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https://www.readbyqxmd.com/read/28935387/attitudes-and-beliefs-pertaining-to-sexual-and-reproductive-health-among-unmarried-female-bhutanese-refugee-youth-in-philadelphia
#1
Cherie Priya Dhar, Dilu Kaflay, Nadia Dowshen, Victoria A Miller, Kenneth R Ginsburg, Frances K Barg, Katherine Yun
PURPOSE: We explored attitudes and beliefs pertaining to sexual and reproductive health (SRH) among unmarried, female, resettled Bhutanese refugees 16-20 years. METHODS: Fourteen interviews were analyzed using the constant comparison method, and major themes were identified. RESULTS: SRH was stigmatized for unmarried youth, making seeking information about SRH or accessing family planning difficult. There were many misconceptions about access to SRH...
September 18, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28935217/development-of-a-patient-reported-measure-of-the-interpersonal-quality-of-family-planning-care
#2
Christine Dehlendorf, Jillian T Henderson, Eric Vittinghoff, Jody Steinauer, Danielle Hessler
OBJECTIVE: To describe the development and assess evidence of the validity of a patient-reported scale measuring the interpersonal quality of contraceptive counseling. STUDY DESIGN: We performed initial item selection based on qualitative work regarding patient preferences for contraceptive counseling and a review of patient-reported measures of communication. We then administered these items as part of a cohort study of women receiving contraceptive counseling, along with items measuring patient satisfaction with counseling and method choice, and coded audio recordings of the contraceptive counseling visits for patient-centered communication...
September 18, 2017: Contraception
https://www.readbyqxmd.com/read/28930621/the-incidence-of-menstrual-regulation-procedures-and-abortion-in-bangladesh-2014
#3
Susheela Singh, Altaf Hossain, Isaac Maddow-Zimet, Michael Vlassoff, Hadayeat Ullah Bhuiyan, Meghan Ingerick
CONTEXT: Menstrual regulation (MR) has been part of the Bangladesh family planning program since 1979. However, clandestine abortion remains a serious health problem in Bangladesh, and anecdotal reports indicate that clandestine use of misoprostol has increased since the most recent estimates (for 2010). Because of this, it is important to assess changes in the use of MR services and the incidence of clandestine abortion since 2010. METHODS: A survey of a nationally representative sample of 829 health facilities that provide MR or postabortion care services and a survey of 322 professionals knowledgeable about these services were conducted in 2014...
March 21, 2017: International Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/28927231/leadership-succession-future-proofing-pipelines
#4
Saul Taylor, Howard Youngs
The challenges in deaf education illustrate the requirement and importance of leadership in this specialized field. The significant and impending talent depletion unfolding as baby-boomers retire, positions leadership succession planning as a strategic issue. This mixed methods study is the first of its kind in New Zealand. The aim is to understand leadership demographics and assumptions to determine the need for strategic succession planning to identify and address leaky pipelines. The findings from 82% of the deaf education workforce through a questionnaire and interviews with seven senior leaders reveal that senior leaders do not appear aware of four key areas that dissuade and shrink the pool of potential leadership aspirants...
September 12, 2017: Journal of Deaf Studies and Deaf Education
https://www.readbyqxmd.com/read/28925913/how-underserviced-rural-communities-approach-physician-recruitment-changes-following-the-opening-of-a-socially-accountable-medical-school-in-northern-ontario
#5
Oxana Mian, John C Hogenbirk, Wayne Warry, Roger P Strasser
INTRODUCTION: The Northern Ontario School of Medicine (NOSM) opened in 2005 with a social accountability mandate to address a long history of physician shortages in northern Ontario. The objective of this qualitative study was to understand the school's effect on recruitment of family physicians into medically underserviced rural communities of northern Ontario. METHODS: We conducted a multiple case study of 8 small rural communities in northern Ontario that were considered medically underserviced by the provincial ministry of health and had successfully recruited NOSM-trained physicians...
2017: Canadian Journal of Rural Medicine
https://www.readbyqxmd.com/read/28925878/genistein-induces-alterations-of-epigenetic-modulatory-signatures-in-human-cervical-cancer-cells
#6
Madhumitha Kedhari Sundaram, Mohammad Zeeshan Ansari, Abdullah Al Mutery, Maryam Ashraf, Reem Nasab, Sheethal Rai, Naushad Rais, Arif Hussain
Introduction Epidemiological studies indicate that diet rich in fruits and vegetables are associated with decreased cancer risk thereby indicating that dietary polyphenols can be potential chemo-preventive agents. The reversible nature of epigenetic modifications makes them a favorable target for cancer prevention. Polyphenols have been shown to reverse aberrant epigenetic patterns by targeting the regulatory enzymes, DNA methyltransferases (DNMTs) and histone deacetylases (HDACs). In vitro and in silico studies of DNMTs and HDACs were planned to examine genistein's role as a natural epigenetic modifier in human cervical cancer cells, HeLa...
September 18, 2017: Anti-cancer Agents in Medicinal Chemistry
https://www.readbyqxmd.com/read/28914088/multi-morbidity-a-patient-perspective-on-navigating-the-health-care-system-and-everyday-life
#7
Lisbeth Ørtenblad, Lucette Meillier, Alexandra R Jønsson
Objective The importance of everyday life when managing the burden of treatment is rarely studied. This article explores the burden of treatment among people with multi-morbidity by investigating the tension between everyday life and the health care system. Method This was an ethnographic study using individual interviews and participant-observations. An inductive analytical approach was applied, moving from observations and results to broader generalisations. Results People with multi-morbidity experience dilemmas related to their individual priorities in everyday life and the management of their treatment burdens...
January 1, 2017: Chronic Illness
https://www.readbyqxmd.com/read/28912949/a-comprehensive-analysis-on-child-mortality-and-its-determinants-in-bangladesh-using-frailty-models
#8
Jahidur Rahman Khan, Nabil Awan
BACKGROUND: Bangladesh has experienced a significant reduction of child mortality over the past decades which helped achieve the Millennium Development Goal 4 (MDG 4) target. But the mortality among under-5 aged children is still relatively high and it needs a substantial effort to achieve the Sustainable Development Goal (SDG) target and decelerate the current rate of under-5 mortality. At this stage, it is hence important to explore the trend and determinants of under-5 mortality in order to reduce the vulnerability of child's survival...
2017: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/28903628/what-motivates-serodiscordant-couples-to-prevent-hiv-transmission-within-their-relationships-findings-from-a-prep-implementation-study-in-kenya
#9
Rena C Patel, Anna M Leddy, Josephine Odoyo, Keerthana Anand, Gaelen Stanford-Moore, Imeldah Wakhungu, Elizabeth A Bukusi, Jared M Baeten, Joelle M Brown
With the planned scale-up of pre-exposure prophylaxis (PrEP) for HIV prevention among serodiscordant couples in resource-limited settings, gaining an understanding of what motivates serodiscordant couples to prevent HIV is critical. We conducted 44 semi-structured, in-depth individual or couple interviews with 63 participants (33 HIV-infected and 30 HIV-uninfected participants) enrolled in a prospective implementation study of oral antiretroviral-based prevention in Kisumu, Kenya. Transcripts were iteratively analysed using inductive content analysis...
September 14, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28902245/tooth-resorptions-are-not-hereditary
#10
Alberto Consolaro, Débora de Almeida Bianco
Root resorptions caused by orthodontic movement are not supported by consistent scientific evidence that correlate them with heredity, individual predisposition and genetic or familial susceptibility. Current studies are undermined by methodological and interpretative errors, especially regarding the diagnosis and measurements of root resorption from orthopantomographs and cephalograms. Samples are heterogeneous insofar as they comprise different clinical operators, varied types of planning, and in insufficient number, in view of the prevalence of tooth resorptions in the population...
July 2017: Dental Press Journal of Orthodontics
https://www.readbyqxmd.com/read/28893267/is-the-role-of-health-extension-workers-in-the-delivery-of-maternal-and-child-health-care-services-a-significant-attribute-the-case-of-dale-district-southern-ethiopia
#11
Abel Negussie, Gedion Girma
BACKGROUND: The Health Extension Program (HEP) is one of the most innovative community based health program launched by the Ethiopian Federal Ministry of Health to make health services accessible to rural communities by setting-out women Health Extension Workers (HEWs) in rural Health Posts. The HEWs are premised to provide basic, largely preventive, primary health services to rural villages and the program gives special attention to children and mothers. The objective of the study was to assess the contribution made by the Health Extension Workers in maternal and child health care service delivery in Dale district, southern Ethiopia...
September 11, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28893235/inadequate-birth-spacing-is-perceived-as-riskier-than-all-family-planning-methods-except-sterilization-and-abortion-in-a-qualitative-study-among-urban-nigerians
#12
Hilary M Schwandt, Joanna Skinner, Luciana Estelle Hebert, Lisa Cobb, Abdulmumin Saad, Mojisola Odeku
BACKGROUND: Fertility is high in Nigeria and contraceptive use is low. Little is known about how urban Nigerians perceive the risk of contraceptive use in relation to pregnancy and birth. This study examines and compares the risk perception of family planning methods and pregnancy related scenarios among urban Nigerians. METHODS: A total of 26 focus group discussions with 243 participants were conducted in September and October 2010 in Ibadan and Kaduna. The groups were stratified by sex, age, family planning use, and city...
September 11, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28890528/association-between-economic-status-and-discharge-destination-among-elderly-patients-from-acute-care-hospitals
#13
Nobuo Sakata, Yasuyuki Okumura, Yasuyuki Shirakawa
Objective The aim of this study was to investigate the association between economic status and discharge destination of elderly patients from acute care hospitals.Method We conducted a case-control study using data from a survey of elderly discharged patients conducted under the subsidy program of the Japanese Ministry of Health, Labour and Welfare. The questionnaires were mailed to 1,068 acute care hospitals located in the Kanto and Kansai region. The survey asked medical social workers or nurses, who were responsible for the discharge planning, to answer questions about the discharge of elderly patients from their hospitals...
2017: [Nihon Kōshū Eisei Zasshi] Japanese Journal of Public Health
https://www.readbyqxmd.com/read/28889153/medical-residents-attitudes-and-emotions-related-to-middle-east-respiratory-syndrome-in-saudi-arabia-a-cross-sectional-study
#14
Turki Aldrees, Mohammed Al Ghobain, Abdullah Alenezi, Saleh Alqaryan, Dana Aldadeeb, Najed Alotaibi, Kamal Alzahrani, Sami Alharethy
To determine medical residents' emotions, attitudes, and knowledge related to Middle East respiratory syndrome (MERS) outbreaks. Methods: In this is a cross sectional study, self-administered questionnaires were distributed and collected before resident education activities in 4 tertiary hospitals in Riyadh, Kingdom of Saudi Arabia, between November 2015 and January 2016. The questionnaire included questions related to residents' demographic data and their emotions, attitudes, and knowledge related to an MERS outbreak...
September 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28888517/beliefs-regarding-asthma-management-relating-to-asthma-action-plans-aaps-of-african-american-caregivers-residing-in-newark-new-jersey-public-housing-communities
#15
Frank Wagner, Lorraine Steefel
PURPOSE: The purpose of this study was to explore the beliefs regarding asthma management and Asthma Action Plans (AAPs) of African American caregivers residing in three New Jersey public housing communities in Newark, New Jersey. DESIGN: A qualitative methods design was accomplished using semi-structured interviews with a purposive sample of nine African American caregivers of children with asthma. Information was coded using N'VIVO™; the textual analysis combined codes into categories, which were then assembled into themes...
September 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28879818/high-prevalence-of-voluntary-sterilization-among-american-women-explained-by-trade-offs-resulting-from-male-parental-commitment
#16
Kermyt G Anderson
Tubal ligation is the modal form of family planning among American women aged 30 and older. As the preference for tubal ligation over cheaper, lower risk and more reliable methods, such as vasectomy, has puzzled experts, a theoretical approach that explains this preference would be useful. The present study investigates the high prevalence of voluntary sterilization among American women from the perspective of life history theory, arguing that the trade-offs between investing in current and future offspring will favour tubal ligation when women cannot obtain reliable male commitment to future parental investment...
September 7, 2017: Journal of Biosocial Science
https://www.readbyqxmd.com/read/28877687/factors-associated-with-utilization-of-long-acting-and-permanent-contraceptive-methods-among-women-who-have-decided-not-to-have-more-children-in-gondar-city
#17
Chernet Baye Zenebe, Mulat Adefris, Melaku Kindie Yenit, Yalemzewod Assefa Gelaw
BACKGROUND: Despite the fact that long acting family planning methods reduce population growth and improve maternal health, their utilization remains poor. Therefore, this study assessed the prevalence of long acting and permanent family planning method utilization and associated factors among women in reproductive age groups who have decided not to have more children in Gondar city, northwest Ethiopia. METHOD: An institution based cross-sectional study was conducted from August to October, 2015...
September 6, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28874157/male-involvement-in-maternal-healthcare-through-community-based-health-planning-and-services-the-views-of-the-men-in-rural-ghana
#18
Bassoumah Bougangue, How Kee Ling
BACKGROUND: The need to promote maternal health in Ghana has committed the government to extend maternal healthcare services to the door steps of rural families through the community-based Health Planning and Services. Based on the concerns raised in previous studies that male spouses were indifferent towards maternal healthcare, this study sought the views of men on their involvement in maternal healthcare in their respective communities and at the household levels in the various Community-based Health Planning and Services zones in Awutu-Senya West District in the Central Region of Ghana...
September 6, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28870419/healthy-body-healthy-mind-a-mixed-methods-study-of-outcomes-barriers-and-supports-for-exercise-by-people-who-have-chronic-moderate-to-severe-acquired-brain-injury
#19
Laura S Lorenz, Ann L Charrette, Therese M O'Neil-Pirozzi, Julia M Doucett, Jeffrey Fong
BACKGROUND: Few people with chronic moderate-to-severe brain injury are following recommended physical activity guidelines. OBJECTIVE: Investigate effects of planned, systematic physical activity while cultivating social and emotional well-being of people with chronic moderate-to-severe brain injury. HYPOTHESIS: Moderate-to-intensive physical activity would be associated with improvements in impairment and activity limitation measures (endurance, mobility, gait speed) immediately post-intervention and six weeks later (study week 12)...
August 24, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/28869658/understanding-life-experiences-of-people-affected-by-crohn-s-disease-in-spain-a-phenomenological-approach
#20
Sofía García-Sanjuán, Manuel Lillo-Crespo, Miguel Richart-Martínez, Ángela Sanjuán Quiles
BACKGROUND AND OBJECTIVES: People affected by Crohn's disease must adapt their lives to their new chronic condition, and therefore, understanding such experience can be helpful in planning effective interventions for the affected ones. The aim of this study was to gain an insight into such experience and how they adapted in different areas of their lives, particularly in a family-centred culture such as the Spanish one. METHOD: A descriptive phenomenological study was conducted through in-depth interviews to 19 people diagnosed of Crohn's disease in the province of Alicante (Spain)...
September 4, 2017: Scandinavian Journal of Caring Sciences
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