The document summarizes findings from the Adverse Childhood Experiences (ACEs) study and discusses its implications for domestic violence within the Asian American Pacific Islander community. The ACEs study found that traumatic childhood experiences were more common than previously thought, and increased ACE scores correlated with greater health risks. Exposure to ACEs also made domestic violence in adulthood more likely. However, domestic violence is underreported within the AAPI community due to cultural taboos, patriarchal systems, and isolation. The document calls for community efforts to condemn violence, educate the public, and develop culturally appropriate interventions and support systems to address domestic violence facing AAPI populations.
This document discusses adolescent out-of-home placement and analyzes three broad categories: foster care, residential treatment, and juvenile justice placement. It notes that over 500,000 adolescents are in out-of-home care annually across these settings. While the goals of placement include protection and permanency, there is disagreement on outcomes and how to properly measure success. The document also highlights common challenges like separation from families and difficulty with long-term transitions back home.
Women in Bangladesh often suffer from chronic obstetric morbidities such as prolapse, fistulas, and incontinence following childbirth. However, many do not seek professional healthcare due to embarrassment, lack of access to female doctors, cost, and beliefs that the conditions are normal. A study of 183 women in Dhaka found that only 24% sought any healthcare for these issues, mostly from untrained providers like drug vendors or homeopaths rather than doctors. Women were more likely to get care if they discussed their problems with their husbands. The low use of appropriate healthcare highlights barriers that need to be addressed to improve women's health after childbirth.
This document discusses consanguineous marriages, which are defined as unions between individuals related as second cousins or closer. There are various reasons why some communities prefer consanguineous marriages, such as strengthening family ties and making financial negotiations easier. Factors like higher education rates, age at marriage, and economic status can decrease consanguineous marriage rates. While effects are mixed, studies have shown associations between parental consanguinity and increased risks of infant mortality, congenital heart defects, and some genetic disorders. Genetic counseling can help families at risk of inherited disorders understand risks and family planning options.
C:\Documents And Settings\R Gaines\Desktop\Grad School\Engl 613\Final\Genetic...rachelgaines
This document provides information about the career of a genetic counselor, including what they do, required education and training, work settings, and salaries. It describes the roles and responsibilities of prenatal, pediatric, and cancer genetic counselors. The document also outlines the application process and prerequisites for accredited genetic counseling graduate programs in the United States.
The document summarizes research on adverse childhood experiences (ACEs). It describes the original ACE study which found that two-thirds of participants reported at least one ACE. ACEs are interrelated and occur in clusters, with increased ACE scores correlated to higher risks of health problems, risky behaviors, and lower life potential. The document recommends promoting resilience and protective factors to reduce the prevalence and impact of ACEs.
On August 10, I had the wonderful opportunity to work with a group of amazing individuals to assess the biases present in our current healthcare system. This project was a part of a summer intensive program through MedSTEMPowered.
- The Adverse Childhood Experiences (ACE) Study examined the health and social effects of adverse childhood experiences like abuse, neglect, and household dysfunction. It found that two-thirds of participants reported at least one ACE, with over one-third experiencing multiple ACEs.
- The study demonstrated that ACEs are strongly correlated with increased risks of health problems, mental illness, violence, being a victim of violence, and substance abuse in adulthood. People with higher ACE scores experienced these issues at progressively higher rates.
- In response to these findings, organizations seek to enhance understanding of ACEs, integrate resilience factors, and transform systems through prevention, early intervention, workforce development, and cross-
This document provides an overview of behavioral health among youth in Georgia. It discusses that behavioral health encompasses both mental health and substance use disorders. Nearly half of US youth experience a behavioral health condition, and among Georgia youth, nearly 1 in 10 have been diagnosed with a behavioral health condition. The most prevalent conditions among Georgia youth are substance use disorders, anxiety, and depression. A variety of social factors can influence behavioral health, such as adverse childhood experiences, poverty, and access to healthcare and education. Over half of Georgia children have experienced at least one adverse childhood experience.
This document discusses adolescent out-of-home placement and analyzes three broad categories: foster care, residential treatment, and juvenile justice placement. It notes that over 500,000 adolescents are in out-of-home care annually across these settings. While the goals of placement include protection and permanency, there is disagreement on outcomes and how to properly measure success. The document also highlights common challenges like separation from families and difficulty with long-term transitions back home.
Women in Bangladesh often suffer from chronic obstetric morbidities such as prolapse, fistulas, and incontinence following childbirth. However, many do not seek professional healthcare due to embarrassment, lack of access to female doctors, cost, and beliefs that the conditions are normal. A study of 183 women in Dhaka found that only 24% sought any healthcare for these issues, mostly from untrained providers like drug vendors or homeopaths rather than doctors. Women were more likely to get care if they discussed their problems with their husbands. The low use of appropriate healthcare highlights barriers that need to be addressed to improve women's health after childbirth.
This document discusses consanguineous marriages, which are defined as unions between individuals related as second cousins or closer. There are various reasons why some communities prefer consanguineous marriages, such as strengthening family ties and making financial negotiations easier. Factors like higher education rates, age at marriage, and economic status can decrease consanguineous marriage rates. While effects are mixed, studies have shown associations between parental consanguinity and increased risks of infant mortality, congenital heart defects, and some genetic disorders. Genetic counseling can help families at risk of inherited disorders understand risks and family planning options.
C:\Documents And Settings\R Gaines\Desktop\Grad School\Engl 613\Final\Genetic...rachelgaines
This document provides information about the career of a genetic counselor, including what they do, required education and training, work settings, and salaries. It describes the roles and responsibilities of prenatal, pediatric, and cancer genetic counselors. The document also outlines the application process and prerequisites for accredited genetic counseling graduate programs in the United States.
The document summarizes research on adverse childhood experiences (ACEs). It describes the original ACE study which found that two-thirds of participants reported at least one ACE. ACEs are interrelated and occur in clusters, with increased ACE scores correlated to higher risks of health problems, risky behaviors, and lower life potential. The document recommends promoting resilience and protective factors to reduce the prevalence and impact of ACEs.
On August 10, I had the wonderful opportunity to work with a group of amazing individuals to assess the biases present in our current healthcare system. This project was a part of a summer intensive program through MedSTEMPowered.
- The Adverse Childhood Experiences (ACE) Study examined the health and social effects of adverse childhood experiences like abuse, neglect, and household dysfunction. It found that two-thirds of participants reported at least one ACE, with over one-third experiencing multiple ACEs.
- The study demonstrated that ACEs are strongly correlated with increased risks of health problems, mental illness, violence, being a victim of violence, and substance abuse in adulthood. People with higher ACE scores experienced these issues at progressively higher rates.
- In response to these findings, organizations seek to enhance understanding of ACEs, integrate resilience factors, and transform systems through prevention, early intervention, workforce development, and cross-
This document provides an overview of behavioral health among youth in Georgia. It discusses that behavioral health encompasses both mental health and substance use disorders. Nearly half of US youth experience a behavioral health condition, and among Georgia youth, nearly 1 in 10 have been diagnosed with a behavioral health condition. The most prevalent conditions among Georgia youth are substance use disorders, anxiety, and depression. A variety of social factors can influence behavioral health, such as adverse childhood experiences, poverty, and access to healthcare and education. Over half of Georgia children have experienced at least one adverse childhood experience.
Genetic counseling is a process that provides information about inherited disorders to allow informed choices about reproduction and management. It follows the characteristics of counseling by communicating between counselors and families confronting genetic disorders. The steps of genetic counseling involve taking an accurate history, constructing a pedigree chart, estimating risk, transmitting information, and discussing management options. Genetic counselors work with prenatal, pediatric, adult, and cancer populations to assess risk and discuss testing and management of genetic conditions. Nurses play a role in guiding patients, assisting with decisions, coordinating care, and providing support.
Eating Disorders: Confronting an Epidemic | Veritas CollaborativeVeritas_Collaborative
While attention to eating disorders has increased in recent years, the illness remains one of the most common, dangerous and least understood in the United States. The numbers are truly staggering: An estimated 25 million Americans, many of them adolescents, suffer from eating disorders. Ninety percent of them are women between the ages of 12 and 25, though eating disorders do not discriminate by gender, age or ethnic background. More than one-half of teenage girls and nearly one-third of teenage boys use such unhealthy weight control behaviors as skipping meals, fasting, vomiting, and taking laxatives.
Learn more about Veritas Collaborative's eating disorder treatment for teens and adolescents at http://veritascollaborative.com/blog/2014/03/eating-disorders-confronting-an-epidemic
The document discusses the epidemiology of postpartum depression and seasonal affective disorder. It reports that major depression occurs in 1-5.9% of women within the first postpartum year, and major or minor depression occurs in 6.5-12.9%. Risk factors for postpartum depression include a personal or family history of depression, prior postpartum depression, bipolar disorder or psychosis, single marital status, poor health, lower socioeconomic status, and alcohol use. Seasonal affective disorder prevalence ranges from less than 1% to over 10% according to screening tools, and is more common in women, younger individuals, and those living in less sunny areas.
1. The document presents an advocacy campaign on the genetic side effects of cousin marriage in Pakistan.
2. It was presented by [no presenters given] on [no date given].
3. The campaign aims to raise awareness of issues like increased infant mortality and birth defects resulting from cousin marriages and discourage this practice in Pakistan by educating youth and parents.
Reasons and deleterious effects of consanguinity in Pakistan Ateeqa Ijaz
This document discusses the reasons for and harmful effects of consanguineous (cousin) marriages in Pakistan. It reviews previous literature that identified reasons such as inheritance of property, dowry amounts, compatibility between spouses, and strengthening family ties. The author's survey found inheritance, caste, and family ties to be the top reasons. Consanguinity increases risks of genetic disorders like thalassemia, childhood blindness, and birth defects. It can also lead to family disputes breaking social ties. While religion was once a reason, education is changing views on whether Islam requires cousin marriages.
Results from the NE IA BRFSS survey (Behavioral Risk Factor Surveillance System. BRFSS is a point in time household telephone survey.
Iowa began annual surveys in 1988. The survey is designed to collect information on the health conditions, health risk behaviors, attitudes, and awareness of residents age 18 and over. The indicators measured are major contributors to illness, disability and premature death.
This document discusses health issues among incarcerated populations. It notes that over 50% of incarcerated individuals struggle with substance abuse, and that providing treatment programs can significantly reduce relapse. However, many individuals released from prison experience high relapse rates when treatment is unavailable. The document also addresses high rates of mental illness, chronic diseases, and infectious diseases among incarcerated populations compared to the general public. Reasons for these disparities include lack of healthcare access, exposure to abuse or violence, and high-risk behaviors. The document argues that providing appropriate treatment and preventative healthcare programs during and after incarceration could help address these issues.
Genetic counseling provides information about inherited disorders and allows people to make informed choices about reproduction. It identifies carriers of genetic mutations and assesses the risks of parents passing diseases to children. Counseling addresses factors like family history, consanguinity, environmental exposures, nutrition, and lifestyle that can impact genetic risks. It recommends preventive measures like avoiding smoking, maintaining a healthy diet and exercise, immunizations, and genetic screening for couples at risk of passing on diseases.
What is a Community Health Needs Assessment?
LOOK at the people’s health of Ottawa County.
METHOD to find key health problems and resources.
TOOL to develop strategies to address health needs.
WAY for community engagement and collaboration.
Consanguineous marriage makes congenital heart diseases more complexRamachandra Barik
Introduction: Inbreeding increases homozygotes for autosomal recessive disorders resulting in high prevalence of congenital heart disease (CHD). This cross-section looks whether consanguineous marriage (CM) makes CHDs more complex.
Subjects and Methods: This was an observational study which looked at the cross-section of a cohort of consecutive 113 patients having different CHD who visited Nizam Institute of Medical Sciences, Andhra Pradesh, during the year 2016 for surgery or intervention. The definitive diagnosis of CHD was supported by clinical profile, chest X-ray, echo, ultrasound abdomen, and cardiac catheterization which is appropriate. The study population was divided into CM group and distance marriage (DM) group. The categorical variables were analyzed using descriptive statistics.
Results: Out of 113 patients with CHD, 61 (54%) were females. A majority 104 (94%) were Hindu. About 74% of patients were from below poverty line category. Approximately 27% and 73% patients were born out of consanguineous and DM, respectively. Most of the patients were from a rural background, and 63.7% had an education level of ≤10th class. Approximately, a total of 50 (44.2%) patients had complex CHDs (CCHDs). CCHD had significant association with CM (odds ratio: 2.60 95% confidence interval: 1.11–6.09, and P = 0.02).
Conclusion: As there was a significant association of CCHD with inbreed marriage, this observation discourages CM.
CADPAAC Prevention Committee 3 22 07 Deb Wernerdebwerner
The document discusses alcohol and drug prevention efforts related to pregnant women. It notes that the American College of Obstetricians and Gynecologists states there is no safe amount of alcohol during pregnancy. Each day in the US, 20-100 babies are born with conditions related to prenatal alcohol or drug exposure. Prevention strategies discussed include education at the individual, family, community levels as well as screening and treatment. Barriers to addressing prenatal substance use and potential areas for improvement are also outlined.
- There is a significant difference in insurance coverage between those ages 18-24 (36% insured) and ages 25+ (86% insured). Those younger are often still in school without job-based coverage and see insurance as unnecessary, while older individuals have jobs offering coverage or health issues prompting coverage.
- Hospitalization rates also differ greatly between those aged 40 and under (72% of hospitalizations) and over 40 (28%). Most hospitalizations were due to accidents, explaining the younger skew, though older individuals usually have more health issues.
- While only 12.5% of respondents were hospitalized, females accounted for 68% of hospitalizations compared to 32% of males. This may reflect greater health concerns or
1) The document summarizes research on the SafeCare parent training program, which teaches parenting, child health, and home safety skills to reduce child abuse and neglect.
2) SafeCare has been shown through research to reduce future incidents of child maltreatment, increase positive parenting, improve child healthcare, and enhance home safety compared to standard services.
3) In Oklahoma from 2001-2011, SafeCare reduced recidivism of child maltreatment by about 26% compared to standard services according to a 7-year follow up study.
The document summarizes research on Adverse Childhood Experiences (ACEs) and their relationship to long-term health outcomes. It discusses two major studies - the ongoing CDC/Kaiser Permanente ACE study of over 17,000 patients, and the 2011 Oregon BRFSS survey where over 4,000 adults responded to ACE questions. Both studies found ACEs like abuse, neglect and household dysfunction to be common, and correlated with increased risk of health problems, disease, and unhealthy behaviors later in life. The document advocates for preventing ACEs through community programs that encourage safe relationships and healthy development for children and families.
Instructions response must be at least 300 words written in currentADDY50
The document discusses efforts to address healthcare disparities for patients with HIV and mental health issues among underserved teens. It describes Aspire Health Partner's Centaur and navigation programs, which work to bridge gaps in care through community outreach, education, testing, counseling, housing assistance, and facilitating referrals to appropriate treatment services. The programs collaborate with community leaders, primary care offices, and law enforcement to promote health, prevent stigma, and ensure teens showing signs of issues are screened and receive needed care.
Almost 1 in 5 children in the US have a mental health or substance abuse disorder, yet only 20-25% receive treatment. With more children seeking mental health treatment due to parity laws, shortages in professionals will require greater coordination between pediatricians and psychiatrists. The primary care setting provides opportunities for early identification, counseling, guidance, and management of mental health issues which can reduce hospitalizations and offset increased outpatient costs.
This document discusses methods for studying the familial aggregation of diseases. It begins by explaining that establishing a genetic component to complex diseases first requires demonstrating familial clustering. Two main methods are described: relative risk analyses using disease frequencies in relatives compared to populations, and case-control studies comparing family histories between cases and controls. Adoption studies can also assess genetic influences by comparing disease rates between adopted children of affected vs unaffected parents. The concept of heritability is introduced as a measure of genetic contribution to variability in quantitative traits.
This document discusses prostate cancer screening and treatment. It notes that prostate cancer affects about 1 in 6 males in their lifetime and is highly treatable if detected early. Routine screening through PSA blood tests and biopsies when needed has reduced prostate cancer mortality by 40% since the 1990s. Early detection through screening is key, as early-stage prostate cancer produces no symptoms. Treatment options include prostate removal surgery or radiation therapy. The article encourages all men to be aware of risk factors and screening recommendations.
This document provides information on several GOST certifications for changeable wooden inserts of various lengths and widths for pattern plates. It lists the GOST number, title translated to English, status as available, format as electronic PDF, order number, and languages available for each certification. It directs the user to a website for ordering and notes prices are available upon request. The document functions as a catalog listing several GOST certifications for wooden pattern plate inserts.
Satya Nadella is the Chief Executive Officer of Microsoft. Rafee Ullah has successfully completed the requirements to become a Microsoft Certified Solutions Associate in Windows Server 2012 as of December 30, 2014, with a certification number of F143-9240.
Genetic counseling is a process that provides information about inherited disorders to allow informed choices about reproduction and management. It follows the characteristics of counseling by communicating between counselors and families confronting genetic disorders. The steps of genetic counseling involve taking an accurate history, constructing a pedigree chart, estimating risk, transmitting information, and discussing management options. Genetic counselors work with prenatal, pediatric, adult, and cancer populations to assess risk and discuss testing and management of genetic conditions. Nurses play a role in guiding patients, assisting with decisions, coordinating care, and providing support.
Eating Disorders: Confronting an Epidemic | Veritas CollaborativeVeritas_Collaborative
While attention to eating disorders has increased in recent years, the illness remains one of the most common, dangerous and least understood in the United States. The numbers are truly staggering: An estimated 25 million Americans, many of them adolescents, suffer from eating disorders. Ninety percent of them are women between the ages of 12 and 25, though eating disorders do not discriminate by gender, age or ethnic background. More than one-half of teenage girls and nearly one-third of teenage boys use such unhealthy weight control behaviors as skipping meals, fasting, vomiting, and taking laxatives.
Learn more about Veritas Collaborative's eating disorder treatment for teens and adolescents at http://veritascollaborative.com/blog/2014/03/eating-disorders-confronting-an-epidemic
The document discusses the epidemiology of postpartum depression and seasonal affective disorder. It reports that major depression occurs in 1-5.9% of women within the first postpartum year, and major or minor depression occurs in 6.5-12.9%. Risk factors for postpartum depression include a personal or family history of depression, prior postpartum depression, bipolar disorder or psychosis, single marital status, poor health, lower socioeconomic status, and alcohol use. Seasonal affective disorder prevalence ranges from less than 1% to over 10% according to screening tools, and is more common in women, younger individuals, and those living in less sunny areas.
1. The document presents an advocacy campaign on the genetic side effects of cousin marriage in Pakistan.
2. It was presented by [no presenters given] on [no date given].
3. The campaign aims to raise awareness of issues like increased infant mortality and birth defects resulting from cousin marriages and discourage this practice in Pakistan by educating youth and parents.
Reasons and deleterious effects of consanguinity in Pakistan Ateeqa Ijaz
This document discusses the reasons for and harmful effects of consanguineous (cousin) marriages in Pakistan. It reviews previous literature that identified reasons such as inheritance of property, dowry amounts, compatibility between spouses, and strengthening family ties. The author's survey found inheritance, caste, and family ties to be the top reasons. Consanguinity increases risks of genetic disorders like thalassemia, childhood blindness, and birth defects. It can also lead to family disputes breaking social ties. While religion was once a reason, education is changing views on whether Islam requires cousin marriages.
Results from the NE IA BRFSS survey (Behavioral Risk Factor Surveillance System. BRFSS is a point in time household telephone survey.
Iowa began annual surveys in 1988. The survey is designed to collect information on the health conditions, health risk behaviors, attitudes, and awareness of residents age 18 and over. The indicators measured are major contributors to illness, disability and premature death.
This document discusses health issues among incarcerated populations. It notes that over 50% of incarcerated individuals struggle with substance abuse, and that providing treatment programs can significantly reduce relapse. However, many individuals released from prison experience high relapse rates when treatment is unavailable. The document also addresses high rates of mental illness, chronic diseases, and infectious diseases among incarcerated populations compared to the general public. Reasons for these disparities include lack of healthcare access, exposure to abuse or violence, and high-risk behaviors. The document argues that providing appropriate treatment and preventative healthcare programs during and after incarceration could help address these issues.
Genetic counseling provides information about inherited disorders and allows people to make informed choices about reproduction. It identifies carriers of genetic mutations and assesses the risks of parents passing diseases to children. Counseling addresses factors like family history, consanguinity, environmental exposures, nutrition, and lifestyle that can impact genetic risks. It recommends preventive measures like avoiding smoking, maintaining a healthy diet and exercise, immunizations, and genetic screening for couples at risk of passing on diseases.
What is a Community Health Needs Assessment?
LOOK at the people’s health of Ottawa County.
METHOD to find key health problems and resources.
TOOL to develop strategies to address health needs.
WAY for community engagement and collaboration.
Consanguineous marriage makes congenital heart diseases more complexRamachandra Barik
Introduction: Inbreeding increases homozygotes for autosomal recessive disorders resulting in high prevalence of congenital heart disease (CHD). This cross-section looks whether consanguineous marriage (CM) makes CHDs more complex.
Subjects and Methods: This was an observational study which looked at the cross-section of a cohort of consecutive 113 patients having different CHD who visited Nizam Institute of Medical Sciences, Andhra Pradesh, during the year 2016 for surgery or intervention. The definitive diagnosis of CHD was supported by clinical profile, chest X-ray, echo, ultrasound abdomen, and cardiac catheterization which is appropriate. The study population was divided into CM group and distance marriage (DM) group. The categorical variables were analyzed using descriptive statistics.
Results: Out of 113 patients with CHD, 61 (54%) were females. A majority 104 (94%) were Hindu. About 74% of patients were from below poverty line category. Approximately 27% and 73% patients were born out of consanguineous and DM, respectively. Most of the patients were from a rural background, and 63.7% had an education level of ≤10th class. Approximately, a total of 50 (44.2%) patients had complex CHDs (CCHDs). CCHD had significant association with CM (odds ratio: 2.60 95% confidence interval: 1.11–6.09, and P = 0.02).
Conclusion: As there was a significant association of CCHD with inbreed marriage, this observation discourages CM.
CADPAAC Prevention Committee 3 22 07 Deb Wernerdebwerner
The document discusses alcohol and drug prevention efforts related to pregnant women. It notes that the American College of Obstetricians and Gynecologists states there is no safe amount of alcohol during pregnancy. Each day in the US, 20-100 babies are born with conditions related to prenatal alcohol or drug exposure. Prevention strategies discussed include education at the individual, family, community levels as well as screening and treatment. Barriers to addressing prenatal substance use and potential areas for improvement are also outlined.
- There is a significant difference in insurance coverage between those ages 18-24 (36% insured) and ages 25+ (86% insured). Those younger are often still in school without job-based coverage and see insurance as unnecessary, while older individuals have jobs offering coverage or health issues prompting coverage.
- Hospitalization rates also differ greatly between those aged 40 and under (72% of hospitalizations) and over 40 (28%). Most hospitalizations were due to accidents, explaining the younger skew, though older individuals usually have more health issues.
- While only 12.5% of respondents were hospitalized, females accounted for 68% of hospitalizations compared to 32% of males. This may reflect greater health concerns or
1) The document summarizes research on the SafeCare parent training program, which teaches parenting, child health, and home safety skills to reduce child abuse and neglect.
2) SafeCare has been shown through research to reduce future incidents of child maltreatment, increase positive parenting, improve child healthcare, and enhance home safety compared to standard services.
3) In Oklahoma from 2001-2011, SafeCare reduced recidivism of child maltreatment by about 26% compared to standard services according to a 7-year follow up study.
The document summarizes research on Adverse Childhood Experiences (ACEs) and their relationship to long-term health outcomes. It discusses two major studies - the ongoing CDC/Kaiser Permanente ACE study of over 17,000 patients, and the 2011 Oregon BRFSS survey where over 4,000 adults responded to ACE questions. Both studies found ACEs like abuse, neglect and household dysfunction to be common, and correlated with increased risk of health problems, disease, and unhealthy behaviors later in life. The document advocates for preventing ACEs through community programs that encourage safe relationships and healthy development for children and families.
Instructions response must be at least 300 words written in currentADDY50
The document discusses efforts to address healthcare disparities for patients with HIV and mental health issues among underserved teens. It describes Aspire Health Partner's Centaur and navigation programs, which work to bridge gaps in care through community outreach, education, testing, counseling, housing assistance, and facilitating referrals to appropriate treatment services. The programs collaborate with community leaders, primary care offices, and law enforcement to promote health, prevent stigma, and ensure teens showing signs of issues are screened and receive needed care.
Almost 1 in 5 children in the US have a mental health or substance abuse disorder, yet only 20-25% receive treatment. With more children seeking mental health treatment due to parity laws, shortages in professionals will require greater coordination between pediatricians and psychiatrists. The primary care setting provides opportunities for early identification, counseling, guidance, and management of mental health issues which can reduce hospitalizations and offset increased outpatient costs.
This document discusses methods for studying the familial aggregation of diseases. It begins by explaining that establishing a genetic component to complex diseases first requires demonstrating familial clustering. Two main methods are described: relative risk analyses using disease frequencies in relatives compared to populations, and case-control studies comparing family histories between cases and controls. Adoption studies can also assess genetic influences by comparing disease rates between adopted children of affected vs unaffected parents. The concept of heritability is introduced as a measure of genetic contribution to variability in quantitative traits.
This document discusses prostate cancer screening and treatment. It notes that prostate cancer affects about 1 in 6 males in their lifetime and is highly treatable if detected early. Routine screening through PSA blood tests and biopsies when needed has reduced prostate cancer mortality by 40% since the 1990s. Early detection through screening is key, as early-stage prostate cancer produces no symptoms. Treatment options include prostate removal surgery or radiation therapy. The article encourages all men to be aware of risk factors and screening recommendations.
This document provides information on several GOST certifications for changeable wooden inserts of various lengths and widths for pattern plates. It lists the GOST number, title translated to English, status as available, format as electronic PDF, order number, and languages available for each certification. It directs the user to a website for ordering and notes prices are available upon request. The document functions as a catalog listing several GOST certifications for wooden pattern plate inserts.
Satya Nadella is the Chief Executive Officer of Microsoft. Rafee Ullah has successfully completed the requirements to become a Microsoft Certified Solutions Associate in Windows Server 2012 as of December 30, 2014, with a certification number of F143-9240.
Este documento describe una actividad para un curso de Terapia Respiratoria sobre la fisiología respiratoria. Los estudiantes deben crear una presentación de PowerPoint de 10 diapositivas utilizando 10 imágenes proporcionadas y explicando las fases del proceso de la respiración. Deben subir la presentación al portal estudiantil y cuatro estudiantes serán seleccionados al azar para presentarla en clase. El objetivo es que los estudiantes puedan describir correctamente las fases del proceso de la respiración.
Lavalla Blum, a 94-year-old veteran, served in the Women's Army Auxiliary Corps during World War II. She has advocated for greater recognition of women veterans and will serve as parade marshal in two cities' Veterans Day parades this year. Blum joined the WAAC in 1943 and had various duties before being discharged when the auxiliary was dissolved. After the war, she raised a family with her husband and stayed involved with veterans' organizations. Blum is proud of her military service and believes women can succeed if they give their all.
This document is a request form for individuals to apply for a new PAN card or make changes/corrections to their existing PAN data. It requests information such as name, father's name, date of birth, gender, address, contact details, and other PAN numbers held. The applicant must declare that the information provided is true to the best of their knowledge and sign the form, enclosing the relevant supporting documents.
Everything is an Argument: A Regional Effort To Advance Professional Learning...Lauren Zucker
This document summarizes a presentation about developing argument writing skills across grade levels through professional collaboration. It discusses establishing goals to deepen understanding of argument forms, enhance articulation between elementary, middle, and high school teachers, and provide professional development. Key aspects of effective articulation include representation from all grades, collaborative planning, modeling best practices, and producing documents to guide instruction. An example continuum is provided to analyze student progress and provide targeted feedback. Activities like workshops, classroom applications, and collaborative assessment discussions are suggested for professional learning around argument skills.
This document provides an overview of the AP Literature and Composition course taught by Stephanie Morrison during the 2016-2017 school year. The course covers literature from a variety of periods and genres through 6 units exploring short stories, novels, poetry, and drama. Students are expected to actively participate in class discussions, complete frequent written assignments, and take a midterm and final exam. The final is an anthology presentation summarizing the student's literary influences. Students must earn a C or higher to receive college credit through the affiliated program.
The document discusses adverse childhood experiences (ACEs) and domestic violence within the Asian American and Pacific Islander (AAPI) community. It summarizes findings from the ACEs study showing that adverse experiences are common and negatively impact long-term health and behaviors. Higher ACE scores correlate with greater likelihood of risky behaviors. The document also discusses how cultural factors within the AAPI community contribute to lower reporting of domestic violence. These include views of women's roles, loss of face, and pressure to maintain family harmony. It argues for culturally-appropriate prevention programs, education, and services to address domestic violence and its impacts.
This briefing overviews the research on the extent, consequences, risks and prevention strategies for family violence with a focus on preventing family violence in North Carolina.
Webinar presented by Heather Larkin, Associate Professor at the SUNY Albany School of Social Work, on the Adverse Childhood Experiences Study and ACES impact on homeless individuals.
This is awareness campaign report during health teaching in a rural community within the Philippines to increase awareness of increasing trend of teenage pregnancy especially among low poverty income and less educated residents in a certain community in the Philippines
This document provides an overview of guidelines and best practices for providing preventive care to adolescents. It notes that while adolescent morbidity and mortality are largely preventable through addressing behaviors like substance use, unintentional injuries, and sexual health, only a small percentage of adolescents receive recommended annual preventive visits and services. The document outlines strategies for physicians to make the most of adolescent well visits, including taking a thorough medical history with screening for high risk behaviors, performing an age-appropriate physical exam including reproductive health components, conducting relevant screening and labs, providing immunizations, and offering health guidance.
Using ACEs In Our Everyday Work - Implications For Clients and ProgramsHealth Easy Peasy
The document discusses adverse childhood experiences (ACEs) and their lifelong health impacts based on findings from the seminal ACE Study. It summarizes that experiencing ACEs is common and increases risks for negative health, social, and economic outcomes. Two organizations, Prevent Child Abuse Tennessee and The Family Center, have administered ACE assessments to clients and found high rates of ACEs, particularly household dysfunction and abuse. The organizations work to administer assessments sensitively and use results to tailor services, promote understanding of trauma, and empower clients through a prevention lens.
The document provides an overview of Joe Neigel's presentation on creating thriving children through applying strategies informed by research on adverse childhood experiences and developmental needs. The presentation discusses findings from the Adverse Childhood Experiences Study showing strong links between early life trauma and long-term health outcomes, and considers additional factors like brain nutrient deficiencies, lack of movement, and inadequate social reinforcement that contribute to difficulties. Neigel then examines low-cost strategies backed by evidence like using positive notes, praise, and mystery motivators that can positively influence school culture and protect children by meeting their developmental needs.
The document provides information about Adverse Childhood Experiences (ACEs) including:
1) It summarizes the objectives of raising awareness about ACE research and prevention frameworks like Essentials for Childhood.
2) It describes the original ACE study which found associations between childhood trauma and later health outcomes, and notes that 64% of participants experienced at least one ACE.
3) It shows that higher ACE scores correlate with increased risks of health problems like smoking, alcoholism, suicide attempts, and teen pregnancy.
4) Data from the Kansas BRFSS survey found rates of ACEs in Kansas similar to national data, with certain groups like women and low-income residents
This document provides information about Adverse Childhood Experiences (ACEs). It begins with the objectives of raising awareness about ACE research and prevention frameworks. It then defines ACEs as childhood experiences of abuse, neglect, and family dysfunction that harm development. The landmark ACE Study found associations between early life stressors and negative health outcomes later in life. It also summarizes findings that higher ACE scores correlate with increased risks of health problems, demonstrating the lifelong impacts of ACEs. The document concludes by discussing prevention approaches like building resilience and utilizing collective impact frameworks.
This document summarizes presentations from a training on trauma-informed care. It discusses the Adverse Childhood Experiences (ACE) Study which found that childhood trauma is common and influences adult health and behaviors. Presenters discuss how trauma impacts individuals over their lifetime through mental health issues, health risks, diseases, and social problems if left unaddressed. They advocate for trauma-informed systems and cultures of care across behavioral health, social services, and communities to facilitate recovery and prevent retraumatization. The speakers provide their visions of a future where trauma is addressed and communities are empowered partners in wellness promotion.
Capstone PowerPoint Grandparents raising grandchildren in Shreveport, laLish'a Bond Reed
Grandparents in Shreveport, Louisiana face challenges caring for their grandchildren. The document summarizes interviews with 15 grandparent caregivers who access services at a local health center. Most have low incomes and lack health insurance. Common reasons for taking in grandchildren include parental substance abuse or death. Grandparents desire resources to help with basic needs like food, clothing, bills and legal advice. A majority were unaware of existing support services and groups and expressed interest in informational materials and a resource center.
Dr. Roy Wade's Presentation from Childhood Adversity & Poverty: Creating a Co...SaintA
Dr. Roy Wade, a pediatrician from Children’s Hospital of Philadelphia, specializes in the connection between adverse childhood experiences and urban issues such as poverty, violence and health problems. This presentation was made during our community conversation on urban ACES and trauma informed care in Milwaukee.
Aacc 2017 become a more trauma informed addiction counselorDenice Colson
The document provides an overview of trauma-informed care and the links between childhood trauma and addiction. It discusses research from the Adverse Childhood Experiences (ACE) Study which found strong associations between adverse childhood experiences and negative health and behavioral outcomes later in life, including increased risks of addiction. The document then outlines four levels of developing trauma-informed care and provides examples of trauma-informed approaches, assessments, interventions and theoretical models for understanding the development of trauma survivors.
The Impact of Acculturation on the Development of Eating Disorders in African...Devona Stalnaker
The document discusses eating disorders in African American females ages 15-25. It notes that as acculturation into the dominant culture increases, so does the risk of eating disorders in this population. It identifies general and race/culture-specific risk factors and outlines implications and applications for mental health professionals, including understanding a client's level of acculturation and cultural identity development. The document reviews current literature on eating disorders in African American women and risk factors like body dissatisfaction and drive for thinness.
Rosemary Frasso's presentation from the
Penn Urban Doctoral Symposium
May 13, 2011
Co-sponsored with Penn’s Urban Studies program, this symposium celebrates the work of graduating urban-focused doctoral candidates. Graduates present and discuss their dissertation findings. Luncheon attended by the students, their families and their committees follows.
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This document provides an overview of Adverse Childhood Experiences (ACE) data from South Carolina. It discusses the Behavioral Risk Factor Surveillance System (BRFSS) as the data source for ACEs in SC. Some key findings include: 62% of SC residents report experiencing at least one ACE, with 14% experiencing 4 or more. There are associations between higher ACE scores and increased risk of health problems, mental illness, and risky behaviors. The data also show strong interrelationships between different types of ACEs - for example, those experiencing physical abuse were much more likely to also experience other forms of abuse and household dysfunction. The document demonstrates how ACE data can be applied to help various community efforts
1. Adverse Childhood Experiences
study and Domestic Violence
within the Asian American Pacific
Islander Community
An overview
Colette Katuala, LCSW
Owner, Focused Clinical Solutions
2. Adverse Childhood Experience study
(ACEs)
Kaiser’s weight loss study
Collaboration between Center for Disease Control and Prevention and
Kaiser to examine relationship between childhood and adolescent
traumatic experiences and future health outcomes
17,000 participants
10 categories measured
Each category rated equally,
added together to formulate ACE score
3. Findings - Prevalence
Presence of traumatic experiences in childhood more common than
thought
1/3 reported ACE score of zero
Of those reported presence of 1 category; greater chance there is a second
1 in 6 had score of 4 or more; 1 in 9 reported 5 or more
Women were 50% more likely then men to have experienced 5 or more
categories.
4. Implications on health
Presence of adverse childhood experiences have a cumulative effect
As ACE scores increased, as did chances for being a user of street drugs and abuse
alcohol
Remedies used placed them at higher risk for health and medical conditions
Relationship with medical diseases
5. Intervention
Trauma Informed care
Medical field to complete biopsychosocial assessments at onset of treatment
Medical workers become trained to illicit patients about their past trauma for
appropriate intervention and referral
Understand the stigma and shame associated with adverse childhood
experiences
6. Prevention
Social supports and strategies
Home visiting to pregnant women and families with newborns
Parent education programs
Parent support for teens and teen pregnancy prevention programs
Mental Illness and substance abuse treatment
High quality child care
Sufficient income support for lower income families
Intimate partner violence (DV) prevention
7. ACEs and Domestic Violence
Presence of adverse childhood experiences are associated with increased
likelihood of DV in adulthood
Female depression
Under-reporting of abuse
8. DV within the AAPI community:
literature review
Underrepresented in asking for DV services
Underreport IPV/DV victimization
Studies targeting Asian Women in America
9. Barriers to seeking formal supports
Taboo
Patriarchal systems
Family honor
Traditional family organization
Religion
Economic dislocation
Isolation
Lack of community consensus regarding DV
10. Call to Action
Community consensus condemning violence
Educate and Inform
Develop a community of helpers and supporters
Culturally congruent interventions
Further research targeted to Asian American communities
11. Thank you for your time and attention
Colette Katuala, LCSW
Focused Clinical Solutions
510-305-6656
focused.clinical@outlook.com
Editor's Notes
My discussion today will include an overview of the ACE study, its methods, findings, intervention strategies. I will then describe the relationship between adverse childhood experiences and domestic violence. I conclude my presentation by sharing the issue of DV within the AAPI community, the barriers that prevent women from seeking formal supports and possible interventions to address the issue.
Kaiser conducted a study of a weight loss program in the 80’s and found that participants who were successful at losing weight unexpectedly dropped out. After more exploration of those participants, they found that many used their weight was a shield against unwanted sexual advances or as a form of defense. Researchers discovered that many of the disengaged had suffered from physical and or sexual abuse as a child. Weight loss was physically and sexually threatening. The discussion emerged stating health problems, like obesity, were unconscious behaviors put in place as solutions to problems that commenced in childhood.
CDC and Kaiser – CDC with their skill set for study design and massive data management while Kaiser, for years, have carried out biopsychosocial evaluations of over 50,000 patients annually, were perfect authors and collaborators of this study.
From the 7th largest city in US, San Diego, middle class population – 80% White, including Hispanic, 10% Black, 10% identified as Asian American
emotional, physical , and sexual abuse; emotional and physical neglect, and household dysfunction relating to household member suffering from severe mental illness, alcohol and/or substance abuse and incarceration. Being raised by 1 parent and witnessing domestic violence as a child were also scoring indicators.
It appeared that categories were about equal to each other in impact, which was a surprise finding.
87% greater chance that a second was present
The relationship between adverse childhood experiences and depression was examined. They found that depression has deep roots, commonly from childhood; that on women, 54% of current depression and 58% of suicide attempts in women, have been attributed, at least in part, to traumatic experiences before they reached 18.
Compared to people with ACE scores of 0, those with 4 or more were 2x as likely to be smokers, 12x more likely to have attempted suicide, 7x more likely to be alcoholic, and 10x more likely to have injected street drugs.
Common contemporary health risks including smoking, alcoholism, illicit drug use, obesity and high level promiscuity, all of which are harmful to health and difficult to give up because they have the short term benefit in dealing with emotional pain.
COPD, Liver disease and heart disease rates at least doubled when there was presence of 4 or more categories of childhood trauma.
It as also found that people with a score of 6 or more, died, on average 20 years earlier than those with scores of zero.
The study looked at the relationship between DV and adverse childhood experiences.
Partially through psychosocial outcomes such as depression, anxiety, PTSD, impulsivity, and problem drinking
The study proved that depression was a pathway between ACEs and DV ( in male/female relationships)
DV is highly correlated to all adverse childhood experiences except having a family member in prison.
Studies have shown that women are reluctant to disclose abuse as well as the provider being reluctant to ask. This is due to various factors including lack of training and confidence of providers regarding discussions of the subject, fear of offending patient, language barriers and cultural issues.
A study of 8000 men and 8000 women from all ethnic backgrounds. Asian Americans reported lower rates than any other ethnicity. 12% physical and 3 % sexual abuse (raped) by their intimate partners. 26% for Blacks, 21% Hispanics, 21% for Whites, and 30% of people who identify as Native American reported abuse within their current intimate relationships. The stark difference begs the question as to why.
One study, conducted by Project AWARE (Asian Women Advocating Respect and Empowerment) conducted a study in 2000/01 using a snowball method and found that of the 178 Asian Women surveyed, 81% experienced at least 1 form of DV in the past year, 67% occasionally experienced some form of domination/controlling or psychological abuse, 48% experienced it frequently in the past year.
32% experienced physical/sexual abuse occasionally in the past year. Of the women who reported no domestic violence, 64% knew of an Asian friend who experienced DV, 28% knew of an Asian woman being abused by her in-laws- half of which said in-law abuse are both common and very common problems facing Asian American women.
In 2005 – NAWHO, National Association of Asian Women’s Health Organization completed telephone interviews of AA women in SF and LA and found that 16% were pressured to have sex without consent with their intimate partner and 27% reported emotional abuse.
A fact sheet put out by the Asian and Pacific Islander Institute on DV based out of SF cited in 2012 that between 41-61% of Asian Women report experiencing physical and/or sexual violence by an intimate partner in their lifetime
IN general, it is found that the problems categorized in the ACE study are shielded by social taboos against freely discussing topics, even in medical settings. Within AAPi communities, the shame of reporting feels even greater. Studies have shown that in South Asian communities, female children and adolescents are not to openly discuss sexuality to parents or at school.
There is a known social stigma to disclose abuse within community, even close friends. Divorce is taboo. Many current formal DV interventions support leaving the abuser instead of staying and stopping the violence.
Within most AAPI cultures, there are gender asymmetrics, families in which the power structure begins with the father, then elder male, son, then females who hold the bottom spot of the family system in terms of rights and decision making capacity all of which give rise to abuse.
Women’s role within Asian American family include the expectation of upholding family honor, that family peace and outcome is of greater importance than individual needs. The responsibility for family harmony incentivizes silence around domestic violence.
Women are taught that they must endure pain, remain nurturing and forgiving.
Traditional family organization means that family and community life take priority over personal safety
Hinduism and Islam support the oppression of women, these religions do not support divorce
Women have stated that they are willing to stay in abusive relationships for the educational outcomes of their children
Acculturation issues – 50% of Asian Americans in US are foreign born
Fear to report include immigration status, language access, economic dependence support the subjugation of immigrant women in America. American values and interventions come in conflict with Asian American cultural belief systems.
Clear message that violence against women is wrong. Women surveyed stated that they did not believe DV was wrong It has been found that women who believe that DV is wrong, are more likely to reach out for support. Community, religious leaders and men must be at the forefront of changing the attitudes about violence against women. Make unspeakable, speakable. Concrete efforts to get them talking about it – focus groups, meetings, and trainings within the community to promote a more open mindset
Educate the community about the impact of family violence and provide women with knowledge of resources will support the treatment and prevention of DV. Discovery of their options have led to increased engagement of formal supports.
Build social networks within the woman’s community, strengthen informal supports by working with extended family to become allies instead of bystander or colluder.
Have programs and services geared toward upholding family cohesiveness
Community based treatments that capitalize on values and strengths common to AAPI communities like peaceful home campaigns inclusive of harmony and peace values.
Formal supports to focus on keeping family intact, working with families and extended members to support the ending of violence.
½ of the AA population resides in 5 states, and ¾ reside in 10 states in the US. Conduct studies in those concentrated areas to obtain the most representative view of the problem and to focus interventions in areas of greatest need.