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Findings From Two Decades Of Family Planning Research, John A. Ross, Elizabeth Frankenberg

Poverty, Gender, and Youth

This book presents a selection of empirical conclusions, or findings, from the body of family planning research that has accumulated over the last two decades. Twelve topics of current interest are reviewed, as a sequel to three similar publications issued in 1971, 1972, and 1974. A findings document compresses what has been learned into straightforward declarative statements, giving summary evidence to support each statement. In cases where a conclusion is well founded, with extensive supporting evidence, only illustrative or summary references are needed. In other cases, citations are required for individual studies. Generalizations that are unsupported or too ambiguous to …

Review Of Existing Norplant® Acceptor Tracking System, Joedo Prihartono

Reproductive Health

Family planning (FP) activities in Indonesia are considered a successful national program. Since its introduction in the 1970s, the total number of active contraceptive users dramatically increased to 21 million couples. The government continuously tries to improve the quality of FP services. New developments in contraceptives at the international level have been monitored to assess the possibility of their application in Indonesia, to broaden the variety of available contraceptives. Norplant® implants were introduced in 1981, and as of 1993 there were more than two million cumulative Norplant users in Indonesia. As a long-term progestin-only contraceptive, this method must be removed …

The 1992 Indonesia Norplant® Use-Dynamics Diagnostic Study, Dinan S. Bratakoesoema, Abdul Rodjak, Sulaiman Sastrawinata, Faisal R. Djamal, Hafni Bachtiar, Dr. Masrul, Nadra B. Azwar

Reproductive Health

Although the Indonesian Norplant® program is unique in terms of scale and pace of expansion, it also characterizes many of the operational problems that other developing countries are likely to confront as they expand their Norplant programs. Many of the concerns—such as screening and counseling, use-effectiveness, removal on demand, and tracking and notification systems for five-year removal—can only be answered through research on the Indonesian program. As this report states, operations research on issues related to Norplant within the Indonesian program will be of direct relevance to the growing number of Norplant programs in other developing countries. While the Indonesian …

Determining The Effects Of Environmental Issues Instruction On Iowa Teachers, Paul P. Torbert

Dissertations and Theses @ UNI

The purpose of this study was to determine the effectiveness of the Environmental Issues Instruction (eii) program. The study utilized the pre-experimental one-group pre-test post-test survey design with a retrospective pre-test. Statistical analysis of four issue topics revealed 198 participants attained two-tailed probability levels less than the .01 level of significance. Analysis of teacher grade levels revealed kindergarten through eighth grade teachers attained two-tailed probability levels less than the .01 level of significance. Ninth through twelfth grade teachers also attained two-tailed probability levels less than the .01 level of significance with one exception. The researcher concludes that the Environmental Issues …

“Planem Family Blong Iu”: Poster Art In The Solomon Islands, Judith Fitzpatrick

Pacific Studies

No abstract provided.

Evaluation Of The Ihs Urban Health Business Office Concept, American Indian Health Care Association, M.A. Foster

Native Health Database Full Text

Purpose The "Evaluation of the IHS Urban Health Business Office Concept," commonly called the Supplementary Security Income (SSI) Project, was a ten month grant demonstration project that was contracted to the American Indian Health Care Association (AIHCA) by the Indian Health Service (IHS) with cooperation of the Social Security Administration (SSA). The SSA was mandated to increase minority and target population enrollment for SSA benefits. The SSA provided funding to the IHS to oversee a project designed to locate and assist urban American Indians and Alaska Natives (AI/ANs) in applying for SSI.

Role Of Insulin-Like Growth Factor-I In The Autocrine Regulation Of Cell Growth In Tt Human Medullary Thyroid Carcinoma Cells, Kuo-Pao P. Yang, Naguib A. Samaan, Yi-Fan Liang, Socorro G. Castillo

Henry Ford Hospital Medical Journal

Since the TT human medullary thyroid carcinoma cell line required fewer exogenous growth factors (serum), we investigated whether this line has an autocrine mechanism by examining the effects of antibodies directed toward insulin-like growth factor I (IGF-I) and its receptor on TT cell growth in serum-free conditions. Treating cells with anti-IGF-I antibody for four days reduced the cell number by more than 50% compared with a nonimmune IgG control. Furthermore, a monoclonal antibody to the IGF-I receptor suppressed DNA synthesis when determined by a [³H]thymidine incorporation assay. Exogenous IGF-I (20 ng/mL) stimulated [³H]thymidine incorporation in serum-free …

Statement On Exercise: Benefits And Recommendations For Physical Activity Programs For All Americans - A Statement For Health Professionals By The Committee On Exercise And Cardiac Rehabilitation Of The Council On Clinical Cardiology, American Heart Association, Gerald F. Fletcher, Steven N. Blair, James Blumenthal, Carl Caspersen, Bernard Chaitman, Stephen Epstein, Harold Falls, Erika S. Sivarajan Froelicher, Victor F. Froelicher, Ileana L. Piña

Faculty Publications

No abstract provided.

Awareness Of And Rights Related To The Patient Self-Determination Act Of 1990 By Selected Post-Adolescent College Students, Toni M. Vargas

Community & Environmental Health Theses & Dissertations

The purpose of this study was to determine if the Patient Self-Determination Act was effective in providing information to young adults and will young adults not only have an accurate understanding of their health care rights but sufficient opportunity to exercise those rights. From a sample of convenience, 83 college students were randomly selected to complete a questionnaire. The questionnaire contained 71 questions devised to reflect various aspects of the Patient Self-Determination Act. Five additional questions were asked to determine a generalized profile of the students. Data analysis of the responses identified 5 significant legal misunderstandings and 5 significant medical …

Vol. 15 No. 2 (1992): 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 …

Identified Barriers To Well Child Care For Homeless Children Under Age Thirteen, Judith G. Riemer

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify barriers perceived by homeless families to well child care for their children under age thirteen and to determine if there is a relationship between perceived barriers and duration of homelessness. Using an investigator-modified version of Melnyk's Barriers Scale and a demographic measure, a convenience sample of homeless families (N = 53) from three transitional shelters in two southern California counties were surveyed via questionnaire. Barriers to well child care for homeless children were identified. No relationship was determined to exist between duration of homelessness and perceived barriers using a measurement of correlation.

Hospital Patients' And Nurses' Perceptions Of Quality, June Hansen Larrabee

Theses and Dissertations (ETD)

Hospital quality assurance programs have been provider-oriented, focusing on structure and process elements of care rather than outcomes specific to patient needs and values. This study tested the relationship between quality and value, proposed in Larrabee's model of quality, by developing prediction indices for patient and nurse quality and value.

The sample consisted of 199 adult patients. Patient quality was measured by a 100 mm visual analog scale (VAS) (PQUALG) and a modified version of an existing instrument (PQUALT). Patient value was measured as patient goal achievement (PGOAL), the average of three VAS scores for patient defined goals …

Molecular And Cellular Analysis Of Chlamydia Trachomatis: Persistence And Reactivation, Kimberly R. Tau

Electronic Theses and Dissertations

Chlamydia trachomatis (CT) is the most prevalent sexually-transmitted infection in the United States. It has been suggested that CT infections can become latent. This has not been substantiated. CT persistence was examined at the molecular and cellular level in vitro and in vivo. Penicillin treatment of CT in vitro results in abnormal inclusions and reduced recovery of infectious CT. Penicillin did not inhibit initial stages of infection, but did downregulate CT rRNA levels after 25 hours post-inoculation (p.i.). DNA amplification was employed to differentiate between a resolved infection and a persistent one. Utilizing a primer pair that amplified a 144 …

Urban Health And The Social Contract: Poverty, Race, And Death, H. Jack Geiger

Henry Ford Hospital Medical Journal

No abstract provided.

Training The Urban Health Care Provider: One Department's First Steps, James Schindler

Henry Ford Hospital Medical Journal

As our country faces a national crisis in health care, few have outlined plans to improve the shortage of primary care physicians. This is especially critical in urban areas where sociocultural impacts on health are large. The Department of Family Practice and Community Medicine at the University of Texas School of Medicine in Houston has begun development of a division of Urban Family Medicine to address the special training needs of the urban family practitioner. Subdivisions that have been formed focus on undergraduate curriculum, graduate educational strategies, service, and research and policy to further develop the training model.

Moving From Health Care Research To Action, Claudia R. Baquet, Katherine Marconi, George Alexander

Henry Ford Hospital Medical Journal

Although the United States spends more on health care than any country in the world, access to that care is becoming increasingly difficult. The National Cancer Institute and other federal agencies are sponsoring innovative research for delivering effective medical services, particularly to underserved populations. Models of successful collaboration between private and public sectors concerned with health care can be adapted and implemented at the national, state, and local levels. However, other measures are needed to ensure access to adequate health care for all Americans. Minimal but effective regulations are needed to ensure quality control, reduce duplication of services, and minimize …

The Urban Hospital: Rediscovering Abandoned Values, Thomas W. Chapman

Henry Ford Hospital Medical Journal

No abstract provided.

The Emerging Role Of Htlv-I/Ii And Hiv-1 Among Intravenous Drug Users In Detroit, Anthony F. Ognjan, Chris A. Lewandowski, Bradley T. Belian, John Burczak, Norman Markowitz, Helen Lee, Louis D. Saravolatz

Henry Ford Hospital Medical Journal

During 1987-1988, a seroprevalence study of the human immunodeficiency virus (HIV-1) and the human T-cell lymphoma/leukemia virus (HTLV-l/II) was performed among Detroit intravenous drug users unaffiliated with substance abuse programs. Seroprevalence data along with patient demographic information were compared to a similar study performed in 1985-1986. In the earlier study, 12 (12.5%) of 96 individuals tested positive for HIV-1. Of the 74 available negative samples retested in 1987-1988 for retroviruses, 7 (9.5%) tested positive for HTLV-I/II. Thus, the overall retroviral (HIV-1, HTLV-I/II) seropositive rate for 1985-1986 was 22%. In 1987-1988, 11 (15.7%) of 70 individuals tested positive for HIV-1 and …

Presentation And Evaluation Of Patients With Epidermoid Head And Neck Cancers, Michael S. Benninger

Henry Ford Hospital Medical Journal

Epidermoid cancer of the head and neck occurs most frequently in individuals with predisposing factors for neoplastic development. Primarily these include exposure to smoking and alcohol, although other predisposing factors may he present. Site-speciflc symptoms along with a history of predisposing environmental exposure can direct physicians to suspect head and neck cancer. Endoscopy and ancillary testing are performed for tumor staging and subsequent treatment planning.

Suicide In Micronesia And Samoa: A Critique Of Explanations, Donald H. Rubinstein

Pacific Studies

No abstract provided.

The Aids Project Newsline, Vol.5, No.1 (February 1992), Jeffrey Levensaler, Amanda Coffin, The Aids Project

AIDS Project Newsline (1991-1996)

No abstract provided.

Changing Aids - Risk Behavior, Jeffrey D. Fisher

CHIP Documents

No abstract provided.

Serological Cross-Reactions Between Escherichia Coli 0157 And Other Species Of The Genus Escherichia, Eugene W. Rice, Evangeline G. Sowers, Clifford H. Johnson, Michele E. Dunnigan, Nancy A. Strockbine, Stephen C. Edberg

United States Public Health Resources

The antigenic relatedness of Escherichia coli 0157 and four sorbitol-negative species of the genus Escherichia was examined. Isolates of Escherichia hermannii, E. fergusonii, E. vulneris, and E. blattae were tested in the tube agglutination assay by using polyclonal antisera and in the slide agglutination assay by using latex reagents. Only four isolates (17%) of E. hermannii exhibited serological cross-reactivity.

By And For Women: Involving Women In The Development Of Reproductive Health Care Materials, Valerie J. Hull, Barbara L. Ibrahim, Nadia Farah, Blanca Figueroa, Margaret Winn

Poverty, Gender, and Youth

The studies in this issue of Quality/Calidad/Qualité describe three efforts to involve women in the development of reproductive health care materials in different settings in the developing world. In Cairo, a women's health collective produced a comprehensive reference book for women; in Peru, a woman's group, with the extensive involvement of their nonliterate audience, developed a series of illustrated teaching materials; and in the South Pacific, an all-woman production crew produced three motivation and teaching videos developed in response to the expressed needs of Pacific Island women. Despite contrasts in the characteristics of the intended audiences, the development process, and …

Risk And Rationality: The Centers For Disease Control And The Regulation Of Hiv-Infected Health Care Workers, Mary Anne Bobinski

Faculty Articles

The publicity surrounding the Bergalis case has created a new and powerful fear for some-the fear of contracting a fatal disease while obtaining medical or dental care. Following Bergalis' congressional testimony, Congress passed a bill requiring states to regulate HIV-infected health care workers (HCWs). Responding to constituents' fears, state legislatures had already been debating a wide range of bills designed to confront the risk of HIV transmission in health care settings. Private actors, such as hospitals and insurers, feared litigation or loss of business if the public perceived them to be ignoring the problem of HIV infection among HCWs. As …

El Cuidado Infantil: Respuestas A Las Necesidades De Madres Que Trabajan Y Sus Hijos, Caroline Arnold, Jorge Mejia, Aster Haregot, Ann Leonard, Cassie Landers

Poverty, Gender, and Youth

Este número de SEEDS, desarrollada en cooperación con el Grupo Asesor sobre Cuidado y Desarrollo Infantil, y apoyada por UNICEF, busca reunir los elementos críticos del trabajo de la mujer y el cuidado infantil, estudiando el tema desde tres perspectivas: el cuidado infantil como servicio que permite que la mujer pueda trabajar, como fuente de empleo para la mujer, y como respuesta a los requerimientos del desarrollo infantil. Examina tres distintos tipos de cuidado infantil apoyados por UNICEF en tres continentes—Asia (Nepal), Africa (Etiopia), y América Latina (Ecuador). Los tres proyectos fueron desarrollados específicamente para madres que trabajan, y dos …

Décontamination Microbienne Des Systèmes De Ventilation, Jacques Lavoie, Paul Comtois

Rapports de recherche scientifique

L'American Conference of Governmental Industrial Hygienists (ACGIH) recommande, dans le but de contrôler les concentrations anormalement élevées de bioaérosols, d'éliminer dans les systèmes de ventilation les sources d'eau stagnante, de supprimer les substrats et les foyers de croissance microbienne et d'avoir un programme d'entretien efficace. Évidemment, il existe plusieurs procédés de nettoyage pour supprimer les substrats et les foyers de croissance. Le nettoyage des conduits et des surfaces contaminées avec des aspirateurs munis de filtres à haute efficacité (HEPA), la désinfection chimique aux hypochlorites et le nettoyage des unités des systèmes à la vapeur n'en sont que quelques uns. Par …

Étude Des Risques D'Accident Dans La Collecte Des Ordures Ménagères, Madeleine Bourdouxhe, Serge Guertin, Esther Cloutier

Rapports de recherche scientifique

À quels risques les éboueurs et les chauffeurs de camions tasseurs peuvent-ils être confrontés? Comme dans tout travail qui exige à la fois une forte dépense physique et beaucoup de vigilance, le métier d'éboueur peut être dangereux. Collecter les déchets c'est travailler sur une machine dangereuse qui se déplace au milieu de la circulation, par tous les temps. Par ailleurs, l'efficacité des opérations repose sur des facteurs de vitesse et de rythme. En conséquence, les accidents sont fréquents; leur nature varie selon les métiers (chauffeur, éboueur, chauffeur-éboueur de camion à chargement latéral) et selon les types de camions utilisés.

La …

Coprolite Analysis: A Biological Perspective On Archaeology, Karl J. Reinhard, Baughn M. Bryant Jr

Karl Reinhard Publications

The most remarkable dietary remains recoverable from archaeological contexts are coprolites. Coprolites are desiccated or mineralized feces that are preserved in sheltered and open sites in arid regions, primarily in the New World. These dietary remains are remarkable from several perspectives. They typically contain a variety of macroscopic and microscopic remains that form interrelated data sets for the reconstruction of diets. Because contexts containing coprolites are typified by excellent preservation, the remains coprolites contain tend to be in better states of preservation than dietary remains recovered from nonfecal deposits. Coprolites also contain the well-preserved remains of intestinal parasites and pathogens …

Dental Patients' Knowledge, Beliefs, And Perceptions About Dentistry And Aids, Sara S. Plaspohl

College of Graduate Studies: Theses & Dissertations (1964–2006)

The majority of Americans view AIDS as the most important health problem faced today. Despite efforts to educate the public, the literature suggests that misperceptions exist concerning HIV transmission. The documented case of a Florida dentist who transmitted the HIV virus to five dental patients focused the public's attention on its perceived vulnerability to contracting HIV during a dental visit. The purpose' of this descriptive study was to identify the dental patient's perceived risk of acquiring the AIDS virus during a dental visit and to then determine whether the perceived risk was related to the patient's level of oral hygiene. …