Medicine and Health Sciences Commons^™

Concepts Of Contraception For Adolescents With Obesity: Pathways Of Judicial Moderation, Donald E. Greydanus, Hatim A. Omar, Artemis Tsitsika

Pediatrics Faculty Publications

All sexually active youth, whether obese or normal weight, should be offered counseling regarding contraception and appropriate contraceptive methods. However, obese youth who are sexually active may be less likely than their normal weight peers to use contraceptives correctly. Methods of contraception for obese adolescents are reviewed in this discussion. Combined oral contraceptives (COCs) and the contraceptive patch have higher failure rates in obese versus normal weight females, though failure rates are lower than noted with barrier contraceptives. The risk for venous thrombosis is higher in obese youth on COCs. Progestin-only pills and the levonorgestrel intrauterine system appear to be …

Obesity And Hyperandrogenism, Amit M. Deokar, Shawn J. Smith, Amanda J. Goodwin, Hatim A. Omar

Pediatrics Faculty Publications

This chapter has a two-fold objective. One, it addresses the association of hyperandrogenism and obesity and the complex metabolic derangements that are part of the problem. Clinical management of these co-morbidities is challenging and complex. Second, this article will aid health care providers with the key features to an early diagnosis and intervention to decrease the morbidities in the short as well as long term. Method: Systematic review of articles and information on the topic of interest that were published in the last 15 years. Conclusion: Obesity and hyperandrogenism are integral parts of Metabolic Syndrome/Polycystic Ovarian Syndrome (PCOS)/Hyperandrogenism, Insulin resistance, …

Obesity And Lack Of Physical Activity, Hatim A. Omar, Efrat Merrick-Kenig, Joav Merrick

Pediatrics Faculty Publications

Lack of physical activity and overweight status continues to be a significant health problem in the United States. To assess the actual prevalence of these problems, we reviewed data from the School-based Health Promotion Centers in one middle school, and one high school in central Kentucky. A total of 232 6th graders and 607 9th graders were included. A total of 92% of 6th graders and 45% of 9th graders reported complete lack of regular exercise. 37% of 9th graders and 59% of 6th graders had inappropriate nutrition, 47% of 9th graders and 33% of 6th graders had Body Mass …

Cultural Competence In Long Term Care : A Qualitative Phenomenological Study Of Nursing Home Administrators' Knowledge And Perception Of Cultural Competence, Sashai A. Green

HIM 1990-2015

This qualitative phenomenological study examined central Florida's nursing home administrators' knowledge and perception of cultural competence and how they perceive that their knowledge and perceptions impact residents, families, and healthcare. The theoretical framework for this study was explained through Campinha-Bacote's interdisciplinary model of The Process of Cultural Competence in the Delivery of Healthcare Services. The theoretical framework was used to guide research questions, and individual interview questions to obtain nursing home administrator's knowledge and perception of cultural competence. The study explored the level of cultural competence reported by nursing home administrators, their individual perception of cultural competence, their degree of …

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Guinea 2005, Population Council

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Guinea 2005” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief technical notes specific …

Romance And Sex Before Marriage Among Young Women And Men In Bihar, International Institute For Population Sciences (Iips), Population Council

Poverty, Gender, and Youth

Premarital partnerships among youth, including those that do not involve sexual relations, are widely discouraged in India. There is a widespread perception that youth do not find opportunities to mix and form romantic relationships and that premarital sex is negligible. These kinds of perceptions are often cited to argue against the provision of sex or family life education and sexual and reproductive health services to unmarried young people. While several small and unrepresentative studies have noted that sizable proportions of young people, particularly young men, are sexually active before marriage, the lack of rigorous and representative evidence on the levels …

Water Treatment: Keeping It Pure, Petros Katsioloudis

STEMPS Faculty Publications

The article discusses the importance of water treatment in providing quality and safe drinking water. A historical background of the U.S. federal regulation of drinking water quality is presented. It was found by the Public Health Service in 1969 that only 60 percent of the systems surveyed delivered water that met all the Public Health Service standards. Filtration and chlorination are also cited as an effective treatment techniques for protecting U.S. water supplies from harmful microbes. An overview of the process of water treatment is presented.

Preventing Cervical Cancer: Challenges To Implementing Hpv Vaccine Strategies Among Medically Underserved Populations, Sharon M. Bond

MUSC Theses and Dissertations

Cervical cancer is a major health problem and the second leading cause of cancer deaths among women worldwide. The purposes of this dissertation are threefold; to examine cervical cancer screening methods used in developing countries, evaluate prevailing attitudes toward new human papillomavirus (HPV) vaccines and share results from a pretest of two instruments designed to measure knowledge, attitudes and beliefs about cervical cancer, human papillomavirus infection and the new vaccines among medically underserved populations. In manuscript I, direct visual inspection (DVI) is a method used to screen for cervical cancer in developing countries where population-based Papanicolaou (Pap) screening is unaffordable …

Correlation Of Calcium And Magnesium Intakes To Frequency Of Muscle Cramps In Female College Athletes, Jennifer Schneider, Marjorie Fitch-Hilgenberg

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Muscle cramps are involuntary, painful, sudden contractions of skeletal muscles that can cause detrimental effects on athletic performance. Recent data suggest that low intakes of dietary calcium (Ca) and magnesium (Mg) can enhance or cause muscle cramps. The purpose of this study was to determine the correlation between Ca and Mg intakes and muscle cramping in female college athletes. Athletes completed a 24-hour dietary recall and a survey on frequency and location of muscle cramps. Of those surveyed, 8 participated in basketball, 21 in softball, and 10 in gymnastics. Calcium and Mg intakes were calculated from dietary recall data using …

2009 Legislative Briefing Book, Nevada Institute For Children’S Research And Policy, Unlv, School Of Public Health, The Children’S Advocacy Alliance, Southern Nevada Area Health Education Center, Denise Tanata Ashby, Amanda Haboush, Tara Phebus, Jennifer Waddoups

Nevada Institute for Children's Research and Policy Reports

The purpose of the Nevada Institute for Children’s Research and Policy (NICRP) Legislative Briefing Book is to provide a quick snapshot of some of the most pressing issues facing Nevada’s children in order to provide advocates and policymakers with a stepping stone in creating positive changes to improve the lives of Nevada’s children. While this book will not cover every issue facing our children, it is intended to highlight those of greatest concern, covering issues in education, health, safety and security, and the juvenile justice system. Diligent efforts need to be made during the 2009 Legislative Session to improve policies, …

Travail De Nettoyage Au Jet D'Eau Hp : Astreinte Cardiaque Et Organisation Du Travail, Daniel Imbeau, Frédéric René, Bruno Farbos

Rapports de recherche scientifique

Cette étude a porté sur la mesure de l'astreinte cardiaque durant le travail de nettoyage industriel au jet d'eau sous haute pression et en particulier, durant le travail au fusil. En tout 36 travailleurs ont participé à 73 jours-hommes d'observation du travail réalisé dans des conditions variées. La durée moyenne de la journée de travail était de 5,8 heures. Un Step-Test a été administré à 19 de ces travailleurs afin de permettre l'estimation de leur capacité cardiorespiratoire et celle de leur métabolisme de travail à partir de la fréquence cardiaque mesurée durant le travail. La fréquence cardiaque a pu être …

Measurement Of Transient Smoke Emissions From Diesel And Biodiesel Fuel Blends In An Agricultural Tractor, Kristin M. Pennington, Sonia R. Munoz, Donald M. Johnson, George Wardlow

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Transient smoke emissions pose potential hazards to human health and the environment. With the increased popularity of biodiesel, there is a need to determine if these fuels produce different levels of particulate matter in exhaust emissions. This study examined the transient smoke emissions of three fuels: No. 2 petroleum diesel fuel (D2, ASTM D 975), a blend of 20% biodiesel and 80% petroleum diesel (B20, ASTM 6751), and a 100% pure biodiesel derived from animal fats (B100, ASTM D 6751). Measurements of smoke emissions were taken using the SAE J1677 snap acceleration test procedure on a John Deere 3203 compact …

E-85 Vs. Regular Gasoline: Effects On Engine Performance, Fuel Efficiency, And Exhaust Emissions, Jordan W. Steinhaus, Donald M. Johnson, George W. Wardlow

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

This study compared the performance, fuel efficiency, and exhaust emissions of a 2.61 kW engine fueled with regular unleaded gasoline (87 octane) and an 85% ethanol blend (E85) under two load conditions. Four 1-h tests were conducted with each fuel at both governor’s maximum (3400 rpm) and peak torque (2800 rpm) conditions for a total of 16 tests. At governor’s maximum engine speed, there were no significant differences (p>0.05) between fuels for engine torque, power, specific carbon dioxide (sCO2 ), specific carbon monoxide (sCO), specific hydrocarbons (sHC), or specific oxides of nitrogen (sNOX) emissions. However, there was a significant …

Guide Pour Les Pilules De Contraception D'Urgence : Introduire Et Développer L'Offre Des Pilules De Contraception D'Urgence Dans Les Pays En Voie De Développement, Sharif M.I. Hossain, M.E. Khan, Ricardo Vernon, Jill Keesbury, Ian Askew, John Townsend, Victoria Rumbold

Reproductive Health

Pendant plus d'une décennie, les défenseurs ont cherché à améliorer l'accès à la contraception d'urgence (CU) dans le monde. Ces efforts ont été couronnés de succès en Europe et en Amérique du Nord, ont suscité de nombreux débats en Amérique latine et commencent à prendre racine en Asie. En Afrique, cependant, le succès des programmes communautaires reste limité. Même dans les pays où l'environnement réglementaire est favorable, les contraintes de ressources au sein du secteur public limitent la capacité de fournir des services de CU cohérents et de qualité à faible coût. Dans un nombre croissant de pays africains, le …

Too Busy To Be Healthy? Join The Club, Patricia A. Halpin

The University Dialogue

No abstract provided.

Characteristics Of Children Attending Asthma Camp -- American Lung Association (Ala) In Nevada, 2008, Priyank Shetty

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study is based on data provided by American Lung Association (ALA) on the children participating in summer asthma camp in Las Vegas and Reno, Nevada. 56 children participated in the camp in 2008. Universal Health History Form was used which is a comprehensive form to be filled out by parent and physician. Pre-test and Post-test Asthma forms were used to ascertain asthma knowledge before and after the camp.

The purpose of this study was to assess the trigger knowledge of the camp attendees and the measure of agreement between Physician and Parent report of child's asthma severity. In Nevada, …

An Evaluation Of Lead Hazards In Pre-1978 Residental Housing Within Clark County, Nevada, Usa, Erika Raquel Torres

UNLV Theses, Dissertations, Professional Papers, and Capstones

Lead poisoning remains a public health concern due to leads persistence in the environment from anthropogenic uses. Initial efforts to address the impacts of lead on vulnerable communities have included secondary prevention measures which typically occur after a child has been poisoned. However, in recent years there has been a pragmatic shift toward primary prevention efforts.

This study evaluates lead hazards identified through primary prevention activities in residential housing within Clark County, Nevada, USA. It is the first study to systematically address and evaluate pre-1978 housing in Southern Nevada. Risk assessments were conducted in 81 dwellings built prior to 1979 …

Public Opinion On Childhood Obesity As A Driving Force For Policy And Intervention Development, Charkarra Anderson-Lewis, Bonnie Harbaugh, Jerome R. Kolbo, Lei Zhang

Faculty Publications

Childhood obesity is a complex issue in which evidence describing strategies and methods for prevention are needed. It is important that the public’s perception of childhood obesity is understood. This includes determining attitudes about childhood obesity and assessing support for an array of policies and prevention initiatives. A multidisciplinary research team at The University of Southern Mississippi conducted the Mississippi Public Perception of Childhood Obesity telephone survey. Childhood obesity information was elicited from 1,352 Mississippi adults. Telephone interviewing was conducted using WinCATI on a sample selected using random-digit dialing. Data were weighted to reflect race, sex, and age distribution of …

Lead Poisoning: An Alarming Public Health Problem In Bangladesh, Amal K. Mitra, Akhlaque Haque, Manirul Islam, S.A. M.K. Bashar

Faculty Publications

To assess the risk of lead poisoning among preschool and school-aged children in Bangladesh, 345 children were screened for blood lead levels (BLLs) from one rural and two urban areas in Bangladesh from September 2007 through January 2008. An urban industrial area at Tongi was identified as a disaster area, where 99% (104/105) of those tested had BLLs >= 10 mu g/dL. Industrial emissions and use of leaded gasoline by two-stroke engine vehicles were identified as possible sources of lead in that area. A rural nonindustrial area at Chirirbandar, Dinajpur was identified as another high-risk area, where 14% of the …

Looking Beyond Universal Primary Education: Gender Differences In Time Use Among Children In Rural Bangladesh, Sajeda Amin, S. Chandrasekhar

Poverty, Gender, and Youth

This paper addresses gender equity in parents’ educational investments in children in a context of rising school attendance in rural Bangladesh. Using data from the nationally representative 2005 Bangladesh Adolescent Survey, we analyze correlates of time spent in school, studying outside school, and work, using a data set on time-use patterns of schoolgoing children and adolescents. We find that time spent in work varies inversely with the amount of time spent studying at home, while time at school shows no such association. We find support for two hypotheses regarding household influences on education: that time spent in school is insensitive …

The Role Of Abortion In The Last Stage Of Fertility Decline In Vietnam, Bussarawan Teerawichitchainan, Sajeda Amin

Poverty, Gender, and Youth

Vietnam’s rapid fertility decline can be explained by very high rates of contraceptive use and induced abortion, but despite the overall decline, fertility rates vary considerably across the country’s 54 ethnic groups. To explore the prospects for further fertility decline through use of abortion among high-fertility minority populations, this study analyzes unique data from the Vietnam National Health Survey to examine ethnic differentials in prevalence and determinants of abortion and contraception, using a new classification system for ethnicity. The report concludes that providing improved abortion services alone is unlikely to reduce fertility among high-fertility minority groups. Service provision needs to …

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Burkina Faso 2003, Population Council

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Burkina Faso 2003” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief technical notes …

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Democratic Republic Of Congo 2007, Population Council

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Democratic Republic of Congo 2007” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief …

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Congo 2005, Population Council

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Congo 2005” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief technical notes specific …

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Mozambique 2003, Population Council

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Mozambique 2003” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief technical notes specific …

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Tanzania 2004, Population Council

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Tanzania 2004” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief technical notes specific …

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Zambia 2007, Population Council

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Zambia 2007” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief technical notes specific …

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Bolivia 2003, Population Council

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Bolivia 2003” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief technical notes specific …

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Honduras 2005, Population Council

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Honduras 2005” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief technical notes specific …

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Morocco 2003/04, Population Council

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Morocco 2003/04” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief technical notes specific …