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Integrating Rti Services In Primary Health Care System: Observations From An Operations Research In Uttar Pradesh, India, M.E. Khan, Saumya Ramarao, R.B. Gupta, Bella C. Patel, Leila Caleb-Varkey, Jayanti Tuladhar, Sanjeev Kumar, John Townsend

Reproductive Health

Evidence from community studies indicates that significant proportions of Indian women (30 percent) may have reproductive tract infections (RTIs). Given that women are in general asymptomatic and that even symptomatic women may not seek care, the estimates are the minimum levels of prevalence. Most women do not seek treatment for RTIs for such reasons as lack of awareness, acceptance that RTIs are part of women's lives, and lack of treatment facilities. On the supply side, in the public sector the treatment for RTIs is limited with most services provided through STD clinics in urban areas. Seeking treatment at STD clinics …

Male Involvement In Family Planning: A Kabp Study Of Agra District, Uttar Pradesh, M.E. Khan, Bella C. Patel

Reproductive Health

Although lack of male involvement in family planning has been a topic of research and discussion since the early 1980s, during the last five years it has become an important issue for women advocates, researchers, and many international agencies that are committed to reproductive health and gender equality. The large number of articles on this subject and growing number of conferences, research projects, and debates are testimonies to the importance of the issue, both from the programmatic point of view and as a process for bringing about a gender balance in men's and women's reproductive rights and responsibility. This paper …

Sexual Violence Within Marriage: A Case Study Of Rural Uttar Pradesh, M.E. Khan, John Townsend, Ranjana Sinha, Seema Lakhanpal

Reproductive Health

Until recently the study of sexual behavior, despite being a very important area of human behavior, has remained an untouchable subject. The sensitivity of the subject and difficulties collecting required information discouraged social scientists from venturing into this area of human behavior. However, the advent of AIDS and its rapid spread in India has changed the scenario. Today the study of sexual behavior is an important subject and both national and international agencies, as part of the AIDS control program, are encouraging research on the subject. This paper addresses a totally neglected area, which is sexual coercion within marriage. The …

Improved Reproductive Health And Std Services For Women Presenting To Family Planning Services In North Jakarta. Final Report Of Activities, Meiwita B. Iskandar, Catherine Vickers, Subadra Indrawati, Siti Nurul Qomariyah

Reproductive Health

The overall goal of this study was to develop an integrated program of reproductive tract infection/sexually transmitted disease (RTI/STD) clinical services within two family planning clinics in low-income neighborhoods in North Jakarta. Multiple training programs to introduce a standardized clinical evaluation for the detection, treatment, and management of RTI/STDs were conducted. Prior and subsequent to training, observations of health care provider (HCP) and client interactions were conducted to evaluate behavior changes among HCPs. Each consenting client received a standardized reproductive health history, a pelvic exam, and provided specimens for laboratory testing to detect RTIs. Through universal screening of the participants …

Emergency Contraception As An Element In The Care Of Rape Victims, Ricardo Vernon, Raffaela Schiavon, Silvia Elena Llaguno

Reproductive Health

In most states in Mexico, abortion is excluded as a crime in pregnancies resulting from rape. However, legislation does not specify the norms by which women can obtain a legal abortion, which makes it difficult to choose this alternative. A partial solution to unwanted pregnancies from rape would be to provide emergency contraception (EC). Psychologists were trained to provide information on EC to women who reported a rape at four public ministry agencies specialized in sexual crime. In addition, 11 medical backup referral centers were established. To scale up the strategy, workshops were provided to representatives from State Attorney General …

An Assessment Of Clinic Based Family Planning Services In Kenya: Results From The 1995 Situation Analysis Study, Lewis Ndhlovu, Julie Solo, Robert A. Miller, Kate Miller, Achola Ominde

Reproductive Health

This study’s objective was to assist the Kenya Ministry of Health (MOH), the National Council for Population and Development (NCPD), NGOs, and donor agencies in planning the expansion and improvement of family planning (FP) and other reproductive health (RH) services provided in Kenya. Data on the functioning of program subsystems and the quality of care provided were collected in May 1995 from 254 maternal and child health/family planning (MCH/FP) facilities throughout the country using a situation analysis approach. The study sample included a representative sample of facilities from the MOH and NGO sectors. It also included a census of all …

Postabortion Case Load Study In Egyptian Public Sector Hospitals, Egyptian Fertility Care Society, Population Council

Reproductive Health

There is an absence of reliable data on the incidence of incomplete abortion in Egypt. A diagnostic, descriptive study that neither tests an experimental intervention nor evaluates in a comprehensive manner the quality of postabortion medical care was undertaken to address this issue. The study is a cross-sectional observation of the volume and nature of the postabortion case load in Egyptian public-sector hospitals, and it responds to the following objectives: 1) Accurately estimate the number of women who present for postabortion treatment in ob/gyn in-patient facilities as a percentage of ob/gyn admissions in a representative sample of Egyptian public-sector hospitals …

Reproductive Behavior Among Muslims In Uttar Pradesh, M.E. Khan, Bella C. Patel

Reproductive Health

Muslims form the largest minority group in India, according to the 1991 census, constituting about 12 percent of the country's population. India has the second largest Muslim population in the world. The growth rate of the Muslim population in India during the last three decades is somewhat higher than the non-Muslim population. The present paper, based on a large sample survey carried out in Uttar Pradesh, India, compares the reproductive behavior of Hindus and Muslims. An attempt has been made to examine the determinants of their differential fertility and family planning behavior.

Youth Centres In Kenya: Evaluation Of The Family Planning Association Of Kenya Programme, Annabel Erulkar, Barbara Mensch

Reproductive Health

Since 1987, the Family Planning Association of Kenya (FPAK) has operated two youth centers, one in Nairobi and the other in Mombasa. The centers target unmarried youth aged 10–24 and their primary objective is reduction in incidence of sexual and reproductive-health-related problems. These centers offer recreational and sports facilities, counseling services, including reproductive health (RH) information, limited RH services, and referrals. In 1996, FPAK undertook a systematic evaluation of its youth-center program including a situation analysis of the centers, a survey in their catchment areas, and an analysis of program costs. The main strength of the program was found to …

Évaluation Des Effets D'Un Programme De Formation Chez Les Utilisateurs De Terminaux À Écran De Visualisation : Résumé, Sylvie Montreuil, Chantal Brisson, Marc Arial, Louis Trudel

Rapports de recherche scientifique

Ce document est le résumé du rapport Évaluation des effets d'un programme de formation chez les utilisateurs de terminaux à écran de visualisation (R-167)

II est démontré que le travail en position statique accompagné de contraintes posturales et de mouvements répétitifs contribue au développement de problèmes musculosquelettiques. Le travail avec terminal à écran de visualisation (TEV) peut comporter ce type de contraintes. La formation peut permettre au personnel utilisant des TEV de reconnaître les contraintes posturales associées à leur travail et d'intervenir pour les diminuer. Elle constitue donc un outil potentiel de prévention des problèmes musculosquelettiques. Toutefois, peu d'études ont …

Ajustement Des Valeurs D'Exposition Admissibles Pour Des Horaires De Travail Non Conventionnels, Jules Brodeur, Adolf Vyskocil, Robert Tardif, Guy Perrault, Daniel Drolet, Ginette Truchon, François Lemay

Rapports de recherche scientifique

Click here for the English version of this report

Le présent projet a été réalisé en réponse à la demande que le vice-président à la programmation et à l'expertise-conseil de la CSST a adressée à l'IRSST: produire une étude sur l'ajustement des valeurs d'exposition admissibles lors d'horaires de travail non conventionnels dans le but de supporter les travaux du comité paritaire 3. 33. 1 sur la révision de l'Annexe A du règlement sur la qualité du milieu de travail (Annexe 1). Au préalable, le comité paritaire avait établi que le principe de base de l'ajustement des valeurs d'exposition admissibles pour …

Modalités Et Limites D'Utilisation D'Un Appareil De Mesure Rapide Dans L'Analyse De La Contrainte Thermique, Pierre C. Dessureault, Jamal Lyagoub, André Couture

Rapports de recherche scientifique

Ce document résume les résultats d'une recherche visant à déterminer le potentiel, les modalités et limites d'utilisation d'un appareil de mesure rapide des ambiances de travail chaudes. L'appareil retenu pour étude est le Botsball, proposé par J. H. Botsford en 1971. Deux versions, soit l'instrument standard et la version modifiée, sont analysées. Ces instruments ont été sporadiquement utilisés en remplacement des appareils de lecture de la température WBGT dans le passé, et sont encore populaires auprès des services militaires américains. L'étude a permis d'expérimenter les Botsballs en chambre climatique sous 29 ambiances thermiques pour un total de 849 observations. Des …

Effets De L'Horaire Rotatif De 12 Heures Sur La Santé Et La Sécurité Des Opérateurs D'Une Raffinerie De Produits Pétroliers. Phase 1 : Enquête, Diagnostic, Pistes De Réflexion Pour Des Aménagements : Résumé, Madeleine Bourdouxhe, Yvon Quéinnec, Denise Granger, Raymond Baril, Serge Guertin, Paul Massicotte

Rapports de recherche scientifique

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Le présent document est la synthèse du rapport détaillé de recherche Effets de l'horaire rotatif de 12 heures sur la santé et la sécurité des opérateurs d'une raffinerie de produits pétroliers. Phase 1 : enquête, diagnostic, pistes de réflexion pour des aménagements

Objectifs : À la demande de la direction et du syndicat d'une raffinerie de pétrole, qui s'interrogeaient sur la nécessité d'apporter des modifications à l'horaire de travail, l'équipe de recherche pluridisciplinaire a réalisé un premier bilan de l'impact de l'horaire rotatif de 12 heures, implanté depuis 20 ans dans …

Ergonomie Participative, Mode De Gestion Et Performance En Prévention Des Accidents Du Travail : Le Cas De La Société Des Alcools Du Québec, Marie-Claire Carpentier-Roy, Jean-François Chanlat, Paul Lanoie, Louis Patry

Rapports de recherche scientifique

Problème: Une intervention majeure en ergonomie participative a eu lieu en 1989-1990. Elle concernait la problématique des maux de dos affectant les manutentionnaires de la SAQ. La présente recherche visait à vérifier dans quelle mesure cette intervention avait permis de rendre les travailleurs et les gestionnaires plus aptes à poursuivre leur travail de prévention dans la période post-intervention; à connaître les facteurs organisationnels et psycho-sociaux qui ont favorisé (ou limité) la dynamique de prévention post-intervention; et à évaluer l'efficacité et l'impact économique de la dynamique de prévention déclenchée par l'intervention ergonomique.

Méthode: La recherche est une étude de …

La Participation Des Travailleurs À La Prévention Des Accidents Du Travail : Formes, Efficacité Et Déterminants, Marcel Simard, Alain Marchand

Rapports de recherche scientifique

Cette étude s'intéresse à un phénomène méconnu, celui de la participation directe des travailleurs à la prévention des accidents qui réfère aux comportements préventifs que les travailleurs adoptent dans leur vie courante de travail. En comparaison, il y a beaucoup plus d'études sur la participation indirecte des travailleurs à la prévention qui s'exerce par l'intermédiaire de représentants sur le comité de santé-sécurité où de représentants à la prévention. Cela dit, ce phénomène de la participation directe des travailleurs à la prévention suscite de plus en plus d'intérêt dans un contexte où, après l'emphase mise dans les années '80 sur l'implantation …

The Effects Of Sex Guilt And Communication On Condom Use, Renée M. Souva

Masters Theses

The purpose of this study was to determine whether sex guilt and communication were related to condom use. Past research has examined variables that affect condom use and has found that individuals who communicate more about sexual matters, and individuals who have low sex guilt, have been found to use condoms/contraceptives more consistently. This study examined sex guilt and communication and how they predict condom use. The participants were 80 female undergraduates recruited from psychology classes at Eastern Illinois University. Mosher's revised Sex Guilt Inventory and Catania's Health Protective Communication Scale were administered along with a question that assessed condom …

Hazard Communication: A Review Of The Science Underpinning The Art Of Communication For Health And Safety, Barbara Sattler, B Lippy, T Jordan

Nursing and Health Professions Faculty Research and Publications

This report was commissioned by the United States Occupational Safety and Health Administration to review the state of scientific inquiry supporting our knowledge regarding key elements of chemical hazard communication programs: labeling, warnings, material safety data sheets, and worker training. This endeavor supports the international effort to harmonize laws, regulations, and consensus standards affecting the ways in which information about hazardous chemicals is communicated. The international effort can be divided into three major functions: classifying health and environmental hazards, classifying physical hazards; and communicating hazard information. This last component involves the determination of what information will be communicated to users …

Logger Killed By Falling Snag [96ky089], Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 54-year-old logger (the victim) was killed after being struck on the head by a falling snag (dead standing tree). The victim was cutting the last tree to make up a load (3 trees) for the skidder. The driver was about 10-15 feet away, waiting for the last tree. He did not witness the incident. When the victim felled the tree, a nearby dead tree broke at a point approximately 12 feet up. The dead tree fell directly on the victim, striking him on the crown of the head. He was not wearing any type of head protection at the …

Health Knowledge Of Nigerian College Students, Chinyere Ogbonna-Mcgruder

Masters Theses & Specialist Projects

The increase in preventable diseases in many parts of Africa is becoming quite a concern for the African community as well as for epidemiologists all over the world. There is a general consensus among African epidemiologists that a lack of health education and traditional cultures contribute to this trend. The purpose of this thesis is to report the results of a survey of health knowledge among college students in the southern region of Nigeria, specifically, in Enugu and it's surrounding environ. First year students at the two universities in this region completed the health knowledge inventory (HKI). These students were …

Practices, Attitudes And Knowledge Of Food Service Owners And Managers Of South Central Kentucky Regarding Provision Of A Smoke-Free Environment For Customers, Jose Pagan

Masters Theses & Specialist Projects

The harmful effects on health caused by exposure to enviromental tobacco smoke (ETS) are well documented. In 1987 and 1996 mail surveys were conducted to determine the change in practices, attitudes and knowledge of food service owners and managers of south central Kentucky on some issues relating to environmental tobacco smoke (ETS). Study subjects included all food service owners and managers of south central Kentucky that have a permit on file at the Barren River District Health Department. In 1987, a total of 127 out of 431 questionnaires were received ( 29.5% response rate). In 1996 the response rate was …

Vol. 19 No. 3 (1996): Pacific Studies Full Issue, The Jonathan Nāpela Center For Hawaiian And Pacific Islands Studies

Pacific Studies

Pacific Studies is published two times a year by The Jonathan Nāpela Center for Hawaiian and Pacific Studies, Brigham Young University Hawai‘i #1979, 55–220 Kulanui Street, Lāʻie, Hawai‘i 96762, but responsibility for opinions expressed in the articles rests with the authors alone. Subscription rate is US$40.00 yearly, payable to The Jonathan Nāpela Center for Hawaiian and Pacific Studies. The Jonathan Nāpela Center for Hawaiian and Pacific Studies (formerly The Pacific Institute) is an organization funded by Brigham Young University Hawai‘i. The Center assists the University in meeting its cultural and educational goals by undertaking a program of teaching, research, and …

Maintenance Worker Killed In 25-Foot Fall From I-Beam, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Falls

A 25-year-old maintenance worker at a steel distribution company died as the result of a fall from a steel I-beam he had repeatedly climbed to reach the top of a disabled crane. This worker and another had been attempting to repair the crane, and had found it necessary to climb up and down several times for various reasons (see below). Each time the victim had shimmied down and back up the I-beam rather than using the fixed ladder some distance away. When the fall occurred, he was on his way back up and somehow lost his grip on the beam. …

The Effects Of Personal Health Assessments On Health Knowledge And Health Behavior Among Students Enrolled In An Undergraduate Personal Health Course, Jennifer Peeso

Masters Theses & Specialist Projects

The purpose of this research was to determine whether personal health assessments would increase Personal Health 100 students' health knowledge and healthy behaviors. This research is important because of the objectives set by Healthy People 2000 to promote health and because of the need for comprehensive school health education programs. By focusing on health promotion in the school setting, more effective preventive programs can be devised. The factors investigated included health knowledge and the following health behaviors: exercise, alcohol consumption, use of tobacco, sleep, breakfast, sexual activity, and seatbelt use. These factors were chosen based on a longevity theory. Data …

Human Immunodeficiency Virus (Hiv)/Hepatitis B Virus (Hbv) Risk Perception Related To Needlestick Injuries At A Medical School In Norfolk, Virginia, Ronald B. Hartman

Community & Environmental Health Theses & Dissertations

A limited number of studies have been conducted to assess the perceptions of risk of medical students and residents for acquiring Human Immunodeficiency Virus (HIV) or Hepatitis B Virus (HBV) via percutaneous (needlestick) injuries while performing clinical training. The purpose of this study is to investigate these perceptions of risk, and to determine whether there is an association between a high perception of risk and a low incidence of needlestick injury. The method of investigation was a four-page survey questionnaire. The instrument was investigated for reliability by use of a pilot study with a small group of medical students and …

In The Affirmative, Vol.3, No.4 (Mid-July/Mid-August 1996), Mike Martin, The Aids Project

In the affirmative (1993-1999)

No abstract provided.

In The Affirmative, Vol.3, No.3 (Mid-June/Mid-July 1996), Mike Martin, The Aids Project

In the affirmative (1993-1999)

No abstract provided.

The Effects Of Lowering Cholesterol On Vasodilation, Maria Christi Hardt

Loma Linda University Electronic Theses, Dissertations & Projects

Endothelial dysfunction has been found prior to any signs of atherosclerotic plaque formation in patients with a variety of risk factors for atherosclerosis. Elevated serum cholesterol has repeatedly been associated with endothelial dysfunction as demonstrated by impaired vasoreactivity to vasodilating stimuli.

The aim of this research was to determine whether short term lowering of serum cholesterol levels by life style changes or by cholesterol lowering medication could reverse or reduce the endothelial dysfunction. The brachial artery diameter was measured by high-resolution ultrasound at rest and during reactive hyperemia pre and postintervention. Fifty-three subjects with cholesterol levels above 240 mg/dl were …

Logger Killed By Falling Snag [96ky019], Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 42-year-old logger was killed after being struck on the head by a falling limb from a snag (dead standing tree). The victim had been working with one co-worker, who had temporarily left the scene to remove some logs. They were selectively cutting dead or dying trees which were approximately 20 inches in diameter. While his co-worker was away, the victim cut a tree which broke a snag approximately 30-35 feet up. The snag fell directly on the victim, striking him in the forehead. He was not wearing any type of head protection at the time of the incident. The …

A Study Of Student Health Services In Four-Year Post-Secondary Institutions, Timothy Laugh

Masters Theses & Specialist Projects

The purpose of this study was to address any changes in select organizational and director or CEO attributes between 1989 and 1994, as well as, to determine whether or not college student health services are systematically evaluating their programs and incorporating efficiency measures used in other health care settings. The population of study was student health services at four-year institutions of post-secondary education in the United States. This researcher resurveyed the sample used by Kevin E. Charles in 1989 in order to allow the evaluation of temporal trends. The sample was a stratified, random sample of 400 institutions. Data were …

Southern Appalachian Settlement Schools As Early Initiators Of Integrated Services, Eloise H. Jurgens

Electronic Theses and Dissertations

This historical-descriptive study examined Southern Appalachian settlement schools as early initiators of integrated health and social services with education from the 1900s through the 1970s. Three schools were studied: Hindman Settlement School (KY), Pine Mountain Settlement School (KY) and Crossnore School, Inc. (NC). The purpose of the study was to determine the type and extent of services provided, the relationship of the settlement schools with their respective county public school system, and the transfer, if any, of integrated services from the settlement schools to public schools as the public schools took over educational responsibilities once offered by the settlement schools. …