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1

Mirick, Rebecca G., and Stephanie P. Wladkowski. "Pregnancy, Motherhood, and Academic Career Goals." Affilia 33, no. 2 (January 23, 2018): 253–69. http://dx.doi.org/10.1177/0886109917753835.

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While more doctoral students are pregnant and/or parenting in their doctoral programs than previously, little research has focused on their experiences. This qualitative study ( N = 28) explored the experiences of female doctoral students who were pregnant during their doctoral program (in a health-care field) and their decision-making about careers postgraduation. This study examined participants’ perceptions of the implicit and explicit culture, professional expectations, and the role of these experiences on career goals and trajectories. Participants described an academic culture of high expectations, in which mothers could be successful if they maintained a silence about their identity as a mother and ensured that their family life did not negatively impact their work productivity. Some perceived lost opportunities in graduate school and/or on the job market due to pregnancies and parenting during graduate school. The impact of these experiences on postgraduate careers was diverse, but the majority spoke of wanting to find a position in a family-friendly organization where family was valued and work life balance was possible. For some, this was an academic position, while for others this was a full-time practice position or part-time work.
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Kurniawati, Herlin Fitriani, and Herlin Fitriana Kurniawati. "Identification of Adolescent Reproductive Health Information Needs Using The Perspective of Adolescents With A Pregnancy Experience." Jurnal Kebidanan 11, no. 1 (February 15, 2022): 47. http://dx.doi.org/10.26714/jk.11.1.2022.47-62.

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Adolescence is a transitional period from childhood to adulthood. During this period, both physical and psychological conditions change. Adolescent pregnancy causes a higher risk for negative outcomes in terms of both physical and psychosocial aspects to the pregnant girl, baby, and husband. The research aimed to identify information needs for adolescent reproductive health using the perspective of adolescent with a pregnancy experience. The research used a qualitative design. The results of the study were divided into three themes, namely knowledge of adolescent reproductive health, access to reproductive health information, and reproductive health service providers. All the informants were under 20 years of age. In terms of education, most of the informants did not graduate from high school; even some of them graduated only from elementary school. In terms of knowledge about adolescent reproductive health, it was shown that adolescents did not have a comprehensive understanding of reproductive health, including reproductive organs and the process of pregnancy. Most of the informants thought that reproductive health was the health condition related to only the genital organs. They felt embarrassed to ask questions to their parents and they wanted to try something new. In terms of access to adolescent reproductive health services, access to information about reproductive health was still limited and there was a lack of information about how to access information about reproductive health. In addition, all of the informants said they did not know other programs due to lack of publications. Meanwhile, in terms of information needs for adolescent reproductive health, all the informants mentioned the need for information about adolescent reproductive health. These informants said that the presence of adolescent reproductive health information could prevent adolescent pregnancy. In terms of service recommendation, it can be in the form of continuous socialization at schools by teachers and health workers as well as consulting services at schools or at health centers.
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Moore, Sarah E., and Denise Côté-Arsenault. "Navigating an Uncertain Journey of Pregnancy After Perinatal Loss." Illness, Crisis & Loss 26, no. 1 (November 8, 2017): 58–74. http://dx.doi.org/10.1177/1054137317740802.

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The purpose of this qualitative data analysis was to gain insights into women's experiences over the course of pregnancy subsequent to prior perinatal loss. Diaries from 19 pregnant women with a history of miscarriage, stillbirth, or neonatal death who participated in an intervention study were the data source. The participants were primarily Caucasian, 23 to 41 years old, with a history of one to six prior losses, high school to graduate school education, and a wide range of incomes. Inductive thematic analysis of pregnancy diary entries was done. A metaphor of navigating a pregnancy journey that feels scary and uncertain, toward the goal of reaching their desired destination, a healthy infant, was identified from women's personal accounts. Six themes were identified: (a) Staying Alert: Noting Physical Symptoms, (b) Dealing with Uncertainty: Expressing Emotions, (c) Dreaming of the Destination: Evolving Thoughts of Baby, (d) Traveling Together: Connecting with Others, and (e) Moving Forward: Reflecting on Sense of Self. The interaction of several themes is described as (f) Staying on Track: Navigating through Pregnancy. Women may find journaling helpful in dealing with the anxiety and fear that characterize pregnancy after loss. Viewing pregnancy after perinatal loss as similar to navigating an uncertain journey may provide greater understanding of the emotional, physical, and social challenges that women may experience. Recognition that women with a history of perinatal loss may be anxious and fearful during pregnancy will increase sensitive care.
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Bazer, Fuller W. "Contributions of an animal scientist to understanding the biology of the uterus and pregnancy." Reproduction, Fertility and Development 25, no. 1 (2013): 129. http://dx.doi.org/10.1071/rd12266.

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I developed a passion for reproductive biology when taking a course in Physiology of Reproduction at Louisiana State University while preparing to apply for Veterinary School at Texas A&M University. My career path changed. I entered graduate school, obtained a Ph.D. and have enjoyed an academic career conducting research in uterine biology and pregnancy in animal science departments at the University of Florida and at Texas A&M University. My contributions to science include: (1) identification of molecules secreted by or transported by uterine epithelia into the uterine lumen that are critical to successful establishment and maintenance of pregnancy, (2) discovery of steroids and proteins required for pregnancy-recognition signalling and their mechanisms of action in pigs and ruminants, (3) patterns of fetal–placental development and placental transport of nutrients, (4) identification of links between nutrients and components of histotroph that affect fetal–placental development, (5) characterising aspects of the endocrinology of pregnancy and (6) contributing to efforts to exploit the therapeutic value of interferon tau, particularly for treatment of autoimmune and inflammatory diseases. Current research focuses on select nutrients in the uterine lumen, specifically amino acids, glucose and fructose, that affect conceptus development, the therapeutic potential for interferon tau, stromal–epithelial cell signalling whereby progesterone and oestrogen act via steroid receptors in uterine stromal cells to stimulate secretion of growth factors (e.g. fibroblast growth factors and hepatocyte growth factor) that regulate uterine epithelial cells and conceptus trophectoderm, and roles of toll-like receptors expressed by uterine epithelia and conceptus trophectoderm in pregnancy.
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O’Connor, Raymond, Eimear Spain, Jane O’Doherty, and Michael O’Mahony. "An exploration of the views and training status of GPs in Ireland on termination of pregnancy following its legalisation." British Journal of General Practice 69, suppl 1 (June 2019): bjgp19X703013. http://dx.doi.org/10.3399/bjgp19x703013.

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BackgroundIn May 2018, abortion laws in Ireland were liberalised allowing medical abortion for the first time. It was envisaged that Irish GPs would provide this service.AimTo elicit the views and level of preparedness of Irish GPs to provide medical termination of pregnancy.MethodIn total 222 practising GPs were surveyed. Participants are affiliated with the Graduate Entry Medical School (GEMS) in the University of Limerick, as well as graduates of the University Specialist Training Programme in General Practice.ResultsThe response rate was 57% (127/222): 93.7% of GPs were willing to share abortion information with their patients; 48.0% would be willing to prescribe abortion pills before 12 weeks’ gestation, with 37.0% unwilling to do so. A further 40.9% of responders believed that such a service should not be part of general practice, with a further 17.3% indicating uncertainty. 72.4% believed that those who do not wish to be part of the process should be entitled to a conscientious objection (CO) but should also be obliged to refer a woman to a participating doctor. Over four-fifths (82.7%) of GPs had no training in this area of practice, with 3.2% indicating that they had sufficient training. The majority of responders feel that necessary support services such as counselling are not currently available.ConclusionExploring the views and experiences of GPs in Ireland on this topic reveals many issues which need to be resolved before the service can be rolled out in a safe manner. It will be vital for state and professional bodies to provide appropriate education and guidance.
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Greer, Veronica L., and Matthew W. Brosseit. "Obstetrics and Gynecology Ultrasound Topics in Emergency Medicine Resident Training." Donald School Journal of Ultrasound in Obstetrics and Gynecology 8, no. 1 (2014): 35–43. http://dx.doi.org/10.5005/jp-journals-10009-1332.

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ABSTRACT The evaluation of abdominal or pelvic pain and/or vaginal bleeding using pelvic ultrasound is a common practice of the emergency physician. In fact, the American College of Emergency Physicians (ACEP) in 2008 published guidelines listing evaluation of pregnancy as a core application and evaluation of the adnexa as a secondary application for emergency bedside pelvic ultrasound. In 2012 the Accreditation Council of Graduate Medical Education (ACGME) along with the American Board of Emergency Medicine (ABEM) introduced milestones into residency programs to provide a framework of cognitive and behavioral performance standards, including procedure-based skills. The milestones are the knowledge, skills, attitudes and other attributes for each of the ACGME competencies that monitor resident performance throughout the residency and range from less to more advanced levels. Goal-directed focused ultrasound is one of twenty-three specific milestones that will be measured during emergency medicine training. Discussion will focus on how to teach focused goaldirected pelvic ultrasound based on the five levels within this milestone. How to cite this article Greer VL, Brosseit MW. Obstetrics and Gynecology Ultrasound Topics in Emergency Medicine Resident Training. Donald School J Ultrasound Obstet Gynecol 2014;8(1):35-43.
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O'Connor, Raymond, Jane O'Doherty, Michael O'Mahony, and Eimear Spain. "Knowledge and attitudes of Irish GPs towards abortion following its legalisation: a cross-sectional study." BJGP Open 3, no. 4 (December 2019): bjgpopen19X101669. http://dx.doi.org/10.3399/bjgpopen19x101669.

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BackgroundIn May 2018, the Irish Constitution was changed following a referendum allowing termination of pregnancy by abortion. It is envisaged that the majority of terminations will be by medical abortion and will take place in general practice before 12 weeks gestation.AimTo elicit attitudes and level of preparedness of Irish GPs to provide medical abortion services.Design & settingCross-sectional study of 222 GPs who were associated with the University of Limerick Graduate Entry Medical School (GEMS) and GP training programme.MethodAn anonymous online questionnaire was distributed via email. Reminders were sent 2 and 4 weeks later.ResultsThe response rate was 57.2% (n = 127/222). Of the responders, 105 (82.7%) had no training in this area, with only 4 (3.1%) indicating that they had sufficient training. Nearly all responders (n = 119, 93.7%) were willing to share abortion information with patients. Just under half of responders (n = 61, 48.0%) would be willing to prescribe abortion pills, with 47 (37.0%) unwilling to do so. Only 53 (41.7%) responders believed that provision of abortion services should be part of general practice, with 52 (40.9%) saying that it should not. As to whether doctors should be entitled to a conscientious objection but should also be obliged to refer the patient, 92 (72.4%) responders agreed. Over two-thirds of responders (n = 89, 70.1%) felt that necessary patient support services are not currently available.ConclusionThere is a lack of training and a considerable level of unwillingness to participate in this process among Irish GPs. There is also a perceived lack of patient support services for women experiencing unwanted pregnancy. It is incumbent upon state and professional bodies to address these issues.
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Nishi, Daisuke, Kotaro Imamura, Kazuhiro Watanabe, Erika Obikane, Natsu Sasaki, Naonori Yasuma, Yuki Sekiya, Yutaka Matsuyama, and Norito Kawakami. "Internet-based cognitive–behavioural therapy for prevention of depression during pregnancy and in the post partum (iPDP): a protocol for a large-scale randomised controlled trial." BMJ Open 10, no. 5 (May 2020): e036482. http://dx.doi.org/10.1136/bmjopen-2019-036482.

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IntroductionThe objective of this randomised controlled trial (RCT) is to examine the effects of smartphone-based cognitive–behavioural therapy (CBT) in preventing the onset of major depressive episodes (MDE) among pregnant women.Methods and analysisThe target study population will be pregnant women of 16–20 weeks gestation who are currently users of ‘Luna Luna Baby’, the most widely used app for pregnant women in Japan. Those who meet the eligibility criteria will be randomly allocated to the 6-module internet CBT programme that was newly developed for pregnant women (n=2500), or to a treatment-as-usual control group (n=2500). Participants in the intervention groups will be required to complete the programme by 32 weeks gestation. The primary outcomes are the number of new onsets of MDE, measured by using WHO Composite International Diagnostic Interview 3.0 at 32 weeks gestation and 3 months post partum. Survival analysis will be conducted to test for the effectiveness of the intervention on the time to the onset of MDE.Ethics and disseminationThe study plan has been approved by the Research Ethics Review Board of the Graduate School of Medicine/Faculty of Medicine, the University of Tokyo (2019150NI). If the intervention programmes are found to produce a significant positive effect in this RCT, these programmes can be made available for all users of the app in the future.Trial registration numberUMIN000038190; Pre-results.
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Kusuma, Ratu. "STUDI KUALITATIF: PENGALAMAN ADAPTASI IBU HAMIL." Jurnal Akademika Baiturrahim Jambi 7, no. 2 (September 29, 2018): 148. http://dx.doi.org/10.36565/jab.v7i2.78.

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Pregnant women will experience various changes during pregnancy such as physiological, psychological and social changes. The inability of mothers to adapt to these changes not only causes disruption during pregnancy, but also it can continue in the postpartum period, one of them is postpartum depression. This study aimed to explore the experiences of adaptation of pregnant women, includes perceived stimulus, coping used and adaptation behavior responses indicated by pregnant women. This is a qualitative research by using phenomenology approach at the public health center in Kabupaten Kampar, Riau. Participants in this study were 9 pregnant women, aged 24-38 years, Junior High School-Graduate Education, gestational age 5-29 weeks, the number of children living 1-5 people, children rank age 9 months to 3.5 years, work varies, namely housewives, corporate employees, honors teachers and traders. The collecting data of indepth interview method and observations, recorded using a tape recorder, and then took notes the results of these observations. Based on the data obtained that 7 themes namely 1) Depressive symptoms in pregnant women; 2) Complaints of pregnant women related to nutritional intake; 3) Health problems of pregnant women; 4) Family problem 5) family financial problems 6) coping used by pregnant women 7) adaptive behavioral responses of pregnant women. There were various stimuli felt by pregnant women, namely physiological, psychological and social stimuli. Coping used by pregnant women in reducing the perceived stimulus that was adaptive and not adaptive coping, while the adaptation behavior response indicated by pregnant women was response to physiological adaptation behavior, self-concept, role function and interdependent. Therefore, it is necessary to develop models in the form of providing education to couples of pregnant women in helping mothers adapt, in an effort to prevent the occurrence of postpartum depression.
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Ferdousey, R., R. Pervin, U. Naga, U. N. S. R. Chowdhury, and N. Khalil. "Hyperemesis Graviderum: An observational study and outcome at a tertiary teaching hospital in Dhaka city." Journal of Medical Science & Research 30, Number 1 (January 1, 2019): 9–13. http://dx.doi.org/10.47648/jmsr.2019.v3001.02.

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Hyperemesis graviderum is a complication of pregnancy that can lead to severe maternal nutritional deprivation. About 0.14% -1.3% of pregnant women sufferedfrom hyperemesis graviderum. Women with hyperemesis grmidanan causing loss of greater than 5% of their pre-pregnancy weight. And has been linked to fetal growth restriction, wernickes encephalopathy resulting in fetal death in 40% of cases . Ilyperemesis graviderzaninterfire there working life, it is important to know the outcome of hyperemesis graviderum on fetus and mother. A tertiary level hospital based prospective study was conducted on woman suffering from Hyperemesis graviderum and attended in OPD and 1F'D of Holy Family Red Crescent Medical College Hospital, Bangladesh to asses the adverse outcome of Hyperemesis Graviderum on .mother and baby and identifies its determinants. The mean age of the study group was 26.2513.25 years. Regarding parity, 54.0% patients were found primipara and 46.0% patients found multipara. The majority of the subjects (66%) were normal weight, 18% patients had overweight by BM1 (body mass index) 12% patients were underweight and 4% patients were obese. Distribution of the study subjects according to educational status, it was found that 32% were primary, 44% patients were high school, 12% patients were SSC, 8% patients were HSC and 4% patients were graduate and above. Out of 50 cases, 64% were housewife, 18% patients were service, 4% patients were business and 10% patients were student. Majority of patients (70%) had positive family history of hyperemsisgravidenn. Study showed 46% respondent started vomiting within 6-10 gestational weeks, 30% started vomiting more than 10 gestational weeks and 24% started vomiting within 1-5 gestational weeks. Maximum subjects (78%) needed home treatment and 22% patients were hospitalization. Most of the patients (68.0%) hemoglobin level 6- 10mg/d 1 . Maximum were rhesus positive blood group. Most of the patients 98% had normal serum creatinine level, 86% patients had normal serum electrolytes, 94% patients had normal urine R/M/E, 78% patients had normal RS'S level, 100% patients of hyperemesis gravidunn patients ultrasonography reports in pregnancy was normal. Among 50 patients, 4% patients had abortion history, 2% cases had IUD, 44% patients had IUGR and 10% patients had AGA in pre-term pregnancy. Out of 23 term pregnancy, 24% cases had 1UGR and 22% cases had AGA. Two percent neonatal death after delivery. hyperemesis Graviderum is related to maternal age, parity, education level, body mass index, occupation of the patients, education level, family history of hyperemesis graviderum and adverse outcome on mother and baby.
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Erkkola, Maijaliisa, Maija Salmenhaara, Bright I. Nwaru, Liisa Uusitalo, Carina Kronberg-Kippilä, Suvi Ahonen, Riitta Veijola, Mikael Knip, and Suvi M. Virtanen. "Sociodemographic determinants of early weaning: a Finnish birth cohort study in infants with human leucocyte antigen-conferred susceptibility to type 1 diabetes." Public Health Nutrition 16, no. 2 (May 21, 2012): 296–304. http://dx.doi.org/10.1017/s1368980012002595.

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AbstractObjectiveTo assess the most important sociodemographic determinants of age at introduction of complementary foods in infancy.DesignA prospective birth cohort with increased risk of type 1 diabetes, recruited between 1996 and 2004. The families completed at home a follow-up form on the age at introduction of new foods and, for each clinic visit, a structured dietary questionnaire with 3 d food records.SettingData from the Type 1 Diabetes Prediction and Prevention (DIPP) Project, Finland.SubjectsA cohort of 5991 infants (77 % of those invited) belonging to the DIPP Nutrition Study.ResultsSixty-three per cent of the infants were introduced to complementary foods, including infant formula, before the age of 4 months. The median age at introduction of infant formula was 1·5 months (range 0–18 months) and that of the first other complementary food 3·5 months (range 0·7–8 months). All sociodemographic and lifestyle factors studied were associated with the age at introduction of infant formula and/or first other complementary food. Female sex of the infant, being born in the southern region of Finland, living in a rural municipality, the presence of siblings, the mother or the father being a high-school graduate, high maternal professional education and maternal non-smoking during pregnancy predicted later introduction of complementary foods.ConclusionsCompliance was relatively poor with the current recommendations for the age of introducing complementary foods. Small-sized young families with less well-educated parents were most prone to introduce complementary foods early.
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Serem, Dorcas J. "Challenging Issues Faced by Tailoring and Dressmaking Vocational Training Centres in Eldoret Municipality." NURTURE 2, no. 1 (December 22, 2008): 6–11. http://dx.doi.org/10.55951/nurture.v2i1.27.

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The main objective of this study was to investigate the challenging issues faced by church-based training institutions in Eldoret municipality who offer dressmaking and tailoring skills to the youth. Data was collected from 32 students and four teachers using questionnaire and from three managers and eight students who have graduated using interview schedule and analyzed using statistics. The study revealed that female trainees seek training to gain skill for paid or self-employment. It was also revealed that the teachers were qualified and some trainees dropped out of school because of marriage and teenage pregnancy. The study further revealed that students who sit for examinations perform well and appreciated attachment in the curriculum. The study recommends that institutions start a microfinance loan scheme to assist graduates who are interested in self-employment and vocational centres should include enterprise education in their curriculum to equip graduates with business skills.
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Barbosa, Nayara Gonçalves, Clarice Izumi, Kleber José Vieira, Letícia De Almeida Dionízio, Juliana Bento de Lima Holanda, Vinicius Moreno Godoi, Marisa Ramos Barbieri, and Flávia Azevedo Gomes-Sponholz. "Educação sexual na adolescência: Relato de experiência de três anos no Programa Educacional Pequeno Cientista." Revista Brasileira de Extensão Universitária 13, no. 3 (December 4, 2022): 277–90. http://dx.doi.org/10.36661/2358-0399.2022v13n3.12488.

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O objetivo deste trabalho é descrever a experiência de extensão do projeto “Saúde do Adolescente: educação sexual, contracepção e infecções sexualmente transmissíveis”. Este relato apresenta a trajetória metodológica e experiências acadêmicas de atividades educativas desenvolvidas no programa educacional “Pequeno Cientista”, coordenado pela Casa da Ciência da Fundação Hemocentro de Ribeirão Preto, no período de 2017 a 2019. O projeto contou com a participação de 23 alunos da rede básica de ensino, orientados por pós-graduandos e docentes da Escola de Enfermagem de Ribeirão Preto. As atividades foram desenvolvidas semestralmente em pequenos grupos, com a realização de um encontro semanal de uma hora de duração, consumando o total de 12 encontros. Foram empregados como recursos: aulas expositivas argumentativas e práticas, dinâmica de grupo, jogos didáticos, infográficos e vídeos. Os adolescentes participaram ativamente das atividades propostas e realizaram a simulação de vivências através de teatro, elaboraram histórias em quadrinhos e redações. A aproximação da temática com a realidade dos estudantes, por meio de estratégias pedagógicas alternativas propiciou a apropriação de conhecimentos, assimilação de conceitos e a reflexão crítica a respeito da importância da educação sexual na adolescência, favorecendo a adoção de práticas de comportamento preventivo. O desenvolvimento das atividades educacionais contribuiu significativamente para o processo de formação dos adolescentes e difusão de conhecimentos, além de contribuir com a formação e aproximação com a comunidade, e aprimoramento didático do pós-graduando para o exercício da docência e desenvolvimento de atividades de extensão. Palavras-chave: Gravidez na Adolescência, Prevenção Primária, Relações Comunidade-Instituição, Ensino Sexuality education for adolescents: a report of three years on "small scientist" program Abstract: This study aims to report the extension program's experience: "Adolescent Health: sexuality education, contraception, and sexually transmitted infection." The paper presents a methodological direction and academic experiences of educational activities developed on the "Small Scientist" education program. The House of Science (Casa da Ciência) at Hemocentro Foundation of Ribeirão Preto conducted the activities from 2017 to 2019. The total number of participants was 23 students from elementary and high school. They were carried out by graduate students and professors of Ribeirão Preto School of Nursing – University of São Paulo (EERP/USP). The activities were developed biannually in small groups and one-hour weekly meetings – counting 12 days. The students could learn from argumentative and practical expositive lessons, group dynamics, educational games, and videos throughout the extension program. The adolescents joyfully participated in the proposed activities, played performances, and wrote comics and essays. The approach of the theme with the students' reality provided: the appropriation of knowledge, assimilation of concepts, and critical reflection on the relevance of sex education. Therefore, the program encouraged the adoption of preventive behavior practices by adolescents through alternative pedagogical strategies. As a result, the development of educational activities has contributed significantly to the instruction process for adolescents and the dissemination of knowledge on it. Moreover, it contributes to the training, can reach the non-academic community, and helps the didactic material improvement of the graduate student for the practice of teaching and development of extension program. Keywords: Adolescent Pregnancy; Primary Prevention; community-institutional relations; Education
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Gersten, Zachary, Mary Nana Anima Akrofi, Daniel Bruce Sarpong, and Andrew Jones. "‘What I Know Is that I Like Fish’: A Qualitative Study of Food System Factors Influencing Fish Consumption Among Women in Accra, Ghana." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 832. http://dx.doi.org/10.1093/cdn/nzaa053_037.

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Abstract Objectives Fish is an important source of food and nutrition in Ghana. Recent epidemiological studies have reported conflicting evidence on who among urban Ghanaians consume fish, in what diet patterns fish belongs, and associations of fish consumption with nutrition outcomes. These studies have largely not differentiated between fish species in their analyses, nor have they assessed production or market sources, or variations in cooking preparations. The objectives of this qualitative study were to 1.) understand variation in fish consumption among women living in Accra across socioeconomic levels, and 2.) identify food system factors that influence variation in fish consumption. Methods We recruited a stratified convenience sample of 30 women living in low-, middle-, and high-income neighborhoods of Accra (10 women per neighborhood type), and a purposive sub-sample of 7 fisheries stakeholders (e.g., fish smokers and market vendors) (N = 37). We asked participants about their consumption and perceptions of fish, how characteristics of fisheries production and markets influence their fish consumption, and whether fish is consumed during different life stages. Interviews were conducted in the local language (Twi, Ga) or English, translated and transcribed, and hand-coded for themes and patterns using a framework analysis approach. Results Participants consumed a variety of fishes, such as mackerel, tilapia, and crab, nearly twice a day. Respondents associated fish consumption with improved health outcomes across life stages (e.g., improved nutrition during pregnancy and higher intelligence in children). Participants believed freezing and frying diminishes fish's nutritional quality, whereas smoking enhances the quality. Production sources were often cited as areas of concern (e.g., use of chemicals in fishing, open defecation at the seashore, and spoiled fish in open markets). If fish prices were too high, participants reported buying less of their preferred fish or switching to a cheaper species. Fish was highly preferred over chicken, beef, and pork. Conclusions Different components of the food system influence how women living across socioeconomic levels in Accra consume fish and perceive its role in nutrition and health. Funding Sources University of Michigan Rackham Graduate School and the International Institute.
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Bodnar, Lisa M., and Anna Maria Siega-Riz. "A Diet Quality Index for Pregnancy detects variation in diet and differences by sociodemographic factors." Public Health Nutrition 5, no. 6 (December 2002): 801–9. http://dx.doi.org/10.1079/phn2002348.

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AbstractObjective:Methods currently used to assess nutritional status during pregnancy have limitations if one wishes to examine the overall quality of the diet. A Diet Quality Index for Pregnancy (DQI-P) was developed to reflect current nutritional recommendations for pregnancy and national dietary guidelines.Design:Dietary intake was assessed during the second trimester using a food-frequency questionnaire. The DQI-P includes eight components: % recommended servings of grains, vegetables and fruits, % recommendations for folate, iron and calcium, % energy from fat, and meal/snack patterning score. Scores can range from 0 to 80; each component contributed 10 points.Setting:Two public prenatal clinics in central North Carolina.Subjects:N = 2063 pregnant women who participated in the Pregnancy, Infection, and Nutrition (PIN) Study.Results:The DQI-P quantitatively differentiated diets. The mean score for the population was 56.0 (standard deviation 12.0). Women who were <30 years old, <350% of poverty, nulliparous and high school graduates had significantly higher overall DQI-P scores. Higher percentages of recommended vegetable servings were consumed by higher-income, older and better-educated women. Greater percentages of recommended intakes of folate and iron were seen among black, low-income and nulliparous women. Higher iron intakes were also seen among women who graduated high school and were less than 30 years old. Other differences were observed for intake of fat and meal/snack pattern. Because this index was based on national recommendations, the DQI-P may be a useful tool for research and public health settings to evaluating overall diet quality of pregnant women.
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Marticorena Araya, Miguel. "Los OFT como estrategia educativa para formar personas en Chile: un paradigma en crisis. / The OFT as an educational strategy for training people in Chile: a paradigm in crisis." Revista Liminales. Escritos sobre Psicología y Sociedad 2, no. 03 (April 1, 2013): 103–21. http://dx.doi.org/10.54255/lim.vol2.num03.231.

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El presente artículo corresponde a una investigación bibliográfica, cuyo foco de análisis es el proceso de implementación de los Objetivos Fundamentales Transversales (OFT), política educativa diseñada y ejecutada en Chile durante el Gobierno de la Concertación con el propósito de favorecer y potenciar en los estudiantes el desarrollo de un conjunto de habilidades, actitudes y valores correspondientes a un perfil de egreso establecido a partir de amplios consensos a principios de los 90. El análisis evaluativo de esta política se apoya en varios estudios recientes, los cuales permiten identificar importantes dificultades en su proceso de implementación. Las principales dificultades detectadas dicen relación con falta de conocimientos y competencias específicas en los docentes, así como a la carencia de orientaciones técnicas, supervisión y retroalimentación de especialistas al interior de los colegios. Así mismo se detecta que desde el Gobierno no ha existido una línea clara a nivel presupuestario, ni se han implementado sistemas de evaluación efectivos con cobertura nacional. Ello se asocia con resultados deficientes en diversos indicadores (violencia escolar, bullying, embarazo adolescente, consumo de drogas y alcohol entre otros), así como con la poca visibilidad y relevancia de esta política a nivel social. Estos resultados son analizados a la luz del modelo de la reproducción social de Bourdieu, así como de los últimos planteamientos en relación a la “fabricación de individuos” de Araujo y Martuccelli. This article is a literature review, the focus of analysis is the process of implementing Transversal Fundamental Objectives (OFT), designed and executed educational policy in Chile during the Gobierno de la Concertación in order to promote and enhance student-developing a set of skills, attitudes and values to a graduate profile established from broad consensus in the early 90s. The evaluation of this policy analysis is based on several recent studies, which allow identifying significant difficulties in the implementation process. The main difficulties encountered are related to lack of specific knowledge and skills of teachers and the lack of technical guidance, supervision and feedback from experts into schools. Also it is found that since the Government has not been a clear line budget level, nor have implemented effective evaluation systems with national coverage. This is associated with poor outcomes in various indicators (school violence, bullying, teen pregnancy, drug and alcohol consumption among others), as well as poor visibility and policy relevance of this social level. These results are analyzed in light of the model of Bourdieu’s social reproduction, as well as recent approaches in relation to the “making of individuals” of Araujo and Martuccelli.
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Marticorena Araya, Miguel. "Los OFT como estrategia educativa para formar personas en Chile: un paradigma en crisis. / The OFT as an educational strategy for training people in Chile: a paradigm in crisis." Revista Liminales. Escritos sobre Psicología y Sociedad 2, no. 03 (April 1, 2013): 103–21. http://dx.doi.org/10.54255/lim.vol2.num03.231.

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El presente artículo corresponde a una investigación bibliográfica, cuyo foco de análisis es el proceso de implementación de los Objetivos Fundamentales Transversales (OFT), política educativa diseñada y ejecutada en Chile durante el Gobierno de la Concertación con el propósito de favorecer y potenciar en los estudiantes el desarrollo de un conjunto de habilidades, actitudes y valores correspondientes a un perfil de egreso establecido a partir de amplios consensos a principios de los 90. El análisis evaluativo de esta política se apoya en varios estudios recientes, los cuales permiten identificar importantes dificultades en su proceso de implementación. Las principales dificultades detectadas dicen relación con falta de conocimientos y competencias específicas en los docentes, así como a la carencia de orientaciones técnicas, supervisión y retroalimentación de especialistas al interior de los colegios. Así mismo se detecta que desde el Gobierno no ha existido una línea clara a nivel presupuestario, ni se han implementado sistemas de evaluación efectivos con cobertura nacional. Ello se asocia con resultados deficientes en diversos indicadores (violencia escolar, bullying, embarazo adolescente, consumo de drogas y alcohol entre otros), así como con la poca visibilidad y relevancia de esta política a nivel social. Estos resultados son analizados a la luz del modelo de la reproducción social de Bourdieu, así como de los últimos planteamientos en relación a la “fabricación de individuos” de Araujo y Martuccelli. This article is a literature review, the focus of analysis is the process of implementing Transversal Fundamental Objectives (OFT), designed and executed educational policy in Chile during the Gobierno de la Concertación in order to promote and enhance student-developing a set of skills, attitudes and values to a graduate profile established from broad consensus in the early 90s. The evaluation of this policy analysis is based on several recent studies, which allow identifying significant difficulties in the implementation process. The main difficulties encountered are related to lack of specific knowledge and skills of teachers and the lack of technical guidance, supervision and feedback from experts into schools. Also it is found that since the Government has not been a clear line budget level, nor have implemented effective evaluation systems with national coverage. This is associated with poor outcomes in various indicators (school violence, bullying, teen pregnancy, drug and alcohol consumption among others), as well as poor visibility and policy relevance of this social level. These results are analyzed in light of the model of Bourdieu’s social reproduction, as well as recent approaches in relation to the “making of individuals” of Araujo and Martuccelli.
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Thum, Jasmine A., Diana Chang, Nalini Tata, and Linda M. Liau. "Neurosurgeons in 2020: the impact of gender on neurosurgical training, family planning, and workplace culture." Neurosurgical Focus 50, no. 3 (March 2021): E11. http://dx.doi.org/10.3171/2020.12.focus20965.

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OBJECTIVEIn 2008, a Women in Neurosurgery Committee white paper called for increased women applicants and decreased women’s attrition in neurosurgery. However, contributing factors (work-life balance, lack of female leadership, workplace gender inequality) have not been well characterized; therefore, specific actions cannot be implemented to improve these professional hurdles. This study provides an update on the experiences of neurosurgeons in 2020 with these historical challenges.METHODSAn anonymous online survey was sent to all Accreditation Council for Graduate Medical Education (ACGME)–accredited US neurosurgical programs, examining demographics and experiences with mentorship, family life, fertility, and workplace conduct.RESULTSA total of 115 respondents (64 men, 51 women; age range 25–67 years) had trained at 49 different US residencies. Mentorship rates were very high among men and women in medical school and residency. However, women were significantly more likely than men to have a female mentor in residency. During residency, 33% of women versus 44% of men had children, and significantly fewer women interested in having a child were able to do so in residency, compared to men. Significantly more women than men had a child only during a nonclinical year (56.3% vs 19.0%, respectively). Thirty-nine percent of women and 25% of men reported difficulty conceiving. The major difficulty for men was stress, whereas women reported the physical challenges of pregnancy itself (workplace teratogens, morning sickness, etc.). Failed birth rates peaked during residency (0.33) versus those before (0.00) and after residency (0.25).Women (80%) experience microaggressions in the workplace significantly more than men (36%; p < 0.001). Ninety-five percent of macro-/microaggressions toward female neurosurgeons were about their gender, compared to 9% of those toward men (p < 0.001). The most common overall perpetrators were senior male residents and attendings, followed by male patients (against women) and female nurses or midlevel providers (against men).CONCLUSIONSAccurate depictions of neurosurgery experiences and open discussions of the potential impacts of gender may allow for 1) decreased attrition due to more accurate expectations and 2) improved characterization of gender differences in neurosurgery so the profession can work to address gender inequality.
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Zulaika, Garazi, Miriam Bulbarelli, Elizabeth Nyothach, Annemieke van Eijk, Linda Mason, Eunice Fwaya, David Obor, et al. "Impact of COVID-19 lockdowns on adolescent pregnancy and school dropout among secondary schoolgirls in Kenya." BMJ Global Health 7, no. 1 (January 2022): e007666. http://dx.doi.org/10.1136/bmjgh-2021-007666.

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IntroductionSecondary school closures aimed at limiting the number of infections and deaths due to COVID-19 may have amplified the negative sexual and reproductive health (SRH) and schooling outcomes of vulnerable adolescent girls. This study aimed to measure pandemic-related effects on adolescent pregnancy and school dropout among school-going girls in Kenya.MethodsWe report longitudinal findings of 910 girls in their last 2 years of secondary school. The study took place in 12 secondary day schools in rural western Kenya between 2018 and 2021. Using a causal-comparative design, we compared SRH and schooling outcomes among 403 girls who graduated after completion of their final school examinations in November 2019 pre-pandemic with 507 girls who experienced disrupted schooling due to COVID-19 and sat examinations in March 2021. Unadjusted and adjusted generalised linear mixed models were used to investigate the effect of COVID-19-related school closures and restrictions on all outcomes of interest and on incident pregnancy.ResultsAt study initiation, the mean age of participants was 17.2 (IQR: 16.4–17.9) for girls in the pre-COVID-19 cohort and 17.5 (IQR: 16.5–18.4) for girls in the COVID-19 cohort. Girls experiencing COVID-19 containment measures had twice the risk of falling pregnant prior to completing secondary school after adjustment for age, household wealth and orphanhood status (adjusted risk ratio (aRR)=2.11; 95% CI:1.13 to 3.95, p=0.019); three times the risk of school dropout (aRR=3.03; 95% CI: 1.55 to 5.95, p=0.001) and 3.4 times the risk of school transfer prior to examinations (aRR=3.39; 95% CI: 1.70 to 6.77, p=0.001) relative to pre-COVID-19 learners. Girls in the COVID-19 cohort were more likely to be sexually active (aRR=1.28; 95% CI: 1.09 to 1.51, p=0.002) and less likely to report their first sex as desired (aRR=0.49; 95% CI: 0.37 to 0.65, p<0.001). These girls reported increased hours of non-school-related work (3.32 hours per day vs 2.63 hours per day in the pre-COVID-19 cohort, aRR=1.92; 95% CI: 1.92 to 2.99, p=0.004). In the COVID-19 cohort, 80.5% reported worsening household economic status and COVID-19-related stress was common.ConclusionThe COVID-19 pandemic deleteriously affected the SRH of girls and amplified school transfer and dropout. Appropriate programmes and interventions that help buffer the effects of population-level emergencies on school-going adolescents are warranted.Trial registration numberNCT03051789.
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Elster, Arthur B., Michael E. Lamb, Laura Peters, James Kahn, and Jane Tavaré. "Judicial Involvement and Conduct Problems of Fathers of Infants Born to Adolescent Mothers." Pediatrics 79, no. 2 (February 1, 1987): 230–34. http://dx.doi.org/10.1542/peds.79.2.230.

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Data were obtained from retrospective review of 191 patient records to determine the extent and types of conduct problems among fathers of infants born to adolescent mothers. Ninety-eight fathers (51%) reported having committed a legal offense prior to the pregnancy. This rate appears substantially greater than rates of arrests of adolescents in the general population. When paired data for couples were analyzed, there was great similarity for severity of offense. Fathers, however, had committed more severe crimes than their partners. Male offenders came from families of lower socioeconomic status backgrounds and more single-parent families and were less frequently employed or in school (or graduated) than nonoffenders. They also had been more involved with various other problem behaviors, such as a previous pregnancy, drinking behavior, and behavior problems at school. There was a clustering of problem behaviors among offenders suggesting psychosocial maladjustment prior to the pregnancy. Our results suggest an association between fatherhood and delinquency among partners of adolescent mothers. It appears that these fathers form a heterogeneous group. Although some young fathers may be well adjusted, others have significant psychologic problems.
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Sari, Dwi Mursita, and Sugeng Wiyono. "The Correlation Of Mid-Upper Arm Circumference With Birth Weight Based In Puskesmas Kecamatan Cipondoh Tangerang January-December 2013." SANITAS : Jurnal Teknologi dan Seni Kesehatan 8, no. 2 (December 1, 2017): 92–100. http://dx.doi.org/10.36525/sanitas.2017.14.

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Birth weight is a predictor for the infant's ability to survive, grow, and evolve, even as a predictor of health status in the next life cycle. In 2012, in the city of Tangerang number of low birth weight increased from 436 cases to 647 cases. This research was conducted in Puskesmas Kecamatan Cipondoh on January 24, June 20 and 23 June 2014. The design of this research used a retrospective design with a sample of 140 people. Average birth weight 2867.14 ± 373.674 gram, the size of the mother MUAC 25.46 ± 3.333 cm, weight gain during pregnancy of 9.67 ± 3.483 kg, maternal height 153.9 ± 5.894 cm, and maternal age 28,28 ± 6.226 years. Pregnant mother who have a risk parity of 42 people (30%) and 98 people are not at risk (70%), pregnant women who have completed primary school education 20 (14.3%), graduated SMP/MTS 42 people (30%), graduated SMA/MA 70 people (50%), and graduated from PT 8 people (5.7%), pregnant women who worked 20 persons (14.3%) and didn’t work 120 people (85.7%). Based on statistical tests, there is a relationship between birth weight based MUAC mother, mother body weight gain, and maternal height. However, there was no relationship with maternal age and there was no difference in birth weight by maternal parity. Pregnant women should consume nutritious foods in accordance with their needs well before and during pregnancy.
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KIRIK, Mehmet, Suat TUNCAY, Abdullah SARMAN, Engin YILMAZ, and Başak CEVİZ. "The Effect of Video Breastfeeding Training Given to Mothers on Mothers’ Breastfeeding Attitude in a Baby Friendly State Hospital." Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 11, no. 2 (June 30, 2022): 379–86. http://dx.doi.org/10.37989/gumussagbil.752317.

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This research was planned to evaluate the effect of video breastfeeding training on mothers breastfeeding attitude who given birth in a baby-friendly state hospital. This research was designed in a quasi-experimental model with post-test control group. The sample of the study consisted of 30 experimental mothers and 30 control groups, totally 60 mothers who gave birth to the hospital between March and June 2019. After the necessary ethics committee and institution permissions were obtained, the research was started and data was collected by random sampling method. As data collection tools; Introductory Information Form which prepared according to the literature and Breastfeeding Attitude Evaluation Scale were used. The data were evaluated electronically.It was determined that the majority of the mothers in both groups participating in the study were between 20-29 years old. It was found that 50% of the control group mothers were primary school graduates, 90% got to pregnancy checks-up, 86.7% received information from healthcare staff. It was determined that 53.3% of the experimental group mothers were primary school graduates, 93.4% got to pregnancy checks-up, 93.4% received information from health staff. When breastfeeding attitude was evaluated, there was a statistical difference between the two groups (p=0.000). It was determined that the mothers of the experimental group (X̄=129.96±23.78) were more successful in breastfeeding attitude than the control group mothers (X̄=92.70±10.63). Video breastfeeding training given to mothers after birth has been found to affect mothers' breastfeeding attitude positively.
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Choudhary, Neha, Preeti Manhas, Akash Narangyal, and Rohan Singh Manhas. "Pattern of knowledge and consumption of iron among teachers of reproductive age group in Jammu region: a cross sectional study." International Journal Of Community Medicine And Public Health 7, no. 6 (May 27, 2020): 2150. http://dx.doi.org/10.18203/2394-6040.ijcmph20202462.

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Background: Iron deficiency is caused by a persisting imbalance between a person’s dietary intake and body’s physiological demand of iron. A catch hold of these causes needs to be undertaken to break the intergenerational cycle of anaemia as well as recurrent infections associated with it. Objectives was to assess knowledge and consumption of iron among teachers in the reproductive age group.Methods: 110 school teachers were selected from selected government and private schools (primary/middle/ secondary/higher secondary) by simple random sampling technique. Teacher’s knowledge and consumption of iron consumption and associated factors was studied using a pre- tested; self- administered questionnaire.Results: 58.3% teachers were in the 30-39 year age group. Maximum were married 85.45%, 61.81% were post- graduates and 42.72% were in higher-secondary schools. 60.90% had a family income of >Rs 30000. 70.90% believed foods are the best source of iron. 57.27%, 53.63% believed menstruation effects body source of iron. 80.90% and 85.45% believed that iron has a role in pregnancy and iron rich foods and tablets are sufficient to maintain its body stores.Conclusions: IEC activities needs to be conducted among different strata of population so that the intake of iron could be increased and associated factors effecting its intake and absorption could be taken care of.
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Iorga, Magdalena, Lavinia-Maria Pop, Nicoleta Gimiga, Luminița Păduraru, and Smaranda Diaconescu. "Assessing the Opinion of Mothers about School-Based Sexual Education in Romania, the Country with the Highest Rate of Teenage Pregnancy in Europe." Medicina 57, no. 8 (August 19, 2021): 841. http://dx.doi.org/10.3390/medicina57080841.

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Background and Objectives: Without mandatory school-based education, Romania is a leading European country in teen pregnancy. This survey aimed at assessing the level of knowledge and the opinions about sexual education and sexual-related issues among mothers of female teenagers aged 13–18 years old. Material and Methods: The survey was conducted between 2015 and 2017 and had four parts, collecting data about sociodemographic variables, the level of knowledge about sexuality, sexually transmitted diseases, and contraception. The respondents were mothers of female teenagers hospitalized in a tertiary pediatric clinic. Data were analyzed using IBM Statistical Package for Social Sciences (SPSS) Statistics for Windows, version 25 (Inc., Chicago, IL, USA). Results: One hundred and thirty-five mothers (42.46 ± 6.81 years old) were included in the research. Most of them were from rural areas, had graduated secondary school, were Christian-orthodox, married, and with a stable job. More than half of the mothers (61.42%) declared that they personally knew adolescents that were already mothers. In great proportion, mothers proved good knowledge about sexual education, contraception, and STDs. They considered that the minimum age for becoming married, in general, is about M = 18.62 ± 2.09 years old but in the case of their daughters, mothers appreciated that the best age would be 23.56 ± 9.37. Mothers considered that they had good communication with their daughters (M = 4.28 ± 0.99) and two-thirds sustained that they had discussed with them about sexual activity, pregnancy, sexually transmitted diseases, and contraception. In case of unwanted pregnancy of their daughters, one-third of the mothers (38.50%) would advise their girls to continue the pregnancy and 7.40% mentioned the termination of pregnancy. Two-thirds of them (74.10%) agreed to school-based sexual education. In the order of preferred sources for sexual education, mothers mentioned parents (85.90%), teachers (33.30%), and family doctors (24.40%). Comparative results regarding their own sex life and that of their daughters are presented. Conclusions: School-based programs should meet parental beliefs about sexuality and sexual education. School, as a creator of values and models, should find the golden ratio to better shape the personal, familial, and social needs for the healthy sexual behavior of the new generation.
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Karaca Sivrikaya, Sibel, and Hülya Türkmen. "Traditional Practices in Relation to Pregnancy, Childbirth, Postpartum Period, and Newborns in Turkey From an Interregional Perspective." International Journal of Childbirth 12, no. 4 (November 16, 2022): 201–16. http://dx.doi.org/10.1891/ijc-2021-0053.

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AIMThe aim of this study was to identify the level of knowledge of students on traditional practices related to pregnancy, childbirth, the postpartum period and the newborn in Turkey and present the geographical regions of Turkey where traditional practices are more common.METHODSThis cross-sectional study was performed with the participation of 375 students enrolled at the Midwifery and Nursing Departments of the Faculty of Health Sciences of a university in the Marmara Region located in northwestern Turkey. The data were collected through a Personal Information Form and a Traditional Beliefs and Practices Form created by the researchers. Means, standard deviations, minimum and maximum values, frequencies, and percentages were utilized in the statistical analyses.RESULTSThe mean age of the participants was 20.51 ± 2.44 years, 44.5% of them lived in the Marmara Region of Turkey, and most of their parents were primary school graduates. In this study, it was found that most students were not familiar with traditional practices in relation to pregnancy, childbirth, postpartum and newborns in Turkey. It was also ascertained that the beliefs held by the students about pregnancy, childbirth, postpartum and newborns differed across regions. It was found that most students did not know the harmful traditional practices performed for making childbirth easier. Most students were knowledgeable about harmful traditional practices about postpartum. Some of the harmful traditional practices applied to the newborn were determined to be unknown to the students.CONCLUSIONIn conclusion, in this study, it was identified that most students were not familiar with traditional practices related to pregnancy, childbirth, the postpartum period and newborns in Turkey. Before student midwives and nurses have started their careers, they should be informed about traditional beliefs and practices of the society in which they live, and they should be capable of making holistic and comprehensive evaluations. Because of this study, it is recommended that traditional beliefs and practices be included in the curricula of midwifery and nursing schools with particular emphasis on the geographical regions of Turkey.
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Suleiman, Yusuf, Muraina Kamilu Olanrewaju, and Jamiu Mahmood Suleiman. "Perceived Problems of Strike Action and Deviant Behavior at Selected Higher Institutions in Ekiti State, Nigeria." Indonesian Journal of Educational Counseling 3, no. 2 (July 23, 2019): 97–106. http://dx.doi.org/10.30653/001.201932.78.

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This study aimed to investigate the perceived problems of strike action and deviant behavior in selected higher institutions in Ekiti State, Nigeria. The descriptive research design of ex-post-facto type was used in the study. Three hundred respondents were selected randomly from two Universities. The respondents were measured with a self-developed scale, and the data obtained were analyzed using descriptive (mean) statistical analysis. Four research questions were raised and answered. The result showed that causes of strike action in selected higher institutions include non-payment of teacher’s salaries, low responds to problems confronting schools among others, problems of strike action in selected higher institutions include production of half-baked graduates, youth involvement in secret cult, widespread of examination malpractice, causes of deviant behavior in selected higher institutions include parental neglect, drug addiction, high level of poverty among others and problems of deviant behavior in selected higher institutions include incessant strike action, widespread of examination malpractice, prevalence of teenage pregnancy among others. Given these findings, the study recommended that school counselors should identify deviant behaviors and counsel adolescents on how it can be prevented and that Government should deem it fit to respond to the yearnings and aspirations of the workers in terms of quick payment of their salaries and other emoluments.
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DAĞLAR, Özge Şiir, and Ümran OSKAY. "The Relationship of Personality Traits on Pregnant Women on Stress and Adaptation to Pregnancy." Ankara Sağlık Bilimleri Dergisi 11, no. 1 (June 30, 2022): 106–20. http://dx.doi.org/10.46971/ausbid.1088351.

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Aim: This study examined the relationship of personality traits on pregnant women on stress and adaptation to pregnancy. Subject and Method: The study is of descriptive type and the sample of the study consisted of 250 pregnant women who applied to the obstetrics clinic of a state hospital. Data were collected using the Introductory Information Form, Cervantes Personality Scale (CPS), Prenatal Distress Scale (PDS), and Prenatal Self-Evaluation Scale (PSES). The data were evaluated with descriptive statistics, 't-test' and 'pearson correlation analysis' in the SPSS program. Results: It was found that the mean age of the pregnant women was 28.65±5.22 and the mean gestational week was 32.94±5.18, 68.4% of them were at least secondary school graduates and 82.4% of them did not work in any job. It was found that pregnant women were more introverted and emotionally stable, answered questions consistently, had low prenatal distress levels, and showed good pregnancy adjustment. A significant relationship was found between the PDS and PSES (p&lt;0,001). Moreover, a significant relationship was also present between the sub-dimensions of emotional balance/neuroticism and consistency/inconsistency, and PDS and PSES scores (p&lt;0,001). Conclusion: It was observed that as the stress level of pregnant women increased, their adaptation to pregnancy decreased, especially women with neurotic personality traits had higher prenatal distress levels and lower adaptation to pregnancy. It can be suggested that all health professionals serving pregnant women should consider the basic personality traits of women in their attempts to reduce prenatal stress and increase compliance with pregnancy.
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Sakwa, Jedidah M., and Luke Odiemo Okunya. "Teachers’ Understanding of Menstrual Cycle in Navakholo Sub-County, Kakamega County, Kenya." International Journal of Learning and Development 8, no. 4 (November 18, 2018): 61. http://dx.doi.org/10.5296/ijld.v8i4.13927.

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Teenage pregnancy is a major social problem in Kakamega County in Kenya that tends to have negative ramifications especially on the lives of young girls. Recent studies have documented school children lack the necessary skills to manage their sexual life due to the misconceptions they have about menstrual cycle despite having gone through Kenyan school science curriculum. This can be supported by worldwide reports that teachers can actually be one of the sources of such misconceptions in their learners. This study sought to assess teachers’ understanding of menstrual cycle in Navakholo sub-county, Kakamega County, Kenya. A case study design with a mixed-method approach was used in two secondary schools in Navakholo sub-County, Kakamega County Kenya. A mixed gender sample of 20 teachers aged 24 years and above, responded to a multiple choice questionnaire targeting the menstrual cycle concept. Four focus group discussions and 4 Key Informant Interviews were conducted. Three levels of understanding emerged in the data analysis, i.e., Full Comprehensive Basic, Full Comprehensive Intermediate and Full Comprehensive Understanding. There was a statistically significant relationship be full comprehensive understanding level and ones knowledge of menstrual cycle, (χ2=13.7620, p=0.003). Basic understanding was found to have no statistically significant effect on knowledge (t=-0.44, p=0.661) at the 5% level of significance. Intermediate understanding was found to have statistically significant effect on knowledge (t=-1.89, p=0.062) at the 10% level of significance. Full understanding had positive and statistically significant effect on knowledge (t=5.33, p=0.0000) at the 5% level of significance. As the understanding graduated from basic through intermediate to full comprehensive understanding, the fewer the number of respondents who achieved higher level of understanding. Full comprehensive understanding of the concept of menstrual cycle was not achieved by the majority meaning that teachers lack a high level understanding of the menstrual cycle concept.
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Fatimatasari, Fatimatasari, Ashon Sa’adi, and Widati Fatmaningrum. "Frekuensi Antenatal Care Tidak Berhubungan dengan Tingkat Pengetahuan Perawatan Kesehatan pada Ibu Nifas." Jurnal Ners dan Kebidanan Indonesia 5, no. 2 (November 7, 2017): 100. http://dx.doi.org/10.21927/jnki.2017.5(2).100-105.

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<em>Maternal health care knowledge affects prenatal care and pregnanci’s outcome. Antenatal care is one opportunity to increase maternal health care knowledge. This study aims to investigate the association between antenatal care visits and level of maternal health knowledge among postpartum women in RSUD Majenang. This study was a cross sectional design. The sample was thirty five Postpartum women who admitted in RSUD Majenang on 12th May to 12th June with criteria: being on post partum period, had aterm pregnancy, could show KIA books, had maximally senior high school graduated and performed antenatal care with obstetric and gynecologist maximally twice during pregnancy. Antenatal care visits assessed by questionnaire and antenatal visits record in KIA book. Level of maternal health care knowledge was assessed by questionnaire and interview. This study found 62.9% of total respondents had good antenatal care visits, 28.6% moderate and 8.6% had less antenatal care visits during last pregnancy. 57.1% of total respondents had moderate maternal health care knowledge, 31.4% less and 11.4% had good maternal healthcare knowledge. Spearman Rank test with the significance level  = 0.05 showed p value = 0, 293, it means there is no significant association between antenatal care visits and level of maternal health care knowledge. Conclusion, the un significant association between antenatal care visits level of maternal health care knowledge among postpartum women in RSUD Majenang may caused by many factors, such as the respondents belief about maternal health care information, diverse information resources, insufficient education materials from health care providers and lack of anteatal care quality assessment from health ministry.</em>
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Unver, Hacer, Cigdem Ay, and Zeliha n. "Normal birth belief levels of pregnants and affecting factors." Medicine Science | International Medical Journal 11, no. 4 (2022): 1521. http://dx.doi.org/10.5455/medscience.2022.06.148.

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This study was carried out to determine the normal birth belief levels of pregnant women and the affecting factors. This descriptive study was conducted between November and December 2021 in a pregnant education class of a public university. The sample of the study consisted of 342 pregnant women. Data were obtained through the "Personal Information Form" and "The Belief Scale for Normal Delivery (BSND)". Pregnant women with a mean age of 28.18±4.77 were determined that 75.5% of them were high school and university graduates, 77.8% were not working, 71.1% perceived their economic status as moderate, and 80.7% had a nuclear family structure. In the study, the mean total score of BSND was 77.74±14.91, and it was determined that 12.6% of the pregnant women had low, 62.3% moderate, and 25.1% high-level normal birth beliefs. In this study, it was determined that the level of belief in normal birth during pregnancy was affected by family structure, spouse's employment status, planned pregnancy, choice of birth method, the person who is influential in deciding the mode of birth and receiving training on preparation for birth (p<0.05). It was determined that the belief of pregnant women in normal birth was at a moderate level and it was affected by some individual and obstetric characteristics. It can be suggested that health professionals should determine the factors that affect the normal birth belief levels of pregnant women and also include women in the decision-making process during pregnancy and childbirth.
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Nazik, Evsen. "Effect of childbirth education classes on prenatal attachment." New Trends and Issues Proceedings on Humanities and Social Sciences 4, no. 2 (December 5, 2017): 73–79. http://dx.doi.org/10.18844/prosoc.v4i2.2732.

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The childbirth education classes are a routine service in the developed countries, in order to inform the parents about the healthy development of the baby and to prepare the mother and father candidates in the birth and to start the new routine in the developing countries. This study was conducted to determine the effect of childbirth education classes on prenatal attachment.This descriptive casecontrol group research has been carried out between July-December 2016. The sample group consisted of a total of 246 pregnant women, 113 of whom were in the case group (participated in childbirth education classes) and 133 of whom were in the control group (didn't participated in childbirth education classes). In collecting the data, "Personal Information Form" and "Prenatal Attachment Inventory (PAI)" were used. The data of the case group were collected after the training was over. SPSS 15.0 statistical package program was used in the analysis of the data.The mean age of the case group was 25.36 ± 4.47 and the control group was 26.87 ± 5.47 in the study. It was determined that 23.9% of the pregnant women in the case group had graduated from secondary school, 84.1% did not work, 74.3% were three trimester, and 86.7% were planned pregnancies. It was determined that 21.1% of the pregnant women in the control group had graduated from secondary school, 87.2% did not work, 91.7% were three trimester and 79.7% had planned pregnancy. No statistically significant difference was found between the case and control groups in terms of descriptive and obstetric characteristics (p> 0.05). The mean PAI score of the case group was 38.30 ± 9.64 and the control group was 34.10 ± 10.52, and the difference was statistically significant (p = 0.001). It was determined that the prenatal attacment levels of the pregnants participating in the childbirth education class were higher. Keywords: Prenatal attachment; childbirth education class; nursing.
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Mosqueda Padrón, Lianne. "ACTIVIDADES DE ORIENTACIÓN EDUCATIVA: VÍA PARA LA PREVENCIÓN DEL EMBARAZO PRECOZ EN EL MAESTRO EN FORMACIÓN INICIAL DE LAS ESCUELAS PEDAGÓGICAS." Revista Cognosis. ISSN 2588-0578 4, no. 1 (February 27, 2019): 83. http://dx.doi.org/10.33936/cognosis.v4i1.1327.

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El embarazo precoz constituye un problema culturalmente complejo que incide en la formación del maestro en formación inicial de las escuelas pedagógicas. El maestro en formación inicial, debe demostrar un estilo de vida saludable, expresado en una sexualidad responsable y correctos hábitos preventivos para cumplimentar los objetivos expresados en el perfil del egresado. La adecuada educación sexual a adolescentes y jóvenes tanto institucional, social y en la propia familia, la facilidad y asequibilidad en el acceso a los métodos anticonceptivos y la constante orientación para educar las conductas sexuales en esta compleja etapa son aspectos esenciales a desarrollar para contribuir a la prevención del embarazo precoz en este nivel de enseñanza. El proceso de orientación al maestro en formación inicial de las escuelas pedagógicas hacia la prevención del embarazo precoz, responde a la línea de investigación: la orientación educativa en diferentes áreas y contextos formativos, del proyecto atención de calidad a niños, adolescentes y jóvenes, adscrito a la Universidad de Las Tunas, Cuba. En esta dirección se proponen actividades de orientación educativa de carácter cooperativo, preventivo, dinámico, transformador, reflexivo y vivencial como herramienta de orientación y promoción para la prevención del embarazo precoz en el maestro en formación inicial dirigidas a mejorar el nivel de conocimiento sobre los métodos y vías de prevención, nivel de comunicación con padres o tutores para prevenir el embarazo precoz, sus consecuencias, y significación personal que le conceden a la maternidad y la paternidad responsables. PALABRAS CLAVE: Actividades; orientación educativa; prevención; embarazo precoz. ACTIVITIES OF EDUCATIONAL ORIENTATION: ROAD FOR THE PREVENTION OF THE PRECOCIOUS PREGNANCY IN THE TEACHER IN INITIAL FORMATION OF THE PEDAGOGIC SCHOOLS ABSTRACT The precocious pregnancy constitutes a culturally complex problem that has an effect on the pedagogic schools' formation of the teacher in initial formation. The teacher in initial formation, must demonstrate a healthy lifestyle, expressed in a responsible sexuality and correct preventive habits to carry out the objectives expressed in the graduate profile. The adequate sex education to teens and young people so much institutional, social and essential aspects are to develop to contribute to the prevention of the precocious pregnancy in this level of teaching in the own family, the facility and accessibility in the access to the contraceptive methods and the constant orientation to educate the sexual conducts in this complex stage. The process of orientation to the teacher in initial formation of the pedagogic schools toward the prevention of the precocious pregnancy, it responds to the line of investigation: The educational orientation in different areas and formative contexts, of the project attention of quality to children, teens and young people, ascribed to the University of The Prickly Pears, Cuba. They set themselves activities of educational orientation of cooperative character, preventive, dynamic, transforming, reflexive in this address and acquired through experience in life like tool of orientation and promotion for the prevention of the precocious pregnancy in the teacher in initial formation directed to improve the level of knowledge on the methods and spare roads, level of communication with parents or tutors to prevent the precocious pregnancy, his consequences, and personal significance that they cede to maternity and the fatherhood responsible. KEYWORDS: Activities; educational orientation; prevention; precocious pregnancy.
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Pajala, Fegita Beatrix, Erfen Gustiawan Suwangto, Yunisa Astiarani, and Astrid Fransisca Padang. "The relationship between inter-pregnancy interval and gestational age with labor complications at the Sele Be Solu Regional Public Hospital of Sorong City, West Papua." Public Health and Preventive Medicine Archive 8, no. 2 (December 1, 2020): 162. http://dx.doi.org/10.15562/phpma.v8i2.311.

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Background and purpose: Labor complications are conditions during or after labor that can threaten life of the mother and the baby to be born. Some factors have been associated with labor complications, including inter-pregnancy interval and gestational age. This study was conducted to determine the relationship between inter-pregnancy interval and gestational age with labor complications at the Sele Be Solu Regional Public Hospital of Sorong City.Methods: This study was an analytic observational study with a cross-sectional design. The samples of this study were pregnant women who gave birth at the Sele Be Solu Regional Public Hospital of Sorong City in 2016-2018 and met the inclusion criteria. We used secondary data from the medical records retrieved in July to August 2019. We retrieved mothers’ identities (age, education, employment status), inter-pregnancy interval, gestational age and labor complications. A number of 261 samples (121 with labor complications and 140 without labor complications) were selected using convenience sampling technique. Descriptive analysis and Chi-Square test with SPSS 25.0 were performed.Results: Most of the mothers (85.8%) were in the non-high-risk age group, graduated from senior high school or above (82%), were not employed/housewives (68.6%), the majority (67.8%) of inter-pregnancy interval was in the non-high-risk group, more than half (52.5%) of gestational age was in the high-risk group and the most common type of complications (17.2%) was the premature rupture of membranes. There were significant relationship between age (p<0.001; OR=5.201; 95%CI: 2.275-11.889), inter-pregnancy interval (p<0.001; OR=2.955; 95%CI: 1.722-5.070) and gestational age (p<0.001; OR=4.606; 95%CI: 2.722-7.794) with labor complications. There were no relationship between education (p=0.166; OR=0.599; 95%CI: 0.312-1.151) and employment status (p=0.230; OR=1.428; 95%CI: 0.845-2.412) with labor complications.Conclusions: There are significant relationship between inter-pregnancy interval and gestational age with labor complications. Health offices and health workers have an essential role in minimizing the risk of labor complications by providing early detection of possible labor complications and active counseling to the community especially women of childbearing age.
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Salsabiila, Jihanifa Hega, Hermanto Tri Joewono, and Sulistiawati Sulistiawati. "Maternal Educational Status as One of the Risk Factors Affecting the Incidence of Infants with Low Birth Weight in Dr. M. Soewandhie General Hospital Surabaya." JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga 12, no. 1 (January 31, 2021): 10. http://dx.doi.org/10.20473/juxta.v12i12021.10-13.

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Introduction: Infants with low birth weight (LBW) was one of the main indicators of the cause of high infant mortality rates (IMR). The causes of IMR and maternal mortality rate (MMR) were determined by factors in maternal condition before and during pregnancy. In 2015, LBW in Surabaya reached 2.58%, namely a number of 1,261 of 48,783 born babies weighed. This study was performed by analyzing the effect of educational status as a risk factor affecting LBW in Dr. M. Soewandhie General Hospital Surabaya. Methods: This study used case control method with a retrospective approach using patient medical records as secondary data. The sample population were mothers who gave birth to infants with birth weight of 1,500 – 4,000 g in Dr. M. Soewandhie General Hospital Surabaya. The number of samples consisted of 80 patients with case and control ratio of 1:1. The sampling technique used was purposive sampling. Data collection techniques used variable data collection sheets taken from secondary data, namely medical records. Data analysis was performed by Chi-Square and Odds Ratio (OR) statistical tests. Results: Based on Chi-Square test, there was a relationship between educational status (p = 0.034) with the incidence of LBW. The results of this study indicated that the educational status of mothers that graduated from elementary school – senior high school was at risk of 9,750 times in delivering LBW. Conclusion: Educational status was the risk factor that had a correlation with LBW.
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Handayani, Fitri, Fatimah Fatimah, Yulinda Kurniasari, and Lia Dian Ayuningrum. "Relationship between sodium, calcium, and preeclampsia during pregnancy : a Cross-sectional study." Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) 7, no. 1 (December 31, 2019): 31. http://dx.doi.org/10.21927/ijnd.2019.7(1).31-36.

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<p><strong>ABSTRACT</strong><strong></strong></p><p><strong><em>Background:</em></strong> In the world maternal mortality as many as 830 women died due to complications in childbirth. In 2015, 303.000 women died during pregnancy and after pregnancy. Target Sustainable Development Goals (SDGs) year 2030 lowers MATERNAL MORTALITY RATE under 70 per 100.000 live births. Pregnancy complications can cause bleeding before or after childbirth, preeclampsia, eclampsia, infections, and others. Maternal death case in Kab. Bantul in 2015 is 9 cases. Research Data in the Panembahan Senopati Hospital in the year 2017 the incidence of childbirth with complications of 1068 people. The prevalence of preeclampsia in expectant mothers is 176 people by 16.47%.</p><p><strong>Objectives: </strong>This research aims to know the relationship of sodium and calcium consumption in the mother of Nifas with preeclampsia during pregnancy in the Panembahan Senopati Hospital. Number of Samples were 54 postpartum women in Panembahan Senopati Bantul. Processing and analysis of data using the Chi-square test.</p><p><strong>Method<em>s: </em></strong>This type of research is an analytical observational, with a research design using a cross-sectional.</p><p><strong><em>Results:</em></strong> Characteristics of most respondents in the age category of 20-35 years as many as 38 people (70.4%), education graduated of senior high school 28 people (51.9%), history of not hypertension as many as 51 people (94.4%) and has no preeclampsia history as much as 50 people (92.6%). Statistical test results of Chi-square and p-value sodium was 0.564 (&gt; 0.05) and P-value calcium was 1.000 (&gt; 0.05).</p><p><strong><em>Conclusion</em></strong>: There is no relationship between sodium and calcium consumption of postpartum women with preeclampsia problem during pregnancy at Panembahan Senopati Hospital.</p><p><strong>KEYWORDS:</strong> <em>calcium, <em>preeclampsia, </em></em>s<em>odium</em></p>
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Kūkoja, Katrīne. "THE EFFECT OF EARLY CHILDHOOD EDUCATION AND CARE SERVICES IN LATVIA." SOCIETY. TECHNOLOGY. SOLUTIONS. Proceedings of the International Scientific Conference 1 (April 17, 2019): 20. http://dx.doi.org/10.35363/via.sts.2019.16.

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INTRODUCTION In recent years, more attention has been paid to social investment policies, especially the importance of investment in early childhood. A growing number of studies have shown that social investment at an early age has the highest returns in human capital and the main social investment instrument in this period of life is high-quality early childhood education and care services (hereafter – ECEC services). The importance of social investment in early childhood has been stressed in both Latvian and EU planning documents. One of the policy priorities defined by both the EC and the EP in order to meet the Europe2020 targets is to “ensure universal provision of ECEC”. Previous research has shown that the successful implementation of social investment at an early age reduces crime, increases the future number of school graduates and skilled workers, and also brings individual benefits - better health, greater civil and social involvement. However, since most of these studies have been conducted in the US there is a lack of empirical research on social investment returns in Europe, and in Latvia,. Until now, social investment returns have not been researched in Latvia. The aim of this research is to see if early signs of positive change as a result of social investment can be observed, given that statistical data shows an expansion of ECEC in recent years in Latvia, especially for children who have not yet started compulsory education. The ECEC attendance rate has grown from 44.42% in 2010 to 54.43% in 2017. MATERIALS AND METHODS In this the study the author has analysed whether or not positive connections can be observed between ECEC attendance rate and eight indicators that have been positively connected with ECEC attendance rate in previous studies - educational attainments (3rdgrade test results), school graduation rate, average income, teen pregnancy rate, fertility rate, female workforce participation rate, overall labour-force participation rate and crime rate. To achieve the aims of the study, analyses of policy documents, previous research and statistical data were carried out. SPSS Software was used for data editing and analysis. Statistical data were analysed from the period 2010-2017, with exceptions in the case of high school graduation rate (2011-2017) and educational attainment (2012-2017) due to the lack of open access data available on these topics. To gain a deeper understanding of the research results that are connected with educational outcomes, 14 secondary school teachers from two schools in Valmiera were surveyed. RESULTS Research results show that in recent years a positive connection can be observed in Latvia between the ECEC attendance rate and fertility rate (0.879), female employment (0.981), overall employment (0.980), average income (0.955) and teen pregnancy (-0.967). Results show that ECEC services can be one of the factors that have positively influenced these indicators. A weaker connection can be observed when we look at the high school graduation rate (0.703) and crime level reduction (-0.786). However, research results showed that there is no connection between ECEC attendance rate and educational attainment (average state examination results of 3rd graders in mathematics (-0.110) and learning language (0.111)). CONCLUSION There has been an increase in social investment in early age in Latvia, and it has already had some economic and socio-economic outcomes. However, despite the fact that literature suggests the effect of ECEC on educational attainment can be observed the earliest, results showed that this is not true in the case of Latvia. Surveys of 1st-grade teachers suggested that this kind of situation may occur due to ECEC quality problems, so further studies in this field should be carried out.
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Shcherbak, O. V., and S. I. Kovtun. "VOLODYMYR FRANKOVYCH STAKHOVSKYI – RECOGNIZED AUTHORITY IN ANIMAL REPRODUCTION." Animal Breeding and Genetics 62 (December 8, 2021): 18–20. http://dx.doi.org/10.31073/abg.62.04.

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On September 29, 2021, Volodymyr Frankovych Stakhovskyi, a senior research fellow at the Laboratory of Biotechnology of Reproduction of the Institute of Animal Breeding and Genetics named after M.V.Zubets of the National Academy of Agrarian Sciences of Ukraine, turned 60 years old. He was born in the village Chupyra, Bila Tserkva district, Kyiv region. After studying at Ozeryansk Secondary School in 1978, Volodymyr Frankovych became a student of the veterinary faculty of the Bila Tserkva Agricultural Institute. In 1983, having obtained the specialty of veterinary medicine, he began working at the Lynovytsk Sugar Plant, working as a chief veterinarian. The first experience outlined the interests of the young specialist. Acting as a chief veterinarian, Volodymyr Frankovych, along with traditional biotechnological methods of increasing the level of reproduction of the cattle herds, has repeatedly been interested in the possibilities and prospects of introducing the method of embryo transplantation for accelerated reproduction of high-value animals. He began to master the latest technological developments and put them into production at the Pryluky Tribal Enterprise, where he worked since 1990 as Deputy Head of Embryo Transplantation. The main task of the project headed by him was to accelerate the creation of a herd of sires with a high genetic level of productivity for the Chernihiv RTE, which was successfully completed. As of 1998, 80% of the sires of this tribal association were transplants. Achieving high rates of obtaining and engraftment of embryos from record-breaking cows became possible due to perseverance and creative search for a specialist. This contributed to the further scientific path of the scientist, the practical implementation of which the future scientist began as a graduate student of the stationary form of education of the Institute of Animal Breeding and Genetics of UAAS in 1995. In 1998, Volodymyr Frankovych was hired as a researcher at the Laboratory of Farm Animal Breeding in the Northern Regions of Ukraine of the Institute of Animal Breeding and Genetics of UAAS. Within the walls of the Institute under the leadership of A.P.Krugliak, the scientist prepared and in 2004 successfully defended his dissertation "Biotechnological ways to increase the level of reproduction of cattle" in the specialty 06.02.01 – breeding and selection of animals (agricultural sciences). Since 2005 he has been working in the Laboratory of Cell Engineering (now the Laboratory of Biotechnology of Reproduction). Scientific research of Volodymyr Frankovych Stakhovskyi is aimed at the development and implementation of the modern methods of biotechnology of farm animal reproduction, in particular the in vivo production and non-surgical transplantation of cattle embryos. The main directions of scientific research are the development of ways to increase the level of reproduction of the cattle herd by improving the organization and technology of insemination of females and methods of embryo transplantation. Based on research, a method of effective use of bulls in production conditions was developed, which was approved by the Scientific and Technical Council of Ukrainian Tribal Enterprise (February 8, 1999) and included in the Instruction on the organization and technology of artificial insemination of cows and heifers (1999). Currently, scientific and practical activities of the scientist are aimed at assessing the level of reproduction of the herd, he constantly provides methodological and practical assistance in diagnosing gynecological diseases of cattle, insemination, infertility control to ensure productive and reproductive animal health in farms (TOV "AF Petrodolynske" of Odessa region, "Galax-Agro" of Zhytomyr region, TOV "Milk of the Fatherland" of Sumy region, TOV "Inter" and POSP "Zhatkivske" of Chernihiv region (http://iabg.org.ua/index.php?option=com_content&view=article&id=402: seminar03052018&catid=1&Itemid=30, http://iabg.org.ua/index.php?option=com_content&view =article&id=344:11042017&catid=1&Itemid=30)). Thus, in 2015 in the farm of TOV "AF Petrodolynske" together with scientists of the laboratory as a result of transplantation of 35 embryos of Angeln breed received pregnancy and birth of calves at the level of 23.0%. In 2015–2016, at the State Enterprise research farm "Khrystynivske" of the Institute of Animal Breeding and Genetics named after M.V. Zubets of National Academy of Agrarian Sciences of Ukraine they transplanted 25 cryopreserved embryos of Holstein breed (red-spotted coat) of German selection (SPERMEX GmbH), which were obtained from five donor cows using the semen of nine bulls. As a result of transplantation of 25 cryopreserved embryos of Holstein breed in SE RF "Khrystyniske of IABG named after M.V.Zubets NAAS" received a pregnancy rate of 20.0% and five transplant calves were born, among which four bulls (including two monozygotic twins) and one heifer. It was found that the highest genetic potential had embryos, the genetic parents of which were the donor cow Annabel 78492720 and the bull Paradox 297648, from which one bull № 4605 was obtained, which was a sire at PrAT "Uman Tribal Enterprise" for the selection process. Also, after the transplantation of embryos from the cow Dagmar 13341914 and the bull Avanti 297505, two monozygotic twin bulls were born (№№ 4606, 4607), which are currently also located and used at PrAT "Uman Tribal Enterprise". Over the past three years, with the scientific support of Volodymyr Frankovych, the laboratory for transplantation of embryos of cattle on the basis SE RF IRGT "Khrystyniske of IABG named after M.V.Zubets NAAS" was established (http://iabg.org.ua/index.php?option=com_content&view=article&id= 460:kovtun-060519&catid=1&Itemid=30, http://iabg.org.ua/index.php?option=com_content&view =article&id=564:14092021&catid=1&Itemid=30). The functioning of this laboratory as a training and demonstration site of NAAS for embryo transplantation has been ensured. They obtained 55 embryos, transplanted 27 ones to 19 recipient heifers, pregnancy and birth of calves - 50.0%. Also in 2019 on the basis of TOV "Milk of the Fatherland" (Sumy region) the creation of such a laboratory under the concluded economic contract was started (http://iabg.org.ua/index.php?option=com_content&view=article&id=481:kovtun-11019&catid= 1&Itemid=30). In the experimental farms of the system of National Academy of Agrarian Sciences of Ukraine V. F. Stakhovskyi performs a set of visual-clinical-reflexological methods of assessment and correction of sexual function of heifers to increase the efficiency of embryo transplantation and artificial insemination. He provides recommendations on ethological and morphological features of sexual arousal in cows and heifers unsuitable for embryo transplantation and the feasibility of their use for artificial insemination. Such approaches are part of the task of adjusting the breeding system, the use of breeds of foreign selection, obtaining purebred bulls (Resolution of the Presidium of NAAS from 30.06.15, protocol № 7). The main research results are used in the farms of various forms of ownership ("Breeder" of Pryluky district of Chernihiv region, Pryluky and Chernihiv regional tribal enterprises, PrAT "Agro-Soiuz", PAT "Poltavaplemservice"). The results of V. F. Stakhovsky's scientific research are presented in the 30 scientific works, including three methodical recommendations and a patent for a utility model.
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Sari, Luvita, and Susi Ernawati. "Pengetahuan Ibu Hamil Trimester III tentang Perawatan Payudara di Klinik Pratama Bina Sehat Kasihan, Bantul, Yogyakarta." Jurnal Ners dan Kebidanan Indonesia 3, no. 1 (March 21, 2016): 26. http://dx.doi.org/10.21927/jnki.2015.3(1).26-32.

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<p>There are many breastfeeding mothers who suffer from mastitis and nipples blister. The nipples blister happened because the condition of a nipple who rarely cleaned and incorrect position when breastfeeding. To get the succeed in breastfeeding, breast care regularly during pregnancy will conduct the increase of milk production. The purpose of this study was to know the knowledge level of pregnant women about breast care. There was an observational study with quantitative descriptive design. The populations were 250 of pregnant women third trimester at the Clinic Pratama Bina Sehat in November 2014–Januari 2015. The samples were 71 women selected by random sampling tecniques and data were analysed by univariat analysis. The results showed that most of pregnant women in third trimester at the Clinic Pratama Bina Sehat Kasihan Bantul Yogyakarta aged 20-35 year (70.4%), graduated from senior high school (53.5%), housewife (60.6%) and having the parity of even multipara (47.9%). The level of knowledge of third trimester pregnant women about breast care based on age, education, occupation and parity were 68.0%, 63.2%, 69.8%, 61.8% that were included in medium category. In conclusion, the knowledge levels of pregnant women about breast care at Clinic Pratama Bina Sehat were in medium category.</p>
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Sundari, Kiki. "Kepuasan Ibu Hamil atas Layanan Konseling Gizi di Wilayah Kerja Puskesmas Jatinangor." Jurnal Kesehatan Vokasional 4, no. 3 (August 31, 2019): 132. http://dx.doi.org/10.22146/jkesvo.44359.

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Background: Malnutrition in pregnant women and infants has contributed to at least 3.5 million deaths every year. Counseling on the importance of fulfilling nutrition during pregnancy is very necessary to be carried out as a promotive and preventive effortby midwives services. Patient satisfaction is one indicator of the success of nutrition counseling sevices. Satisfaction is subjective and the result of an affective reactionby characteristics of mothers based on reproductive age, education, and occupation. Objective: This study aims to identify characteristics of mothers, satisfaction with nutrition counseling services provided by midwives in general and specifically based on five dimensions of satisfaction, and frequency of respondents' characteristics of satisfaction levels in general in the work area of the JatinangorPrimary Health Care.Methods: The research method used was descriptive from primary data with the number of respondents participated was 77 pregnant womentaken usingaccidental sampling, data analysis used was univariate.Results: The results of the study showed a majorityof pregnant women age 20–35 years (81.81%) with a satisfaction rate of 72,73%, senior high school graduates (48.05%) with a satisfaction level of 41.56%, and the majority do not work (83.12%) with a satisfaction rate of 71.43%.Conclusion: In general, 88,31% of mothers said they were satisfied, 48,05% mothers were satisfied on the dimensions of tangibles and 100% mothers were satisfied based on the four another dimensions of satisfaction.
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Mbongo, Jean Alfred, Gickelle Bintsene Mpika, Hermann N’dinga, Norcia Itoua, Jean Daniel Mahoungou, Serge Parfait Koko, and Leon Hervé Iloki. "Midwives’ knowledge of COVID 19 and pregnancy in four maternity units in Brazzaville in 2021." International Journal of Family & Community Medicine 5, no. 6 (November 18, 2021): 187–91. http://dx.doi.org/10.15406/ijfcm.2021.05.00243.

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Purpose: To evaluate midwives' knowledge of Covid 19 and Pregnancy. Materials and methods: This was a knowledge analytical study. Midwives working in delivery units and outpatient clinics were included. The variables were focused on socio-demographic and professional aspects, general information on Covid-19, the clinical and biological manifestations, the prevention of corona virus transmission and the prevention of mother-to-child transmission. Results: Out of 82 respondents, 73 (89.1%) were secondary school graduates, working mainly in Talangai Hospital. The media was the source of information for 78 (95.1%); Covid 19 is a viral infection 78 (95.1%); the route of contamination was respiratory 79 (96.3%) and transplacental 16 (19.5%) of respondents. The clinical signs were: fever 76 (92.7%), cough 77 (93.9%) and dyspnea 77 (93.9%) of the respondents. Biological diagnosis was done by RDT (rapid diagnosis test) 73 (89, 1%), completed by PCR confirmation 43 (52.4%) of the respondents. Prevention methods: hand washing several times a day 72 (87,8%) and alternative by disinfectant gel 75 (91,5%); lifting the fold of the elbow when sneezing or coughing 76 (89%); used handkerchief thrown in the trash 70 (85,4%) of the respondents; out of 3 preventive measures in the labour room, 20 (23,4%) answered correctly, 48 (58,5%) gave only 1 to 2 correct answers and 14 (17%) did not identify any measure. The overall knowledge of midwives on Covid 19 was insufficient 25 (30.5%), average 52 (63.4%), good 5 (6.1%) of the respondents. For the factors that can influence the level of knowledge, there is no link between the level of knowledge and the socio-professional characteristics of the midwives (Chi2 test: P-value ˃ 5%). However, the fact of working at the CHUB could have a slight influence (sensitive P-value close to 95%). Conclusion: There is a need to diversify sources of information for an improvement of knowledge in order to place the midwife at the top of the medical news.
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Solfiah, Yeni Solfiah, Devi Risma, Hukmi, and Rita Kurnia. "Early Childhood Disaster Management Media Through Picture Story Books." JPUD - Jurnal Pendidikan Usia Dini 14, no. 1 (April 30, 2020): 141–55. http://dx.doi.org/10.21009/141.10.

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Indonesia is a country that has a high potential for natural disasters. Picture story book is a form of disaster management learning that can help children from an early age to prepare for a natural disaster. The aims of this study to develop story books as a disaster management learning media, to improve knowledge and skills of children and teacher about the understanding, principles, and actions of rescue when facing the natural disasters, to increase the teacher’s learning quality in disaster management. Developmental research approach is used to execute the study. A total of 48 children aged 5-6 years have to carry out pre-test and post-test. Pre-test data shows that children's knowledge about disaster management with an average of 47.92% and its improved at post-test with 76,88%. Five theme of story books involves floods, landslides, earthquakes, tsunamis, lands and forest fires is the product. Dissemination of five story books are proper for children and improve their understanding of disaster management. Keywords: Early Childhood Education, Management Disaster, Storybooks Reference: Abulnour, A. H. (2013). Towards efficient disaster management in Egypt. Housing and Building National Research Center. https://doi.org/10.1016/j.hbrcj.2013.07.004 Adiyoyoso, W. (2018). Manajemen Bencana. Jakarta: Bumi Aksara. Anderson, T., & Shattuck, J. (2012). Design-based research: A decade of progress in education research? Educational Researcher, 41(1), 16–25. https://doi.org/10.3102/0013189X11428813 Batič, J. (2019). Reading Picture Books in Preschool and Lower Grades of Primary School. Center for Educational Policy Studies Journal, (November), 1–18. https://doi.org/10.26529/cepsj.554 Bosschaart, A., van der Schee, J., Kuiper, W., & Schoonenboom, J. (2016). Evaluating a flood- risk education program in the Netherlands. Studies in Educational Evaluation, 50, 53–61. https://doi.org/10.1016/j.stueduc.2016.07.002 Codreanu, T. A., Celenza, A., & Jacobs, I. (2014). Does disaster education of teenagers translate into better survival knowledge, knowledge of skills, and adaptive behavioral change? A systematic literature review. Prehospital and Disaster Medicine, 29(6), 629–642. https://doi.org/10.1017/S1049023X14001083 Delicado, A., Rowland, J., Fonseca, S., & Nunes, A. (2017). Children in Disaster Risk Reduction in Portugal : Policies , Education , and ( Non ) Participation. 246–257. https://doi.org/10.1007/s13753-017-0138-5 Demiroz, F., & Haase, T. W. (2019). The concept of resilience: a bibliometric analysis of the emergency and disaster management literature. Local Government Studies, 45(3), 308–327. https://doi.org/10.1080/03003930.2018.1541796 Efthymis, L., Michael, S., Alexia, G., Panagiotis, P., Vassiliki, A., Kate, V., & Spyros, P. (2014). Disaster Data Centre — An Innovative Educational Tool for Disaster Reduction through Education in Schools. (September), 35–40. Faber, M. H., Giuliani, L., Revez, A., Jayasena, S., Sparf, J., & Mendez, J. M. (2014). Interdisciplinary Approach to Disaster Resilience Education and Research. Procedia Economics and Finance, 18(September), 601–609. https://doi.org/10.1016/s2212- 5671(14)00981-2 Frankenberg, E., Gillespie, T., Preston, S., Sikoki, B., & Thomas, D. (2011). Mortality, the family and the Indian Ocean Tsunami. Economic Journal, 121(554), 162–182. https://doi.org/10.1111/j.1468-0297.2011.02446.x Fujioka, T., & Sakakibara, Y. (2018). School education for disaster risk reduction in Japan after the 2011 Great East Japan Earthquake and Tsunami (GEJET). Terrae Didatica, 14(3), 313– 319. https://doi.org/10.20396/td.v14i3.8653531 Guha-Sapir, D., Van Panhuis, W. G., & Lagoutte, J. (2007). Short communication: Patterns of chronic and acute diseases after natural disasters - A study from the International Committee of the Red Cross field hospital in Banda Aceh after the 2004 Indian Ocean tsunami. Tropical Medicine and International Health, 12(11), 1338–1341. https://doi.org/10.1111/j.1365- 3156.2007.01932.x Haggstrom, M. (2020). The art of read-aloud, body language and identity construction: A multimodal interactional analysis of interaction between parent, child and picture book. International Journal of Language Studies, 14(1), 117–140. Halim, L., Abd Rahman, N., Zamri, R., & Mohtar, L. (2018). The roles of parents in cultivating children’s interest towards science learning and careers. Kasetsart Journal of Social Sciences, 39(2), 190–196. https://doi.org/10.1016/j.kjss.2017.05.001 Hamele, M., Gist, R. E., & Kissoon, N. (2019). P ro v i s i o n o f C a re f o r C r i t i c a l l y I l l C h i l d ren i n Disasters. 35, 659–675. https://doi.org/10.1016/j.ccc.2019.06.003 Justice, L. M., & Piasta, S. (2011). Developing children’s print knowledge through adult-child storybook reading interactions: Print referencing as an instructional practice. In Handbook of early literacy research (In S. B. N). Kitagawa, K. (2016). Situating preparedness education within public pedagogy. Pedagogy, Culture & Society, 1366(November), 1–13. https://doi.org/10.1080/14681366.2016.1200660 Kousky, C. (2016). Impacts of natural disasters on children. Future of Children, 26(1), 73–92. https://doi.org/10.1353/foc.2016.0004 Latif, M., Zukhairina, Zubaidah, R., & Afandi, M. (2013). Orientasi Baru Pendidikan Anak Usia Dini (Teori dan Aplikasi). Jakarta: Kencana Prenada Media Group. Lin, R. (2012). A Study of Curriculum Innovation Teaching and Creative Thinking for Picture Book Creation. IERI Procedia, Vol. 2, pp. 30–35. https://doi.org/10.1016/j.ieri.2012.06.047 Lopez, Y., Hayden, J., Cologon, K., & Hadley, F. (2012). Child participation and disaster risk reduction. International Journal of Early Years Education, 20(3), 300–308. https://doi.org/10.1080/09669760.2012.716712 Manjale, N. B., & Abel, C. (2017). Significance and adequacy of instructional media as perceived by primary school pupils and teachers in. 4(6), 151–157. Masuda, K., & Yamauchi, C. (2017). The effects of female education on adolescent pregnancy and child health: evidence from Uganda’s Universal Primary Education for fully treated cohorts. GRIPS Discussion Paper - National Graduate Institute for Policy Studies, (17/01), 49-pp. Retrieved from https://pdfs.semanticscholar.org/07f5/ebe91e3ac20179daae7d885ea50f8154f94e.pdf Mateo, R. M. (2015). Contrastive Multimodal Analysis of two Spanish translations of a picture book. 212, 230–236. https://doi.org/10.1016/j.sbspro.2015.11.338 McKenney, S., & Reeves, T. (2012). Conducting educational design research. London: Routledge. Meng, L., & Muñoz, M. (2016). Teachers’ perceptions of effective teaching: a comparative study of elementary school teachers from China and the USA. Educational Assessment, Evaluation and Accountability. Mudavanhu, Chipo Muzenda Manyena, B., & Collins, A. E. (2016). Disaster risk reduction knowledge among children in Muzarabani District, Zimbabwe. Natural Hazards, 84(2), 911–931. https://doi.org/10.1007/s11069-016-2465-z Mutch, C. (2014). International Journal of Educational Development The role of schools in disaster settings : Learning from the 2010 – 2011 New Zealand earthquakes. International Journal of Educational Development. https://doi.org/10.1016/j.ijedudev.2014.06.008 Ozturk, M. B., Sendogdu, M. C., Seker, E., & Tekinsen, H. K. (2011). Parents with children in preschool children ’ s picture book review elections. 15, 1906–1910. https://doi.org/10.1016/j.sbspro.2011.04.025 Peek, L. (2008). Children and Disasters: Understanding Vulnerability, Developing Capacities, and Promoting Resilience - An Introduction. Children, Youth and Environments, 18(1), 1– 29. Plomp, T., & Nieveen, N. (2007). An introduction to educational design research. Enschede: The Netherlands: SLO. Pramitasari, M., Yetti, E., & Hapidin. (2018). Pengembangan Media Sliding Book Untuk Media Pengenalan Sains Kehidupan (Life Science) Kelautan untuk Anak Usia Dini. Jurnal Pendidikan Usia Dini, 12(November), 281–290. Proulx, K., & Aboud, F. (2019). Disaster risk reduction in early childhood education: Effects on preschool quality and child outcomes. International Journal of Educational Development, 66(October 2017), 1–7. https://doi.org/10.1016/j.ijedudev.2019.01.007 Pyle, A., & Danniels, E. (2016). Using a picture book to gain assent in research with young children. 4430(March). https://doi.org/10.1080/03004430.2015.1100175 Raj, A., & Kasi, S. (2015). International Journal of Disaster Risk Reduction Psychosocial disaster preparedness for school children by teachers. International Journal of Disaster Risk Reduction, 12, 119–124. https://doi.org/10.1016/j.ijdrr.2014.12.007 Raynaudo, G., & Peralta, O. (2019). Children learning a concept with a book and an e-book: a comparison with matched instruction. European Journal of Psychology of Education, 34(1), 87–99. https://doi.org/10.1007/s10212-018-0370-4 Sawyer, B., Atkins-burnett, S., Sandilos, L., Hammer, C. S., Lopez, L., Blair, C., ... Hammer, C. S. (2018). Variations in Classroom Language Environments of Preschool Children Who Are Low Income and Linguistically Diverse. Early Education and Development, 29(3), 398– 416. https://doi.org/10.1080/10409289.2017.1408373 Simcock, G., & Heron-delaney, M. (2016). Infant Behavior and Development Brief report Reality check : Prior exposure facilitates picture book imitation by 15-month-old infants. Infant Behavior and Development, 45, 140–143. https://doi.org/10.1016/j.infbeh.2016.09.003 Solfiah, Y., Risma, D., & Kurnia, R. (2019). The Knowledge Of Early Childhood Education Teachers About Natural Disaster Management. 2(1), 159–166. Sugiyono. (2017). Metode Penelitian dan pengembangan, untuk bidang pendidikan,manegement sosial. Bandung: alfabeta. Sumantri, M. S. (2015). Strategi Pembelajaran. Jakarta: Raja Grafindo Persada.Suryaningsih, E., & Fatmawati, L. (2017). Pengembangan BUku Cerita Bergambar Tentang Mitigasi Bencana Erupsi Gunung Api Untuk Siswa SD. Profesi Pendidikan Dasar. Tatebe, J., & Mutch, C. (2015). International Journal of Disaster Risk Reduction Perspectives on education , children and young people in disaster risk reduction. International Journal of Disaster Risk Reduction, 1–7. https://doi.org/10.1016/j.ijdrr.2015.06.011 Tomé-Fernández, M., Senís-Fernández, J., & Ruiz-Martín, D. (2019). Values and Intercultural Experiences Through Picture Books. Reading Teacher, 73(2), 205–213. https://doi.org/10.1002/trtr.1813 Torani, S., Majd, P. M., Maroufi, S. S., Dowlati, M., & Sheikhi, R. A. (2019). The importance of education on disasters and emergencies: A review article. Journal of Education and Health Promotion, Vol. 8, p. 85. https://doi.org/10.4103/jehp.jehp_262_18 Tuladhar, G., Yatabe, R., Bhandary, N., & Dahal, R. (2015). Assessment of disaster risk reduction knowledge of school teachers in Nepal. International Journal of Health System and Disaster Management, 3(1), 20. https://doi.org/10.4103/2347-9019.147142 Undang-undang No. 24 Tahun 2007 Tentang Penanggulangan Bencana , (2007).
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Fisher, Martin, Andrea Marks, and Katherine Trieller. "Meeting the Health Care Needs of Suburban Youth: Review of a Clinical Service." Pediatrics 81, no. 1 (January 1, 1988): 8–13. http://dx.doi.org/10.1542/peds.81.1.8.

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The demographic and medical data from the first 1,000 patients registered at a suburban adolescent health service were reviewed and the findings compared with the results of an initial survey performed in the same community and other health services located in urban communities. Most of the patients were white (92%), girls (82%), and 16 to 18 years of age (63%) and had parents who graduated from high school (59%) or college (28%). They reported higher rates of participation in health-risk behaviors, including smoking (50%), drinking (60%), drug use (67%), and sexual intercourse (83%), than their peers. Seventy-two percent of the patients sought medical attention for sexuality-related or gynecologic concerns, including contraception (39%), pregnancy determination (20%), and evaluation of possible sexually transmitted disease (9%), and 28% sought attention for general medical or emotional needs, including checkups or immunizations (11%), nutritional or weight problems (4%), and emotional issues or substance abuse (4%). Management of sexuality-related issues differed from that reported in urban settings, whereas laboratory screening tests indicated that problems were similar to those in other settings. Many problems described in an initial survey of youth in the community were not seen at the adolescent health service. We conclude that a suburban-based health service may meet certain health care needs of the higher risk youth of the community but that ultimate care for adolescents remains with the private physicians in this setting.
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Carter, Michael A., and Michaela Jones. "Nationwide Doctor of Nursing Practice/Advanced Practice Registered Nurse Survey on Roles, Functions, and Competencies." Journal of Doctoral Nursing Practice 10, no. 2 (2017): 108–12. http://dx.doi.org/10.1891/2380-9418.10.2.108.

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Educational preparation for advanced practice registered nurses (APRNs) continues to shift from the master’s degree to the doctor of nursing practice (DNP). Previous analysis of the roles, functions, and competencies of APRNs by Honig, Smolowitz, and Smaldone (2011) identified differences in practice between Master’s of Science in Nursing (MSN)- and DNP-prepared APRNs. The aim of this study was to use the survey instrument created by Honig et al. to survey DNP/APRNs from across the nation and gain insight into their roles, competencies, and functions. A convenience sample was drawn from DNP graduates from the 13 schools provided by the American Board of Comprehensive Care (ABCC) as eligible to sit for the ABCC examination. A total of 375 individuals from 33 states who reported that they were in practice as a nurse practitioner (NP) completed the survey. Differences between the initial study and this study indicated that DNP NPs currently provide care across settings but with less inpatient care, less subacute care, and less palliative care than was reported in the initial analysis. Pregnancy-related care was the least common clinical service provided. Overall, this research indicates that DNP NPs prepared in comprehensive care are providing direct clinical care across settings to complex patients consistent with the comprehensive care domains for the ABCC certification examination (Honig et al., 2011).
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Wati, Nopia, Ferasinta Ferasinta, Oktarianita Oktarianita, Frensi Triastuti, and Bintang Agustina Pratiwi. "DETERMINANTS DROP OUT EVENTS TOOLS WOMEN CONTRACEPTIVE FERTILE AGE 15-49 YEARS IN THE BENGKULU PROVINCE (2017 IDHS DATA ANALYSIS)." Jurnal Biometrika dan Kependudukan 11, no. 1 (July 6, 2022): 54–61. http://dx.doi.org/10.20473/jbk.v11i1.2022.54-61.

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The continued use of contraception has an effect on the effectiveness of a contraceptive method to prevent the occurrence of an unwanted pregnancy. The purpose of this study is to find the association of the incidence of contraceptive discontinuation in women of 15-49 years of age in Bengkulu Province. While the benefits of this study specifically for the National Population and Family Planning Board (BKKBN) are to overcome the problems associated with Population, Family Planning and Family Development (KKBPK) for the discontinuation of contraceptive use in WUS in Family Planning in Bengkulu Province. This study uses a cross-sectional design using secondary data from the 2017 IDHS data on respondents of Fertile Age Women, and the results of the data analyzed using the SPSS program with the Univariate, Bivariate Chi-Square test. The results of this study found that WUS who discontinued using contraceptives were 89 people (33.8%), with the reason that the dominant husband opposed 85 people (32.3%) and health problems as many as 44 people (16.7%). Most were 15-35 years old and high school graduates, most worked and lived in the village. There is no relationship between age (p value 0.420), education (p value 0.304), employment (p value 0.275), area of residence (p value 0.714) and wealth index (economy) (p value 0.232) with the incidence of contraceptive use in Fertile Age Women Bengkulu Province. Factors of age, education, occupation, area of residence and wealth index (economy) impact the incidence of dropping out of contraceptive use in women of childbearing age.
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Mohammed, Taghreed Khudhur, Zena Kassem Khalil, and Alaa Abdulkhaliq. "Anti-Toxoplasma Gondii Antibody Seroprevalence Among Pregnant Women in Baghdad." Pakistan Journal of Medical and Health Sciences 16, no. 8 (August 31, 2022): 947–49. http://dx.doi.org/10.53350/pjmhs22168947.

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Millions of pregnancy abnormalities occur throughout the world every year, many of which go unnoticed or untreated. The parasite Toxoplasma gondii (T. gondii) causes sometimes this infection among expectant mothors. So, the current study's goals are to evaluate the the anti-Toxoplasma IgG seroprevalence and anti-Toxoplasma IgM antibodies in pregnant women in Baghdad, as well as environmental, psychological, and behavioural factors associated with infection in women. A total of two hundred and twelve (212) pregnant Iraqi women who visited personal laboratories in Baghdad were collected. Their ages ranged from 18 to 33 years. They have all had repeated spontaneous miscarriages in the past. Sera samples were collected, and IgG and IgM levels were estimated for the study participants. 61 samples out of 212 sera examined were IgG-positive (28.8%), whereas 19 tested IgM-positive(42.4%). In (54%) of the IgG-positive patients and (3 % of the IgM cases), a history of spontaneous abortion was mentioned.while there was no significant difference in the seroprevalence of Toxoplasma IgM levels according to maternal age,the IgG levels were considerably higher(p 0.05) in older age groups.the findings showed that IgG seroprevalence tended to be lower in educated participants(11.8%) compared to the uneducated group(17%) (from primary school education up to university graduates). The majority of the study's risk factors did not significantly correlated with the seroprevalence of anti-Toxoplasma IgG and IgM antibodies, However, there was a positive coerelation between untreated water sources, cat exposure and undercooked meat with the anti-Toxoplasma IgG and IgM antibodies. A conclusion can be made that untreated water, cat handling and undercooked meat increase the seroprevalence of anti- toxoplasma antibodies as the correlation reveals a positive relation between these parameters and the anti- toxoplasma antibodies. Keywords: anti- toxoplasma antibodies, IgM, IgG, Iraq.
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Dingemann, Carmen. "The Female Pediatric Surgeon." European Journal of Pediatric Surgery 27, no. 03 (April 28, 2017): 228–33. http://dx.doi.org/10.1055/s-0037-1602251.

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AbstractIn medical schools throughout Europe, women make up an increasing proportion of graduates entering the medical profession. Even though this phenomenon is also found in the surgical profession, women are still clearly underrepresented. However, it has been demonstrated that women are equally qualified as men, and are as eager as men to aim for a surgical career.In general, a career in surgery has significant lifestyle implications for both men and women. In particular, women meet challenges such as pregnancy, maternity, and responsibility for childcare that compete with pressures of time and expectations of productivity. Further complicating the situation, there is a huge complexity of national legislation dealing with maternity and parental leave within Europe. Owing to this legal inconsistency, a strong demand on targeted policies and guidelines has increased particularly among the surgical staff.The scarcity of female role models and mentors has also been discussed as a possible explanation for the underrepresentation of women in academic surgery. Even in the 21st century, the advancement of women into leading positions of academic surgery and major surgical societies is still limited. An updated view of leadership development, the promotion of female surgeons in academic surgery, and identifying barriers to women entering this field are crucial to correcting the existing gender inequities.This contribution aims to highlight the current situation of women in academic surgery, outline findings on gender disparities, and define persistent obstacles to the advancement of women in surgery. In addition, this review presents new possibilities and provides approaches to overcome the underrepresentation of female surgeons. In current literature, there is only little information concerning the situation of female pediatric surgeons. Therefore, this article mainly relies on available data on the female surgeon in general.
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Koch, Richard, Colleen Azen, Eva Friedman, William Hanley, Harvey Levy, Reuben Matalon, Bobbye Rouse, Friedrich Trefz, Jiaping Ning, and Felix de la Cruz. "Research Design, Organization, and Sample Characteristics of the Maternal PKU Collaborative Study." Pediatrics 112, Supplement_4 (December 1, 2003): 1519–22. http://dx.doi.org/10.1542/peds.112.s4.1519.

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Objective. The Maternal PKU Collaborative Study (MPKUCS) was initiated in 1984 by the National Institute of Child Health and Human Development (NICHD). The purpose was to assess the efficacy of dietary restriction of phenylalanine in reducing morbidity in offspring of women with hyperphenylalaninemia (HPA). A contract was awarded to Childrens Hospital Los Angeles as the Coordinating Center to provide implementation of the research protocol, data collection, and analysis. Methods. The Study included four regional contributing centers: Childrens Hospital Los Angeles (Western Region), Boston Children’s Hospital (Northeast Region), University of Illinois (Midwest Region), and University of Texas Medical Branch, Galveston (Southeast Region). Within each region, many participating clinics were responsible for obstetric care, treatment, and monitoring protocols. In 1985, Canada joined the MPKUCS, and in 1992, Germany entered. They were selected because they provided dietary supplies and strong professional services. Acquisition began in 1984 and ended in October 1995. The study included 574 pregnancies in women with HPA and 100 control subjects matched on age, race, parity, and weeks of gestation. The sample included women with blood phenylalanine values &gt;240 μmol/L, 66% of whom had classical PKU, 22% had atypical PKU, and 12% had mild HPA. Informed consents were obtained on all participants. The women ranged in age from 15 to 36 years of age, with a mean age at conception of 23 years. Teenage pregnancies accounted for 19%. Seventy-five percent graduated from high school. Offspring included 416 newborns, 317 of whom were evaluated at 4 years of age and 289 at 6 to 7 years. Follow-up involved medical, nutritional, psychosocial, and psychological assessments. Conclusion. Women with PKU treated before conception and in control of their blood phenylalanine levels between 120 and 360 μmol/L (2–6 mg) exhibited normal pregnancies and neonatal outcome. Surprisingly, women who achieved control in the recommended range by 8 weeks of pregnancy also had a normal fetal outcome.
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Kutlu, eman, Özlem KAVURUCU, and Nuray DİLEK. "Investigation Of The Relationships And Affecting Factors Between Psychological Needs And Attitudes Of Seeking Psychological Help Of Mothers Of Babies Developing Neonatal Jaundice." Gevher Nesibe Journal IESDR 6, no. 14 (September 25, 2021): 20–34. http://dx.doi.org/10.46648/gnj.249.

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Objective: This study was carried out to examine the correlation between the psychological needs of mothers of infants with neonatal jaundice and their attitudes towards seeking psychological help and the influencing factors. Materials and Methods: This study was conducted as a correlation seeker in a cross-sectional descriptive design. The sample of the study consisted of the mothers of 70 infants with neonatal jaundice who were treated in the neonatal intensive care unit of a state hospital and a private hospital between November 2017 and March 2018. Personal Information Form, Help Seeking Attitude Scale, and Basic Psychological Needs Scale were used to collect data. In the statistical analysis of the data, Shapiro test, frequency, percentage, mean, standard deviation, Mann-Whitney U and Kruskal-Wallis tests, Spearman's correlation and multiple regression tests, Cronbach's Alpha test were used. The statistical significance level was accepted as p<0.05. Results: The mean age of the mothers participating in the study was 28.84, most of them were high school graduates(45.7%), planned pregnancy(84.3%), developed newborns jaundice after discharge from the hospital(88.6%), thought that they gave adequate care to their baby (74.3%), stated that he spared enough time for his baby(80%). It was determined that 15.8% of the mothers thought that they could not fulfill their motherhood duties well, 40% were unprofitable in this regard, 7.1% thought that their baby was being treated in the hospital because of them, and 44.3% were undecided on this issue. The rate of mothers who think that they should know beforehand that their baby has jaundice is 50%, the rate of those who are undecided is 31.4%. It was determined that feeling the psychological need for relationship/beloning increased the scores of positive attitudes towards seeking psychological help regarding Interpersonal Openness(β=0.46) and Strain(β=0.31) (p<0.05). The positive attitude towards seeking psychological help related to Interpersonal Openness(β=0.30), Social Acceptance(β=0.35) and Feeling Need(β=0.38), and Competence Need(β=0.28) was determined to increase(P<0.05).
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Kucukkendirci, Hasan, Fatih Kara, and Gulsum Gulperi Turgut. "Reasons for Vaccine Rejection in 0 to 2 Years Old Children Registered to Family Health Centers in Konya." Journal of Pediatric Infectious Diseases 16, no. 02 (February 15, 2021): 074–79. http://dx.doi.org/10.1055/s-0041-1722972.

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AbstractObjective According to the 2017 report of the World Health Organization (WHO), ∼1.5 million people die from vaccine preventable diseases. The WHO is working to generate and popularize effective vaccination programs. However, the concept of “vaccine rejection,” which first started in Europe and United States, has started to make an impact in Turkey during the past 10 years. It is therefore seen as a growing danger in future. This study was conducted to determine, detect, and prevent the reasons of vaccine rejection that have increased in recent years.Methods A cross-sectional study was conducted between June and December at 2015. In all districts of Konya (n = 31), it was aimed to reach all 242 families who rejected vaccination to their 0 to 2 years old babies. Families having more than one child refused to vaccinate all of their children. A questionnaire consisting of 47 questions was prepared by the researchers, using the standard trainings of the Ministry of Health and the literature. A total of 172 families agreed to participate in this study. The questionnaire was applied to the parents using the telephone interview technique. Data were presented as mean ± standard deviation and percentage.Results About 41.3% (n = 71) of the mothers were high school graduates, 50.6% (n = 87) of their fathers were university graduates. About 82.6% (n = 142) of the participants received examination, treatment and follow-up services from family physicians and family health personnel. About 20.9% (n = 36) of the children were the only children of the family. About 55.8% (n = 96) of the families also refused the vaccination for other children. About 83.7% (n = 144) of the unvaccinated children had infants/children follow-up care. While all participants stated that vaccines had side effects, 31.4% (n = 54) of these believed that vaccines cause autism or paralysis in infants. About 62.2% (n = 107) of their mothers did not receive tetanus vaccine during pregnancy. The highest rate of nonvaccination was with the second dose of hepatitis A vaccine, which 96.5% (n = 166) refused. The most accepted vaccine was the first dose of hepatitis B vaccine, which was refused by 18.0% (n = 31). About 79.7% (n = 137) of the participants did not know the reason for the vaccination and 95.9% (n = 165) thought that the vaccines were not required. All participants received information from the health personnel about the vaccines. While 9.9% (n = 17) of the families thought that vaccines cause infertility, 44.8% (n = 77) did not receive vaccination because the vaccines were produced abroad.Conclusion A growing number of families refuse to have their babies vaccinated. The production of vaccines abroad is a major cause of insecurity. There are also beliefs that vaccines cause infertility. Vaccine production in Turkey should be accelerated and public education about vaccines should be reviewed. Training provided to families about vaccines should also be reviewed.
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Heineman, K. R., D. B. Kuiper, Sla Bastide-van Gemert, M. J. Heineman, and M. Hadders-Algra. "Cognitive and behavioural outcome of children born after IVF at age 9 years." Human Reproduction 34, no. 11 (November 1, 2019): 2193–200. http://dx.doi.org/10.1093/humrep/dez202.

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Abstract STUDY QUESTION Do ovarian stimulation (OS) and the in vitro laboratory procedures affect offsprings’ cognitive and behavioural outcome at 9 years? SUMMARY ANSWER OS and the in vitro laboratory procedures or the combination of both were not associated with cognitive and behavioural outcome at age 9 years. WHAT IS KNOWN ALREADY ART is not associated with an adverse short-term developmental outcome of the offspring, but limited knowledge is available on the offspring’s long-term neurodevelopmental condition. STUDY DESIGN, SIZE, DURATION A 9-year longitudinal, assessor-blinded, prospective follow-up study of 169 out of 215 singletons (79%) born between March 2005 and December 2006 was performed. PARTICIPANTS/MATERIALS, SETTING, METHODS Singletons born following IVF or ICSI with OS (n = 57), born after modified natural cycle IVF/ICSI (MNC-IVF/ICSI; n = 46) and born after natural conception to subfertile couples (Sub-NC; n = 66), were assessed at 9 years. This study design, with two ART groups and a subfertile reference group, allows for disentangling the effects of OS and ART procedures on developmental outcome. Cognitive outcome was evaluated with the Wechsler abbreviated scale of intelligence and the NEPSY-II. Behaviour was assessed with the child behaviour checklist (CBCL) and teacher report form (TRF). Univariable analyses and multiple linear regression models were used. MAIN RESULTS AND THE ROLE OF CHANCE There was no significant difference in intelligence quotient (IQ) scores between ART groups (mean IQ (95% CI): OS 114.8 (83.2–142.6); MNC 114.0 (90.2–140.8); Sub-NC 115.4 (87.9–141.2), P = 0.746). Multivariable analyses did not reveal a statistically significant association between ART group and total, verbal and performance IQ. CBCL and TRF scores did not differ significantly between ART groups (P = 0.090 and 0.507, respectively). Multivariable analyses did not demonstrate a statistically significant association between ART group and CBCL and TRF total, or internalising and externalising T-scores. No significant correlations between time to pregnancy (TTP)—a proxy for the severity of parental subfertility—and outcome measures were found (Spearman rho between −0.050 and 0.049, NS), which was confirmed with multivariable analyses. LIMITATIONS, REASONS FOR CAUTION The attrition rate of 21% may be considered as a limitation of the study; however, after a follow-up period of 9 years, this rate is generally considered acceptable, and there were no significant differences in background characteristics between children with and without follow-up, making an attrition-related selection bias less likely. Another limitation of the study is the relatively small sample size, which could contribute to selection bias, hamper generalizability to the ART population and lead to false negative findings as a result of underpowering. An a priori power analysis on total IQ indicated that the OS-IVF/ICSI and Sub-NC groups should contain 64 children, confirming that our study including 57 and 66 children, respectively, was slightly underpowered. WIDER IMPLICATIONS OF THE FINDINGS Our study indicated that OS and the in vitro laboratory procedures or the combination of both and TTP were not associated with cognitive and behavioural outcome at 9 years. These are reassuring results for both parents and clinicians involved in ART. STUDY FUNDING/COMPETING INTEREST(S) The study was financially supported by the University Medical Center Groningen (UMCG), two graduate schools of the UMCG (BCN and SHARE) and the Cornelia Stichting. The sponsors of the study had no role in study design, data collection, data analysis, data interpretation or writing of the report. The authors have no conflicts of interest to declare.
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