ was developed based on food use and market surveys of the study area. A validation study was conducted consisting of 24-h diet recalls (24HR) administered on 6 randomly selected days over 1 year. Two FFQs were administered, one each at the beginning and end of the 1-year period. FFQ and 24HR-derived nutrient scores were compared using correlation and regression analyses and by computing differences between nutrient intakes estimated by the two methods. Setting: Rural villages …

Native Outreach: A Report To American Indian, Alaska Native And Native Hawaiian Communities, C.S. Glover, F.S. Hodge

Native Health Database Full Text

The National Cancer Institute (NCI) is presenting a monograph written specifically for community leaders, health professionals and lay health workers serving Native American communities. Native Americans have higher mortality rates than the general U.S. population for several major cancer sites. This publication focuses on the need to reduce those rates through effective interventions at the grassroots level.

The Relationship Between Percent Deficit Ideal Body Weight And The Prevalence, Severity, And Healing Of Pressure Ulcers, Cheryl Anne Masters

UNF Graduate Theses and Dissertations

This retrospective study determined whether percent deficit ideal body weight (IBW) was a risk factor for the prevalence, severity or healing of pressure ulcers. This study hypothesized that nursing home residents below their IBW with pressure ulcers have more severe, higher prevalence, and a slower healing rate than resident who are above their IBW. Medical record data were analyzed for all subjects that met the selection criteria from April, 1997 to April, 1998. Fifty-eight subjects aged 39 to 104 years were assigned to one of two groups (Group 1(n=28) were less than 99% of IBW; Group 2 (n=30) were greater …

A Comparison Of The Health Belief Model And Stages Of Change In Exercise Behavior Construct In Cardiac Rehabilitation Patients, Tracey Phillips

Masters Theses

The purpose of this study was to compare the Health Belief Model (HBM) and the STAGES theoretical constructs in the uncovering of influencing factors associated with exercise compliance behaviors in cardiac rehabilitation subjects.

Sixty subjects who had experienced a cardiac event and who were attending a phase II outpatient cardiac rehabilitation program participated in this study. A questionnaire regarding health beliefs and exercise behavior classification was administered. Questions pertained to general health motivations, effectiveness of the intervention, perception of disease severity, perception of susceptibility and the stage of exercise behavior.

An analysis of variance and Tukey's post hoc comparison statistical …

A Comparison Of Nutritional Knowledge, Eating Attitudes, Training Regimens, And Body Composition Between Normal And Abnormal Menstruating Female Adolescent Cross Country Athletes, Dena Maureen Block

Masters Theses

The purpose of this study was to compare factors that may influence menstrual irregularities of female adolescent high school cross-country runners, ranging from 13-18 years of age. A survey was utilized to determine the subjects age, year in school, exercise history, menstrual history, and training regimens and where the subjects sought nutritional information. The groups were separated according to their current menstrual status. One group (normal) consisted of subjects who currently had a normal menstrual cycle for at least one year (n=17), while the other group (abnormal) (n=18) experienced an irregular menstrual cycle.

A twenty item questionnaire was administered to …

Factors Influencing Adherence To The Childhood Immunization Schedule., Leanne C. Busby

All ETDs from UAB

No abstract provided.

Predictors Of Exercise Activity Among Rural Thai Older Adults., Taweeluk Vannarit

All ETDs from UAB

No abstract provided.

A Research On The Use Of Mediterranean Mussel In Feed For Rainbow Trout(Oncorhynchus Mykiss W. 1782), Orhan Aral, Cumaali Ağirağaç, Murat Yi̇ği̇t

Turkish Journal of Veterinary & Animal Sciences

The research has been conducted on the use of mediterranean mussel in feed for rainbow trout reared in sea cages in Black Sea. In the research which was carried out for 39 days in the sea cage unit of the Ondokuz Mayis University Fisheries Faculty of Sinop, 480 rainbow trouts with initial mean weights of 120 g were used. At the end of research, it has been concluded that it is possible to replace mediterranean mussel with certain amount of pellets in the rainbow trout nutrition. According to the prices in 1995, the cost of rainbow trout fed on pellet …

The Effect Of Different Levels Of Nutrition At Last Period Of Gestation On Liveweight Of Ewes, Growth And Survival Rates Of Their Lambs, İsmai̇l Fi̇lya, Ali̇ Karabulut, Vedat Akgündüz

Turkish Journal of Veterinary & Animal Sciences

The animal material of the research was 3, 4 and 5 years old 210 Merino ewes and their lambs. The research was started at the beginning of the last 1.5 months period of gestation and continued until the lambs were reached 60 days age. It has been determined that 500 g and more (especially 1500 g) concentrate feed given fed ewes daily at the last 1.5 months period of gestation increased the liveweight and decreased the weight loss of ewes and increased birth weight, growth and survival rates of lambs.

Effect Of Restricted Feeding Of Parent On The Larval And Cocoon Characters Of The First Generation Silkworm (Bombyx Mori), Ümran Şahan, Cemaletti̇n Gülseren, Ahmet Özeler

Turkish Journal of Veterinary & Animal Sciences

This study was conducted to determine the effect of nutritional stress due to reduction in the number of feeding days during the fifth instar of parental larva on the parental and following genaration for larval and cocoon traits. Mulbery leaves were provided during the fifth instar for different durations of 1, 2, 3, 4, 5, 6 and 7 days, which were regarded as treatment. The normal span of feeding of these larvae were 8 days which was considered as control. A lot of larvae mortality occured due to feeding for 1 and 2 days therefore, these treatments were not considered. …

The Importance Of \Omega-3 Series Fatty Acids In Marine Fish Larvae Nutrition And Recent Developments, Abdurrahman Polat, Gülsün Özyurt

Turkish Journal of Veterinary & Animal Sciences

In general, marine fish larvae require \omega-3 HUFA, especially eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Larval growth, survival and larval activity are affected by dietary levels of essantial fatty acids. Some pathological signs, such as abnormal pigmentation, hydrops etc. and low feed conversion efficiency, poor growth, mass mortality are related to \omega-3 HUFA series fatty acids deficiency in larvae food. EPA/DHA ratio in live foods or microencapsuled diets is an important factor in larval development and survival.

The Pre-Absorptive, Instantaneous Effects Of Natural And Refined Sugar On Quadriceps Peak Torque, Brian Adams, Kevin Valdes, Scott Vanzanten

Masters Theses

The purpose of this study was to compare the effect of natural and refined sugar at an instantaneous, pre-absorptive level on quadriceps peak torque and to measure any prolonged effect on normal, healthy subjects. The experimental group (n=40) was randomly assigned to sugar testing order, with refined sugar testing occurring on one day and natural sugar testing occurring on the opposite day. The control group (n=10) followed the same protocol but held distilled water in their mouth. Isokinetic peak torque was recorded for each subject at three intervals, pretest, post-test I (~1 min.), and posttest n (-15 min.). Results showed …

The Effect Of Nutritional Supplementation And Exercise On Subjective Pain And Function In People With Osteoarthritis Of The Knee, Anna Power, Dan Scheffer

Masters Theses

Nutritional Supplementation of glucosamine sulfate and chondroitin sulfate are being promoted in the treatment of osteoarthritis. Recent research has indicated that gelatin was found effective. Moderate exercise is also being advocated. The purpose of this eight week double blind study was to examine the effects of the inexpensive nutritional supplement gelatin, in the form of Knox Nutrajoint, and exercise on pain and functional activity in 49 subjects with osteoarthritis in one or both knees. Subjects were randomly assigned to one of four groups: placebo, placebo plus exercise, gelatin supplement plus exercise and exercise. Exercise consisted of a progressive walking program. …

Exploration Into The Validity Of Use Of The Bruininks-Oseretsky Test Of Motor Proficiency In Assessing The Adolescent With Down Syndrome, Robin J. Essebaggers, Wynne M. Martin, Gina E. Smies

Masters Theses

The purpose of this study was to investigate the validity of the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) in assessing the adolescent with Down syndrome. Thirteen individuals with Down syndrome ages 13 to 20 years with an IQ of at least 35 were administered the short form of the BOTMP (BOTMP-SF). The functional abilities of these subjects were assessed using the Pediatric Evaluation of Disability Inventory (PEDI). Four parts of the PEDI were utilized: 1) Self-Care Functional Skills, 2) Self- Care Caregiver Assistance, 3) Mobility Functional Skills, and 4) Mobility Caregiver Assistance. No evidence of significant correlation existed between the …