Digital Commons Network^™

2002 Annual Town & School Reports, Lempster, New Hampshire., Lempster Town Representatives

Lempster, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Effectiveness Of Systematic Care Management (Scm) On Neonatal Intensive Care Unit (Nicu) Length Of Stay, Michael Ray Burcham

MUSC Theses and Dissertations

The increasing frequency and complexity of neonatal care are key contributors to rising medical costs. Over the past twenty years, neonatal delivery rates have been increasing and infant mortality rates are improving. Neonatal care has become very expensive with few applicable clinical guidelines for care. ParadigmHealth has developed an integrated, care management structure termed Systematic Care Management© (SCM). The premise is that by promoting the most expert and efficient neonatal care, significant reductions in morbidity will occur, reducing the need for and reduced cost of NICU and subsequent care. The aim of the study was to determine whether the SCM …

Addressing Off-Site Nutrient Pollution Through Conventional Management Actions: A Modelling Case Study, David Weaver, Simon Neville, David Deeley

Conference papers and presentations

The ecology of estuaries on the south coast of Western Australia has been disrupted by increased nutrient and sediment discharge from predominantly rural catchments. Seagrass beds have been replaced by macroalgae, and toxic algal blooms threaten human and animal health, and reduce amenity. A range of conventional management actions are available to reduce nutrient loss at source, and it is important to evaluate possible reductions, and costs, so that limited funds can be targeted to realise the greatest moderation of nutrient loss. A lumped landuse nutrient generation rate model was developed for four catchments (Wilson Inlet, Oyster Harbour, Torbay Inlet …

The Significance Of Entrenchment Of Equality Rights, Dianne Pothier

Dianne Pothier Collection

Not until April 17, 1985 did Canada's Constitution officially embrace guarantees of equality. The three year delay in the coming into force of section 15 of the Canadian Charter of Rights and Freedoms was a clear acknowledgement that equality was not a pre-existing condition at the time of entrenchment of the Charter in 1982. After 17 years of experience with entrenched rights, it can unequivocally be said that entrenchment has brought progress toward equality. Yet it must also be said that significant barriers to the attainment of full legal equality remain. This article will explain the basis upon which I …

Predatory Pricing In The Canadian Context, Kara Beitel

Dalhousie Journal of Legal Studies

Predatory pricing is one of the most debated aspects of antitrust legislation and theory. Economic scholars dispute its existence, and the methods for its detection are the subject of ongoing debate. Consequently, the regulation of this type of anticompetitive behaviour has developed significantly over the past thirty years. The cases and Guidelines reveal a careful approach taken to behaviour as predation. The need to ensure that legitimate forms of competition are not penalized is integral to the success of the Competition Act and to the attainment of its enumerated purposes.

The Rehnquist Court And Horizontal Federalism: An Evaluation And A Proposal For Moderate Constitutional Constraints On Horizontal Federalism, Scott Fruehwald

Denver Law Review

No abstract provided.

Marriage On Tv, Mary E. Hess

Faculty Publications

While it is important for teachers of religion to consider how television portrays marriage, it may be even more important to consider how we use television and how we help people engage the media with critical perception. People of faith need to do a cultural intervention, providing a deep and sustaining vision of what marriage can be over time and in connection with community.

Do 501 Basic Christian Doctrine, Zaida Maldonado Perez

Syllabi

1. González, Justo L. and Zaida Maldonado Pérez. Introduction to Christian Theology. Nashville, TN: Abingdon, 2002. 2. Grenz, Stanley J., David Guretzki, and C. F. Nordling,eds. Pocket Dictionary of Theological Terms. Downers Grove, ILL: InterVarsity, 1999. (Or one of your choosing)

Summer 2003

University of Richmond Magazine

No abstract provided.

Integration Of Reproductive Health Service For Men In Health And Family Welfare Centers In Bangladesh, Ahmed Al-Sabir, Mohammed Ahsanul Alam, Sharif M.I. Hossain, Ubaidur Rob, M.E. Khan

Reproductive Health

Over the last 30 years, Bangladesh’s national family planning (FP) program has mainly concentrated its promotional efforts on women’s adoption of FP. While the government policy has been effective in influencing women to accept contraceptive methods, men’s role in FP has been completely neglected. Similarly, male RH services are hardly available at Health and Family Welfare Centres (HFWCs). This report describes a project aimed at integrating male RH services within the existing government female-focused health-care-delivery system. The study was implemented by NIPORT in collaboration with the Directorate of Family Planning and the Population Council. Interventions resulted in a substantial rise …

Senegal: Involve Community Networks In Adolescent Reproductive Health, Frontiers In Reproductive Health

Reproductive Health

Senegal is undergoing rapid urbanization, leading to changes in traditional social and family structure. With these changes there is a rise in early sexual activity among young adults, and increased exposure to unwanted pregnancy and sexually transmitted infections (STIs). In Senegal, where 28 percent of the population is 10–19 years of age, a renewed focus on reproductive health (RH) services appears timely. In 1999, FRONTIERS began testing the feasibility, effectiveness, and cost of several interventions to improve the RH of youth. The study took place in three urban communities in northern Senegal. Two served as intervention sites where community- and …

Mexico: Strengthen Education On Adolescent Reproductive Health, Frontiers In Reproductive Health

Reproductive Health

Unprotected sex among Mexico’s young people often leads to unplanned pregnancy and unwanted births as well as risk of sexually transmitted infections (STIs) including HIV. From 1999 to 2002, FRONTIERS worked with the nongovernmental organization MEXFAM to test the feasibility, effectiveness, and cost of community-, clinic-, and school-based interventions to improve the reproductive health (RH) of youth aged 10–19. Eight cities were selected as intervention sites, and four as control sites. In the intervention sites, researchers worked with coordinators and “multipliers”—local community members such as teachers, community leaders, health-care providers, and peer educators—who taught courses on adolescent RH. In the …

Cameroon: Peer Education And Youth-Friendly Media Reduce Risky Sexual Behavior, Frontiers In Reproductive Health

Reproductive Health

Cameroonian researchers at the Institute of Behavioral Studies and Research (IRESCO), with support from FRONTIERS, conducted an operations research project between 2000 and 2002 to assess strategies to encourage abstinence, increase contraceptive use, and reduce sexually transmitted infection (STI) rates among sexually active youth. The intervention combined peer-education strategies with media campaigns to promote healthy behavior among youth in the Mokolo neighborhood of Yaoundé. IRESCO trained 49 peer educators aged 19–25 in reproductive health (RH) communication strategies. The team coordinated educational talks, counseling sessions, conferences, and cultural and athletic events; produced comic books and brochures; and sold French and English …

Improving The Quality Of Reproductive Health Care: How Much Does It Cost?, Laura Raney, Stephanie Joyce, John Townsend

Reproductive Health

Quality care for clients should be the focus of a family planning and reproductive health program, but can programs afford it? There is no simple answer. The multiple dimensions of quality of care make it more difficult to identify and measure affordable improvements in service delivery. Calculating program costs is challenging, and different methods can lead to widely varying estimates. Determining how much quality costs is a challenge, but it is both possible and important for programs’ sustainability. This brief focuses on various aspects of costs and examines information about the cost of improving quality (as opposed to the cost …

"Ex Africa Semper Aliquid Novi", Ecafrique

Reproductive Health

Newsletter published by ECafrique, an Africa-wide forum dedicated to introducing, delivering, and mainstreaming quality emergency contraception services in Africa. This edition is written in English and French.

Availability And Acceptability Of Iuds In Guatemala, Carlos Brambila, Berta Taracena

Reproductive Health

The purpose of this study was to identify the reasons for the low use of the IUD in Guatemala and to explore the reasons why other reversible methods are selected more frequently than IUDs. The study aimed to determine the availability and acceptability of IUDs as a contraceptive option within the Ministry of Health, the Guatemalan Social Security Institute, and APROFAM. Results indicated that service providers do not take into consideration women’s reproductive needs or intentions when they provide family planning counseling. There are several demand-side factors that affect the use of the IUD, including lack of knowledge about the …

One-Year Client Impacts Of Quality Of Care Improvements Achieved In Peru, Federico R. Leon, Santiago Roca, Alex Rios, Adriana Zumaran, Ana Rosa Feijoo

Reproductive Health

This report presents a one-year assessment of quality-of-care improvements in Peru, following provider training on the job aids–assisted Balanced Counseling Strategy. Results showed significant enhancement of quality of care, an increase in session length, and improved client knowledge of the method chosen when this was an IUD or hormonal method. Correlational findings suggested that better impacts can be achieved in provincial primary health facilities than in larger settings like clinics or hospitals in capital cities. The results are important because: 1) other studies have failed to show significant impacts of controlled quality-of-care improvements on the use of contraception; and 2) …

Policy And Program Implications Of The Matching Grants Program In The Philippines, Marilou Palabrica-Costello, Nimfa Ogena, Alejandro N. Herrin

Reproductive Health

In 1999, the Philippines Department of Health, with support from USAID and technical assistance from Management Sciences for Health (MSH), implemented the matching grants program (MGP) as a component of the local government performance program. The MGP aims to improve the capability of municipalities and component cities to expand service delivery, and to achieve significant increases in rates of fully immunized children, vitamin A supplementation, tetanus toxoid immunization for women, as well as in the use of family planning methods, especially modern methods. Upon the request of the USAID Mission, the Frontiers in Reproductive Health program worked closely with MSH …

Postabortion Family Planning Operations Research Study In Perm, Russia, Irina Savelieva, John M. Pile, Inna Sacci, Ratha Loganathan

Reproductive Health

EngenderHealth, the Population Council’s FRONTIERS program, and the Research Center of Obstetrics, Gynecology, and Perinatology of the Russian Academy of Medical Sciences, with support from the Perm Health Departments, undertook an operations research study to test models for increasing contraceptive use and reducing the repeat abortion rate among abortion clients in Perm, Russia. The study also assessed the direct and indirect costs of abortion and contraceptive use incurred by women in the year following their index abortion (the abortion which took place the day of entry into the study). The findings of the study were significant for the training interventions …

Improving Quality Of Care For Family Planning Services In Uganda, Joel Okullo, Quinto Okello, Harriet Birungi, Ian Askew, Barbara Janowitz, Carmen Cuthbertson, Florence Ebanyat

Reproductive Health

The Regional Centre for Quality of Health Care at Makerere University, Uganda in collaboration with the Delivery of Improved Services for Health II Project, the Ministry of Health (MOH), and the Population Council’s FRONTIERS Program, conducted an operations research project to help the MOH improve the quality of family planning services with the aim of helping couples better attain their reproductive goals. The study developed a package of interventions (the Yellow Star Programme—YSP) that sought to increase the readiness of clinics to offer basic family planning services, to improve provider motivation, and to empower clients to request quality services. The …

Introducing Dmpa Injectable Contraceptives To Private Medical Practitioners In Urban Gujarat, Frontiers In Reproductive Health

Reproductive Health

Many public, NGO, and private-sector service-delivery systems are suitably matched to the requirements of providing injectable contraceptives in India, including the ability to ensure choice and service delivery quality. This operations research study was designed to demonstrate the feasibility of providing injectable contraceptives in private medical practices and to contribute to the body of scientific literature on the acceptability of this method in India. DKT India and EngenderHealth formed a partnership with the Population Council’s Frontiers in Reproductive Health program to conduct this study in Gujarat. The ability to generate recommendations is limited, however, by the special characteristics of the …

Replication Of The Tostan Programme In Burkina Faso: How 23 Villages Participated In A Human Rights-Based Education Programme And Abandoned The Practice Of Female Genital Cutting In Burkina Faso, Nafissatou J. Diop, Edmond Bagde, Djingri Ouoba, Molly Melching

Reproductive Health

This document is a summary of the process followed in implementing a community-based education program in Burkina Faso. The Population Council initiated a collaboration between two NGOs, Tostan in Senegal and Mwangaza Action in Burkina Faso, to replicate the program for improving women’s reproductive health and contributing to the end of female genital cutting (FGC). In Burkina Faso, the participants (men and women) held discussions to analyze the problems faced by their communities and to find appropriate solutions. Many positive changes occurred in the participating villages: the communities now promote reproductive health and human rights and work to improve public …

Cultural Norms And Behavior Regarding Vaginal Lubrication During Sex: Implications For The Acceptability Of Vaginal Microbicides For The Prevention Of Hiv/Stis, Sarah Braunstein, Janneke Van De Wijgert

Reproductive Health

This paper presents the results of an extensive review of the literature pertaining to the relationship between vaginal lubrication and the acceptability of microbicides, spermicides, and male and female condoms. The review highlights the need for research that better elucidates norms, preferences, and practices regarding lubrication during sex within and across countries. The second part of the report presents the results of the first phase of a qualitative study on lubrication during sex showing that diverse personal and cultural factors shape preferences and practices and may ultimately affect the acceptability of microbicides. The immediate challenge is to provide women with …

Changing Family Planning Scenario In India: An Overview Of Recent Evidence, K.G. Santhya

Reproductive Health

Over the decades, there has been a substantial increase in contraceptive use in India. The direction, emphasis and strategies of the Family Welfare Programme have changed over time. However, meeting the contraceptive needs of considerable proportions of women and men and improving the quality of family planning services continue to be a challenge. The 1990s witnessed a growing recognition of this, and several innovative policy and programme initiatives have been launched to address these issues. This paper reviews and synthesises evidence from surveys and studies conducted in the 1990s and thereafter on contraceptive use dynamics and the unmet need for …

Actions That Protect: Promoting Sexual And Reproductive Health And Choice Among Young People In India, Shireen J. Jejeebhoy, Mary Philip Sebastian

Reproductive Health

This paper synthesises the evidence on the sexual and reproductive health situation of young people in India, and explores what we know about underlying factors that place them at risk of or protect them from unsafe and unwanted sexual and reproductive health experiences. The picture that emerges suggests that substantial proportions of young people experience risky or unwanted sexual activity, do not receive prompt or appropriate care, and experience adverse reproductive health outcomes. Contextual factors such as poverty, gender imbalances and lack of education or livelihood opportunities clearly increase the vulnerability of youth. Other factors at the family, community and …

Molecular Beacon Sequence Design Algorithm, W. Todd Monroe, Frederick R. Haselton

Faculty Publications

A method based on Web-based tools is presented to design optimally functioning molecular beacons. Molecular beacons, fluorogenic hybridization probes, are a powerful tool for the rapid and specific detection of a particular nucleic acid sequence. However, their synthesis costs can be considerable. Since molecular beacon performance is based on its sequence, it is imperative to rationally design an optimal sequence before synthesis. The algorithm presented here uses simple Microsoft® formulas and macros to rank candidate sequences. This analysis is carried out using mfold structural predictions along with other free Web-based tools. For smaller laboratories where molecular beacons are not the …

Mine Detection Dogs: Training, Operations And Odour Detection, Gichd

Global CWD Repository

The use of dogs for mine detection has expanded dramatically in the last ten years. However, research designed to explore and understand the issues underlying mine dog detection has not kept pace with that expansion. A poor knowledge base was recognised as a key limitation on further development and exploitation of this fascinating detection technology. The GICHD therefore accepted the challenge of initiating a programme of research on mine detection dogs, with the specific objectives of (1) improving understanding of the skills and limitations of dogs, (2) optimising their deployment and performance, and (3) raising confidence in their work.

This …

"You Just Give Them What They Want And Pray They Don’T Kill You”: Street-Level Sex Workers’ Reports Of Victimization, Personal Resources And Coping Strategies, Rochelle L. Dalla Dr., Yan Xia, Heather Kennedy

Department of Child, Youth, and Family Studies: Faculty Publications

Using both qualitative (in-depth, personal interviews) and quantitative (self-report survey indices) techniques, data were collected from 43 women involved in streetwalking prostitution. The purpose of the investigation was to examine exposure to violence and victimization among a particularly vulnerable female population across the life span. A secondary goal was to apply stress theory as an organizing frameworkfor examining personal resources (e.g., social support, locus of control) and coping behavior. Results from both data collection strategies are presented, and implications for intervention are described.

2003 Dri Symposium Theme Leaders, Hamline University

DRI Symposia

No abstract provided.

Reflections [Complete Issue : Fourth Quarter 2003], Sigma Theta Tau International, Mary Margaret Mooney, Kammie Monarch, Patricia R. Messmer, Jacqueline L. Gonzalez, Sharon M. Weinstein, Ann Marie T. Brooks, Grayce M. Sills, Rita Turley, Lynn Basford, Scott Rhoades, Norman C. Olsen, Gail Wolf, Theresa S. Standing, Frances M. Kramer, Elizabeth Percival, Teresa Ransdell

Sigma Past Publishing - Reflections Magazine

Publishing History: Print issues of Reflections magazine were published from 1975 to 1999 and its successor, Reflections on Nursing Leadership (RNL) began publication in 2000. RNL migrated to an online format, http://www.reflectionsonnursingleadership.org, in 2006 and continues today.

RNL is a member benefit of the Honor Society of Nursing, Sigma Theta Tau International (STTI). The historical print issues have been made openly available.

Publishing Frequency: Quarterly until its transition to online. It’s now updated virtually every day.

Format: Print, 1975 - 2005; Online, 2006 - present

Feature Articles in this Issue:Â

Hog-housed!

Magnet Hospitals: Powerful Force for Excellence

March to …