Training family doctors to use brief intervention to address excessive substance use in young people: a cluster randomised controlled trial (PRISM-ADO) de D. Haller-Hester lors de la 7ème Journée de la Recherche Clinique
Impact of Hormonal Contraceptive use upon Women's Social Relationship who att...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
Teenage pregnancy is pregnancy in human females under the age of 20. A pregnancy can take place after the start of puberty before the first menstrual period but usually occurs after the onset. In well-nourished girls, menarche usually takes place around the age of 12 or 13.
Pregnant teenagers face many of the same obstetrics issues as other women. There are, however, additional medical concerns for mothers aged below 15 years of age. For mothers aged 15–19, risks are associated more with socioeconomic factors than with the biological effects of age. Risks of low birth weight, premature labor, anemia, and pre-eclampsia are connected to the biological age itself, as it was observed in teen births even after controlling for other risk factors (such as utilization of antenatal care etc.).
In developed countries, teenage pregnancies are often associated with social issues, including lower educational levels, higher rates of poverty, and other poorer life outcomes in children of teenage mothers. Teenage pregnancy in developed countries is usually outside of marriage, and carries a social stigma in many communities and cultures. By contrast, teenage parents in developing countries are often married, and their pregnancies welcomed by family and society. However, in these societies, early pregnancy may combine with malnutrition and poor health care to cause medical problems.
Teenage pregnancies appear to be preventable by comprehensive sex education and access to birth control. Abstinence-only sex education does not appear to be effective.
Through generations teenage pregnancy has converted into one of the Philippines' most challenging social issues. Becoming pregnant at such an early age brings multiple obstacles such as, lower expectations of finishing high school, not attending college, and less success in the job industry. Not only do these obstacles regard the teenage parents but harm their unborn child in academic and health issues, for instance tending to score less optimally on assessments of cognitive development and academic achievement, and also tend to exhibit more problem behaviors than other children. Other than social dilemmas there are certain health issues that are more likely to appear in a teenage pregnancy for example the baby is more likely to have a low birth weight, to be born before term, and have developmental delay.
The issue we focus on is premarital sex among teenager that results to teenage pregnancy. Further explanation will be discussed in the parts to follow.
Training family doctors to use brief intervention to address excessive substance use in young people: a cluster randomised controlled trial (PRISM-ADO) de D. Haller-Hester lors de la 7ème Journée de la Recherche Clinique
Impact of Hormonal Contraceptive use upon Women's Social Relationship who att...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
Teenage pregnancy is pregnancy in human females under the age of 20. A pregnancy can take place after the start of puberty before the first menstrual period but usually occurs after the onset. In well-nourished girls, menarche usually takes place around the age of 12 or 13.
Pregnant teenagers face many of the same obstetrics issues as other women. There are, however, additional medical concerns for mothers aged below 15 years of age. For mothers aged 15–19, risks are associated more with socioeconomic factors than with the biological effects of age. Risks of low birth weight, premature labor, anemia, and pre-eclampsia are connected to the biological age itself, as it was observed in teen births even after controlling for other risk factors (such as utilization of antenatal care etc.).
In developed countries, teenage pregnancies are often associated with social issues, including lower educational levels, higher rates of poverty, and other poorer life outcomes in children of teenage mothers. Teenage pregnancy in developed countries is usually outside of marriage, and carries a social stigma in many communities and cultures. By contrast, teenage parents in developing countries are often married, and their pregnancies welcomed by family and society. However, in these societies, early pregnancy may combine with malnutrition and poor health care to cause medical problems.
Teenage pregnancies appear to be preventable by comprehensive sex education and access to birth control. Abstinence-only sex education does not appear to be effective.
Through generations teenage pregnancy has converted into one of the Philippines' most challenging social issues. Becoming pregnant at such an early age brings multiple obstacles such as, lower expectations of finishing high school, not attending college, and less success in the job industry. Not only do these obstacles regard the teenage parents but harm their unborn child in academic and health issues, for instance tending to score less optimally on assessments of cognitive development and academic achievement, and also tend to exhibit more problem behaviors than other children. Other than social dilemmas there are certain health issues that are more likely to appear in a teenage pregnancy for example the baby is more likely to have a low birth weight, to be born before term, and have developmental delay.
The issue we focus on is premarital sex among teenager that results to teenage pregnancy. Further explanation will be discussed in the parts to follow.
Breathlessness and parity of esteem: what matters to whom? - Dr Louise Restrick, London Respiratory Network Lead, Integrated Consultant Respiratory Physician, Whittington Health and Islington CCG
Presentation from the Breathlessness Symposium held in London on 1 July 2014
Behavioral Counseling and Pharmacotherapy Interventions for Tobacco Cessation in Adults, Including Pregnant Women: A Systematic Review for the U.S. Preventive Services Task Force
Where’s the evidence that screening for distress benefits cancer patients?James Coyne
“The case against screening for distress.” A presentation delivered as part of an invited debate with Alex Mitchell at the International Psycho Oncology Conference, Rotterdam, November 7, 2013
Presentation by Janet Davies, Healthy Lancashire and South Cumbria: Can technology help to reduce emergency and unplanned admissions in respiratory?, at ECO 21 event at Haydock Park Racecourse on Thursday 12 December 2019.
Bringing Researchers, Families/ Patients, and Providers Together to Improve Asthma Care.
Panelists: Flory Nkoy, MD, MS, MPH (Principal Investigator); Joseph Johnson, MD (PCP Stakeholder); Jordan Gaddis (Parent Stakeholder)
Presented at the 11th Annual HSR/ PCOR Conference: Partnering for Better Health: Bringing Utah's Patient Voices to Research 2016
Breathlessness and parity of esteem: what matters to whom? - Dr Louise Restrick, London Respiratory Network Lead, Integrated Consultant Respiratory Physician, Whittington Health and Islington CCG
Presentation from the Breathlessness Symposium held in London on 1 July 2014
Behavioral Counseling and Pharmacotherapy Interventions for Tobacco Cessation in Adults, Including Pregnant Women: A Systematic Review for the U.S. Preventive Services Task Force
Where’s the evidence that screening for distress benefits cancer patients?James Coyne
“The case against screening for distress.” A presentation delivered as part of an invited debate with Alex Mitchell at the International Psycho Oncology Conference, Rotterdam, November 7, 2013
Presentation by Janet Davies, Healthy Lancashire and South Cumbria: Can technology help to reduce emergency and unplanned admissions in respiratory?, at ECO 21 event at Haydock Park Racecourse on Thursday 12 December 2019.
Bringing Researchers, Families/ Patients, and Providers Together to Improve Asthma Care.
Panelists: Flory Nkoy, MD, MS, MPH (Principal Investigator); Joseph Johnson, MD (PCP Stakeholder); Jordan Gaddis (Parent Stakeholder)
Presented at the 11th Annual HSR/ PCOR Conference: Partnering for Better Health: Bringing Utah's Patient Voices to Research 2016
The effects of self regulation education on use of inhaled anti-inflammatories
Noreen M. Clark
Center for Managing Chronic Disease
University of Michigan
Long term effect of a self regulation education on inhaled anti-inflammatory
Noreen M. Clark
Center for Managing Chronic Disease
University of Michigan
DNP-816 Analysis & Applic of Health Data for ANPSTATISTICS QUIZ.docxgreg1eden90113
DNP-816: Analysis & Applic of Health Data for ANP
STATISTICS QUIZE
1. Which of the following research designs includes both an intervention and randomization?
Group of answer choices
Grounded theory research
Non-experimental research
Time series design
Experimental research
2. What is the initial question the researcher should ask when selecting a research design for a particular study?
Group of answer choices
What is the norm in the research topic area?
What type of data analysis techniques will be used?
What instruments will be used to measure the variables in the study?
What is the primary purpose of the study?
3. Which of the following research questions is the appropriate question for a correlational research design?
Group of answer choices
What is the experience of women with hyperthyroidism and resolution of sypmtoms after treatment?
What is the relationship between amount of exercise/week and arthralgia in women with estrogen receptor positive breast cancer who are being treated with an aromatase inhibitor?
What is the prevalence of heroin addiction amongst adults ages 18-45 in the Greater Cincinnati region?
In patients undergoing a total hip arthroplasty, which of the following treatments is most effective in the decolonization of MRSA: preoperative povidone iodine or posteroperative mupirocin?
4. Match the types of quantitative research listed below with the sample study titles.
Group of answer choices
Descriptive research
Correlational research
Quasi-experimental research
Experimental research
5. Bias is a term used to indicate that data in a study are being distorted or slanted away from reality by some influencing factor. Which of the following is true about bias in research?
Group of answer choices
Instruments that are valid for measuring the identified variables are a source of bias.
The researcher can not be a source of bias in a study because he/she is in control
Preconcieved ideas about what the finding of a study will be may lead to bias in intrepreting data.
It is the same as manipulation because the researcher determines the treatment to be given.
6. Manipulation is a term used in quasi and experimental research to mean:
Group of answer choices
An underhanded strategy designed to make subject behave as the researcher wants them to.
Controlling the environment in which the research takes place
An intervention or treatment introduced by the researcher to assess its impact on the dependent variable.
The ability of the researcher to be able to handle or use the equpiment needed to collect data in the study
7. We do not know whether the pattern of results found in our samples accurately reflects what is happening in the population or if it is the result of what type of error?
Group of answer choices
Representative
Distribution
Sampling
Mean
8. Extraneous variables may be controlled by:
Group of answer choices
Using a natural clinical setting
Selecting individuals that are relatively alike in relation to var.
Clark, N.M., Gong, M., Valerio, M., Wang, S., Bria, W., Johnson, T. Women's self-management of asthma. ALA/ATS International Conference, Orlando, FL, May 2004
Noreen Clark
Center for Managing Chronic Disease
University of Michigan
Authors: Michelle Meade, Sean Petty, Joseph Hornyak, Josh Marshbanks, Drew Clayborn, Douglas Rakoski, & Eric Maslowski
Physical Medicine & Rehabilitation • School of Medicine
• UM 3D Lab
• Library System
University of Michigan, Ann Arbor, Michigan
Nundy S, Dick J, Goddu AP, Hogan P, Lu E, Solomon MC, Bussie A, Chin MH, Peek ME.
Developing an Integrated Text Messaging Care Management Program for Diabetes.
Poster presentation at the Midwest Regional Meeting of the Society for General Internal Medicine. September 14-15, 2012. Chicago, IL.
Winner, Best Research Abstract – Poster Presentation.
Integration of Clinical Care and Public Health Systems: The need as reflected in the work of the Alliance to Reduce Disparities in Diabetes
September 12, 2012
Moderator and Presenter
Belinda W. Nelson, PhD
Center for Managing Chronic Disease, University of Michigan
National Program Office, The Alliance to Reduce Disparities in Diabetes
Panelists:
Noreen Clark, PhD, Center for Managing Chronic Disease, University of Michigan
Director , National Program Office for the Alliance to Reduce Disparities in Diabetes
Robert Pestronk, Executive Director, National Association of County and City Health Officials (NACCHO)
Making the Link: Connecting Community Experience and National Policy to Reduce Disparities in Diabetes
March 28, 2012
Alliance to Reduce Disparities in Diabetes
The Alliance to Reduce Disparities in Diabetes
http://ardd.sph.umich.edu/
The Alliance is working to improve communication between patients and health care providers. Effective communication among providers, patients and their family members is a critical component of efforts to promote optimal care outcomes, enhance prevention and management of diabetes and reduce disparities in care.
American Thoracic Society (ATS) Annual Meeting 2011
Dr Smita Shah
Director, Primary Health Care Education and Research Unit
Primary Care and Community Health Network
Clinical Senior Lecturer, School of Public Health
Western Clinical School, Poche Centre for Indigenous Health
The University of Sydney, Australia
Aligning to Improve Outcomes: The Alliance to Reduce Disparities in Diabetes
A presentation from a symposium at the Centers for Disease Control and Prevention’s (CDC) Division of Diabetes Translation's (DDT) 34th annual Diabetes Translation Conference on April 11-14, 2011 in Minneapolis, Minnesota.
Aligning to Improve Outcomes: The Alliance to Reduce Disparities in Diabetes
A presentation from a symposium at the Centers for Disease Control and Prevention’s (CDC) Division of Diabetes Translation's (DDT) 34th annual Diabetes Translation Conference on April 11-14, 2011 in Minneapolis, Minnesota.
Aligning to Improve Outcomes: The Alliance to Reduce Disparities in Diabetes
A presentation from a symposium at the Centers for Disease Control and Prevention’s (CDC) Division of Diabetes Translation's (DDT) 34th annual Diabetes Translation Conference on April 11-14, 2011 in Minneapolis, Minnesota.
Aligning to Improve Outcomes: The Alliance to Reduce Disparities in Diabetes
A presentation from a symposium at the Centers for Disease Control and Prevention’s (CDC) Division of Diabetes Translation's (DDT) 34th annual Diabetes Translation Conference on April 11-14, 2011 in Minneapolis, Minnesota.
Aligning to Improve Outcomes: The Alliance to Reduce Disparities in Diabetes
A presentation from a symposium at the Centers for Disease Control and Prevention’s (CDC) Division of Diabetes Translation's (DDT) 34th annual Diabetes Translation Conference on April 11-14, 2011 in Minneapolis, Minnesota.
Aligning to Improve Outcomes: The Alliance to Reduce Disparities in Diabetes
A presentation from a symposium at the Centers for Disease Control and Prevention’s (CDC) Division of Diabetes Translation's (DDT) 34th annual Diabetes Translation Conference on April 11-14, 2011 in Minneapolis, Minnesota.
Aligning to Improve Outcomes: The Alliance to Reduce Disparities in Diabetes
A presentation from a symposium at the Centers for Disease Control and Prevention’s (CDC) Division of Diabetes Translation's (DDT) 34th annual Diabetes Translation Conference on April 11-14, 2011 in Minneapolis, Minnesota.
Perceived caregiver financial barriers and asthma outcomes in urban elementary school children
Minal R. Patel, MPH
Doctoral Student
Department of Health Behavior & Health Education
University of Michigan School of Public Health
American Thoracic Society International Conference , New Orleans, Louisiana
May 15, 2010
Center for Managing Chronic Disease
University of Michigan
Clark NM, Friedman Milanovich AF, Lachance L, Awad DF, Stoll SC. Using outcomes of interest to plan asthma programs. American Public Health Association Annual Conference, Washington DC, November, 2007.
Noreen M. Clark, Director
Center for Managing Chronic Disease
University of Michigan
More from Center for Managing Chronic Disease (20)
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
4. Research Team PI (Co-PI & Co-investigators) Oversees all aspects of the study Project director-secretary Daily operation Data collection team 5-6 graduate students Recruiting & interview Intervention team 2-3 health educators Deliver program Data analyst Manager/Analyst Database / analysis
26. Developing my plan: Instruct & trust other people can do a good job Feel someone may not be able to do a good job Hang mask on vacuum cleaner handle Forget to wear mask Ask my asthma coach or look at information in workbook under supplies Did not know where to purchase masks & vacuum cleaner bags Strategies Barriers
34. Asthma severity Classified by NAEPP criteria, Guidelines and Diagnosis and Treatment of Asthma, NHLBI, NIH, 1997 14.58 Severe persistent 18.45 Moderate persistent 14.35 Mild persistent 52.62 Mild intermittent Percent of Women
35.
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38.
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41. Hormonal factors and health care utilization Menstruation and Asthma Health Care Utilization
About 50% of the participants are 41 to 60 years of age. One fourth are older than 60 years of age and other one fourth are younger than 40 years old. .
Eleven percent of the women have less than 20,000 annually household income and 11% of the women refused to report. Eighteen % between 20,000 to 40,000. About 35% of the women reported in a range of 40,000 to 60,000 annual household income.
Twenty-six% of the participants are high school graduates, 21% two-year college, 30% 4-year year college, and 21% post graduate.
About 16% of the participants are minorities
Classified by NAEPP criteria, USA, Guidelines and Diagnosis and Treatment of Asthma, NHLBI, NIH, 1997