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Superior Mesenteric Artery Flow Velocity Waveforms In Small For Gestational Age Fetuses, Eleanor Hoon Joo Rhee

Yale Medicine Thesis Digital Library

No abstract provided.

Current Trends In Designing A Therapeutic Milieu For The Victims Of Alzheimer's Disease, Nancy J. Allen

Theses

The increasing awareness of the need to appropriately manage victims of Alzheimer's disease has created an explosion of special care units across the country. This research project was designed to investigate the most current trends in caring for these individuals and the complex issues that are involved in the creation and operation of a therapeutic environment. Several existing Alzheimer's special care units in the St. Louis area are examined and compared. The results of this survey reveal the status of these units and how they compare to the desired therapeutic milieu described in this exercise.

Decisions At The End Of Life, Catherine A. Marco

Emergency Medicine Faculty Publications

As members of the Church, we believe that our Heavenly Father, in His divine judgment, chooses the appropriate time of death, the essential step and passageway to the next and more perfect life. Although medical technology has created many possibilities for increasing the quality and duration of life in many cases, its use must be appropriately and cautiously implemented. The role of medicine and technology should be to assist in providing cure and comfort to patients in need, rather than the artificial postponement of the natural process of dying.

Assessing The Quality Of Reproductive Health Services, Raeda Al Qutob, Salah Mawajdeh, Laila Nawar, Salama Saidi, Firas Raad

Reproductive Health

This paper offers a broad definition of quality of care and presents a comprehensive conceptual framework for the assessment of quality of reproductive health services and methodological approaches for its measurement. It presents three studies that were conducted between 1990 and 1991 by members of the regional Reproductive Health Working Group from Egypt, Jordan, and Tunisia. The studies provide examples of applications of the framework and its measurement using multiple data sources. Selected findings are presented to illustrate comparative results between countries. Based on the lessons learned from the studies, examples of reproductive health interventions that may improve the quality …

Advances And Challenges In Postabortion Care Operations Research: Summary Report Of A Global Meeting, Dale Huntington

Reproductive Health

The Global Meeting on Postabortion Care: Advances and Challenges in Operations Research was held at the Population Council’s New York office on January 19–21, 1998, to review progress made by three regional operations research (OR) projects in improving delivery of postabortion care. The resources of the three OR contracts were pooled, and, in collaboration with Ipas and the Ebert Program, approximately 65 researchers, senior program managers, and government officials from Africa, Latin America, the Middle East, and Southeast Asia were convened. Three objectives guided the planning of the meeting: review progress in the development of OR methodologies pertaining to postabortion …

Strengthening Rti/Std Services: Lessons Learned From A Pilot Project, Ismat Bhuiya, Ubaidur Rob

Reproductive Health

The national family planning and maternal child health (FP-MCH) program in Bangladesh has raised FP acceptance among couples of reproductive age significantly. A major challenge still facing the program, however, is strengthening its reproductive health (RH) component. The Population Council launched a pilot project to examine the feasibility of strengthening comprehensive reproductive tract infection (RTI) and sexually transmitted disease (STD) services at the Health and Family Welfare Center level. The project had three phases. First, a needs assessment was conducted. Then the components of the intervention were identified, designed, and implemented. And at the third phase, an evaluation was carried …

Analysis Of Price Change On The Perceptions And Use Of Dmpa Among Clients Using Reproductive Health Services In Uttar Pradesh, India, Leila Caleb-Varkey, John Townsend, Sneh Vishwanath, Sudha Tiwari

Reproductive Health

Depo-medroxy Progesterone Acetate (DMPA) is a progesterone-only injectable contraceptive that has been approved by the Government of India for provision in the commercial sector, where it is marketed under the brand name Depo-Provera. In 1996, it was available at rates between Rs. 140 to Rs. 180 per injection. At this price it is often beyond the reach of many women wanting a safe and effective contraceptive. In January 1996, DMPA was provided to women in three cities of Uttar Pradesh through Parivar Seva Sanstha’s (PSS) clinics at Rs. 150. In July 1996, as part of operations research (OR), the price …

Workshop On Youth Across Asia, John Townsend, Ann P. Mccauley, Kokila Agarwal

Reproductive Health

The issues facing youth across Asia are as diverse as the cultures they represent. Issues involving schooling, employment, sexuality, and marriage take on increased significance for young people aged 10–24 in every country. Decisions made by youth and their families will dramatically affect their individual welfare. Few programs outside of public education systems exist at a sufficiently large scale to assist youth. Decisions to stay in school, opportunities to learn skills and manage resources, the exercise of sexual responsibility, and the process of family formation all impact both personal welfare and community development. Gender-equality issues compound many of the problems. …

Factors Affecting The Outputs And Costs Of Community-Based Distribution Of Family Planning Services In Tanzania, Jane Chege, Naomi Rutenberg, Barbara Janowitz, Andrew Thompson

Reproductive Health

This study assesses the cost-effectiveness of reimbursement schemes for community-based distribution (CBD) programs in Tanzania, and answers whether agents who receive monetary incentives perform better and are more cost-effective than those that receive nonmonetary incentives. Fieldwork was undertaken in April and May 1997, and data forming the basis of the analysis was collected from four CBD programs. These programs vary in their remuneration schemes and status of their CBD agents, size, and geographical coverage; the range of activities undertaken by the agents; and supervision and management structures. As noted in this report, CBD agents who receive monetary remuneration see more …

Recherches Opérationnelles Sur Les Soins Post-Abortum: Progrès Et Défis. Compte Rendu D'Une Réunion Mondiale, Dale Huntington

Reproductive Health

Les femmes qui ont subi des complications à la suite d’un avortement incomplet sont parmi les patientes les plus négligées des soins de santé de la reproduction. Une réunion mondiale sur le thème des recherches opérationnelles sur les soins post-abortum a été organisée au Population Council du 19 au 21 janvier 1998; elle a permis de faire le point sur les progrès réalisés grâce aux trois projets régionaux de recherches opérationnelles sur l’amélioration des prestations de soins post-abortum. Trois objectifs ont été poursuivis lors de la planification de la réunion : 1) examen des progrès accomplis concernant la mise au …

Evaluation De La Prise En Charge De La Maternité Sans Risque Et De La Survie De L'Enfant Au Niveau Communautaire De Bazéga, Direction De La Santé Et De La Famille (Dsf), University Of Ouagadougou Demographic Research Unit (Uerd), Mwangaza, Population Council

Reproductive Health

No abstract provided.

Analyse Situationnelle Des Programmes De Santé De La Reproduction, Population Council

Reproductive Health

En 1997, le Ministère de la Santé, en collaboration avec la mission de l'USAID en Guinée, a lancé un programme quinquennal "Pour Renforcer les Interventions en Santé Reproductif et MST/SIDA" (PRISM). Afin de mieux planifier ce nouveau programme de Santé de la Reproduction, et surtout de mesurer son impact sur les indicateurs clés de qualité de service, des données complètes et fiables sur les différents sous-systèmes cliniques étaient indispensables. Cette étude sert à établir des données de base et fournit des informations qui seront utiles pour développer les activités du programme. Les objectifs spécifiques sont : d'évaluer la qualité et …

Evaluation De La Stratégie De Reconversion Des Exciseuses Pour L'Eradication Des Mutilations Génitales Féminines Au Mali, Population Council

Reproductive Health

No abstract provided.

Family Planning Operations Research: A Book Of Readings, James R. Foreit, Tomas Frejka

Reproductive Health

For as long as there have been family planning programs, there has been family planning research. At the theoretical level, researchers examine the effect of fertility on health and socioeconomic development and study the determinants of fertility for individuals and populations. At the policy level, studies explore the role of family planning programs in modifying fertility and health. The development of new contraceptives is accompanied by clinical and pre-introductory trials in program settings. Surveys measure changes in contraceptive use and fertility, and the results are used to make decisions affecting programs. Finally, programs themselves carry out operations research (OR) to …

Integrating Rti Case Management Within Lgu Health Centers: An Intervention Study, Marilou P. Costello, Carmeli Marie Chaves, Chona R. Echavez, Jesus Encena, Jocelyn Ilagan, Orlando Pagulayan

Reproductive Health

In 1994, the Philippines’ Department of Health began assessing the feasibility of syndromic management—utilizing flowcharts and algorithms—for reproductive tract infections (RTIs) in the country’s public health facilities. This intervention, in seven primary health care clinics, trained service providers on RTI case management, improved clinical facilities and laboratories, provided supportive supervision and TA, along with developing training materials. Clinical case management was observed for a six month period. The project also included a cost analysis.

A Study Of Women's Preferences Regarding The Formulation Of Over-The-Counter Vaginal Spermicides, Christiana Coggins, Christopher J. Elias, Ronachai Atisook, Mary T. Bassett, Virginie Ettiegne-Traore, Peter D. Ghys, Laura Jenkins-Woelk, Earmporn Thongkrajai, Nancy L. Vandevanter

Reproductive Health

There is an urgent need for safe, effective, and acceptable vaginal barrier methods for the prevention of sexually transmitted diseases (STDs), including HIV, and a variety of existing spermicides have the potential to be used for both prevention of STDs and unwanted pregnancy. Unfortunately, very little is known about formulation preferences and the desirable characteristics of vaginal preparations among the diverse populations of women who would potentially use these products. In this study, we explored vaginal spermicidal preparations containing nonoxynol-9 and the characteristics that influence user preferences for three formulations, as well as the risk of vaginal and cervical irritation …

Ensuring Community Participation In Mch/Fp Activities: Lessons Learned From A Pilot Project, Abbas Bhuiya, Ubaidur Rob, Maruf Rabban Quaderi

Reproductive Health

Family planning (FP) and maternal and child health (MCH) in Bangladesh have achieved commendable success in the recent past, mostly through a large-scale government service-delivery system supported by donors and nongovernmental organizations. Although encouraged by this success, there was concern about programmatic, financial, and social sustainability of the program, including quality of services. It is now believed that most of these concerns will be taken care of if effective community participation can be ensured. A pilot project was initiated in 1997 in Anowara, a low-FP-performing area in rural Chittagong, with assistance from the Population Council. The main objective of the …

Observations From A Study Tour Of Bangladesh And Indonesia On Their Family Welfare Programme, M.E. Khan, Jayanti Tuladhar, R.B. Gupta, Ubaidur Rob, Meiwita B. Iskandar

Reproductive Health

Bangladesh has a successful family planning (FP) program and has succeeded in bringing about a demographic transition at a much faster rate than many of its neighboring countries. The contraceptive prevalence rate in Bangladesh increased from 3 percent in 1971 to 45 percent in 1993, and the fertility rate decreased from 7.0 to 3.4 births per woman during the same period. This reflects the effort that the Government of Bangladesh, with the help of international agencies, has made to educate couples about FP and increase access and choice of contraceptive methods, even in remote areas. Another predominantly Muslim country that …

Adolescent Reproductive Health: Booklet For Parents, Rieny H. Hardjono, Rashmi Pachauri Rajan

Reproductive Health

In Indonesia, collaboration between the Center for Health Research, University of Indonesia, National Family Planning Coordinating Board (BKKBN), UNFPA Jakarta, and the Population Council resulted in production and distribution of two prototype modules as basic materials on reproductive health for families with school-age children and adolescents. An updated version for both parents and adolescents was published by BKKBN. The Population Council believed that international versions (in English) would be of value, as the gaps in information are similar worldwide with respect to topics covered by these modules. Youth are constantly thirsty for knowledge pertaining to their health, particularly their reproductive …

Towards Safe Womanhood: Supporting Safe Motherhood Initiatives And Women's Participation In Development, Meiwita B. Iskandar

Reproductive Health

Improvement in a woman’s quality of life is a prerequisite for development of human resources, because the quality of children’s physical and mental development is inextricably tied to the health and welfare of women as future mothers. If a mother is well protected during the pregnancy, birth, and postpartum period, the risk of illness and other problems in fetuses and newborn babies will be reduced. On the other hand, if a woman does not survive the pregnancy, birth, and postpartum period, her fetus or newborn will also be threatened. This paper provides a situation analysis of pregnant women, women in …

Country Profile Of Women's Health And Development In Indonesia, Population Council

Reproductive Health

The “Country Profile of Women’s Health and Development in Indonesia” contains a thorough review of the following: Geographical, Political, Socio-Demographic, and Economic Profile of Indonesia; Status of Women; and Women’s Health Status. In view of the complexity of the problems facing women, the document concludes that Indonesia needs a plan for the future with a gender perspective that prioritizes increased life expectancy, legal protection, and empowerment for women. To reach this goal, Indonesia started by ratifying the Convention on the Elimination of All forms of Discrimination Against Women (CEDAW) and set it into law in 1984. This convention, together with …

Technical Assistance To Enhance The Institutionalization Of Operations Research Within The Philippines Family Planning Program, Population Council

Reproductive Health

This technical assistance project supports the goal of the Asia Near East Operations Research and Technical Assistance (ANE OR/TA) project of helping strengthen family planning (FP)/reproductive health (RH) operations research (OR) capabilities in the Philippines. During the extension period of the ANE OR/TA project, four OR studies were implemented in the Philippines dealing with cross-cutting issues, including a study to assess the feasibility of integrating RTI management within FP/MCH programs; an intervention study dealing with improving quality of care via expanded FP counseling; an intervention to address high unmet need in Pangasinan Province; and an intervention study to increase male …

The Life Saver: The Mother Friendly Movement In Indonesia, Abdullah Cholil, Meiwita B. Iskandar, Rosalia Sciortino

Reproductive Health

The focus of this book is the Mother Friendly Movement in Indonesia, a collective effort to reduce maternal mortality. The idea of documenting the Mother Friendly Movement or Gerekan Sayang Ibu (GSI) was originally suggested by Her Excellency Mien Sugandhi, the State Minister for the Role of Women, Republic of Indonesia, in the belief that the Indonesian experience in reducing maternal mortality would be relevant to other countries struggling with the same problem. The authors were entrusted with producing an illustrated monograph on the pilot projects implemented in eight districts from June to December 1997. Besides extensively monitoring these activities, …

Male Involvement Through Reproductive Health Awareness In Bukidnon Province, The Philippines: An Intervention Study, Lita Palma-Sealza, Marilou P. Costello, Chona R. Echavez

Reproductive Health

Recent years have been characterized by an increasing consensus that, in order to support women's goals and aspirations, health programs directed to the improvement of women's and children's health must consider men's perspectives. Although family planning (FP) is often viewed as the woman's responsibility, men have an important role in decisions of whether FP will be practiced and which method will be used. Even though gender relations in the Philippines are often characterized as being relatively egalitarian, there are several reasons for believing that male involvement in FP is highly relevant for this country. Studies indicate that not only are …

Improving Quality Of Care In Fp/Rh Of Selected Communities Of Pangasinan Province: An Intervention Study, Zelda C. Zablan, Josefina V. Cabigon, Luzviminda Muego, Marilou P. Costello, Chona R. Echavez

Reproductive Health

This intervention study was designed to improve the quality of family planning (FP) services within the Integrated Family Planning and Maternal Health Program of the Pangasinan Population and Family Planning Program in the Philippines. It addresses high unmet need and studies the feasibility of enhancing quality of services by training service providers in fixed clinics and orienting outreach workers on the method of identifying women who have unmet need for FP. Four municipalities were chosen from the 47 municipalities comprising the province of Pangasinan and randomly assigned to experimental and control groups. Four indicators were used to match the chosen …

The Medicare Program: Ripe For Reform, Gina M. Barhoumy

Theses

This thesis will evaluate several proposals to reform the Medicare system and how those proposals differ in terms of focus on either financial restructuring or care delivery redesign. This thesis proposes that an emphasis on managed care strategies will represent an effective way to reform the Medicare system.

The purpose of the study is to consider how a shift in focus from acute care treatment to illness prevention and chronic disease management would salvage the Medicare program. The thesis will further explore how an acute care focus has affected the Medicare program, turning a social policy into fuel that feeds …

Ischemia-Reperfusion Injury, Reactive Oxygenmetabolites, And The Surgeon, A.Özdemir Aktan, A. Süha Yalçin

Turkish Journal of Medical Sciences

No abstract provided.

Sensitizing Students To Functional Limitations In The Elderly: An Aging Simulation, Sherry Allen, Viki Lorraine, Anne Lockett, Carolyn M. Rutledge

Ellmer School of Nursing Faculty Publications

Background and Objectives: Using activities of daily living (ADLs) and instrumental activities of daily living (IADLs) as a focus, faculty at Eastern Virginia Medical School provide an aging simulation exercise for a mandatory fouth-year clerkship in geriatrics. The specific aims of the simulation are to 1) experience the physical frailties of aging, 2) develop creative problem-solving techniques, 3) identify feelings regarding the experience of functional loss, and 4) develop proactive clinical approaches to the care of the elderly.

Methods: Students are assigned one of four diagnoses (Parkinson's disease, rheumatoid arthritis, advanced diabetes, or stroke) and are then impaired to simulate …

Virginia Dental Journal (Vol. 75, No. 3, 1998)

Virginia Dental Journal

No abstract provided.

Development Of Rapid Assessment Protocols For Evaluating The Mental Health Status Of Incoming Bosnian Refugees In Waterloo, Iowa, Susan Renee Dobie

Dissertations and Theses @ UNI

The purpose of this study was to develop rapid assessment protocols to evaluate the prevalence of common symptoms of clinical depression and post-traumatic stress disorder in the adult Bosnian refugee population in Waterloo, Iowa.

An extensive literature review was conducted to research (a) refugeeism around the world, (b) causes of refugeeism, (c) the refugee experience, (d) refugee health challenges, (e) post-traumatic stress disorder in refugees, (t) depression in refugees, (g) acculturation stress in refugees, (h) rapid assessment procedures in public health, (i) rapid mental health assessments, (j) the case of refugeeism in the former Yugoslavia, (k) the history of refugeeism …