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2012

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Full-Text Articles in Medicine and Health Sciences

The Drawn-Out Battle Against Stigma: Mental Health In Modern American Comics And Graphic Novels, Swee Khee Brenda Seah Mar 2012

The Drawn-Out Battle Against Stigma: Mental Health In Modern American Comics And Graphic Novels, Swee Khee Brenda Seah

Annual Undergraduate Conference on Health and Society

The discussion of mental health issues in the media significantly shapes public perceptions, most notably in negative portrayals that contribute to the stereotyping of mental health patients. Perhaps surprisingly, comics and graphic novels are forms of media that have potential to mitigate such stigma, despite earlier criticism of mental health stereotypes propagated in some comics. This is reflected in a recent trend of comics treating mental health issues in more sympathetic ways. This paper discusses three American comics from the last decade, examining depictions of post-traumatic stress disorder in Garry Trudeau's comic strip, Doonesbury, around 2005-2006, schizophrenia in Nate …


Busting A Gut: Portrayals Of Obesity In Popular Culture, Carly Babel Mar 2012

Busting A Gut: Portrayals Of Obesity In Popular Culture, Carly Babel

Annual Undergraduate Conference on Health and Society

Obesity is America’s number one leading health epidemic, affecting more than 93 million Americans today (OAC). From 1985 to 2010, obesity has gone from affecting an average of 10% of individuals in just about every state to today affecting 33.8% of people within each state. Children and adults alike all over the U.S. are being diagnosed with obesity and encouraged to change their lifestyles. Doctors are prescribing patients to lose weight, exercise, eat healthy, and in extreme cases, go under the knife, but none of these recommendations are making a dent in lowering the rate of obesity. Rather, the number …


Mirror, Mirror On The Wall, Who's The Thinnest Of Them All?, Ann Marie O'Brien Mar 2012

Mirror, Mirror On The Wall, Who's The Thinnest Of Them All?, Ann Marie O'Brien

Annual Undergraduate Conference on Health and Society

Societal standards of feminine beauty are presented in all forms of popular culture, thus bombarding women with images that portray what our society considers to be the “ideal body type.” These images, as seen on the cover of magazines, in popular films and in all forms of web and print advertising, are consistently depicted and easily described with one word: skinny. The regular use of unnatural, unhealthy and unrealistic models sends the implicit message that in order for a woman to be beautiful, she must attain this ultra-thin physique. Such adulation of these images encourages women to sacrifice their health …


Ohio Academy Of Medical History Annual Meeting Program, March 31, 2012, Ohio Academy Of Medical History Mar 2012

Ohio Academy Of Medical History Annual Meeting Program, March 31, 2012, Ohio Academy Of Medical History

Annual Conference Programs

This tri-fold program is from the annual meeting of the Ohio Academy of Medical History held on March 31, 2012 at the Rose Melnick Museum of Medical History at Youngstown State University in Youngstown, Ohio. The program details the events and presentations of the meeting.


Role Of Poly [Adp-Ribose] Polymerase 1 In Retroviral Infection, Vanessa E. Rodriguez ^, Manuel Llano * Mar 2012

Role Of Poly [Adp-Ribose] Polymerase 1 In Retroviral Infection, Vanessa E. Rodriguez ^, Manuel Llano *

COURI Symposium Abstracts, Spring 2012

No abstract provided.


Chain Community Pharmacists' Willingness, Attitudes, And Barriers In Providing Self-Care Medication And Supplement Recommendations, Clark Kebodeaux, William M. Grise, Brooke Hudspeth, Holly Divine Mar 2012

Chain Community Pharmacists' Willingness, Attitudes, And Barriers In Providing Self-Care Medication And Supplement Recommendations, Clark Kebodeaux, William M. Grise, Brooke Hudspeth, Holly Divine

Pharmacy Practice and Science Faculty Publications

BACKGROUND: Pharmacists are commonly called on as the first resource for patients when selecting an appropriate self-care medication or supplement. This study examines pharmacists’ over-the-counter (OTC) recommendations in the chain community pharmacy setting in the United States.

OBJECTIVES: The objective of the study was to assess chain community pharmacists’ willingness and attitudes to provide self-care recommendations to patients and to identify chain community pharmacists’ barriers to making OTC medication and supplement recommendations.

METHODS: An anonymous survey was created to identify pharmacists’ attitudes and their willingness to perform these recommendations. The questionnaire included specific questions to identify barriers that exist to …


Myelin Gene Expression: Implications For Alcohol Abuse And Dependence, Sean Farris Mar 2012

Myelin Gene Expression: Implications For Alcohol Abuse And Dependence, Sean Farris

Theses and Dissertations

Acute behavioral responses to ethanol have predictive value for determining an individual's risk of long-term drinking behavior. Although the neurobiology of alcohol abuse is complex, prior studies from our laboratory demonstrated differential myelin-associated gene expression (MAGE) in medial prefrontal cortex (PFC) as one potential mechanism influencing acute ethanol behaviors between C57BL/6J (B6) and DBA/2J (D2) mice. Our laboratory and others have also shown MAGE is reduced in PFC of alcoholics. Herein, I have extended these findings through expression profiling of PFC into chronic models of ethanol self-administration from non-human primates and mice. Together, these results suggest that regulation of MAGE …


Crawling Cells Can Close Wounds Without Purse Strings Or Signaling, Pilhwa Lee, Charles W. Wolgemuth Mar 2012

Crawling Cells Can Close Wounds Without Purse Strings Or Signaling, Pilhwa Lee, Charles W. Wolgemuth

UCHC Articles - Research

When a gash or gouge is made in a confluent layer of epithelial cells, the cells move to fill in the “wound.” In some cases, such as in wounded embryonic chick wing buds, the movement of the cells is driven by cortical actin contraction (i.e., a purse string mechanism). In adult tissue, though, cells apparently crawl to close wounds. At the single cell level, this crawling is driven by the dynamics of the cell's actin cytoskeleton, which is regulated by a complex biochemical network, and cell signaling has been proposed to play a significant role in directing cells to move …


Instructions For Authors Mar 2012

Instructions For Authors

Journal of Health Disparities Research and Practice

The Journal of Health Disparities Research and Practice (JHDRP) is an on-line journal that explores the problems and challenges of health disparities among the diverse populations of the United States. Our mission is to publish research that will guide the development of evidence based solutions, policy, and programs in an effort to reduce and ultimately eliminate health disparities. The JHDRP welcomes submissions of original papers from researchers, public health practitioners, and students researching and working on health disparities research, practice, policy, evaluation, and/or solutions. Questions about the suitability of a topic should be directed to the editor.


Cancer Awareness In Alternative Settings: Lessons Learned And Evaluation Of The Barbershop Men’S Health Project, Cheryl L. Holt, Theresa A. Wynn, Katrina Debnam, Mark S. Litaker, Sanford Jeames, Yu-Mei Schoenberger, Penny Southward, Virgil Simons Mar 2012

Cancer Awareness In Alternative Settings: Lessons Learned And Evaluation Of The Barbershop Men’S Health Project, Cheryl L. Holt, Theresa A. Wynn, Katrina Debnam, Mark S. Litaker, Sanford Jeames, Yu-Mei Schoenberger, Penny Southward, Virgil Simons

Journal of Health Disparities Research and Practice

Prostate and colorectal cancer are two of the leading causes of cancer deaths among African American men. This study describes lessons learned from the development, implementation and evaluation of a culturally appropriate, barbershop-based intervention to improve prostate and colorectal cancer screening awareness among African American men. Working with an Advisory Panel of shop owners, barbers, and cancer survivors, local barbers were recruited and trained as Community Health Advisors to educate, motivate, and assist their clients in becoming more knowledgeable about prostate and colorectal cancer. Survey results reveal increases in prostate and colorectal cancer knowledge and self-reported screening among participants. Lessons …


Preventing Hepatitis B-Induced Liver Cancer: Implications For Eliminating Health Disparities, Moon S. Chen Jr. Mar 2012

Preventing Hepatitis B-Induced Liver Cancer: Implications For Eliminating Health Disparities, Moon S. Chen Jr.

Journal of Health Disparities Research and Practice

If the definition of eliminating of a health disparity were signified by the absence of any differences in incidence or mortality between a population’s experiences with a health problem, then the only health disparity that has ever been eliminated is smallpox because with zero cases of smallpox in the world, no health disparities exist because of smallpox. The eradication of smallpox is perhaps the only historical example where the elimination of a health disparity has been achieved. Principles and lessons learned, particularly through the intersection of science and policy that could be applied to the elimination of other health disparities …


Physical Activity Effects On Depressive Symptoms In Black Adults, Elisa R. Torres, Carolyn M. Sampselle, Kimberlee A. Gretebeck, David L. Ronis, Harold W. Neighbors Mar 2012

Physical Activity Effects On Depressive Symptoms In Black Adults, Elisa R. Torres, Carolyn M. Sampselle, Kimberlee A. Gretebeck, David L. Ronis, Harold W. Neighbors

Journal of Health Disparities Research and Practice

Objectives: Randomized trials found physical activity (PA) effective in decreasing depressive symptoms. Few studies included Black participants. The purpose of this systematic literature review was to determine the effects of PA on depressive symptoms in Black adults. Methods: Articles were abstracted by conducting a computer and hand search of eligible studies. Results: Eight of 13 studies found a significant inverse relationship between PA and depressive symptoms in Black adults. Sources for the heterogeneity were explored. Conclusion: Future studies should include representative samples of Black adults, incorporate a theory which considers multiple levels of influence, account for genetic factors in the …


Perceptions Of Healthcare, Health Status, And Discrimination Among African-American Veterans, Nathaniel Rickles, Silvia Dominguez, Hortensia Amaro Mar 2012

Perceptions Of Healthcare, Health Status, And Discrimination Among African-American Veterans, Nathaniel Rickles, Silvia Dominguez, Hortensia Amaro

Journal of Health Disparities Research and Practice

The Institute of Medicine identified access to healthcare and race-based discrimination as important barriers to quality healthcare that contributes to health disparities. This study (1) describes African-American veterans’ perceptions of healthcare services and perceived discrimination in healthcare and (2) investigates the relationship between perceived discrimination and patient perceptions of care, satisfaction with healthcare, and health status. A convenience sample of 141 African-American veterans in Boston completed surveys from May to June 2006.

Respondents reported an average of 16 lifetime experiences of discrimination and over half recalled a situation when they experienced discrimination in healthcare. Modest ratings of perceived quality of …


Preventable Asthma Episodes Among Urban/Rural Children And Adolescents: A Comparative Study, Saundra Glover, Crystal N. Piper, Edith Williams, Kevin Bennett, Winifred Thompson, Lucy Annang, Shaniece Charlemagne, Rahnuma Hassan Mar 2012

Preventable Asthma Episodes Among Urban/Rural Children And Adolescents: A Comparative Study, Saundra Glover, Crystal N. Piper, Edith Williams, Kevin Bennett, Winifred Thompson, Lucy Annang, Shaniece Charlemagne, Rahnuma Hassan

Journal of Health Disparities Research and Practice

Context: Asthma is a chronic respiratory illness that is increasing in prevalence among children in the United States. A limited number of studies have examined the relationship between rurality and the prevalence of asthma in minority children, and those studies found mixed results. The aim of this study is to examine urban/rural locality and its impact on asthma episodes and preventable emergency department visits, and to provide quantitative evidence concerning the relationship between patient characteristics and geographic location. Methods: This is a retrospective study and secondary data analysis of the 2000 National Health Interview Survey. Parametric testing using Univariate/Bivariate/Multivariate analysis …


Colorectal Cancer Screening Behaviors Among American Indians In The Midwest, Christine M. Daley, Niaman Nazir, K. A. Greiner, Aimee S. James, Won S. Choi Mar 2012

Colorectal Cancer Screening Behaviors Among American Indians In The Midwest, Christine M. Daley, Niaman Nazir, K. A. Greiner, Aimee S. James, Won S. Choi

Journal of Health Disparities Research and Practice

Colorectal cancer is the second most diagnosed cancer among American Indians and is also the second leading cause of cancer death. We used a community-based participatory approach to conduct a mixed methods study to examine colorectal cancer screening behaviors. Here we report on the screening behaviors of our focus group participants (n=153). There were significant gender differences in the colorectal cancer screening rates for FOBT and colonoscopy. Although over 80% of participants reported having health insurance, only 35% of males over 50 years old and 57% of females reported ever having a colonoscopy. More research is needed to identify the …


Determinants Of Depressive Symptoms Among Women On Public Assistance In Louisiana, Theresa C. Davidson, Joachim Singelmann Mar 2012

Determinants Of Depressive Symptoms Among Women On Public Assistance In Louisiana, Theresa C. Davidson, Joachim Singelmann

Journal of Health Disparities Research and Practice

Depression can be a significant barrier in the welfare-to-work transition of poor women. Fortunately, support from social networks can lessen symptoms and facilitate entry into the workplace. Inconsistency in the literature concerning the effects of social networks on the poor suggests further research is needed. Thus, we examine the level and determinants of depressive symptoms among participants in the Temporary Assistance to Needy Families program. Having a good job, being in good health, married, and black, and living in rural areas inhibit symptoms of depression. Remaining on TANF and having several children increases symptom levels. Those who report that they …


Social Capital And Violence Across Racial And Ethnic Samples Of Adolescents, Darlene R. Haff, Kevin M. Fitzpatrick, H. H. Floyd Mar 2012

Social Capital And Violence Across Racial And Ethnic Samples Of Adolescents, Darlene R. Haff, Kevin M. Fitzpatrick, H. H. Floyd

Journal of Health Disparities Research and Practice

Using a national sample of adolescents, results of this study demonstrate the important role family and school social capital plays in protecting both White and selected non- White students against violent outcomes. For example, parent-child relationship was associated with reduced violence for Black and White adolescents but not for Hispanics. School affiliation was significant in models for Hispanic and White adolescents but not in models for Black students. Sports participation was associated with greater violence among Hispanics and Whites, but not Blacks. Interestingly, club participation was significant for Whites, but, like sports, it was associated with greater violence. Parental monitoring …


Characterization Of Species C Human Adenovirus Serotype 6 (Ad6), Eric A. Weaver, Reeti Khare, Mathew L. Hillestad, Donna Palmer, Philip Ng, Michael A. Barry Mar 2012

Characterization Of Species C Human Adenovirus Serotype 6 (Ad6), Eric A. Weaver, Reeti Khare, Mathew L. Hillestad, Donna Palmer, Philip Ng, Michael A. Barry

Nebraska Center for Virology: Faculty Publications

Adenovirus serotype (Ad5) is the most studied Ad. Ad1, 2, and 6 are also members of species C Ad and are presumed to have biologies similar to Ad5. In this work, we have compared the ability of Ad1, 2, 5, and 6 to infect liver and muscle after intravenous and intramuscular injection. We found that Ad6 was surprisingly the most potent at liver gene delivery and that Ad1 and Ad2 were markedly weaker than Ad5 and 6. To understand these differences, we sequenced the Ad6 genome. This revealed that the Ad6 fiber protein is surprisingly three shaft repeats shorter than …


Financial Incentives: Pay For Performance (P4p) And The Chronically Ill Patients, David Conley, Alberto Coustasse Mar 2012

Financial Incentives: Pay For Performance (P4p) And The Chronically Ill Patients, David Conley, Alberto Coustasse

Management Faculty Research

P4P is the reimbursement incentive that is based on quality improvement, efficiency, which is dominating the healthcare landscape and CMS. A literature review was conducted to search for and review significant information regarding P4P and how it pertains to chronic conditions and reimbursement methods. This literature review displayed while some programs were able to display a benefit/ profit for those involved such as insurance companies, hospitals, physicians and/or patients, most programs were unable to establish quality measures, cost effectiveness and positive program outcomes worth noting.


Antioxidant, Antimicrobial Properties And Phenolics Of Different Solvent Extracts From Bark, Leaves And Seeds Of Pongamia Pinnata (L.) Pierre, Zahid Iqbal Sajid, Farooq Anwar, Ghulam Shabir, Ghulam Rasul, Khalid M. Alkharfy, Anwarul Hassan Gilani Mar 2012

Antioxidant, Antimicrobial Properties And Phenolics Of Different Solvent Extracts From Bark, Leaves And Seeds Of Pongamia Pinnata (L.) Pierre, Zahid Iqbal Sajid, Farooq Anwar, Ghulam Shabir, Ghulam Rasul, Khalid M. Alkharfy, Anwarul Hassan Gilani

Department of Biological & Biomedical Sciences

This study appraises the antioxidant and antimicrobial attributes of various solvent extracts (absolute methanol, aqueous methanol, absolute ethanol, aqueous ethanol, absolute acetone, aqueous acetone, and deionized water) from bark, leaves and seeds of Pongamia pinnata (L.) Pierre. Maximum extraction yield of antioxidant components from bark (16.31%), leaves (11.42%) and seeds (21.51%) of P. pinnata was obtained using aqueous methanol (20:80). Of the extracts tested, the bark extract, obtained with aqueous methanol, exhibited greater levels of total phenolics [6.94 g GAE/100 g dry weight (DW)], total flavonoids (3.44 g CE/100 g DW), inhibition of linoleic acid peroxidation (69.23%) and DPPH radical …


Semi Tractor-Trailer Driver Dies In Median Crossover Crash; 10 Others Die, Kentucky Injury Prevention And Research Center Mar 2012

Semi Tractor-Trailer Driver Dies In Median Crossover Crash; 10 Others Die, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Motor Vehicle

At approximately 5:00 AM on a spring morning, a 45 year-old male semi-tractor trailer driver headed south on an interstate highway with a back-haul of brake drums. He crossed a 60’ grass depressed median, drove over a cable barrier, was struck by a northbound 15-passenger van with 12 occupants, hit a cut rock wall and caught fire. The semi truck driver and 10 occupants within the van died.

To prevent future occurrences of similar incidents, the following recommendations have been made:

Recommendation No. 1: Commercial vehicle carriers should establish and implement an appropriate comprehensive safety and driver training program that …


Steel Worker Falls From Highway Bridge And Dies, Kentucky Injury Prevention And Research Center Mar 2012

Steel Worker Falls From Highway Bridge And Dies, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Falls

On a fall day in 2010, a 49 year-old steel worker fell from a highway bridge he was working from and died. The steel worker was in the process of leveling jacks for concrete forms. He had donned a fall protection harness with an attached lanyard then stepped outside the lifeline onto a 10”x2” wooden board to verify the jacks were level. As the steel worker stepped over the lifeline, he did not attach the lanyard and fell approximately 28 feet onto the railroad tracks below. He was taken to a nearby hospital where he died in surgery approximately two …


Antinociceptive Effects Of Monoamine Reuptake Inhibitors In Assays Of Pain-Stimulated And Pain-Depressed Behaviors, Marisa Rosenberg Mar 2012

Antinociceptive Effects Of Monoamine Reuptake Inhibitors In Assays Of Pain-Stimulated And Pain-Depressed Behaviors, Marisa Rosenberg

Theses and Dissertations

ANTINOCICEPTIVE EFFECTS OF MONOAMINE REUPTAKE INHIBITORS IN ASSAYS OF PAIN-STIMULATED AND PAIN-DEPRESSED BEHAVIOR By Marisa B. Rosenberg A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science at Virginia Commonwealth University. Virginia Commonwealth University, 2012 Advisor: Sidney Stevens Negus, Ph.D. Professor, Department of Pharmacology/Toxicology Noxious stimuli can produce pain-related stimulation of some behaviors (e.g. withdrawal responses) and depression of other behaviors (e.g. feeding, locomotion, responding maintained by many types of positive reinforcement). Monoamine reuptake inhibitors are used clinically to treat depression and to manage some types of pain. This study examined the antinociceptive properties …


College Of Public Health News, Georgia Southern University Mar 2012

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

  • JPHCOPH Welcomes New Dean


Does Emotional Memory Enhancement Assist The Memory-Impaired?, Lucas S. Broster, Lee X. Blonder, Yang Jiang Mar 2012

Does Emotional Memory Enhancement Assist The Memory-Impaired?, Lucas S. Broster, Lee X. Blonder, Yang Jiang

Behavioral Science Faculty Publications

We review recent work on emotional memory enhancement in older adults and patients with mild cognitive impairment (MCI) or Alzheimer dementia (AD) and evaluate the viability of incorporating emotional components into cognitive rehabilitation for these groups. First, we identify converging evidence regarding the effects of emotional valence on working memory in healthy aging. Second, we introduce work that suggests a more complex role for emotional memory enhancement in aging and identify a model capable of unifying disparate research findings. Third, we survey the neuroimaging literature for evidence of a special role for the amygdala in MCI and early AD in …


Research Brief: "Military Training And Personality Trait Development: Does The Military Make The Man, Or Does The Man Make The Military?", Institute For Veterans And Military Families At Syracuse University Mar 2012

Research Brief: "Military Training And Personality Trait Development: Does The Military Make The Man, Or Does The Man Make The Military?", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about whether students who join the military in Germany have a difference in personality compared to those who do not, and whether military service changes service members' personalities. In practice and policy, policymakers should consider how military experience affects service members' long-term health and well-being. Suggestions for future research include also studying female service members and expanding the sample to other countries to see whether the same effects occur in other countries' military personnel.


Impaired Clearance And Enhanced Pulmonary Inflammatory/Fibrotic Response To Carbon Nanotubes In Myeloperoxidase-Deficient Mice, Aidan Meade, Anna Shvedova, Alexandr Kapralov, Wei Hong Feng, Elena Kisin, Ashley Murray, Robert Mercer, Claudette St. Croix, Megan Lang, Simon Watkins, Nagarjun Konduru, Brett Allen, Jennifer Conroy, Gregg Kotchey, Bashir Mohamed, Yuri Volkov, Alexander Star, Bengt Fadeel, Valerian Kagan Mar 2012

Impaired Clearance And Enhanced Pulmonary Inflammatory/Fibrotic Response To Carbon Nanotubes In Myeloperoxidase-Deficient Mice, Aidan Meade, Anna Shvedova, Alexandr Kapralov, Wei Hong Feng, Elena Kisin, Ashley Murray, Robert Mercer, Claudette St. Croix, Megan Lang, Simon Watkins, Nagarjun Konduru, Brett Allen, Jennifer Conroy, Gregg Kotchey, Bashir Mohamed, Yuri Volkov, Alexander Star, Bengt Fadeel, Valerian Kagan

Articles

Advancement of biomedical applications of carbonaceous nanomaterials is hampered by their biopersistence and proinflammatory action in vivo. Here, we used myeloperoxidase knockout B6.129X1-MPO (MPO k/o) mice and showed that oxidation and clearance of single walled carbon nanotubes (SWCNT) from the lungs of these animals after pharyngeal aspiration was markedly less effective whereas the inflammatory response was more robust than in wild-type C57Bl/6 mice. Our results provide direct evidence for the participation of MPO – one of the key-orchestrators of inflammatory response – in the in vivo pulmonary oxidative biodegradation of SWCNT and suggest new ways to control the biopersistence of …


Effects Of Restricted Fructose Access On Body Weight And Blood Pressure Circadian Rhythms, Danielle Senador, Swapnil Vijay Shewale, Maria Claudia Irigoyen, Khalid M. Elased, Mariana Morris Mar 2012

Effects Of Restricted Fructose Access On Body Weight And Blood Pressure Circadian Rhythms, Danielle Senador, Swapnil Vijay Shewale, Maria Claudia Irigoyen, Khalid M. Elased, Mariana Morris

Pharmacology and Toxicology Faculty Publications

High-fructose diet is known to produce cardiovascular and metabolic pathologies. The objective was to determine whether the timing of high fructose (10% liquid solution) intake affect the metabolic and cardiovascular outcomes. Male C57BL mice with radiotelemetric probes were divided into four groups: (1) 24 h water (control); (2) 24 h fructose (F24); (3) 12 h fructose during the light phase (F12L); (4) 12 h fructose during the dark phase (F12D). All fructose groups had higher fluid intake. Body weight was increased in mice on restricted access with no difference in total caloric intake. Fasting glycemia was higher in groups with …


Computer Physician Order Entry And Clinical Decision Support Systems: Benefits And Concerns, Joseph Shaffer, Alberto Coustasse Mar 2012

Computer Physician Order Entry And Clinical Decision Support Systems: Benefits And Concerns, Joseph Shaffer, Alberto Coustasse

Management Faculty Research

Computerized Physician Order Entry has emerged as the greatest potential to decrease medications errors and improve efficiency. A literature review was conducted in systematic stages that included the research data from the last 25 years. Efficiencies were found with a decrease in overall workload of nurses, pharmacists and clerical workers. This led to decreased operating expenses. A secure way of transferring physician orders electronically will help hospitals and physicians practice a more efficient and higher quality of care in the US healthcare system.


Rates Of Iucd Discontinuation And Its Associated Factors Among The Clients Of A Social Franchising Network In Pakistan, Syed Khurram Azmat, Babar Tasneem Shaikh, Waqas Hameed, Mohsina Bilgrami, Ghulam Mustafa, Muhammad Ali, Muhammad Ishaque, Wajahat Hussain, Aftab Ahmed Mar 2012

Rates Of Iucd Discontinuation And Its Associated Factors Among The Clients Of A Social Franchising Network In Pakistan, Syed Khurram Azmat, Babar Tasneem Shaikh, Waqas Hameed, Mohsina Bilgrami, Ghulam Mustafa, Muhammad Ali, Muhammad Ishaque, Wajahat Hussain, Aftab Ahmed

Community Health Sciences

Background: Modern Intrauterine contraceptive device (IUCD) is very safe, highly effective reversible and inexpensive family planning method which offers 5-10 years of protection against pregnancy. The contraceptive use in Pakistan has been merely 30% for over a decade with IUCD being the least used method. Higher discontinuation rates are documented in developing countries; however no such data is available for Pakistan. Marie Stopes Society (MSS) established a social franchise outlets network branded as 'SURAJ' (Sun) in Pakistan to provide quality family planning services. This study attempts to determine IUCD discontinuation rates and its associated risk factors. Using a semi-structured questionnaire, …