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Sample records for twenty-two women ipa

  1. Shigella IpaB and IpaD displayed on L. lactis bacterium-like particles induce protective immunity in adult and infant mice.

    Science.gov (United States)

    Heine, Shannon J; Franco-Mahecha, Olga L; Chen, Xiaotong; Choudhari, Shyamal; Blackwelder, William C; van Roosmalen, Maarten L; Leenhouts, Kees; Picking, Wendy L; Pasetti, Marcela F

    2015-08-01

    Shigella spp. are among the enteric pathogens with the highest attributable incidence of moderate-to-severe diarrhea in children under 5 years of age living in endemic areas. There are no vaccines available to prevent this disease. In this work, we investigated a new Shigella vaccine concept consisting of nonliving, self-adjuvanted, Lactococcus lactis bacterium-like particles (BLP) displaying Shigella invasion plasmid antigen (Ipa) B and IpaD and examined its immunogenicity and protective efficacy in adult and newborn/infant mice immunized via the nasal route. Unique advantages of this approach include the potential for broad protection due to the highly conserved structure of the Ipas and the safety and practicality of a probiotic-based mucosal/adjuvant delivery platform. Immunization of adult mice with BLP-IpaB and BLP-IpaD (BLP-IpaB/D) induced high levels of Ipa-specific serum IgG and stool IgA in a dose-dependent manner. Immune responses and protection were enhanced by BLP delivery. Vaccine-induced serum antibodies exhibited opsonophagocytic and cytotoxic neutralizing activity, and IpaB/D IgG titers correlated with increased survival post-challenge. Ipa-specific antibody secreting cells were detected in nasal tissue and lungs, as well as IgG in bronchoalveolar lavage. Bone marrow cells produced IpaB/D-specific antibodies and contributed to protection after adoptive transfer. The BLP-IpaB/D vaccine conferred 90% and 80% protection against S. flexneri and S. sonnei, respectively. Mice immunized with BLP-IpaB/D as newborns also developed IpaB and IpaD serum antibodies; 90% were protected against S. flexneri and 44% against S. sonnei. The BLP-IpaB/D vaccine is a promising candidate for safe, practical and potentially effective immunization of children against shigellosis.

  2. Evaluation of immunogenicity and protective efficacy of orally delivered Shigella type III secretion system proteins IpaB and IpaD.

    Science.gov (United States)

    Heine, Shannon J; Diaz-McNair, Jovita; Martinez-Becerra, Francisco J; Choudhari, Shyamal P; Clements, John D; Picking, Wendy L; Pasetti, Marcela F

    2013-06-19

    Shigella spp. are food- and water-borne pathogens that cause shigellosis, a severe diarrheal and dysenteric disease that is associated with a high morbidity and mortality in resource-poor countries. No licensed vaccine is available to prevent shigellosis. We have recently demonstrated that Shigella invasion plasmid antigens (Ipas), IpaB and IpaD, which are components of the bacterial type III secretion system (TTSS), can prevent infection in a mouse model of intranasal immunization and lethal pulmonary challenge. Because they are conserved across Shigella spp. and highly immunogenic, these proteins are excellent candidates for a cross-protective vaccine. Ideally, such a vaccine could be administered to humans orally to induce mucosal and systemic immunity. In this study, we investigated the immunogenicity and protective efficacy of Shigella IpaB and IpaD administered orally with a double mutant of the Escherichia coli heat labile toxin (dmLT) as a mucosal adjuvant. We characterized the immune responses induced by oral vs. intranasal immunization and the protective efficacy using a mouse pulmonary infection model. Serum IgG and fecal IgA against IpaB were induced after oral immunization. These responses, however, were lower than those obtained after intranasal immunization despite a 100-fold dosage increase. The level of protection induced by oral immunization with IpaB and IpaD was 40%, while intranasal immunization resulted in 90% protective efficacy. IpaB- and IpaD-specific IgA antibody-secreting cells in the lungs and spleen and T-cell-derived IL-2, IL-5, IL-17 and IL-10 were associated with protection. These results demonstrate the immunogenicity of orally administered IpaB and IpaD and support further studies in humans. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. N-terminus of IpaB provides a potential anchor to the Shigella type III secretion system tip complex protein IpaD.

    Science.gov (United States)

    Dickenson, Nicholas E; Arizmendi, Olivia; Patil, Mrinalini K; Toth, Ronald T; Middaugh, C Russell; Picking, William D; Picking, Wendy L

    2013-12-10

    The type III secretion system (T3SS) is an essential virulence factor for Shigella flexneri , providing a conduit through which host-altering effectors are injected directly into a host cell to promote uptake. The type III secretion apparatus (T3SA) is composed of a basal body, external needle, and regulatory tip complex. The nascent needle is a polymer of MxiH capped by a pentamer of invasion plasmid antigen D (IpaD). Exposure to bile salts (e.g., deoxycholate) causes a conformational change in IpaD and promotes recruitment of IpaB to the needle tip. It has been proposed that IpaB senses contact with host cell membranes, recruiting IpaC and inducing full secretion of T3SS effectors. Although the steps of T3SA maturation and their external triggers have been identified, details of specific protein interactions and mechanisms have remained difficult to study because of the hydrophobic nature of the IpaB and IpaC translocator proteins. Here, we explored the ability for a series of soluble N-terminal IpaB peptides to interact with IpaD. We found that DOC is required for the interaction and that a region of IpaB between residues 11-27 is required for maximum binding, which was confirmed in vivo. Furthermore, intramolecular FRET measurements indicated that movement of the IpaD distal domain away from the protein core accompanied the binding of IpaB11-226. Together, these new findings provide important new insight into the interactions and potential mechanisms that define the maturation of the Shigella T3SA needle tip complex and provide a foundation for further studies probing T3SS activation.

  4. The Many Faces of IpaB

    Directory of Open Access Journals (Sweden)

    William D Picking

    2016-02-01

    Full Text Available The type III secretion system (T3SS is Shigella’s most important virulence factor. The T3SS apparatus (T3SA is comprised of an envelope-spanning basal body and an external needle topped by a tip complex protein called IpaD. This nanomachine is used to deliver effector proteins into host cells to promote pathogen entry. A key component of the matured T3SS needle tip complex is the translocator protein IpaB. IpaB can exist in multiple states when prepared as a recombinant protein, however, it has also been described as having additional roles in Shigella pathogenesis. This mini-review will briefly describe some of the features of IpaB as a T3SS needle tip protein, as a pore-forming translocator protein and as an effector protein. Reflection on the potential importance of the different in vitro states of IpaB on its function and importance in serotype-independent vaccines is also provided.

  5. The N-terminus of IpaB provides a potential anchor to the Shigella type III secretion system tip complex protein IpaD

    Science.gov (United States)

    Dickenson, Nicholas E.; Arizmendi, Olivia; Patil, Mrinalini K.; Toth, Ronald T.; Middaugh, C. Russell; Picking, William D.; Picking, Wendy L.

    2014-01-01

    The type III secretion system (T3SS) is an essential virulence factor for Shigella flexneri, providing a conduit through which host-altering effectors are injected directly into a host cell to promote uptake. The type III secretion apparatus (T3SA) is comprised of a basal body, external needle, and regulatory tip complex. The nascent needle is a polymer of MxiH capped by a pentamer of invasion plasmid antigen D (IpaD). Exposure to bile salts (e.g. deoxycholate) causes a conformational change in IpaD and promotes recruitment of IpaB to the needle tip. It has been proposed that IpaB senses contact with host cell membranes, recruiting IpaC and inducing full secretion of T3SS effectors. While the steps of T3SA maturation and their external triggers have been identified, details of specific protein interactions and mechanisms have remained difficult to study due to the hydrophobic nature of the IpaB and IpaC translocator proteins. Here we explored the ability for a series of soluble N-terminal IpaB peptides to interact with IpaD. We found that DOC is required for the interaction and that a region of IpaB between residues 11–27 is required for maximum binding, which was confirmed in vivo. Furthermore, intramolecular FRET measurements indicated that movement of the IpaD distal domain away from the protein core accompanied the binding of IpaB11-226. Together these new findings provide important new insight into the interactions and potential mechanisms that define the maturation of the Shigella T3SA needle tip complex and provide a foundation for further studies probing T3SS activation. PMID:24236510

  6. Analisis Tingkat Pemahaman Konsep Siswa Kelas XI IPA Sman 3 Mataram Menggunakan One Tier Dan Two Tier Test Materi Kelarutan Dan Hasil Kali Kelarutan

    OpenAIRE

    Nabilah, Nabilah; Andayani, Yayuk; Laksmiwati, Dwi

    2013-01-01

    : The objective of this research was to analyzed conceptual understanding level of XI science grade students of SMAN 3 Mataram by used one-tier and two-tier test in solubility and solubility product subject. One-tier test are examined to XI IPA 4 grade students and two-tier test to XI IPA 5 grade students. The results of conceptual understanding using one-tier test (57,4%) are higher than using two-tier test (21,03%). One-tier test only showed the students's conceptual understanding, whereas ...

  7. Characterization of a novel fusion protein from IpaB and IpaD of Shigella spp. and its potential as a pan-Shigella vaccine.

    Science.gov (United States)

    Martinez-Becerra, Francisco J; Chen, Xiaotong; Dickenson, Nicholas E; Choudhari, Shyamal P; Harrison, Kelly; Clements, John D; Picking, William D; Van De Verg, Lillian L; Walker, Richard I; Picking, Wendy L

    2013-12-01

    Shigellosis is an important disease in the developing world, where about 90 million people become infected with Shigella spp. each year. We previously demonstrated that the type three secretion apparatus (T3SA) proteins IpaB and IpaD are protective antigens in the mouse lethal pulmonary model. In order to simplify vaccine formulation and process development, we have evaluated a vaccine design that incorporates both of these previously tested Shigella antigens into a single polypeptide chain. To determine if this fusion protein (DB fusion) retains the antigenic and protective capacities of IpaB and IpaD, we immunized mice with the DB fusion and compared the immune response to that elicited by the IpaB/IpaD combination vaccine. Purification of the DB fusion required coexpression with IpgC, the IpaB chaperone, and after purification it maintained the highly α-helical characteristics of IpaB and IpaD. The DB fusion also induced comparable immune responses and retained the ability to protect mice against Shigella flexneri and S. sonnei in the lethal pulmonary challenge. It also offered limited protection against S. dysenteriae challenge. Our results show the feasibility of generating a protective Shigella vaccine comprised of the DB fusion.

  8. Characterization of a Novel Fusion Protein from IpaB and IpaD of Shigella spp. and Its Potential as a Pan-Shigella Vaccine

    Science.gov (United States)

    Martinez-Becerra, Francisco J.; Chen, Xiaotong; Dickenson, Nicholas E.; Choudhari, Shyamal P.; Harrison, Kelly; Clements, John D.; Picking, William D.; Van De Verg, Lillian L.; Walker, Richard I.

    2013-01-01

    Shigellosis is an important disease in the developing world, where about 90 million people become infected with Shigella spp. each year. We previously demonstrated that the type three secretion apparatus (T3SA) proteins IpaB and IpaD are protective antigens in the mouse lethal pulmonary model. In order to simplify vaccine formulation and process development, we have evaluated a vaccine design that incorporates both of these previously tested Shigella antigens into a single polypeptide chain. To determine if this fusion protein (DB fusion) retains the antigenic and protective capacities of IpaB and IpaD, we immunized mice with the DB fusion and compared the immune response to that elicited by the IpaB/IpaD combination vaccine. Purification of the DB fusion required coexpression with IpgC, the IpaB chaperone, and after purification it maintained the highly α-helical characteristics of IpaB and IpaD. The DB fusion also induced comparable immune responses and retained the ability to protect mice against Shigella flexneri and S. sonnei in the lethal pulmonary challenge. It also offered limited protection against S. dysenteriae challenge. Our results show the feasibility of generating a protective Shigella vaccine comprised of the DB fusion. PMID:24060976

  9. Identification of the bile salt binding site on IpaD from Shigella flexneri and the influence of ligand binding on IpaD structure.

    Science.gov (United States)

    Barta, Michael L; Guragain, Manita; Adam, Philip; Dickenson, Nicholas E; Patil, Mrinalini; Geisbrecht, Brian V; Picking, Wendy L; Picking, William D

    2012-03-01

    Type III secretion (TTS) is an essential virulence factor for Shigella flexneri, the causative agent of shigellosis. The Shigella TTS apparatus (TTSA) is an elegant nanomachine that is composed of a basal body, an external needle to deliver effectors into human cells, and a needle tip complex that controls secretion activation. IpaD is at the tip of the nascent TTSA needle where it controls the first step of TTS activation. The bile salt deoxycholate (DOC) binds to IpaD to induce recruitment of the translocator protein IpaB into the maturing tip complex. We recently used spectroscopic analyses to show that IpaD undergoes a structural rearrangement that accompanies binding to DOC. Here, we report a crystal structure of IpaD with DOC bound and test the importance of the residues that make up the DOC binding pocket on IpaD function. IpaD binds DOC at the interface between helices α3 and α7, with concomitant movement in the orientation of helix α7 relative to its position in unbound IpaD. When the IpaD residues involved in DOC binding are mutated, some are found to lead to altered invasion and secretion phenotypes. These findings suggest that adoption of a DOC bound structural state for IpaD primes the Shigella TTSA for contact with host cells. The data presented here and in the studies leading up to this work provide the foundation for developing a model of the first step in Shigella TTS activation.

  10. Comparison of tissue adequacy for histologic examination from Ipas MVA plus and Wallach Endocell in women with abnormal uterine bleeding.

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    Wanijasombutti, Paphada; Imruetaicharoenchok, Arinporn; Tangjitgamol, Siriwan; Loharamtaweethong, Kongsak; Phuriputt, Napaporn; Phaloprakarn, Chadakarn

    2015-08-01

    The aim of this study was to compare endometrial tissue adequacy sampling by Wallach Endocell and manual vacuum aspiration (Ipas MVA plus) in women with abnormal uterine bleeding. Pain and immediate complications from each method were also compared. Two hundred and forty women with abnormal uterine bleeding were randomly assigned to two methods of endometrial sampling: MVA (n = 122) and Endocell (n = 118). The basic characteristic features of the women, the difficulty of the procedure, pain score by visual analogue scale, immediate complications, and treatment were recorded. Endometrial tissue adequacy and histopathologic diagnoses were evaluated. The adequacy of tissue samples was 81.1% in the MVA group and 85.6% in the Endocell group (P = 0.356). There was a significant difference in the rates of difficult procedure between the two groups (27.0% in MVA vs 14.4% in Endocell; P = 0.016). Moderate to severe pain was significantly higher in the MVA group compared to the Endocell group: 60.7% and 19.5%, respectively (P < 0.001). Other immediate minor complications were also observed to be significantly higher in the MVA group (44.3%) than in the Endocell group (30.5%) (P = 0.028). Although medication required for pain was higher in the MVA group (23.0%) than in the Endocell group (12.0%), the difference was not significant (P = 0.130). The two most common histopathologic findings obtained from MVA and Endocell specimens were proliferative endometrium (32.4%) and atrophic endometrium (27.1%). MVA was comparable to Endocell in terms of tissue adequacy. Moderate to severe pain was experienced significantly more in the MVA group; however, the requirement of pain treatment was not significantly different between the groups. © 2015 The Authors Journal of Obstetrics and Gynaecology Research © 2015 Japan Society of Obstetrics and Gynecology.

  11. The IPA and the American Psychoanalytic Association: a perspective on the regional association agreement.

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    Wallerstein, R S

    1998-06-01

    Ever since 1938 the American Psychoanalytic Association has had a special autonomous relationship within the IPA accorded to no other component organisation. This Regional Association status has had two main features: (1) total internal control over training standards and membership criteria, with no accountability to the IPA; and (2) an 'exclusive franchise', so that the IPA was barred from recognising any other component within the United States. This unique Regional Association status reflected the resolution at the time (1938) of the long-standing controversy between the IPA and the American over the issue of 'lay analysis', and remained unaltered for half a century until, with the resolution of the 3 1/2-year long law-suit against the American (and secondarily against the IPA) in 1988, the Regional Association agreement was modified (but not totally abrogated) by the American's giving up the 'exclusive franchise' aspect (thus permitting IPA recognition of psychoanalytic groups in the US organised outside the American), but still retaining its internal full control over training and membership. The meanings and consequences for psychoanalysis of this special status of the American are explored.

  12. Single amino acid substitutions on the needle tip protein IpaD increased Shigella virulence.

    Science.gov (United States)

    Meghraoui, Alaeddine; Schiavolin, Lionel; Allaoui, Abdelmounaaïm

    2014-07-01

    Infection of colonic epithelial cells by Shigella is associated with the type III secretion system, which serves as a molecular syringe to inject effectors into host cells. This system includes an extracellular needle used as a conduit for secreted proteins. Two of these proteins, IpaB and IpaD, dock at the needle tip to control secretion and are also involved in the insertion of a translocation pore into host cell membrane allowing effector delivery. To better understand the function of IpaD, we substituted thirteen residues conserved among homologous proteins in other bacterial species. Generated variants were tested for their ability to surface expose IpaB and IpaD, to control secretion, to insert the translocation pore, and to invade host cells. In addition to a first group of seven ipaD variants that behaved similarly to the wild-type strain, we identified a second group with mutations V314D and I319D that deregulated secretion of all effectors, but remained fully invasive. Moreover, we identified a third group with mutations Y153A, T161D, Q165L and Y276A, that exhibited increased levels of translocators secretion, pore formation, and cell entry. Altogether, our results offer a better understanding of the role of IpaD in the control of Shigella virulence. Copyright © 2014 Institut Pasteur. Published by Elsevier Masson SAS. All rights reserved.

  13. Historical Approach to the Role of Women in the Legislation of Iran: A Case Study on the Twenty-First Parliament

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    Sarah Sheibani

    2017-01-01

    Full Text Available One hundred and ten years ago, men and women took constitutionalism to achieve justice in Iran. National Council was the result of the Iranian people's struggle for justice, both women and men. Men policies from the beginning of legislation put women as minors and lunatics and bankrupted and banned them from vote. However, the Constitutional Revolution as a turning point and a national revolution played a key role in changing attitudes to women and structural context of their participation provided. In this paper, with the use of descriptive-analytical as well as quantitative methods, we sought to answer the question that what was the position of women in the twenty-first Parliament. The results of this study suggest that when Iranian women were allowed to participate politics, they have achieved to show their ability in politics as we saw examples in the twenty-first Parliament in which women had twenty-two percent participation.

  14. Intradermal delivery of Shigella IpaB and IpaD type III secretion proteins: kinetics of cell recruitment and antigen uptake, mucosal and systemic immunity, and protection across serotypes.

    Science.gov (United States)

    Heine, Shannon J; Diaz-McNair, Jovita; Andar, Abhay U; Drachenberg, Cinthia B; van de Verg, Lillian; Walker, Richard; Picking, Wendy L; Pasetti, Marcela F

    2014-02-15

    Shigella is one of the leading pathogens contributing to the vast pediatric diarrheal disease burden in low-income countries. No licensed vaccine is available, and the existing candidates are only partially effective and serotype specific. Shigella type III secretion system proteins IpaB and IpaD, which are conserved across Shigella spp., are candidates for a broadly protective, subunit-based vaccine. In this study, we investigated the immunogenicity and protective efficacy of IpaB and IpaD administered intradermally (i.d.) with a double-mutant of the Escherichia coli heat-labile enterotoxin (dmLT) adjuvant using microneedles. Different dosage levels of IpaB and IpaD, with or without dmLT, were tested in mice. Vaccine delivery into the dermis, recruitment of neutrophils, macrophages, dendritic cells, and Langerhans cells, and colocalization of vaccine Ag within skin-activated APC were demonstrated through histology and immunofluorescence microscopy. Ag-loaded neutrophils, macrophages, dendritic cells, and Langerhans cells remained in the tissue at least 1 wk. IpaB, IpaD, and dmLT-specific serum IgG- and IgG-secreting cells were produced following i.d. immunization. The protective efficacy was 70% against Shigella flexneri and 50% against Shigella sonnei. Similar results were obtained when the vaccine was administered intranasally, with the i.d. route requiring 25-40 times lower doses. Distinctively, IgG was detected in mucosal secretions; secretory IgA, as well as mucosal and systemic IgA Ab-secreting cells, were seemingly absent. Vaccine-induced T cells produced IFN-γ, IL-2, TNF-α, IL-17, IL-4, IL-5, and IL-10. These results demonstrate the potential of i.d. vaccination with IpaB and IpaD to prevent Shigella infection and support further studies in humans.

  15. Molecular characterization of enteroinvasive Escherichia coli ipa genes by PCR-RFLP analysis Caracterização molecular do gene ipa de Escherichia coli enteroinvasora pela análise de PCR- RFLP

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    Adriana Gibotti

    2004-06-01

    Full Text Available In this study, polymorphism in ipa genes was found in five out of nine EIEC serotypes studied. When SalI and HindII were used in RFLP-PCR assays many EIEC serotypes showed polymorphism in ipaB and ipaD. On the other hand, no polymorphism was observed in ipaA and ipaC in these strains. The polymorphism present in EIEC strains is serotype-dependent, since restriction patterns were conserved amongst strains belonging to the same serotype. When IpaB deduced amino acid sequences of S. flexneri M90T and FBC124-13 were compared, ten amino acids changes could be observed mainly in the amino-terminal region. The deduced EIEC IpaD amino-acid sequence presented 91% similarity with the Shigella strain. In this case, amino acid changes were spread out through the whole structure, except in the carboxyl-terminal region.No presente estudo, foi encontrado polimorfismo no gene ipa em cinco sorotipos de EIEC, de nove estudados. Quando enzimas de restrição SalI e HindII foram utilizadas no ensaio de PCR-RFLP, amostras de EIEC apresentaram polimorfismo em ipaB e ipaD. Por outro lado, não foram observados polimorfismos nos genes ipaA e ipaC nestas cepas, quando diversas enzimas de restrição foram utilizadas. O polimorfismo presente em cepas de EIEC é sorotipo-dependente, uma vez que os padrões de restrição foram conservados entre as cepas pertencentes ao mesmo sorotipo. Quando a seqüência deduzida de aminoácidos de IpaB de S. flexneri M90T e FBC124-13 foram comparadas, mudanças foram observadas em dez aminoácidos na região amino-terminal. A seqüência deduzida de aminoácidos de IpaD de EIEC apresentou similaridade de 91% com a cepa de Shigella. Neste caso, mudanças de aminoácidos ocorreram em toda a estrutura da molécula de IpaD, exceto na região carboxi-terminal.

  16. Assessing Intimate Partner Abuse: Associated Factors and Health Consequences among Jordanian Women.

    Science.gov (United States)

    Safadi, Reema R; Daibes, Mayada A; Haidar, Waheda H; Al-Nawafleh, Ahmad H; Constantino, Rose E

    2018-04-01

    In this cross-sectional study, we assessed levels and types of psychological and physical intimate partner abuse (IPA), and the association of IPA with socio-demographic factors and health consequences. The Abusive Behavior Inventory was completed by 471 Jordanian women. IPA was higher among older women who were: of older age, of younger age at marriage, married to unemployed spouses, living in urban residence, and of lower educational level. IPA was associated with most of the health problems except dental injuries and burns. We recommend educational programs that raise women's awareness to their rights to education, free choices in marital age, and policies that mitigate IPA in Jordan and similar patriarchal societies.

  17. Binding Affects the Tertiary and Quaternary Structures of the Shigella Translocator Protein IpaB and its Chaperone IpgC†

    Science.gov (United States)

    Adam, Philip R.; Patil, Mrinalini K.; Dickenson, Nicholas E.; Choudhari, Shyamal; Barta, Michael; Geisbrecht, Brian V.; Picking, Wendy L.; Picking, William D.

    2012-01-01

    Shigella flexneri uses its type III secretion system (T3SS) to promote invasion of human intestinal epithelial cells as the first step in causing shigellosis, a life threatening form of dysentery. The Shigella type III secretion apparatus (T3SA) consists of a basal body that spans the bacterial envelope and an exposed needle that injects effector proteins into target cells. The nascent Shigella T3SA needle is topped with a pentamer of the needle tip protein invasion plasmid antigen D (IpaD). Bile salts trigger recruitment of the first hydrophobic translocator protein, IpaB, to the tip complex where it senses contact with a host membrane. In the bacterial cytoplasm, IpaB exists in a complex with its chaperone IpgC. Several structures of IpgC have been solved and we recently reported the 2.1-Å crystal structure of the N-terminal domain (IpaB74.224) of IpaB. Like IpgC, the IpaB N-terminal domain exists as a homodimer in solution. We now report that when the two are mixed, these homodimers dissociate and form heterodimers having a nanomolar dissociation constant. This is consistent with the equivalent complexes co-purified after being co-expressed in E. coli. Fluorescence data presented here also indicate that the N-terminal domain of IpaB possesses two regions that appear to contribute additively to chaperone binding. It is also likely that the IpaB N terminus adopts an alternative conformation as a result of chaperone binding. The importance of these findings within the functional context of these proteins is discussed. PMID:22497344

  18. Preemptive financial strategies help IPAs avoid insolvency.

    Science.gov (United States)

    Karling, J; Silberman, L

    2000-11-01

    The 1999 collapse in California of practice management giants FPA Medical Management, Inc. and MedPartners, Inc. has caused healthcare provider organizations, particularly independent practice associations (IPAs), to examine critical issues related to financial solvency. Problems such as declining membership, ineffective management, weak contracting, and lack of strategic vision frequently are encountered by troubled provider organizations. The common thread that runs through IPA failures is a combination of unreliable accounting data and inadequate reporting systems. This lack of satisfactory financial and reporting information impairs the ability of the provider group to maintain sufficient funds to cover expenses and pay physicians. Successful, financially stable provider networks use well-defined reporting procedures based on fundamental accounting and financial concepts, as well as a sound methodology for measuring and calculating claims liability estimates. In California, new regulations aimed at encouraging provider organizations to assume preemptive financial strategies are in the process of being adopted. IPAs in every state should consider reviewing these regulations as benchmarks by which to assess their financial procedures.

  19. Recombinant Expression and Purification of the Shigella Translocator IpaB.

    Science.gov (United States)

    Barta, Michael L; Adam, Philip R; Dickenson, Nicholas E

    2017-01-01

    Type III secretion systems (T3SS) are highly conserved virulence factors employed by a large number of pathogenic gram-negative bacteria. Like many T3SS translocators, recombinant expression of the hydrophobic Shigella protein IpaB requires the presence of its cognate chaperone IpgC. Chaperone-bound IpaB is maintained in a nonfunctional state, which has hampered in vitro studies aimed at understanding molecular structure and function of this important class of T3SS proteins. Herein, we describe an expression and purification protocol that utilizes mild detergents to produce highly purified, homogeneous IpaB of defined oligomeric states.

  20. MISKONSEPSI DALAM MATERI IPA SEKOLAH DASAR

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    Dek Ngurah Laba Laksana

    2016-10-01

    Full Text Available Penelitian ini bertujuan untuk mendeskripsikan miskonsepsi yang terjadi pada calon guru dalam materi IPA di sekolah dasar. Penelitian ini menggunakan pendekatan kualitatif untuk memaparkan lebih dalam mengenai jenis miskonsepsi yang terjadi. Subjek dalam penelitian ini adalah calon guru SD. Jumlah subjek yang dijadikan responden adalah 64 orang, yang terdiri dari 44 orang calon guru perempuan dan 20 orang laki-laki. Hasil penelitian yang diperoleh adalah sebagai berikut. (1 terjadi miskonsepsi dalam berbagai konsep IPA di sekolah dasar, (2 konsep-konsep yang dominan mengalami miskonsepsi dengan persentase lebih dari 60% adalah (a konsep zat-zat yang diperlukan dalam proses fotosintesis tumbuhan hijau, b konsep fotosintesis membutuhkan cahaya, 3 konsep massa jenis zat, dan 4 konsep gerak jatuh bebas.

  1. PENGGUNAAN PENDEKATANINKUIRI DALAM PEMBELAJARAN IPA

    Directory of Open Access Journals (Sweden)

    Erman Har

    2015-07-01

    Full Text Available Penelitian tindakan kelas ini bertujuan untuk mendeskripsikanpeningkatan aktivitas dan hasil belajar siswa dengan pendekatan inkuiri dalam pembelajaran IPA siswa kelas V SDN 11Lima Kaum Batusangkar.Penelitian ini adalah kolaborasi antara pelaksana penelitian dengan guru kelas dengan menggunakan instrumen lembar observasi aktivitas siswa,lembar observasi aktivitas guru dan lembar tes hasil belajar siswa.Hasil penelitian menunjukkan aktivitas siswa pada siklus I diperoleh rata-rataperhatian siswa terhadap pelajaran adalah 43,3 persen, siswa mendengarkan percakapan dari kelompok lain 43,1 persen,  kemampuan siswa dalam berkomunikasi 46,5 persen, kemauan siswa dalam mengemukakan pendapat adalah 44,8 persen, siswa terampil membaca materi adalah 44,8 persen, siswa aktif dalam kelompok adalah 49,9 persenm, siswa mampu bekerjasama dalam kelompok adalah 44,6 persen. Hasil belajar siswa pada siklus I diperoleh rata-rata 86,2, pada siklus II perhatian siswa terhadap pelajaran adalah 86,7persen, siswa mendengarkan percakapan dari kelompok lain adalah 86,6persen, kemampuan siswa dalam berkomunikasi adalah 88,3%, kemauan siswa dalam mengemukakan pendapat adalah 85,0persen, siswa terampil membaca materi adalah 83,3persen, siswa aktif dalam kelompok adalah 90,1persen, siswa mampu bekerjasama dalam kelompok adalah 91,6persen. Hasil belajar siswa pada siklus II diperoleh rata-rata 89,5. Ini berarti proses pelaksanaan pembelajaran IPA melalui pendekatan inkuiri berlangsung dengan baik.Oleh sebab itu pendekatan inkuiri dapat meningkatkan aktivitasdan hasil belajar IPA siswa. Berdasarkan hasil penelitian disarankan agar guru dapat menggunakan pendekatan inkuiri sebagai salah satu penedekatan dalam pembelajaran.Doi: 10.22216/jit.2014.v8i3.5

  2. Stevens Johnson Syndrome and Toxic Epidermal Necrolysis: Maternal and Foetal Outcomes in Twenty-Two Consecutive Pregnant HIV Infected Women.

    Directory of Open Access Journals (Sweden)

    Lauren Knight

    Full Text Available Stevens-Johnson syndrome (SJS and toxic epidermal necrolysis (TEN form a spectrum of a rare and life-threatening cutaneous drug reaction. SJS/TEN in pregnancy poses largely unknown risk factors and outcomes for both the mother and foetus compared to the general population.We conducted a study of consecutive pregnant women admitted to single tertiary referral centre in South Africa with SJS/TEN over a 3 year period. They were all managed by the same medical team using the same protocols. We evaluated their underlying illnesses, offending drugs and the course of pregnancy and outcomes to determine factors influencing maternal and foetal outcomes.We identified twenty-two women who developed SJS/TEN while pregnant, all of them HIV-infected. Their median age was 29 years. The majority 16/22 (73% had SJS, the milder variant of the disease affecting < 10% body surface area. Nevirapine was the offending drug in 21/22 (95% cases. All 22 of the mothers survived with 3/22 (14% developing postpartum sepsis. Pregnancy outcomes were known in 18/22 women and 9/18 (50% babies were delivered by caesarean section. There were 2 foetal deaths at 21 and 31 weeks respectively and both were associated with post-partum sepsis. Postnatal complications occurred in 5 cases, 3 involving the respiratory system and the other two being low birth weight deliveries. Eight placentae and one foetus were sent for histology and none showed macroscopic or microscopic features of SJS/TEN. On follow-up, only 12/20 children were tested for HIV at 6 weeks post-delivery and none of them were HIV-infected. All had received prophylactic ARVs including nevirapine.TEN, the severe form of the disease, was associated with poorer foetal outcomes. SJS/TEN-associated mortality is not increased in HIV-infected pregnant women. Maternal SJS/TEN does not seem to commonly manifest in the foetus.

  3. Molecular cloning and biologically active production of IpaD N-terminal region.

    Science.gov (United States)

    Hesaraki, Mahdi; Saadati, Mojtaba; Honari, Hossein; Olad, Gholamreza; Heiat, Mohammad; Malaei, Fatemeh; Ranjbar, Reza

    2013-07-01

    Shigella is known as pathogenic intestinal bacteria in high dispersion and pathogenic bacteria due to invasive plasmid antigen (Ipa). So far, a number of Ipa proteins have been studied to introduce a new candidate vaccine. Here, for the first time, we examined whether the N-terminal region of IpaD(72-162) could be a proper candidate for Shigella vaccine. Initially, the DNA sequence coding N-terminal region was isolated by PCR from Shigella dysenteriae type I and cloned into pET-28a expression vector. Then, the heterologous protein was expressed, optimized and purified by affinity Ni-NTA column. Western blot analysis using, His-tag and IpaD(72-162) polyclonal antibodies, confirmed the purity and specificity of the recombinant protein, respectively. Subsequently, the high immunogenicity of the antigen was shown by ELISA. The results of the sereny test in Guinea pigs showed that IpaD(72-162) provides a protective system against Shigella flexneri 5a and S. dysenteriae type I. Copyright © 2013. Published by Elsevier Ltd.

  4. Shigella IpaD has a dual role: signal transduction from the type III secretion system needle tip and intracellular secretion regulation.

    Science.gov (United States)

    Roehrich, A Dorothea; Guillossou, Enora; Blocker, Ariel J; Martinez-Argudo, Isabel

    2013-02-01

    Type III secretion systems (T3SSs) are protein injection devices essential for the interaction of many Gram-negative bacteria with eukaryotic cells. While Shigella assembles its T3SS when the environmental conditions are appropriate for invasion, secretion is only activated after physical contact with a host cell. First, the translocators are secreted to form a pore in the host cell membrane, followed by effectors which manipulate the host cell. Secretion activation is tightly controlled by conserved T3SS components: the needle tip proteins IpaD and IpaB, the needle itself and the intracellular gatekeeper protein MxiC. To further characterize the role of IpaD during activation, we combined random mutagenesis with a genetic screen to identify ipaD mutant strains unable to respond to host cell contact. Class II mutants have an overall defect in secretion induction. They map to IpaD's C-terminal helix and likely affect activation signal generation or transmission. The Class I mutant secretes translocators prematurely and is specifically defective in IpaD secretion upon activation. A phenotypically equivalent mutant was found in mxiC. We show that IpaD and MxiC act in the same intracellular pathway. In summary, we demonstrate that IpaD has a dual role and acts at two distinct locations during secretion activation. © 2013 Blackwell Publishing Ltd.

  5. Pengembangan Media Pembelajaran Berupa Buletin dalam Bentuk Buku Saku untuk Pembelajran IPA Terpadu

    Directory of Open Access Journals (Sweden)

    Ardian Asyhari

    2016-04-01

    Penelitian ini bertujuan untuk; 1 mengembangkan media pembelajaran berupa buletin IPA terpadu pada materi bunyi; 2 mengetahui respon peserta didik terhadap kelayakan media pembelajaran berupa buletin IPA terpadu pada materi bunyi untuk peserta didik kelas VIII, dengan rumusan masalah; 1 Bagaimana mengembangkan media pembelajaran berupa buletin IPA terpadu pada materi bunyi?; 2 Bagaimana respon peserta didik terhadap kelayakan media pembelajaran berupa buletin IPA terpadu pada materi bunyi. Penelitian ini merupakan penelitian R&D yang mengadopsi pengembangan dari Borg & Gall. Subjek dalam penelitian ini adalah peserta didik kelas VIII SMP Negeri 7 Bandar lampung dan SMP Negeri 21 Bandar Lampung berjumlah 40 orang peserta didik dan instrumen pengumpulan data yang digunakan berupa angket yang diberikan kepada ahli materi, ahli media, dan guru IPA SMP untuk menguji kelayakan media pembelajaran berupa buletin dalam bentuk buku saku untuk pembelajaran IPA terpadu. Jenis data yang dihasilkan adalah data kualitatif dan kuantitatif yang dianalisis dengan pedoman kriteria kategori penilaian untuk menentukan kelayakan produk. Hasil penelitian ini adalah; 1 telah dikembangkan media pembelajaran berupa buletin IPA terpadu dalam bentuk buku saku; 2 kelayakan media pembelajaran buletin IPA terpadu yang telah dikembangkan adalah sangat layak dengan persentasi 82 % berdasarkan penilaian ahli materi tahap akhir setelah perbaikan, ahli desain dengan persentase 79,4% dengan kriteria layak 3 dengan persentase adalah 77,6%, penilaian guru dengan kriteria adalah layak 4 hasil respon peserta didik dengan persentase 80% dengan kriteria layak. Kata kunci: buku saku, buletin, media pembelajaran

  6. PENGEMBANGAN ASESMEN METAKOGNISI CALON GURU IPA MELALUI PEMBELAJARAN BERBASIS MASALAH

    Directory of Open Access Journals (Sweden)

    Anggun Zuhaida

    2015-11-01

    Full Text Available This research aims to develop a metacognition assessment for students of IPA teacher candidates through problem-based learning. Subjects tested in this study were 30 students in the Department Tadris IPA IAIN Salatiga using one group pretest-posttest design. Assessment isdeveloped based on metacognition indicators including an essay test assessment, performance assessment, assessment of attitudes and self assessment. The result of essay test indicates an increase in the ability of metacognition in general by the N-gain of 0.5 (medium category where as performances and attitudes assessment lie in the good and excellent categories, while the self-assessment shows improvement results with N-gain of 0:45 (medium category. Overall, problem-based learning enhances the skills of metacognition that is "evaluation" on students of IPA teacher candidates.

  7. IPA kavandab endale uut tehast / Erik Aru

    Index Scriptorium Estoniae

    Aru, Erik

    2005-01-01

    Ettevõte Interconnect Product Assembly (IPA) alustas juhtmeköidiste valmistajana, kuid püüab keskenduda aina keerulisemate seadmete tootmisele. Tabel: Interconnect Product Assembly. Lisa: Tootmisjuhid lõid oma tehase

  8. Detergent Isolation Stabilizes and Activates the Shigella Type III Secretion System Translocator Protein IpaC.

    Science.gov (United States)

    Bernard, Abram R; Duarte, Shari M; Kumar, Prashant; Dickenson, Nicholas E

    2016-07-01

    Shigella rely on a type III secretion system as the primary virulence factor for invasion and colonization of human hosts. Although there are an estimated 90 million Shigella infections, annually responsible for more than 100,000 deaths worldwide, challenges isolating and stabilizing many type III secretion system proteins have prevented a full understanding of the Shigella invasion mechanism and additionally slowed progress toward a much needed Shigella vaccine. Here, we show that the non-denaturing zwitterionic detergent N, N-dimethyldodecylamine N-oxide (LDAO) and non-ionic detergent n-octyl-oligo-oxyethylene efficiently isolated the hydrophobic Shigella translocator protein IpaC from the co-purified IpaC/IpgC chaperone-bound complex. Both detergents resulted in monomeric IpaC that exhibits strong membrane binding and lysis characteristics while the chaperone-bound complex does not, suggesting that the stabilizing detergents provide a means of following IpaC "activation" in vitro. Additionally, biophysical characterization found that LDAO provides significant thermal and temporal stability to IpaC, protecting it for several days at room temperature and brief exposure to temperatures reaching 90°C. In summary, this work identified and characterized conditions that provide stable, membrane active IpaC, providing insight into key interactions with membranes and laying a strong foundation for future vaccine formulation studies taking advantage of the native immunogenicity of IpaC and the stability provided by LDAO. Copyright © 2016 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  9. The Impact of Community-Based Outreach on Psychological Distress and Victim Safety in Women Exposed to Intimate Partner Abuse

    Science.gov (United States)

    DePrince, Anne P.; Labus, Jennifer; Belknap, Joanne; Buckingham, Susan; Gover, Angela

    2012-01-01

    Objective: Using a longitudinal, randomized controlled trial, this study assessed the impact of a community-based outreach versus a more traditional criminal justice system-based referral program on women's distress and safety following police-reported intimate partner abuse (IPA). Method: Women (N = 236 women) with police-reported IPA were…

  10. Perangkat Pembelajaran Model Cooperative Scripts Untuk Meningkatkan Pemahaman Konsep dan Mengeliminasi Miskonsepsi IPA pada Siswa Sekolah Dasar

    Directory of Open Access Journals (Sweden)

    Dian Eka Indriani

    2017-01-01

    Full Text Available Telah dilakukan penelitian pengembangan perangkat pembelajaran IPA di Sekolah Dasar model Cooperative Scripts dengan 4D modifikasi yang bertujuan untuk mengeliminasi Miskonsepsi pemahaman konsep IPA pada pokok bahasan materi sistem pernapasan. Data dianalisis secara deskriptif kualitatif dan deskriptif kuantitatif. Hasil penelitian menunjukkan perangkat pembelajaran valid, keterlaksanaan pembelajaran baik (3.97, kegiatan berpusat pada murid aktif. Hasil tes pemahaman konsep siswa dianalisis dengan N-gain menunjukkan pemahaman konsep IPA siswa meningkat (0.65 begitu pula dengan eliminasi Miskonsepsi siswa, sejalan dengan hasil penilaian afektif siswa menunjukkan hasil yang baik (3.9. Simpulan penelitian ini, bahwa perangkat pembelajaran IPA model Cooperative Scripts layak, dapat meningkatkan dan berpengaruh secara signifikan terhadap eliminasi Miskonsepsi pemahaman konsep IPA siswa di Sekolah Dasar. 

  11. Integrated Power, Avionics, and Software (IPAS) Flexible Systems Integration

    Data.gov (United States)

    National Aeronautics and Space Administration — The Integrated Power, Avionics, and Software (IPAS) facility is a flexible, multi-mission hardware and software design environment. This project will develop a...

  12. Oligomeric states of the Shigella translocator protein IpaB provide structural insights into formation of the type III secretion translocon

    Science.gov (United States)

    Dickenson, Nicholas E; Choudhari, Shyamal P; Adam, Philip R; Kramer, Ryan M; Joshi, Sangeeta B; Middaugh, C Russell; Picking, Wendy L; Picking, William D

    2013-01-01

    The Shigella flexneri Type III secretion system (T3SS) senses contact with human intestinal cells and injects effector proteins that promote pathogen entry as the first step in causing life threatening bacillary dysentery (shigellosis). The Shigella Type III secretion apparatus (T3SA) consists of an anchoring basal body, an exposed needle, and a temporally assembled tip complex. Exposure to environmental small molecules recruits IpaB, the first hydrophobic translocator protein, to the maturing tip complex. IpaB then senses contact with a host cell membrane, forming the translocon pore through which effectors are delivered to the host cytoplasm. Within the bacterium, IpaB exists as a heterodimer with its chaperone IpgC; however, IpaB's structural state following secretion is unknown due to difficulties isolating stable protein. We have overcome this by coexpressing the IpaB/IpgC heterodimer and isolating IpaB by incubating the complex in mild detergents. Interestingly, preparation of IpaB with n-octyl-oligo-oxyethylene (OPOE) results in the assembly of discrete oligomers while purification in N,N-dimethyldodecylamine N-oxide (LDAO) maintains IpaB as a monomer. In this study, we demonstrate that IpaB tetramers penetrate phospholipid membranes to allow a size-dependent release of small molecules, suggesting the formation of discrete pores. Monomeric IpaB also interacts with liposomes but fails to disrupt them. From these and additional findings, we propose that IpaB can exist as a tetramer having inherent flexibility, which allows it to cooperatively interact with and insert into host cell membranes. This event may then lay the foundation for formation of the Shigella T3SS translocon pore. PMID:23456854

  13. Conformational changes in IpaD from Shigella flexneri upon binding bile salts provide insight into the second step of type III secretion.

    Science.gov (United States)

    Dickenson, Nicholas E; Zhang, Lingling; Epler, Chelsea R; Adam, Philip R; Picking, Wendy L; Picking, William D

    2011-01-18

    Shigella flexneri uses its type III secretion apparatus (TTSA) to inject host-altering proteins into targeted eukaryotic cells. The TTSA is composed of a basal body and an exposed needle with invasion plasmid antigen D (IpaD) forming a tip complex that controls secretion. The bile salt deoxycholate (DOC) stimulates recruitment of the translocator protein IpaB into the maturing TTSA needle tip complex. This process appears to be triggered by a direct interaction between DOC and IpaD. Fluorescence spectroscopy and NMR spectroscopy are used here to confirm the DOC-IpaD interaction and to reveal that IpaD conformational changes upon DOC binding trigger the appearance of IpaB at the needle tip. Förster resonance energy transfer between specific sites on IpaD was used here to identify changes in distances between IpaD domains as a result of DOC binding. To further explore the effects of DOC binding on IpaD structure, NMR chemical shift mapping was employed. The environments of residues within the proposed DOC binding site and additional residues within the "distal" globular domain were perturbed upon DOC binding, further indicating that conformational changes occur within IpaD upon DOC binding. These events are proposed to be responsible for the recruitment of IpaB at the TTSA needle tip. Mutation analyses combined with additional spectroscopic analyses confirm that conformational changes in IpaD induced by DOC binding contribute to the recruitment of IpaB to the S. flexneri TTSA needle tip. These findings lay the foundation for determining how environmental factors promote TTSA needle tip maturation prior to host cell contact.

  14. Conformational Changes in IpaD from Shigella flexneri Upon Binding Bile Salts Provide Insight into the Second Step of Type III Secretion†

    Science.gov (United States)

    Dickenson, Nicholas E.; Zhang, Lingling; Epler, Chelsea R.; Adam, Philip R.; Picking, Wendy L.; Picking, William D.

    2011-01-01

    Shigella flexneri uses its type III secretion apparatus (TTSA) to inject host-altering proteins into targeted eukaryotic cells. The TTSA is composed of a basal body and an exposed needle with invasion plasmid antigen D (IpaD) forming a tip complex that controls secretion. The bile salt deoxycholate (DOC) stimulates recruitment of the translocator protein IpaB into the maturing TTSA needle tip complex. This process appears to be triggered by a direct interaction between DOC and IpaD. Fluorescence spectroscopy and NMR spectroscopy are used here to confirm the DOC-IpaD interaction and to reveal that IpaD conformational changes upon DOC binding trigger the appearance of IpaB at the needle tip. Förster resonance energy transfer between specific sites on IpaD was used here to identify changes in distances between IpaD domains as a result of DOC binding. To further explore the effects of DOC binding on IpaD structure, NMR chemical shift mapping was employed. The environments of residues within the proposed DOC binding site and additional residues within the “distal” globular domain were perturbed upon DOC binding, further indicating that conformational changes occur within IpaD upon DOC binding. These events are proposed to be responsible for the recruitment of IpaB at the TTSA needle tip. Mutation analyses combined with additional spectroscopic analyses confirms that conformational changes in IpaD induced by DOC binding contribute to the recruitment of IpaB to the S. flexneri TTSA needle tip. These findings lay the foundation for determining how environmental factors promote TTSA needle tip maturation prior to host cell contact. PMID:21126091

  15. EFEKTIVITAS BAHAN AJAR IPA TERPADU TERHADAP KEMAMPUAN BERPIKIR TINGKAT TINGGI SISWA SMP

    Directory of Open Access Journals (Sweden)

    L. Yuliati

    2013-01-01

    Full Text Available Penelitian ini bertujuan untuk menguji efektivitas bahan ajar IPA terpadu untuk SMP, khususnya tema Air Limbah Rumah Tangga. Desain penelitian menggunakan kuasi-eksperimen dengan Pretest-Postest Control Group Design. Penelitian dilaksanakan di SMPN 20 Malang kelas VII. Sampel ditetapkan dengan purposive sampling. Perlakuan pada kelompok eksperimen adalah pembelajaran yang menggunakan bahan ajar IPA terpadu, sedangkan kelompok kontrol  menggunakan buku  sekolah elektronik (BSE. Instrumen yang digunakan adalah butir soal tes, lembar observasi pembelajaran, dan perangkat  pembelajaran. Analisis data dilakukan dengan Anava AB untuk uji perbedaan rerata dan uji scheffe untuk uji efektivitas bahan ajar. Hasil penelitian menunjukkan bahwa terdapat perbedaan kemampuan berpikir tingkat tinggi pada siswa SMP yang menggunakan bahan ajar IPA Terpadu dengan siswa SMP yang menggunakan bahan ajar IPA yang terpisah bidang kajiannya, dan bahan ajar IPA terpadu efektif untuk meningkatkan kemampuan berpikir tingkat tinggi siswa. This study aims totest the effectiveness of an integrated science teaching materials for students of junior high school, particularly in themeof Domestic Wastewater. The study designused a quasi-experimental pretest-posttest with control group design. The experiment was conductedin Junior High School of Malang. Samples were determined by purposive sampling. Treatmentin the experimental group was learning to integrated science teaching materials, whereas in the control group with the teaching materials available in schools. The instrument used were a matter oftestitems, observation sheets of learning, and learningtools. Data analysis was performed with AnovaAB totestmean difference and Scheffetesttotestthe effectiveness ofinstructional materials. The results showed that 1there aredifferences inhigher-order thinkingskillsinjunior high school students using teaching materials in integrated science withjunior high school students

  16. Characterization of Small Molecule Scaffolds that Bind to the Shigella Type III Secretion System Protein IpaD

    Science.gov (United States)

    Dey, Supratim; Anbanandam, Asokan; Mumford, Ben E.; De Guzman, Roberto N.

    2017-01-01

    Many pathogens such as Shigella and other bacteria assemble the type III secretion system (T3SS) nanoinjector to inject virulence proteins into their target cells to cause infectious diseases in humans. The rise of drug resistance among pathogens that rely on the T3SS for infectivity, plus the dearth of new antibiotics require alternative strategies in developing new antibiotics. The Shigella T3SS tip protein IpaD is an attractive target for developing anti-infectives because of its essential role in virulence and its exposure on the bacterial surface. Currently, the only known small molecules that bind to IpaD are bile salts sterols. Here, we identified four new small molecule scaffolds that bind to IpaD based on the methylquinoline, pyrrolidin-aniline, hydroxyindole, and morpholinoaniline scaffolds. NMR mapping revealed potential hotspots in IpaD for binding small molecules. These scaffolds can be used as building blocks in developing small molecule inhibitors of IpaD that could lead to new anti-infectives. PMID:28750143

  17. Diagnosis of IPA in HIV: The role of the chest X-ray and radiologist

    International Nuclear Information System (INIS)

    Zaspel, Uta; Denning, David W.; Lemke, Arne J.; Roettgen, Rainer; Bittner, Roland; Oestmann, Joerg W.; Greene, Reginald; Schuermann, Dirk; Maschmeyer, Georg; Ruhnke, Markus; Herbrecht, Raoul; Ribaud, Patricia; Lortholary, Olivier; Zonderland, Harmien; Rabe, Klaus F.; Neumann, Klaus

    2004-01-01

    The role of clinical information and chest film for the discrimination between invasive pulmonary aspergillosis (IPA) and its differential diagnoses in human immunodeficiency virus (HIV) infection was studied. The diagnostic performance of clinical information and chest film alone and in combination was studied for eight internists and eight radiologists with regular exposure to IPA patients. The multicenter case sample consisted of 25 patients with proven IPA and 25 with other pulmonary diseases typical for HIV. The cases were presented on a CD-ROM. Receiver operating characteristics (ROC) methodology was employed. With clinical information alone, internists achieved the highest diagnostic performance (area under curve/AUC=0.84). Viewing the chest films did not contribute to their performance (AUC=0.80, P=0.26). The radiologist's performance on the basis of viewing the chest film (AUC=0.75) increased significantly (P=0.012) when clinical information (AUC=0.83) was supplied. IPA cases with characteristic radiological appearance were correctly identified in 90% with chest film. For radiologists with regular exposure to HIV patients, chest films hold relevant information and contribute to the determination in cases with characteristic radiological appearance. Overall and especially in cases with less characteristic radiological appearance, they have significant profit from full access to the clinical data. For internists with regular exposure to HIV patients, chest films do not provide information essential for the verification or differentiation of potential IPA. (orig.)

  18. Nondestructive Induced Residual Stress Assessment in Superalloy Turbine Engine Components Using Induced Positron Annihilation (IPA)

    International Nuclear Information System (INIS)

    Rideout, C. A.; Ritchie, S. J.; Denison, A.

    2007-01-01

    Induced Positron Analysis (IPA) has demonstrated the ability to nondestructively quantify shot peening/surface treatments and relaxation effects in single crystal superalloys, steels, titanium and aluminum with a single measurement as part of a National Science Foundation SBIR program and in projects with commercial companies. IPA measurement of surface treatment effects provides a demonstrated ability to quantitatively measure initial treatment effectiveness along with the effect of operationally induced changes over the life of the treated component. Use of IPA to nondestructively quantify surface and subsurface residual stresses in turbine engine materials and components will lead to improvements in current engineering designs and maintenance procedures

  19. Characterization of Small-Molecule Scaffolds That Bind to the Shigella Type III Secretion System Protein IpaD.

    Science.gov (United States)

    Dey, Supratim; Anbanandam, Asokan; Mumford, Ben E; De Guzman, Roberto N

    2017-09-21

    Many pathogens such as Shigella and other bacteria assemble the type III secretion system (T3SS) nanoinjector to inject virulence proteins into their target cells to cause infectious diseases in humans. The rise of drug resistance among pathogens that rely on the T3SS for infectivity, plus the dearth of new antibiotics require alternative strategies in developing new antibiotics. The Shigella T3SS tip protein IpaD is an attractive target for developing anti-infectives because of its essential role in virulence and its exposure on the bacterial surface. Currently, the only known small molecules that bind to IpaD are bile salt sterols. In this study we identified four new small-molecule scaffolds that bind to IpaD, based on the methylquinoline, pyrrolidine-aniline, hydroxyindole, and morpholinoaniline scaffolds. NMR mapping revealed potential hotspots in IpaD for binding small molecules. These scaffolds can be used as building blocks in developing small-molecule inhibitors of IpaD that could lead to new anti-infectives. © 2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

  20. The IpaC carboxyterminal effector domain mediates Src-dependent actin polymerization during Shigella invasion of epithelial cells.

    Directory of Open Access Journals (Sweden)

    Joëlle Mounier

    2009-01-01

    Full Text Available Shigella, the causative agent of bacillary dysentery, invades epithelial cells by locally reorganizing the actin cytoskeleton. Shigella invasion requires actin polymerization dependent on the Src tyrosine kinase and a functional bacterial type III secretion (T3S apparatus. Using dynamic as well as immunofluorescence microscopy, we show that the T3S translocon component IpaC allows the recruitment of the Src kinase required for actin polymerization at bacterial entry sites during the initial stages of Shigella entry. Src recruitment occurred at bacterial-cell contact sites independent of actin polymerization at the onset of the invasive process and was still observed in Shigella strains mutated for translocated T3S effectors of invasion. A Shigella strain with a polar mutation that expressed low levels of the translocator components IpaB and IpaC was fully proficient for Src recruitment and bacterial invasion. In contrast, a Shigella strain mutated in the IpaC carboxyterminal effector domain that was proficient for T3S effector translocation did not induce Src recruitment. Consistent with a direct role for IpaC in Src activation, cell incubation with the IpaC last 72 carboxyterminal residues fused to the Iota toxin Ia (IaC component that translocates into the cell cytosol upon binding to the Ib component led to Src-dependent ruffle formation. Strikingly, IaC also induced actin structures resembling bacterial entry foci that were enriched in activated Src and were inhibited by the Src inhibitor PP2. These results indicate that the IpaC effector domain determines Src-dependent actin polymerization and ruffle formation during bacterial invasion.

  1. Women's evaluation of abuse and violence care in general practice: a cluster randomised controlled trial (weave

    Directory of Open Access Journals (Sweden)

    Feder Gene

    2010-01-01

    Full Text Available Abstract Background Intimate partner abuse (IPA is a major public health problem with serious implications for the physical and psychosocial wellbeing of women, particularly women of child-bearing age. It is a common, hidden problem in general practice and has been under-researched in this setting. Opportunities for early intervention and support in primary care need to be investigated given the frequency of contact women have with general practice. Despite the high prevalence and health consequences of abuse, there is insufficient evidence for screening in primary care settings. Furthermore, there is little rigorous evidence to guide general practitioners (GPs in responding to women identified as experiencing partner abuse. This paper describes the design of a trial of a general practice-based intervention consisting of screening for fear of partner with feedback to GPs, training for GPs, brief counselling for women and minimal practice organisational change. It examines the effect on women's quality of life, mental health and safety behaviours. Methods/Design weave is a cluster randomised controlled trial involving 40 general practices in Victoria, Australia. Approximately 500 women (16-50 years seen by the GP in the previous year are mailed a short lifestyle survey containing an item to screen for IPA. Women who indicate that they were afraid of a partner/ex-partner in the last year and provide contact details are invited to participate. Once baseline data are collected, GPs are randomly assigned to either a group involving healthy relationship and responding to IPA training plus inviting women for up to 6 sessions of counselling or to a group involving basic education and usual care for women. Outcomes will be evaluated by postal survey at 6 and 12 months following delivery of the intervention. There will be an economic evaluation, and process evaluation involving interviews with women and GPs, to inform understanding about implementation

  2. Accumulation Systems of Electric Energy Solved by Multicriteria Analysis Methods IPA and Topsis

    Directory of Open Access Journals (Sweden)

    Zdenek Hradilek

    2008-01-01

    Full Text Available This work deals with utilization of multicriteria analysis methods IPA and TOPSIS to assess three storage systems (Fuel Cells, Lead Acid Batteries and Pumped Storage Hydro Plants. Procedures of IPA and TOPSIS methods are described here as like as calculation of mentioned problem. Storage systems are assessed in terms of four criteria (Start up Time, Efficiency of Accumulation, Lifetime and Specific Costs/ kW of Power Output. Weights of criteria are also focused here. They are suggested by experts and statistically calculated.

  3. PENGARUH IMPLEMENTASI THE 4-E LEARNING CYCLE TERHADAP PENGETAHUAN, KETERAMPILAN PROSES DASAR, DAN SIKAP ILMIAH IPA SISWA SDK KEREROBBO

    Directory of Open Access Journals (Sweden)

    Ferdinandus Bele Sole

    2013-01-01

    Full Text Available Penelitian ini bertujuan untuk mengetahui pengaruh model 4-E learning cycle terhadap: (1 pe-ngetahuan IPA siswa SD, (2 keterampilan proses dasar IPA siswa SD, dan (3 sikap ilmiah IPA siswa SD. Penelitian ini merupakan penelitian eksperimen semu. Populasi dalam penelitian ini adalah selu-ruh siswa kelas V SDK Kererobbo, Kecamatan Kota Tambolaka semester II tahun ajaran 2012/ 2013. Pengambilan sampel dilakukan dengan teknik sampling jenuh untuk dijadikan sebagai kelas eksperi-men dan kelas kontrol. Pada kelas eksperimen dilaksanakan pembelajaran IPA dengan menggunakan model 4-E Learning Cycle, sedangkan pada kelas kontrol menggunakan pembelajaran ekspositori. Instrumen yang digunakan adalah (1 tes terintegrasi untuk mengukur pengetahuan dan keterampilan proses dasar IPA dan (2 skala sikap untuk mengukur sikap ilmiah. Analisis data menggunakan (1 statistik deskriptif untuk mendeskripsikan data pengetahuan, keterampilan proses dasar dan sikap ilmi-ah; dan (2 statistik inferensial dengan menggunakan independent sampel t-test untuk menguji hipote-sis penelitian pada taraf signifikansi 5% (α = 0,05. Hasil penelitian menunjukkan bahwa: (1 penerap-an model 4-E learning cycle berpengaruh positif dan signifikan terhadap pengetahuan IPA siswa di SDK Kererobbo dengan nilai sig 0,044; (2 penerapan model 4-E learning cycle berpengaruh positif dan signifikan terhadap keterampilan proses dasar IPA siswa di SDK Kererobbo dengan nilai sig 0,020; dan (3 penerapan model 4-E learning cycle berpengaruh positif dan signifikan terhadap sikap ilmiah siswa di SDK Kererobbo dengan nilai sig 0,000. Kata Kunci: the 4-E Learning Cycle, pembelajaran ekspositori, pengetahuan sains, keterampilan proses dasar, sikap ilmiah.

  4. KEEFEKTIFAN PEMBELAJARAN BENCANA ALAM BERVISI SETS TERINTEGRASI DALAM IPA DENGAN MEDIA ANIMASI DAN LEMBAR PERTANYAAN

    Directory of Open Access Journals (Sweden)

    F. Ferawati*

    2012-07-01

    Full Text Available Penelitian ini bertujuan untuk menentukan keefektifan pembelajaran bencana alam banjir bervisi SETS terintegrasi dalam materi IPA pokok bahasan Perubahan Lingkungan Fisik dengan media animasi dan lembar pertanyaan sebagai solusi alternatif mengatasi rendahnya pemahaman masyarakat terhadap bencana alam banjir melalui pembelajaran formal sejak dini. Desain penelitian ini adalah penelitian eksperimen Pretest-Posttest Control Group Design dengan objek siswa kelas IV SD Tahun Ajaran 2010/2011. Hasil belajar siswa pada materi IPA, bencana alam banjir dan ketuntasan belajar dianalisis dengan uji signifikansi gain. Hasil analisis data menunjukkan siswa yang dikenai pembelajaran bencana alam banjir bervisi SETS terintegrasi dalam materi IPA dengan media animasi dan lembar pertanyaan lebih baik daripada siswa yang dikenai pembelajaran bencana alam banjir bervisi SETS terintegrasi dalam materi IPA dengan media LKS dan pertanyaan mandiri. Dengan demikian dapat disimpulkan bahwa pembelajaran bencana alam banjir bervisi SETS yang terintegrasi dalam materi IPA pokok bahasan Perubahan Lingkungan Fisik dengan media animasi dan lembar pertanyaan lebih efektif dalam meningkatkan pemahaman konsep bencana alam dan IPA.This study aims to determine the effectiveness of flood natural disasters learning based on SETS vision integrated to Science subject: Physical Environment Changes applying animation media and the question sheet as an alternative solution to overcome the lack of earlier understanding of society to flood natural disasters. Experimental research design: Control Group Pretest-posttest was used with fourth grade students of elementary school of Bandarharjo 02 academic year 2010/2011 used as the research object. Students’ learning outcomes of science: flood natural disasters topic and students’ achievement were analysed through the use of significance gain test. The results of the analysis of experimental data showed the experiment class

  5. The impact of non-IPA HMOs on the number of hospitals and hospital capacity.

    Science.gov (United States)

    Chernew, M

    1995-01-01

    Concentration in the hospital market could limit the success of health care reform strategies that rely on managed care to constrain costs. Hospital market capacity also is important because capacity affects both costs and the degree of price competition. Because managed care plans, particularly non-individual practice association (non-IPA) model HMOs, practice a less hospital-intensive style of care, consolidation and downsizing in the hospital market potentially will accompany managed care growth, influencing the long-run effectiveness of managed care cost-containment strategies. Using Standard Metropolitan Statistical Area (SMSA) data from 1982 and 1987, a 10-percentage point increase in non-IPA HMO market share is estimated to reduce the number of hospitals by about 4%, causing an approximate 5% reduction in the number of hospital beds. No statistically significant relationship is found between non-IPA HMO penetration rates and hospital occupancy rates.

  6. The Interpretative Phenomenological Analysis (IPA: A Guide to a Good Qualitative Research Approach

    Directory of Open Access Journals (Sweden)

    Abayomi Alase

    2017-04-01

    Full Text Available As a research methodology, qualitative research method infuses an added advantage to the exploratory capability that researchers need to explore and investigate their research studies. Qualitative methodology allows researchers to advance and apply their interpersonal and subjectivity skills to their research exploratory processes. However, in a study with an interpretative phenomenological analysis (IPA approach, the advantageous elements of the study quadruple because of the bonding relationship that the approach allows for the researchers to develop with their research participants. Furthermore, as a qualitative research approach, IPA gives researchers the best opportunity to understand the innermost deliberation of the ‘lived experiences’ of research participants. As an approach that is ‘participant-oriented’, interpretative phenomenological analysis approach allows the interviewees (research participants to express themselves and their ‘lived experience’ stories the way they see fit without any distortion and/or prosecution. Therefore, utilizing the IPA approach in a qualitative research study reiterates the fact that its main objective and essence are to explore the ‘lived experiences’ of the research participants and allow them to narrate the research findings through their ‘lived experiences’. As such, this paper discusses the historical background of phenomenology as both a theory and a qualitative research approach, an approach that has transitioned into an interpretative analytical tradition. Furthermore, as a resource tool to novice qualitative researchers, this paper provides a step-by-step comprehensive guide to help prepare and equip researchers with ways to utilize and apply the IPA approach in their qualitative research studies.  More importantly, this paper also provides an advanced in-depth analysis and usability application for the IPA approach in a qualitatively conducted research study. As such, this

  7. Peningkatan Keterampilan Pengambilan Keputusan Dan Penguasaan Konsep IPA Melalui Model Pembelajaran Advance Organizer Di Sekolah Dasar

    OpenAIRE

    Badarudin

    2017-01-01

    Peningkatan Keterampilan Pengambilan Keputusan dan Penguasaan Konsep IPA melalui Model Pembelajaran Advance Organizer di Sekolah Dasar. Penelitian ini bertujuan untuk mengetahui perbedaan peningkatan keterampilan pengambilan keputusan dan pemahaman konsep IPA siswa sebagai dampak dari implementasi model Advance Organizer. Penelitian ini menggunakan metode kuasi eksperimen dengan desain Non equivalent (Pre-Test and Post- Test) Control Groups Design. Subyek penelitian adalah siswa kelas V pada ...

  8. Meningkatkan Prestasi Belajar IPA Melalui Model Pembelajaran Kooperatif Think-Pairs Share (TPS

    Directory of Open Access Journals (Sweden)

    Rusman Rusman

    2014-02-01

    Full Text Available Mata pelajaran IPA merupakan mata pelajaran yang menekankan siswa untuk mencari atau menemukan pengetahuanya sendiri. Model pembelajaran yang digunakan guru sangat berpengaruh dalam menciptakan situasi belajar yang benar-benar menyenangkan dan mendukung kelancaran proses belajar mengajar, serta sangat membantu dalam pencapaian prestasi belajar yang memuaskan. Akan tetapi, dalam pelaksanaan di lapangan pembelajaran banyak didominasi oleh guru sehingga kurang mampu membangun persepsi, minat, dan sikap siswa yang lebih baik. Hal tersebut juga dijumpai di SDN Pinggir Papas 1 Sumenep, siswa sulit memahami materi yang ada. Kendala yang terjadi adalah siswa merasa bosan dan tidak berminat mengikuti pembelajaran IPA. Hasil nilai ulangan harian dari 25 siswa hanya 9 siswa (36% yang mendapatkan nilai di atas KKM (65. Dari hasil tersebut, peneliti merasa perlu sekali melakukan perbaikan pembelajaran agar sehingga hasil belajar siswa dapat ditingkatkan, yaitu dengan menerapkan model  pembelajaran kooperatif Think-Pair-Share (TPS. Sesuai rumusan masalah “apakah model pembelajaran kooperatif Think-Pairs-Share (TPS dapat meningkatkan Prestasi Belajar IPA pada Siswa Kelas IIIA SDN Pinggir Papas 1 Sumenep?”, maka dilakukan metode penelitian dengan observasi dan tes. Hasil dari dua siklus penelitian yang melalui tahapan perencanaan, pelaksanaan, pengamatan, dan refleksi diperoleh hasil prestasi belajar siswa meningkat dari 67,8 dengan ketuntasan belajar 72% menjadi 80,4 dengan ketuntasan 100%. Sehingga dapat disimpulkan bahwa penerapan model pembelajaran kooperatif Think Pairs Share mampu meningkatkan prestasi belajar IPA pada siswa kelas IIIA SDN Pinggir Papas 1 Sumenep, dengan peningkatan yang sangat signifikan yaitu sebesar 28% melebihi kriteria peningkatan yang ditentukan yaitu 20%. Selain itu, model pembelajaran kooperatif Think Pairs Share efektif digunakan sebagai salah satu metode pembelajaran di kelas karena dapat menjadikan siswa aktif dalam

  9. 10 CFR 603.675 - Reporting use of IPA for subawards.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Reporting use of IPA for subawards. 603.675 Section 603.675 Energy DEPARTMENT OF ENERGY (CONTINUED) ASSISTANCE REGULATIONS TECHNOLOGY INVESTMENT AGREEMENTS Award Terms Affecting Participants' Financial, Property, and Purchasing Systems Financial Matters § 603...

  10. UPAYA PENUMBUHAN SIKAP TANGGAP BENCANA TSUNAMI MELALUI PEMBELAJARAN BERVISI SETS IPA KELAS V SEKOLAH DASAR

    Directory of Open Access Journals (Sweden)

    Tri Puas Restiadi

    2013-03-01

    Full Text Available AbstrakPembelajaran IPA di SD Negeri Glempangpasir 01 masih menggunakan metode ceramah dan hafalan serta kurang menekankan keterkaitan antara sains, lingkungan, teknologi dan masyarakat atau science, environment, technology, society (SETS dalam menumbuhkan sikap tanggap bencana tsunami. Penelitian ini bertujuan mengembangkan perangkat pemb- elajaran bervisi SETS IPA yang valid, efektif, dan praktis. Perangkat yang dikembangkan:  silabus, RPP, buku ajar, LKS, dan tes hasil belajar. Penelitian pengembangan (R & D ini terdiri atas 4 tahap yaitu tahap pengembangan, validasi, uji coba skala terbatas, dan uji coba skala luas. Data validitas dan kepraktisan perangkat pembelajaran dianalisis dengan deskriptif persentase. Perbedaan hasil belajar dianalisis dengan uji t-test berpasangan, sedangkan ke- tuntasan hasil belajar siswa dihitung dengan uji - z.. Hasil penelitian  menunjukkan bahwa perangkat pembelajaran berbasis SETS IPA valid dengan rerata nilai 3,69 pada kategori sangat baik. Penerapan perangkat pembelajaran berbasis SETS IPA praktis ditinjau dari rerata ket- erlaksanaan RPP 3,79 dalam kategori sangat baik, respons siswa dan respons guru mecapai kategori sangat baik. Penerapan  perangkat  pembelajaran berbasis SETS IPA efektif dalam mencapai ketuntasan hasil belajar klasikal ≥ 75% dan ketuntasan individu (KKM ≥ 70, rerata hasil belajar kelas eksperimen lebih besar dari rerata hasil belajar kelas kontrol, dan berbeda secara signifikan karena t hitung > t tabel. AbstractScience learning in elementary school Glempangpasir 01 still use the lecture method and rote and less stressed linkages between science, environment, technology and society or SETS in growing tsunami disas- ter responsiveness. This study aims to develop a vision of learning tools SETS IPA valid, effective, and practical. Device developed: syllabi, lesson plans, textbooks, worksheets, and achievement test. Research & development (R & D is composed of 4 phases: development

  11. The Establishment of a Green Supplier Selection and Guidance Mechanism with the ANP and IPA

    Directory of Open Access Journals (Sweden)

    Chih-Chao Chung

    2016-03-01

    Full Text Available This study aims to establish a green supplier selection and guidance mechanism by integrating the features of an ANP (Analytic Network Process and an IPA (Importance–Performance Analysis to achieve sustainable management for green supply chains. Using an expert survey, this study developed green supplier selection criteria. It adopted an ANP, which allows for interdependencies and feedback between the various criteria, to select competitive green suppliers. Then, it used an IPA, which can analyze the criteria’s significance and performance levels, to provide green suppliers with direction for guidance and improvements. The green supplier selection and guidance mechanism featuring an ANP and IPA is thus established and validated through case studies. The research results showed the following: (1 the green supplier selection criteria comprise a total of 11 performance evaluation criteria from the three dimensions of operation, competence, and environmental consciousness; (2 as shown by the APN evaluation results, environmental benefits, environmental regulations, finance, technological competence, and delivery time are the top five among the overall green criteria of the company; the performance of the various suppliers is thus arranged in order, and the most competitive supplier is selected; (3 an IPA is used to analyze the criteria’s significance and supplier performance levels and to provide the suppliers with suggestions on priority improvements, including implementing the requirements in the environmental regulations, establishing comprehensive financial management procedures, improving corporate technological competence, and consolidating customer service; (4 it is suggested that an ANP and IPA should be integrated in the applications, which could simplify the green supplier selection and guidance mechanisms and increase the efficiency of supplier management, thus creating a three-win situation for the clients, the company, and the

  12. Intimate partner violence among African American and African Caribbean women: prevalence, risk factors, and the influence of cultural attitudes

    Directory of Open Access Journals (Sweden)

    Jamila K. Stockman

    2014-09-01

    Full Text Available Background: Women of African descent are disproportionately affected by intimate partner abuse; yet, limited data exist on whether the prevalence varies for women of African descent in the United States and those in the US territories. Objective: In this multisite study, we estimated lifetime and 2-year prevalence of physical, sexual, and psychological intimate partner abuse (IPA among 1,545 women of African descent in the United States and US Virgin Islands (USVI. We also examined how cultural tolerance of physical and/or sexual intimate partner violence (IPV influences abuse. Design: Between 2009 and 2011, we recruited African American and African Caribbean women aged 18–55 from health clinics in Baltimore, MD, and St. Thomas and St. Croix, USVI, into a comparative case-control study. Screened and enrolled women completed an audio computer-assisted self-interview. Screening-based prevalence of IPA and IPV were stratified by study site and associations between tolerance of IPV and abuse experiences were examined by multivariate logistic regression analysis. Results: Most of the 1,545 screened women were young, of low-income, and in a current intimate relationship. Lifetime prevalence of IPA was 45% in St. Thomas, 38% in St. Croix, and 37% in Baltimore. Lifetime prevalence of IPV was 38% in St. Thomas, 28% in St. Croix, and 30% in Baltimore. Past 2-year prevalence of IPV was 32% in St. Thomas, 22% in St. Croix, and 26% in Baltimore. Risk and protective factors for IPV varied by site. Community and personal acceptance of IPV were independently associated with lifetime IPA in Baltimore and St. Thomas. Conclusions: Variance across sites for risk and protective factors emphasizes cultural considerations in sub-populations of women of African descent when addressing IPA and IPV in given settings. Individual-based interventions should be coupled with community/societal interventions to shape attitudes about use of violence in relationships and to

  13. The Platelia Aspergillus ELISA in diagnosis of invasive pulmonary aspergilosis (IPA).

    Science.gov (United States)

    Siemann, M; Koch-Dörfler, M

    2001-01-01

    The sensitivity of a sandwich enzyme-linked immunosorbent assay (ELISA) for detecting Aspergillus galactomannan was evaluated with 66 serum samples and 113 specimens of the respiratory tract obtained from 52 patients with pulmonary diseases. The patients were divided into five groups: proven invasive pulmonary aspergillosis (IPA) (five patients), probable IPA (seven patients), Aspergillus colonization (eight patients) or unlikely Aspergillus infection (27 patients). Another five patients with doubtful diagnostic test results are discussed in detail. The results of the Platelia Aspergillus ELISA (Sanofi Pasteur, Freiburg, Germany) in testing specimens of the respiratory tract were 90% sensitivity in proven (serum 38%), 60% in probable (serum 37%) and 71% in Aspergillus colonization (serum 0%). Furthermore, 85% of the Aspergillus spp. from positive cultures of specimens of the respiratory tract were also detected in the ELISA. A total of 57% of the culture negative specimens of patients with a least one positive culture or proven aspergillosis in a series of specimens were positive in the ELISA.

  14. Penerapan Model Pembelajaran TPS Untuk Meningkatkan Hasil Belajar IPA Siswa Kelas V SD No 1 Mengwitani

    Directory of Open Access Journals (Sweden)

    I W Daniel Winantara

    2017-05-01

    Full Text Available Tujuan penelitian ini untuk mengetahui peningkatan hasil belajar IPA siswa kelas V SD No. 1 Mengwitani setelah diterapkannya model pembelajaran think pair share (TPS. Penelitian ini adalah penelitian tindakan kelas yang dilakukan dalam dua siklus. Subjek dalam penelitian ini adalah siswa kelas V yang berjumlah 32 orang. Data penelitian ini tentang hasil belajar yang dikumpulkan dengan menggunakan metode tes. Data dianalisis dengan menggunakan statistik kuantitatif. Hasil penelitian menunjukkan adanya peningkatan terhadap hasil belajar IPA siswa kelas V SD No. 1 Mengwitani. Hal ini ditunjukkan dengan hasil penelitian yang diperoleh yaitu persentase rata-rata hasil belajar pada siklus I sebesar 75,31% yang berada pada kategori sedang dan pada siklus II menjadi 80,15% yang berada pada kategori tinggi. Dengan ketuntasan belajar siswa pada siklus I sebesar 65,62% dan pada siklus II mencapai 87,5%. Berdasarkan hasil penelitian tersebut dapat disimpulkan penerapan model pembelajaran think pair share dapat meningkatkan hasil belajar IPA siswa kelas V SD No. 1 Mengwitani.

  15. An exploration of the role of employment as a coping resource for women experiencing intimate partner abuse.

    Science.gov (United States)

    Beecham, David

    2014-01-01

    There has been a growing interest amongst researchers and practitioners regarding the various coping strategies adopted by women experiencing intimate partner abuse (IPA). These studies have tended to adopt and adapt the stress-coping model developed by Lazarus and Folkman (1984) and thus make the distinction between emotion and problem-solving coping strategies and the resources available for women to cope. Even though, contemporary coping scholars acknowledge the role of employment and coping, it is still unclear as to how employment facilitates women's coping strategies. Drawing on findings from a qualitative study, this article explores how employment and workplace environments provide survivors of IPA with resources that allow them to cope with the abuse. By incorporating theoretical insights developed in the field of organizational studies, namely boundary work and organizational identities, these findings develop our understanding of the role of employment in survivors' coping strategies. Finally, the findings demonstrate the valuable contribution of interdisciplinarity in furthering our knowledge of coping strategies and the positive aspects of employment for survivors of IPA.

  16. Measuring participation of social-support clients: : validity and reliability of IPA-MO

    NARCIS (Netherlands)

    Berenschot, L.; Grift, Y.K.

    2017-01-01

    This study evaluates the reliability and validity of the Impact on Autonomy and Participation instrument (IPA) for heterogeneous populations of social support clients. Decentralisation of social support and accompanying budget cuts spurred interest in outcome-related payment systems to foster

  17. Co-administration of rIpaB domain of Shigella with rGroEL of S. Typhi enhances the immune responses and protective efficacy against Shigella infection.

    Science.gov (United States)

    Chitradevi, Sekar Tamil Selvi; Kaur, Gurpreet; Uppalapati, Sivaramakrishna; Yadav, Anandprakash; Singh, Dependrapratap; Bansal, Anju

    2015-11-01

    Shigella species cause severe bacillary dysentery in humans and are associated with high morbidity and mortality. The Invasion plasmid antigen (IpaB) protein, which is conserved across all Shigella spp., induces macrophage cell death and is required to invade host cells. The present study evaluates the immunogenicity and protective efficacy of the recombinant (r) domain region of IpaB (rIpaB) of S. flexneri. rIpaB was administered either alone or was co-administered with the rGroEL (heat shock protein 60) protein from S. Typhi as an adjuvant in a mouse model of intranasal immunization. The IpaB domain region (37 kDa) of S. flexneri was amplified from an invasion plasmid, cloned, expressed in BL21 Escherichia coli cells and purified. Immunization with the rIpaB domain alone stimulated both humoral and cell-mediated immune responses. Furthermore, robust antibody (IgG, IgA) and T-cell responses were induced when the rIpaB domain was co-administered with rGroEL. Antibody isotyping revealed higher IgG1 and IgG2a antibody titers and increased interferon-gamma (IFN-γ) secretion in the co-administered group. Immunization of mice with the rIpaB domain alone protected 60%-70% of the mice from lethal infection by S. flexneri, S. boydii and S. sonnei, whereas co-administration with rGroEL increased the protective efficacy to 80%-85%. Organ burden and histopathological studies also revealed a significant reduction in lung infection in the co-immunized mice compared with mice immunized with the rIpaB domain alone. This study emphasizes that the co-administration of the rIpaB domain and rGroEL protein improves immune responses in mice and increases protective efficacy against Shigella infection. This is also the first report to evaluate the potential of the GroEL (Hsp 60) protein of S. Typhi as an adjuvant molecule, thereby overcoming the need for commercial adjuvants.

  18. Study of the Gray Scale, Polychromatic, Distortion Invariant Neural Networks Using the Ipa Model.

    Science.gov (United States)

    Uang, Chii-Maw

    Research in the optical neural network field is primarily motivated by the fact that humans recognize objects better than the conventional digital computers and the massively parallel inherent nature of optics. This research represents a continuous effort during the past several years in the exploitation of using neurocomputing for pattern recognition. Based on the interpattern association (IPA) model and Hamming net model, many new systems and applications are introduced. A gray level discrete associative memory that is based on object decomposition/composition is proposed for recognizing gray-level patterns. This technique extends the processing ability from the binary mode to gray-level mode, and thus the information capacity is increased. Two polychromatic optical neural networks using color liquid crystal television (LCTV) panels for color pattern recognition are introduced. By introducing a color encoding technique in conjunction with the interpattern associative algorithm, a color associative memory was realized. Based on the color decomposition and composition technique, a color exemplar-based Hamming net was built for color image classification. A shift-invariant neural network is presented through use of the translation invariant property of the modulus of the Fourier transformation and the hetero-associative interpattern association (IPA) memory. To extract the main features, a quadrantal sampling method is used to sampled data and then replace the training patterns. Using the concept of hetero-associative memory to recall the distorted object. A shift and rotation invariant neural network using an interpattern hetero-association (IHA) model is presented. To preserve the shift and rotation invariant properties, a set of binarized-encoded circular harmonic expansion (CHE) functions at the Fourier domain is used as the training set. We use the shift and symmetric properties of the modulus of the Fourier spectrum to avoid the problem of centering the CHE

  19. Hubungan Gaya Kepemimpinan Orang Tua terhadap Hasil Belajar IPA Siswa Kelas IX SMPN 2 Batang Anai

    Directory of Open Access Journals (Sweden)

    Nelfi Erlinda

    2017-02-01

    Full Text Available AbstractPenelitian ini dilatarbelakangi oleh rendahnya hasil belajar IPA siswa kelas IX SMPN 2 Batang Anai. Faktor penyebabnya ada yang berasal dari dalam diri siswa dan dari luar diri siswa. Faktor yang berasal dari dalam diri siswa seperti malas belajar. Faktor luar diri siswa seperti faktor lingkungan keluarga yang terdiri dari faktor orang tua, suasana keluarga, lingkungan keluarga, kondisi keluarga yang tidak sehat atau broken home. Hal ini berpengaruh dalam proses belajar dan hasil belajar siswa di sekolah. Penelitian ini bertujuan untuk mengetahui hubungan gaya kepemimpinan orang tua terhadap hasil belajar IPA siswa kelas IX SMPN 2 Batang Anai. Jenis penelitian ini adalah penelitian deskriptif. Populasi penelitian adalah semua siswa kelas IX SMPN 2 Batang Anai yang terdaftar dalam tahun ajaran  2016/2017. Sampel penelitian adalah semua kelas IX SMPN 2 Batang Anai. Teknik pengambilan sampel menggunakan total sampling. Instrumen penelitian yang digunakan berupa angket atau kuesioner yang diberikan ke siswa. Teknik analisis data yang digunakan untuk menguji hipotesis adalah analisis korelasi dengan menggunakan uji chi kuadrat untuk melihat antara hubungan gaya kepemimpinan oramg tua dengan hasil belajar IPA siswa kelas IX SMPN 2 Batang Anai. Berdasarkan analisis data didapatkan dua gaya kepemimpimam yaitu otoriter dan demokratis. Hasil uji hipotesis diperoleh X2hitung < X2tabel = 0,004 < 3,841  sehingga hipotesis Ho diterima pada taraf nyata 0,05 dan hipotesis Hi ditolak. Jadi tidak ada hubungan yang berarti antara gaya kepemimpinan orang tua terhadap hasil belajar IPA siswa kelas IX SMPN 2 Batang Anai. Kata kunci :  Gaya kepemimpinan orang tua, hasil belajar.

  20. PENINGKATAN KUALITAS PEMBELAJARAN IPA MELALUI MODEL PROBLEM BASED LEARNING (PBL MENGGUNAKAN AUDIOVISUAL

    Directory of Open Access Journals (Sweden)

    Endang Eka Wulandari, Sri Hartati

    2016-11-01

    Full Text Available Tujuan Penelitian ini untuk meningkatkan kualitas pembelajaran IPA pada siswa kelas IV melalui model PBL menggunakan audiovisual. Penelitian ini menggunakan desain penelitian tindakan kelas yang berlangsung dalam tiga siklus. Data dianalisis dengan menggunakan teknik analisis deskriptif kuantitatif dan kualitatif. Hasil penelitian menunjukan bahwa (1 Keterampilan guru pada siklus I mendapat skor 18, siklus II skor 22, meningkat pada siklus III skor 25.(2 Aktivitas siswa pada siklus I skor 16,8, pada siklus II skor 22, meningkat menjadi 24,4 pada siklus III. (3 Respon siswa pada siklus I dengan persentase 71% siklus II dengan persentase 78%, meningkat 92% pada siklus III (4 Hasil belajar siswa pada siklus I mengalami ketuntasan klasikal sebesar 60%, siklus II sebesar 73%, dan mengalami peningkatan pada siklus III menjadi 94%. Kesimpulan penelitian ini menunjukan model PBL menggunakan audiovisual dapat meningkatkan kualitas pembelajaran IPA yang ditandai dengan meningkatnya keterampilan guru, aktivitas siswa, respon siswa dan hasil belajar siswa.

  1. PENGEMBANGAN BAHAN AJAR IPA TERINTEGRASI PENDIDIKAN KARAKTER TEMA MATAHARI SEBAGAI SUMBER ENERGI

    Directory of Open Access Journals (Sweden)

    Amrina Izzatika

    2015-08-01

    Full Text Available Penelitian ini bertujuan untuk menghasilkan suatu bahan ajar yang valid,  untuk mengetahui keefektifan bahan ajar serta respons guru dan siswa terhadap bahan ajar IPA terintgrasi pendidikan karakter. Penelitian ini merupakan penelitian pengembangan dengan model 4-D. Data validasi ahli, uji lapangan terbatas,dan uji lapangan operasional diperoleh melalui angket. Hasil penelitian ini menunjukkan penilaian validator terhadap bahan ajar IPAsangat baik, sehingga hasil pengembangan bahan ajar IPA ini valid.Hasil uji tebatas menunjukkan respon siswa terhadap bahan ajar IPA baik ditunjukan dengan hasil penilaian pada setiap kriteria baik, sedangkan pada uji lapangan operasional menunjukkan respon siswa terhadap bahan ajar sangat baik dengan hasil penilaian pada setiap kriteria sangat baik.Data hasil belajar kognitif diperoleh thitung = 3.768 > t0,05;70 = 1,666 pada pembelajaran dengan menggunakan bahan ajar IPA menunjukkan peningkatan hasil belajar kognitif. Rata-rata afektif kelas eksperimen sebesar 81,1, sedangkan rata-rata afektif kelas kontrol sebesar 70,6. Nilai psikomotor pada kelas eksperimen sebesar 21.1, sedangkan rata-rata psikomotor siswa kelas kontrol sebesar 18,5. Nilai karakter pada kelas eksperimen sebesar 11,4, sedangkan rata-rata karakter kelas kontrol sebesar 10,1.This study was purponted to produce a decent or valid teaching material, to determine the effectiveness of the teaching material along with the responses of teachers and students science teaching materials integrated character education. This research was a development type of study that applied the 4-D models. Validation expert, limited field test, and operational field test was obtained through a questionnaire. The results of this study indicate validator assessment of the excellent scienceteaching material, the development of teaching materials science is valid. Unlimited test results indicate students response to good science teaching material is shown by the results of

  2. Influence of Problem-Based Learning Model of Learning to the Mathematical Communication Ability of Students of Grade XI IPA SMAN 14 Padang

    Science.gov (United States)

    Nisa, I. M.

    2018-04-01

    The ability of mathematical communication is one of the goals of learning mathematics expected to be mastered by students. However, reality in the field found that the ability of mathematical communication the students of grade XI IPA SMA Negeri 14 Padang have not developed optimally. This is evident from the low test results of communication skills mathematically done. One of the factors that causes this happens is learning that has not been fully able to facilitate students to develop mathematical communication skills well. By therefore, to improve students' mathematical communication skills required a model in the learning activities. One of the models learning that can be used is Problem Based learning model Learning (PBL). The purpose of this study is to see whether the ability the students' mathematical communication using the PBL model better than the students' mathematical communication skills of the learning using conventional learning in Class XI IPA SMAN 14 Padang. This research type is quasi experiment with design Randomized Group Only Design. Population in this research that is student of class XI IPA SMAN 14 Padang with sample class XI IPA 3 and class XI IPA 4. Data retrieval is done by using communication skill test mathematically shaped essay. To test the hypothesis used U-Mann test Whitney. Based on the results of data analysis, it can be concluded that the ability mathematical communication of students whose learning apply more PBL model better than the students' mathematical communication skills of their learning apply conventional learning in class XI IPA SMA 14 Padang at α = 0.05. This indicates that the PBL learning model effect on students' mathematical communication ability.

  3. MxiA, MxiC and IpaD Regulate Substrate Selection and Secretion Mode in the T3SS of Shigella flexneri.

    Science.gov (United States)

    Shen, Da-Kang; Blocker, Ariel J

    2016-01-01

    Type III secretion systems (T3SSs) are central virulence devices for many Gram-negative bacterial pathogens of humans, animals & plants. Upon physical contact with eukaryotic host cells, they translocate virulence-mediating proteins, known as effectors, into them during infection. T3SSs are gated from the outside by host-cell contact and from the inside via two cytoplasmic negative regulators, MxiC and IpaD in Shigella flexneri, which together control the effector secretion hierarchy. Their absence leads to premature and increased secretion of effectors. Here, we investigated where and how these regulators act. We demonstrate that the T3SS inner membrane export apparatus protein MxiA plays a role in substrate selection. Indeed, using a genetic screen, we identified two amino acids located on the surface of MxiA's cytoplasmic region (MxiAC) which, when mutated, upregulate late effector expression and, in the case of MxiAI674V, also secretion. The cytoplasmic region of MxiA, but not MxiAN373D and MxiAI674V, interacts directly with the C-terminus of MxiC in a two-hybrid assay. Efficient T3S requires a cytoplasmic ATPase and the proton motive force (PMF), which is composed of the ΔΨ and the ΔpH. MxiA family proteins and their regulators are implicated in utilization of the PMF for protein export. However, our MxiA point mutants show similar PMF utilisation to wild-type, requiring primarily the ΔΨ. On the other hand, lack of MxiC or IpaD, renders the faster T3S seen increasingly dependent on the ΔpH. Therefore, MxiA, MxiC and IpaD act together to regulate substrate selection and secretion mode in the T3SS of Shigella flexneri.

  4. Deoxycholate-Enhanced Shigella Virulence Is Regulated by a Rare π-Helix in the Type Three Secretion System Tip Protein IpaD.

    Science.gov (United States)

    Bernard, Abram R; Jessop, T Carson; Kumar, Prashant; Dickenson, Nicholas E

    2017-12-12

    Type three secretion systems (T3SS) are specialized nanomachines that support infection by injecting bacterial proteins directly into host cells. The Shigella T3SS has uniquely evolved to sense environmental levels of the bile salt deoxycholate (DOC) and upregulate virulence in response to DOC. In this study, we describe a rare i + 5 hydrogen bonding secondary structure element (π-helix) within the type three secretion system tip protein IpaD that plays a critical role in DOC-enhanced virulence. Specifically, engineered mutations within the π-helix altered the pathogen's response to DOC, with one mutant construct in particular exhibiting an unprecedented reduction in virulence following DOC exposure. Fluorescence polarization binding assays showed that these altered DOC responses are not the result of differences in affinity between IpaD and DOC, but rather differences in the DOC-dependent T3SS tip maturation resulting from binding of IpaD to translocator/effector protein IpaB. Together, these findings begin to uncover the complex mechanism of DOC-enhanced Shigella virulence while identifying an uncommon structural element that may provide a much needed target for non-antibiotic treatment of Shigella infection.

  5. Structural mimicry for vinculin activation by IpaA, a virulence factor of Shigella flexneri

    NARCIS (Netherlands)

    Hamiaux, Cyril; Eerde, André van; Parsot, Claude; Broos, Jaap; Dijkstra, Bauke W.

    2006-01-01

    Invasion of epithelial cells by Shigella flexneri is characterized by cytoskeletal rearrangements of the host cell membrane, promoting internalization of the bacterium. The bacterial effector IpaA is injected into the epithelial cell by a type III secretion apparatus and recruits vinculin to

  6. 32 CFR 37.675 - Must I report when I enter into a TIA allowing a for-profit firm to use an IPA?

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Must I report when I enter into a TIA allowing a for-profit firm to use an IPA? 37.675 Section 37.675 National Defense Department of Defense OFFICE OF... Must I report when I enter into a TIA allowing a for-profit firm to use an IPA? Yes, you must include...

  7. Expression, limited proteolysis and preliminary crystallographic analysis of IpaD, a component of the Shigella flexneri type III secretion system

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, Steven [Laboratory of Molecular Biophysics, Department of Biochemistry, University of Oxford (United Kingdom); Sir William Dunn School of Pathology, University of Oxford (United Kingdom); Roversi, Pietro [Laboratory of Molecular Biophysics, Department of Biochemistry, University of Oxford (United Kingdom); Espina, Marianela [Department of Molecular Biosciences, University of Kansas (United States); Deane, Janet E. [Laboratory of Molecular Biophysics, Department of Biochemistry, University of Oxford (United Kingdom); Birket, Susan; Picking, William D. [Department of Molecular Biosciences, University of Kansas (United States); Blocker, Ariel [Sir William Dunn School of Pathology, University of Oxford (United Kingdom); Picking, Wendy L. [Department of Molecular Biosciences, University of Kansas (United States); Lea, Susan M., E-mail: susan.lea@path.ox.ac.uk [Laboratory of Molecular Biophysics, Department of Biochemistry, University of Oxford (United Kingdom); Sir William Dunn School of Pathology, University of Oxford (United Kingdom)

    2006-09-01

    IpaD, the putative needle-tip protein of the S. flexneri type III secretion system, has been crystallized in a variety of crystal forms using in-drop proteolysis. Native and selenomethionine-labelled data collection and preliminary analyses are reported. IpaD, the putative needle-tip protein of the Shigella flexneri type III secretion system, has been overexpressed and purified. Crystals were grown of the native protein in space group P2{sub 1}2{sub 1}2{sub 1}, with unit-cell parameters a = 55.9, b = 100.7, c = 112.0 Å, and data were collected to 2.9 Å resolution. Analysis of the native Patterson map revealed a peak at 50% of the origin on the Harker section v = 0.5, suggesting twofold non-crystallographic symmetry parallel to the b crystallographic axis. As attempts to derivatize or grow selenomethionine-labelled protein crystals failed, in-drop proteolysis was used to produce new crystal forms. A trace amount of subtilisin Carlsberg was added to IpaD before sparse-matrix screening, resulting in the production of several new crystal forms. This approach produced SeMet-labelled crystals and diffraction data were collected to 3.2 Å resolution. The SeMet crystals belong to space group C2, with unit-cell parameters a = 139.4, b = 45.0, c = 99.5 Å, β = 107.9°. An anomalous difference Patterson map revealed peaks on the Harker section v = 0, while the self-rotation function indicates the presence of a twofold noncrystallographic symmetry axis, which is consistent with two molecules per asymmetric unit.

  8. Expression, limited proteolysis and preliminary crystallographic analysis of IpaD, a component of the Shigella flexneri type III secretion system

    International Nuclear Information System (INIS)

    Johnson, Steven; Roversi, Pietro; Espina, Marianela; Deane, Janet E.; Birket, Susan; Picking, William D.; Blocker, Ariel; Picking, Wendy L.; Lea, Susan M.

    2006-01-01

    IpaD, the putative needle-tip protein of the S. flexneri type III secretion system, has been crystallized in a variety of crystal forms using in-drop proteolysis. Native and selenomethionine-labelled data collection and preliminary analyses are reported. IpaD, the putative needle-tip protein of the Shigella flexneri type III secretion system, has been overexpressed and purified. Crystals were grown of the native protein in space group P2 1 2 1 2 1 , with unit-cell parameters a = 55.9, b = 100.7, c = 112.0 Å, and data were collected to 2.9 Å resolution. Analysis of the native Patterson map revealed a peak at 50% of the origin on the Harker section v = 0.5, suggesting twofold non-crystallographic symmetry parallel to the b crystallographic axis. As attempts to derivatize or grow selenomethionine-labelled protein crystals failed, in-drop proteolysis was used to produce new crystal forms. A trace amount of subtilisin Carlsberg was added to IpaD before sparse-matrix screening, resulting in the production of several new crystal forms. This approach produced SeMet-labelled crystals and diffraction data were collected to 3.2 Å resolution. The SeMet crystals belong to space group C2, with unit-cell parameters a = 139.4, b = 45.0, c = 99.5 Å, β = 107.9°. An anomalous difference Patterson map revealed peaks on the Harker section v = 0, while the self-rotation function indicates the presence of a twofold noncrystallographic symmetry axis, which is consistent with two molecules per asymmetric unit

  9. EFEKTIVITAS DAN EFISIENSI MODEL PEMBELAJARAN IPA TERPADU TIPE INTEGRATED DALAM PEMBELAJARAN TEMA CAHAYA

    Directory of Open Access Journals (Sweden)

    - Muqoyyanah

    2016-09-01

    Full Text Available Penelitian eksperimen ini bertujuan untuk mengetahui efektivitas dan efisiensi model pembelajaran terpadu yang memang sudahdianjurkan pemerintah untuk diterapkan dalam Kurikulum Tingkat Satuan Pendidikan (KTSP. Pembelajaran IPA terpadu tipeintegrated dipilih dengan menggabungkan materi dari tiga mata pelajaran, yaitu fisika, biologi, dan geografi dalam satu tema yaitucahaya. Populasi adalah kelas VIII semester 2 yang berjumlah 5 kelas. Pengambilan sampel dengan teknik random sampling.Hasilpenelitian menunjukkan bahwa hasil belajar kelompok kontrol lebih baik daripada kelompok eksperimen tetapi rata-rata nilai keduakelompok sudah melebihi Standar Ketuntasan Belajar Minimal (SKBM sekolah, yaitu 70. Ketuntasan klasikal kedua kelompokjuga sudah dicapai, bahkan ketuntasannya lebih dari 90%. Efektivitas model pembelajaran IPA terpadu tipe integrated tidakberbeda secara signifikan dengan model pembelajaran IPA terpisah tetapi lebih efisien dalam waktu pembelajaran. Jadi, modelpembelajaran terpadu layak diterapkan dalam pembelajaran dengan beberapa pembenahan. This experiment research aimed to find effectiveness and efficiency of integrated science learning model which is suggested by thegovernment to be applied in Kurikulum Tingkat Satuan Pendidikan (KTSP. The learning of integrated science was chosen bycombining the materials of three subjects: physics, biology and geography in a theme, which is light. The population of the researchwas the VIII grade second semester student consisting of five classes and sampling technique used was random sampling. Theresult of the research showed that learning achievement of control group was better than that of experiment group, but the averagevalue of both groups was more than minimal learning achievement standard of the school which was 70. Classical learning-masteryof both groups which was 90% has also been reached. Although the effectiveness of integrated science learning model was notdifferent significantly

  10. PENGEMBANGAN KURIKULUM JURUSAN TADRIS IPA BIOLOGI IAIN SYEKH NURJATI CIREBON DALAM MENGANTISIPASI PENERAPAN KURIKULUM 2013

    Directory of Open Access Journals (Sweden)

    Kartimi -

    2014-04-01

    Full Text Available Rencana penerapan Kurikulum 2013 merupakan momentum yang tepat bagi program studi Tadris IPA-Biologi IAIN Syekh Nurjati Cirebon untuk melakukan review dan evaluasi terhadap kelangsungan kurikulum jurusan yang sedang berlaku, dan sekaligus melakukan pengembangan, perbaikan dan modifikasi kurikulum,  agar dapat beradaptasi terhadap perubah praktek-praktek pendidikan Biologi di Sekolah Menengah. Tujuan penelitian ini adalah: 1 mengetahui karakteristik kurikulum jurusan Tadris IPA-Biologi yang berlaku saat ini, 2 mengetahui karakteristik kurikulum 2013 yang berkaitan dengan pengajaran Biologi di Sekolah Menengah, 3 Merumuskan dan mengembangkan desain kurikulum program studi  Tadris IPA-Biologi sebagai hasil adaptasi terhadap kurikulum 2013. Desain penelitian menggunakan Design and Development Research kategori Product & Tools Research (Richey & Klein, 2007.  Subyek penelitian adalah program studi  Tadris IPA-Biologi IAIN Syekh Nurjati Cirebon. Instrumen yang digunakan adalah: 1 Protokol Analisis Dokumen Kurikulum Program Studi, 2 Protokol Analisis Dokumen Kurikulum 2013 bagi Biologi SMA, 3 Bahan validasi untuk kerangka teori desain kurikulum program studi, 4 Bahan validasi untuk instrumen desain kurikulum program studi. Teknik analisis data dilakukan secara deskriptif dan dianalisis menggunakan statistika deskriptif.  Hasil penelitian menunjukkan bahwa kurikulum program studi Tadris IPA-Biologi IAIN Syekh Nurjati Cirebon telah tersusun sebagai Kurikulum berbasis Kompetensi yang terintegrasi secara akademik dengan muatan ke-Islaman. Kelengkapan dokumen kurikulum program studi masih memerlukan penyempurnaan. Kurikulum 2013 untuk pembelajaran Biologi SMA/MA dikemas sebagai mata pelajaran peminatan Matematika dan Ilmu Alam yang mencakup kompetensi inti sikap spiritual, sikap sosial, pengetahuan dan keterampilan. Masing-masing kompetensi inti tersebut telah dijabarkan menjadi berbagai kompetensi dasar yang mengarah pada pembelajaran yang aktif dan

  11. UPAYA MENUMBUHKAN KARAKTER IPA MELALUI REFLEKSI PENILAIAN DIRI PESERTA DIDIK PADA SISWA KELAS VIII D SMP NEGERI 1 BANDUNGAN TAHUN PELAJARAN 2014/ 2015

    Directory of Open Access Journals (Sweden)

    Eni Riptyawati

    2016-07-01

    Full Text Available Pendidikan karakter pada mata pelajaran IPA merupakan cara yang tepat untuk membentuk pribadi peserta didik yang berakhlak mulia. IPA merupakan salah satu pelajaran yang sudah menerapkan pendidikan karakter dalam proses pembelajarannya. Refleksi penilaian diri peserta didik merupakan salah satu cara untuk menumbuhkan karakter tersebut. Tujuan penelitian ini adalah untuk menumbuhkan karakter jujur dan peduli pada lingkungan. Penelitian ini terdiri dari dua siklus yang masing-masing siklus terdiri dari perencanaan, pelaksanaan tindakan, observasi dan refleksi. Hasil penelitian menunjukkan adanya peningkatan karakter jujur dan peduli pada lingkungan Hal ini dapat diketahui dari hasil observasi penilaian diri peserta didik. Dengan demikian dapat disimpulkan bahwa refleksi penilaian diri peserta didik dapat digunakan untuk menumbuhkan karakter IPA (jujur dan peduli pada lingkungan.

  12. PERBANDINGAN HASIL BELAJAR IPA SEKOLAH DASAR MELALUI PENGGUNAAN PENDEKATAN GUIDED DISCOVERY DAN PENDEKATAN CTL (CONTEXTUAL TEACHING AND LEARNING

    Directory of Open Access Journals (Sweden)

    Fiky Ernawati

    2016-09-01

    Full Text Available Abstrak. Penelitian ini bertujuan untuk mengetahui perbandingan hasil belajar pada mata pelajaran IPA setelah menggunakan pendekatan pembelajaran Guided Discovery dengan pendekatan pembelajaran CTL (Contextual Teaching and Learning pada siswa  kelas  IV SD Negeri  3  Kramatwatu.  Metode  penelitian yang digunakan adalah metode kuasi ekpserimen, sedangkan desain penelitian yang digunakan adalah non equivalent control group design. Ada dua kelas dalam penelitian ini, yaitu kelompok eksperimen dan kelompok kontrol. Kelompok eksperimen yaitu siswa  kelas  IV-A  terdiri  dari  35  siswa  yang  diberikan  perlakuan  dengan pendekatan pembelajaran Guided Discovery dan kelas kontrol yaitu siswa kelas IV-B terdiri dari 33 siswa yang diberikan perlakuan pendekatan pembelajaran CTL (Contextual Teaching and Learning. Ada pun teknik pengumpulan data yang dilakukan meliputi tes hasil belajar berupa posttest serta nontes berupa dokumentasi.   Berdasarkan   hasil   penelitian   menunjukkan   bahwa   terdapat perbedaan hasil belajar siswa kelas eksperimen dan siswa kelas kontrol. Hasil belajar IPA siswa kelas eksperimen lebih tinggi daripada hasil belajar IPA siswa kelas kontrol. Rata-rata hasil belajar IPA kelas eksperimen yaitu 76,07 dan kelas kontrol memperoleh rata-rata 69,34. Kata Kunci : Hasil Belajar IPA, Guided Discovery, Contextual Teaching and Learning   Abstract. This research attempts to know the comparison of the results learning on subject’s science  class  after  using  learning  guided  discovery  approach  with  contextual teaching  and  learning  approach  to  their  student’s  grade  4  of  public  school Kramatwatu  7.  Research methodology used  is the method quasi  experiments, while design research used is non equivalent control group design.There are two classes  in  this  research,  namely  experiment  group  and  control  groups.  The experiment group that is a

  13. Women in neuroscience (WIN): the first twenty years.

    Science.gov (United States)

    Haak, Laurel L

    2002-03-01

    Women in Neuroscience (WIN) is an international organization whose major goal is to promote the professional advancement of women neuroscientists. To this end, WIN facilitates contacts and communication among women working in neuroscience, and organizes appropriate activities at the annual Society for Neuroscience (SfN) meeting. WIN was created in 1980, when despite major changes and advances in 'equal opportunities', women were still not achieving a proportionate level of success in the subdiscipline of neurosciences. In 1980, women made up 40 to 50% of entering classes in medical schools or graduate programs, but often comprised only 5 to 15% of leadership in respective organizations. Although there had been women elected to serve as SfN presidents, council, and committee members, women were under-represented in other positions of the Society, such as symposium and session chairs. There was an even lesser degree of representation in leadership positions at universities and medical schools in terms of full professorships, chairs, and program directors, as well as on editorial boards, advisory boards, and councils. Over the years, WIN has worked with success toward increasing the participation of women in neuroscience.

  14. EFEKTIVITAS PROJECT BASED LEARNING TERHADAP KETERAMPILAN MENULIS BAHAN AJAR IPA CALON GURU SD

    Directory of Open Access Journals (Sweden)

    - Susilawati

    2018-01-01

    Full Text Available Abstract:. The purpose of this research is to analyze the effectiveness of Project Based Learning (PjBL of writing skills on Science teaching materials to elementary school teachers candidates.This research used experimental methods (single-one group pretest-posttest design with instruments such as portofolio assessment sheets, observation sheets, and  questionnaire sheets .The effectiveness of analyzing used n-gain and t-test .The subject of this research is elementary school teachers candidates who contracted “Science Learning”subject  in a program study teacher education of elementary school at University Muhammadiyah Cirebon. The findings of this study has produced a contextual book for Science teaching material. In addition, there is an increased of elementary school teachers candidates who prepared the teaching materials in a printed form relevant to the needs and characters of the students as well as the curriculum. It is proven by assessments that the ability rose significantly from 2,71 (category  is adequate skill to 3,83 (category is skilled and supported by the n-gain value  at 0,87. Based on the t-test count of 8,050 larger than t-table 2,045. Recommendations from this research is that PjBL as a learning model could become one of the alternative learning models to improve writing skills material for elementary school teachers candidates. Keyword: Project-Based-Learning, science-materials-teaching, elementary-schoo-teachers- candidates.   Abstrak: Tujuan penelitian ini untuk menganalisis efektivitas Project Based Learning (PjBL terhadap keterampilan menulis bahan ajar IPA Calon Guru SD. Penelitian ini menggunakan metode eksperimen (Single-One Group Pretest-Posttest Design dengan menggunakan instrumen berupa lembar penilaian portofolio, lembar observasi, dan lembar angket. Efektivitas dianalisis menggunakan n-gain dan uji T. Subjek penelitian ini adalah mahasiswa calon guru yang mengontrak matakuliah Pembelajaran IPA di

  15. PENGEMBANGAN PERANGKAT PEMBELAJARAN IPA BERBASIS SETS UNTUK MENINGKATKAN SCIENTIFIC LITERACY DAN FOUNDATIONAL KNOWLEDGE

    Directory of Open Access Journals (Sweden)

    Indras Kurnia Setiawati

    2015-10-01

    Full Text Available Penelitian ini bertujuan untuk menghasilkan produk berupa perangkat pembelajaran IPA berbasis Science, Environment, Technology, and Society (SETS dan mengetahui (1 kelayakan produk, (2 keefektifan produk untuk meningkatkan scientific literacy, serta (3 keefektifan produk untuk meningkatkan foundational knowledge peserta didik kelas VII SMP Muhammadiyah 8 Wedi Klaten. Penelitian ini merupakan penelitian dan pengembangan dengan 3 tahap prosedur pengembangan yaitu need assesment, development dan reasearch dengan desain nonequivalent control group. Perangkat pembelajaran IPA berbasis SETS terdiri atas silabus, RPP, Lembar Kegiatan Peserta Didik (LKPD, dan instrumen penilaian otentik. Hasil penelitian menunjukkan kelayakan produk dinyatakan sangat baik dengan rerata skor 4,59 dari rentang 0-5. Semua peserta didik di kelas eksperimen mengalami peningkatan nilai scientific literacy dan foundational knowledge dengan kategori peningkatan tinggi, sedang, dan rendah. Implementasi produk berpengaruh positif terhadap kemampuan scientific literacy dan foundational knowledge yang menunjukkan perbedaan signifikan antara kelas eksperimen dan kontrol dengan kemampuan awal yang sama. Dengan demikian, perangkat pembelajaran IPA berbasis SETS terbukti efektif untuk meningkatkan scientific literacy dan foundational knowledge peserta didik kelas VII SMP Muhammadiyah 8 Wedi Klaten. Kata kunci: perangkat pembelajaran IPA, SETS, scientific literacy, foundational knowledge   DEVELOPING A SETS-BASED SCIENCE TEACHING KIT TO IMPROVE SCIENTIFIC LITERACY AND FOUNDATIONAL KNOWLEDGE Abstract This study aims to produce products such as a Science, Environment, Tecnology, and Society-based science teaching kit and to determine (1 the feasibility of the product, (2 the effectiveness of the product to improve scientific literacy, and (3 the effectiveness of the product to improve foundational knowledge for 7th grade students in SMP Muhammadiyah 8 Wedi Klaten.. This study is a

  16. Application of an Integrated Model with MCDM and IPA to Evaluate the Service Quality of Transshipment Port

    Directory of Open Access Journals (Sweden)

    Chien-Chang Chou

    2013-01-01

    Full Text Available It is often to solve complex decision-making problems in the marine transportation environment, such as the evaluation of service quality and the location choice of ports. In this paper, an integrated model with multiple-criteria decision making (MCDM and importance-performance analysis (IPA is presented and then is applied to solve the problem of service quality evaluation of transshipment port. The MCDM approach can be used to deal with both quantitative data and qualitative ratings simultaneously. The IPA approach can be applied to realize the shortcomings of service quality of ports and rank the ranking of strategies for improving service quality of transshipment port. Finally, some useful suggestions for improving the service quality of ports are given in the paper.

  17. Shigella IpaH Family Effectors as a Versatile Model for Studying Pathogenic Bacteria.

    Science.gov (United States)

    Ashida, Hiroshi; Sasakawa, Chihiro

    2015-01-01

    Shigella spp. are highly adapted human pathogens that cause bacillary dysentery (shigellosis). Via the type III secretion system (T3SS), Shigella deliver a subset of virulence proteins (effectors) that are responsible for pathogenesis, with functions including pyroptosis, invasion of the epithelial cells, intracellular survival, and evasion of host immune responses. Intriguingly, T3SS effector activity and strategies are not unique to Shigella, but are shared by many other bacterial pathogens, including Salmonella, Yersinia, and enteropathogenic Escherichia coli (EPEC). Therefore, studying Shigella T3SS effectors will not only improve our understanding of bacterial infection systems, but also provide a molecular basis for developing live bacterial vaccines and antibacterial drugs. One of Shigella T3SS effectors, IpaH family proteins, which have E3 ubiquitin ligase activity and are widely conserved among other bacterial pathogens, are very relevant because they promote bacterial survival by triggering cell death and modulating the host immune responses. Here, we describe selected examples of Shigella pathogenesis, with particular emphasis on the roles of IpaH family effectors, which shed new light on bacterial survival strategies and provide clues about how to overcome bacterial infections.

  18. Shigella IpaH family effectors as a versatile model for studying pathogenic bacteria

    Directory of Open Access Journals (Sweden)

    Hiroshi eAshida

    2016-01-01

    Full Text Available Shigella spp. are highly adapted human pathogens that cause bacillary dysentery (shigellosis. Via the type III secretion system (T3SS, Shigella deliver a subset of virulence proteins (effectors that are responsible for pathogenesis, with functions including pyroptosis, invasion of the epithelial cells, intracellular survival, and evasion of host immune responses. Intriguingly, T3SS effector activity and strategies are not unique to Shigella, but are shared by many other bacterial pathogens, including Salmonella, Yersinia, and enteropathogenic Escherichia coli (EPEC. Therefore, studying Shigella T3SS effectors will not only improve our understanding of bacterial infection systems, but also provide a molecular basis for developing live bacterial vaccines and antibacterial drugs. One of Shigella T3SS effectors, IpaH family proteins, which have E3 ubiquitin ligase activity and are widely conserved among other bacterial pathogens, are very relevant because they promote bacterial survival by triggering cell death and modulating the host immune responses. Here, we describe selected examples of Shigella pathogenesis, with particular emphasis on the roles of IpaH family effectors, which shed new light on bacterial survival strategies and provide clues about how to overcome bacterial infections.

  19. Penerapan Model Pembelajaran Kooperatif Tipe TGT (Team Game Tournament dengan Metode Tutor Sebaya untuk Menuntaskan Hasil Belajar Siswa Pada Kelas X IPA 6 SMAN 2 Pamekasan

    Directory of Open Access Journals (Sweden)

    Mabruratul Hasanah

    2017-03-01

    Full Text Available This research background of their learning outcomes, student of class X IPA 6 SMAN 2 Pamekasan who have not yet reached KKM particularly in the field of physics studies. Therefore, the researchers tried to use cooperative learning model TGT method peer tutor in class X IPA 6 SMAN 2 Pamekasan on the subject Heat and Heat Transfer. The problems of this study are: 1. How completeness of student learning outcomes through the implementation of cooperative learning model TGT method peer tutor in class X IPA 6 SMAN 2 Pamekasan ?. 2. How the student's activity during the implementation of cooperative learning model TGT method peer tutor in class X IPA 6 SMAN 2 Pamekasan ?. The purpose of this study is : 1. To Finalising the student learning outcomes through the implementation of cooperative learning model TGT method peer tutors. 2. To determine the students' learning activities during the implementation of cooperative learning model TGT method peer tutors on the subject Heat and Heat Transfer. This research is a classroom action research. The experiment was conducted three cycles, with each cycle consisting of planning, implementation, observation, evaluation, and reflection. Subjects were students of class X IPA 6 SMAN 2 Pamekasan in academic year 2014/2015. The data analysis technique used is descriptive statistics. From the analyst found that the learning outcomes of students from the first cycle to cycle III has reached completeness criteria with a percentage that is, the first cycle (50%, the second cycle (70%, Cycle III (85% and student activity in accordance with the purpose of learning cooperative. The results of the evaluation of the pretest-posttest is from 10.00% (not exhaustive to 90.00% (complete. Thus, it can be concluded that the type cooperative learning TGT Method Peer Tutor can complete physics learning outcomes and student activity IPA 6 Class X SMAN 2 Pamekasan on the subject Heat and Heat Transfer. Keywords: TGT, Learning Outcomes

  20. Dating and intimate relationships of women with below-knee amputation: An exploratory study

    OpenAIRE

    Mathias, Zoë; Harcourt, D.

    2014-01-01

    This study investigates experiences of dating and intimate relationships amongst women who use a below-knee prosthesis. Method: Four women took part in semi-structured online interviews. Transcripts were subject to interpretative phenomenological analysis (IPA). Results: Five themes were identified: Revealing and Exposing: Disclosing the Amputation and Prosthesis; Judging and Judged: Internal Fears and Self-Doubt; Trusting and Accepting: Good Guy/Bad Guy Elimination; Taking it Further: The Ne...

  1. Shigella IpaH0722 E3 Ubiquitin Ligase Effector Targets TRAF2 to Inhibit PKC–NF-κB Activity in Invaded Epithelial Cells

    Science.gov (United States)

    Ashida, Hiroshi; Nakano, Hiroyasu; Sasakawa, Chihiro

    2013-01-01

    NF-κB plays a central role in modulating innate immune responses to bacterial infections. Therefore, many bacterial pathogens deploy multiple mechanisms to counteract NF-κB activation. The invasion of and subsequent replication of Shigella within epithelial cells is recognized by various pathogen recognition receptors as pathogen-associated molecular patterns. These receptors trigger innate defense mechanisms via the activation of the NF-κB signaling pathway. Here, we show the inhibition of the NF-κB activation by the delivery of the IpaH E3 ubiquitin ligase family member IpaH0722 using Shigella's type III secretion system. IpaH0722 dampens the acute inflammatory response by preferentially inhibiting the PKC-mediated activation of NF-κB by ubiquitinating TRAF2, a molecule downstream of PKC, and by promoting its proteasome-dependent degradation. PMID:23754945

  2. PENGARUH MODEL PEMBELAJARAN CREATIVE PROBLEM SOLVING BERBASIS EDUCATIVE GAMES TERHADAP KEMAMPUAN BERPIKIR KRITIS DAN HASIL BELAJAR IPA KELAS IV DI GUGUS IV KECAMATAN KUTA, KABUPATEN BADUNG

    Directory of Open Access Journals (Sweden)

    Ni Luh Mita Sri Mahendra Yanti

    2017-10-01

    Full Text Available Penelitian ini bertujuan untuk mengetahui pengaruh model pembelajaran Creative Problem Solving berbasis Educative Games terhadap kemampuan berpikir kritis dan hasil belajar IPA kelas IV di Gugus IV Kecamatan Kuta, Kabupaten Badung. Penelitian ini adalah penelitian kuasi eksperimen dengan rancangan post test only control group design. Jumlah populasi dalam penelitian ini adalah 231 siswa, dan sampel berjumlah 77 siswa. Data kemampuan berpikir kritis dan hasil belajar IPA dikumpulkan dengan metode tes. Analisis data yang digunakan yakni Manova berbantuan SPSS 17.00 for windows. Hasil Penelitian menunjukkan bahwa: 1 terdapat perbedaan kemampuan berpikir kritis antara siswa yang mengikuti model pembelajaran creative problem solving berbasis Educative Games dengan siswa yang mengikuti pembelajaran konvensional, 2 terdapat perbedaan hasil belajar IPA antara siswa yang mengikuti model pembelajaran creative problem solving berbasis Educative Games dengan siswa yang mengikuti pembelajaran konvensional, dan 3 terdapat perbedaan secara simultan antara kemampuan berpikir kritis dan hasil belajar IPA antara siswa yang mengikuti model pembelajaran creative problem solving berbasis Educative Games dengan siswa yang mengikuti pembelajaran konvensional.

  3. Penerapan Pembelajaran Model Kooperatif Tipe Think-Pair-Share Dalam Materi Usaha Dan Energi Ditinjau Dari Gender Siswa Kelas Xi Ipa Sma Negeri 1 Sungai Ambawang

    Directory of Open Access Journals (Sweden)

    Ira Nofita Sari

    2016-09-01

    Full Text Available Penelitian ini bertujuan untuk mengetahui penerapan pembelajaran model kooperatif tipe think-pair-share dalam materi usaha dan energi ditinjau dari gender siswa kelas XI IPA SMA Negeri 1 Sungai Ambawang. Adapun variabel dalam penelitian ini adalah hasil belajar siswa laki-laki dan hasil belajar siswa perempuan. Metode yang digunakan dalam peneltian ini adalah metode eksperimen dan bentuk penelitian eksperimen yang digunakan adalah Pre-Eksperimental Designs dengan rancangan penelitian The One-Shot Case Study.Sampel yang digunakan ialah kelas XI IPA 1 yang diambil secara purposive sampling.. Teknik pengumpul data yang digunakan dalam penelitian ini adalah teknik pengukuran dengan alat pengumpul data berupa tes yang berbentuk essay. Berdasarkan hasil analisis data penelitian diperoleh kesimpulan: (1 Rata-rata hasil belajar siswa laki-laki yang diajarkan model pembelajaran kooperatif tipe think-pair-share dalam materi usaha dan energi siswa kelas XI IPA SMA Negeri 1 Sungai Ambawang mencapai KKM (72 dengan nilai signifikansi lebih besar dari taraf signifikansi 5% (0,715 > 0,05. (2 Rata-rata hasil belajar siswa perempuan yang diajarkan model pembelajaran kooperatif tipe think-pair-share dalam materi usaha dan energi siswa kelas XI IPA SMA Negeri 1 Sungai Ambawang mencapai KKM (72 dengan nilai signifikansi lebih besar dari taraf signifikansi 5% (0,185 > 0,05. (3 Terdapat perbedaan antara rata-rata hasil belajar siswa laki-laki dengan rata-rata hasil belajar siswa perempuan yang diajarkan model pembelajaran kooperatif tipe Think-Pair-Share dalam materi usaha dan energi siswa kelas XI IPA SMA Negeri 1 Sungai Ambawang dengan nilai signifikansi lebih besar dari taraf signifikansi 5% (0,101 > 0,05.

  4. PENGEMBANGAN BAHAN AJAR KOMIK IPA DENGAN PENANAMAN NILAI BUDAI PADA SISWA KELAS IV SEKOLAH DASAR

    Directory of Open Access Journals (Sweden)

    Yunita Sari

    2017-09-01

    Full Text Available Abstrak. Masalah yang sering dihadapi pada siswa sekolah dasar dalam pembelajaran ilmu pengetahuan alam adalah kesulitan memahami materi yang disajikan dalam bahan ajar IPA yang digunakan di sekolah dan penggunaan media pembelajaran yang kurang menarik. Media yang ada sifatnya yang terbatas membuat siswa malas belajar. Penelitian ini bertujuan untuk mendapatkan gambaran karakteristik, kevalidan, keefektifan, dan kepraktisan produk bahan ajar komik yang dikembangkan dalam pembelajaran IPA materi Bagian-bagian tumbuhan di kelas IV Sekolah Dasar. Subjek uji coba pada penelitian adalah kelas IV SDN Beji 03 dengan peserta didik sejumlah 21 siswa. Desain uji coba produk dalam pengembangan bahan ajar komik IPA adalah Pretest-Posttest Control Group Design. Jenis penelitian pengembangan ini dengan menggunakan model Borg and Gall. Perangkat yang dikembangkan meliputi: Silabus, Rencana Pelaksanaan Pembelajaran, Komik Ilmu Pengetahuan Alam, dan Tes Prestasi Belajar Materi Bagian-bagian tumbuhan. Data diperoleh melalui lembar pengamatan dan tes prestasi belajar materi bagian-bagian tumbuhan. Hasilnya diolah secara deskriptif, menggunakan uji ketuntasan, uji banding dan uji peningkatan untuk mengetahui efektivitas pembelajaran. Hasil penelitian ini menunjukkan penilaian validator terhadap perangkat pembelajaran pada kategori valid, kemampuan guru mengelola pembelajaran termasuk kategori praktis. Implementasi perangkat ini menghasilkan nilai rata-rata tes prestasi belajar kelas eksperimen lebih dari kriteria ketuntasan minimal yang ditentukan, kelas eksperimen memperoleh rata-rata prestasi belajar lebih baik dari rata-rata nilai kelas kontrol, uji peningkatan tes prestasi belajar kelas eksperimen dengan kelas kontrol kategori sedang, peningkatan nilai-nilai budai dari kategori belum terlihat meningkat pada kategori membudaya.  Kesimpulan penelitian ini adalah bahwa bahan ajar komik IPA efaktif digunakan dalam pembelajaran.Kata kunci: bahan ajar komik IPA

  5. HASIL BELAJAR ASPEK KETERAMPILAN IPA PADA PEMBELAJARAN LEVEL OF INQUIRY TINGKAT INQUIRY LESSON DI SMP

    Directory of Open Access Journals (Sweden)

    Yeni Hariningsih

    2016-08-01

    Full Text Available Learning science in junior high school in general is focused on mastery of concepts and basic science has not yet developed abilities, such as the ability berinkuiri. Therefore, it is necessary to find the appropriate steps to improve the process of learning science. The purpose of the study iniuntuk improve learning outcomes by using the skill aspect of inquiry learning model level. The method used in this research is mixed method. The instrument used is the syllabus, lesson plans, and the observation sheet keterampilan.Teknik data collection using observation. Aspects of data analysis skills using data reduction method, coding and interpretation. Results of research conducted on 36 students showed the ability berinkuiri learners increased by using the model level of inquiry. Results of learners aspect of overall skill increases with the good category. The conclusion from this study that the use of models level of inquiry to improve the ability berinkuiri learners and improve learning outcomes aspects of science skills of learners. Pembelajaran IPA di SMP pada umumnya masih menekankan pada penguasaan konsep dan belum mengembangkan kemampuan dasar sains, seperti kemampuan berinkuiri.Oleh karena itu perlu ditemukan langkah yang tepat untuk memperbaiki proses pembelajaran IPA. Tujuan dari penelitian iniuntuk meningkatkan hasil belajar aspek keterampilan dengan menggunakan model pembelajaran level of inquiry. Metode yang digunakan dalam penelitian ini yaitu mixed methode. Instrumen yang digunakan yaitu Silabus, RPP dan lembar observasi keterampilan. Teknik pengumpulan data menggunakan observasi. Analisis data aspek keterampilan dengan menggunakan cara mereduksi data, pengkodean dan interpretasi. Hasil penelitian yang dilakukan pada 36 peserta didik menunjukkan kemampuan berinkuiri peserta didik mengalami peningkatan dengan menggunakan model level of inquiry. Hasil belajar peserta didik aspek keterampilan secara keseluruhan meningkat dengan dengan

  6. PENGGUNAAN MEDIA ANIMASI MACROMEDIA FLASH UNTUK MENINGKATKAN KUALITAS PEMBELAJARAN IPA SISWA TUNARUNGU KELAS II SDLB

    Directory of Open Access Journals (Sweden)

    Lela Margarita

    2016-04-01

    Full Text Available The purpose of this study was to improve the quality of science with the usage of the macromedia flash animation media for students with hearing impairment in the grade IIof Elementary Special School. The method used was Clasroom Action Research (CAR with qualitative design. The results of the data analysis showed that the subjects experienced an enhancement in the results of student’s activities in cycle I 50,90% increasing in cycle II 73,66%, the results of student learning in cycle I 64,99% increasing in cycle II 73,93%. Penelitian ini dilaksanakan dengan tujuan untuk meningkatkan kualitas pembelajaran IPA dengan menggunakan media animasi macromedia flash bagi siswa tunarungu kelas II SDLB. Metode penelitian yang digunakan Classroom Action Research (CAR adalah dengan model kualitatif. Hasil analisis data menunjukkan bahwa subjek mengalami peningkatan pada pembelajaran IPA yang dapat dilihat dari peningkatan aktivitas dan hasil belajar pada siklus I dan siklus II. Persentase aktivitas siswa siklus I 50,90% meningkat siklus II 73,66% Sedangkan hasil belajar siklus I 64,99% meningkat siklus II 73,93%.

  7. Women and Equality: A California Review of Women's Equity Issues in Civil Rights, Education and the Workplace.

    Science.gov (United States)

    Sproul, Kate

    More women were elected to the California Legislature in November 1998 than ever before. Twenty-five percent of the 40 state senators who began the two-year legislative session on December 7, 1998 were women. In the 80-seat Assembly, the figure also was 25 percent. Historically, the number of women serving in the California Legislature was…

  8. 32 CFR 37.655 - Must I specify the frequency of IPAs' periodic audits of for-profit participants?

    Science.gov (United States)

    2010-07-01

    ... THE SECRETARY OF DEFENSE DoD GRANT AND AGREEMENT REGULATIONS TECHNOLOGY INVESTMENT AGREEMENTS Award Terms Affecting Participants' Financial, Property, and Purchasing Systems Financial Matters § 37.655..., when the participant has its IPA do its next financial statement audit, unless the participant already...

  9. Empowerment of Women through Education in Twenty First Century

    Science.gov (United States)

    Moradi Sheykhjan, Tohid; Rajeswari, K.; Jabari, Kamran

    2014-01-01

    This article explores theoretical and practical issues related to the impact of women's education in their empowerment. The development of women's education is discussed in this study. As women's education has become one of the key development objectives in the recent decades, the concept of empowerment has been tied to the range of activities…

  10. PENGEMBANGAN PERANGKAT PEMBELAJARAN IPA TERPADU BERKARAKTER MENGGUNAKAN PENDEKATAN HUMANISTIK BERBANTU ALAT PERAGA MURAH

    Directory of Open Access Journals (Sweden)

    A. Widiyatmoko

    2013-04-01

    Full Text Available Tujuan dari penelitian adalah menghasilkan perangkat pembelajaran IPA terpadu yang dapat memfasilitasi siswa untuk mengembangkan kemampuan yang dimiliki secara menyeluruh sehingga memiliki daya saing yang unggul, mampu mengikuti perkembangan IPTEK, dan memiliki karakter yang bersumber pada nilai-nilai pancasila. Dari hasil penelitian dan pembahasan maka dapat disimpulkan bahwa pengembangan perangkat pembelajaran IPA terpadu berkarakter menggunakan pendekatan humanistik berbantu alat peraga murah di sekolah menengah berupa silabus, RPP, alat peraga, LKS, dan modul yang dihasilkan melalui alur Four-D model, yaitu definition (pendefinisian, design (perancangan, development (pengembangan dan disseminate (penyebaran yang telah melalui tahap validasi dan revisi. The purpose of the research is to produce an integrated science learning tools that can facilitate learners to develop the capabilities of the whole so that it has a superior competitive, able to follow the development of science and technology, and has a character which is based on the values of Pancasila. From the results of research and discussion, it can be concluded that the development of the integrated science learning character humanistic approach berbantu cheap props in the form of school syllabi, lesson plans, visual aids, worksheets, and the modules produced by Four-D flow model, the definition (defining, design (design, development (development and disseminate (spread that have gone through the validation and revision.

  11. An escape from agony: a qualitative psychological autopsy study of women's suicide in a post-conflict northern Uganda.

    Science.gov (United States)

    Kizza, Dorothy; Loa Knizek, Birthe; Kinyanda, Eugene; Hjelmeland, Heidi

    2012-09-05

    We set out to investigate suicide among women in a post-conflict context in Northern Uganda using qualitative psychological autopsy interviews. Three to five relatives and friends for each of the three suicides recruited were interviewed (N=11). Through interpretative phenomenological analysis (IPA) we found that the women all had been through traumatic experiences attributable to the protracted war/conflict between the rebel groups and Ugandan Government armed forces. Nevertheless, the decision of self-inflicted death seemed to have been due to a combination of unpleasant experiences/events that prevailed within the last 3 months prior to the suicide. These experiences are summarized in two broad themes: No control in life and No care. Changes in the traditional gender roles, men's quest for their lost masculinity, and women's attempt to fight for their rights that was perceived as a cultural transgression contributed to the women's suicides.

  12. Side effect experiences of South Korean women in their twenties and thirties after facial plastic surgery

    Directory of Open Access Journals (Sweden)

    Kim YA

    2018-06-01

    Full Text Available Young A Kim,1 Hyang-In Cho Chung2 1Department of Nursing, Jeju National University College of Nursing, Jeju-si, Republic of Korea; 2Department of Nursing, Chonnam National University College of Nursing, Gwangju, Republic of Korea Background: Rates of plastic surgery procedures have increased dramatically over the past several decades, especially for the women in South Korea.Purpose: The purpose of this study was to explore the subjective experience of South Korean women in their twenties and thirties with facial plastic surgery (FPS side effects.Participants and methods: Seven women who have suffered from FPS side effects participated in this study. Data were collected from July to September 2015 through individual in-depth interviews using open-ended questions and analyzed using Colaizzi’s method, which is a Husserlian phenomenological approach.Results: Six themes, and 25 subthemes, were found. Major themes were “choosing FPS to gain a new self”, “facing an unintended self”, “trying to accept a changed self”, “making efforts to overcome the situation”, “coming to know a new world”, and “pursuing a new lifestyle”.Conclusion: This study raises social awareness on the risk of plastic surgery side effects, which could prevent unnecessary plastic surgery. It also suggests the need for a deeper understanding of women’s biopsychosocial suffering from plastic surgery side effects. Keywords: cosmetic surgery, aesthetic plastic surgery, qualitative research, interview 

  13. PENGARUH MODEL PEMBELAJARAN INKUIRI TERHADAP KETERAMPILAN GENERIK SAINS SISWA KELAS XI IPA SMA NEGERI 1 PANGKAJENE SIDRAP

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    Haryanti Putri Rizal

    2014-05-01

    Full Text Available This research was a quasi experimental aimed to investigate the influenced of inquiry learning model to generic science skills of students class XI IPA SMAN 1 Pangkajene Sidrap on buffer solution subject matter. Research design used “Nonequivalent Control Group Design” that consist of two variable there are inquiry learning model as dependent variable and generic science skills as independent variable. Population in this research is students class XI IPA SMAN 1 Pangkajene Sidrap academic year 2012/2013 which amount 240 students. The sample choosen by class random sampling and have choosen XI IA 1 as experiment class consist of 34 students and XI IA 2 as control class consist of 35 students. Instrument that used is generic science skills test (KGS were integrated into buffer solution subject matter that includes indirect observation, sense of scale, logical frame, causality, mathematical modeling and concept formation.  The data was collected by given generic science skills test in pretest and posttest by objective test. Data were analyzed by descriptive statistics and inferential statistics. The descriptive results showed that generic science skills student of experiment class get N-gain average 0.71 in high categories and control class get N-gain average 0.31 in medium categories. The inferential statistics analysis showed that tcalculated 7,17 > ttable 1,68 in significant level α = 0.05, so H0 failed or H1 accepted. The result of analysis describe that inquiry learning model have positive influenced to generic skills science of students on buffer solution subject matter. Kata Kunci: Inquiry, Keterampilan Generik Sains

  14. Validity of the impact on participation and autonomy questionnaire: a comparison between two countries.

    Science.gov (United States)

    Kersten, Paula; Cardol, Mieke; George, Steve; Ward, Christopher; Sibley, Andrew; White, Barney

    2007-10-15

    To evaluate the cross-cultural validity of the five subscales of the Impact on Participation and Autonomy (IPA) measure and the full 31-item scale. Data from two validation studies (Dutch and English) were pooled (n = 106). Participants (aged 18-75), known to rehabilitation services or GP practices, had conditions ranging from minor ailments to significant disability. Validity of the five subscales and the total scale was examined using Rasch analysis (Partial Credit Model). P values smaller than 0.01 were employed to allow for multiple testing. A number of items in all the subscales except 'Outdoor Autonomy' needed rescoring. One 'Indoor Autonomy' item showed uniform DIF by country and was split by country. One 'Work and Education' item displayed uniform and non-uniform DIF by gender. All the subscales fitted the Rasch model and were invariant across country. A 30-item IPA also fitted the Rasch model. The IPA subscales and a 30-item scale are invariant across the two cultures and gender. The IPA can be used validly to assess participation and autonomy in these populations. Further analyses are required to examine whether the IPA is invariant across differing levels of disability and other disease groups not included in this study.

  15. Pembelajaran Fisika Berbasis Kompetensi Life Skill Kelas XII IPA.1 MAN 1 Lampung Selatan

    Directory of Open Access Journals (Sweden)

    Poniman Poniman

    2016-04-01

    Full Text Available This study aims to determine the physics competency-based learning life skills class XII IPA1, It conducted in two cycles, each cycle consisting of four phases: planning, execution, analysis and reflection. The action used is "Competency-Based Physics Education Life Skills". The first cycle has not succeeded cognitive aspects obtained a mean value of 5.62, the affective with good criterion 32.35%, sufficient criteria 67.65% as well as psychomotor with good criterion 38.34%, sufficient criteria 61.66%, the life skill with all criteria 41.18%, both criteria 58.82 %.The second trying to provide intensive training with the same material, the result of learning on the cognitive of a mean value of 5.81, affective with both criteria of 76.47%, sufficient criteria 23.53%, psychomotor with good criterion 55.88%, sufficient criteria of 44.12% as well as on the life skill with very good criteria 1.76%. Penelitian ini bertujuan untuk mengetahui dampak pembelajaran fisika berbasis kompetensi life skill pada kelas XII IPA1. Penelitian ini dilakukan dalam dua siklus, setiap siklus terdiri dari empat tahap: perencanaan, pelaksanaan, analisis dan refleksi. Tindakan yang digunakan adalah "Pembelajaran isika Berbasis Kompetensi Life Skills ". Siklus pertama belum berhasil, nilai rata-rata aspek kognitif diperoleh 5,62; afektif dengan kriteria baik 32,35%, dan kriteria cukup 67,65%; serta psikomotorik dengan kriteria baik 38,34%, dan kriteria cukup 61.66%; life skills dengan semua kriteria 41,18%, kriteria baik 58,82%. siklus kedua mencoba untuk memberikan pelatihan intensif dengan tindakan yang sama, rata-rata hasil belajar aspek kognitif 5,81; afektif dengan kriteria baik 76,47%, kriteria cukup 23,53% , psikomotor dengan kriteria baik 55,88%, kriteria cukup 44,12% serta pada life skill dengan kriteria baik sekali 1,76%. Kata kunci: pembelajaran fisika, physics competency-based learning life skills

  16. The use of importance and performance analysis (IPA) to evaluate effectiveness of the forward auction market agro commodities: A case study

    Science.gov (United States)

    Wulansari, Dwi Ratna; Sutopo, Wahyudi; Hisjam, Muh.

    2018-02-01

    The empowering auction market for commodities in East Java Province is one of five auction market revitalization programs conducted by the Republic of Indonesia c.q. Ministry of Trading started in 2014. One of the districts in East Java Province, namely Magetan District utilizes the commodity auction market to improve the competitiveness of their agricultural industry by shortening the supply chain. The Magetan District needs to evaluate their support for farmers or farmer groups to participate in the forward auction market (FAM). Implementation of the FAM commodities is divided into three main processes, namely pre-auction, auction, and post-auction. The auction market is organized to shorten the trading chain. Implementation of the FAM requires good planning, among Seller (namely Farmer or Farmer Group), organizer of Auction (namely Commodity Auction Company), Buyer, and Local Government (namely the farmer facilitator). This article is aimed to develop the instrument of a Performance Measurement Model Using Important and Performance Analysis (IPA) for Improving the FAM Effectiveness of Agro Commodity from Magetan District with Supply Chain Management approach. IPA is implemented at pre-auction, auction, and post-auction. The IPA model results in the diagram to decide the strategies in improving the FAM effectiveness, and then it can encourage farmers to improve welfare and realize the competitiveness of the auctioneer.

  17. A comparative study of influencing BMD factors in postpartum and general women in their twenties and thirties

    International Nuclear Information System (INIS)

    Kim, Sun Geun; Oh, Chan Ho; Kweon, Dae Cheol

    2007-01-01

    The study is to evaluate the factors that affect to the bone mineral density (BMD) of postpartum women by comparing BMD between postpartum and general women who are ages from 20 to 39, and to identify correlation between various factors weight, height, body mass index (BMI), hemoglobin (Hb) and BMD. Study subjects were postpartum (n = 159) and general (n = 180) women. We checked the BMD of femoral neck and lumbar spine by using dual energy X-ray bone densitometry. The mean age was 30.69 ± 3.32 in postpartum care group and 31.22 ± 5.66 in general women group. In postpartum care group, the mean BMD of femoral neck and lumbar spine were -0.187 and -0.076. In general women group, the mean BMD of femoral neck and lumbar spine were -0.029, and -0.169. According to BMI level, each group was divided into two subgroups. One was 23 or more BMI subgroup, and the other was under 23 BMI subgroup. There was a significant difference in BMD of femoral neck and lumbar spine between two subgroups in general women group, but only a significant difference in BMD of lumbar spine is noted between two subgroups of postpartum group. According to Hb level, each group was divided into two subgroups. One was 11 g/dl or more subgroup, and the other was under 11 g/dl subgroup. There was not a statistically significant difference of BMD in all subgroups. BMD of femoral neck and lumbar spine showed a significant correlation with weight, height, BMI in both groups. There was a significant correlation between BMD and Hb level in postpartum care group, but a significant correlation was not noted in general women group. The postpartum women showed a significant correlation between BMD and various factors such as weight, height, BMI just like in general women. There was a significant correlation between BMD and Hb in postpartum women, but not in general women

  18. A comparative study of influencing BMD factors in postpartum and general women in their twenties and thirties

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Sun Geun; Oh, Chan Ho [Woosuk University, Wanju (Korea, Republic of); Kweon, Dae Cheol [Seoul National University Hospital, Seoul (Korea, Republic of)

    2007-03-15

    The study is to evaluate the factors that affect to the bone mineral density (BMD) of postpartum women by comparing BMD between postpartum and general women who are ages from 20 to 39, and to identify correlation between various factors weight, height, body mass index (BMI), hemoglobin (Hb) and BMD. Study subjects were postpartum (n = 159) and general (n = 180) women. We checked the BMD of femoral neck and lumbar spine by using dual energy X-ray bone densitometry. The mean age was 30.69 {+-} 3.32 in postpartum care group and 31.22 {+-} 5.66 in general women group. In postpartum care group, the mean BMD of femoral neck and lumbar spine were -0.187 and -0.076. In general women group, the mean BMD of femoral neck and lumbar spine were -0.029, and -0.169. According to BMI level, each group was divided into two subgroups. One was 23 or more BMI subgroup, and the other was under 23 BMI subgroup. There was a significant difference in BMD of femoral neck and lumbar spine between two subgroups in general women group, but only a significant difference in BMD of lumbar spine is noted between two subgroups of postpartum group. According to Hb level, each group was divided into two subgroups. One was 11 g/dl or more subgroup, and the other was under 11 g/dl subgroup. There was not a statistically significant difference of BMD in all subgroups. BMD of femoral neck and lumbar spine showed a significant correlation with weight, height, BMI in both groups. There was a significant correlation between BMD and Hb level in postpartum care group, but a significant correlation was not noted in general women group. The postpartum women showed a significant correlation between BMD and various factors such as weight, height, BMI just like in general women. There was a significant correlation between BMD and Hb in postpartum women, but not in general women.

  19. PENGARUH STRATEGI PROJECT BASED LEARNING (PJBL TERHADAP KEMAMPUAN BERPIKIR KRITIS SISWA KELAS XI IPA PADA MATERI KOLOID

    Directory of Open Access Journals (Sweden)

    Nur Hikmah

    2016-11-01

    Full Text Available The 21st century education aims to develop the ability of intelligence of students in order to resolve the problems faced in real life. Project-Based Learning is one instructional strategies to develop the skills required in the 21st century. Through a given project, students are not only required to achieve the learning objectives that have been set, but students will be trained to face the world of work that requires their ability to access, mesintesis, communicating information, and work together to solve complex problems so as to improve the ability of students critical thinking. This research is a quasi-experimental research (quasy experiment with posttest only control group design. This research aims to determine the influence of Project Based Learning Strategy (PjBL to the critical thinking skills of students of class XI IPA at SMAN 1 Malua on colloidal material. The research population includes students of class XI IPA at SMAN 1 Malua, with random cluster sampling technique sampling. Data were analyzed using independent sample t-test in SPSS 20 for windows at the 0.05 level of significance. The result showed that the significance level of critical thinking skills of 0.001 which indicates that there are differences between students' critical thinking skills that learned using a strategy of Project Based Learning (PjBL with students that learned using conventional methods. Pendidikan abad 21 bertujuan untuk membangun kemampuan intelegensi siswa dalam pembelajaran agar mampu menyelesaikan permasalahan yang dihadapi. salah satu strategi pembelaj aran di abad 21 yang mengembangkan keterampilan siswa ialah Project Based Learning. Melalui proyek yang diberikan, siswa tidak hanya dituntut untuk mencapai tujuan pembelajaran yang telah ditetapkan, tetapi siswa akan lebih terlatih menghadapi dunia kerja yang membutuhkan kemampuan mereka dalam mengakses, mesintesis, mengomunikasikan infomasi, dan bekerja sama memecahkan masalah yang kompleks

  20. IPA CBC FUND - TOURISM DEVELOPMENT IN THE BRCKO DISTRICT

    Directory of Open Access Journals (Sweden)

    Aleksandar Maksimovic

    2012-04-01

    Full Text Available The European Union in different ways and through the structural funds, helps countries to develop in the Western Balkans. Decision of the EU, the total amount that will be available in Turkey, Croatia, Serbia, Macedonia, Albania and Bosnia and Herzegovina in the period since 2007. 2013. is 4 billion. One of the priority measures under the IPA Cros-border coopertion (CBC programme is the development of tourism. These measures should help and contribute to the development of tourism. How and in what way to access and become a user of these programs can help or helps? Cross-border projects involve regional cooperation and require financial resources in the preparation of the project. Trained staff is needed for this job. Local communities, along with their capacities should take on the preparation of these projects, and as partners include the tourist industry (workers and encourage and inspire other tourist capacities in their local community.

  1. Gene Expression in Uterine Leiomyoma from Tumors Likely to Be Growing (from Black Women over 35) and Tumors Likely to Be Non-Growing (from White Women over 35)

    Science.gov (United States)

    Davis, Barbara J.; Risinger, John I.; Chandramouli, Gadisetti V. R.; Bushel, Pierre R.; Baird, Donna Day; Peddada, Shyamal D.

    2013-01-01

    The study of uterine leiomyomata (fibroids) provides a unique opportunity to investigate the physiological and molecular determinants of hormone dependent tumor growth and spontaneous tumor regression. We conducted a longitudinal clinical study of premenopausal women with leiomyoma that showed significantly different growth rates between white and black women depending on their age. Growth rates for leiomyoma were on average much higher from older black women than for older white women, and we now report gene expression pattern differences in tumors from these two groups of study participants. Total RNA from 52 leiomyoma and 8 myometrial samples were analyzed using Affymetrix Gene Chip expression arrays. Gene expression data was first compared between all leiomyoma and normal myometrium and then between leiomyoma from older black women (age 35 or older) and from older white women. Genes that were found significant in pairwise comparisons were further analyzed for canonical pathways, networks and biological functions using the Ingenuity Pathway Analysis (IPA) software. Whereas our comparison of leiomyoma to myometrium produced a very large list of genes highly similar to numerous previous studies, distinct sets of genes and signaling pathways were identified in comparisons of older black and white women whose tumors were likely to be growing and non-growing, respectively. Key among these were genes associated with regulation of apoptosis. To our knowledge, this is the first study to compare two groups of tumors that are likely to have different growth rates in order to reveal molecular signals likely to be influential in tumor growth. PMID:23785396

  2. PERANCANGAN PROGRAM APLIKASI PEMBELAJARAN IPA MATERI SISTEM PERNAPASAN BERBASIS MULTIMEDIA UNTUK SISWA SDLB BAGIAN B TUNA RUNGU MENGGUNAKAN OBJECT ORIENTED APPROACH

    Directory of Open Access Journals (Sweden)

    Diana Effendi

    2016-11-01

    Full Text Available Tunarungu, samahalnya dengan difabel yang lain yang merupakan warganegara Indonesia berhak memperoleh pendidikan. Seperti diketahui Anak Berkebutuhan Khusus (ABK membutuhkan perhatian lebih untuk meningkatkan fokus terhadap proses belajar. Saat ini dalam kegiatan belajar mengajar di objek penelitian yaitu SDLB Bagian (B Cidendo Bandung dilakukan secara konvensional, dimana guru menjelaskan materi pelajaran menggunakan buku sebagai alat bantu dalam pengajaran. Keterbatasan media alat bantu yang tepat untuk mengajaranak tuna rungu menjadi masalah bagi para guru untuk mampu menjelaskan materi pelajaran yang dibebankan kepada siswa. Terutama pada mata pelajaran IPA/Sains yang cukup komplek, contohnya materi sistem pernapasan pada manusia dan hewan sangat membutuhkan bantuan alat yang lebih ke arah visual. Untuk mengatasi hal tersebut, dalam penelitian ini dibuatlah rancangan program aplikasi alat bantu pembelajaran IPA/Sains untuk SDLB bagian B khususnya materi sistem pernapasan manusia dan hewan menggunakan metode penelitian Research Development, metode pendekatan berbasis objek (object-oriented approach, dengan alat bantu perancangan menggunakan Unified Modeling Language (UML yaitu Use Case, Sequence Diagram, Class Diagram.Sedangkan model pengembangan sistem menggunakan prototype. Rancangan tersebut meliputi rancangan proses, rancangan user interface program aplikasi yang disesuaikan dengan aplikasi berbasis multimedia. Berdasarkan rancangan tersebut, nantinya diharapkan dapat diimplementasikan menggunakan software Adobe Flash Cs3 Proffesional yang berbasiskan multimedia, dimana dengan multimedia memungkinkan suatu materi yang tidak dapat disampaikan secara verbal atau kejadian, dapat direkayasa sedemikian rupa sehingga bisa disajikan dengan terperinci dan sangat menarik bagi siswa. Kata kunci: anak berkebutuhan khusus (ABK, tunarungu, IPA/sains, sistem pernapasan manusia dan hewan.

  3. Peningkatan Karakter Mahasiswa Program Studi PGSD pada Mata Kuliah Pengembangan Pembelajaran IPA SD di Universitas Muhammadiyah Sidoarjo

    Directory of Open Access Journals (Sweden)

    Enik Setiyawati

    2017-05-01

    Full Text Available PGSD student's character can be seen from various aspects of the attitude that must be owned by an educator, especially educators in primary school. Some of these aspects are honesty, cooperation, discipline, responsibility, and independence. Aspects of honesty student still low category, the aspect of cooperation, discipline, responsibility, and independence are being categorized. The purpose of this research is to describe the increase in student character study program PGSD On Learning Course Development IPA SD At the University of Muhammadiyah Sidoarjo. In conducting the study, researchers used a classroom action research (Classroom Action Research. Based on the results of the study in the first cycle and the second cycle, it can be seen that there is a rise in the value of the character of students in primary school teaching courses Learning Development IPA SD from the first cycle to the second cycle. Value of character in the first cycle of 71.4, while the value of the character in the second cycle of 98.5. This shows that there is an increase of 27.1 of all indicators of character shown by students of primary school teaching course on development of Elementary Science Lesson.

  4. Women's views and experiences of two alternative consent pathways for participation in a preterm intrapartum trial: a qualitative study.

    Science.gov (United States)

    Sawyer, Alexandra; Chhoa, Celine; Ayers, Susan; Pushpa-Rajah, Angela; Duley, Lelia

    2017-09-09

    The Cord Pilot Trial compared alternative policies for timing of cord clamping at very preterm birth at eight UK hospitals. In addition to standard written consent, an oral assent pathway was developed for use when birth was imminent. The aim of this study was to explore women's views and experiences of two alternative consent pathways to participate in the Cord Pilot Trial. We conducted a qualitative study using semi-structured interviews. A total of 179 participants in the Cord Pilot Trial were sent a postal invitation to take part in interviews. Women who agreed were interviewed in person or by telephone to explore their experiences of two consent pathways for a preterm intrapartum trial. Data were analysed using inductive systematic thematic analysis. Twenty-three women who gave either written consent (n = 18) or oral assent followed by written consent (n = 5) to participate in the trial were interviewed. Five themes were identified: (1) understanding of the implications of randomisation, (2) importance of staff offering participation, (3) information about the trial and time to consider participation, (4) trial secondary in women's minds and (5) reasons for agreeing to take part in the trial. Experiences were similar for the two consent pathways. Women recruited by the oral assent pathway reported being given less information about the trial but felt it was sufficient to make a decision regarding participation. There were gaps in women's understanding of the trial and intervention, regardless of the consent pathway. Overall, women were positive about their experiences of being invited to participate in the trial. The oral assent pathway seems an acceptable option for women if the intervention is low-risk and time is limited. ISRCTN Registry, ISRCTN21456601 . Registered on 28 February 2013.

  5. Peningkatan Aktivitas, Motivasi dan Hasil Belajar IPA Biologi Peserta Didik Kelas VIIIA-1 MTsN Watampone melalui Model Pembelajaran Inkuiri Terbimbing

    Directory of Open Access Journals (Sweden)

    Pujiati Pujiati

    2016-02-01

    Full Text Available ABSTRAKPenelitian ini bertujuan untuk mengetahui peningkatan aktivitas belajar, motivasi belajar dan hasil belajar IPA Biologi peserta didik kelas VIIIA-1 MTsN 1 Watampone melalui model pembelajaran inkuiri terbimbing. Penelitian ini merupakan penelitian tindakan kelas yang dilaksanakan di MTsN  1 Watampone Kabupaten Bone. Subjek  penelitian ini adalah peserta didik kelas VIIIA-1 dengan jumlah peserta didik 32 orang. Penelitian ini dilakukan pada semester genap tahun pelajaran 2015/2016, bulan Januari sampai bulan April 2016. Hasil penelitian menunjukkan bahwa (1 aktivitas belajar IPA Biologi peserta didik kelas VIIIA-1 MTsN 1 Watampone meningkat dari  62,25% menjadi 87,5% melalui model pembelajaran inkuiri terbimbing (2 motivasi  belajar IPA Biologi peserta didik kelas VIIIA-1 MTsN 1 Watampone meningkat dari 85,71% menjadi 87,06%  melalui model pembelajaran inkuri terbimbing (3 . Hasil   belajar IPA Biologi peserta didik kelas VIIIA-1 MTsN 1 Watampone meningkat dari 59,37% menjadi 87,5%  melalui model pembelajaran inkuri terbimbing.Kata kunci: pendekatan saintifik, keterampilan proses sains, hasil belajar kognitif biologi.ABSTRACTThis study aims to determine the increase activity, motivation and learning outcomes of science biology for VIIIA-1 Class of MTsN 1 Watampone through guided inquiry learning model. This study is classroom action research conducted in MTsN 1 Watampone, Bone. The subjects were students of Class of VIIIA-1 with the number of students is 32. This research was conducted in the second semester of 2015/2016 academic year, January to April 2016. Results showed that (1 the activity of students to learn science biology of VIIIA-1 Class of MTsN 1 Watampone increased from 62.25% to 87.5% through the inquiry guided learning model, (2 motivation to learn science biology of Students of VIIIA-1 Class of MTsN 1 Watampone increased from 85.71% to 87.06% through the inquiry guided learning model, (3 Biological science learning

  6. A case report of IPA with chronic mass calcification in a neutropenic patient

    Directory of Open Access Journals (Sweden)

    Sudheesh Raveendran

    2017-06-01

    Full Text Available Aspergillosis is a serious pathologic condition caused by Aspergillus organisms and is frequently seen in immunocompromised patients. Invasive pulmonary aspergillosis (IPA which is rare, has been identified as one of the histological subtypes of aspergillosis. It is one of the rare chronic infectious diseases of respiratory system in China, and presents high morbidity, high drug resistance and specific imaging characteristics. This paper focused on a rare case report of invasive pulmonary aspergillosis with chronic mass calcification. CT imaging was discussed by contrast with clinical manifestations, aiming to survey the invasive pulmonary aspergillosis and the mass calcification and to improve the clinical differential diagnosis.

  7. [IPA secretary and patron--Freud's patient, financial administrator and friend. Anton von Freund's letters to Sigmund Freud (1916-1919)].

    Science.gov (United States)

    Huppke, Andrea; Schröter, Michael

    2011-01-01

    Although the letters, of which numerous and lengthy excerpts are presented in this paper, have repeatedly been used by scholars, they have so far remained unpublished. There are 45 items, written between 4. 1. 1916 and 13. 7. 1919. They indicate a passionate transference to Freud, unfolding against the background of two Hungarian revolutions. After suffering a relapse of his cancer, v. Freund had several stretches of analysis with Freud. While he was better, he established two major funds: one of them allowing the foundation of the psychoanalytic publishing house, the other destined to sponsor a psychoanalytic clinic in Budapest. V. Freund helped organize the Budapest IPA congress, became a member of the "secret committee" and started to actively conduct analyses. Freud was very attached to him and felt deeply shaken by the inexorable progression of v. Freund's disease and then death in January 1920.

  8. PENGARUH PENGGUNAAN METODE DISCOVERY BERBASIS MEDIA REALITA TERHADAP HASIL BELAJAR MATAKULIAH KONSEP DASAR IPA 1

    Directory of Open Access Journals (Sweden)

    Idam Ragil Widianto Atmojo

    2015-10-01

    Full Text Available This study aims to determine how much influence the use of media-based discovery method's realities of the learning outcomes during the course Basic Concepts IPA 1 when compared to those taught using direct instruction-based Power Point (PPT. This research is a quantitative type of experiment using a quasi-experimental method (Quasi-Experimental Design. Experimental Design. Design research is the Control Group Pre-test Post-test. Populations of this study were all students of PGSD FKIP UNS second semester of academic year 2013/2014. Cluster Random Sampling is used in sampling. The technique of collecting data through observation, documentation, and testing. The data analysis technique used is the prerequisite test data analysis and hypothesis testing. For prerequisite test, including normality test with chip-square method and homogeneity test methods Bartlett. Based on the analysis of t test showed the t count> t table (3.599> 2.001, so that H0 is rejected. Thus there is a positive impact on learning outcomes of the course the basic concepts of science one-second semester students are taught using methods of discovery-based media reality. Conclusions This study is the result of learning the basic concepts of science subject 1 student taught by media-based discovery method's realities better than students taught by direct instruction-based power point. Keywords: discovery, media reality, learning outcomes, basic concepts IPA.

  9. Women's experiences of planning a vaginal breech birth in Australia.

    Science.gov (United States)

    Homer, Caroline Se; Watts, Nicole P; Petrovska, Karolina; Sjostedt, Chauncey M; Bisits, Andrew

    2015-04-11

    In many countries, planned vaginal breech birth (VBB) is a rare event. After the Term Breech Trial in 2000, VBB reduced and caesarean section for breech presentation increased. Despite this, women still request VBB. The objective of this study was to explore the experiences and decision-making processes of women who had sought a VBB. A qualitative study using descriptive exploratory design was undertaken. Twenty-two (n = 22) women who planned a VBB, regardless of eventual mode of birth were recruited. The women had given birth at one of two maternity hospitals in Australia that supported VBB. In-depth, semi-structured interviews using an interview guide were conducted. Interviews were analysed thematically. Twenty two women were interviewed; three quarters were primiparous (n = 16; 73%). Nine (41%) were already attending a hospital that supported VBB with the remaining women moving hospitals. All women actively sought a vaginal breech birth because the baby remained breech after an external cephalic version - 12 had a vaginal birth (55%) and 10 (45%) a caesarean section after labour commenced. There were four main themes: Reacting to a loss of choice and control, Wanting information that was trustworthy, Fighting the system and seeking support for VBB and The importance of 'having a go' at VBB. Women seeking a VBB value clear, consistent and relevant information in deciding about mode of birth. Women desire autonomy to choose vaginal breech birth and to be supported in their choice with high quality care.

  10. PENGARUH PENDEKATAN CONTEXTUAL TEACHING AND LEARNING (CTL BERBANTUAN MEDIA POWERPOINT TERHADAP PENINGKATAN HASIL BELAJAR IPA FISIKA

    Directory of Open Access Journals (Sweden)

    Suprianto Suprianto

    2016-12-01

    Full Text Available Berdasarkan hasil wawancara terbatas dengan sebagian guru IPA fisika MTs di kecamatan Camplong Kabupaten Sampang didapatkan informasi bahwa hasil belajar siswa masih rendah dibawah KKM yang sudah ditentukan pihak sekolah. Hal ini disebabkan karena kurangnya penggunaan media pembelajaran, proses pembelajaran masih bersifat teacher centered sehingga sebagian besar siswa tidak mampu menghubungkan antara apa yang mereka pelajari dengan bagaimana pemanfaatannya dalam kehidupan nyata. Adapun tujuan penelitian ini adalah untuk mengidentifikasi pengaruh pendekatan CTL berbantuan media powerpoint terhadap peningkatan hasil belajar IPA fisika siswa. Metode penelitian yang digunakan adalah metode Quasi Experimen dengan menggunakan Nonrandomized Control Group Pretest-Postest Design dan dibagi menjadi dua kelompok, yaitu kelompok eksperimen dan kelompok kontrol. Instrumen penelitian yang digunakan berupa tes objektif bentuk pilihan ganda. Tes ini terdiri dari empat pilihan (opsi dan hasilnya diuji melalui statistik uji “t”. Dari hasil perhitungan diperoleh nilai thitung sebesar 10,81 sedangkan ttabel sebesar 2,021 pada taraf signifikansi 0,05 atau dapat diketahui thitung > ttabel. Dari perhitungan N-gain, dapat dinyatakan bahwa peningkatan hasil belajar fisika yang diterapkan pendekatan CTL berbantuan media powerpoint lebih tinggi dari pada pembelajaran konvensional yaitu 0,71 > 0,52. Berdasarkan hasil analisis statistika dan deskriptif maka dapat di simpulkan bahwa terdapat pengaruh yang signifikan pendekatan CTL berbantuan media powerpoint terhadap peningkatan hasil belajar fisika siswa di kelas VIII MTs.

  11. MENINGKATKAN PEMAHAMAN MAHASISWA PADA MATA KULIAH KONSEP DASAR IPA MENGGUNAKAN MODEL PEMBELAJARAN CBSA DENGAN PENDEKATAN DISCOVERY

    OpenAIRE

    Subuh Anggoro; Badarudin Badarudin

    2010-01-01

    This research is aimed at finding out whether students’ active learning with discovery approach could improve the students’ understanding of basic science subject. The research used survey method. The population of this research was students who took the subject of Konsep Dasar IPA (the Basic Concept of Science) out of which one class was taken as sample. The data was then analyzed with descriptive technique with the help of graph. The result showed that 72% did not have sufficient understand...

  12. Meningkatkan Pemahaman Mahasiswa pada Mata Kuliah Konsep Dasar IPA Menggunakan Model Pembelajaran Cbsa dengan Pendekatan Discovery

    OpenAIRE

    Anggoro, Subuh; Badarudin, Badarudin

    2010-01-01

    This research is aimed at finding out whether students' active learning with discovery approach could improve the students' understanding of basic science subject. The research used survey method. The population of this research was students who took the subject of Konsep Dasar IPA (the Basic Concept of Science) out of which one class was taken as sample. The data was then analyzed with descriptive technique with the help of graph. The result showed that 72% did not have sufficient understand...

  13. Penerapan Strategi Pembelajaran Aktif Tipe Card Sort (Kartu Sortir) untuk Meningkatkan Aktivitas dan Ketuntasan Belajar Siswa pada Pokok Bahasan Koloid di Kelas XI IPA 1 Sman 3 Pekanbaru

    OpenAIRE

    Dewi, Resya Sukma; Amran, Elva Yasmi; Haryati, Sri

    2016-01-01

    Classroom action research has been done on student's activity and learning mastery on colloid subject in XI IPA 1 of SMAN 3 Pekanbaru. This research was conducted by applying active learning strategy of Card Sort. Improved student learning activity is the activity of asking questions, submit answers or opinions, working on exersices and group discussion, evaluation too.This research consisted of two cycles. Each cycle consisted of one meeting through four stages of implementation: planning, a...

  14. Women, race, and science: The academic experiences of twenty women of color with a passion for science

    Science.gov (United States)

    Johnson, Angela C.

    Women of color drop out of science at higher rates than other students. This study is an ethnographic examination of why this occurs and how women of color can be supported in studying science. Through participant observation in science classes, labs, and a program supporting high-achieving students of color, as well as interviews with minority women science students, the student identities celebrated by science departments, as well as those embraced by my informants, were uncovered. Cultural norms of science classes often differed from those of the women in the study. Only one identity---apprentice research scientist---was celebrated in science settings, although others were tolerated. The women tended to either embrace the apprentice research scientist identity, form an alternative science-oriented identity, or never form a satisfying science student identity. Women who were more racially marked were more likely to fall into the second and third groups. This study uncovered difficulties which women students of color faced more than other science students. In addition, it uncovered several seemingly neutral institutional features of science lectures and labs which actually served to discourage or marginalize women students of color. It revealed values held in common by the women in the study and how those characteristics (especially altruism and pride and pleasure in academic challenge) led them to study science. It also revealed strategies used by the most successful women science students, as well as by professors and programs most successful at supporting women of color in the study of science. Based on this study, increasing the participation of women of color in science holds the possibility of altering the basic values of science; however, institutional features and personal interactions within science departments tend to resist those changes, primarily by encouraging women of color to abandon their study of science.

  15. Preparing to Understand Feminism in the Twenty-First Century: Global Social Change, Women's Work, and Women's Movements

    Directory of Open Access Journals (Sweden)

    Torry Dickinson

    2015-08-01

    Full Text Available The history of women's non-wage work, women's wage labor, and contemporary women's movements can be understood with greater clarity if studies of "globalization", feminism, and the capitalist world-economy are examined in relationship to each other. Today many women's movements clearly reflect, respond to, and attempt to shape changes in wage (employer-organized and non-wage (labor-organized work relations. This paper is a conceptual, theoretical and historical exploration of how scholars, who study inter-related global areas, can prepare to do research on women's work and women's movements that will contribute to the development of "globalization", feminist, and world-economy scholarship.

  16. DAMPAK APLIKASI HERBISIDA IPA GLIFOSAT DALAM SISTEM TANPA OLAH TANAH (TOT TERHADAP TANAH DAN TANAMAN PADI SAWAH

    Directory of Open Access Journals (Sweden)

    S. Dharma Kesuma

    2015-07-01

    Full Text Available Weed is one of the important constraints in rice production, and therefore its effective control measure should be considered that the production can be optimized. The application of no tillage by using herbicide is assumed more effective and efficient than conventional one. However, herbicide which is used as contionusly can influence residue in soil, plant and rice. The objectives of the research were to analyze the effect of no tillage and its combination of IPA glyphosate herbicide concentration levels to rice productivity and to analyze IPA glyphosate herbicide residue in soil, straw and rice. The study was conducted in the field by using IPA glyphosate herbicide with five treatments, namely maximum tillage (Gm, no herbicide spraying (G0, glyphosate herbicide doses 1.5 l ha-1(G1, 3 l ha-1 (G2 and 4.5 l ha-1(G3. The analysis of glyphosate residue was done in soil, straw and rice samples by using HPLC (high performance liquid chromatography method. The research results showed that Gm and G1 treatments had highest with rice yield average were 938 g m-2 and 728 g m-2, respectively. Gm treatmen more profitable with R / C ratio of 1.84 with a profit of Rp 13.714 million, but using more labor than G1 treatment. Thereby, no-tillage treatment (G1 could be done by using glyphosate herbicide in doses 1.5 l ha-1, economically. Glyphosate contained in soil samples, straw, and rice proved that using of gyphosate intensively could have negative impacts on soil microbial activity, plant resistance to plant diseases and residue of glyphosate carried by plants. Glyphosate residue concentration was highest found on rice sample in treatments G3 was 0.272 mg kg-1. These glyphosate residual values on rice was highest than maximum residue limit which was decided by Indonesia government (0.1 mg kg-1. Glyphosate residues contained in food is not within safe limits if taken every day and can cause adverse effects to human health. Keywords: glyphosate herbicide

  17. Initial CT manifestations of invasive pulmonary aspergillosis in 45 non-HIV immunocompromised patients: association with patient outcome?

    International Nuclear Information System (INIS)

    Horger, Marius; Hebart, Holger; Einsele, Hermann; Lengerke, Claudia; Claussen, C.D.; Vonthein, Reinhard; Pfannenberg, Christina

    2005-01-01

    Purpose: To assess early high-resolution computer tomographic (CT) signs of invasive pulmonary aspergillosis (IPA) in non-HIV immunosuppressed patients and their potential association with patient's outcome, including frequency and severity of pulmonary hemorrhage, taking also in consideration the impact of other known risk factors contributory to IPA. Material and methods: A retrospective review of serial CT scans was performed in 45 immunocompromised patients with a total of 46 episodes of invasive pulmonary aspergillosis. All patients underwent CT beginning with the day they showed clinical or laboratory signs of infection. Serial follow-up CT included more than two, up to 12 CT examinations. Patient's outcome was judged by clinical and radiological follow-up and classified as survival, death by IPA, or death unrelated to IPA. The influence of patient's age, underlying disease, hematopoietic stem cell transplantation, neutropenia, graft versus host disease, and antifungal therapy onset was also statistically considered. Results: Three main CT findings were identified: small nodules (<1 cm) 43% (20/46), large nodules 21% (10/46) and consolidations, either in patchy ± segmental 26% (12/46), or peribronchial distribution ± tree in bud 9% (4/46). In 11 patients (24%) we found a combination of two or more of these signs: 9 (19%) patients presented concurrent small nodules accompanied by reticulation, tree in bud or peribronchial infiltrates, while 2 (4%) patients showed large pulmonary nodules accompanied by large consolidations. An accompanying 'halo' sign was observed in 38 patients (82%). Crescent sign followed by cavitation was encountered in 29 patients (63%). Two patients succumbed to massive pulmonary bleeding caused by IPA. Twenty-one patients (15/46) deceased in this series, 12 of them succumbed to IPA, 1 died from cerebral invasive aspergillosis, while in 9 patients the cause of death was not primarily IPA. Manifest pulmonary hemorrhage occurred in 19% (9

  18. Potensi Pengembangan Bahan Ajar: Handout Pada Pembelajaran IPA SMP Berbasis Penelitian Pengaruh Konsentrasi Nutrisi Ab Mix Pada Pertumbuhan Tanaman Bayam (Amaranthus Tricolor L.) Dengan Teknik Hidroponik Sistem Wick

    OpenAIRE

    Putra, Rayshatico Perdana; Wulandari, Sri; Fauziah, Yuslim

    2017-01-01

    This study was conducted to determine the effect of nutrient concentrations on plant growth AB Mix the spinach with hydroponic techniques wick system as well as the design for the development of learning handout on SMP IPA in March-May 2016. The study was carried out by two phases: an experiment: the effect of nutrient concentrations AB Mix the spinach plant growth (Amaranthus tricolor L.) with hydroponic techniques and the wick system design stage handout science teaching junior high school....

  19. Women's experiences of postnatal distress: a qualitative study.

    Science.gov (United States)

    Coates, Rose; Ayers, Susan; de Visser, Richard

    2014-10-14

    Women can experience a range of psychological problems after birth, including anxiety, depression and adjustment disorders. However, research has predominantly focused on depression. Qualitative work on women's experiences of postnatal mental health problems has sampled women within particular diagnostic categories so not looked at the range of potential psychological problems. The aims of this study were to explore how women experienced and made sense of the range of emotional distress states in the first postnatal year. A qualitative study of 17 women who experienced psychological problems in the first year after having a baby. Semi-structured interviews took place in person (n =15) or on the telephone (n =2). Topics included women's experiences of becoming distressed and their recovery. Data were analysed using Interpretative Phenomenological Analysis (IPA). Themes were developed within each interview before identifying similar themes for multiple participants across interviews, in order to retain an idiographic approach. Psychological processes such as guilt, avoidance and adjustment difficulties were experienced across different types of distress. Women placed these in the context of defining moments of becoming a mother; giving birth and breastfeeding. Four superordinate themes were identified. Two concerned women's unwanted negative emotions and difficulties adjusting to their new role. "Living with an unwelcome beginning" describes the way mothers' new lives with their babies started out with unwelcome emotions, often in the context of birth and breastfeeding difficulties. All women spoke about the importance of their postnatal healthcare experiences in "Relationships in the healthcare system". "The shock of the new" describes women's difficulties adjusting to the demands of motherhood and women emphasised the importance of social support in "Meeting new support needs". These findings emphasise the need for exploration of psychological processes such as

  20. High quality joining techniques: in-process assurance (IPA) welding system

    Energy Technology Data Exchange (ETDEWEB)

    Kaihara, Shoichiro [Ishikawajima-Harima Heavy Industries Co. Ltd., Tokyo (Japan)

    1996-08-01

    On July 1, 1995, the Product Liability Law was enforced, and in industrial world, further reliability has been demanded. Recently, accompanying the progress of electronics, the proportion taken by automatic welders and robots increased in welding. By memorizing proper welding conditions, the welding from initial to final passes can be done fully automatically. Also feedback mechanism was equipped to mechanized welders, and the in-process control has become to be feasible. The way of thinking on confirming in process welding quality in arc welding is explained. IPA welding system utilizes the multi-media collecting images and sound, samples the change of welding conditions and the state of arc on a same screen, and monitors the deviation from the range of proper welding conditions. At the time of abnormality, inspector or a computer carries out image diagnosis and welding control, and the system indicates the soundness of welded parts. The basic concept and the flow chart of this system are shown. The experiment of applying the system to arc welding is reported. The correlation of welding phenomena and welding conditions is examined. (K.I.)

  1. High quality joining techniques: in-process assurance (IPA) welding system

    International Nuclear Information System (INIS)

    Kaihara, Shoichiro

    1996-01-01

    On July 1, 1995, the Product Liability Law was enforced, and in industrial world, further reliability has been demanded. Recently, accompanying the progress of electronics, the proportion taken by automatic welders and robots increased in welding. By memorizing proper welding conditions, the welding from initial to final passes can be done fully automatically. Also feedback mechanism was equipped to mechanized welders, and the in-process control has become to be feasible. The way of thinking on confirming in process welding quality in arc welding is explained. IPA welding system utilizes the multi-media collecting images and sound, samples the change of welding conditions and the state of arc on a same screen, and monitors the deviation from the range of proper welding conditions. At the time of abnormality, inspector or a computer carries out image diagnosis and welding control, and the system indicates the soundness of welded parts. The basic concept and the flow chart of this system are shown. The experiment of applying the system to arc welding is reported. The correlation of welding phenomena and welding conditions is examined. (K.I.)

  2. Workshop on Women of Applied Mathematics: Research and Leadership

    Energy Technology Data Exchange (ETDEWEB)

    Dianne P. O' Leary; Tamara G. Kolda

    2004-09-28

    We held a two and a half day workshop on Women of Applied Mathematics: Research and Leadership at the University of Maryland in College Park, Maryland, October 8--10, 2003. The workshop provided a technical and professional forum for eleven senior women and twenty-four early-career women in applied mathematics. Each participant committed to an outreach activity and publication of a report on the workshop's web site. The final session of the workshop produced recommendations for future action.

  3. Penerapan Model Pembelajaran Treffinger dengan Bantuan Media Audio Visual Untuk Meningkatkan Aktivitas dan Hasil Belajar IPA Terpadu pada Siswa Kelas VII SMP Frater Makassar

    Directory of Open Access Journals (Sweden)

    Nur Indah Sari

    2016-08-01

    Full Text Available Penelitian ini adalah  jenis Penelitian Tindakan Kelas (Classroom Action Research yang bertujuan untuk meningkatkan hasil belajar siswa pada pembelajaran IPA Terpadu melalui penerapan model pembelajaran Treffinger dengan bantuan media audio visual pada materi ekosistem siswa kelas VII SMP FRATER Makassar. Teknik pengumpulan data dilakukan dengan observasi aktivitas belajar siswa dan evaluasi pada setiap akhir siklus. Data yang terkumpul dianalisis dengan menggunakan analisis statistik deskriptif dan dilengkapi dengan tabel frekuensi dan presentase. Dari hasil kegiatan pembelajaran yang telah dilakukan terjadi peningkatan hasil belajar siswa, siklus I sebanyak 14 orang dengan presentase 37,83%, sedangkan pada siklus II sebanyak 32 orang dengan persentase 86,48%. dan terjadi peningkatan aktivitas belajar siswa, Semangat siswa dalam mengikuti pembelajaran IPA Terpadu pada siklus I 50,15% dan  meningkat pada siklus II menjadi 80,05%. Hasil penelitian ini menunjukkan bahwa penerapan model pembelajaran Treffinger dengan bantuan media audio visual dapat meningkatkan hasil belajar IPA Terpadu pada materi ekosistem pada siswa kelas VII A SMP FRATER Makassar.Kata kunci: model pembelajaran treffinger, hasil belajar, ipa terpadu.ABSTRACTThis study is classroom action research study that aims to increase activity and study results of Integrated Science of  student by using Treffinger model with audio visual media on ecosystem material of Class VII Student at SMP Frater Makassar. Data collection used in this study was observation and achievement test in the end of every cycle. Analytical data by using descriptive statistical analysis include the frequency tables and percentages. The results of this study indicate that: Treffinger  model with audio visual media showed a positive tendency from 14 students with 37,83% in cycle I and improve to 32 students with 86,48% in cycle II and showed a positive tendency on student’s activity in study. Student

  4. Use of IPA to demonstrate loss of forest interior birds from isolated woodlots

    Science.gov (United States)

    Robbins, C.S.; Boone, D.D.; Purroy, F.J.

    1983-01-01

    'Empleo de indices puntuales de abundancia (IPA) para demostrar la perdida de aves forestales en bosques aislados'. En Maryland, E.U., se seleccionaron bloques boscosos de diferente superficie, divididos en seis clase de tamano (2,8-6 ha, 7-14, 20-30, 34-80, 105-1300, mayores de 4000 ha). En estas ?islas' forestales fue programado un conjunto de muestreos puntuales con estas caracteristicas: 1) Cada punto se visito tres veces. 2) En cada visita se hicieron cuatro censos consecutivos de 5 minutos de duracion, empleando diferentes simbolos para machos cantores, adultos no cantores, aves en vuelo y aves inmaduras. 3) Los conteos se hicieron en tres epocas: final de Mayo, mitad de Junio y final de Junio. 4) Se dividio el tiempo de censo en tres priodos horarios: 5,15-6,30 ; 6,30-8; 8-9,30 hrs. 5) Los puntos se agruparon en co juntos de 4 a 9, considerando que un conjunto es el nlimero que un observador puede cubrir por manana. 6) La vegetacion fue descrita exhaustivamente en cuanto composicion y fisionomla. El principal objetivo que se busca consiste en conocer los requisitos areales de ciertas especies de bosque muy sensibles a la fragmentacion del habitat. Puede observarse (Figura 1) que una serie de migrantes de largo alcance se asientan en relacion con el aumento de la superficie del rodal arbo1ado, sabre todo en macizos de 4.000 o mas hectareas. Sin embargo, las especies sedentarias (Fig. 2) tienen pauta de presencia irregular en funcion del area, forestal, con tendencia a presentarse menos en los bosques mas extensos, Dryocopus pileatus, por excepcion, reacciona negativamente al pequeno tamano de la parcela arbolado, prefiriendo bosques grandes. Parecida respuesta da tambien Sitta carolinensis. Aunque se sabe poco de las exigencias areales de las aves forestales americanas, el metodo de los IPA resulta muy adecuado para esta clase de investigacion de tanto interes en gestion ambiental, posibilitando colectar gran cantidad de datos comparables en un periodo de

  5. Factors Influencing Japanese Women to Choose Two-Year Colleges

    Science.gov (United States)

    Anzai, Shinobu

    2009-01-01

    Two-year colleges in Japan have traditionally absorbed the major portion of female college entrants due at least partially to long-held gender stereotypes: women are to prepare themselves for marriage and homemaking at a two-year college. Recently, Japanese women began to explore selfhood outside the traditional realm of motherhood and womanhood.…

  6. Hardware Interface Description for the Integrated Power, Avionics, and Software (iPAS) Space Telecommunications Radio Ssystem (STRS) Radio

    Science.gov (United States)

    Shalkhauser, Mary Jo W.; Roche, Rigoberto

    2017-01-01

    The Space Telecommunications Radio System (STRS) provides a common, consistent framework for software defined radios (SDRs) to abstract the application software from the radio platform hardware. The STRS standard aims to reduce the cost and risk of using complex, configurable and reprogrammable radio systems across NASA missions. To promote the use of the STRS architecture for future NASA advanced exploration missions, NASA Glenn Research Center (GRC) developed an STRS-compliant SDR on a radio platform used by the Advance Exploration System program at the Johnson Space Center (JSC) in their Integrated Power, Avionics, and Software (iPAS) laboratory. The iPAS STRS Radio was implemented on the Reconfigurable, Intelligently-Adaptive Communication System (RIACS) platform, currently being used for radio development at JSC. The platform consists of a Xilinx ML605 Virtex-6 FPGA board, an Analog Devices FMCOMMS1-EBZ RF transceiver board, and an Embedded PC (Axiomtek eBox 620-110-FL) running the Ubuntu 12.4 operating system. Figure 1 shows the RIACS platform hardware. The result of this development is a very low cost STRS compliant platform that can be used for waveform developments for multiple applications.The purpose of this document is to describe how to develop a new waveform using the RIACS platform and the Very High Speed Integrated Circuits (VHSIC) Hardware Description Language (VHDL) FPGA wrapper code and the STRS implementation on the Axiomtek processor.

  7. Waveform Developer's Guide for the Integrated Power, Avionics, and Software (iPAS) Space Telecommunications Radio System (STRS) Radio

    Science.gov (United States)

    Shalkhauser, Mary Jo W.; Roche, Rigoberto

    2017-01-01

    The Space Telecommunications Radio System (STRS) provides a common, consistent framework for software defined radios (SDRs) to abstract the application software from the radio platform hardware. The STRS standard aims to reduce the cost and risk of using complex, configurable and reprogrammable radio systems across NASA missions. To promote the use of the STRS architecture for future NASA advanced exploration missions, NASA Glenn Research Center (GRC) developed an STRS-compliant SDR on a radio platform used by the Advance Exploration System program at the Johnson Space Center (JSC) in their Integrated Power, Avionics, and Software (iPAS) laboratory. The iPAS STRS Radio was implemented on the Reconfigurable, Intelligently-Adaptive Communication System (RIACS) platform, currently being used for radio development at JSC. The platform consists of a Xilinx(Trademark) ML605 Virtex(Trademark)-6 FPGA board, an Analog Devices FMCOMMS1-EBZ RF transceiver board, and an Embedded PC (Axiomtek(Trademark) eBox 620-110-FL) running the Ubuntu 12.4 operating system. The result of this development is a very low cost STRS compliant platform that can be used for waveform developments for multiple applications. The purpose of this document is to describe how to develop a new waveform using the RIACS platform and the Very High Speed Integrated Circuits (VHSIC) Hardware Description Language (VHDL) FPGA wrapper code and the STRS implementation on the Axiomtek processor.

  8. Making Sense of Participant Experiences: Interpretative Phenomenological Analysis in Midwifery Research

    Directory of Open Access Journals (Sweden)

    Samantha J Charlick

    2016-06-01

    Full Text Available Selecting the most appropriate methodology for research as a doctoral student is one of the most important yet difficult decisions. Not only should the methodology suit the research question, it is important that it resonates with the philosophy of one’s discipline and produces needed results that will contribute to knowledge. Interpretative phenomenological analysis (IPA is an approach to qualitative enquiry. IPA seeks to explore how individuals make sense of their major life experiences and is committed to the detailed study of each particular case before moving to broader claims. In the field of midwifery, midwives work with women throughout pregnancy, childbirth and the early postnatal period, offering individualized care based on the unique needs of each woman. IPA aligns with this women-centered philosophy as it offers a methodological approach that considers the individual in a local context. By capturing context specific situations, IPA allows broad-based knowledge to be contextualized within a social and cultural context, producing relevant findings. Thus the access to IPA studies will enable midwives to better care for women and their families through understanding the experiences and perceptions of those in their scope of practice. This paper presents the theoretical framework leading to practical guidelines on how to con-duct a doctoral-level IPA study, as experienced by the first author. It also addresses the advantages and challenges around utilizing IPA, illustrated through examples from the doc-toral student’s study on the journey of exclusive breastfeeding in Australia.

  9. Pengembangan Bahan Ajar Mata Kuliah IPA Berbasis Pendekatan Scientific Approach

    Directory of Open Access Journals (Sweden)

    Fitroh Setyo Putro Pribowo

    2017-05-01

    Full Text Available Scientific Approach is one instructional approach used in the curriculum of 2013. That prompted LPTK to generate prospective teachers who understand the essence of the curriculum of 2013. Based on observations activity and low student motivation to learn science. LKS assumed teaching materials can enhance the activity and motivation of students in the learning process. Research conducted by the method of research and development (research and development. Development of research methods used in this study adapt the model ADDIE. This model consists of five main phases or stages: 1 analyze, 2 design, 3 develop, 4 implement, 5 Evaluate. LKS development results-oriented IPA 1 aprroach by expert scientific learning technology obtained a score of V = 87.5 (very valid, while the practicality of the product gained a score of V = 71.5 with practicality criteria quite well. The effectiveness of the product was assessed by increased activity and student motivation. Activities students obtain a score of 73.21 with the active category as well as the motivation to study obtained a score of 63.94 with a category quite well. student worksheets produced meet the elements of a valid, practical, and effective.

  10. Dietary factors associated with plasma high molecular weight and total adiponectin levels in apparently healthy women

    NARCIS (Netherlands)

    Yannakoulia, Mary; Yiannakouris, Nikos; Melistas, Labros; Fappa, Evaggelia; Vidra, Nikoletta; Kontogianni, Meropi D; Mantzoros, Christos S

    2008-01-01

    OBJECTIVE: Our aim was to investigate associations between dietary factors and high molecular weight (HMW) as well as total adiponectin in a sample of apparently healthy adult Mediterranean women. DESIGN AND METHODS: Two hundred and twenty women were enrolled in this study. Anthropometric and body

  11. Emergência e desenvolvimento de mudas de tomate IPA 6 em substratos, contendo esterco ovino

    Directory of Open Access Journals (Sweden)

    Enio Gomes Flôr Souza

    2013-12-01

    Full Text Available A busca por substratos alternativos, que possam substituir produtos comerciais na produção de mudas de tomate, é de fundamental importância para a redução dos custos nessa fase inicial da cultura. Objetivou-se, com esta pesquisa, avaliar a qualidade de mudas de tomate industrial IPA 6, produzidas com substratos à base de esterco ovino. O experimento foi conduzido em viveiro da Universidade Federal Rural de Pernambuco, Unidade Acadêmica de Serra Talhada, de 16 de fevereiro a 30 de março de 2012. Utilizou-se o delineamento inteiramente casualizado, com quatro repetições. Os tratamentos avaliados foram: T1 - [substrato comercial]; T2 - [esterco ovino + areia (1:1]; T3 - [esterco ovino + areia (2:1]; T4 - [esterco ovino + areia (3:1]; T5 - [esterco ovino + solo (1:1]; T6 - [esterco ovino + solo (2:1]; T7 - [esterco ovino + solo (3:1]; T8 - [esterco ovino + areia + solo (1:1:1];T9 - [esterco ovino + areia + solo (2:1:1]; T10 - [esterco ovino + areia + solo (3:1:1]. Os indicadores de emergência avaliados foram: percentagem, índice de velocidade e tempo médio de emergência. Analisaram-se as seguintes características de desenvolvimento: número de folhas, altura de plântula, diâmetro de caule, comprimento de raízes, massa da matéria seca da parte aérea e das raízes. O substrato comercial proporcionou melhor vigor de mudas de tomate IPA 6. Por outro lado, o uso do esterco ovino mais solo (2:1, para compor substratos alternativos constituiu-se opção viável para a produção de mudas desse cultivar.

  12. Knowledge and attitude of older women towards menopause

    International Nuclear Information System (INIS)

    Mazhar, S.B.; Gul-e-Erum

    2003-01-01

    Objective: To determine the knowledge and attitude towards menopause among postmenopausal women seeking gynecological treatment. Results: The mean age of respondents was 54.4 years. Fifty-two (74.3%) women knew about menopause, 39 (55.7%) were aware of symptomatology while only 7(10%) knew sequelae of menopause. Fifty-three (75.5%) women were satisfied with cessation of menstruation and only 17 (24.3%) desired to continue menstruation. Twenty-four (34.3%) respondents were unhappy with their menopausal status. Thirty-two (45.7%) women were content with their present sexual relations, 18 (25.7%) were dissatisfied and 20 (28.6%) had no sexual activity. Fifty-two (74.3%) women felt a need for health education on menopause in educational institutions. Thirty-three (47.1%) considered treatment of menopause necessary. Four (5.7%) were aware of any treatment of menopause and 55 (78.6%) desired to learn more about menopause. Conclusion: Women have different views about menopause, few see it as a medical condition requiring treatment, whereas majority consider it is a natural transition. There was breath of knowledge regarding significance of menopause. (author)

  13. PROFIL PENILAIAN OTENTIK PADA PERKULIAHAN IPA DI PROGRAM STUDI PENDIDIKAN GURU SEKOLAH DASAR FKIP UNIVERSITAS PASUNDAN

    Directory of Open Access Journals (Sweden)

    Ida Yayu N Hazqiyah

    2017-09-01

    Full Text Available Abstrak. Penilaian otentik merupakan suatu proses pengumpulan berbagai data yang bisa memberikan gambaran meyeluruh tentang perkembangan peserta didik yang mencakup ranah kognitif, afektif dan psikomotor. Penelitian ini bertujuan untuk mengetahui bagaimana penerapan penilaian otentik pada perkuliahan IPA di Prodi PGSD FKIP UNPAS. Penelitian ini merupakan penelitian deskriptif kualitatif. Partisipan dalam penelitian ini adalah mahasiswa pada Prodi PGSD FKIP UNPAS. Instrumen yang digunakan berupa angket persepsi mahasiswa, lembar observasi, serta pedoman wawancara. Teknik analisis data yang digunakan direncanakan akan menggunakan analisis deskriptif. Hasil penelitian menunjukkan bahwa penerapan penilaian otentik pada perkuliahan IPA di Prodi PGSD FKIP Unpas sudah diterapkan walaupun belum berjalan secara optimal. Sedangkan respon mahasiswa terhadap penerapan penilaian otentik pada perkuliahan menunjukkan hasil yang positif.  Kata kunci: Penilaian Otentik, Perkuliahan IPA   Abstract. Authentic assessment is a process of collecting the various of data that can provide a comprehensive the development of learners that includes the cognitive, affective and psychomotor skills. This study aims to find out how to applicate of authentic assessment on science lectures in major PGSD FKIP Unpas. This research is a qualitative descriptive research. Participants in this study were students at the major PGSD FKIP Unpas. The instruments used were student perception questionnaires, observation sheets, and interview guidelines. Data analysis techniques used are planned to use descriptive analysis. The results showed that the application of authentic assessment on science lecture in major PGSD FKIP Unpas has been applied although not yet optimally. While the student response to the application of authentic assessment on lectures showed positive results.  Keywords: Authentic Assessment, Science Lecture

  14. Albicans candidiasis amongs women and infants at two health ...

    African Journals Online (AJOL)

    Albicans candidiasis amongs women and infants at two health facilities in Port ... and in infants – Oral Thrush (OT) was investigated in Port Harcourt, Rivers State. ... UPTH (28.6%) had more infection rate than BMSH (22.9%), pregnant women ...

  15. Service quality benchmarking via a novel approach based on fuzzy ELECTRE III and IPA: an empirical case involving the Italian public healthcare context.

    Science.gov (United States)

    La Fata, Concetta Manuela; Lupo, Toni; Piazza, Tommaso

    2017-11-21

    A novel fuzzy-based approach which combines ELECTRE III along with the Importance-Performance Analysis (IPA) is proposed in the present work to comparatively evaluate the service quality in the public healthcare context. Specifically, ELECTRE III is firstly considered to compare the service performance of examined hospitals in a noncompensatory manner. Afterwards, IPA is employed to support the service quality management to point out improvement needs and their priorities. The proposed approach also incorporates features of the Fuzzy Set Theory so as to address the possible uncertainty, subjectivity and vagueness of involved experts in evaluating the service quality. The model is applied to five major Sicilian public hospitals, and strengths and criticalities of the delivered service are finally highlighted and discussed. Although several approaches combining multi-criteria methods have already been proposed in the literature to evaluate the service performance in the healthcare field, to the best of the authors' knowledge the present work represents the first attempt at comparing service performance of alternatives in a noncompensatory manner in the investigated context.

  16. Nigerian Urban Women's Use of Information Media: The Challenges for Women in Leadership

    Science.gov (United States)

    Nwafor, Oby Maureen; Akubue, Felicia N.

    2008-01-01

    The study surveyed urban women's use of information media and drew attention to the implications for women in leadership positions and non-formal education. A questionnaire containing structured and unstructured items was administered to 300 women resident at Nsukka urban town Enugu State, Nigeria. One hundred and twenty-five usable copies were…

  17. KEMAMPUAN BERPIKIR KREATIF SISWA SD DALAM PEMBELAJARAN IPA

    Directory of Open Access Journals (Sweden)

    Jamaluddin Jamaluddin

    2016-02-01

    Full Text Available Abstract: Elementary School Studens' Creative Thinking Skills in Science Learning. This study aims (1 to investigate the differences of creative thinking skills among elementary school students who applied various learning methods (questioning, Think-Pair-Share, and Numbered-Head together and those who applied conventional learning methods; (2 to find out the differences in creative thinking skills between students of high and low academic ability; (3 to investigate the differences of creative thinking skills as influ­enced by learning methods and academic ability. Using a quasi -experimental design, this study found out that there are differences in creative thinking skills among students applying different learning methods and among students of different academic abilities and that these differences in creative thinking are skills as influenced by learning methods and academic abilities. Abstrak: Kemampuan Berpikir Kreatif Siswa SD dalam Pembelajaran IPA. Artikel ini didasarkan pada laporan penelitian yang bertujuan untuk mengetahui (1 perbedaan keterampilan berpikir kreatif, antara siswa yang belajar dengan strategi pembelajaran PBMP, PBMPTPS, PBMPNHT, dan strategi pembelajaran konvensional; (2 perbedaan keterampilan berpikir kreatif siswa berkemampuan akademik tinggi dan rendah; (3 perbedaan keterampilan berpikir kreatif akibat dari interaksi antara strategi pembelajaran dengan kemampuan akademik siswa. Hasil penelitian menunjukkan (1 ada perbedaan keterampilan berpikir kreatif antara siswa yang belajar dengan strategi PBMP, PBMPTPS, PBMPNHT, dan strategi Konven­sional; (2 ada perbedaan keterampilan berpikir kreatif, antara siswa berkemampuan akademik tinggi dengan siswa berkemampuan akademik rendah; (3 interaksi strategi pembelajaran PBMP, PBMP.TPS, PBMP.NHT, dan konvensional dengan kemampuan akademik siswa tidak berpengaruh signifikan terhadap keterampilan berpikir kreatif.

  18. Midwives׳ experiences of caring for women with learning disabilities - A qualitative study.

    Science.gov (United States)

    Castell, Emma; Stenfert Kroese, Biza

    2016-05-01

    people with learning disabilities (LD) are increasingly likely to become parents and are entitled to have access to the right support to be able to be suitable parents. However, access to such support is affected by limited resources, attitudes towards people with LD becoming parents, and lack of training regarding caring for parents with learning disabilities for midwives. A learning disability (LD) is defined as a significantly reduced ability to understand new or complex information, to learn new skills (impaired intelligence), reduced skills to cope independently with everyday life, has an impact on most areas of a person's life and the difficulties started in early childhood. Little research has explored health professionals' experiences of their support of people with LD during their journey to become parents. Midwives are often the first professionals pregnant women come into contact with and therefore are key professionals in the support system for parents with LD. The principle objective of the current research is to develop an understanding of midwives' experiences of caring for women with a LD. the study explored midwives׳ experiences of caring for women with LD using an Interpretative Phenomenological Approach (IPA). nine qualified midwives employed by a single NHS trust participated in the study. a semi-structured interview schedule was utilised during one-to-one interviews with the midwives. The interview transcripts were analysed using IPA stages. Four superordinate themes were identified. The midwives reported receiving a lack of LD training and faced significant time constraints, which left them feeling that they could not spend the necessary time with the women to meet their pregnancy needs. The midwives felt unsupported in their attempts to deliver adequate midwifery care, speaking about a lack of accessible support for pregnant women with LD. They were left feeling responsible to fill the gaps in service provision. The midwives were dedicated

  19. ANALISIS KUALITAS PELAYANAN DENGAN MENGGUNAKAN INTEGRASI IMPORTANCE PERFORMANCE ANALYSIS (IPA DAN MODEL KANO (Studi Kasus di PT. Perusahaan Air Minum Lyonnaise Jaya Jakarta

    Directory of Open Access Journals (Sweden)

    Nia Budi Puspitasari

    2012-02-01

    Full Text Available Dalam rangka memenuhi kebutuhan sehari-hari, air merupakan hal yang penting untuk diperhatikan karena seiring dengan pertambahan penduduk maka kebutuhan air tidak dapat dipungkiri akan semakin meningkat. Maka dalam menyikapi hal tersebut PT PAM Lyonnaise Jaya (Palyja hadir di Jakarta untuk meningkatkan penyediaan dan pelayanan air bersih. Dari 306 Perusahaan Daerah Air Minum (PDAM yang ada di Indonesia, hanya 10 % yang dalam keadaan sehat. Dengan melihat kondisi tersebut maka Palyja perlu untuk mengarah pada inovasi-inovasi. Di dalam penelitian ini dilakukan studi kualitas layanan dengan integrasi Importance Performance Analysis (IPA dan Model Kano. Pendekatan ini bertujuan untuk membantu Palyja dalam mengevaluasi kepuasan pelanggan mereka, bukan hanya untuk mengidentifikasi apakah harapan konsumen telah terpenuhi atau belum tetapi juga mengidentifikasi atribut-atribut layanan yang fungsional dan disfungsional. Sehingga dari integrasi tersebut dapat diketahui atribut layanan apa yang perlu mendapat prioritas untuk ditingkatkan. Selanjutnya dari model ini, dapat diidentifikasi rekomendasi perbaikan yang dapat dilakukan Palyja. Dari hasil integrasi tersebut dapat diketahui bahwa atribut yang perlu mendapat prioritas untuk ditingkatkan adalah penerapan fasilitas air Palyja yang dapat langsung diminum oleh konsumen. Tentunya dengan memperhatikan kualitas air yang bersih dan aman untuk diminum. Kata Kunci : Kualitas Pelayanan, Importance Performance Analysis (IPA, Model Kano, Palyja     In order to meet daily needs, water is important to note because along with the increase of population, the water demand will inevitably increase. So in addressing these PT PAM Lyonnaise Jaya (Palyja present in Jakarta to improve the provision and water services. Of the 306 Regional Water Company (PDAM that exist in Indonesia, only 10% are in good health. By looking at current economic conditions, Palyja need to lead to innovations. Within this study, quality of

  20. Identification and conservation of important plant areas (IPAS) for the distribution of medicinal, aromatic and economic plants in the Hindukush-Himalaya mountain range

    International Nuclear Information System (INIS)

    Sher, H.; Ali, H.; Rehman, S.

    2012-01-01

    Study on the identification of Important Plant Areas (IPAs) was conducted in seven valleys of Hindukush-Himalayas mountainous ranges of Pakistan during 2005 and 2006. The principal aim of the study is to search new avenues for the conservation and sustainable utilization of threatened medicinal and economic plants and their habitats in IPAs. IPAs are sites of tremendous ecological and economic values that still exist in the world and are being managed on specific sites to study wild plant diversity. Several of such plants are used in the traditional medicines that are being used since the dawn of history to provide basic healthcare to people the world over. According to WHO, 80% of the human population of Africa still use medicinal plants in their primary healthcare. The popularity of herbal drugs is on the constant rise in many developed countries of the world, while in developing countries like Pakistan; medicinal plants contribute significantly to the income sources of people living in remote areas. Keeping such importance in view, the World Health Organization (WHO) launched a global vision in the form of 'Global Strategy for Plant Conservation' having various targets and mile stones. Target 5 of the strategy required for the global integration of the herbal medicine in health care system with proper identification of medicinal plants and the conservation of sites where such plants are found naturally, as its basic elements. In order to contribute to the specified target, WHO advised the relevant institutions to develop research plans and conservation programmes that are focused on the Global strategy in general and target 5 in specific. While complementing the appeal and contributing to its vision, a study was conducted in various eco-systems of the Pakistan's Hindukush-Himalayas region, identifying Important Plant Areas (IPAs) for their subsequent conservation and uses for scientific purposes. Site selection for the study was based on: 1). Exceptional

  1. Open Adoption Placement by Birth Mothers in Their Twenties.

    Science.gov (United States)

    Clutter, Lynn B

    The purpose of this study was to summarize birth mothers' descriptions of unplanned pregnancy experienced in their twenties and how open adoption influenced their lives. Naturalistic inquiry was used with purposive sampling from one agency and telephone interviews of women who experienced unplanned pregnancy in their twenties and relinquishment through open adoption. Recorded, transcribed, and deidentified interviews were analyzed for qualitative themes. Fifteen participants judiciously weighed the open adoption decision. Over half parented other children prior to placement. Most knew they could not have parented this child due to life stressors. Placement was a hard decision, but ongoing contact with birth child and adoptive family was valued. Open adoption processes made them stronger by being happy that their child experienced family life with greater opportunities than birth mothers could offer at the time. Summarized themes used the acronym COMMITTED: C-care deeply about what is best for the child, O-ongoing open adoption: good and hard, M-meeting together regularly, M-moving on in personal growth, accomplishments, and milestones, I-independence from previous stressors or crises, T-transitions, T-therapeutic support, E-emotions, D-depression giving way to deepened strength and personal direction. Open adoption is reinforced as a positive resolution of unintended pregnancy for birth mothers in their twenties.

  2. Twenty Years of Women's Leadership: Have We Come "A Long Way, Baby?"

    Science.gov (United States)

    Boatman, Sara A.

    2007-01-01

    I'd like to share with you some thoughts from my last 20 years of leadership study and what I've come to understand during this time about women in relationship to leadership. Consider these remarks personal reflections on some of what has been written and discussed about leadership and especially about how women relate to leadership. Let's wonder…

  3. Understanding women's experiences with medical abortion: In-depth interviews with women in two Indian clinics.

    Science.gov (United States)

    Ganatra, B; Kalyanwala, S; Elul, B; Coyaji, K; Tewari, S

    2010-01-01

    We explored women's perspectives on using medical abortion, including their reasons for selecting the method, their experiences with it and their thoughts regarding demedicalisation of part or all of the process. Sixty-three women from two urban clinics in India were interviewed within four weeks of abortion completion using a semi-structured in-depth interview guide. While women appreciated the non-invasiveness of medical abortion, other factors influencing method selection were family support and distance from the facility. The degree of medicalisation that women wanted or felt was necessary also depended on the way expectations were set by their providers. Confirmation of abortion completion was a source of anxiety for many women and led to unnecessary interventions in a few cases. Ultimately, experiences depended more on women's expectations about the method, and on the level of emotional and logistic support they received rather than on inherent characteristics of the method. These findings emphasise the circumstances under which women make reproductive choices and underscore the need to tailor service delivery to meet women's needs. Women-centred counselling and care that takes into consideration individual circumstances are needed.

  4. Estrategias Educativas De Motivación A Través De Una Aplicación Móvil Para Evocación De Saberes Previos En Estudiantes De Ofimática De Zegel Ipae. Chiclayo. 2017

    OpenAIRE

    Estrada Coronel, Cristian Percy

    2017-01-01

    La presente tesis de investigación tiene como objetivo general determinar si las estrategias educativas de motivación a través de una aplicación móvil evocan en mayor proporción los saberes previos del tema de la sesión a desarrollar en estudiantes del segundo ciclo matriculados en el curso de Ofimática de Zegel IPAE Chiclayo, 2017. La población utilizada en el estudio son los estudiantes de las 2 aulas del segundo ciclo de Zegel IPAE matriculados en el curso de Ofimática 2017; para obten...

  5. KEMAMPUAN KOGNISI, KERJA ILMIAH DAN SIKAP MAHASISWA NON IPA MELALUI PEMBELAJARAN INKUIRI BERBANTUAN MULTIMEDIA

    Directory of Open Access Journals (Sweden)

    R. Cahyani

    2014-04-01

    Full Text Available Dalam kurikulum 2013 tujuan Pendidikan Nasional dikemas dalam 3 aspek sebagai SKL (Standar Kompetensi Lulusan yaitu aspek  sikap, aspek keterampilan dan aspek pengetahuan. Dalam  pembelajaran IPA sedapat mungkin guru/dosen melaksanakan proses pembelajaran secara Inkuiri Ilmiah untuk menumbuhkan kemampuan bekerja ilmiah, bersikap ilmiah dan dapat mengkomunikasikannya sebagai komponen penting dalam kecakapan hidup (BNSP,2006. Pembelajaran inkuiri memberi kontribusi terhadap ketiga aspek SKL pada  mahasiswa , kenyataannya dosen kurang membelajarkan IPA melalui  inkuiri kepada para mahasiswanya. Telah dilakukan penelitian uji coba  terhadap  mahasiswa non IPA yang memperoleh mata kuliah Ilmu Alamiah Dasar di semester tiga sebanyak 28 orang. Metode penelitian menggunakan Research and Design (R&D. Komponen yang diteliti dan diamati adalah: kemampuan kognisi, kemampuan  kerja ilmiah dan sikap mahasiswa. Kemampuan kognisi dijaring melalui pretest dan postest yang bersifat close question.  Kemampuan  kerja ilmiah dijaring melalui Lembar Kerja Mahasiswa  dengan pembelajaran inkuiri berbantuan multimedia, sedangkan sikap ilmiah mahasiswa diamati pada saat proses pembelajaran berlangsung. Hasil analisis penelitian  menunjukkan: (1 Terdapat perbedaan kemampuan kognisi mahasiswa yang signifikan pada hasil pretest dan postest. Rerata N gain  terhadap kemampuan kognisi mahasiswa adalah 0,31 (sedang dan rerata gain sebesar 15,18. (2 Kemampuan  kerja ilmiah mahasiswa berdasarkan rerata nilai dari yang terendah (42,38 hingga tertinggi (59,53 adalah: Merumuskan masalah (42,38, merumuskan variabel (43,10, membuat grafik (49,29, merumuskan hipotesis (50,95, memprediksi  (55,24,mengumpulkan data  (56,19, menghitung (56,43, menyimpulkan (59,05 dan mengkomunikasikan (59,53. (3 Sikap yang teramati secara dominan berturut-turut adalah: Rasa ingin tahu, mengemukakan pendapat, kerja sama, tekun, tanggung jawab, terbuka, kreatifitas, jujur dan peduli terhadap

  6. Unconscious collusion: An interpretative phenomenological analysis of the maternity care experiences of women with obesity (BMI≥30kg/m²).

    Science.gov (United States)

    Atkinson, Sandra; McNamara, Patricia Mannix

    2017-06-01

    obstetric and midwifery literature continually emphasise incidence and consequence of obesity in pregnancy. However, they offer less consensus on how best to support women who are obese. Therefore, this study explores in depth the lived experience of women who have a Body Mass Index (BMI) ≥30kg/m². This exploration provides a bio-psycho-social understanding of the lived experience of women to identify how best to support them throughout their childbirth experience. an Interpretative Phenomenological Analysis (IPA) design was adopted for this qualitative study. Purposive sampling of participants was conducted on the postnatal wards of a maternity hospital in the Republic of Ireland. In total, 15 participants volunteered to take part in semi-structured interviews conducted at six to ten weeks postnatally. Data were analysed utilising the IPA framework. the results indicate that participants were conscious of the problematics of communicating obesity in pregnancy. The narrative data revealed an unconscious collusion between healthcare professionals and women as they navigate obesity related conversations. The behaviours related to unconscious collusion are incorporated in the sub-ordinate themes; 'just recorded and that's all', 'but what's eating healthy? 'pussy footing around' and 'I hate that word obesity. the findings highlight a lack of information received by participants from healthcare professionals regarding increased BMI or weight management. The data suggests that healthcare professionals appeared to collude with women to avoid challenging discussions regarding obesity. This may be related to avoidance on participants' part and/or may be linked with healthcare professionals' reluctance to communicate issues relating to increased BMI. Although participants were generally unhappy with the communication skills of health professionals, they readily acknowledged the sensitive nature of obesity related communications. The findings provide healthcare

  7. Transcatheter lipiodol chemo-embolization of the inferior phrenic artery in hepatocellular carcinoma

    International Nuclear Information System (INIS)

    Chen Fanghong; Luo Zuyan; Yuan Jianhua; Yu Wenqiang; Cai Xuexiang; Hu Tingyang; Liu Zijiang

    2002-01-01

    Objective: To evaluate the efficacy of transcatheter lipiodol chemo-embolization therapy (TOCE) for HCC via inferior phrenic artery (IPA) and to analyse the location of the tumor feeding inferior phrenic artery. Methods: Twenty-five cases of HCC underwent the procedure of TOCE via the IPA, as well as the hepatic artery using Seldinger's method. The patterns of tumor growth included huge type in 12 cases, solitary nodular type in 8 cases and multiple nodular type in 5 cases. Hepatic artery and inferior phrenic artery chemo-embolization were performed in all cases. Results: Inferior phrenic artery originated from celiac trunk in 16 cases (64%); abdomen aorta around celiac trunk in 8(32%). The site-sort tumors supplied by IPA in right lobe (VII, VIII segment) were 23 cases and left lobe (IV segment) 2 cases. The cumulative survival rates of IPA chemo-embolization for hepatocellular carcinoma were 84%(1 year) and 68%(2 years). No severe complications occurred. Conclusions: TOCE of the IPA is a safe and effective method in the management of HCC supplied by IPA. When the tumor site is adjacent to diaphragm, hepatic ligaments or bare area, may arouse the blood supply by IPA, especially in no tumor staining or staining defect in hepatic artery angiography but tumor enhancement on CT, and increase of the level of serum α-fetoprotein

  8. PENGEMBANGAN PERANGKAT PEMBELAJARAN IPA MODEL 5E DI SMP

    Directory of Open Access Journals (Sweden)

    Hairul Anwar

    2016-02-01

    Kata kunci: perangkat pembelajaran IPA, model 5E, penelitian pengembangan THE DEVELOPMENT OF 5E MODEL OF SCIENCE TEACHING KITS IN JUNIOR HIGH SCHOOL Abstract: The purpose of this study was to develop the 5E model science teaching kits in Junior High School 2 Kopang. This was a research and development study referring to Dick and Carey model. The formative evaluation stage wasdone by: (1 the validation of the kitsby 3 experts and 1 teacher as users, (2 the limited trial on the teaching kits (syllabus, lesson plan, and students’ worksheets held in grade VII, and (3 the validation of the assessment instrument (Science Process Skills/SPS test, Cognitive Achievement/CA test and Affective Achievement/AA questionnaires held in VIII. The average score of the validation result showed that all teaching kits were suitable to be used in the limited trial. The use of the teaching kits (syllabus and lesson plan in the limited trial obtainedpositive responses from the teacher of grade VII as the observer with an average score of 4.20 and “strongly-agree” responses from students with an average score 4.12. The students also showed strong agreement on the worksheets with an average score of 4.14. The result of the validity and reliability test on the instrument showed that all the items of the SPS test, those of the CA test, and those of the AA questionnaires were valid. The Cronbach’s alpha reliability coefficient was > 0.423. Keywords: science teachingkits, the 5E model, research and development

  9. SCIENCE TEACHERS’ UNDERSTANDING OF MIND MAP LEARNING STRATEGY (PEMAHAMAN GURU IPA DALAM STRATEGI PEMBELAJARAN PETA PIKIRAN (MIND MAP

    Directory of Open Access Journals (Sweden)

    Natalia Rosa Keliat

    2017-02-01

    center. Abstrak. Penelitian ini dilaksanakan di SMP Salatiga, Jawa Tengah dengan subjek penelitan adalah guru bidang studi IPA yang berjumlah 23 orang dengan menggunakan teknik wawancara dan observasi. Penelitian ini bertujuan untuk mendata strategi pembelajaran IPA yang dilakukan guru SMP Kota Salatiga, kendala yang dihadapi guru dalam melaksanakan strategi pembelajaran di kelas, persentase pemahaman dan penerapan mind map oleh guru IPA SMP Kota Salatiga, serta kendala dalam melaksanakan strategi mind map di kelas. Analisis penelitian yang digunakan adalah deskriptif kualitatif. Hasil menunjukkan persentase guru IPA yang menggunakan strategi diskusi mencapai 78.26%, peta konsep 21,74%, demonstrasi 30,43%, ce-ramah 39,13%, mind map 34,78% dan strategi-strategi lain seperti permainan kartu, cerdas cer-mat, project based learning, discovery, problem based learning, CTL, inquiry mencapai 43,8%. Dalam menerapkan strategi yang bervariasi guru mengalami kesulitan dalam mengatur alokasi waktu pembelajaran di kelas dikarenakan peserta didik yang memiliki tingkat kemampuan kogni-tif rendah membutuhkan waktu yang lebih lama untuk memahami strategi pembelajaran yang dipakai di kelas. Dalam penerapan mind map, menunjukkan persentase jumlah guru yang menggunakan mind map dalam pembelajaran di SMP Kota Salatiga hanya mencapai 34,78% dan yang masih belum menerapkan pembelajaran model mind map mencapai 65,22%. Berdasarkan hasil wawancara diketahui bahwa sekitar 47,83% guru tersebut memahami prosedur pembelajaranmodel mind map, selebihnya sebesar 52,17% mengatakan belum memahami prinsip pembelajaran menggunakan mind map. Guru menjelaskan bahwa mind map sangat potensial digunakan se-bagai suatu teknik untuk meningkatkan pembelajaran peserta didik. Meskipun demikian, dalam penerapannya di kelas guru mengalami kendala dalam pengaplikasian mind map, misalnya dibu-tuhkan waktu yang cukup lama untuk menerapkan mind map sehingga materi lainnya tidak dapat diselesaikan tepat waktu. Selain itu

  10. Entrepreneurship Womens Business

    OpenAIRE

    M. Tony Bledsoe; Rebecca J. Oatsvall

    2010-01-01

    One outstanding impact in the twenty first century US economy is the phenomenally expanding role and importance of women entrepreneurs. The Center for Women’s Business Research reports “nearly 10.4 million firms are 50% or more owned by women, employing more than 12.8 million people, and generating $1.9 trillion in sales.” (2007) This growth is evidenced by the fact that majority women-owned firms grew at twice the rate of all firms between 1997 and 2006. (Center for Women’s Business Research...

  11. Creating a Bridge of Understanding between Two Worlds: Community-Based Collaborative-Action Research with Sudanese Refugee Women.

    Science.gov (United States)

    Baird, Martha B; Domian, Elaine Williams; Mulcahy, Ellyn R; Mabior, Rebecca; Jemutai-Tanui, Gladys; Filippi, Melissa K

    2015-01-01

    To explore the process of partnership between university researchers, students, and South Sudanese refugee women to address the health challenges associated with their resettlement transition to the United States. This qualitative study used a community-based collaborative action research (CBCAR) framework in the design, collection, and analysis of the qualitative data. Twenty refugee women participated in this study. Five health education seminars followed by an audio-recorded focus group were held over 9 months. A final focus group was held to confirm derived themes and develop an action plan. The partnership between the refugee women and researchers resulted in awareness of how power structures and differing expectations affected the process. The dialog in the focus groups provided an opportunity for refugee women to voice challenges to their health in resettlement. A pattern was recognized about how political and sociocultural events affected the process of CBCAR. Dialog and sharing differing worldviews and perspectives led to insights about ways to improve the health of the South Sudanese refugee community. CBCAR is a useful framework to address health concerns of a refugee community. Insights from this study provided a foundation for a future intervention research project with the refugee women. © 2015 Wiley Periodicals, Inc.

  12. Domestic Violence against Women in Two Primary Health Care Centers in Kayseri

    Directory of Open Access Journals (Sweden)

    Melis Nacar

    2009-04-01

    Full Text Available AIM: The aim of this study was to determine the women’s rate of exposure to domestic violence, the factors that affect it and to find out the view of women about domestic violence in two primary health care cervices in Kayseri. METHODS: The data was collected from 355 women aged 16 and over who applied to the selected two primary health care centers. A questionnaire was used. RESULTS: The mean age of the women were 34,0±10,9, 82,3% were married, 12.4% were single and 5.4% were widowed. Fifty two percent of women accept wife beating. Women living in low socioeconomic area (2.1 times more, and women who had 8 and low year of education (2.8 times more think that wife beating would be justified in some cases. Forty nine point nine percent of the women had an experience of domestic violence and 38.6% blame themselves for it. The rate of violence was higher in women whose husband is not working in a continuous work, had taken a beating from her mother-father, and had seen her father beating her mother. Women’s and husbands’ experience of violence in childhood increase the risk of beating their children. CONCLUSION: The rate of domestic violence and acceptance of violence were found high in our study. Man who exposed violence from his parents applies violence to his wife and children; woman who exposed violence from her parents applies violence to her children. To increase awareness of the health care workers about domestic violence we have to pay attention to this subject during training studies. [TAF Prev Med Bull 2009; 8(2.000: 131-138

  13. Hymenal stenosis and fibrosis in two adult women.

    Science.gov (United States)

    Goldstein, Andrew T; Todd, Sarah; Bedell, Sarah; Tabbarah, Abeer

    2015-05-01

    Hymenal abnormalities are most commonly a result of incomplete apoptosis of the urogenital sinus during embryology. Infrequently, however, noncongenital abnormalities of the hymen can occur that can cause significant sequelae such as severe introital dyspareunia. We report on two adult women who developed severe introital dyspareunia secondary to hymenal stenosis and fibrosis in the absence of other vulvovaginal pathology. Neither woman had point tenderness of the vulvar vestibule, but their symptoms of searing pain on vaginal penetration was reproduced by stretching the hymen with two fingers. In both cases, conservative treatments with vaginal dilators in combination with topical hormonal therapy failed to relieve their symptoms, but both women were subsequently successfully treated with hymenectomy. Hymenal stenosis and fibrosis can develop in the absence of identifiable vulvar dermatoses. If conservative treatment with topical hormonal therapy and vaginal dilators is unsuccessful, hymenectomy can restore normal coital function.

  14. EFEKTIVITAS PENGGUNAAN LINGKUNGAN SEBAGAI SUMBER BELAJAR MATERI IPA POKOK BAHASAN EKOSISTEM PADA KELAS VII SMP N 2 PRINGAPUS KABUPATEN SEMARANG TERHADAP HASIL BELAJAR SISWA

    Directory of Open Access Journals (Sweden)

    miftakhul jannah

    2016-02-01

    Penelitian ini bertujuan untuk mengetahui efektivitas pembelajaran IPA khususnya kelas VII   menggunakan lingkungan langsung   sebagai sumber belajar  terhadap hasil belajar siswa kelas VII  SMP N 2 Pringapus Kabupaten Semarang  pada poko bahasan  materi  ekosistem. Hasil pene- litian ini  merupakan penelitian kuantitatif dengan metode penelitian eks- perimen terpola bentuk posttest control design. Populasi dalam penelitian ini adalah peserta didik kelas VII SMP N 2 Pringapus Semarang, yaitu kelas VII A sebagai kelas eksperimen dan kelas VII C sebagai kelas kontrol. Pen- gumpulan data dalam penelitian ini menggunakan metode tes, observasi dan demonstrasi. Data penelitian yang terkumpul digunakan analisis uji t-test.Berdasarkan hasil t-test, dihasilkan bahwa t hitung = 2,947 dan ttabel  = 1,68 dengan taraf nyata 5% Karena t hitung > ttabel maka data tersebut signifikan. Sedangkan untuk uji hipotesis pihak kanan dibandingkan dengan KKM diperoleh thitung  = 9,2876 dan ttabel  = 1,714 maka penggunaan lingkun- gan sebagai sumber belajar dapat  mencapai  KKM yang  telah ditentukan yaitu 70. Dengan demikian pembelajaran IPA menggunakan lingkungan sebagai sumber belajar efektif terhadap hasil belajar siswa Kelas VII  SMP N 2 Pringapus   Kabupaten   Semarang pada mata pelajaran IPA   pokok bahasan.

  15. Rearquitetura e informação 24 horas no IPA Metodista

    Directory of Open Access Journals (Sweden)

    Samile Andréa de Souza Vanz

    2007-04-01

    Full Text Available As bibliotecas universitárias vêm passando por mudanças há algumas décadas para acompanhar as alterações causadas pelas tecnologias disponíveis na sociedade atual. O ambiente físico da biblioteca é alvo de muitas destas mudanças, já que a informação, contida nas coleções de livros e periódicos, vem sendo transferida para acervos digitais, diminuindo a demanda por espaço físico e pelo contato bibliotecário-usuário, provocando alterações nos hábitos e cultura da comunidade universitária. Neste contexto, foi inaugurada em Porto Alegre a Biblioteca Central do IPA Metodista. O prédio, erguido no início do século passado, foi reformado para atender 24 horas, durante todo o ano. Apresentam-se aqui considerações acerca de layout, mobiliário, sinalização, iluminação, temperatura e preservação do acervo, e como isso foi pensado ao longo da reforma de um edifício destinado a funcionar ininterruptamente. Relata-se também o processo de adequação dos funcionários e do usuário ao horário integral da Biblioteca Central.

  16. Enhancing co-operation between AVN, IRSN and GRS: the junior staff pilot project on the comparative testing of IPA codes

    International Nuclear Information System (INIS)

    Hoyos, A. de; Keesmann, S.; Smidts, O.

    2006-01-01

    - Objectives: The project takes place within the framework of the Junior Staff Program of AVN, GRS and IRSN which aims at creating a junior staff network among European TSOs. The objective of this project is to apply integrated performance assessment (IPA) tools used by AVN, IRSN and GRS to two generic and simplified models (Bure site in France and Mol site in Belgium) for disposal systems in argillaceous formations. The comparison of the results from different codes applied to the disposal systems of the two mentioned sites aims at a better understanding of the confinement capabilities of the considered geological formations and of the IPA methodology in general. The incentive is a common understanding of approaches developed by each partner and the improvement of this expertise. More specifically, this pilot project aims at enhancing exchanges of views and mutual experiences in the field of understanding major safety functions. - Tools and Methods: A new code for the assessment of barrier systems in argillaceous formations has only recently been developed at GRS, as in the past such formations played a minor role as a possible hosting environment for a repository in Germany. The project also serves as a test case for this code. The considered disposal systems are defined on the basis of the concepts and data available for Mol and Bure. The program packages used for the performance assessment calculations are: HYDRUS-1D with source term module (AVN), GoldSim (IRSN) and EMOS-modules CLAYPOS and CHET (GRS). While the coupling of HYDRUS-1D with a source term module and the EMOS-modules are FORTRAN77- coded programs specifically developed for the simulation of parts of a barrier system of a final repository, GoldSim is a general purpose simulation environment with an integrated graphical user interface for modelling and data output. Models realized in GoldSim are flexible and can be easily adapted to new requirements. The software also offers an intrinsic

  17. Injuries in women associated with a periodized strength training and running program.

    Science.gov (United States)

    Reynolds, K L; Harman, E A; Worsham, R E; Sykes, M B; Frykman, P N; Backus, V L

    2001-02-01

    Forty-five women participated in a 24-week physical training program designed to improve lifting, load carriage, and running performance. Activities included weightlifting, running, backpacking, lift and carry drills, and sprint running. Physicians documented by passive surveillance all training-related injuries. Thirty-two women successfully completed training program. Twenty-two women (48.9%) suffered least 1 injury during training, but only 2 women had to drop out of the study because of injuries. The rate of injury associated with lost training time was 2.8 injuries per 1,000 training hours of exposure. Total clinic visits and days lost from training were 89 and 69, respectively. Most injuries were the overuse type involving the lower back, knees, and feet. Weightlifting accounted for a majority of the lost training days. A combined strength training and running program resulted in significant performance gains in women. Only 2 out of 45 participants left the training program cause of injuries.

  18. Toxicity of twenty-two plant essential oils against pathogenic bacteria of vegetables and mushrooms.

    Science.gov (United States)

    Todorović, Biljana; Potočnik, Ivana; Rekanović, Emil; Stepanović, Miloš; Kostić, Miroslav; Ristić, Mihajlo; Milijašević-Marčić, Svetlana

    2016-12-01

    ASBTRACT Toxicity of twenty-two essential oils to three bacterial pathogens in different horticultural systems: Xanthomonas campestris pv. phaseoli (causing blight of bean), Clavibacter michiganensis subsp. michiganensis (bacterial wilt and canker of tomato), and Pseudomonas tolaasii (causal agent of bacterial brown blotch on cultivated mushrooms) was tested. Control of bacterial diseases is very difficult due to antibiotic resistance and ineffectiveness of chemical products, to that essential oils offer a promising alternative. Minimal inhibitory and bactericidal concentrations are determined by applying a single drop of oil onto the inner side of each plate cover in macrodilution assays. Among all tested substances, the strongest and broadest activity was shown by the oils of wintergreen (Gaultheria procumbens), oregano (Origanum vulgare), and lemongrass (Cymbopogon flexuosus. Carvacrol (64.0-75.8%) was the dominant component of oregano oils, while geranial (40.7%) and neral (26.7%) were the major constituents of lemongrass oil. Xanthomonas campestris pv. phaseoli was the most sensitive to plant essential oils, being susceptible to 19 oils, while 11 oils were bactericidal to the pathogen. Sixteen oils inhibited the growth of Clavibacter michiganensis subsp. michiganensis and seven oils showed bactericidal effects to the pathogen. The least sensitive species was Pseudomonas tolaasii as five oils inhibited bacterial growth and two oils were bactericidal. Wintergreen, oregano, and lemongrass oils should be formulated as potential biochemical bactericides against different horticultural pathogens.

  19. Validity of the impact on participation and autonomy questionnaire: a comparison between two countries.

    NARCIS (Netherlands)

    Kersten, P.; Cardol, M.; George, S.; Ward, C.; Sibley, A.; White, B.

    2007-01-01

    Purpose: To evaluate the cross-cultural validity of the five subscales of the Impact on Participation and Autonomy (IPA) measure and the full 31-item scale. Method: Data from two validation studies (Dutch and English) were pooled (n = 106). Participants (aged 18 - 75), known to rehabilitation

  20. PENGGUNAAN EDUCATION GAME UNTUK MENINGKATKAN HASIL BELAJAR IPA BIOLOGI KONSEP KLASIFIKASI MAKHLUK HIDUP

    Directory of Open Access Journals (Sweden)

    M. Rohwati

    2012-04-01

    Full Text Available Tujuan penelitian ini untuk meningkatkan hasil belajar IPA Biologi tentang klasifikasi makhluk hidup bagi siswa kelas VII B SMP N 1 Wonosobo yang dilaksanakan pada semester 1 tahun 2009/2010. Pada siklus I diketahui hasil belajar meningkat tajam dari  yakni  dari 55,03 menjadi 81,71. Pada akhir siklus II hasil belajar meningkat menjadi 87,57. Jadi pembelajaran menggunakan education game dapat meningkatkan hasil belajar, keaktifan siswa dalam pembelajaran, penguasaan bahasa serta  penggunaan ICT dalam pembelajaran. The goal of this research is to improve Biology learning result about living things classification material for first semester students of SMP N 1 Wonosobo class of VII B academic year 2009/2010. In the first cycle it is found out that the learning result is improved from 55.03 to 81.71. In the end of second cycle the learning result is 87.57. So, it can be concluded that education game can improve the students’ learning result, students’ activeness in the learning process, and their achievement of language and using ICT.

  1. Women convicted of a sexual offence, including child pornography production: two case reports.

    Science.gov (United States)

    Prat, S; Bertsch, I; Chudzik, L; Réveillère, Ch

    2014-03-01

    All available studies addressing the clinical and legal aspects of child pornography have systematically concerned male abusers. The social lens through which women are viewed tends to play down their responsibility in the sexual abuse of children. Unlike men, women rarely abuse children outside the close or family circle. Furthermore, they have frequently been abused themselves in their childhood. To our knowledge, no cases of women charged with sex-related offences, including child pornography, have been described in the literature. The psychopathological characteristics of female sexual abusers and of the two women in our cases tend to suggest that the deliberate downloading of child pornography images by women is unusual, as their deviant behaviour is not related to paedophile sexual arousal It is hypothesized that the act enables women perpetrators to satisfy the sexual urges of their spouse. Sexual abuse by women exists, but the nature of the abuse appears to be specific to the gender of the perpetrator. We present two cases of women charged with sexual offences concerning minors, including the production of child pornography material. Copyright © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  2. The Role of Gender in Officially Reported Intimate Partner Abuse

    Science.gov (United States)

    Melton, Heather C.; Sillito, Carrie Lefeve

    2012-01-01

    The role of gender in intimate partner abuse (IPA) perpetration and victimization has been debated for the last several decades. Two perspectives have emerged regarding this debate. Researchers from the family violence perspective argue that men and women are violent at near equal rates and call for a reframing of the issue from one of woman…

  3. Bird communities in two fragments of semideciduos forest in rural São Paulo state

    Directory of Open Access Journals (Sweden)

    D. D. Pozza

    Full Text Available A quali-quantitative survey was done in two fragments (75 and 100 ha of semideciduous forest in rural São Paulo State. The aim was to characterize the bird community according to richness, abundance, and occurrence frequency in these areas. The qualitative survey showed 145 species in the Estação Ecológica de São Carlos - EESCar (Brotas - and 173 in the Fazenda Santa Cecília - FSC (Patrocínio Paulista, while the quantitative survey showed the presence of 60 and 72 species in EESCar and FSC respectively. The isolation and the lower environmental quality of the EESCar fragment may be responsible for the lower number of species in this area compared to that of FSC. Abundance index value analysis (IPA showed that both areas have a large number of species with low IPA and few species with intermediate or high IPA compared to the pattern observed in other surveys. At FSC, a larger number of occurrences of species in danger of extinction in São Paulo State was also observed. Apparently, the FSC fragment had better environmental quality for sheltering a larger number of species, including the endangered ones. The study of the community of birds is important in planning management and conservation of natural areas.

  4. Bird communities in two fragments of semideciduos forest in rural São Paulo state

    Directory of Open Access Journals (Sweden)

    Pozza D. D.

    2003-01-01

    Full Text Available A quali-quantitative survey was done in two fragments (75 and 100 ha of semideciduous forest in rural São Paulo State. The aim was to characterize the bird community according to richness, abundance, and occurrence frequency in these areas. The qualitative survey showed 145 species in the Estação Ecológica de São Carlos - EESCar (Brotas - and 173 in the Fazenda Santa Cecília - FSC (Patrocínio Paulista, while the quantitative survey showed the presence of 60 and 72 species in EESCar and FSC respectively. The isolation and the lower environmental quality of the EESCar fragment may be responsible for the lower number of species in this area compared to that of FSC. Abundance index value analysis (IPA showed that both areas have a large number of species with low IPA and few species with intermediate or high IPA compared to the pattern observed in other surveys. At FSC, a larger number of occurrences of species in danger of extinction in São Paulo State was also observed. Apparently, the FSC fragment had better environmental quality for sheltering a larger number of species, including the endangered ones. The study of the community of birds is important in planning management and conservation of natural areas.

  5. Pregnancy outcomes in perinatally HIV-infected young women in Madrid, Spain: 2000-2015.

    Science.gov (United States)

    Prieto, Luis M; Fernández McPhee, Carolina; Rojas, Patricia; Mazariegos, Diana; Muñoz, Eloy; Mellado, Maria José; Holguín, África; Navarro, María Luisa; González-Tomé, María Isabel; Ramos, José Tomás

    2017-01-01

    An increasing number of perinatally HIV-infected women (PHIV) are reaching adulthood and becoming pregnant. Most PHIV women have been exposed to a high number of antiretroviral regimens, and they may have difficulties to achieve viral suppression. Psychosocial problems are not uncommon and could be an important barrier for treatment adherence. The effects of chronic HIV infection and long-term exposure to antiretroviral treatment of PHIV women cause concerns on the developing fetus. The aims of this study were to describe the prevention of mother-to-child transmission strategies in PHIV women and the infant outcomes in the Madrid Cohort of HIV-infected mother-infant pairs. All PHIV pregnant women registered in the Cohort that gave birth from 2000 to 2015 were included in the study. Twenty-eight pregnancies in twenty-two perinatally infected women were registered. Most women were Caucasian and heavily treatment-experienced. Nine cases (32.1%) were at high risk of HIV mother-to-child transmission. Maternal HIV-1 viral load was detectable close to delivery in four women (14.3%). The management of these cases was described, and the treatment strategies were discussed. None of the newborns acquired HIV infection. Eight infants (28.6%) were small for gestational age. This study included a large series of pregnancies among PHIV women attended according to a youth-centered care model. The challenges in the management of this population by health-care providers were described. Specific strategies to minimize perinatal transmission risks should be addressed in future collaborative studies.

  6. EFEKTIVITAS MODEL PROBLEM BASED LEARNING BERBANTUAN MEDIA AUDIO VISUAL DITINJAU DARI HASIL BELAJAR IPA SISWA KELAS 5 SDN 1 GADU SAMBONG - BLORA SEMESTER 2 TAHUN 2014/2015

    Directory of Open Access Journals (Sweden)

    Andhini Virgiana

    2016-05-01

    Full Text Available Tujuan dari penelitian ini adalah untuk mengetahui perbedaan tingkat hasil belajar antara model problem based learning berbantuan media audio visual dengan model pembelajaran think pair share berbantuan media visual pada pembelajaran IPA siswa kelas 5 SDN 1 Gadu Sambong Kabupaten Blora semester 2 tahun pelajaran 2014/2015. Penelitian ini merupakan penelitian quasi experiment dengan nonequivalent control group design. Subjek penelitian dalam penelitian ini adalah siswa kelas 5 SDN 1 Gadu dan siswa kelas 5 SDN 2 Gagakan. Teknik  pengumpulan data dalam penelitian adalah tes dan observasi. Teknik analisis data yang digunakan adalah statistik deskriptif, statistik parametrik, dan uji t dengan  independent sample t-tes pada taraf signifikansi 5% (α = 0,05. Berdasarkan hasil penelitian dan pembahasan, maka dapat disimpulkan bahwa terdapat perbedaan tingkat efektivitas antara model problem based learning berbantu media audio visual dengan model pembelajaran think pair share berbantu media visual terhadap hasil belajar IPA siswa kelas 5 SDN 1 Gadu Kecamatan Sambong Kabupaten Blora semester 2 tahun 2014/2015. Terbukti hal ini ditunjukkan oleh hasil uji t-test sebesar 3,603 > 1,999 dan signifikansi sebesar 0,001 rata-rata kelas kontrol yaitu 87,0588 > 80,2000.

  7. Exploring Contraceptive Knowledge and Use among Women ...

    African Journals Online (AJOL)

    Using a qualitative research methodology, twenty-four semi-structured interviews were conducted with women with induced abortion experiences at Korle Bu and Tema Hospitals in the Greater Accra Region, Ghana. Results suggest that these women tended not to have knowledge of contraceptive methods prior to the ...

  8. Total antioxidant status in women with breast cancer

    International Nuclear Information System (INIS)

    Mahmood, I.H.; Abdullah, K.S.; Abdullah, M.S.

    2009-01-01

    Objective: To measure the concentration of total antioxidant status (TAS) in women with breast cancer. Methodology: This is a case control study conducted in Al-Salam Hospital and Department of Pharmacology in Mosul Medical College. Twenty women having histologically confirmed breast cancer and twenty age-matched healthy volunteer women participated in the study. Serum total antioxidant status (TAS) was measured in both groups. Results: Mean TAS of the patient group (0.91 +- 0.32 mmol/l) was significantly lower (P<0.001) than that of the control group (1.82 +- 0.14 mmol/l). Conclusion: The present study demonstrated that women with breast cancer have a low level of TAS as compared to those of healthy women. It further emphasizes the growing concern that oxidative damage may occur in those patients that exhaust the antioxidant defense of the body leading to a low levels of TAS. Administration of antioxidant supplements such as a combination of vitamins A, C and E are necessary in women at high risk of developing breast cancer or after surgery or with anticancer drugs. (author)

  9. Variation of snail's abundance in two water bodies harboring strains of Pseudosuccinea columella resistant and susceptible to Fasciola hepatica miracidial infection, in Pinar del Río Province, Cuba

    Directory of Open Access Journals (Sweden)

    Alfredo Gutiérrez

    2005-11-01

    Full Text Available The abundance of freshwater snails in two rural sites of Pinar del Río, Cuba, which harbor Pseudosuccinea columella susceptible and resistant to miracidia of Fasciola hepatica was followed for one year. Susceptible snails were found in the most anthropic site (IPA whereas the resistant population inhabited the most preserved one (El Azufre. Only two snail species coexisted with P. columella at IPA site (Physa cubensis and Tarebia granifera while five species were found at El Azufre, including an endemic from that province (Hemisinus cubanianus. Populations of both resistant and susceptible snails showed stable densities throughout the year, although the susceptible strain attained higher abundance. The highest densities were observed in April-May 2004 for the susceptible population whereas the resistant strain attained its highest abundance in January 2004. No record of Fossaria cubensis was made and the thiarid T. granifera occurred only at low densities. One of the sampled sites (IPA meets all the conditions for the first report of P. columella naturally infected with larvae of F. hepatica.

  10. Variation of snail's abundance in two water bodies harboring strains of Pseudosuccinea columella resistant and susceptible to Fasciola hepatica miracidial infection, in Pinar del Río Province, Cuba.

    Science.gov (United States)

    Gutiérrez, Alfredo; Hernandez, Dagmar F; Sánchez, Jorge

    2005-11-01

    The abundance of freshwater snails in two rural sites of Pinar del Río, Cuba, which harbor Pseudosuccinea columella susceptible and resistant to miracidia of Fasciola hepatica was followed for one year. Susceptible snails were found in the most anthropic site (IPA) whereas the resistant population inhabited the most preserved one (El Azufre). Only two snail species coexisted with P. columella at IPA site (Physa cubensis and Tarebia granifera) while five species were found at El Azufre, including an endemic from that province (Hemisinus cubanianus). Populations of both resistant and susceptible snails showed stable densities throughout the year, although the susceptible strain attained higher abundance. The highest densities were observed in April-May 2004 for the susceptible population whereas the resistant strain attained its highest abundance in January 2004. No record of Fossaria cubensis was made and the thiarid T. granifera occurred only at low densities. One of the sampled sites (IPA) meets all the conditions for the first report of P. columella naturally infected with larvae of F. hepatica.

  11. DMF as an Additive in a Two-Step Spin-Coating Method for 20% Conversion Efficiency in Perovskite Solar Cells.

    Science.gov (United States)

    Wu, Jionghua; Xu, Xin; Zhao, Yanhong; Shi, Jiangjian; Xu, Yuzhuan; Luo, Yanhong; Li, Dongmei; Wu, Huijue; Meng, Qingbo

    2017-08-16

    DMF as an additive has been employed in FAI/MAI/IPA (FA= CH 2 (NH 2 ) 2 , MA = CH 3 NH 3 , IPA = isopropanol) solution for a two-step multicycle spin-coating method in order to prepare high-quality FA x MA 1-x PbI 2.55 Br 0.45 perovskite films. Further investigation reveals that the existence of DMF in the FAI/MAI/IPA solution can facilitate perovskite conversion, improve the film morphology, and reduce crystal defects, thus enhancing charge-transfer efficiency. By optimization of the DMF amount and spin-coating cycles, compact, pinhole-free perovskite films are obtained. The nucleation mechanisms of perovskite films in our multicycle spin-coating process are suggested; that is, the introduction of DMF in the spin-coating FAI/MAI/IPA solution can lead to the formation of an amorphous phase PbX 2 -AI-DMSO-DMF (X = I, Br; A = FA, MA) instead of intermediate phase (MA) 2 Pb 3 I 8 ·2DMSO. This amorphous phase, similar to that in the one-step method, can help FAI/MAI penetrate into the PbI 2 framework to completely convert into the perovskite. As high as 20.1% power conversion efficiency (PCE) has been achieved with a steady-state PCE of 19.1%. Our work offers a simple repeatable method to prepare high-quality perovskite films for high-performance PSCs and also help further understand the perovskite-crystallization process.

  12. PENERAPAN TEKNIK BERMAIN KARTU PINTAR UNTUK MENINGKATKAN MOTIVASI BELAJAR DAN HASIL BELAJAR IPA

    Directory of Open Access Journals (Sweden)

    Bambang Surahmadi

    2016-03-01

    Full Text Available This study aims to determine the application of smart card-playing techniques to improve learning motivation and learning outcomes of science learners. The medium used is a smart card, a card which contains information contained in the subject matter learning objectives are packaged in the form of questions and answers. The research was conducted in SMP Negeri 1 Temanggung learners of class VIII G in 2nd semester Academic Year 2014/2015. The method used is a Class Action Research. Data collection methods used were questionnaires, pre-test and post-test. The research data in the form of learning outcomes IPA concept of test and motivation to learn is obtained from the questionnaire motivation. Statistical analysis showed in the first cycle an average yield is 56,67of pretest increased to an average is 70,58of posttes; the second cycle average is 62,24of pretest increased to an average is 80,86of posttest and third cycle average is 70,26 of pretest increased to an average is 84,24 of posttest While the motivation of learners increased by 86% from the prior-treated. Based on the results of the research, processing and data analysis and hypothesis testing measures taken in this study, we concluded that the application of smart card play technique can enhance learning motivation and learning outcomes of class VIIIG students of SMP Negeri 1 Temanggung.This study aims to determine the application of smart card-playing techniques to improve learning motivation and learning outcomes of science learners. The medium used is a smart card, a card which contains information contained in the subject matter learning objectives are packaged in the form of questions and answers. The research was conducted in SMP Negeri 1 Temanggung learners of class VIII G in 2nd semester Academic Year 2014/2015. The method used is a Class Action Research. Data collection methods used were questionnaires, pre-test and post-test. The research data in the form of learning outcomes

  13. Two Young Women with Left-sided Pneumothorax Due to Thoracic Endometriosis.

    Science.gov (United States)

    Yukumi, Shungo; Suzuki, Hideaki; Morimoto, Masamitsu; Shigematsu, Hisayuki; Okazaki, Mikio; Abe, Masahiro; Kitazawa, Sohei; Nakamura, Kenji; Sano, Yoshifumi

    Pneumothorax associated with thoracic endometriosis (TE) generally occurs in women around 30 years old and it usually affects the right pleural cavity. We herein report two cases of TE associated with left-sided pneumothorax in young women. The prevalence of TE in younger patients may be underestimated if these cases are treated as spontaneous pneumothorax. Pneumothorax occurring in younger patients has not been reported to show laterality. TE-related or catamenial pneumothorax in young women must therefore represent a different clinical entity from the condition seen in older patients.

  14. Risk perception and unrecognized type 2 diabetes in women with previous gestational diabetes mellitus.

    Science.gov (United States)

    Malcolm, Janine; Lawson, Margaret L; Gaboury, Isabelle; Keely, Erin

    2009-09-01

    Women with a history of gestational diabetes mellitus (GDM) have a high chance of developing type 2 diabetes mellitus (T2DM) following the index pregnancy, however, little is known of women's perception of this risk. The objectives were to (1) determine women's perception of risk of future development of T2DM following a GDM pregnancy and (2) describe the prevalence of undetected dysglycaemia in a Canadian population. The study was designed as a 9-11 year follow-up study of women previously enrolled in a randomized controlled trial of tight versus minimal intervention for GDM. Women's perception of future risk of diabetes was determined by questionnaire. Fasting lipid profile, height and weight were performed on all participants. Oral glucose tolerance tests were performed on all women without prior history of diabetes mellitus type 2 (DM2). The study was conducted at Ottawa Hospital General Campus and Children's Hospital of Eastern Ontario, in Ottawa, Canada. Eighty-nine of 299 (30%) of the original cohort were recruited. Eighty-eight women completed the questionnaire and 77 women without known diabetes underwent two hour glucose tolerance testing. Twenty-three (30%) felt their risk was no different than other women or did not know, 27 (35%) felt risk was increased a little and 27 (35%) felt risk was increased a lot. Only 52% (40/77) had normal glucose tolerance. Of all, 25/88 (28%) patients had diabetes (11 previously diagnosed and 14 diagnosed within the study). Of those newly diagnosed with DM2, four (29%) were diagnosed by fasting glucose, six (42%) by two hour glucose tolerance test (GTT) alone and four (29%) by both. Twenty-four of the women (27%) had impaired glucose tolerance (IGT). Of those with IGT, 12 (57%) had a fasting food glucose DM2, and all had a waist circumference >88 cm. In conclusion the perception of being at high risk for T2DM did not prevent women from having undetected T2DM. Many factors are likely to contribute to this, including the

  15. Overcoming the toxic influence of subtle messaging: Utah women who persist in STEM

    Science.gov (United States)

    Thackeray, Susan L.

    It is important to train more females to support the needs of a national and global economy workforce. The purpose of this thesis is to explore the proposition of the effect subtle messaging has on a Utah young woman's future career choice. The literature review will approach the science, technology, engineering, and math (STEM) subjects with historical, psychological, and cultural vantage points. An examination of three interconnected topics of research will include a history of women in the workforce and identified barriers to STEM education and careers to identify what types of messages are delivered to women as it relates to STEM and how it influences their career interest decisions. While there are historical barriers towards women in training for and entering STEM careers, no strong evidence is identified for sustained improvement. The changing concepts of social cognitive career theory can potentially provide a framework for constructivist assumptions regarding the topic of what can focus Utah young women learners to influence their own career development and surroundings to persist into STEM careers. Interpretative Phenomenology Analysis (IPA) provides increased understanding of the experiences of how Utah young women come to their decision and what role their environment contributes to that experience. Preliminary research outcomes demonstrate that the participants describe feelings of self-efficacy along with cultural expectations that do not align with their personal goals to enter into STEM education and careers.

  16. Shaping Social Justice Leadership: Insights of Women Educators Worldwide

    Science.gov (United States)

    Lyman, Linda L.; Strachan, Jane; Lazaridou, Angeliki

    2012-01-01

    "Shaping Social Justice Leadership: Insights of Women Educators Worldwide" contains evocative portraits of twenty-three women educators and leaders from around the world whose actions are shaping social justice leadership. Woven from words of their own narratives, the women's voices lift off the page into readers' hearts and minds to inspire and…

  17. Localized urethral cancer in women

    International Nuclear Information System (INIS)

    Mayer, R.; Fowler, J.E. Jr.; Clayton, M.

    1987-01-01

    The results of treatments for localized carcinoma of the urethra were assessed in 21 consecutive women treated at our institutions over a twenty year period. Only one of the tumors was confined to the distal urethra. Eighty-six percent invaded the periurethral tissues and 24% were known to be associated with regional lymph node metastases. Fifty-seven percent were adenocarcinomas. Five patients refused active therapeutic intervention and expired within one to 30 months following diagnosis. Sixteen patients were treated with extirpative surgery, radiation therapy, or combinations of the two. Four are free of disease at one, four, eleven, and 15 years after treatment. Nine developed pelvic recurrences, two developed pelvic recurrences and distant metastases and one developed distant metastases only from six to 72 months (mean, 19 months) after initial treatment. Eight of these 12 patients died at two to 13 months (mean, 8 months) after secondary treatment, two are alive with residual pelvic tumor, and two are clinically free of disease at 7 and 48 months. Only six patients were known to have distant metastases at the time of death and five of these six had adenocarcinomas. Advanced localized urethral cancer in women is difficult to eradicate and usually fatal

  18. Reflections on having children in the future—interviews with highly educated women and men without children

    OpenAIRE

    Eriksson, Carola; Larsson, Margareta; Tydén, Tanja

    2012-01-01

    Background There is a trend to delay birth of the first child until the age at which female reproductive capacity has started to decrease. The aim of the present study was to explore how highly educated women and men reflected on future parenthood. Methods Twenty-two women and 18 men, who had started their professional career, were subjected to individual qualitative semi-structured interviews with qualitative content analysis guiding the analysis. Results All informants, except for three wom...

  19. MENINGKATKAN PEMAHAMAN MAHASISWA PADA MATA KULIAH KONSEP DASAR IPA MENGGUNAKAN MODEL PEMBELAJARAN CBSA DENGAN PENDEKATAN DISCOVERY

    Directory of Open Access Journals (Sweden)

    Subuh Anggoro

    2010-03-01

    Full Text Available This research is aimed at finding out whether students’ active learning with discovery approach could improve the students’ understanding of basic science subject. The research used survey method. The population of this research was students who took the subject of Konsep Dasar IPA (the Basic Concept of Science out of which one class was taken as sample. The data was then analyzed with descriptive technique with the help of graph. The result showed that 72% did not have sufficient understanding about the topic of energy and its transformation which was delivered without the help of learning aid and discussion. After learning aid was and discussion was facilitated by the lecturer, all the subjects of this research expressed their better improved understanding. Discovery method with experiment and discussion is crucial in helping students understand the basic concept of science. Key words: understanding, basic concept of science learning, students’ active learning, discovery technique.

  20. First Nations Women in Northern Ontario: Health, Social, and Community Priorities

    Directory of Open Access Journals (Sweden)

    Christine Simard

    2011-05-01

    Full Text Available This article reports on data from women dwelling in First Nations communities regarding (1 baseline statistics about women’s circumstances, needs, interests, and opportunities for community engagement, and 2 information about women’s present status, experience, interest, and other questions of social, economic,and health status. Two hundred twenty-six women from 35 First Nations communities completed the survey. This paper focuses on the main findings from the survey, which fall into 4 thematic areas. Theme 1 consists of demographic information as provided by participants. Theme 2 consists of social information such as housingand education. Theme 3 includes information about participants’ top community health concerns. Theme 4 examines participants’ community involvement. Use of the survey in directing women's social policy isdiscussed.

  1. The harmony of family and the silence of women: sexual attitudes and practices among rural married women in northern Viet Nam.

    Science.gov (United States)

    Ha, Vu Song

    2008-06-01

    Women in Viet Nam have long had to face various sexual and reproductive health problems, ranging from abortion to reproductive tract infections (RTIs) and sexual coercion. These issues have increasingly been addressed by scholars in the fields of public health and social sciences through sexual and reproductive health research and in other ways. Despite this, there remains a lack of in-depth information on attitudes and practices regarding sex and sexuality of Vietnamese women today. This paper in part responds to the knowledge gap by reporting on findings from qualitative research on sexual attitudes and practices among rural married women in a Northern rural community, measured against the broader social and cultural context. Twenty-five women in total were interviewed; and two focus group discussions were conducted. The findings show that women generally believe that men are (or should be) the initiators in sexual relations. Many women feel reluctant to refuse sex to their husbands or communicate openly about sex and sexuality. However, this paper also demonstrates that women are not totally passive in sexual relations. Women in this study used a range of strategies to negotiate their sexual life, and sometimes 'silence' is used as a form of agency in order to maintain harmony and happiness within the family.

  2. Postpartum Practices of Parturient Women in Enugu, South East ...

    African Journals Online (AJOL)

    Twenty five percent [25.2% (106/420)] of the women drank various forms of alcoholic beverages to induce lactation while 80.2% (337/420) of the women applied hot compresses on the lower abdomen to aid lochia drainage and involution of the uterus, 75% (315/420) of the women sat in hot water salt (Nacl) solution (sitz ...

  3. Women in the Academic Profession: Evolution or Stagnation?

    Science.gov (United States)

    Eliou, Marie

    1988-01-01

    A study of the social origins and career paths of Greek university faculty found few gains for women in the last twenty years, with those gains resulting from university democratization. Women faculty tend to be older and from more middle-class backgrounds than their male peers. (Author/MSE)

  4. Barriers to Women Entrepreneurship: A Comparative Analysis between South Korea and Romania

    Directory of Open Access Journals (Sweden)

    Roibu Irina

    2016-12-01

    Full Text Available Even in the twenty-first century, women entrepreneurs from all over the world continue to encounter different types of barriers in their activity. Depending on their location, history, culture, etc. the restraints can be more or less strict, distinct or similar. This article analyses and compares the constraints that the women entrepreneurs from South Korea and Romania are encountering, barriers concerning the professional stereotypes such as smaller medium wages for women, difficulties in getting specific jobs, the traditional collective mentality and prejudices, the roles of women in society, the balance between professional and family/private life, as well as the maternity and child care systems. The analysis is based on the data provided by the Global Entrepreneurship Monitor, OECD and the World Bank, the legislations of the two countries and the literature related to the two social environments. The findings indicate that although there are many similarities between the two countries, such as smaller salaries for women, discrimination against women, difficulty to advance, conservative attitudes towards women, lack of ways to monitor and penalize discrimination, lack of successful women entrepreneurs, the number of women entrepreneurs in South Korea is significantly smaller than the number of Romanian ones. This is due to the South Korean stricter social environment, harsher work environment (with shorter holidays, longer working hours, obligatory group activities and stricter hierarchy, higher gender wage gap and poorer maternity and childcare legislation.1

  5. Risk factors for prelacteal feeding in sub-Saharan Africa: a multilevel analysis of population data from twenty-two countries.

    Science.gov (United States)

    Berde, Anselm S; Ozcebe, Hilal

    2017-08-01

    To examine the risk factors of prelacteal feeding (PLF) among mothers in sub-Saharan Africa (SSA). We pooled data from Demographic and Health Surveys in twenty-two SSA countries. The key outcome variable was PLF. A multilevel logistic regression model was used to explore factors associated with PLF. Demographic and Health Surveys in twenty-two SSA countries. Mother-baby pairs (n 95348). Prevalence of PLF in SSA was 32·2 %. Plain water (22·1 %), milk other than breast milk (5·0 %) and sugar or glucose water (4·1 %) were the predominant prelacteal feeds. In the multivariable analysis, mothers who had caesarean section delivery had 2·25 times the odds of giving prelacteal feeds compared with mothers who had spontaneous vaginal delivery (adjusted OR=2·25; 95 % CI 2·06, 2·46). Other factors that were significantly associated with increased likelihood of PLF were mother's lower educational status, first birth rank, fourth or above birth rank with preceding birth interval less than or equal to 24 months, lower number of antenatal care visits, home delivery, multiple birth, male infant, as well as having an average or small sized baby at birth. Mothers aged 20-34 years were less likely to give prelacteal feeds compared with mothers aged ≤19 years. Belonging to the second, middle or fourth wealth quintile was associated with lower likelihood of PLF compared with the highest quintile. To achieve optimal breast-feeding, there is a need to discourage breast-feeding practices such as PLF. Breast-feeding promotion programmes should target the at-risk sub-population groups discovered in our study.

  6. A qualitative study of women's lived experience after deinfibulation in the UK.

    Science.gov (United States)

    Safari, Faezeh

    2013-02-01

    to explore women's experiences of deinfibulation and its aftermath. a qualitative study using semi-structured interviews with data collection via audio-recording and field notes. The audio-recorded interviews were transcribed verbatim and analysed using Interpretive Phenomenological Analysis (IPA) method for qualitative data analysis. recruitment for the study was carried out in an African Well Women Clinic in London, United Kingdom. there were nine women participants of Somali and Eritrean origin who had Female Genital Mutilation (FGM) type III previously and underwent deinfibulation between January 2008 and September 2009. key themes identified were the cultural meaning and social acceptability of deinfibulation; the consequences of deinfibulation within marital relationships; feelings about the appearance of genitalia post deinfibulation and thoughts on reinfibulation. marital factors and stability of the relationship influence the experience of deinfibulation. Those women who said they had discussed deinfibulation with their husband in advance, and that he had agreed to the procedure, reported less problems afterwards. Single women who had deinfibulation before marriage may face more difficulties in terms of social acceptability within their community. sensitivity to social consequences of deinfibulation is important as well as recognition that these consequences vary. When deinfibulation is carried out for medical purposes some women may appreciate the offer of an official letter from a health-care practitioner confirming the medical nature of the procedure. The data suggests that deinfibulated women may dislike the new appearance of their genitalia; therefore, the practicality of performing a concurrent minor cosmetic surgery with deinfibulation procedure may need to be examined. The need for further research conducted in women's primary language is pressing and should explore issues such as the situation of single women, men's knowledge of the complications

  7. Seeking conception: experiences of urban Indian women with in vitro fertilisation.

    Science.gov (United States)

    Widge, Anjali

    2005-12-01

    This paper reports on a study of involuntarily childless Indian women/couples seeking in vitro fertilisation (IVF). The focus is on the social context of infertility and on women's perceptions of and experiences with IVF. Twenty-two childless women/couples who sought IVF. The sample was drawn from consenting clients of clinics in two major Indian cities, viz. New Delhi and Mumbai. In-depth interviews revealed that infertility is deeply feared, women's status and security are affected, and they experience stigmatisation and isolation. IVF was pursued after less intrusive avenues had been exhausted. Inadequate information/counselling is provided, success rates are low, IVF is commercialised and the process is physiologically, emotionally and financially stressful. In Indian society fertility defines womanhood and motherhood, and infertility is stigmatised. Women faced a lot of pressures to produce a biological child, and go through all kinds of treatments, including the expensive ARTs, to have a child. Integration of infertility services into the state's reproductive health programme and disseminate information on infertility and to offer other appropriate choices, such as adoption. Effective counselling on coping with psychosocial/sexual problems. Monitoring of the prevalence of sex preselection.

  8. Popliteal Artery Aneurysm in Women

    DEFF Research Database (Denmark)

    Ravn, Hans; Pansell-Fawcett, Karin; Björck, Martin

    2017-01-01

    OBJECTIVES: Ninety-five per cent of those operated on for popliteal artery aneurysm (PA) are men. Thus, PAs in women are difficult to investigate. The aim was to study the disease in women. METHODS: Women treated for PA in 1987-2012, prospectively registered in the Swedish vascular registry......, Swedvasc, supplemented by case records, were compared with the larger male cohort. Survival was determined through cross linkage with the National Population Registry. RESULTS: 1509 patients (men and women), 1872 legs, were identified; of these 74 patients (4.9%) were women, 81 legs (4.3%). The median age...... was 70 years in women versus 69 in men. Twenty-nine centres operated on women (range 1-7 women/centre). There were no time trends in the proportion of women operated on (p=.5). Bilateral PA occurred in 9.5% of women and 27.0% of men (p=.002). For symptomatic aneurysms, there was a larger proportion...

  9. Diet and carbohydrate food knowledge of multi-ethnic women: a comparative analysis of pregnant women with and without Gestational Diabetes Mellitus.

    Directory of Open Access Journals (Sweden)

    Habiba I Ali

    Full Text Available Diet therapy is the cornerstone for the management of gestational diabetes mellitus (GDM. Carbohydrate is the primary nutrient affecting postprandial blood glucose levels. Hence, knowledge of food containing carbohydrates can assist women with GDM optimize glycemic control. Despite that, there is a paucity of research on carbohydrate-related knowledge of women with GDM. The United Arab Emirates (UAE has one of the highest prevalence of diabetes (19.2% in the world. This study compared diet and knowledge of carbohydrate-containing foods among pregnant women with and without GDM in the UAE.The sample consisted of multi-ethnic women with GDM (n = 94 and a control group of healthy pregnant women (n = 90 attending prenatal clinics in three hospitals in Al Ain, UAE. Data were collected using a questionnaire and a 24-hour recall. Knowledge of food sources of carbohydrate, dietary patterns, and nutrient intakes of the two groups were compared.There were no significant differences in the mean knowledge score of food sources of carbohydrate between women with GDM and that of pregnant women without GDM. Similarly, there were no significant differences in energy and nutrient intakes between the two groups with the exception of percent energy from protein. Women with GDM reported significantly lower intake of fruits and fruit juices (P = 0.012 and higher consumption of milk and yogurt (P = 0.004 compared to that of women without GDM. Twenty-two percent of women with GDM indicated they never visited a dietitian for counseling while 65% reported they visited a dietitian only once or twice during the pregnancy. Predictors of carbohydrate knowledge score were perceived knowledge of diet and GDM and parity among women with GDM and parity and educational level among those without GDM.The results of the study highlight the urgent need to provide nutrition education for women with GDM in the UAE.

  10. The Impact of the First Birth: Married and Single Women Preferring Childlessness, One Child, or Two Children.

    Science.gov (United States)

    Callan, Victor J.

    1986-01-01

    Reports the results of an examination of the impact of a first child on three groups of women: voluntarily childless wives and single women wanting to remain childless; mothers of one child by choice and single women who want an only child; and two-child mothers and single women who want to have two children. (Author/BL)

  11. KUALITAS LAYANAN E-GOVERNMENT (SEBUAH ANALISA DI PEMKOT X DENGAN PENDEKATAN E-GOVQUAL DAN IPA

    Directory of Open Access Journals (Sweden)

    Darmawan Baginda Napitupulu

    2016-12-01

    tanpa disertai kualitas. Namun jika ditilik kondisi pemanfaatan e-Government di tingkat nasional, memang sudah banyak daerah yang memiliki inisiatif mengembangkan sistem e-government. Oleh karena itu hal yang menjadi tantangan adalah bagaimana menilai keberhasilan atau efektivitas e-Government. Dalam penelitian ini penulis bertujuan ingin melakukan evaluasi kualitas layanan e-Government melalui website yang diakses oleh publik.  Metode penelitian yang digunakan adalah survei untuk menilai kualitas layanan e-Government dengan pendekatan e-Govqual.  E-Govqual merupakan kerangka dimensi yang mencakup berbagai faktor yang mempengaruhi penilaian kualitas layanan dari e-Government. Penilaian atau evaluasi kualitas layanan menggunakan analisa IPA (Importance Performance Analysis untuk menlihat gap antara harapan dan kinerja layanan yang diberikan. Hasil dari penelitian diharapkan dapat membantu pemerintah daerah dalam mengetahui kualitas layanan e-Government yang telah diimplementasikan. Selain itu juga dapat diberikan rekomendasi terkait kualitas layanan apa yang harus ditingkatkan dan dipertahankan oleh pemerintah daerah.    Kata Kunci :   Evaluasi, Kualitas, Layanan, e-Government, E-GovQual, IPA

  12. Iophenoxic acid derivatives as markers of oral baits to wildlife. New tools for their detection in tissues of a game species and safety considerations for human exposure.

    Science.gov (United States)

    Sage, Mickael; Fourel, Isabelle; Lahoreau, Jennifer; Siat, Vivien; Berny, Philippe; Rossi, Sophie

    2013-05-01

    The bait-marker iophenoxic acid (IPA) and its derivatives are increasingly used for evaluating and optimizing the cost-effectiveness of baiting campaigns on wildlife, particularly on game species such as the wild boar. We aimed to determine whether concentrations of the three main IPA derivatives ethyl, methyl and propyl-IPA measured on thoracic liquid extracts (TLE) of hunted wild boars may be representative of two exposure doses, 40 and 200 mg, from 20 to 217 days after ingestion. Then we developed a method of detection of the three IPA derivatives by LC/ESI-MS-MS in muscle and liver to evaluate the suitability of these two other tissues for monitoring the marked bait consumption and for measuring available residues in the meat of marked animals. Three semi-captive wild boars received 40 mg of each IPA derivative, three received 200 mg, and three, as controls, did not receive IPA. Blood serum was sampled 20, 197 or 217 days after IPA exposure according to animals and to the derivative. Wild boars were shot by gun after the different times of serum sampling times, and TLE, muscle and liver were sampled. Our results suggest that TLE is not a relevant tissue for quantitatively expressing IPA exposure. Due to interference, no analytical method was validated on TLE containing digestive material. On the other hand, quantifications in the muscle and particularly in the liver could discriminate wild boars that had ingested the two IPA doses from 20 days until 7 months after exposure, especially for the two long term markers ethyl and propyl-IPA. So IPA quantifications in the liver sampled on hunted animals appear to be a reliable tool for monitoring bait consumption in the field at a large scale. Nevertheless, whatever the ingested dose, ethyl- and propyl-IPA concentrations measured in the muscle and the liver of tested animals until 217 days after exposure, remained higher than 0.01 mg/kg, the Maximal Residue Limit (MRL) is recommended for molecules for which no

  13. Risk factor screening to identify women requiring oral glucose tolerance testing to diagnose gestational diabetes: A systematic review and meta-analysis and analysis of two pregnancy cohorts.

    Directory of Open Access Journals (Sweden)

    Diane Farrar

    Full Text Available Easily identifiable risk factors including: obesity and ethnicity at high risk of diabetes are commonly used to indicate which women should be offered the oral glucose tolerance test (OGTT to diagnose gestational diabetes (GDM. Evidence regarding these risk factors is limited however. We conducted a systematic review (SR and meta-analysis and individual participant data (IPD analysis to evaluate the performance of risk factors in identifying women with GDM.We searched MEDLINE, Medline in Process, Embase, Maternity and Infant Care and the Cochrane Central Register of Controlled Trials (CENTRAL up to August 2016 and conducted additional reference checking. We included observational, cohort, case-control and cross-sectional studies reporting the performance characteristics of risk factors used to identify women at high risk of GDM. We had access to IPD from the Born in Bradford and Atlantic Diabetes in Pregnancy cohorts, all pregnant women in the two cohorts with data on risk factors and OGTT results were included.Twenty nine published studies with 211,698 women for the SR and a further 14,103 women from two birth cohorts (Born in Bradford and the Atlantic Diabetes in Pregnancy study for the IPD analysis were included. Six studies assessed the screening performance of guidelines; six examined combinations of risk factors; eight evaluated the number of risk factors and nine examined prediction models or scores. Meta-analysis using data from published studies suggests that irrespective of the method used, risk factors do not identify women with GDM well. Using IPD and combining risk factors to produce the highest sensitivities, results in low specificities (and so higher false positives. Strategies that use the risk factors of age (>25 or >30 and BMI (>25 or 30 perform as well as other strategies with additional risk factors included.Risk factor screening methods are poor predictors of which pregnant women will be diagnosed with GDM. A simple

  14. Why the American public supports twenty-first century learning.

    Science.gov (United States)

    Sacconaghi, Michele

    2006-01-01

    Aware that constituent support is essential to any educational endeavor, the AOL Time Warner Foundation (now the Time Warner Foundation), in conjunction with two respected national research firms, measured Americans' attitudes toward the implementation of twenty-first century skills. The foundation's national research survey was intended to explore public perceptions of the need for changes in the educational system, in school and after school, with respect to the teaching of twenty-first century skills. The author summarizes the findings of the survey, which were released by the foundation in June 2003. One thousand adults were surveyed by telephone, including African Americans, Latinos, teachers, and business executives. In general, the survey found that Americans believe today's students need a "basics-plus" education, meaning communication, technology, and critical thinking skills in addition to the traditional basics of reading, writing, and math. In fact, 92 percent of respondents stated that students today need different skills from those of ten to twenty years ago. Also, after-school programs were found to be an appropriate vehicle to teach these skills. Furthermore, the survey explored how well the public perceives schools to be preparing youth for the workforce and postsecondary education, which twenty-first century skills are seen as being taught effectively, and the level of need for after-school and summer programs. The survey results provide conclusive evidence of national support for basics-plus education. Thus, a clear opportunity exists to build momentum for a new model of education for the twenty-first century.

  15. Increased endometrial thickness in women with hypertension.

    Science.gov (United States)

    Bornstein, J; Auslender, R; Goldstein, S; Kohan, R; Stolar, Z; Abramovici, H

    2000-09-01

    We noticed an increase in endometrial thickness in women with hypertension who were treated with a combination of medications, including beta-blockers. The purpose of this study was to examine whether the endometrium of hypertensive women is thicker than that of healthy women and to determine whether endometrial thickening in hypertensive women is directly related to the antihypertensive beta-blocker treatment. We compared 3 groups of postmenopausal patients as follows: (1) women with a history of essential hypertension treated with a combination of medications, including beta-blockers; (2) women with a history of hypertension treated with a combination of medications that did not include beta-blockers; and (3) healthy women without hypertension. All patients were interviewed and examined, blood tests were performed, and endometrial thickness in the anterior-posterior diameter was measured by vaginal ultrasonography. Among the exclusion criteria were diabetes or an abnormal fasting blood glucose level, obesity, hormonal medication or replacement hormonal therapy during the previous 6 months, and a history of hormonal disturbances, infertility, or polycystic ovary syndrome. Of 45 hypertensive women enrolled in the study, 22 were treated with a beta-blocker combination medication and 23 were treated with other antihypertensive medications. They were compared with 25 healthy women. There was no statistically significant difference in endometrial thickness between women treated with medications, including beta-blockers, and those who were treated with other hypotensive agents. Twenty percent of women with hypertension and none of the healthy women had endometrium >5 mm thick (P infinity). Twenty percent of hypertensive postmenopausal women were found to have increased endometrial thickness. However, we were unable to substantiate an association between the type of treatment administered, whether beta-blockers were included, and the increase in endometrial thickness.

  16. Outlook: The Next Twenty Years

    Energy Technology Data Exchange (ETDEWEB)

    Murayama, Hitoshi

    2003-12-07

    I present an outlook for the next twenty years in particle physics. I start with the big questions in our field, broken down into four categories: horizontal, vertical, heaven, and hell. Then I discuss how we attack the bigquestions in each category during the next twenty years. I argue for a synergy between many different approaches taken in our field.

  17. Kajian Dampak Proses Pengolahan Air di IPA Siwalanpanji Terhadap Lingkungan dengan Menggunakan Metode Life Cycle Assessment (LCA

    Directory of Open Access Journals (Sweden)

    Fara Pratiwi Eka Riyanty

    2015-12-01

    Full Text Available Proses pengolahan air minum secara konvensional dapat menyebabkan dampak lingkungan akibat konsumsi energi dan pemakaian bahan kimia. Penelitian ini mengidentifikasi dampak pencemaran yang dihasilkan dari proses pengolahan air di IPA Siwalanpanji menggunakan life cycle assessment. Life Cycle Assessment (LCA merupakan metode untuk menganalisis dampak suatu produk terhadap lingkungan sepanjang siklus hidupnya. Siklus hidup dari suatu produk terdiri dari ekstraksi bahan baku, proses produksi hingga proses pembuangan akhir. Dari hasil analisis LCA, menggunakan software Simapro 7.33 dampak pencemaran yang terjadi berupa pencemaran udara yang disebabkan oleh penggunaan klorin, polyaluminium chloride (PAC dan konsumsi listrik. Dampak pencemaran terbesar terjadi pada penggunaan listrik dalam pemakaian satu hari yaitu menyebabkan respiratory inorganics sebesar 0,748 kg PM2.5, ozone layer depletion sebesar 0,000295 kg CFC-11 dan global warming sebesar 1000 kg CO2. Solusi untuk mengurangi dampak lingkungan yang dapat dilakukan instalasi pengolahan air adalah dengan cara peningkatan efesiensi peralatan.

  18. Differences between the IPA Learning Outcomes Learning Module Part with Conventional Learning Class IV in SDN Jodipan Malang

    Directory of Open Access Journals (Sweden)

    Helda Kusuma Wardani

    2014-06-01

    Full Text Available Perbedaan Hasil Pembelajaran IPA antara Pembelajaran Modul Bagian dengan Pembelajaran Konvensional Kelas IV SD Abstract: The aim of this study was to test the effectiveness of learning science a significant difference between the learning modules with conventional learning class section IV in SDN Jodipan Malang and describe the realization of the effectiveness and appeal of learning on learning module and conventional learning section. This quasi-experimental research design was used pre- and post-test design or nonequivalent control group. Testing the hypothesis used t test using SPSS. Conclusions from the results of hypothesis testing is no significant difference between the effectiveness of learning modules with conventional learning section on the topic of the relationship between structure and function of plant roots after the implementation of learning. Minimal realization completeness criteria (KKM classroom learning module parts is very high. Scores posttes conventional learning classes showed no achievement of KKM. Realization appeal the high part of the learning modules according to the whole class learning module sample parts, and the appeal of high-graded conventional learning. KKM realization is directly proportional to the realization of part of the appeal of the learning module. Key Words: learning outcomes, the learning module parts, conventional learning Abstrak: Tujuan penelitian ini adalah menguji perbedaan signifikan keefektifan pembelajaran IPA antara pembelajaran modul bagian dengan pembelajaran konvensional kelas IV di SDN Jodipan Kota Malang dan mendeskripsikan realisasi keefektifan serta daya tarik pembelajaran pada pembelajaran modul bagian maupun pembelajaran konvensional. Penelitian eksperimen kuasi ini menggunakan rancangan pre- and post-test design atau nonequivalent control group design. Pengujian hipotesis digunakan uji t menggunakan SPSS. Simpulan dari hasil uji hipotesis adalah ada perbedaan signifikan antara

  19. Chapter Twenty Nine

    African Journals Online (AJOL)

    User

    (Feminist) women who say women should live together and all that. I say No. ... However, the freedom which mainstream feminism seeks for women deprives ... That is why she criticises Adaku who opts for single motherhood and prostitution,.

  20. Twenty Years of French "Didactique" Viewed from the United States

    Science.gov (United States)

    Kilpatrick, Jeremy

    2003-01-01

    One cannot begin considering the topic of this colloquium without asking, why twenty years? Why not two hundred? Two hundred years ago, Silvestre Franois Lacroix was about to be named chief officer of the Commission Executive de L'Instruction Publique. Out of that experience, together with his long career in instruction, especially as professor of…

  1. Factors Influencing Japanese Women to Choose Two-Year Colleges in Japan

    Science.gov (United States)

    Anzai, Shinobu; Paik, Chie Matsuzawa

    2012-01-01

    Two-year colleges in Japan have traditionally absorbed the major portion of female college entrants due to long-held gender stereotypes. Recently, Japanese women began to explore selfhood outside the traditional realm of marriage and motherhood. However, two-year colleges in Japan today continue to enroll mostly female students and few male…

  2. Twenty Practices of an Entrepreneurial University

    DEFF Research Database (Denmark)

    Gjerding, Allan Næs; Wilderom, Celeste P.M.; Cameron, Shona P.B.

    2006-01-01

    studies twenty organisational practices against which a University's entrepreneurship can be measured. These twenty practices or factors in effect formed the basis for an entrepreneurship audit. During a series of interviews, the extent to which the universities are seen as entrepreneurial...

  3. The twenty-five maiden ladies' tomb and predicaments of the feminist movement in Taiwan

    OpenAIRE

    Lee, Anru; Tang, Wen-hui Anna

    2010-01-01

    “The Twenty-five Maiden Ladies’ Tomb” is the collective burial site of the female workers who died in a ferry accident on their way to work in 1973. The fact that of the more than 70 passengers on board all 25 who died were unmarried young women, and the taboo in Taiwanese culture that shuns unmarried female ghosts, made the Tomb a fearsome place. Feminists in Gaoxiong (高雄) had for some years wanted the city government to change the tomb’s public image....

  4. Chapter Twenty Two

    African Journals Online (AJOL)

    User

    …novel writing in English in Africa began as a reaction and protest again ... organized vibrant and collective society that the white man met, the period .... Ezeulu is not moved by this passionate appeal but instead prefers to indulge ..... that we may accept limitation our actions but never under no circumstance, must accept a.

  5. A Tale of Ambivalence: Salman Rushdie's "Two Years, Eight Months and Twenty-Eight Nights"

    Directory of Open Access Journals (Sweden)

    Tarik Ziyad Gulcu

    2017-09-01

    Full Text Available Salman Rushdie’s memoirs, essays and novels contribute to the appreciation of the contradictions in his outlook on life. His experiences in his family enable Rushdie to make efforts for objective and tolerant judgement of British lifestyle and culture. However, his isolation from the society in Britain despite his struggle for adaptation to British cultural values cause contradictions in his cultural identity. While Rushdie expresses his allegiance to India and its culture in The Ground Beneath Her Feet (1999, he reflects his alienation from his homeland in this novel as well. Similarly, in his Imaginary Homelands (1981-1991 whereas Rushdie questions the injustice and inequality caused by imperialism in The New Empire within Britain (1982, he justifies the colonialist discourse in Kipling (1990. He elaborates on the contradictions in his outlook on life in terms of his cultural ambivalence in his fictions such as Midnight’s Children (1981 and Shame (1983. However, in his latest novel, Two Years, Eight Months and Twenty-Eight Nights (2015, Rushdie reflects his cultural identity conflict in terms of rationalism-mysticism dichotomy. With the use of allegory as well as the lack of linearity in time and space, Rushdie justifies his cultural ambivalence in relation to the dynamism of contemporary world. Thus, Rushdie’s latest novel invites reading for its representation of the oppositions in his approach to life.

  6. Systemic isotretinoin treatment and pregnancy: A comparative study of two groups of women: A retrospective analysis of 569 women

    Directory of Open Access Journals (Sweden)

    Piotr Brzezinski

    2017-10-01

    Full Text Available Background: Oral isotretinoin is the only drug which promotes prolonged remission or cure of severe acne. The aim of our study was to estimate the isotretinoin exposure and to evaluate the effectiveness of the Polish and Romanian pregnancy prevention. This is a comparative study of two groups of women. Methods: A retrospective, comparative study of 569 women with acne vulgaris. The study included two groups of randomly selected women during treatment and follow-up. Group I with rigorous prevention of pregnancy; Group II without this rigor. Results: We did not register any pregnancies. 1.93% used oral contraceptives, 92.79% used a condom during sex, and 7.21% of women abstained from sex. The analysis showed significant differences (p <0.0001 total dose applied depending on the method of treatment. No statistically significant correlations were found between patients' age, duration of disease, location, and type of acne. Average length of therapy was 8.81 months. Isotretinoin therapy was interrupted for 27 patients from group I. Conclusion: The isotretinoin pregnancy prevention in Poland and Romania was very good during our study. Every woman in the fertile phase of life should use contraception while taking isotretinoin. The most important thing is the awareness of the patient.

  7. Abandoning the performance narrative: Two women's stories of transition from professional sport

    OpenAIRE

    Douglas, K; Carless, D

    2009-01-01

    Despite its potential to illuminate psychological processes within socio-cultural contexts, examples of narrative research are rare in sport psychology. In this study, we employed an analysis of narrative to explore two women's stories of living in, and withdrawing from, professional tournament golf gathered through life history interviews conducted over 6 years. Our findings suggest that immersion in elite sport culture shaped these women's identities around performance values of single-mind...

  8. [Intimate partner violence and family dysfunction among Mexican women seen a Primary Care Unit].

    Science.gov (United States)

    Ambriz-Mora, M I; Zonana-Nacach, A; Anzaldo-Campos, M C

    2015-01-01

    To assess the prevalence and risk factors for intimate-partner violence (IPV) in women who attended a Family Medicine Unit in Tijuana, Mexico. A total of 297 women were interviewed and evaluated using two validated scales: violence and severity index and family APGAR to assess family functioning and IPV respectively. The mean age (± SD) was 40.6±13.8 years, and 120 (40.4%) women had suffered IPV: 47 (15.8%) psychological violence; 31 (10.4%) sexual violence; 77 (25.9%) physical violence, and in 19 (6.4%) there were actions that threatened the lives of women. The most common causes of domestic violence were women who reported that their partner had been jealous, or suspicion from friends (37.4%). Twenty two (7.4%) of the women with domestic violence reported that they had sought help. The prevalence of IPV was high and associated with the education level of the couple and family functioning. Copyright © 2014 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Diversity of nifH gene pools in the rhizosphere of two cultivars of sorghum (Sorghum bicolor) treated with contrasting levels of nitrogen fertilizer

    NARCIS (Netherlands)

    Coelho, M.R.R.; Vos, de M.; Carneiro, N.P.; Marriel, I.E.; Paiva, E.; Seldin, L.

    2008-01-01

    The diversity of nitrogen-fixing bacteria was assessed in the rhizospheres of two cultivars of sorghum (IS 5322-C and IPA 1011) sown in Cerrado soil amended with two levels of nitrogen fertilizer (12 and 120 kg ha(-1)). The nifH gene was amplified directly from DNA extracted from the rhizospheres,

  10. Women in Engineering: A Phenomenological Analysis of Sociocultural Contextual Meaning of Gender Roles

    Science.gov (United States)

    Charity-Leeke, Pamela C.

    2012-01-01

    The twenty-first century presents many new challenges in career development and choices in the workforce for men and women. Currently, women comprise nearly half of the United States labor force. United States women are employed in various career areas, ranging from the traditional careers for women, such as education and secretarial, to their…

  11. The ambiguity of disabled women's experiences of pregnancy, childbirth and motherhood: a phenomenological understanding.

    Science.gov (United States)

    Walsh-Gallagher, Dympna; Sinclair, Marlene; Mc Conkey, Roy

    2012-04-01

    there is limited knowledge about the pregnancy, childbirth and motherhood experiences of women living with a disability. Traditionally, such women have been viewed unsympathetically by society and professionals have challenged their fitness for motherhood. The situation is compounded by a lack of robust evidence regarding the life experience of pregnant women with a disability and their perspective on childbirth. seventeen pregnant women from the island of Ireland who had a physical, sensory and/or intellectual disability were interviewed at home, pre and post birth, using a qualitative approach derived from descriptive phenomenology. Interpretative phenomenological analysis (IPA), was chosen for data analysis. the women in this study welcomed pregnancy as affirming their identity and worth as women and as mothers. They encountered mixed reactions from partners and families, while professionals tended to view them as liabilities, regarding most as 'high risk'. These reactions intensified mothers' fears. They felt their ability to make choices and maintain control over their childbirth experiences was removed as the usual services were geared to provide for 'normal', able bodied women and were not adapted to their individual needs. Moreover, a proportion were offered a termination and, although all refused, they subsequently went on to indicate feeling pressurised to place their newborn babies into social services care. pregnant women with disabilities, in particular those labelled 'high risk', should expect equal ease of access to appropriate maternity care and consultation as that enjoyed by their mainstream, 'low risk' or 'normal' counterparts. Maternity services should foster these vulnerable women's independence and autonomy as far as practicable and uphold their identity and worth as women and as mothers. Three strategies are proposed for doing this. Copyright © 2011 Elsevier Ltd. All rights reserved.

  12. Callus induction and plant regeneration of tomato (Lycopersicon esculentum cv. IPA 5 via anther culture Indução de calos e regeneração de plantas a partir do cultivo in vitro de anteras de tomate (Lycopersicon esculentum cv. IPA 5

    Directory of Open Access Journals (Sweden)

    Ana Christina Rabello Brasileiro

    1999-12-01

    Full Text Available Different growth regulators combinations were tested on the production of anther callus in tomato cultivar IPA 5. Calli were induced on media supplemented with 1.0mgL-1 gibberellic acid (GA3, 0.05mgL-1 alpha-naphthaleneacetic acid (NAA plus 0.1mgL-1 6-benzylaminopurine (BAP, or with 1.0mgL-1 BAP plus 1.0mgL-1 NAA. The medium containing 1.0mgL-1 BAP and 1.0mgL-1 NAA produced the highest calli frequency, and promoted plant regeneration by indirect organogenesis, when calli were transferred to 0.01mgL-1 BAP and 0.001mgL-1 NAA. Plants regenerated presented tetraploid cells and rare diploid cells. These tetraploid plants could be used as source for further obtainment of trisomic lines, for the purpose of genic localization studies and protein compounds analysis.Diferentes combinações de reguladores de crescimento foram testadas na produção de calos a partir do cultivo de anteras de tomate cultivar IPA 5. Calos foram induzidos no meio suplementado com 1,0mgL-1 de ácido giberélico (GA3 + 0,05mgL-1 de alfa-ácido naftalenoacético (ANA + 0,1mgL-1 de 6-benzilaminopurina (BAP, ou com 1,0mgL-1 de BAP + 1,0mgL-1 de ANA. O meio contendo 1,0mgL-1 de BAP e 1,0mgL-1 de ANA produziu a maior freqüência de calos e promoveu a regeneração de plantas através de organogênese indireta, quando os calos foram transferidos para 0,01mgL-1 de BAP e 0,001mgL-1 de ANA. As plantas regeneradas apresentaram células tetraplóides e, raramente, células diplóides. Estas plantas tetraplóides podem servir como fonte para posterior obtenção de linhagens trissômicas, para serem utilizadas em estudos de localização gênica e em análises de compostos protéicos.

  13. Quantitative and clinical description of postural instability in women with breast cancer treated with taxane chemotherapy.

    Science.gov (United States)

    Wampler, Meredith A; Topp, Kimberly S; Miaskowski, Christine; Byl, Nancy N; Rugo, Hope S; Hamel, Kate

    2007-08-01

    To describe the postural control of women who received taxane chemotherapy for treatment of breast cancer using quantitative and clinically feasible measures. Prospective descriptive study. University-based comprehensive cancer center. Twenty women who completed taxane treatment for breast cancer and 20 healthy controls participated in this study. Not applicable. Two quantitative measures of postural control were used, Sensory Organization Test (SOT) and center of pressure (COP) velocities. Two clinically feasible measures of postural control were used, the Fullerton Advanced Balance Scale (FABS) and Timed Up & Go (TUG) test. Compared with healthy controls, women with breast cancer had poorer postural control on all of the outcome measures. FABS and TUG scores correlated moderately with SOT and COP scores. After taxane chemotherapy, women with breast cancer show significantly increased postural instability compared with matched controls. Clinically feasible measures of postural control correlated with quantitative tests. These results suggest that these clinical measures may be useful to screen patients to determine who may benefit from rehabilitation.

  14. PENINGKATAN KEMAMPUAN MENYIMPULKAN HASIL PRAKTIKUM IPA MELALUI PENGGUNAAN MEDIA KARTU

    Directory of Open Access Journals (Sweden)

    E. B. Wasilah

    2012-04-01

    Full Text Available Penelitian ini bertujuan untuk meningkatan kemampuan dalam menyimpulkan hasil praktikum IPA melalui penggunaan media kartu pada siswa kelas VIII F SMP Negeri 1 Tahunan. Penelitian tindakan kelas ini telah dilakukan pada semester genap 2011. Jangka waktu penelitian 3 bulan dari Januari sampai dengan Maret 2011. Sebagai subjek siswa kelas VIII F sejumlah 34 siswa. Penelitian telah dilaksanakan dalam 2 siklus dan masing-masing siklus terdiri dari 4 tahapan yaitu; perencanaan, pelaksanaan, observasi, dan refleksi. Berdasarkan penilai-         an kemampuan hasil praktikum pada siklus kedua menunjukkan bahwa indikator keberhasilan penelitian tindakan kelas tercapai karena telah mendapatkan nilai ≥ 75. Selain itu, berdasarkan temuan observer, jumlah siswa yang terlibat aktif dalam kegiatan praktikum mencapai 100%. Media kartu yang digunakan selama praktikum sangat menarik, sehingga memunculkan ide kreatif siswa dan membantu siswa menguasai keterampilan me-lakukan kegiatan praktikum. Berdasarkan hasil penelitian yang telah diperoleh maka dapat disimpulkan bahwa kemampuan siswa dalam menyimpulkan hasil praktikum dapat ditingkatkan dengan menggunakan media kartu.This aims of this study increase students capabilities in the concluding results through using science practical by media card SMP Negeri 1 Tahunan. This classroom based action research has been conducted from January to March 2011. The subject 34 students of grade VIII F. The study was designed in 2 cycles and each cycle consists of four stages, namely: planning, execution, observation, and reflection. The assessment of the ability to conclude the results of lab work on the second cycle studies showed that the indicators of success achieved class action because it has a value of ≥ 75. In addition, based on the findings of the observer, the number of students who are actively involved in practical activities reached 100%. Media card that is used is very attractive, giving

  15. Food Perceptions and Concerns of Aboriginal Women Coping with Gestational Diabetes in Winnipeg, Manitoba

    Science.gov (United States)

    Neufeld, Hannah Tait

    2011-01-01

    Objective: To describe how Aboriginal women in an urban setting perceive dietary treatment recommendations associated with gestational diabetes mellitus (GDM). Design: Semi-structured explanatory model interviews explored Aboriginal women's illness experiences with GDM. Setting and Participants: Twenty-nine self-declared Aboriginal women who had…

  16. Postural Balance in Women with Osteoporosis and Effective Factors

    OpenAIRE

    Duygu Ünlüsoy; Ece Aydoğ; İhsan Ünlüsoy

    2011-01-01

    Introduction: The most common cause of mortality and morbidity among osteoporotic individuals is bone fracture which in many cases is a direct result of falls. Individual factors contributing to the risk of fall are poor postural balance and lack of muscle strength. Our aims were to assess postural dynamic balance in osteoporotic women and to describe the effective factors on the balance performance. Methods: Twenty osteoporotic women with kyphosis, 50 osteoporotic women without kyph...

  17. Dual enrollment as a factor for women transitioning into STEM majors in Montana two-year colleges

    Science.gov (United States)

    Jakes, Penny Jane

    The purpose of this non-experimental, descriptive, quantitative study was to describe the impact high school dual enrollment coursework has had on initial enrollment of women with STEM majors in Montana two-year colleges. The study was designed to find whether or not differences existed for access (initial enrollment), persistence (to third semester), and success (associate's degree, certificate, or transfer to a four-year institution within 150% of program length). The literature review highlighted the need for studies to address the issue of few women in science, technology, engineering, and mathematics (STEM) occupations. One goal of dual enrollment in Montana is to ease transitions from high school to college, including underrepresented populations such as women in STEM fields. The scope of this study was to collect, organize, and interpret data to describe the effect of that effort for women enrolling in STEM majors at two-year colleges in Montana. Baseline information established the demographics of young women who participated in dual enrollment in Montana high schools during 2007-2009. Data analysis described results using attributes of gender, dual enrollment, access, persistence, and success for those enrolled in STEM fields. Results indicated more young women than young men take advantage of dual enrollment in high school and more women than men with dual-enrollment credit initially enroll in college. More men than women major in a STEM field and more men persist and graduate within the STEM fields. Data indicated that 221 students enrolled in a Montana two-year college with DE/DC credit during 2007-2009. Of those, eight women chose STEM majors, six persisted to the third semester, and two completed. It is recommended that a mixed-methods study be conducted to give a deeper level of understanding for enrollment trends and career choice. Longitudinal studies should also be conducted as dual enrollment grows within the state of Montana. Further studies

  18. Lipid Profile and Insulin Resistance in Pregnant Women with Family ...

    African Journals Online (AJOL)

    Methos: Glucose, insulin and lipids (total cholesterol, triglyceride, high density lipoprotein and low density lipoproteins) were measured at 26 to 32 weeks of pregnancy in fasting blood samples obtained from 75 pregnant non diabetic women (Twenty five with a history of first degree relative with DM and fifty women without ...

  19. Capital in the Twenty-First Century

    DEFF Research Database (Denmark)

    Hansen, Per H.

    2014-01-01

    Review essay on: Capital in the Twenty-First Century. By Thomas Piketty . Translated by Arthur Goldhammer . Cambridge, Mass.: The Belknap Press of Harvard University Press, 2014. viii + 685 pp......Review essay on: Capital in the Twenty-First Century. By Thomas Piketty . Translated by Arthur Goldhammer . Cambridge, Mass.: The Belknap Press of Harvard University Press, 2014. viii + 685 pp...

  20. A two-year program of aerobics and weight training enhances bone mineral density of young women

    Science.gov (United States)

    Friedlander, A. L.; Genant, H. K.; Sadowsky, S.; Byl, N. N.; Gluer, C. C.

    1995-01-01

    Previous research suggests that physical activity may have a beneficial effect on bone mineral density (BMD) in women. This relationship was explored in a 2-year, randomized, intervention trial investigating the efficacy of exercise and calcium supplementation on increasing peak bone mass in young women. One hundred and twenty-seven subjects (ages of 20-35 years) were randomly assigned either to an exercise program that contained both aerobics and weight training components or to a stretching program. Calcium supplementation (up to 1500 mg/day including dietary intake) or placebo was given in a double-blinded design to all subjects. Spinal trabecular BMD was determined using quantitative computed tomography (QCT). Spinal integral, femoral neck, and trochanteric BMD were measured by dual X-ray absorptiometry (DXA) and calcaneal BMD by single photon absorptiometry (SPA). Fitness variables included maximal aerobic capacity (VO2max), and isokinetic muscle performance of the trunk and thigh. Measurements were made at baseline, 1 year, and 2 years. Sixty-three subjects (32 exercise, 31 stretching) completed the study, and all the measured bone parameters indicated a positive influence of the exercise intervention. There were significant positive differences in BMD between the exercise and stretching groups for spinal trabecular (2.5%), femoral neck (2.4%), femoral trochanteric (2.3%), and calcaneal (6.4%) measurements. The exercise group demonstrated a significant gain in BMD for spinal integral (1.3 +/- 2.8%, p weight training has beneficial effects on BMD and fitness parameters in young women. However, the addition of daily calcium supplementation does not add significant benefit to the intervention.

  1. Contraception and fertility awareness among women with solid organ transplants.

    Science.gov (United States)

    French, Valerie A; Davis, John S; Sayles, Harlan S; Wu, Serena S

    2013-10-01

    To assess the contraception and fertility counseling provided to women with solid organ transplants. A telephone survey of 309 women aged 19-49 years who had received a solid organ transplant at the University of Nebraska Medical Center was performed. Of the 309 eligible women, 183 responded. Patients were asked 19 questions regarding pretransplant and posttransplant fertility awareness and contraception counseling. Data were summarized using descriptive statistics. Patients had undergone a variety of solid organ transplantations: 40% kidney (n=73); 32% liver (n=59); 6% pancreas (n=11); 5% heart (n=9); 3% intestine (n=5); and 14% multiple organs (n=26). Before their transplantations, 79 women (44%) reported they were not aware that a woman could become pregnant after transplantation. Only 66 women aged 13 and older at the time of transplantation reported that a health care provider discussed contraception before transplantation. Approximately half of women surveyed were using a method of contraception. Oral contraceptive pills were the most commonly recommended method. Twenty-two of the 31 pregnancies after organ transplantation were planned, which is higher than that of the general population. Few women with transplants are educated regarding the effect of organ transplantation on fertility and are not routinely counseled about contraception or the potential for posttransplant pregnancy. Health care providers should incorporate contraceptive and fertility counseling as part of routine care for women with solid organ transplants. : II.

  2. Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Angélica Mércia Pascon Barbosa

    2011-01-01

    Full Text Available OBJECTIVE: To assess the prevalence of urinary incontinence and associated vaginal squeeze pressure in primiparous women with and without previous gestational diabetes mellitus two years post-cesarean delivery. METHODS: Primiparous women who delivered by cesarean two years previously were interviewed about the delivery and the occurrence of incontinence. Incontinence was reported by the women and vaginal pressure evaluated by a Perina perineometer. Sixty-three women with gestational diabetes and 98 women without the disease were screened for incontinence and vaginal pressure. Multiple logistic regression models were used to evaluate the independent effects of gestational diabetes. RESULTS: The prevalence of gestational incontinence was higher among women with gestational diabetes during their pregnancies (50.8% vs. 31.6% and two years after a cesarean (44.8% vs. 18.4%. Decreased vaginal pressure was also significantly higher among women with gestational diabetes (53.9% vs. 37.8%. Maternal weight gain and newborn weight were risk factors for decreased vaginal pressure. Maternal age, gestational incontinence and decreased vaginal pressure were risk factors for incontinence two years after a cesarean. In a multivariate logistic model, gestational diabetes was an independent risk factor for gestational incontinence. CONCLUSIONS: The prevalence of incontinence and decreased vaginal pressure two years post-cesarean were elevated among women with gestational diabetes compared to women who were normoglycemic during pregnancy. We confirmed an association between gestational diabetes mellitus and a subsequent decrease of vaginal pressure two years post-cesarean. These results may warrant more comprehensive prospective and translational studies.

  3. FEMINIST TO POSTFEMINIST: contemporary biofictions by and about women artists.

    Science.gov (United States)

    Novak, Julia

    2017-01-02

    Biographical novels about historical women artists have been experiencing a veritable boom in recent years. Written mostly by women, they can be understood as women authors' attempts to reach out across time (and often, space) to other "artistic" women whose lives "speak to us" today. It has long been a key insight of historical fiction research that a historical novel reveals more about the time in which it was written than the time in which it is set. As such, it can be assumed that contemporary novels about historical women speak as much to twenty-first-century conceptions of femininity as to particular historical moments of female subjectivity. This paper will compare two novels about historical women artists: Janice Galloway's Clara (2002) about nineteenth-century German pianist Clara Wieck-Schumann and Priya Parmar's Exit the Actress (2011) about Restoration actress Nell Gwyn. While based on historical facts, both these novels use the greater freedom of fiction to depart from biographical conventions. It will be demonstrated that although they resemble each other on the discourse level, employing shifts in the narrative perspective, conspicuous typography, and graphic elements, they differ markedly in the biographical and fictional subgenres in which they participate and, hence, in their gender politics.

  4. Visit ALEPH experiment on the LEP collider by twenty-eight young scientists chosen to represent their respective countries

    CERN Multimedia

    Laurent Guiraud

    1998-01-01

    Following an international meeting of secondary school pupils on the theme of "Future Scientists: Women and Men" in Paris on 23 and 24 April. The aim of this meeting, which was organised by UNESCO, was to encourage young people, and girls in particular, to choose scientific studies and careers. Twenty-eight young scientists chosen to represent their respective countries visited the CERN site this week following an international meeting of secondary school pupils on the theme of "Future Scientists: Women and Men" in Paris on 23 and 24 April. The aim of this meeting, which was organised by UNESCO, was to encourage young people, and girls in particular, to choose scientific studies and careers.

  5. Elevated dioxin levels in chloracne cases twenty years after the Seveso, Italy accident

    Energy Technology Data Exchange (ETDEWEB)

    Baccarelli, A.; Pesatori, A.C.; Consonni, D.; Bonzini, M.; Giacomini, S.M.; Bertazzi, P.A. [EPOCA Research Center, Univ. of Milan (Italy); Mocarelli, P. [Dept. of Lab. Medicine, Univ. of Milan-Bicocca, Desio (Italy); Patterson, D.G. Jr. [Centers for Disease Control and Prevention, Atlanta, GA (United States); Caporaso, N.E.; Landi, M.T. [Div. of Cancer Epidemiology and Genetics, National Cancer Inst., NIH, DHHS, Bethesda, MD (United States)

    2004-09-15

    In July 1976, an industrial accident contaminated a residential area surrounding Seveso, Italy, with high levels of 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD). The exposure was acute, relatively pure, and affected more than 45,000 men, women, and children. By February 1978, 193 chloracne cases, mostly children, had been identified in the exposed population. Twenty years after, we conducted a case-control study on subjects diagnosed with chloracne and control subjects, who had not developed chloracne after the accident, to evaluate their TCDD plasma levels, as well as the exposure-response relationship and possible determinants of susceptibility to TCDD effects in this population.

  6. Calibrating care in midwifery : weighing the evidence on weight and weight gain for pregnant women

    NARCIS (Netherlands)

    Darie Daemers

    2017-01-01

    At the beginning of the twenty first century obesity entered Dutch maternity care as a ‘new illness’ challenging maternity care professionals in providing optimal care for women with higher BMI’s. International research revealed that obese women had more perinatal problems than normal weight women.

  7. Perceptions of focused prenatal care among women attending two tertiary centers in Nigeria.

    Science.gov (United States)

    Eleje, George U; Onwusulu, Daniel N; Ezeama, Chukwuemeka O; Afiadigwe, Evaristus A; Eke, Ahizechukwu C; Ikechebelu, Joseph I; Ugboaja, Joseph O; Okwuosa, Ayodele O

    2015-11-01

    To determine women's perceptions and expectations of focused prenatal care visits. The present questionnaire-based, cross-sectional survey was performed among pregnant women in their third trimester attending two tertiary health centers in southern Nigeria between January and March 2012. Obstetric data, histories, and information on preferences for prenatal visits were obtained using questionnaires. A total of 353 questionnaires were appropriately completed. Among 277 participants who stated a preference for the number of prenatal care visits, 241 (87.0%) reported a preference of more than four. Among 203 parous women, 132 (65.0%) had no previous negative obstetric experience. Only previous stillbirth (odds ratio [OR] 2.67, 95% confidence interval [CI] 1.05-6.77; P = 0.039) among multiparous women, and HIV/AIDS (OR 0.27, 95% CI 0.06-1.17; P = 0.048) among all women were significantly associated with a preference for more prenatal visits. Previous negative obstetric experiences did not generally affect preference for prenatal visits. However, pregnant women expressed dissatisfaction with a reduced number of visits. Copyright © 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  8. “Sex and the Island”: Lives of Single Women in Prince Edward Island

    Directory of Open Access Journals (Sweden)

    Kristie Collins

    2011-05-01

    Full Text Available This article considers the significance attributed to Prince Edward Island in managing a marginalized single female identity, as presented by accounts of thirty never-married and previously-married Island women, aged twenty-seven through sixty-five. As popular media and social narratives overwhelmingly position contemporary single women against an urban backdrop, the question arises as to whether unmarried Island women feel “marooned” in ways their urban counterparts may not. In accordance with feminist aims to produce research for, rather than about, women’s lives, the paper focuses on two themes from fieldwork interviews that were of particular interest to participants. The first theme relates to negotiating female singleness within the Island’s family-centered culture, and the second theme presents participants’ talk around advantages and disadvantages of living in Prince Edward Island, Canada, as single women. The paper concludes with a summary of other findings from the study and suggestions for future research on female singleness and island locales.

  9. Impact on participation and autonomy: test of validity and reliability for older persons

    Directory of Open Access Journals (Sweden)

    Isabelle Ottenvall Hammar

    2014-10-01

    Full Text Available In research and healthcare it is important to measure older persons’ self-determination in order to improve their possibilities to decide for themselves in daily life. The questionnaire Impact on Participation and Autonomy (IPA assesses self-determination, but is not constructed for older persons. The aim of this study was to examine the validity and reliability of the IPA-S questionnaire for persons aged 70 years and older. The study was performed in two steps; first a validity test of the Swedish version of the questionnaire, IPA-S, followed by a reliability test-retest of an adjusted version. The validity was tested with focus groups and individual interviews on persons aged 77-88 years, and the reliability on persons aged 70-99 years. The validity test result showed that IPA-S is valid for older persons but it was too extensive and the phrasing of the items needed adjustments. The reliability test-retest on the adjusted questionnaire, IPA-Older persons (IPA-O, showed that 15 of 22 items had high agreement. IPA-O can be used to measure older persons’ self-determination in their care and rehabilitation.

  10. A Community-Based Study of Enduring Eating Features in Young Women

    Directory of Open Access Journals (Sweden)

    Bryan Rodgers

    2012-05-01

    Full Text Available We conducted a prospective exploration of the temporal course of eating disorder (ED symptoms in two cohorts of community women. One hundred and twenty-two young women (Cohort 1 identified in a general population based survey with ED symptoms of clinical severity agreed to participate in a 5-year follow-up study. A comparative sample (Cohort 2 of 706 similar aged self-selected college women (221 with disordered eating was recruited one year later. Both ED groups were given a health literacy package in the first year. ED symptoms, health related quality of life, and psychological distress were assessed annually with the Eating Disorder Examination Questionnaire, the Short Form—12 Health Survey and the Kessler Psychological Distress Scale, respectively. Forty percent (Cohort 1 and 30.3% (Cohort 2 completed questionnaires at each year of follow-up. In both groups, there was early improvement in ED symptoms which plateaued after the first year, and participants retained high EDE-Q scores at 5 years. BMI increased as expected. Mental health related quality of life scores did not change but there were small improvements in psychological distress scores. The findings suggest little likelihood of spontaneous remission of ED problems in community women.

  11. Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus

    OpenAIRE

    Barbosa, Angélica Mércia Pascon; Dias, Adriano; Marini, Gabriela; Calderon, Iracema Mattos Paranhos; Witkin, Steven; Rudge, Marilza Vieira Cunha

    2011-01-01

    OBJECTIVE: To assess the prevalence of urinary incontinence and associated vaginal squeeze pressure in primiparous women with and without previous gestational diabetes mellitus two years post-cesarean delivery. METHODS: Primiparous women who delivered by cesarean two years previously were interviewed about the delivery and the occurrence of incontinence. Incontinence was reported by the women and vaginal pressure evaluated by a Perina perineometer. Sixty-three women with gestational diabetes ...

  12. Fear experience reading: women reading

    Directory of Open Access Journals (Sweden)

    Sofia VALDIVIESO GÁMEZ

    2009-11-01

    Full Text Available Starting from the assumptions the patriarchal paradigm has used in the construction of male and female identity, the changes experienced by women in the last century and the statements about fear undergone by more than twenty-five women from different ages and nationalities through their own life cycle, the author gives us an account on what women fear and how they live and overcome it. These ideas are based on the hypothesis that if patriarchy as a social organization is a cultural constant, the fears experienced by women in the process of constructing themselves as such are also constant. She concludes that the only course to follow is necessarily a way where feminine consciousness must be integrated, both in men and women, as a previous step in the construction of a reality based on equals, though, at the same time, different. This would allow us to discover the masculine and feminine dimension in all of us.

  13. The Twenty-five Maiden Ladies’ Tomb and Predicaments of the Feminist Movement in Taiwan

    Directory of Open Access Journals (Sweden)

    Anru Lee

    2010-01-01

    Full Text Available “The Twenty-five Maiden Ladies’ Tomb” is the collective burial site of the female workers who died in a ferry accident on their way to work in 1973. The fact that of the more than 70 passengers on board all 25 who died were unmarried young women, and the taboo in Taiwanese culture that shuns unmarried female ghosts, made the Tomb a fearsome place. Feminists in Gaoxiong (高雄 had for some years wanted the city government to change the tomb’s public image. Their calls were not answered until the Gaoxiong mayor’s office finally allocated money to clean up the gravesite and, as part of the city’s plans to develop urban tourism, to remake it into the tourist-friendly “Memorial Park for Women Labourers”. Consequently, even though the tomb renovation seemed to indicate a triumph of the feminist endeavour, it was more a result of the Gaoxiong city government’s efforts towards culture-led urban revitalization.

  14. A randomised controlled multicentre trial of women's and men's satisfaction with two models of antenatal education.

    Science.gov (United States)

    Bergström, Malin; Kieler, Helle; Waldenström, Ulla

    2011-12-01

    To study women's and men's satisfaction with two models of antenatal education: natural childbirth preparation with psychoprophylaxis, and standard antenatal education including preparation for childbirth and parenthood but no psychoprophylaxis. Randomised controlled multicentre trial. 15 Antenatal clinics in Sweden between January 2006 and May 2007. 1087 Nulliparous women and 1064 of their partners. Both models had four two-hour sessions during pregnancy and one session post partum. The natural model was manual-based and focused on childbirth preparation, including psychoprophylaxis. In the standard care model, the group leader was free to choose her teaching approach, with an equal amount of time allocated to preparation for childbirth and for parenthood. Women's and men's evaluation of antenatal education at three months post partum. The proportion of women and men in each model that expressed satisfaction with the education were compared using χ(2) test. More women and men in the natural groups were satisfied with the education compared with the standard care groups: women 76% versus 68% (p = 0.03) and men 73% versus 65% (p = 0.03). The figures were similar for satisfaction with the childbirth preparation component: 78% and 62% in women (p psychoprophylaxis may better meet expectant parents' expectations than standard antenatal education in Sweden. Copyright © 2010 Elsevier Ltd. All rights reserved.

  15. Effect of rosiglitazone on insulin resistance, growth factors, and reproductive disturbances in women with polycystic ovary syndrome.

    Science.gov (United States)

    Belli, Susana H; Graffigna, Mabel N; Oneto, Adriana; Otero, Patricia; Schurman, Leon; Levalle, Oscar A

    2004-03-01

    To evaluate the effects of rosiglitazone on insulin resistance, growth factors, and reproductive disturbances in women with polycystic ovary syndrome (PCOS). Prospective study. Women with PCOS attending as outpatients of the Endocrine Division, Hospital Durand, Buenos Aires. Twenty-four insulin-resistant women with PCOS. Hormonal evaluations and a standardized oral glucose tolerance test before and after a 3-month trial of 4 mg of rosiglitazone daily. Serum LH, FSH, T, IGF-1, IGFBP-1, IGFBP-3, leptin, 17alpha-hydroxyprogesterone, insulin, and glucose concentrations. The area under insulin curve (AUC-insulin), the HOMA index (insulin resistance), the QUICKI index (insulin sensitivity), and the beta-cell function were calculated. Body mass index (BMI) and the waist/hip ratio were evaluated. A significant decrease was observed in serum fasting insulin, AUC insulin, HOMA index, beta-cell function, IGF-1, LH, and waist/hip ratio. The QUICKI index and IGFBP-1 increased significantly. Serum sex hormone-binding globulin, androgens, leptin, IGFBP-3, and BMI remained unchanged. Twenty-two of 23 females had their menses restored, and three patients became pregnant. One patient was excluded because she became pregnant at the second month. Associated with the decrease in LH, rosiglitazone improved insulin-resistance parameters and normalized the menstrual cycle, which suggests that this drug could improve the endocrine-reproductive condition in insulin-resistant women with PCOS.

  16. Persist and cope: New Zealand women in computing

    Directory of Open Access Journals (Sweden)

    Alison Hunter

    Full Text Available New Zealand has a thriving computing industry but further growth is hampered by a skills shortage. A lack of women in the industry exacerbates this problem. Women are under-represented in the industry, and those who do take up computing careers experience conditions of discrimination and marginalisation. This paper reports on a qualitative study of the strategies used by women to cope with their marginalisation. Using multi-sited ethnographic methodology, data were collected using semi-structured interviews with twenty-nine computing professionals. Despite some women denying any marginalisation, all were found to employ some form of coping strategy. Seven different strategies were identified. The women interviewed were more inclined to join organisations directly relating to their roles rather than support initiatives which might improve conditions for women.

  17. An Evaluation of Taiwanese B&B Service Quality Using the IPA Model

    Directory of Open Access Journals (Sweden)

    Gao-Liang Wang

    2012-09-01

    Full Text Available According to a December 2011 report released by Taiwan’s Tourism Bureau, there were 3,763 bed-and-breakfast guesthouses (B&B in Taiwan, 3,367 of which were legal with a combined 13,389 rooms, increasing by 96 percent from December 2006. It seems that the B&B sector is quite a popular target for investors. As the word-of-mouth advertising has been considered one of the most influential marketing methods, those who invest in B&Bs must manage to utilize their limited resources to improve customer satisfaction in a fast-growing and competitive market. The best marketing approach in reaching out to B&B customers, as suggested by this study’s author, would be word-of-mouth adverting. A PZB framed questionnaire is used in this study to explore the expectations and satisfaction of B&B customers both before and after the accommodation period, with the Importance-Performance Analysis (IPA model applied to analyze and measure the service quality. Findings from the questionnaire survey showed 3 out of the totally 23 service factors falling in the “concentrated concerned” quadrant (i.e., tidiness, architectural characteristics, and reasonable rates; 6 factors falling in the “continued maintenance” quadrant (i.e., adequate parking place, commitment to customers, handling of customers’ opinions, legality of B&B, grievance handling, and the local specialties-ordering service; 10 factors falling in the “low priority” quadrant (i.e., modern facilities, safety devices, availability of breakfast, security of online reservations; 4 factors falling in the “over-strived” quadrant (i.e., the availability of custom-made services, the ability to grasp customers’ needs, the availability of tour packages, and the availability of experiences regarding local industries.

  18. Effects of contraceptive steroids on cardiovascular risk factors in women with insulin-dependent diabetes mellitus

    DEFF Research Database (Denmark)

    Petersen, K R; Skouby, S O; Sidelmann, Johannes Jakobsen

    1994-01-01

    OBJECTIVE: We evaluated established cardiovascular risk factors within lipoprotein metabolism, hemostasis, and endothelial function in women with insulin-dependent diabetes mellitus who were using oral contraceptives. STUDY DESIGN: Twenty-five women with uncomplicated insulin-dependent diabetes m...

  19. Pain pressure threshold algometry of the abdominal wall in healthy women.

    Science.gov (United States)

    Montenegro, M L L S; Braz, C A; Mateus-Vasconcelos, E L; Rosa-e-Silva, J C; Candido-dos-Reis, F J; Nogueira, A A; Poli-Neto, O B

    2012-07-01

    The objective of this study was to determine the inter- and intra-examiner reliability of pain pressure threshold algometry at various points of the abdominal wall of healthy women. Twenty-one healthy women in menacme with a mean age of 28 ± 5.4 years (range: 19-39 years) were included. All volunteers had regular menstrual cycles (27-33 days) and were right-handed and, to the best of our knowledge, none were taking medications at the time of testing. Women with a diagnosis of depression, anxiety or other mood disturbances were excluded. Women with previous abdominal surgery, any pain condition or any evidence of inflammation, hypertension, smoking, alcoholism, or inflammatory disease were also excluded. Pain perception thresholds were assessed with a pressure algometer with digital traction and compression and a measuring capacity for 5 kg. All points were localized by palpation and marked with a felt-tipped pen and each individual was evaluated over a period of 2 days in two consecutive sessions, each session consisting of a set of 14 point measurements repeated twice by two examiners in random sequence. There was no statistically significant difference in the mean pain threshold obtained by the two examiners on 2 different days (examiner A: P = 1.00; examiner B: P = 0.75; Wilcoxon matched pairs test). There was excellent/good agreement between examiners for all days and all points. Our results have established baseline values to which future researchers will be able to refer. They show that pressure algometry is a reliable measure for pain perception in the abdominal wall of healthy women.

  20. Recruiting low-income postpartum women into two weight loss interventions: in-person versus Facebook delivery.

    Science.gov (United States)

    Silfee, Valerie J; Lopez-Cepero, Andrea; Lemon, Stephenie C; Estabrook, Barbara; Nguyen, Oanh; Rosal, Milagros C

    2018-02-21

    Several studies, such as the Diabetes Prevention Program (DPP), have provided foundational evidence for the efficacy of lifestyle interventions on weight loss and cardiometabolic prevention. However, translating these interventions to real-world settings and engaging at-risk populations has proven difficult. Social media-delivered interventions have high potential for reaching high-risk populations, but there remains a need to understand the extent to which these groups are interested in social media as a delivery mode. One potential way to this is by examining recruitment rates as a proxy for interest in the intervention delivery format. The aim of this study was to describe the recruitment rates of overweight and obese low-income postpartum women into two asynchronous behavioral weight loss interventions: one delivered in-person and the other delivered via Facebook. Both interventions used the same recruitment methods: participants were overweight low-income postpartum women who were clients of Women, Infants, and Children (WIC) clinics in Worcester, MA, screened for the study by nutritionists during routine WIC visits. Similarly, eligibility criteria were the same for both interventions except for a requirement for the Facebook-delivered intervention to currently use Facebook at least once per week. Among women pre-eligible for the in-person intervention, 42.6% gave permission to be contacted to determine full eligibility and 24.1% of eligible women enrolled. Among women pre-eligible for the Facebook intervention, 31.8% gave permission to be contacted and 28.5% of eligible women enrolled. Recruitment rates for a Facebook-based weight loss intervention were similar to recruitment rates for an in-person intervention, suggesting similar interest in the two program delivery modes among low-income postpartum women.

  1. Rural and urban women entrepreneurs: A comparison of service needs and delivery methods priorities

    Directory of Open Access Journals (Sweden)

    Davis, A.

    2011-01-01

    Full Text Available Women entrepreneurs face a wide variety of barriers and challenges throughout the life and growth of their entrepreneurial venture. This study expands the knowledge base on women entrepreneurs’ needs, specifically their needs in terms of service areas and service delivery method preferences. Twenty three “needed” service areas were identified by 95 Manitoba based women entrepreneurs. The first five included: finding new customers, growth benefits and tools, market expansion, general marketing, and networking skills. This study also examined the differences between urban and rural based entrepreneurs. Two service need areas “how to find mentors and role models” and “legal issues” exhibited statistically significant priority differences. Service delivery methods did not produce any statistically significant differences. Overall, this study concludes that regardless of location, women entrepreneurs’ training and support needs are not significantly that different. The effects of entrepreneurial stage and years in business on entrepreneurial support needs are also examined.

  2. Black women in menopausal transition.

    Science.gov (United States)

    Im, Eun-Ok; Lee, Seung Hee; Chee, Wonshik

    2010-01-01

    To describe the experience of menopausal symptoms of midlife Black women in the United States. Qualitative online forum using a feminist perspective. Internet communities for midlife women and Blacks. Twenty midlife Black women recruited using a quota sampling method. A 6-month online forum was conducted with seven discussion topics on menopausal symptoms. The discussion topics were posted sequentially on the forum site, and the women posted messages at their convenience over 6 months. The data were analyzed using thematic analysis. The identified themes were raised to be strong, accepting a natural aging process, silent and without knowledge, and our own experience. The women tried to be strong during their menopausal transitions while dealing with other important family matters. The women did not report their menopausal symptoms and were silent about or downplayed their symptoms, but many emphasized the importance of education about menopausal symptoms and highlighted their own lack of knowledge. These women generally did not talk about their symptoms because they believed that nobody except other Black midlife women could understand their menopausal experience. Health care providers need to develop a mechanism to deliver the necessary knowledge about menopausal symptoms and management strategies to Black midlife women in their health care practices.

  3. ATTITUDES AND ACCEPTANCE OF NIGERIANS TOWARDS VASECTOMY--A COMPARISON OF MARRIED MEN AND WOMEN IN LAGOS.

    Science.gov (United States)

    Tijani, K H; Ojewola, R W; Yahya, G L; Oluwole, A A; Odusanya, B

    2013-03-01

    Nigeria with a growth rate of 28%, accounts for over two thirds of the West African population. It also has one of the highest maternal mortality rates in the world with contraceptive prevalence among married couples less than 10%. Despite its safety and efficacy vasectomy appears to be unpopular in our environment. To assess the perception and acceptance of married men and women towards vasectomy and the influence of the spouse on the man's decision to accept or reject vasectomy. A cross sectional questionnaire based study. With an estimated population of 20 million, Lagos is the most cosmopolitan and urbanised city in Nigeria and accounts for 65% of all commercial activities in the country. Virtually all the tribes in Nigeria are represented in the city. Literate pregnant women recruited from the antenatal clinics and literate new fathers. All subjects were recruited from three health facilities in the Lagos metropolis. Twenty seven point five and twenty one percent of the men and women respectively had a good Knowledge of vasectomy while 49.1% and 19% of all men and women respectively with good knowledge would accept vasectomy (or agree for their spouses to have the procedure). Overall acceptance rates for men and women were 26 and 13.5% respectively while 92% of men who can opt for vasectomy will only do so if their spouses agree. Knowledge about vasectomy was the strongest single factor influencing the acceptance of vasectomy (p= 0.013) with stronger correlation among men than women (p=0.005 vrs p=.0.023). Knowledge and acceptance of vasectomy is significantly better in males than female Nigerians living in Lagos.

  4. Variations in the origin of inferior phrenic arteries and their relationship to celiac axis variations on CT angiography

    Energy Technology Data Exchange (ETDEWEB)

    Aslaner, Ramazan; Pekcevik, Yeliz; Sahin, Hilal [Dept. of Radiology, Tepecik Training and Research Hospital, Izmir (Turkmenistan); Toka, Onur [Dept. of Statistics, Hacettepe University, Ankara (Turkmenistan)

    2017-04-15

    Knowing the origin of the inferior phrenic artery (IPA) is important prior to surgical interventions and interventional radiological procedures related to IPA. We aimed to identify variations in the origin of IPA and to investigate the relationship between the origin of IPA and celiac axis variations using computed tomography angiography (CTA). The CTA images of 1000 patients (737 male and 263 female, the mean age 60, range 18–94 years) were reviewed in an analysis of IPA and celiac axis variations. The origin of IPA was divided into two groups, those originating as a common trunk and those originating independently without a truncus. The relationship between the origin of IPA and celiac axis variation was analyzed using Pearson's chi-square test. Both IPAs originated from a common trunk in 295 (29.5%) patients. From which the majority of the common trunk originated from the aorta. Contrastingly, the inferior phrenic arteries originated from different origins in 705 (70.5%) patients. The majority of the right inferior phrenic artery (RIPA) and the left inferior phrenic artery (LIPA) originated independently from the celiac axis. Variation in the celiac axis were detected in 110 (11%) patients. The origin of IPA was found to be significantly different in the presence of celiac axis variation. The majority of IPA originated from the aorta in patients with a common IPA trunk, while the majority of RIPA and LIPA originating from the celiac axis in patients without a common IPA trunk. Thus, the origin of IPA may widely differ in the presence of celiac axis variation.

  5. Variations in the origin of inferior phrenic arteries and their relationship to celiac axis variations on CT angiography

    International Nuclear Information System (INIS)

    Aslaner, Ramazan; Pekcevik, Yeliz; Sahin, Hilal; Toka, Onur

    2017-01-01

    Knowing the origin of the inferior phrenic artery (IPA) is important prior to surgical interventions and interventional radiological procedures related to IPA. We aimed to identify variations in the origin of IPA and to investigate the relationship between the origin of IPA and celiac axis variations using computed tomography angiography (CTA). The CTA images of 1000 patients (737 male and 263 female, the mean age 60, range 18–94 years) were reviewed in an analysis of IPA and celiac axis variations. The origin of IPA was divided into two groups, those originating as a common trunk and those originating independently without a truncus. The relationship between the origin of IPA and celiac axis variation was analyzed using Pearson's chi-square test. Both IPAs originated from a common trunk in 295 (29.5%) patients. From which the majority of the common trunk originated from the aorta. Contrastingly, the inferior phrenic arteries originated from different origins in 705 (70.5%) patients. The majority of the right inferior phrenic artery (RIPA) and the left inferior phrenic artery (LIPA) originated independently from the celiac axis. Variation in the celiac axis were detected in 110 (11%) patients. The origin of IPA was found to be significantly different in the presence of celiac axis variation. The majority of IPA originated from the aorta in patients with a common IPA trunk, while the majority of RIPA and LIPA originating from the celiac axis in patients without a common IPA trunk. Thus, the origin of IPA may widely differ in the presence of celiac axis variation

  6. Variations in the Origin of Inferior Phrenic Arteries and Their Relationship to Celiac Axis Variations on CT Angiography.

    Science.gov (United States)

    Aslaner, Ramazan; Pekcevik, Yeliz; Sahin, Hilal; Toka, Onur

    2017-01-01

    Knowing the origin of the inferior phrenic artery (IPA) is important prior to surgical interventions and interventional radiological procedures related to IPA. We aimed to identify variations in the origin of IPA and to investigate the relationship between the origin of IPA and celiac axis variations using computed tomography angiography (CTA). The CTA images of 1000 patients (737 male and 263 female, the mean age 60, range 18-94 years) were reviewed in an analysis of IPA and celiac axis variations. The origin of IPA was divided into two groups, those originating as a common trunk and those originating independently without a truncus. The relationship between the origin of IPA and celiac axis variation was analyzed using Pearson's chi-square test. Both IPAs originated from a common trunk in 295 (29.5%) patients. From which the majority of the common trunk originated from the aorta. Contrastingly, the inferior phrenic arteries originated from different origins in 705 (70.5%) patients. The majority of the right inferior phrenic artery (RIPA) and the left inferior phrenic artery (LIPA) originated independently from the celiac axis. Variation in the celiac axis were detected in 110 (11%) patients. The origin of IPA was found to be significantly different in the presence of celiac axis variation. The majority of IPA originated from the aorta in patients with a common IPA trunk, while the majority of RIPA and LIPA originating from the celiac axis in patients without a common IPA trunk. Thus, the origin of IPA may widely differ in the presence of celiac axis variation.

  7. Prevalence of high-risk human papillomavirus among women in two English-speaking Caribbean countries.

    Science.gov (United States)

    Andall-Brereton, Glennis; Brown, Eulynis; Slater, Sherian; Holder, Yvette; Luciani, Silvana; Lewis, Merle; Irons, Beryl

    2017-06-08

    To characterize high-risk human papillomavirus (HPV) infections in a sample of women in two small English-speaking Caribbean countries: Saint Kitts and Nevis and Saint Vincent and the Grenadines. Sexually active women ≥ 30 years old attending primary care health facilities participated in the study. Each participant had a gynecological examination, and two cervical specimens were collected: (1) a specimen for a Papanicolaou (Pap) test and (2) a sample of exfoliated cervical cells for HPV DNA testing, using the HPV High Risk Screen Real-TM (Sacace). High-risk HPV genotypes were assessed in 404 women in Saint Kitts and Nevis and 368 women in Saint Vincent and the Grenadines. High-risk HPV was detected in 102 of 404 (25.2%) in Saint Kitts and Nevis and in 109 of 368 (29.6%) in Saint Vincent and the Grenadines. High-risk HPV genotypes 52, 35, 51, 45, and 31 were the most common high-risk types in Saint Kitts and Nevis. In Saint Vincent and the Grenadines, the most common high-risk HPV genotypes were 45, 35, 31, 18, and 51. Current age was found to be significantly associated with high-risk HPV infection in both countries. In addition, in Saint Vincent and the Grenadines, high parity (> 3 pregnancies) and having had an abnormal Pap smear were found to be independent risk factors for high-risk HPV. These results contribute to the evidence on HPV prevalence for small island states of the Caribbean and support the accelerated introduction of the 9-valent HPV vaccine in the two countries and elsewhere in the English-speaking Caribbean. Use of the study's results to guide the development of policy regarding implementation of HPV testing as the primary screening modality for older women is recommended.

  8. Prevalence of high-risk human papillomavirus among women in two English-speaking Caribbean countries

    Directory of Open Access Journals (Sweden)

    Glennis Andall-Brereton

    2017-06-01

    Full Text Available ABSTRACT Objective To characterize high-risk human papillomavirus (HPV infections in a sample of women in two small English-speaking Caribbean countries: Saint Kitts and Nevis and Saint Vincent and the Grenadines. Methods Sexually active women ≥ 30 years old attending primary care health facilities participated in the study. Each participant had a gynecological examination, and two cervical specimens were collected: (1 a specimen for a Papanicolaou (Pap test and (2 a sample of exfoliated cervical cells for HPV DNA testing, using the HPV High Risk Screen Real-TM (Sacace. High-risk HPV genotypes were assessed in 404 women in Saint Kitts and Nevis and 368 women in Saint Vincent and the Grenadines. Results High-risk HPV was detected in 102 of 404 (25.2% in Saint Kitts and Nevis and in 109 of 368 (29.6% in Saint Vincent and the Grenadines. High-risk HPV genotypes 52, 35, 51, 45, and 31 were the most common high-risk types in Saint Kitts and Nevis. In Saint Vincent and the Grenadines, the most common high-risk HPV genotypes were 45, 35, 31, 18, and 51. Current age was found to be significantly associated with high-risk HPV infection in both countries. In addition, in Saint Vincent and the Grenadines, high parity (> 3 pregnancies and having had an abnormal Pap smear were found to be independent risk factors for high-risk HPV. Conclusions These results contribute to the evidence on HPV prevalence for small island states of the Caribbean and support the accelerated introduction of the 9-valent HPV vaccine in the two countries and elsewhere in the English-speaking Caribbean. Use of the study’s results to guide the development of policy regarding implementation of HPV testing as the primary screening modality for older women is recommended.

  9. The Children, Intimate Relationships, and Conflictual Life Events (CIRCLE) interview for simultaneous measurement of intimate partner and parent to child aggression.

    Science.gov (United States)

    Marshall, Amy D; Feinberg, Mark E; Jones, Damon E; Chote, Daniel R

    2017-08-01

    Despite substantial rates of parent to child aggression (PCA) and intimate partner aggression (IPA) co-occurrence within families, the co-occurrence of PCA and IPA within incidents of aggression has not previously been examined. To do so, we developed the Children, Intimate Relationships, and Conflictual Life Events (CIRCLE) interview to simultaneously measure incidents of psychological and physical PCA and IPA. The CIRCLE interview was administered quarterly for approximately 1 year to 109 women and 94 men from 111 couples with a first born child approximately 32 months of age at study initiation. Demonstrating the CIRCLE interview's ability to yield new knowledge about the nature of family aggression, we describe the frequency of aggressive incidents, the average number of aggressive behaviors within incidents, the daily occurrence of multiple aggressive incidents, and rates of within-incident PCA and IPA co-occurrence. With the exception of men's physical IPA, aggression scores derived from the CIRCLE interview exhibited a relatively high degree of interpartner reporting concordance, as well as structural validity and convergent validity with common aggression measures. Aggression reports via repeated testing were not influenced by social desirability or attempts to avoid aggression. Participants who perceived enhanced memory for aggression as a function of study participation reported increasing PCA and IPA frequencies over time. In the prediction of child conduct and emotional problems, the CIRCLE interview demonstrated predictive validity and incremental validity over traditional aggression measures. For the first time, within-incident co-occurrence of PCA and IPA was documented and shown to uniquely impact child outcomes. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  10. Women in post-trafficking services in moldova: diagnostic interviews over two time periods to assess returning women's mental health

    Directory of Open Access Journals (Sweden)

    Gorceag Lilia T

    2011-04-01

    Full Text Available Abstract Background Trafficking in women is a widespread human rights violation commonly associated with poor mental health. Yet, to date, no studies have used psychiatric diagnostic assessment to identify common forms of mental distress among survivors returning to their home country. Methods A longitudinal study was conducted of women aged 18 and over who returned to Moldova between December 2007 and December 2008 registered by the International Organisation for Migration as a survivor of human trafficking. Psychiatric diagnoses in women at a mean of 6 months after return (range 2-12 months were made by a trained Moldavian psychiatrist using the Structured Clinical Interview for DSM-IV, and compared with diagnoses recorded in the same women within 5 days of return. We described the socio-demographic characteristics of the women in the sample including both pre and post-trafficking information. We then described the distribution of mental health diagnoses recorded during the crisis intervention phase (1-5 days after return and the re-integration phase (2-12 months after return. We compared diagnoses at the patient level between the two time points by tabulating the diagnoses and carrying out a kappa test of agreement and the Stuart-Maxwell test for marginal homogeneity (an extension of the McNemar test to kxk table. Results 120/176 (68% eligible women participated. At 2-12 months after their return, 54% met criteria for at least one psychiatric diagnoses comprising post-traumatic stress disorder (PTSD alone (16%; co-morbid PTSD (20%; other anxiety or mood disorder (18%. 85% of women who had been diagnosed in the crisis phase with co-morbid PTSD or with another anxiety or mood disorder sustained a diagnosis of any psychiatric disorder when followed up during rehabilitation. Conclusions Trafficked women returning to their country of origin are likely to suffer serious psychological distress that may endure well beyond the time they return. Women

  11. Long-term effectiveness and costs of a brief self-management intervention in women with pregnancy-related low back pain after delivery

    Directory of Open Access Journals (Sweden)

    Bastiaanssen Janneke M

    2008-05-01

    Full Text Available Abstract Background Pregnancy-related low back pain is considered an important health problem and potentially leads to long-lasting pain and disability. Investigators draw particular attention to biomedical factors but there is growing evidence that psychosocial and social factors might be important. It prompted us to start a large cohort study (n = 7526 during pregnancy until one year after delivery and a nested randomized controlled intervention study in the Netherlands. Methods A randomized controlled trial (n = 126 nested within a cohort study, of brief self-management techniques versus usual care for treatment of women with persisting non-specific pregnancy-related low back pain three weeks after delivery. Women in the intervention group were referred to a participating physiotherapist. Women in the usual care group were free to choose physiotherapy, guidance by a general practitioner or no treatment. Follow up took place at 3 months, 6 months and one year after delivery. Outcomes included change in limitations in activities (RDQ, pain (VAS, severity of main complaints (MC, global feeling of recovery (GPE, impact on participation and autonomy (IPA, pain-related fear (TSK, SF-36, EuroQol and a cost diary. For the outcome measures, series of mixed models were considered. For the outcome variable global perceived effect (GPE a logistic regression analysis is performed. Results Intention-to-treat outcomes showed a statistical significant better estimated regression coefficient RDQ -1.6 {-2.9;-0.5} associated with treatment, as well as better IPA subscale autonomy in self-care -1.0 {-1.9;-0.03} and TSK -2.4 {-3.8;-1.1} but were not clinical relevant over time. Average total costs in the intervention group were much lower than in usual care, primarily due to differences in utilization of sick leave but not statistically significant. Conclusion Brief self-management techniques applied in the first 3 months after delivery may be a more viable first

  12. "You're Always First a Girl": Emerging Adult Women, Gender, and Sexuality in the Israeli Army

    Science.gov (United States)

    Levin, Dana S.

    2011-01-01

    The Israeli army drafts both men and women, and most Israelis complete their military service during their emerging adulthood years. This study examined Israeli women's experiences as soldiers in the army. Twenty-three women (18 emerging adults, 5 young adults) were recruited using purposive sampling and interviewed about how they experienced…

  13. Total adiponectin and adiponectin multimeric complexes in relation to weight loss-induced improvements in insulin sensitivity in obese women

    DEFF Research Database (Denmark)

    Polak, J.; Kovacova, Z.; Holst, C.

    2008-01-01

    , and LMW). The HMW form was suggested to be closely associated with insulin sensitivity. This study investigated whether diet-induced changes in insulin sensitivity were associated with changes in adiponectin multimeric complexes. SUBJECTS: Twenty obese women with highest and twenty obese women with lowest...... diet induced changes in insulin sensitivity (responders and non-responders respectively), matched for weight loss (body mass index (BMI)=34.5 (s.d. 2.9) resp. 36.5 kg/m(2) (s.d. 4.0) for responders and non-responders), were selected from 292 women who underwent a 10-week low-caloric diet (LCD; 600 kcal...

  14. The influence of feminist ascription on judgements of women's physical attractiveness

    OpenAIRE

    Swami, V.; Salem, N.; Furnham, A.; Tovee, M. J.

    2008-01-01

    The present study examined the effect of feminist ascription on perceptions of the physical attractiveness of women ranging in body mass index (BMI). One-hundred and twenty-nine women who self-identified as feminists and 132 who self-identified as non-feminists rated a series of 10 images of women that varied in BMI from emaciated to obese. Results showed no significant differences between feminist and non-feminists in the figure they considered to be maximally attractive. However, feminists ...

  15. Neonatal and maternal outcomes comparing women undergoing two in vitro fertilization (IVF) singleton pregnancies and women undergoing one IVF twin pregnancy.

    Science.gov (United States)

    Sazonova, Antonina; Källen, Karin; Thurin-Kjellberg, Ann; Wennerholm, Ulla-Britt; Bergh, Christina

    2013-03-01

    To compare outcomes for women undergoing two in vitro fertilization (IVF) pregnancies with singletons and women undergoing one IVF twin pregnancy. The concept of single-embryo transfer in IVF has reduced the risks of both maternal and neonatal complications, but there is still a discussion of whether or not twins are a desired outcome of IVF. Registry study. Not applicable. All reported twins after IVF with double-embryo transfer (n = 1,982) and their mothers (n = 991) and all mothers (n = 921) who gave birth to two IVF singletons (n = 1,842). None. Maternal and neonatal outcomes including severe neonatal morbidity. Preterm birth, very preterm birth, low birth weight, very low birth weight, and small for gestational age were dramatically increased for IVF twins compared with two IVF singletons with the same mother, with adjusted odds ratios from 4 to 16. Significantly higher rates of respiratory complications, sepsis, and jaundice were detected among the IVF twins. Significantly higher rates of preeclampsia, preterm premature rupture of the membranes, and cesarean section were observed for IVF twin pregnancies. The neonatal and maternal outcomes were dramatically better for women undergoing two IVF singleton pregnancies compared with one IVF twin pregnancy after double-embryo transfer. These results support single-embryo transfer to minimize the risks associated with twin pregnancies. Copyright © 2013 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  16. Effect of prior oophorectomy on changes in bone mineral density and carotid artery intima-media thickness in postmenopausal women.

    Science.gov (United States)

    Mucowski, Sara J; Mack, Wendy J; Shoupe, Donna; Kono, Naoko; Paulson, Richard; Hodis, Howard N

    2014-04-01

    To determine the effect of prior oophorectomy in healthy postmenopausal women on the rate of loss of bone mineral density (BMD) and rate of increase in carotid artery intima-media thickness (CIMT). Secondary analysis from a randomized controlled trial. University-based research clinic. Two hundred twenty-two healthy postmenopausal women in the Greater Los Angeles area. Baseline and annual screening of BMD and assessment of CIMT every 6 months for a total of 3 years. Changes in BMD and CIMT during postmenopausal years. Among women who were menopausal for more than 10 years, the rate of CIMT progression was statistically significantly less in women with intact ovaries compared with those in women with prior oophorectomy. In women 5-10 years postmenopause, there was a trend toward a slower loss of BMD in those who retained their ovaries, and in women more than 10 years postmenopause there was significantly less BMD loss in those who retained their ovaries. As time from menopausal transition increases, retained ovaries are associated with a slower rate of bone loss and a slower rate of thickening of the carotid artery wall compared with rates in menopausal women with oophorectomy. Copyright © 2014 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  17. Ten Years, Twenty Issues, and Two Hundred Papers of Numeracy: Toward International Reach and Transdisciplinary Utility

    Directory of Open Access Journals (Sweden)

    H.L. Vacher

    2017-07-01

    Full Text Available This issue completes the first ten years of Numeracy. The purpose of this introductory editorial is to review what has happened to the journal in those ten years. In the twenty issues, Numeracy’s output has been 201 papers counting the one or two editorials per issue. More than 50% of the papers are full, peer-reviewed articles, including 13 papers in two theme collections. The others are peer-reviewed notes and perspectives, editor-reviewed book reviews (15% of the total, and a column by contributing co-editor, Dorothy Wallace. The current issue marks an upswing in the number of notes, and our first discussion/reply. The number of papers per year has been increasing (e.g., 66% more in the last three years than in the first three years. The download rate has increased from about 5,000 in the first two years to 5,000 in about 40 days now. The editorial goes on to document two main outcomes. First, the journal is gaining an international reach: more than half the downloads occur outside the United States now, and the number of contributions from outside the United States has increased from 4 in the first five years to 15 in the second five years. Second, the across-the-curriculum nature of quantitative literacy is coming to the fore. The transdisciplinarity of QL is strikingly evident in this issue, which is discussed in some detail, especially how it conforms to the mission of the Association of American Colleges and Universities. The editorial ends with some results from a small ad hoc study of Google Scholar Citation Profiles. The question was, of the profiles that used “numeracy” or “quantitative literacy” as keywords, what other keywords did those profiles use, and what were the source countries? The results show that (1 QL is very much an American term, (2 there is, metaphorically, a vast and interesting numeracy ecosystem out there for Numeracy to engage and serve, and (3 as we become more global, the transdisciplinary relevance

  18. Trajectories of depressive symptoms over two years postpartum among overweight or obese women

    Science.gov (United States)

    Lee, Chien-Ti; Stroo, Marissa; Fuemmeler, Bernard; Malhotra, Rahul; Østbye, Truls

    2014-01-01

    Background Although depressive symptoms are common postpartum, few studies have followed women beyond 12 months postpartum to investigate changes in the number and severity of these symptoms over time, especially in overweight and obese women. Using two complementary analytical methods, this study aims to identify trajectories of depressive symptoms over two years postpartum among overweight or obese mothers, and assess the demographic, socio-economic , and health covariates for these trajectories. Methods Using longitudinal data from two behavioral intervention studies (KAN-DO and AMP; N = 844), we used latent growth modeling to identify the overall trajectory of depressive symptoms and how it was related to key covariates. Next, we used latent class growth analysis to assess the heterogeneity in the depressive symptom trajectories over time, and thereby, identify subgroups of women with distinct trajectories. Findings The overall trajectory of depressive symptoms over two years postpartum was relatively stable in our sample. However, the presence of three distinct latent class trajectories [stable-low (82.5%), decreasing symptoms (7.3%) and increasing symptoms (10.2%)], identified based on trajectory shape and mean depressive symptom score, supported heterogeneity in depressive symptom trajectories over time. Lower maternal education was related to a higher symptom score, and poorer subjective health status at baseline predicted inclusion in the increasing symptoms trajectory. Conclusions In some overweight or obese mothers postpartum depressive symptoms do not resolve quickly. Practitioners should be aware of this phenomenon and continue to screen for depression for longer periods of time postpartum. PMID:25213748

  19. Mental models of women with breast implants : local complications

    NARCIS (Netherlands)

    Byram, S.; Fischhoff, B.; Embrey, M.; Bruine de Bruin, W.J.A.; Thorne, S.

    2001-01-01

    Twenty-five women with breast implants participated in semistructured interviews designed to reveal their "mental models" of the processes potentially causing local (ie, nonsystemic) problems. The authors analyzed their responses in terms of an "expert model," circumscribing scientifically relevant

  20. A qualitative study of nulliparous women's decision making on mode of delivery under China's two-child policy.

    Science.gov (United States)

    Gu, Chunyi; Zhu, Xinli; Ding, Yan; Setterberg Simone; Wang, Xiaojiao; Tao, Hua; Zhang, Yu

    2018-07-01

    To explore nulliparous women's perceptions of decision making regarding mode of delivery under China's two-child policy. Qualitative descriptive design with in-depth semi-structured interviews. Postnatal wards at a tertiary specialized women's hospital in Shanghai, China. 21 nulliparous women 2-3 days postpartum were purposively sampled until data saturation. In-depth semi-structured interviews were conducted between October 8th, 2015 and January 31st, 2016. Two overarching descriptive categories were identified: (1) women's decision-making process: stability versus variability, and (2) factors affecting decision making: variety versus interactivity. Four key themes emerged from each category: (1) initial decision making with certainty: anticipated trial of labour, failed trial of labour, 'shy away' and compromise, anticipated caesarean delivery; (2) initial decision making with uncertainty: anticipated trial of labour, failed trial of labour, 'shy away' and compromise; (3) internal factors affecting decision making: knowledge and attitude, and childbirth self-efficacy; and (4) external factors affecting decision making: social support, and the situational environment. At the initial period of China's two-child policy, nulliparous women have perceived their decision-making process regarding mode of delivery as one with complexity and uncertainty, influenced by both internal and external factors. This may have implications for the obstetric setting to develop a well-designed decision support system for pregnant women during the entire pregnancy periods. And it is recommended that care providers should assess women's preferences for mode of delivery from early pregnancy and provide adequate perinatal support and continuity of care for them. Copyright © 2018 Elsevier Ltd. All rights reserved.

  1. Barriers to Women Entrepreneurship: A Comparative Analysis between South Korea and Romania

    OpenAIRE

    Roibu Irina; Roibu Paula-Alexandra

    2016-01-01

    Even in the twenty-first century, women entrepreneurs from all over the world continue to encounter different types of barriers in their activity. Depending on their location, history, culture, etc. the restraints can be more or less strict, distinct or similar. This article analyses and compares the constraints that the women entrepreneurs from South Korea and Romania are encountering, barriers concerning the professional stereotypes such as smaller medium wages for women, difficulties in ge...

  2. Eating behaviours among young women.

    Science.gov (United States)

    Abraham, S F; Mira, M; Beumont, P J; Sowerbutts, T D; Llewellyn-Jones, D

    1983-09-03

    Disordered eating and weight-control behaviour is becoming increasingly common among adolescent girls. We studied four groups of young women aged between 15 and 27 years (106 school and university students, 50 ballet school students, 22 patients suffering from anorexia nervosa and 44 patients with bulimia). Our results suggest that most young women diet at some time and lose more than three kg in weight; that they may experience episodes of binge eating and "picking" behaviour; and that they wish to be thinner irrespective of their current body weight. Twenty per cent of young women may fulfil the criteria for an eating disorder (bulimia or anorexia nervosa) at some stage, however briefly, and about 7% abuse laxatives or diuretics in order to achieve a fashionably slim figure. We suggest that most young women may pass through a phase of what is currently called disordered eating, and that this is part of normal development and may not necessarily require treatment. The incidence of disordered eating is greater in those young women who are under pressure to maintain a low body weight.

  3. Measurement of Perceived Stress Among Pregnant Women: A Comparison of Two Different Instruments.

    Science.gov (United States)

    Solivan, Amber E; Xiong, Xu; Harville, Emily W; Buekens, Pierre

    2015-09-01

    Assess the amount of agreement between the classification of stress from the Perceived Stress Scale (PSS) and the Assessment of Stress portion of the Prenatal Psychosocial Profile (PPP) among pregnant women. A secondary data analysis on a cross-sectional study of 301 pregnant women from the New Orleans and Baton Rouge areas who were exposed to Hurricane Katrina was conducted. Women with complete data (219) were analyzed. Women scoring in the third tertile of each instrument were compared. The kappa statistic was used to assess agreement between instruments. Additional comparisons were made with three instruments that measure other important psychosocial constructs that could be related to stress: the Edinburgh Depression Scale (EDS) and the Assessments of Support (partner and other support) and Self-Esteem from the PPP. No significant difference was found between the two tests. The PSS and the PPP were both statistically significantly correlated to each other (ρ = 0.71, p < 0.01). Thirty-five women were classified discordantly resulting in a Kappa Coefficient of 0.61 (95% CI 0.50-0.72, p < 0.01). No significant differences were found between these two instruments in correlation with the EDS (PPP, r = 0.76; PSS, r = 0.72; p < 0.01 for each), partner support (PPP, r = -0.47; PSS r = -0.46; p < 0.01 for each), other support (PPP, r = -0.31; PSS r = -0.32; p < 0.01 for each) and self-esteem (PPP, r = -0.41; PSS, r = -0.52; p < 0.01 for each), respectively. Given the similarities between the PSS and PPP, researchers are encouraged to choose and administer one instrument to participants, or to use the instruments in combination as an external reliability check.

  4. Driving safety after brain damage: follow-up of twenty-two patients with matched controls.

    Science.gov (United States)

    Katz, R T; Golden, R S; Butter, J; Tepper, D; Rothke, S; Holmes, J; Sahgal, V

    1990-02-01

    Driving after brain damage is a vital issue, considering the large number of patients who suffer from cerebrovascular and traumatic encephalopathy. The ability to operate a motor vehicle is an integral part of independence for most adults and so should be preserved whenever possible. The physician may estimate a patient's ability to drive safely based on his own examination, the evaluation of a neuropsychologist, and a comprehensive driving evaluation--testing, driving simulation, behind-the-wheel observation--with a driving specialist. This study sought to evaluate the ability of brain-damaged individuals to operate a motor vehicle safely at follow-up. These patients had been evaluated (by a physician, a neuropsychologist, and a driving specialist) and were judged able to operate a motor vehicle safely after their cognitive insult. Twenty-two brain-damaged patients who were evaluated at our institution were successfully followed up to five years (mean interval of 2.67 years). Patients were interviewed by telephone. Their driving safely was compared with a control group consisting of a close friend or spouse of each patient. Statistical analysis revealed no difference between patient and control groups in the type of driving, the incidence of speeding tickets, near accidents, and accidents, and the cost of vehicle damage when accidents occurred. The patient group was further divided into those who had, and those who had not experienced driving difficulties so that initial neuropsychologic testing could be compared. No significant differences were noted in any aspect of the neuropsychologic test battery. We conclude that selected brain-damaged patients who have passed a comprehensive driving assessment as outlined were as fit to drive as were their normal matched controls.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Slovenia’s Construction Act and Implementation Plans: A Case Study of Izola IPA-8

    Science.gov (United States)

    Ažman Momirski, Lucija

    2017-10-01

    The guidelines for urban design in Izola’s IPA-8 planning area, which is earmarked for hotels, apartment complexes, and sports, specify diverse forms of leisure living space required by modern society. The new tourist complex is not a large monotonous hotel complex, but rather a spatial arrangement in which guests experience an authentic local environment and city residents enjoy the new high-quality ambience. The hotel area is defined by three major communication axes from north to south, linking the countryside to the coastal area and opening up attractive sea views in the new complex. Internal east-west links connect buildings and public spaces. Because of the terraced terrain, a large number of paved ramps and internal public gardens have been designed between the structures. The extensions of the communication axes are laid out as squares, named based on the function of the public spaces. Hotel Street is the central axis and main connecting street, with public hotel services and restaurants. The west axis extends into Culture Square, where activities related to Izola’s culture and history are presented; here there is an opportunity to create new galleries, a small local museum, and an exhibition room. Apartment Square is located on the east communication axis, along which only a limited number of trade, catering, and service activities are planned. The plan received first prize in a public competition, and it later developed into detailed municipal spatial plan. In this process, it became clear that Slovenia’s Construction Act (ZGO-1) does not support plans to create terraced buildings.

  6. Thomas Piketty – The Adam Smith of the Twenty-First Century?

    Directory of Open Access Journals (Sweden)

    Jacob Dahl Rendtorff

    2014-11-01

    Full Text Available Piketty’s book, Capital in the Twenty-First Century (2014 has become a bestseller in the world. Two month after its publication, it had sold more than 200.000 copies, and this success will surely continue for a long time. Piketty has established a new platform to discuss political economy.

  7. Situating the Discourses of Privilege and Marginalization in the Lives of Two East Asian Women Teachers of English

    Science.gov (United States)

    Park, Gloria

    2015-01-01

    Using a narrative approach (i.e., Clandinin and Connelly 2000; Dewey 1938 [1963]), this article explores the identity constructions and negotiations of two East Asian women teachers of English in MATESOL programs. The focus of this article explores the ways in which the two women's privileged experiences coexisted with issues of marginalization…

  8. Briófitas da caatinga 1: Estação Experimental do IPA, Caruaru - PE Bryophyte of caatinga 1: experimental station at the IPA, Caruaru - PE

    Directory of Open Access Journals (Sweden)

    Kátia Cavalcanti Pôrto

    1994-07-01

    Full Text Available Foi realizado o levantamento da brioflora de uma caatinga arbórea pertencente a Estação Experimental da Empresa Pernambucana de Pesquisas Agropecuárias (IPA, situada no município de Caruaru (8º08'00"-8º10'00"S, 36º02'00"-36º 10'00"W, Pernambuco. A área estudada compreende 20ha, tem altitude aproximada de 550m e médias anuais de precipitação e temperatura de 671 mm e 23ºC, respectivamente. As coletas foram realizadas durante as estações de estiagem (out-nov/1990 e chuvosa (mai-jun/1991, tendo sido investigados os seguintes substratos: solo, rocha, caules vivos e em decomposição. Registraram-se 16 espécies de briófitas, sendo 14 Bryopsida e 2 Hepaticopsida. Bryaceae e Fissidentaceae foram as famílias de maior representatividade específica na área. A maioria das coletas indicou a predominância de espécies terrícolas e saxícolas, seguindo-se as corticícolas e as epíxilas. O trabalho contém informações sobre distribuição geográfica e aspectos ecológicos das espécies.A floristic survey of bryophyte was carried out in a experimental station at the Empresa Pernambucana de Pesquisa Agropecuária at Caruaru (Lat. 8º08'00"-8º10'00"S; Long. 36º02'00"-36º10,00"W, Pernambuco State. This area has 20ha, an altitude of 550m, an annual rainfall average of 671mm and 23ºC of temperature. The bryophytes were collected during the dry season (oct-nov/1990 and the rain season (may-jui/1991, on the following substrata: soil, rocks, living and dead trunks. There were identified 16 species, 14 Bryopsida and 2 Hepaticopsida. Bryaceae and Fissidentaceae were the most rich families in number of species. In the studied area, the terricolous species were predominant followed by saxicolous, corticolous and the species of decaying wood. Geographical distribution and ecological informations about the species were included.

  9. Abortion: a review of women's perception in relation to their partner's reactions in two Brazilians cities.

    Science.gov (United States)

    Nonnenmacher, Daniele; Benute, Gláucia Rosana Guerra; Nomura, Roseli Mieko Yamamoto; Azevedo, George Dantas de; Dutra, Elza Maria do Socorro; Rebouças, Melina Séfora Souza; Luci, Mara Cristina Souza de; Francisco, Rossana Pulcineli Vieira

    2014-07-01

    to analyze women's perception in relation to their partner's reaction and behavior during the abortion process in two Brazilian capitals, associating the variables from women who suffered a spontaneous abortion with those from women who induced it. semi-structured, questionnaire-based interviews were conducted with 285 women who underwent spontaneous abortion and 31 who reported having induced it. The data were analyzed using the thematic analysis technique, and, subsequently, by the IBM SPSS Statistics Standard Edition software program. The significance level was set at p women who induced an abortion referred to the partner as the person who could not find out about the abortion (pindependence, women still regard male participation in the abortion process as an important factor. The specifics of each capital denote the influence of the geographic and cultural dimension, indicating the need to take into account the particulars of each region in Brazil while considering a holistic approach to women's health.

  10. Bacteremia and immunoglobulin classes in Nigerian women with ...

    African Journals Online (AJOL)

    Apart from antiphospholipid- and thyroid- autoantibodies which were reported as underlying causes of recurrent pregnancy loss, specific IgG to patermal MHC and Rh was proposed. This raises the possibility of other classes of immunoglobulin in recurrent abortion. Twenty-four pregnant women with recurrent abortion ...

  11. Clinical features of women with Turner syndrome experiencing transition period in Japan.

    Science.gov (United States)

    Nishigaki, Satsuki; Hamazaki, Takashi; Tsuruhara, Akitoshi; Yoshida, Toshiko; Imamura, Takuji; Inada, Hiroshi; Fujita, Keinosuke; Shintaku, Haruo

    2017-05-30

    Turner syndrome results from the entire or partial loss of the second X chromosome, and is associated with a number of medical problems. Affected women require long-term medical follow-up. This study investigated the status of medical follow-up focusing on the transition for young adult women with Turner syndrome (TS). The clinical profiles of 63 women with TS over the age of 16 were retrospectively examined. Thirty-three women are continuously followed by pediatric endocrinologists at our pediatric division. Twenty women were transferred to gynecologists as primary care physicians. Eight young adult women dropped out of the regular health check-up from our pediatric division even though 7 women were undergoing estrogen replacement therapy. We further reviewed the complications and management of the 33 women who were continuously followed at our pediatric division. A high incidence of obesity and liver dysfunction were observed in this age group (23.5±8.7). Nineteen out of 33 women consulted a cardiologist in the adult care division for cardiovascular complications. In the analysis of 20 women who were transferred to gynecologists, mainly two gynecologists accepted the transfer and have become accustomed to clinical care for TS. Seven women who were followed by the gynecologist in our facility were adequately managed for lifelong complications. Since there is no clear framework for transition in Japan, coordination with other specialists, especially gynecologists, is essential for the successful management of adult women with TS. Patient education and provision of information are required for establishing self-advocacy, which will prevent drop-out.

  12. Pain pressure threshold algometry of the abdominal wall in healthy women

    Directory of Open Access Journals (Sweden)

    M.L.L.S. Montenegro

    2012-07-01

    Full Text Available The objective of this study was to determine the inter- and intra-examiner reliability of pain pressure threshold algometry at various points of the abdominal wall of healthy women. Twenty-one healthy women in menacme with a mean age of 28 ± 5.4 years (range: 19-39 years were included. All volunteers had regular menstrual cycles (27-33 days and were right-handed and, to the best of our knowledge, none were taking medications at the time of testing. Women with a diagnosis of depression, anxiety or other mood disturbances were excluded. Women with previous abdominal surgery, any pain condition or any evidence of inflammation, hypertension, smoking, alcoholism, or inflammatory disease were also excluded. Pain perception thresholds were assessed with a pressure algometer with digital traction and compression and a measuring capacity for 5 kg. All points were localized by palpation and marked with a felt-tipped pen and each individual was evaluated over a period of 2 days in two consecutive sessions, each session consisting of a set of 14 point measurements repeated twice by two examiners in random sequence. There was no statistically significant difference in the mean pain threshold obtained by the two examiners on 2 diferent days (examiner A: P = 1.00; examiner B: P = 0.75; Wilcoxon matched pairs test. There was excellent/good agreement between examiners for all days and all points. Our results have established baseline values to which future researchers will be able to refer. They show that pressure algometry is a reliable measure for pain perception in the abdominal wall of healthy women.

  13. Reducing the Impact of Stereotype Threat on Women's Math Performance: Are Two Strategies Better than One?

    Science.gov (United States)

    Jones, Paul R.

    2011-01-01

    Introduction: Two studies examined whether stereotype threat impairs women's math performance and whether concurrent threat reduction strategies can be used to offset this effect. Method: In Study 1, collegiate men and women (N = 100) watched a video purporting that males and females performed equally well ("gender-fair") or males outperformed…

  14. PENGARUH PEMBELAJARAN STUDENT TEAM ACHIEVEMENT DIVISION DAN DISKUSI TERHADAP HASIL BELAJAR IPA KELAS IV SD

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    Lalu Warige Hadinata

    2017-07-01

    Full Text Available The research aims to determine the effect of STAD and discussion on learning outcomes of classroom learning for science at 4th grade. The design of this research used a quasi-experimental design with nonequivalent control group design. Research was conducted in the 4th grade students of SDN 2 Kekeri West Lombok It’s consist of 19 students in 4th grade/a as an STAD and 19 students at 4th grade/b as the discussion. Analysis of learning outcomes data using the Independent Sample T Test with IBM SPSS 24. The analysis showed: (1 there were no significant differences in learning outcomes among students that learned STAD and students that learned discussion. (2 STAD and discussion has an effect on student learning outcomes of 4th grade. Penelitian bertujuan untuk mengetahui perbedaan hasil belajar STAD dan diskusi pelajaran IPA kelas IV. Rancangan penelitian ini menggunakan eksperimen semu dengan bentuk nonequivalent control group design. Penelitian dilaksanakan pada siswa kelas IV SDN 2 Kekeri Lombok Barat terdiri dari 19 siswa kelas IV/a dengan STAD dan 19 siswa kelas IV/b dengan diskusi. Analisis data hasil belajar menggunakan Independent Sample T Test dengan IBM SPSS 24. Hasil analisis menunjukkan (1 tidak ada perbedaan hasil belajar yang signifikan antara siswa yang dibelajarkan STAD dan siswa yang dibelajarkan diskusi. (2 STAD dan diskusi mampu meningkatkan hasil belajar siswa pada kelas IV.

  15. Beliefs about Causes and Consequences of Obesity among Women in Two Mexican Cities

    Science.gov (United States)

    Jiménez-Cruz, Arturo; de Escobar-Aznar, Yolanda Martínez; Castillo-Ruiz, Octelina; Gonzalez-Ramirez, Raul

    2012-01-01

    Personal beliefs might be barriers to the prevention and treatment of obesity. To assess the beliefs about causes and consequences of and possible solutions to obesity among 18-40 years old women in two Mexican cities and to analyze the association with demographic variables, we developed a questionnaire and assessed the women's weight status. The questionnaire was applied at two outpatient healthcare centres and assessed the responses by the Likert scale. Results were analyzed by demographics, using the chi-square and Spearman correlations. One thousand one hundred adult women participated in the study. Mean age was 27.8 years, and mean BMI (kg/m2) was 27.05. The prevalence of overweight and obesity was 35% and 24% respectively. The most mentioned causes of obesity were eating oil and fat (4.1), fried foods (4.1), and eating too much (4.00). The most reported consequences were diseases (4.1), discrimination (3.9), and early death (3.7). The main solutions were physical activity (4.2), healthful eating (4.2), and personal motivation (4.1). Age of participants higher than 30 years, living with a partner, having more than 6 years of education, and having overweight and obesity were predictors of more knowledge about the causes, consequences, and solutions. These Mexican women from low SES had reasonably good knowledge about the causes and consequences of obesity. Although improving education might be beneficial to prevent obesity, changes in environmental contingencies are also necessary to prevent this epidemic. PMID:23082633

  16. Thin healthy women have a similar low bone mass to women with anorexia nervosa.

    Science.gov (United States)

    Fernández-García, D; Rodríguez, M; García Alemán, J; García-Almeida, J M; Picón, M J; Fernández-Aranda, F; Tinahones, F J

    2009-09-01

    An association between anorexia nerviosa (AN) and low bone mass has been demonstrated. Bone loss associated with AN involves hormonal and nutritional impairments, though their exact contribution is not clearly established. We compared bone mass in AN patients with women of similar weight with no criteria for AN, and a third group of healthy, normal-weight, age-matched women. The study included forty-eight patients with AN, twenty-two healthy eumenorrhoeic women with low weight (LW group; BMI 18.5 kg/m2 (control group), all of similar age. We measured lean body mass, percentage fat mass, total bone mineral content (BMC) and bone mineral density in lumbar spine (BMD LS) and in total (tBMD). We measured anthropometric parameters, leptin and growth hormone. The control group had greater tBMD and BMD LS than the other groups, with no differences between the AN and LW groups. No differences were found in tBMD, BMD LS and total BMC between the restrictive (n 25) and binge-purge type (n 23) in AN patients. In AN, minimum weight (P = 0.002) and percentage fat mass (P = 0.02) explained BMD LS variation (r2 0.48) and minimum weight (r2 0.42; P = 0.002) for tBMD in stepwise regression analyses. In the LW group, BMI explained BMD LS (r2 0.72; P = 0.01) and tBMD (r2 0.57; P = 0.04). We concluded that patients with AN had similar BMD to healthy thin women. Anthropometric parameters could contribute more significantly than oestrogen deficiency in the achievement of peak bone mass in AN patients.

  17. This baby is not for turning: Women's experiences of attempted external cephalic version.

    Science.gov (United States)

    Watts, N P; Petrovska, K; Bisits, A; Catling, C; Homer, C S E

    2016-08-26

    Existing studies regarding women's experiences surrounding an External Cephalic Version (ECV) report on women who have a persistent breech post ECV and give birth by caesarean section, or on women who had successful ECVs and plan for a vaginal birth. There is a paucity of understanding about the experience of women who attempt an ECV then plan a vaginal breech birth when their baby remains breech. The aim of this study was to examine women's experience of an ECV which resulted in a persistent breech presentation. A qualitative descriptive exploratory design was undertaken. In-depth semi-structured interviews were conducted and analysed thematically. Twenty two (n = 22) women who attempted an ECV and subsequently planned a vaginal breech birth participated. Twelve women had a vaginal breech birth (55 %) and 10 (45 %) gave birth by caesarean section. In relation to the ECV, there were five main themes identified: 'seeking an alternative', 'needing information', 'recounting the ECV experience', 'reacting to the unsuccessful ECV' and, 'reflecting on the value of an ECV'. ECV should form part of a range of options provided to women, rather than a default procedure for management of the term breech. For motivated women who fit the safe criteria for vaginal breech birth, not being subjected to a painful experience (ECV) may be optimal. Women should be supported to access services that support vaginal breech birth if this is their choice, and continuity of care should be standard practice.

  18. Nurse Practitioner Independent Practice Authority and Mental Health Service Delivery in U.S. Community Health Centers.

    Science.gov (United States)

    Yang, Bo Kyum; Trinkoff, Alison M; Zito, Julie Magno; Burcu, Mehmet; Safer, Daniel J; Storr, Carla L; Johantgen, Mary E; Idzik, Shannon

    2017-10-01

    Little is known about how nurse practitioner independent practice authority (NP-IPA) influences patient care. This study examined the effect of NP-IPA on patterns of mental health-related visits provided by NPs in U.S. community health centers (CHCs). State NP regulatory information was linked to National Ambulatory Medical Care Survey data on NP- and physician-provided visits (N=61,457) in CHCs from 2006 through 2011. The proportion of NP-provided versus physician-provided mental health-related visits in states with NP-IPA was compared with the proportion in states without NP-IPA. The adjusted odds of mental health-related visits in CHCs provided by NPs in states with and without NP-IPA were compared by using multiple logistic regression models while accounting for the complex survey design. Between 2006 and 2011, the odds of NP- versus physician-provided mental health-related visits in CHCs were more than two times greater in states with NP-IPA than in states with no NP-IPA (adjusted odds ratio [OR]= 2.43, 95% confidence interval [CI]=1.12-4.60). In contrast, no significant difference between states with and without NP-IPA was noted in non-mental health-related CHC visits provided by NPs. Among all mental health-related visits, the odds of visits in which psychotropic medications were prescribed by an NP were more than three times higher in states with NP-IPA than in those without NP-IPA (adjusted OR=3.14, CI=1.50-6.54). Compared with physicians, NPs provided proportionally more CHC mental health-related visits in states with NP-IPA than in states without NP-IPA.

  19. Invasive Pulmonary Aspergillosis-mimicking Tuberculosis.

    Science.gov (United States)

    Kim, Sung-Han; Kim, Mi Young; Hong, Sun In; Jung, Jiwon; Lee, Hyun Joo; Yun, Sung-Cheol; Lee, Sang-Oh; Choi, Sang-Ho; Kim, Yang Soo; Woo, Jun Hee

    2015-07-01

    Pulmonary tuberculosis is occasionally confused with invasive pulmonary aspergillosis (IPA) in transplant recipients, since clinical suspicion and early diagnosis of pulmonary tuberculosis and IPA rely heavily on imaging modes such as computed tomography (CT). We therefore investigated IPA-mimicking tuberculosis in transplant recipients. All adult transplant recipients who developed tuberculosis or IPA at a tertiary hospital in an intermediate tuberculosis-burden country during a 6-year period were enrolled. First, we tested whether experienced radiologists could differentiate pulmonary tuberculosis from IPA. Second, we determined which radiologic findings could help us differentiate them. During the study period, 28 transplant recipients developed pulmonary tuberculosis after transplantation, and 80 patients developed IPA after transplantation. Two experienced radiologists scored blindly 28 tuberculosis and 50 randomly selected IPA cases. The sensitivities of radiologists A and B for IPA were 78% and 68%, respectively (poor agreement, kappa value = 0.25). The sensitivities of radiologists A and B for tuberculosis were 64% and 61%, respectively (excellent agreement, kappa value = 0.77). We then compared the CT findings of the 28 patients with tuberculosis and 80 patients with IPA. Infarct-shaped consolidations and smooth bronchial wall thickening were more frequent in IPA, and mass-shaped consolidations and centrilobular nodules (tuberculosis. Certain CT findings appear to be helpful in differentiating between IPA and tuberculosis. Nevertheless, the CT findings of about one-third of pulmonary tuberculosis cases in transplant recipients are very close to those of IPA. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  20. Twenty-four-Hour Ambulatory Blood Pressure Monitor Heart Rate: A Potential Marker for Gestational Hypertension in at-Risk Women

    Science.gov (United States)

    Booker, Corenthian J.; Dodson, William C.; Kunselman, Allen R.; Repke, John T.; Legro, Richard S.

    2013-01-01

    We prospectively correlated the 24-hour ambulatory blood pressure measurements (ABPM) to conventional sphygmomanometer blood pressure measurements (CSM) in women at risk for gestational hypertensive disorders (GHTNDs) and identified predictive factors from ABPM for GHTND. We analyzed 73 women with ≥1 risk factor for developing a GHTND. Using both the CSM and ABPM, the systolic blood pressure, diastolic blood pressure, mean arterial pressure (MAP), and heart rate (HR) were measured for 24 hours during three periods (14 to 24 weeks; 24 to 32 weeks; and 33 weeks to delivery). Correlation between the CSM and ABPM lessened as pregnancy progressed. Seventeen (25%) of women developed a GHTND. MAP variability increased in the GHTND group versus those without a GHTND. The odds of developing a GHTND increased 1.5 times for every 1 beat per minute increase in the ABPM 24-hour HR at visit 1 and reversed by visit 3. In women at risk for a GHTND, CSM and ABPM correlate less well as pregnancy advances. HR changes in at-risk women may be a marker for the development of a GHTND and may reflect increased sympathetic activity and/or decreased baroreceptor sensitivity. PMID:22147639

  1. Effects of two exercise protocols on postural balance of elderly women: a randomized controlled trial.

    Science.gov (United States)

    Mesquita, Laiana Sepúlveda de Andrade; de Carvalho, Fabiana Texeira; Freire, Lara Sepúlveda de Andrade; Neto, Osmar Pinto; Zângaro, Renato Amaro

    2015-06-02

    The aging process reduces both sensory capabilities and the capabilities of the motor systems responsible for postural control, resulting in a high number of falls among the elderly. Some therapeutic interventions can directly interrupt this process, including physical exercise. This study compares and examines the effects of two exercise protocols on the balance of elderly women. Elderly women who participated in a local church project (n = 63) were randomly divided into three groups: the proprioceptive neuromuscular facilitation group (PNFG), Pilates group (PG), and control group (CG). Of the 63 women, 58 completed the program. A training program involving 50-min sessions was performed in the PNFG and PG three times a week for 4 weeks. The elderly women in the CG received no intervention and continued with their daily activities. Stabilometric parameters, the Berg Balance Scale score, functional reach test, and timed up and go test (TUG test) were assessed before and 1 month after participation. In the comparison among groups, the women in the PNFG showed a significant reduction in most of the stabilometric parameters evaluated and better Berg Balance Scale score, functional reach test result, and TUG test result than did women in the CG (p functional reach test and TUG test than did women in the CG (p < 0.05). Women in the PNFG showed significantly better static and dynamic balance than did women in the CG. Women in the PG also showed better dynamic balance than did women in the CG. However, no significant differences were observed in any of the balance variables assessed between the PNFG and PG. clinicaltrials.gov, number NCT02278731.

  2. Women, monotheism and the gender of God

    Directory of Open Access Journals (Sweden)

    F. Klopper

    2002-08-01

    Full Text Available God is experienced in heightened awareness that can only be represented in images and symbols. According to the Old Testament there was one male God, Yahweh, imaged as a father, king, judge, shepherd and more. Since God-images are cultural creations related to the time and place in which they were conceived, the male character of God is a natural reflection of the patriarchal culture of the ancient Near East. Twenty-first century women have difficulty relating to the male God-image and patriarchal church language, both of which justify the subordinate position of women in church and society. Investigation into Old Testament religion reveals that the way Israelite women dealt with the single male God opens the way for contemporary women to do likewise and create images of God with which they can identify.

  3. Population Pharmacokinetics of Dihydroartemisinin and Piperaquine in Pregnant and Nonpregnant Women with Uncomplicated Malaria

    OpenAIRE

    Tarning, Joel; Rijken, Marcus J.; McGready, Rose; Phyo, Aung Pyae; Hanpithakpong, Warunee; Day, Nicholas P. J.; White, Nicholas J.; Nosten, François; Lindegardh, Niklas

    2012-01-01

    Pregnant women are particularly vulnerable to malaria. The pharmacokinetic properties of antimalarial drugs are often affected by pregnancy, resulting in lower drug concentrations and a consequently higher risk of treatment failure. The objective of this study was to evaluate the population pharmacokinetic properties of piperaquine and dihydroartemisinin in pregnant and nonpregnant women with uncomplicated malaria. Twenty-four pregnant and 24 matched nonpregnant women on the Thai-Myanmar boar...

  4. Does medicine still show an unresolved discrimination against women? Experience in two European university hospitals.

    Science.gov (United States)

    Santamaría, A; Merino, A; Viñas, O; Arrizabalaga, P

    2009-02-01

    Have invisible barriers for women been broken in 2007, or do we still have to break through medicine's glass ceiling? Data from two of the most prestigious university hospitals in Barcelona with 700-800 beds, Hospital Clínic (HC) and Hospital de la Santa Creu i Sant Pau (HSCSP) address this issue. In the HSCSP, 87% of the department chairs are men and 85% of the department unit chiefs are also men. With respect to women, only 5 (13%) are in the top position (department chair) and 4 (15%) are department unit chiefs. Similar statistics are also found at the HC: 87% of the department chairs and 89% of the department unit chiefs are men. Currently, only 6 women (13%) are in the top position and 6 (11%) are department unit chiefs. Analysis of the 2002 data of internal promotions in HC showed that for the first level (senior specialist) sex distribution was similar. Nevertheless, for the second level (consultant) only 25% were women, and for the top level (senior consultant) only 8% were women. These proportions have not changed in 2007 in spite of a 10% increase in leadership positions during this period. Similar proportions were found in HSCSP where 68% of the top promotions were held by men. The data obtained from these two different medical institutions in Barcelona are probably representative of other hospitals in Spain. It would be ethically desirable to have males and females in leadership positions in the medical profession.

  5. Sociocultural Influences On Undergraduate Women's Entry into a Computer Science Major

    Science.gov (United States)

    Lyon, Louise Ann

    Computer science not only displays the pattern of underrepresentation of many other science, technology, engineering, and math (STEM) fields, but has actually experienced a decline in the number of women choosing the field over the past two decades. Broken out by gender and race, the picture becomes more nuanced, with the ratio of females to males receiving bachelor's degrees in computer science higher for non-White ethnic groups than for Whites. This dissertation explores the experiences of university women differing along the axis of race, class, and culture who are considering majoring in computer science in order to highlight how well-prepared women are persuaded that they belong (or not) in the field and how the confluence of social categories plays out in their decision. This study focuses on a university seminar entitled "Women in Computer Science and Engineering" open to women concurrently enrolled in introductory programming and uses an ethnographic approach including classroom participant observation, interviews with seminar students and instructors, observations of students in other classes, and interviews with parents of students. Three stand-alone but related articles explore various aspects of the experiences of women who participated in the study using Rom Harre's positioning theory as a theoretical framework. The first article uses data from twenty-two interviews to uncover how interactions with others and patterns in society position women in relation to a computer science major, and how these women have arrived at the point of considering the major despite messages that they do not belong. The second article more deeply explores the cases of three women who vary greatly along the axes of race, class, and culture in order to uncover pattern and interaction differences for women based on their ethnic background. The final article focuses on the attitudes and expectations of the mothers of three students of contrasting ethnicities and how reported

  6. Domestic abuse awareness and recognition among primary healthcare professionals and abused women: a qualitative investigation.

    Science.gov (United States)

    Bradbury-Jones, Caroline; Taylor, Julie; Kroll, Thilo; Duncan, Fiona

    2014-11-01

    To investigate the dynamics of domestic abuse awareness and recognition among primary healthcare professionals and abused women. Domestic abuse is a serious, public health issue that crosses geographical and demographic boundaries. Health professionals are well placed to recognise and respond to domestic abuse, but empirical evidence suggests that they are reluctant to broach the issue. Moreover, research has shown that women are reluctant to disclose abuse. A two-phase, qualitative study was conducted in Scotland. Twenty-nine primary health professionals (midwives, health visitors and general practitioners) participated in the first phase of the study, and 14 abused women took part in phase two. Data were collected in 2011. Semi-structured, individual interviews were conducted with the health professionals, and three focus groups were facilitated with the abused women. Data were analysed using a framework analysis approach. Differing levels of awareness of the nature and existence of abuse are held by abused women and primary healthcare professionals. Specifically, many women do not identify their experiences as abusive. A conceptual representation of domestic abuse - the "abused women, awareness, recognition and empowerment' framework - arising from the study - presents a new way of capturing the complexity of the disclosure process. Further research is necessary to test and empirically validate the framework, but it has potential pedagogical use for the training and education of health professionals and clinical use with abused women. The framework may be used in clinical practice by nurses and other health professionals to facilitate open discussion between professionals and women. In turn, this may empower women to make choices regarding disclosure and safety planning. © 2014 John Wiley & Sons Ltd.

  7. Fat distribution and insulin resistance in young adult nonobese Asian Indian women.

    Science.gov (United States)

    Szuszkiewicz-Garcia, Magdalene; Li, Rong; Grundy, Scott M; Abate, Nicola; Chandalia, Manisha

    2012-10-01

    Although Asian Indian (people of Indian subcontinent descent) men are shown to have higher total and truncal body fat as well as greater insulin resistance compared to white men matched for total body fat and age, data in women are not conclusive. The objective of this study was to compare total and regional fat distribution and insulin sensitivity between healthy young premenopausal Asian Indian and white women of similar body mass index (BMI). Twenty Asian Indian women (65% immigrants and 35% first generation living in Dallas) and 31 white women of similar age and BMI [age 24±3 vs. 25±4; BMI 22±4 vs. 23±5; mean±standard deviation (SD) in Asian Indian and white, respectively] without diabetes were evaluated with anthropometric measurements, underwater weighing for percentage of total body fat mass, magnetic resonance imaging of whole abdomen for measurement of abdominal subcutaneous and intraperitoneal fat mass, and euglycemic-hyperinsulinemic clamp study for measurement of insulin sensitivity. There were no differences in waist or hip circumference, total body subcutaneous abdominal or intraperitoneal fat mass, fasting plasma glucose, and insulin levels between Asian Indian women and white women. The peripheral glucose disposal rate (Rd) during hyperinsulinemic-euglycemic clamp was found to be almost identical in the two study groups (median value of 6.9 and 6.8 mg/min per kg of body weight, for Asian Indians and whites, respectively). For similar total or regional fat content, the glucose disposal rate was comparable in the two study groups. In conclusion, we demonstrate that young Asian Indian women do not have excess abdominal or intraperitoneal fat or insulin resistance for similar BMI compared to white women of European descent.

  8. Chapter Twenty

    African Journals Online (AJOL)

    User

    manipulation of their natural resource blessing from God, the crude oil, ... pictures of destitute, starving children, raped and battered women and cases of pollution. This ..... 70) This is very simple and straightforward demands that can easily be ...

  9. Twenty-first Semiannual Report of the Commission to the Congress, January 1957

    Energy Technology Data Exchange (ETDEWEB)

    Strauss, Lewis L.

    1957-01-31

    The document represents the twenty-first semiannual Atomic Energy Commission (AEC) report to Congress. The report sums up the major activities and developments in the national atomic energy program covering the period July - December 1956. A special part two of this semiannual report addresses specifically Radiation Safety in Atomic Energy Activities.

  10. A novel scoring system for predicting adherent placenta in women with placenta previa.

    Science.gov (United States)

    Tanimura, Kenji; Morizane, Mayumi; Deguchi, Masashi; Ebina, Yasuhiko; Tanaka, Utaru; Ueno, Yoshiko; Kitajima, Kazuhiro; Maeda, Tetsuo; Sugimura, Kazuro; Yamada, Hideto

    2018-04-01

    Placenta previa (PP) is one of the most significant risk factors for adherent placenta (AP). The aim of this study was to evaluate the diagnostic efficacy of a novel scoring system for predicting AP in pregnant women with PP. This prospective cohort study enrolled 175 women with PP. The placenta previa with adherent placenta score (PPAP score) is composed of 2 categories: (1) past history of cesarean section (CS), surgical abortion, and/or uterine surgery; and (2) ultrasonography and magnetic resonance imaging findings. Each category is graded as 0, 1, 2, or 4 points, yielding a total score between 0 and 24. When women with PP had PPAP score ≥8, they were considered to be at a high risk for AP and received placement of preoperative internal iliac artery occlusion balloon catheters. If they were found to have AP during CS, they underwent hysterectomy or placenta removal using advanced bipolar with balloon catheter occlusion. The predictive accuracy of PPAP score was evaluated. In total, 23 of the 175 women with PP were diagnosed as having AP, histopathologically or clinically. Twenty-one of 24 women with PPAP score ≥8 had AP, whereas two of 151 women with PPAP score PPAP scoring system may be useful for predicting AP in women with PP. Copyright © 2018 Elsevier Ltd. All rights reserved.

  11. Effects of two exercise protocols on postural balance of elderly women: a randomized controlled trial

    OpenAIRE

    Mesquita, Laiana Sep?lveda de Andrade; de Carvalho, Fabiana Texeira; Freire, Lara Sep?lveda de Andrade; Neto, Osmar Pinto; Z?ngaro, Renato Amaro

    2015-01-01

    Background The aging process reduces both sensory capabilities and the capabilities of the motor systems responsible for postural control, resulting in a high number of falls among the elderly. Some therapeutic interventions can directly interrupt this process, including physical exercise. This study compares and examines the effects of two exercise protocols on the balance of elderly women. Methods Elderly women who participated in a local church project (n?=?63) were randomly divided into t...

  12. Validation of brain tumour imaging with p-[123I]iodo-l-phenylalanine and SPECT

    International Nuclear Information System (INIS)

    Hellwig, Dirk; Sell, Nadja; Schaefer, Andrea; Kirsch, Carl-Martin; Samnick, Samuel; Ketter, Ralf; Moringlane, Jean R.; Romeike, Bernd F.M.

    2005-01-01

    The aims of this prospective study were to validate single-photon emission computed tomography (SPECT) with p-[ 123 I]iodo-l-phenylalanine (IPA) in brain tumours and to evaluate its potential for the characterisation of indeterminate brain lesions. In 45 patients with indeterminate brain lesions or suspected progression of glioma, amino acid uptake was studied using IPA-SPECT and compared with the final diagnosis established by biopsy or serial imaging. After image fusion of IPA-SPECT and magnetic resonance imaging, the presence of tumour was visually determined by two independent observers. IPA uptake was quantified as the ratio between maximum uptake in the suspicious lesion and mean uptake in unaffected brain. Primary brain tumours were present in 35 cases (12 low-grade and 23 high-grade gliomas). Non-neoplastic brain lesions were confirmed in seven cases (three dysplasias, three inflammatory lesions, one lesion after effective therapy). Visual analysis showed a high concordance between the two observers (kappa=0.90, p<0.001), with sensitivity and specificity of 86% and 100% for the discrimination of primary brain tumours and non-neoplastic lesions. At 30 min p.i., IPA uptake in primary brain tumours was higher than that in non-neoplastic lesions (1.70±0.36 vs 1.14±0.18, p<0.05). Brain metastases showed no increased uptake (1.13±0.22, n=3). The persistent retention of IPA in low-grade gliomas without disruption of the blood-brain barrier was visualised up to 24 h p.i. Low-grade and high-grade gliomas showed equivalent IPA uptake (1.72±0.37 vs 1.67±0.36 at 30 min, p=0.745). IPA shows long and specific retention in gliomas. IPA is a promising and safe radiopharmaceutical for the visualisation of gliomas and the characterisation of indeterminate brain lesions. (orig.)

  13. Invasive pulmonary aspergillosis - CT findings in context with the clinical course

    International Nuclear Information System (INIS)

    Seyfarth, H.J.; Winkler, J.; Wirtz, H.; Nenoff, P.; Krahl, R.; Kloeppel, R.; Borte, G.

    2002-01-01

    Purpose: To investigate the impact of chest radiographs and CT in patients suffering from invasive pulmonary aspergillosis (IPA) compared to the clinical course. Patients and Methods: Twenty-three patients with confirmed diagnosis of IPA between January 1996 and September 1999 were included in this study. Signs of inflammatory infiltrates on chest radiographs and CT were retrospectively evaluated in relation to the onset of the clinical symptoms. Infiltrates on CT were analyzed in detail with respect to number, morphology, and localization. Results: Seventy-six infiltrates were found on the CT of 22 patients; one patient had diffuse areas of lung infiltrates. Both lungs were affected by infiltrates in 14 patients. Pleural effusions were confirmed in 12 patients. Twelve patients had typically round foci with halo and nine patients crescent air signs. The preferred localization of lung infiltrates was segment 6. The median interval between the onset of clinical symptoms and the first radiographic changes was 5.5 days, with an additional interval of 4.5 days until confirmation by CT. Localization, number of infiltrates, and clinical course were not related. Conclusion: In immune-compromised patients with fever, a CT of the chest should be carried out as soon as possible to detect signs indicative of IPA. Morphological changes on CT like a round focus with halo and crescent air sign support the diagnosis of IPA. In this context, special attention should be directed to pulmonary segment 6. (orig.) [de

  14. Gender Stereotypes and Women's Reports of Liking and Ability in Traditionally Masculine and Feminine Occupations

    Science.gov (United States)

    Oswald, Debra L.

    2008-01-01

    Gender stereotypes were examined for their causal influence on women's reported liking for and perceived ability to succeed in traditionally masculine and feminine occupations. One hundred twenty-one women were assigned to either a gender-stereotype activation or filler task and then completed measures of liking for, and perceived ability to…

  15. Awareness and use of prenatal diagnosis among Greek women: a national survey.

    Science.gov (United States)

    Mavrou, A; Metaxotou, C; Trichopoulos, D

    1998-04-01

    The prevention of genetic diseases through prenatal diagnosis depends to a large extent on the awareness and acceptance of available methods by the public. A national survey was conducted among Greek women in order to explore their attitudes towards and their use of prenatal diagnosis in relation to their lifestyle. The survey was originally addressed to 3000 Greek women 18-65 years of age. Using as a criterion having a child 5 years old or younger, 350 women were eligible for the study. It was noted that 52 per cent of the respondents were adequately informed, while 48 per cent had either superficial knowledge of the subject or no knowledge at all. Amniocentesis was the method that most women were familiar with. The majority said that they were informed by their doctors and the media, and 13 per cent of the participants had prenatal diagnosis during a previous pregnancy. Twenty-two per cent of those who were not tested were over 35 years of age at the time of pregnancy. There was a significant positive correlation between awareness and acceptance of prenatal diagnosis, on the one hand, and the social, educational and financial profile of the women, on the other. Women aware of prenatal diagnosis adhered more closely to a healthy lifestyle and lived a family-centred life.

  16. Maternity Capital as an Economic Factor, Forming Social Expectation of Women with Two or More Children

    Directory of Open Access Journals (Sweden)

    Tatyana G. Svetlichnaya

    2017-03-01

    Full Text Available The paper presents the results of sociological study devoted to the evaluation of the social expectations of women associated with the realization of their right to maternity capital. Different social attitudes and intentions of 308 women who have two and more children with respect to realization of the program of the maternity capital were investigated. Characteristics of cognitive, emotional and behavioral readiness to participate in the governmental program of increasing fertility were assessed. The results confirm the adequacy and objectivity of the social expectations of women. They made the decision about the birth of a second child without taking into account the expected payment of the maternity capital (for 33.8% respondents maternity capital had “no meaning”; for 36.4% respondents it was just a “pleasant additional payment”. The reproductive behavior of women was based on family traditions (91.9% respondents were born in big families with two or more children and awareness of their personal responsibility for bearing and raising children (45.8% respondents were ready “for any difficulties for their children”, 23.1% respondents consider their children as “happiness and meaning of their lives”. However, 22.0% of women made their decision about the birth of the second child with expectations for the maternity capital. They were the women from the low-income families (29.6%. Promotion the childbirth in low-income families may lead to the increasing number of dysfunctional families and children who find themselves in difficult life situations. All this facts may lead to different social problems in the future.

  17. Awareness and Attitude towards Breastfeeding among Two Generations of Indian Women: A Comparative Study.

    Science.gov (United States)

    Pandey, Deeksha; Sardana, Parnita; Saxena, Aashish; Dogra, Luvdeep; Coondoo, Ambika; Kamath, Asha

    2015-01-01

    Present study was aimed to analyze the impact of education, employment and financial independence in breastfeeding practices among Indian women. Present explorative questionnaire based survey included 256 women (128 pairs) in the final analysis. A pair means--a) pregnant lady (in her third trimester) representing younger generation and b) her mother/mother in law representing the elder generation. We found that the overall awareness regarding 'breast milk' being the best food for baby was excellent (overall 97.3%; younger generation: 96.9%; elder generation: 97.7%). Overall knowledge regarding the correct technique (28.9% younger generation and 21.9% elder generation) and frequency of breastfeeding (20.3% of younger generation and 34.4% of elder generation) was very poor. Less than 60% (younger generation: 57.8%; elder generation: 58.6%) were aware that the only major contraindication for breastfeeding is a mother infected with human immunodeficiency virus (HIV). On comparing responses obtained from the two generations of women, difference was not statistically significant among most of the issues related to breastfeeding. With regards to the attitude, despite better awareness, only 94.5% women in younger generation and 89.1% women in elder generation were planning to give mother's milk as the first feed to the newborn. Similarly, less than 75% of women were ready to breast-feed the newborn immediately after birth. This was contradictory to the fact that 86% of pregnant women were aware that the baby should be breast-fed within an hour of birth. Awareness with regards to breastfeeding issues had not changed significantly with the educational progress of Indian women. Despite the good level of awareness in the society regarding breastfeeding, attitude to practice the same is lacking.

  18. Baseline heart rate, sensation seeking, and aggression in young adult women: a two-sample examination.

    Science.gov (United States)

    Wilson, Laura C; Scarpa, Angela

    2013-01-01

    Although substantial literature discusses sensation seeking as playing a role in the relationship between baseline heart rate and aggression, few published studies have tested the relationships among these variables. Furthermore, most prior studies have focused on risk factors of aggression in men and have largely ignored this issue in women. Two samples (n = 104; n = 99) of young adult women completed measures of resting heart rate, sensation seeking, and aggression. Across the two samples of females there was no evidence for the relationships of baseline heart rate with sensation seeking or with aggression that has been consistently shown in males. Boredom susceptibility and disinhibition subscales of sensation seeking were consistently significantly correlated with aggression. The lack of significance and the small effect sizes indicate that other mechanisms are also at work in affecting aggression in young adult women. Finally, it is important to consider the type of sensation seeking in relation to aggression, as only boredom susceptibility and disinhibition were consistently replicated across samples. © 2013 Wiley Periodicals, Inc.

  19. Mastery over stress among women with HIV/AIDS.

    Science.gov (United States)

    Gray, Jennifer; Cason, Carolyn L

    2002-01-01

    To better understand how women with HIV infection deal with the stress of their disease, the authors explored the relationships between stressors, resources for managing stress, and mastery over stress in 80 HIV-positive women. Nurses and other professionals recruited participants in a variety of settings in 10 states. Participants completed a packet of research instruments that measured the stressors of perceived stress intensity, interpersonal conflict, and severity of illness; the resources of social support, support networks, and spiritual perspective; and the outcome of mastery over stress. Participants reported high levels of social support, spiritual perspective, interpersonal conflict, and perceived stress intensity. Twenty-nine women (36%) had achieved mastery over stress. Mastery over stress was significantly and positively correlated with social support, spiritual perspective, and physical functioning, a measure of severity of illness. Mastery over stress was significantly and negatively correlated with interpersonal conflict. An exploratory stepwise multiple regression analysis yielded two predictors of mastery over stress: social support and spiritual perspective. Although a comparison of these results with those reported in the literature for men suggests that men and women differ in how they respond to stressors, further research will be needed to enhance our understanding of these gender differences. Stress management training, especially related to interpersonal conflict, may be an effective intervention to facilitate mastery. Other potential interventions include assessing social support and spiritual perspective, discussing the potential benefit of these resources, and making referrals for psychosocial services as needed.

  20. The home as an appropriate setting for women undertaking cervical ripening before the induction of labour.

    Science.gov (United States)

    Reid, Margaret; Lorimer, Karen; Norman, Jane E; Bollapragada, Shrikant S; Norrie, John

    2011-02-01

    to explore women's experiences of cervical ripening using isosorbide mononitrate (IMN) in the home as part of the main randomised controlled trial. qualitative study with semi-structured interviews carried out at three weeks post partum. Interview transcripts were analysed to identify recurrent themes, focusing on why women became involved in the study, their views about both the self-medication and the home setting, and whether they would repeat the experience. the home. twenty women enrolled in the main randomised controlled trial. the study is part of a double-blind randomised controlled trial with 350 patients investigating whether a nitric oxide donor (IMN) used in cervical ripening improves the process of induction of labour. women liked the opportunity to remain at home during the cervical ripening process. Timing and setting were central issues; women hoped that it would hasten labour, while the home was seen as a setting offering freedom, security and reassurance, as opposed to the hospital, seen as constraining. Two women reported problems with IMN but the remainder reported that they would repeat the experience. women were very positive about the opportunity to undertake cervical ripening at home. It is important to explore this setting further for appropriate interventions. Copyright © 2009 Elsevier Ltd. All rights reserved.

  1. Women with congenital factor VII deficiency: clinical phenotype and treatment options from two international studies.

    Science.gov (United States)

    Napolitano, M; Di Minno, M N D; Batorova, A; Dolce, A; Giansily-Blaizot, M; Ingerslev, J; Schved, J-F; Auerswald, G; Kenet, G; Karimi, M; Shamsi, T; Ruiz de Sáez, A; Dolatkhah, R; Chuansumrit, A; Bertrand, M A; Mariani, G

    2016-09-01

    A paucity of data exists on the incidence, diagnosis and treatment of bleeding in women with inherited factor VII (FVII) deficiency. Here we report results of a comprehensive analysis from two international registries of patients with inherited FVII deficiency, depicting the clinical picture of this disorder in women and describing any gender-related differences. A comprehensive analysis of two fully compatible, international registries of patients with inherited FVII deficiency (International Registry of Factor VII deficiency, IRF7; Seven Treatment Evaluation Registry, STER) was performed. In our cohort (N = 449; 215 male, 234 female), the higher prevalence of mucocutaneous bleeds in females strongly predicted ensuing gynaecological bleeding (hazard ratio = 12.8, 95% CI 1.68-97.6, P = 0.014). Menorrhagia was the most prevalent type of bleeding (46.4% of patients), and was the presentation symptom in 12% of cases. Replacement therapies administered were also analysed. For surgical procedures (n = 50), a receiver operator characteristic analysis showed that the minimal first dose of rFVIIa to avoid postsurgical bleeding during the first 24 hours was 22 μg kg(-1) , and no less than two administrations. Prophylaxis was reported in 25 women with excellent or effective outcomes when performed with a total weekly rFVIIa dose of 90 μg kg(-1) (divided as three doses). Women with FVII deficiency have a bleeding disorder mainly characterized by mucocutaneous bleeds, which predicts an increased risk of ensuing gynaecological bleeding. Systematic replacement therapy or long-term prophylaxis with rFVIIa may reduce the impact of menorrhagia on the reproductive system, iron loss and may avoid unnecessary hysterectomies. © 2016 John Wiley & Sons Ltd.

  2. [Development of a questionnaire to measure family stress among married working women].

    Science.gov (United States)

    Kim, Gwang Suk; Cho, Won Jung

    2006-08-01

    Even though a number of studies have suggested that appropriate measuring instruments of family stress for working women have to be developed, the validity and reliability of the instruments used have not been consistently examined. The purpose of the present study was to develop a sensitive instrument to measure family stress for married working women, and to test the validity and reliability of the instrument. The items generated for this instrument were drawn from a comprehensive literature review. Twenty four items were developed through evaluation by 10 experts and twenty one items were finally confirmed through item analysis. Psychometric testing was preformed and confirmed with a convenient sample of 240 women employed in the industrial sector. Four factors evolved by factor analysis, which explained 50.5% of the total variance. The first factor 'Cooperation' explained 28.1%, 2nd factor 'Satisfaction with relationships' 10.6%, 3rd factor 'Democratic and comfortable environment' 6.3%, and 4th factor 'Disturbance of own living' 5.5%. Cronbach's coefficient of this instrument was 0.86. The study supports the validity and reliability of the instrument.

  3. Crooked men and straightened women: images of homosexuality across race in two women's magazines, 1986-1995.

    Science.gov (United States)

    Gadsden, Gloria Y

    2002-01-01

    Images of traditional sexuality, across race, prevail in mass media, especially in women's magazines. While omitting less traditional sexual practices for the most part, New Woman and Essence magazines construct the image of a bisexual male who threatens the heterosexual woman and the legitimate heterosexual couple. These women's magazines also redefine homosexual activity, suggesting women who experience homosexual inclinations are really engaging in normal heterosexual behavior.

  4. Accuracy of apparent diffusion coefficient in differentiating pancreatic neuroendocrine tumour from intrapancreatic accessory spleen

    International Nuclear Information System (INIS)

    Pandey, Ankur; Pandey, Pallavi; Ghasabeh, Mounes Aliyari; Varzaneh, Farnaz Najmi; Khoshpouri, Pegah; Shao, Nannan; Pour, Manijeh Zargham; Fouladi, Daniel Fadaei; Kamel, Ihab R.; Hruban, Ralph H.; O'Broin-Lennon, Anne Marie

    2018-01-01

    To evaluate and compare the accuracy of absolute apparent diffusion coefficient (ADC) and normalised ADC (lesion-to-spleen ADC ratio) in differentiating pancreatic neuroendocrine tumour (NET) from intrapancreatic accessory spleen (IPAS). Study included 62 patients with the diagnosis of pancreatic NET (n=51) or IPAS (n=11). Two independent reviewers measured ADC on all lesions and spleen. Receiver operating characteristics (ROC) analysis to differentiate NET from IPAS was performed and compared for absolute and normalised ADC. Inter-reader reliability for the two methods was assessed. Pancreatic NET had significantly higher absolute ADC (1.431 x 10 -3 vs 0.967 x 10 -3 mm 2 /s; P<0.0001) and normalised ADC (1.59 vs 1.09; P<0.0001) compared to IPAS. An ADC value of ≥1.206 x 10 -3 mm 2 /s was 70.6% sensitive and 90.9% specific for the diagnosis of NET vs. IPAS. Lesion to spleen ADC ratio of ≥1.25 was 80.4% sensitive, and 81.8% specific while ratio of ≥1.29 was 74.5% sensitive and 100% specific in the differentiation. The area under the curve (AUCs) for two methods were similar (88.2% vs. 88.8%; P=0.899). Both methods demonstrated excellent inter-reader reliability with ICCs for absolute ADC and ADC ratio being 0.957 and 0.927, respectively. Both absolute and normalised ADC allow clinically relevant differentiation of pancreatic NET and IPAS. (orig.)

  5. Similaridade genética entre cultivares de cebola de diferentes tipos e origens, baseada em marcadores AFLP Genetic similarity among onion cultivars of different types and origins, based on AFLP markers

    Directory of Open Access Journals (Sweden)

    CAF Santos

    2011-03-01

    AFLP bands, according to UPGMA phenogram, built with the Jaccard's similarity coefficient matrix. The phenogram co-phenetic value was estimated in 0.91 showing a good adequacy of the data. In the phenogram were observed two main onion groups at the cut point of 0.55 of similarity: 1 group composed of predominantly Brazilian cultivars, with some inclusion of foreigners; and 2 group with three foreign cultivars (Mercedes, Perfect and TEG 502 PRR. Rijnsburger Jumbo and IPA 8 presented the largest similarity (85%, while Madrugada presented the greatest dissimilarity to the other cultivars. The cultivars developed by IPA were split in sub-groups within the group 1: IPA 8, IPA 10 and IPA 11; IPA 12, IPA 7, IPA 2 and IPA 6; IPA 3, IPA 4 and IPA 9, suggesting that genetic variability could be explored by crosses among cultivars from different IPA subgroups. Bola Precoce and BRS Cascata presented the greatest similarity among the Brazilian cultivars. A similarity greater than 39% was observed, suggesting a high genetic variability of the analyzed onion collection. Introduction of new cultivars should take in consideration other origins than USA, in order to increase the genetic variability of onion germplasm in the Northeast Brazil.

  6. Women's Softball Players' Attitudes toward Alcohol Use & Abuse.

    Science.gov (United States)

    Gooding, Shirley A.; Schell, Robert E.

    In some communities, alcohol becomes a part of socialization early in life. In one such community, softball for women has become a popular pastime. Twenty-seven of 48 teams in the community were sponsored by local taverns, bars, or restaurants where alcohol was served. Teams sponsored by taverns were encouraged to meet at the taverns before or…

  7. Attitudes toward Physical Activity of White Midlife Women

    Science.gov (United States)

    Im, Eun-Ok; Lee, Bokim; Chee, Wonshik; Stuifbergen, Alexa

    2011-01-01

    Objective To explore attitudes toward physical activity of White midlife women in the United States using a feminist perspective. Design A cross-sectional qualitative study using a thematic analysis. Setting Internet communities for midlife women. Participants Twenty-nine White midlife women in the United States recruited using a convenience sampling method. Methods We used 17 topics on attitudes toward physical activity and ethnic-specific contexts to administer an online forum. We analyzed the data using thematic analysis. Results We found three themes: “thinking without action”; “gendered and sedentary culture”; and “motivating myself.” The women knew and understood the necessity of physical activity for their physical and mental health but in most cases had not been able to take action to increase their physical activities. Although the culture that circumscribed the women's physical activity was sedentary in nature, the women tried to motivate themselves to increase their physical activities through several creative strategies. Conclusion The findings strongly suggest that although women were doing their best, American culture itself needs to be changed to help women increase physical activity in their daily lives. PMID:21585528

  8. Women Urologists: Changing Trends in the Workforce.

    Science.gov (United States)

    Saltzman, Amanda; Hebert, Kristi; Richman, Ashley; Prats, Samantha; Togami, Joanna; Rickey, Leslie; Montgomery, Melissa

    2016-05-01

    To characterize the current workforce of women urologists in the United States. An anonymous electronic survey was sent to all members of the Society of Women in Urology and all female non-Society of Women in Urology members of the American Urologic Association. The survey was distributed in January of 2015. Demographic, work, and personal life data were collected. Of 1563 e-mails with a link to our survey sent to women urologists in the United States, 365 surveys were completed for a 23% response rate. The average age of all participants was 39 years (range 25-73 years). Practicing women urologists had an average age of 44 years (range 32-65 years) compared to the average age (53 years) of all practicing urologists reported in the 2014 American Urologic Association Census. The majority of practicing female urologists live and work in a population of >1 million whereas a few live and work in rural areas. Practicing women urologists are most likely to work academic or group practice. Twenty percent of practicing women urologists reported working part-time, but almost 70% report working >50 hours/week. Women urologists in the United States are younger than their male counterparts and most work full-time in urban academic centers. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Psychological and physical co-morbidity among urban South African women.

    Directory of Open Access Journals (Sweden)

    Emily Mendenhall

    Full Text Available There is substantial evidence for the links between poverty and both physical and mental health; but limited research on the relationship of physical and mental health problems exists in low- and middle-income countries. The objective of this paper is to evaluate the prevalence and co-morbidity of psychological distress among women with common physical diseases in a socio-economically disadvantaged urban area of South Africa.Women enrolled in the Birth to twenty (Bt20 cohort study were evaluated for this paper. Bt20 was founded in 1990 and has followed more than 3,000 children and their caregivers since birth; this study evaluates the health of the caregivers (average age 44 of these children. Psychological distress was evaluated by administering the General Health Questionnaire (GHQ-28 and we evaluated the presence of physical disease by self-report.Forty percent of the sample presented with psychological distress using the GHQ scoring method. More than half of the women who reported a history of a physical disease, including diabetes, heart attack, asthma, arthritis, osteoporosis, epilepsy, and tuberculosis, reported psychological disorder. Presence of one physical disease was not associated with increased rates of psychological distress. However, women who reported two diseases had increased rates of psychological symptoms, and this upward trend continued with each additional physical disease reported (measured to five.These data indicate high prevalence rates of co-morbid psychological distress among women with physical disease. This argues for the need of greater mental health support for women living with physical diseases.

  10. Features of polycystic ovary syndrome (PCOS) in women with functional hypothalamic amenorrhea (FHA) may be reversible with recovery of menstrual function.

    Science.gov (United States)

    Carmina, Enrico; Fruzzetti, Franca; Lobo, Roger A

    2018-04-01

    Since features of polycystic ovary syndrome (PCOS) have been found to be prevalent in women with functional hypothalamic amenorrhea (FHA), we wished to determine what happens to these features after recovery of menstrual function in FHA Design: Prospective cohort study. Twenty-eight women with FHA and 30 age-matched ovulatory controls were studied. Twenty-eight women with FHA and 30 age-matched ovulatory controls were studied. We measured serum estradiol, LH, FSH, testosterone, DHEAS, anti-Mullerian hormone (AMH), body mass index, and ovarian morphology on transvaginal ultrasound. At baseline, 12 of the 28 women (43%) had increased AMH (>4.7 ng/mL), and higher testosterone and larger ovaries compared to the other 16 women with normal AMH. One year after recovery of menstrual function, in the 12 women with increased AMH, serum AMH, testosterone and ovarian size decreased, while LH and estradiol increased. At one year, only one of the 12 women in the high AMH group developed clinical features of PCOS. In the majority of women with FHA who have PCOS-like features, these features may be due to the hypothalamic state and appear to be reversible. Few women may develop clinical PCOS after recovery.

  11. Leadership in a Gender Diverse Military: Women at the Nation’s Service Academies - The Twenty Year Mark

    Science.gov (United States)

    1997-03-23

    54% 37% INTJ 11.3 7.9 INFJ 9.7 5.3 INTP 9.7 7.9 INFP 8.1 5.3 ENTJ 9.7 13.2 ENFJ 6.5 5.3 ENTP 4.8 7.9 ENFP 9.7 5.3...been forgotten. On a less theoretical level, Major General Claudia J. Kennedy discussed professional interpersonal relationships . First she focused...cross-gender mentoring relationship . In these experiences, 30% of the men and 2% of the women were the mentors, 51% of women and 32% of men were the

  12. Impact of an HPV6/11/16/18 L1 virus-like particle vaccine on progression to cervical intraepithelial neoplasia in seropositive women with HPV16/18 infection

    DEFF Research Database (Denmark)

    Haupt, Richard M; Wheeler, Cosette M; Brown, Darron R

    2011-01-01

    The impact of a human papillomavirus (HPV) vaccine on development of cervical intraepithelial neoplasia grade 2-3 or adenocarcinoma in situ (CIN2-3/AIS) in women with ongoing HPV16 or 18 infections prevaccination is reported. Seventeen thousand six-hundred and twenty-two women aged 16-26 were.......9). These data suggest HPV vaccination neither reduces nor enhances progression to HPV16/18-related high grade cervical lesions, and cervical cytology screening and corresponding management should continue as per local recommendations. Ultimately, population-based surveillance of vaccinated individuals beyond...

  13. Pregnancy in spinal cord-injured women, a cohort study of 37 pregnancies in 25 women.

    Science.gov (United States)

    Le Liepvre, H; Dinh, A; Idiard-Chamois, B; Chartier-Kastler, E; Phé, V; Even, A; Robain, G; Denys, P

    2017-02-01

    A retrospective observational study. To describe specificities of pregnancy in a traumatic spinal cord-injured (SCI) population managed by a coordinated medical care team involving physical medicine and rehabilitation (PMR) physicians, urologists, infectious diseases' physicians, obstetricians and anaesthesiologists. NeuroUrology Department in a University Hospital, France. All consecutive SCI pregnant women managed between 2001 and 2014 were included. A preconceptional consultation was proposed whenever possible. Obstetrical and urological outcomes, delivery mode and complications were reported. Overall, thirty-seven pregnancies in 25 women, of a mean age of 32±4 years, were included. Thirty-five children were born alive (three miscarriages, a twin pregnancy) without complications except for a case of neonatal respiratory distress in premature twins born at 33 weeks. The mean birth weight was 2979±599 g. Twenty-one (57%) pregnancies benefited from preconceptional care. A weekly oral cyclic antibiotic programme was prescribed in 28 (75%) pregnancies. The main complications during pregnancy included pyelonephritis (30%), lower urinary tract infections (UTI) (32%), pressure sores (8.8%) and prematurity (12% deliveries before 37 weeks, with only one delivery before 36 weeks). Two patients suffered from autonomic dysreflexia, one with serious complication (brain haematoma). Caesarean sections were performed for 68% of deliveries (23/34) to prevent syringomyelia deterioration (n=10), stress urinary incontinence aggravation (n=3) or for obstetrical reasons (n=7). Mothers' and infants' outcomes were satisfying after pregnancy in SCI women, but required many adjustments. Pregnancy must be prepared by a preconceptional consultation, and managed by a multidisciplinary team involving specialists of neurological disability and pregnancy.

  14. The effect of an aerobic training period on mental health and depression in Iranian women with polycystic ovary syndrome

    Directory of Open Access Journals (Sweden)

    Saremi A*

    2016-06-01

    Full Text Available Introduction: Polycystic Ovary Syndrome (PCOS is among the common endocrine women disorders that can create manifestations such as anxiety and depression. In this study, the effect of aerobic training on mental health and depression among Iranian women suffering from PCOS has been examined. Methods: This semi experimental study was carried out based on pre-test and post-test on experiment and control groups in Arak, Iran. Twenty-two women with polycystic ovary syndrome (aged 27.82 ±5.23 yr were selected and randomly divided to training (n=12 and control (n=10 groups. Aerobic training program was performed 25-40 min/d, 3d/wk, for 10 weeks. Mental health and depression were evaluated using a general health questionnaire-28 (GHQ-28 and a Beck depression inventory (BAI-II in the two groups before and after the study. Results: The 10 week aerobic training had a significant effect on mental health, subscales of physical symptoms, anxiety and depression (p0.05. Conclusion: The result of present study suggests that aerobic exercise can improve the mental disorders in women with polycystic ovary syndrome.

  15. The Spirit Bears Witness: Reflections of Two Black Women's Journey in the Academy

    Science.gov (United States)

    Generett, Gretchen Givens; Cozart, Sheryl

    2012-01-01

    This article describes our evolution as two Black American women academics who, after years of dealing with our community's marginalization and our own marginalization in the academy, began to employ research as a way of surviving. To share the significance of this experience, we first reflect on our understandings of our positionality within the…

  16. Women's challenges with postpartum weight loss.

    Science.gov (United States)

    Montgomery, Kristen S; Bushee, Tracy D; Phillips, Jennifer D; Kirkpatrick, Terrie; Catledge, Courtney; Braveboy, Kristin; O'Rourke, Carol; Patel, Neema; Prophet, Malshundria; Cooper, Anita; Mosley, Lori; Parker, Christie; Douglas, Gaye M

    2011-11-01

    This study was designed to examine women's experiences of weight loss during the postpartum period. Understanding women's positive and negative experiences can assist health care providers to successfully intervene in helping women lose weight following pregnancy and avoid long-term weight gain and obesity development. Phenomenology, according to Husserl's perspective. Private location of the women's choosing. Twenty-six women, who ranged in age from 25 to 35 years, and had given birth within the last 5 years, were interviewed regarding their experiences with postpartum weight loss. The majority of the sample was Caucasian. Interviews were transcribed and themes were identified from each of the interviews. Comparisons were made between interviews to identify common experiences between women. Data were analyzed according to the Giorgi method. The women in the study had a wide range of experiences. Themes that emerged from the interviews related to women's challenges with return to prepregnancy weight. These included: time and motivation issues, the need for support, and weight and other struggles. This study provides a look inside the lives of women faced with the reality of losing weight after childbirth. Losing weight after delivery is multi-faceted and influenced by many factors. Interventions to assist women with weight loss should target the challenges described in this paper. When effective strategies are developed, education can be done during pregnancy to prepare for the postpartum period. Ultimately, future research efforts can help us to eliminate pregnancy as a risk factor for obesity in women.

  17. Swedish women's expectations about antenatal care and change over time - a comparative study of two cohorts of women.

    Science.gov (United States)

    Hildingsson, Ingegerd; Andersson, Ewa; Christensson, Kyllike

    2014-06-01

    A decade ago a national cohort of Swedish-speaking women were surveyed about their expectations on antenatal care. Today, antenatal care in Sweden still operates under similar circumstances while changes have occurred in society and the pregnant population. To compare expectations of antenatal care in pregnant women recruited 2009-2010 to those of pregnant women from a national cohort in 1999-2000. An additional aim was to compare antenatal expectations in women recruited to a clinical trial and subsequently received group based or standard antenatal care. A cross-sectional pre-study of 700 women recruited to a clinical trial and a historical cohort of 3061 women from a Swedish national survey. Data was collected by a questionnaire in early pregnancy for both cohorts and before the clinical trial started. In early pregnancy 79% of the women in the study sample reported a preference for the recommended number of visits, which is slightly higher than in the national cohort (70%). Continuity of the caregiver was still important with 95% vs 97% of the women rated it important to meet the same midwife at subsequent antenatal visits. The content of care rank order showed a change over time with lower expectations in health check-ups and emotional content and higher expectations in information needs, respect and partner involvement. Women approached in early pregnancy had lower expectations about medical and emotional check-ups and parent education but higher expectations regarding information, being met with respect and the involvement of the partner compared to women 10 years ago. Continuity of a midwife caregiver was still important and women seem more willing to follow the recommended number of antenatal visits. Asking women about their expectations regarding antenatal care could be a means to individualize the care. Copyright © 2014 Elsevier B.V. All rights reserved.

  18. Sexual behaviour and inheritance rights among HIV-positive women in Abia State, Nigeria.

    Science.gov (United States)

    Enwereji, E E

    2008-04-01

    In developing countries, culture favours males for economic ventures more than females. There is evidence that allowing HIV positive women inheritance rights will mitigate negative economic consequences of HIV/AIDS and other related risks. This study aimed to examine the extent to which HIV positive women have access to family resources in Abia State, Nigeria. Data collection instruments were questionnaire, focus group discussion and interview guides using 98 HIV positive women in network of people living with HIV/AIDS. Five key informants were also interviewed to authenticate women's responses. Results showed that 85 (86.7%) of the women were denied rights to family resources. Thirty-eight (64.4%) of them had negative relationship with their family members for demanding their husbands' property. Because of limited financial assistance, the women took two types of risks in order to survive in the communities. Twenty-five women (25.5%) earned their livelihood by acting as hired labourers to others in the farm. More that half (55.1%) of the HIV positive women were practicing unprotected sex. Although as high as 79.6% of women were aware of risks of unprotected sex, 54 (55%) of them practised it. The commonest reason for taking the risk was sex partners' dislike for condom use. The high proportion of HIV positive women who were denied access to family resources, could suggest lack of care and support. If this denial continues, Government's efforts to reduce HIV prevalence would yield no significant result. There is therefore need for organized community education programme that emphasizes the benefits of empowering women living positively with HIV/AIDS economically.

  19. Managing fertile women under lithium treatment: the challenge of a Teratology Information Service.

    Science.gov (United States)

    Neri, Caterina; De Luca, Carmen; D'oria, Luisa; Licameli, Angelo; Nucci, Marta; Pellegrino, Marcella; Caruso, Alessandro; De Santis, Marco

    2018-06-01

    The objective of the present study is to review the literature regarding the management of fertile patients under lithium treatment for bipolar disorder and to report the experience of our Teratology Information Service over the past thirteen years in managing women treated with lithium during preconception, pregnancy and breastfeeding. This research focuses on a selective review of the literature and a retrospective survey has been carried out on fertile women under lithium treatment who called our service at A. Gemelli University Hospital in Rome from May 2002 to December 2015. A total of 140 women under lithium treatment called our TIS. A complete follow-up has been performed on 34 patients: 29 called during pregnancy and 5 called during preconception. None of the patients called during breastfeeding, while half of the patients were taking concomitant drugs during pregnancy. One major cardiac malformation (hypoplastic left heart syndrome) has been reported. No minor malformations have been detected. Twenty-one patients delivered a living child, with one premature neonate. Two patients underwent voluntary interruption of pregnancy and six patients had early spontaneous abortion. In one patient, intrauterine growth retardation occurred, but with no adverse neonatal outcomes. Four neonates experienced transient respiratory distress at birth. Two children developed mild to severe language delay, but normal motor development. Lithium treatment in fertile women is a very delicate topic, where risks and benefits of discontinuing therapy when women plan to become pregnant should be accurately evaluated. Thorough peri-conceptional counselling is crucial for the outcome of pregnancy and for maternal health status during preconception, gestation and breastfeeding.

  20. Periodontitis and bone mineral density among pre and post menopausal women: A comparative study

    Directory of Open Access Journals (Sweden)

    Suresh Snophia

    2010-01-01

    Full Text Available Aim: The aim of the study was to assess the relationship between bone mineral density and periodontitis in premenopausal and postmenopausal women. Materials and Methods: Twenty women between the age group of 45-55 years were selected for this study. Ten premenopausal women with healthy periodontium constituted the control group and 10 postmenopausal women with ≥2mm of clinical attachment loss in> 30% of sites constituted the study group. All patients were assessed for plaque index, probing depth and clinical attachment loss. Radiographs (six IOPA and two posterior bitewing were taken and assessed for interproximal alveolar bone loss. The patients were scanned to assess the bone mineral density of lumbar spine (L2 and femur using dual energy X-ray absorptiometry (DEXA. Results: The bone mineral densities of lumbar spine (L2 and femur were significantly lower in the study group than the control group. Osteopenia of the lumbar spine and femur was observed in 60% whereas osteoporosis of lumbar spine was observed in 30% of cases in study group. Conclusion: Increased proportion of osteopenia and osteoporosis cases of lumbar spine and femur in postmenopausal women with periodontitis suggests that there is association between bone mineral density and periodontitis.

  1. Self-management Experiences of Older Korean Women With Urinary Incontinence: A Descriptive Qualitative Study Using Focus Groups.

    Science.gov (United States)

    Park, Sunah; Yeoum, SoonGyo; Kim, Yoonjung; Kwon, Hye Jin

    The purpose of this study was to explore the self-management experiences of Korean women with urinary incontinence (UI). Descriptive, qualitative study using focus groups. Twenty-two community-dwelling women, 65 years and older, participated in 3 focus-group interviews. Participants were recruited from 2 elderly halls and 1 senior welfare center in South Korea. Three focus group interviews comprising 6 to 8 individuals were conducted in a quiet venue at the elderly hall or senior welfare center. Two investigators performed the interviews; one acted as moderator and one as notetaker; interviews began with scripted open-ended questions. All interviews were electronically recorded and transcribed verbatim. Using an inductive thematic approach, data were first analyzed by the first and second authors; and all 4 authors contributed to coding and agreed on final themes. Korean women perceived UI as a loss of dignity, an odor problem, an uncontrollable disease, and a life impairment. Thematic analysis revealed 4 themes regarding the self-management experience of UI: preserving self-respect in the sociocultural environment, deodorizing the smell, keeping the secret of uncontrollability, and adjusting to an impaired life. Women in this study used various daily-living strategies to manage UI, but they mainly implemented strategies to keep UI a secret, including restrictions in activities of daily living. Educational approaches are needed to inform women with UI about more effective management skills.

  2. The effects of siblings on the migration of women in two rural areas of Belgium and the Netherlands, 1829-1940.

    Science.gov (United States)

    Bras, Hilde; Neven, Muriel

    2007-03-01

    This study explores the extent to which the presence and activities of siblings shaped the chances of women migrating to rural and urban areas in two rural areas of Belgium and the Netherlands during the second half of the nineteenth and first decades of the twentieth century. Shared-frailty Cox proportional hazard analyses of longitudinal data from historical population registers show that siblings exerted an additive impact on women's migration, independently of temporal and household characteristics. Just how siblings influenced women's migration depended on regional modes of production and on employment opportunities. In the Zeeland region, sisters channelled each other into service positions. In the Pays de Herve, where men and women found industrial work in the Walloon cities, women were as much influenced by their brothers' activities. Evidence is found for two mechanisms explaining the effects of siblings: micro-economic notions of joint-household decision-making and social capital theory.

  3. Hormonal contraceptive use lowers female intrasexual competition in pair-bonded women

    NARCIS (Netherlands)

    Cobey, Kelly D.; Klipping, Christine; Buunk, Abraham P.

    The purpose of this study was to test the influence of hormonal contraceptive use on levels of female intrasexual competition. Twenty-eight women completed a scale for intrasexual competition on three occasions: when using hormonal contraceptives and when regularly cycling at a fertile and a

  4. Case report: mechanisms of HIV elite control in two African women.

    Science.gov (United States)

    Moosa, Yumna; Tanko, Ramla F; Ramsuran, Veron; Singh, Ravesh; Madzivhandila, Mashudu; Yende-Zuma, Nonhlanhla; Abrahams, Melissa-Rose; Selhorst, Philippe; Gounder, Kamini; Moore, Penny L; Williamson, Carolyn; Abdool Karim, Salim S; Garrett, Nigel J; Burgers, Wendy A

    2018-01-25

    The majority of people living with HIV require antiretroviral therapy (ART) for controlling viral replication, however there are rare HIV controllers who spontaneously and durably control HIV in the absence of treatment. Understanding what mediates viral control in these individuals has provided us with insights into the immune mechanisms that may be important to induce for a vaccine or functional cure for HIV. To date, few African elite controllers from high incidence settings have been described. We identified virological controllers from the CAPRISA 002 cohort of HIV-1 subtype C infected women in KwaZulu Natal, South Africa, two (1%) of whom were elite controllers. We examined the genetic, clinical, immunological and virological characteristics of these two elite HIV controllers in detail, to determine whether they exhibit features of putative viral control similar to those described for elite controllers reported in the literature. In this case report, we present clinical features, CD4 + T cell and viral load trajectories for two African women over 7 years of HIV infection. Viral load became undetectable 10 months after HIV infection in Elite Controller 1 (EC1), and after 6 weeks in Elite Controller 2 (EC2), and remained undetectable for the duration of follow-up, in the absence of ART. Both elite controllers expressed multiple HLA Class I and II haplotypes previously associated with slower disease progression (HLA-A*74:01, HLA-B*44:03, HLA-B*81:01, HLA-B*57:03, HLA-DRB1*13). Fitness assays revealed that both women were infected with replication competent viruses, and both expressed higher mRNA levels of p21, a host restriction factor associated with viral control. HIV-specific T cell responses were examined using flow cytometry. EC1 mounted high frequency HIV-specific CD8+ T cell responses, including a B*81:01-restricted Gag TL9 response. Unusually, EC2 had evidence of pre-infection HIV-specific CD4+ T cell responses. We identified some features typical of

  5. Factors associated with intimate partner physical violence among women attending antenatal care in Shire Endaselassie town, Tigray, northern Ethiopia: a cross-sectional study, July 2015.

    Science.gov (United States)

    Gebrezgi, Berhane Hailu; Badi, Marta Berta; Cherkose, Endashaw Admassu; Weldehaweria, Negassie Berhe

    2017-06-24

    Intimate partner physical violence is a common global phenomenon. About 30.00% and 38.83% of women in the world and in sub-Saharan Africa experienced physical violence by their partner respectively in 2013. Though intimate partner violence has serious adverse health consequences, there is limited information about partner violence during pregnancy in Ethiopia. Therefore, the aim of this study was to assess the prevalnce of physical intimate partner violence during pregnancy and associated factors among women attending antenatal care in Shire Endaselassie town, Tigray, northen Ethiopia METHODS: A facility based cross-sectional study was conducted from May 3 to July 6, 2015. Four hundred and twenty-two pregnant women attending three public health facilities were included using systematic sampling technique. In addition, twenty-two purposely selected key informants were interviewed. The data collectors and supervisors were trained on all data collection processes. Data were entered to Epi-Info version 7.1.2.00 and exported to SPSS version 20.00. Logistic regression was used to identify factors associated with intimate partner physical violence. Statistical significance was declared at p violence in pregnancy was 20.6% (CI = 16.70, 24.90). Age at first marriage greater than or equal to 17 years (AOR = 4.42, CI = 2.07, 9.42), women with no formal education (AOR = 2.78 CI = 1.10, 7.08), rural dwellers (AOR = 2.63 CI = 1.24, 5.58), intimate partners with no formal education (AOR = 2.78 CI = 1.10, 7.08) and intimate partner alcohol consumption (AOR = 3.8 CI = 1.85, 7.82) were factors associated with intimate partner physical violence towards pregnant women. Nearly one fifth of women surveyed experienced intimate partner physical violence during pregnancy. Early marriage, rural dwelling, intimate partner alcohol consumption, and educational status were associated with intimate partner physical violence during pregnancy. Urgent attention to women

  6. Triple Negative Breast Cancer in Pregnancy and Postpartum: Two Case Reports in Hispanic Women

    Directory of Open Access Journals (Sweden)

    Ruchi Upadhyay

    2015-01-01

    Full Text Available Objective. Despite studies suggesting that triple negative breast cancer is more often seen in women of African ancestry, we report here two cases of pregnancy associated triple negative breast cancer in Hispanic women. Cases. Case one is a 37-year-old female para 2-0-0-2, who presented with a left breast mass, at 19 weeks of gestation, the biopsy of which reported an invasive ductal carcinoma, found to be triple receptor negative. The patient underwent chemotherapy during the pregnancy and was delivered with a cesarean at 37 weeks for obstetric indication. After delivery, the patient completed her chemotherapy that was followed by radical mastectomy and radiotherapy. Case two is a 28-year-old female para 6-0-1-5, who presented while breast-feeding with signs and symptoms of mastitis, and an engorged and tender right breast, five months postpartum. However, the sonogram revealed a fluid filled cavity. Aspiration and cytology did not reflect an infection and were negative for malignancy. High suspicion and lack of improvement led to biopsy that identified an invasive ductal carcinoma, found to be triple negative. The patient underwent chemotherapy followed by modified radical mastectomy. Conclusions. Triple negative breast cancer, during pregnancy or postpartum, poses a unique challenge and requires a multidisciplinary team to optimize treatment for these women.

  7. Conference on the Educational and Occupational Needs of American Indian Women (Albuquerque, New Mexico, October 12-13, 1976).

    Science.gov (United States)

    National Inst. of Education (DHEW), Washington, DC.

    Twenty-one American Indian women, selected from state and federal government agencies, professional and research organizations, and academic institutions, began by discussing 10 background papers (presented here in revised form) dealing with: the employment and educational status of American Indian women; the interaction of sex roles and culture…

  8. Barriers to access prevention of mother-to-child transmission for HIV positive women in a well-resourced setting in Vietnam

    Directory of Open Access Journals (Sweden)

    Wright Pamela

    2008-04-01

    Full Text Available Abstract Background According to Vietnamese policy, HIV-infected women should have access at least to HIV testing and Nevirapine prophylaxis, or where available, to adequate counselling, HIV infection staging, ARV prophylaxis, and infant formula. Many studies in high HIV prevalence settings have reported low coverage of PMTCT services, but there have been few reports from low HIV prevalence settings, such as Asian countries. We investigated the access of HIV-infected pregnant women to PMTCT services in the well-resourced setting of the capital city, Hanoi. Methods Fifty-two HIV positive women enrolled in a self-help group in Hanoi were consulted, through in-depth interviews and bi-weekly meetings, about their experiences in accessing PMTCT services. Results Only 44% and 20% of the women had received minimal and comprehensive PMTCT services, respectively. Nine women did not receive any services. Twenty-two women received no counselling. The women reported being limited by lack of knowledge and information due to poor counselling, gaps in PMTCT services, and fear of stigma and discrimination. HIV testing was done too late for optimal interventions and poor quality of care by health staff was frequently mentioned. Conclusion In a setting where PMTCT is available, HIV-infected women and children did not receive adequate care because of barriers to accessing those services. The results suggest key improvements would be improving quality of counselling and making PMTCT guidelines available to health services. Women should receive early HIV testing with adequate counselling, safe care and prophylaxis in a positive atmosphere towards HIV-infected women.

  9. "I'm in this world for a reason": Resilience and recovery among American Indian and Alaska Native two-spirit women.

    Science.gov (United States)

    Elm, Jessica H L; Lewis, Jordan P; Walters, Karina L; Self, Jen M

    2016-01-01

    American Indian and Alaska Native sexual minority (two-spirit) women are vulnerable to substance misuse and mental health challenges due to multiple minority oppressed status and exposure to stress and trauma. Yet, these women find pathways toward healing and wellness. We conducted a qualitative data analysis of interviews derived from a national health study and gained an understanding of 11 two-spirit women's resilience and recovery patterns. Emergent from the data, a braided resiliency framework was developed which elucidates multilayered abilities, processes, and resources involved in their resiliency. We recommend that resilience-promoting strategies be incorporated into substance misuse and mental health interventions.

  10. Gestational diabetes: women's concerns, mood state, quality of life and treatment satisfaction.

    Science.gov (United States)

    Trutnovsky, Gerda; Panzitt, Thomas; Magnet, Eva; Stern, Christina; Lang, Uwe; Dorfer, Martha

    2012-11-01

    The aim of this observational cohort study was to explore concerns, mood state, quality of life (QoL) and treatment satisfaction of women treated for gestational diabetes (GDM). Twenty-seven diet-treated and 18 insulin-treated women participated in a semi-structured interview and completed a series of three different questionnaires. Qualitative analysis identified "the baby's health" as dominant concern, but also as main motivational treatment factor. Treatment satisfaction was generally high and further increased, whereas QoL and mood state significantly dropped over time. Acknowledgment of women's concerns and precise information may improve treatment compliance and outcome.

  11. Risk factors for exclusive breastfeeding lasting less than two months-Identifying women in need of targeted breastfeeding support.

    Directory of Open Access Journals (Sweden)

    Karin Cato

    Full Text Available Breastfeeding rates in Sweden are declining, and it is important to identify women at risk for early cessation of exclusive breastfeeding.The aim of this study was to investigate factors associated with exclusive breastfeeding lasting less than two months postpartum.A population-based longitudinal study was conducted at Uppsala University Hospital, Sweden. Six hundred and seventy-nine women were included in this sub-study. Questionnaires were sent at five days, six weeks and six months postpartum, including questions on breastfeeding initiation and duration as well as several other background variables. The main outcome measure was exclusive breastfeeding lasting less than two months postpartum. Multivariable logistic regression analysis was used in order to calculate adjusted Odds Ratios (AOR and 95% Confidence Intervals (95% CI.Seventy-seven percent of the women reported exclusive breastfeeding at two months postpartum. The following variables in the multivariate regression analysis were independently associated with exclusive breastfeeding lasting less than two months postpartum: being a first time mother (AOR 2.15, 95% CI 1.32-3.49, reporting emotional distress during pregnancy (AOR 2.21, 95% CI 1.35-3.62 and giving birth by cesarean section (AOR 2.63, 95% CI 1.34-5.17.Factors associated with shorter exclusive breastfeeding duration were determined. Identification of women experiencing emotional distress during pregnancy, as well as scrutiny of caregiving routines on cesarean section need to be addressed, in order to give individual targeted breastfeeding support and promote longer breastfeeding duration.

  12. CAMPARE and Cal-Bridge: Two Institutional Networks Increasing Diversity in Astronomy

    Science.gov (United States)

    Rudolph, Alexander L.; Impey, Chris David; Phillips, Cynthia B.; Povich, Matthew S.; Prather, Edward E.; Smecker-Hane, Tammy A.

    2015-01-01

    We describe two programs, CAMPARE and Cal-Bridge, with the common mission of increasing participation of groups traditionally underrepresented in astronomy, particularly underrepresented minorities and women, through summer research opportunities, in the case of CAMPARE, scholarships in the case of Cal-Bridge, and significant mentoring in both programs, leading to an increase in their numbers successfully pursuing a PhD in the field.CAMPARE is an innovative REU-like summer research program, currently in its sixth year, comprising a network of comprehensive universities and community colleges in Southern California and Arizona (most of which are minority serving institutions), and ten major research institutions (University of Arizona Steward Observatory, the SETI Institute, JPL, Caltech, and the five Southern California UC campuses, UCLA, UCI, UCSD, UCR, and UCSB).In its first five summers, CAMPARE sent a total of 49 students from 10 different CSU and community college campuses to 5 research sites of the program. Of these 49 participants, 25 are women and 24 are men; 22 are Hispanic, 4 are African American, and 1 is Native American, including 6 female Hispanic and 2 female African-American participants. Twenty-one (21) CAMPARE participants have graduated from college, and more than half (11) have attended or are attending a graduate program, including 8 enrolled in PhD or Master's-to-PhD programs. Over twenty CAMPARE students have presented at the AAS and other national meetings.The Cal-Bridge program is a diverse network of higher education institutions in Southern California, including 5 UC campuses, 8 CSU campuses, and 7 community colleges dedicated to the goal of increasing the number of underrepresented minority and female students attending graduate school in astronomy or related fields. We have recently selected our inaugural group of five 2014 Cal-Bridge Scholars, including four women (two Hispanic and one part Native American), and one Hispanic man

  13. Low levels of 25-hydroxyvitamin D are associated with the occurrence of concomitant upper limb fractures in older women who sustain a fall-related fracture of the hip.

    Science.gov (United States)

    Di Monaco, Marco; Vallero, Fulvia; Castiglioni, Carlotta; Di Monaco, Roberto; Tappero, Rosa

    2011-01-01

    To investigate the association between serum levels of 25-hydroxyvitamin D and the occurrence of simultaneous fractures of the upper limb in older women who sustain a fall-related fracture of the hip. Cross-sectional study. We investigated 472 of 480 white women consecutively admitted to a rehabilitation hospital because of a fall-related hip fracture. Twenty-seven (5.7%) of the 472 women sustained a concomitant upper-limb fracture of either distal radius (20 women) or proximal humerus (seven women). We assessed serum levels of 25-hydroxyvitamin D 14.2 ± 4.1 (mean ± SD) days after surgical repair of the hip fracture in the 472 women by an immunoenzymatic assay. Twenty-five-hydroxyvitamin D levels were significantly lower in the 27 women with concomitant fractures of both hip and upper limb than in the remaining 445 hip-fracture women: mean ± SD values were 6.5 ± 5.0 ng/ml and 11.7 ± 10.4 ng/ml respectively in the two groups (mean difference between groups 5.2 ng/ml: 95% CI 1.2-9.2; p=0.011). Low levels of 25-hydroxyvitamin D were significantly associated with concomitant fractures of the upper limb (p=0.017), after adjustment for eight potential confounders including age, height, weight, hip-fracture type, cognitive impairment, neurologic impairment, previous hip fracture, and previous upper-limb fracture. Low levels of 25-hydroxyvitamin D were significantly associated with concomitant upper-limb fractures in our sample of older women with a fall-related fracture of the hip. Preventing vitamin D deficiency may lower the incidence of simultaneous fractures due to a singe fall in elderly women. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  14. Behavioral and body size correlates of energy intake underreporting by obese and normal-weight women.

    Science.gov (United States)

    Kretsch, M J; Fong, A K; Green, M W

    1999-03-01

    To examine behavioral and body size influences on the underreporting of energy intake by obese and normal-weight women. Seven-day estimated food records were kept by subjects before they participated in a 49-day residential study. Self-reported energy intake was compared with energy intake required to maintain a stable body weight during the residential study (reference standard). Energy intake bias and its relationship to various body size and behavioral measures were examined. Twenty-two, healthy, normal-weight (mean body mass index [BMI] = 21.3) and obese (mean BMI = 34.2) women aged 22 to 42 years were studied. Analysis of variance, paired t test, simple linear regression, and Pearson correlation analyses were conducted. Mean energy intake from self-reported food records was underreported by normal-weight (-9.7%) and obese (-19.4%) women. BMI correlated inversely with the energy intake difference for normal-weight women (r = -.67, P = .02), whereas the Beck Depression Inventory correlated positively with the energy intake difference for obese women (r = .73, P behavioral traits play a role in the ability of women to accurately self-report energy intake. BMI appears to be predictive of underreporting of energy intake by normal-weight women, whereas emotional factors related to depression appear to be more determinant of underreporting for obese women. Understanding causative factors of the underreporting phenomenon will help practicing dietitians to devise appropriate and realistic diet intervention plans that clients can follow to achieve meaningful change.

  15. [Two compartment model of body composition and abdominal fat area in postmenopausal women - pilot study].

    Science.gov (United States)

    Milewska, Magdalena; Mioduszewska, Milena; Pańczyk, Mariusz; Kucharska, Alicja; Sińska, Beata; Dąbrowska-Bender, Marta; Michota-Katulska, Ewa; Zegan, Magdalena; Szabla, Anna

    2016-01-01

    Both menopausal period and aging have influence on body composition, increase of total body fat and visceral fat in particular. We should be aware that changes in body composition, mainly fat translocation to abdominal region, can occur without significant changes in body weight. Therefore quantitative abdominal fat assessment should be our aim. Body composition analysis based on two compartment model and abdominal fat area assessment in cross section. Subjects in postmenopausal period (41 women) were recruited for this study and divided into 2 groups: group 1 - women aged 45-56 years and group 2 - women aged 57-79 years. Body composition analysis and abdominal fat area assessment were conducted by using bioelectrical impedance method with BioScan 920 (Maltron int.) accordingly with standardized procedure. Women in early postmenopausal stage (Group 1) had statistically significant lower total body fat percentage in comparison with women in late postmenopausal period (Group 2) (41.09 ± 7.72% vs. 50.7 ± 9.88%, p=0.0021). Also women in group 1 were characterized by significant lower visceral fat area (VAT) as well as subcutaneous fat area (SAT) in comparison with group 2 (respectively VAT 119.25 ± 30.09 cm2 vs. 199.36 ± 87.38 cm2, p=0.0011; SAT 175.19 ±57.67 cm2 vs. 223.4±74.29 cm2, p=0.0336). According to VAT criteria (>120 cm2), 44% of women in group 1 and 80% in group 2 had excess of visceral fat. Both total body fat and intra-abdominal fat increased with age, independently of weight changes.

  16. The twenty-eight lodges (xiu 宿)

    OpenAIRE

    Morgan, Daniel Patrick

    2018-01-01

    The twenty-eight lodges (xiu 宿). Named and numbered in the central circle, the twenty-eight lodges, represent uneven orange-segment-like divisions of the celestial sphere running from pole to pole through the ‘guide stars’ (juxing 距星) at/near the western extremity of the constellations after which they are named. In the inner circle are the modern identifications of those guide stars. In the outer circle are the equatorial lodge widths in contemporary use in du 度 / days, where the number of d...

  17. Exercise training improves autonomic function and inflammatory pattern in women with polycystic ovary syndrome (PCOS).

    Science.gov (United States)

    Giallauria, Francesco; Palomba, Stefano; Maresca, Luigi; Vuolo, Laura; Tafuri, Domenico; Lombardi, Gaetano; Colao, Annamaria; Vigorito, Carlo; Francesco, Orio

    2008-11-01

    Polycystic ovary syndrome (PCOS) is a common female reproductive-age endocrine disease predominantly characterized by chronic anovulation, hyperandrogenism, insulin-resistance and low-grade inflammatory status. Exercise training (ET) favourably modulates cardiopulmonary function and insulin-sensitivity markers in PCOS women. The present study investigated the effects of ET on autonomic function and inflammatory pattern in PCOS women. Prospective baseline uncontrolled clinical study. One-hundred and eighty five PCOS women referred to our department were screened for the inclusion into the study protocol from March 2004 to July 2007. One-hundred and twenty four PCOS women met the criteria for the inclusion into the study protocol and were subdivided into two groups each composed of 62 patients: PCOS-T (trained) group underwent 3-month ET program, whereas PCOS-UnT (untrained) group did not. At baseline and at 3-month follow-up, hormonal and metabolic profile, cardiopulmonary parameters, autonomic function (as expressed by heart rate recovery, HRR) and inflammatory pattern [as expressed by C-reactive protein (CRP) and white blood cells (WBCs) count] were evaluated. PCOS-T showed a significant (P PCOS-UnT. Multiple linear regression analysis showed that 3-month HRR is linearly related to the inclusion in training group (beta = 0.316, P PCOS women.

  18. The effects of strength training on cognitive performance in elderly women.

    Science.gov (United States)

    Smolarek, André de Camargo; Ferreira, Luis Henrique Boiko; Mascarenhas, Luis Paulo Gomes; McAnulty, Steven R; Varela, Karla Daniele; Dangui, Mônica C; de Barros, Marcelo Paes; Utter, Alan C; Souza-Junior, Tácito P

    2016-01-01

    Aging is a degenerative process marked by recognized functional, physiological, and metabolic impairments, such as dynapenia and diminished cognitive capacity. Therefore, the search for innovative strategies to prevent/delay these physiological and cognitive disorders is essential to guarantee the independence and life quality of an elderly population. The aim of this work is to verify the effect of a 12-week resistance exercise program on the general physical aptitude and cognitive capacities of elderly and sedentary women. Twenty-nine women (65.87±5.69 years) were divided into two groups. The control group was composed of eight elderly women who met the same inclusion criteria of the study and the strength training group was composed of 29 elderly women who were subjected to a resistance exercise program defined by 12 upper and lower limb exercises combined in 3×10 repetitions with 1-minute interval between repetitions and two resting minutes between exercises (three times/week). Weight loads were fixed between 60% and 75% of the apparent 1 repetition maximum, which was estimated by the test of 10 maximum repetitions. The direct curl was performed for upper body strength evaluation with 2.3 kg dumbbells for 30 seconds, whereas the chair test was used for lower body evaluation (total sit-stand movements in 30 seconds). The cognitive capacities of subjects were evaluated by "The Montreal Cognitive Assessment" questionnaire. After 12 weeks, the elderly group showed significant increases in the average upper body strength (58%), lower body strength (68%), and cognitive capacity (19%). The present study demonstrated that regular resistance exercises could provide significant gains on the upper and lower body strength concomitant to positive improvements on cognitive capacities of elderly women, bringing enhanced life quality.

  19. Maternal obesity support services: a qualitative study of the perspectives of women and midwives

    Directory of Open Access Journals (Sweden)

    Dearden Andy M

    2011-10-01

    Full Text Available Abstract Background Twenty percent of pregnant women in the UK are obese (BMI ≥ 30 kg/m2, reflecting the growing public health challenge of obesity in the 21st century. Obesity increases the risk of adverse outcomes during pregnancy and birth and has significant cost implications for maternity services. Gestational weight management strategies are a high priority; however the evidence for effective, feasible and acceptable weight control interventions is limited and inconclusive. This qualitative study explored the experiences and perceptions of pregnant women and midwives regarding existing support for weight management in pregnancy and their ideas for service development. Methods A purposive sample of 6 women and 7 midwives from Doncaster, UK, participated in two separate focus groups. Transcripts were analysed thematically. Results Two overarching themes were identified, 'Explanations for obesity and weight management' and 'Best care for pregnant women'. 'Explanations' included a lack of knowledge about weight, diet and exercise during pregnancy; self-talk messages which excused overeating; difficulties maintaining motivation for a healthy lifestyle; the importance of social support; stigmatisation; and sensitivity surrounding communication about obesity between midwives and their clients. 'Best care' suggested that weight management required care which was consistent and continuous, supportive and non-judgemental, and which created opportunities for interaction and mutual support between obese pregnant women. Conclusions Women need unambiguous advice regarding healthy lifestyles, diet and exercise in pregnancy to address a lack of knowledge and a tendency towards unhelpful self-talk messages. Midwives expressed difficulties in communicating with their clients about their weight, given awareness that obesity is a sensitive and potentially stigmatising issue. This indicates more could be done to educate and support them in their work with

  20. Proceedings: Twenty years of energy policy: Looking toward the twenty-first century

    International Nuclear Information System (INIS)

    1992-01-01

    In 1973, immediately following the Arab Oil Embargo, the Energy Resources Center, University of Illinois at Chicago initiated an innovative annual public service program called the Illinois Energy Conference. The objective was to provide a public forum each year to address an energy or environmental issue critical to the state, region and nation. Twenty years have passed since that inaugural program, and during that period we have covered a broad spectrum of issues including energy conservation nuclear power, Illinois coal, energy policy options, natural gas, alternative fuels, new energy technologies, utility deregulation and the National Energy Strategy

  1. Proceedings: Twenty years of energy policy: Looking toward the twenty-first century

    Energy Technology Data Exchange (ETDEWEB)

    1992-12-31

    In 1973, immediately following the Arab Oil Embargo, the Energy Resources Center, University of Illinois at Chicago initiated an innovative annual public service program called the Illinois Energy Conference. The objective was to provide a public forum each year to address an energy or environmental issue critical to the state, region and nation. Twenty years have passed since that inaugural program, and during that period we have covered a broad spectrum of issues including energy conservation nuclear power, Illinois coal, energy policy options, natural gas, alternative fuels, new energy technologies, utility deregulation and the National Energy Strategy.

  2. Increased Working Memory-Related Brain Activity in Middle-Aged Women with Cognitive Complaints

    OpenAIRE

    Dumas, Julie A.; Kutz, Amanda M.; McDonald, Brenna C.; R.Naylor, Magdalena; Pfaff, Ashley C.; Saykin, Andrew J.; Newhouse, Paul A.

    2012-01-01

    Individuals who report subjective cognitive complaints but perform normally on neuropsychological tests may be at increased risk for pathological cognitive aging. The current study examined the effects of the presence of subjective cognitive complaints on functional brain activity during a working memory task in a sample of middle-aged postmenopausal women. Twenty-three postmenopausal women aged 50–60 completed a cognitive complaint battery of questionnaires. Using 20% of items endorsed as th...

  3. Breast cancer: a study of the psychosocial issues faced by women undergoing radiation therapy

    Energy Technology Data Exchange (ETDEWEB)

    Burnie, C. [Hamilton Regional Cancer Centre, Hamilton, Ontario (Canada)

    2000-09-30

    The purpose of this study was to determine the psychosocial issues faced by post lumpectomy women with early stage breast cancer undergoing radical radiation to the affected breast. Twenty-five women in their second to fifth week of treatment were given the survey to determine these issues. Responses were then grouped by age category and results compiled. Regardless of age, a majority of women felt that they and their spouses had become closer since their diagnosis and described their spouses as being supportive. Scheduling appointment times around childcare was important for some women. Almost half of the women experienced a change in employment status as a result of their diagnosis. Appointment times and work schedules were important for some women still working. In all age groups, women experienced fatigue at least sometimes. (author)

  4. Breast cancer: a study of the psychosocial issues faced by women undergoing radiation therapy

    International Nuclear Information System (INIS)

    Burnie, C.

    2000-01-01

    The purpose of this study was to determine the psychosocial issues faced by post lumpectomy women with early stage breast cancer undergoing radical radiation to the affected breast. Twenty-five women in their second to fifth week of treatment were given the survey to determine these issues. Responses were then grouped by age category and results compiled. Regardless of age, a majority of women felt that they and their spouses had become closer since their diagnosis and described their spouses as being supportive. Scheduling appointment times around childcare was important for some women. Almost half of the women experienced a change in employment status as a result of their diagnosis. Appointment times and work schedules were important for some women still working. In all age groups, women experienced fatigue at least sometimes. (author)

  5. "Why doesn't she seek help for partner abuse?" An exploratory study with South Asian immigrant women.

    Science.gov (United States)

    Ahmad, Farah; Driver, Natasha; McNally, Mary Jane; Stewart, Donna E

    2009-08-01

    This study explores why South Asian immigrant women with experiences of partner abuse delay seeking help from professionals. Three focus groups were conducted in Hindi language with South Asian immigrant women in Toronto. Twenty-two women participated with a mean age of 46 years (range 29-68 years). Thematic analysis was conducted on the transcribed data using constant comparison techniques within and across the groups. We found that three major themes emerged from the discussions: reasons for delayed help-seeking, turning points and talking to professionals. Women expressed delaying help-seeking to the point when "Pani sar se guzar jata he" (water crosses over your head). Their dominant reasons for delayed help-seeking were social stigma, rigid gender roles, marriage obligations, expected silence, loss of social support after migration and limited knowledge about available resources and myths about partner abuse. Women usually turned for help only after experiencing pronounced mental and physical health problems. The findings are interpreted in light of participants' immigration context and the socio-cultural norms of patriarchy, collectivism and familism. Prevention approaches to address partner abuse and delayed help-seeking among South Asian immigrant women should include tailored community education, social services to reduce vulnerability, and cultural competency of professionals. Further research and program evaluation is needed to advance the field.

  6. The Disappearing Gender Gap: The Impact of Divorce, Wages, and Preferences on Education Choices and Women's Work. NBER Working Paper No. 17508

    Science.gov (United States)

    Fernandez, Raquel; Wong, Joyce Cheng

    2011-01-01

    Women born in 1935 went to college significantly less than their male counterparts and married women's labor force participation (LFP) averaged 40% between the ages of thirty and forty. The cohort born twenty years later behaved very differently. The education gender gap was eliminated and married women's LFP averaged 70% over the same ages. In…

  7. Twenty lectures on thermodynamics

    CERN Document Server

    Buchdahl, H A

    2013-01-01

    Twenty Lectures on Thermodynamics is a course of lectures, parts of which the author has given various times over the last few years. The book gives the readers a bird's eye view of phenomenological and statistical thermodynamics. The book covers many areas in thermodynamics such as states and transition; adiabatic isolation; irreversibility; the first, second, third and Zeroth laws of thermodynamics; entropy and entropy law; the idea of the application of thermodynamics; pseudo-states; the quantum-static al canonical and grand canonical ensembles; and semi-classical gaseous systems. The text

  8. Prevention of preterm delivery with vaginal progesterone in women with preterm labour (4P): randomised double-blind placebo-controlled trial

    NARCIS (Netherlands)

    Martinez de Tejada, B.; Karolinski, A.; Ocampo, M. C.; Laterra, C.; Hösli, I.; Fernández, D.; Surbek, D.; Huespe, M.; Drack, G.; Bunader, A.; Rouillier, S.; López de Degani, G.; Seidenstein, E.; Prentl, E.; Antón, J.; Krähenmann, F.; Nowacki, D.; Poncelas, M.; Nassif, J. C.; Papera, R.; Tuma, C.; Espoile, R.; Tiberio, O.; Breccia, G.; Messina, A.; Peker, B.; Schinner, E.; Mol, B. W.; Kanterewicz, L.; Wainer, V.; Boulvain, M.; Othenin-Girard, V.; Bertolino, M. V.; Irion, O.; Tellenbach, M.; Vögele, E.; Azbar, R.; Raggi, A.; Birkenmaier, A.; Kann, S.; Scheibner, K.; Huguelet, M.; Amann, E.; Baumann, M.; Jakob, E.; Biedermann, K.; Hodel, M.; Fischer, T.; Pfau, K.; Estermann, K.

    2015-01-01

    To evaluate the effectiveness of 200 mg of daily vaginal natural progesterone to prevent preterm birth in women with preterm labour. Multicentre, randomised, double-blind, placebo-controlled trial. Twenty-nine centres in Switzerland and Argentina. A total of 385 women with preterm labour (24(0/7) to

  9. The intersection of everyday life and group prenatal care for women in two urban clinics.

    Science.gov (United States)

    Novick, Gina; Sadler, Lois S; Knafl, Kathleen A; Groce, Nora Ellen; Kennedy, Holly Powell

    2012-05-01

    Women from vulnerable populations encounter challenging circumstances that generate stress and may adversely affect their health. Group prenatal care (GPNC) incorporates features that address social stressors, and has been demonstrated to improve pregnancy outcomes and prenatal care experiences. In this qualitative study, we describe the complex circumstances in the lives of women receiving care in two urban clinics and how GPNC attenuated them. Stressors included problems with transportation and child care, demanding jobs, poverty, homelessness, difficult relationships with partners, limited family support, and frustrating health care experiences. Receiving prenatal care in groups allowed women to strengthen relationships with significant others, gain social support, and develop meaningful relationships with group leaders. By eliminating waits and providing the opportunity to participate in care, GPNC also offered sanctuary from frustrations encountered in receiving individual care. Reducing such stressors may help improve pregnancy outcomes; however, more evidence is needed on mechanisms underlying these effects.

  10. Women at CERN: Once upon a time…

    CERN Multimedia

    Antonella Del Rosso

    2015-01-01

    In 1995, a working group was set up to address the gender imbalance at CERN. Twenty years later, the people involved in the endeavour celebrated the long series of achievements recorded by today’s Diversity Office.     Situation in 1995: 14% women/total employees. Categories requiring university-level education = 5% women/total.     Top: The working group that submitted a report to the Management with recommendations to increase the number of women working at CERN (1995). From left to right: Maria Fidecaro, Sudeshna Datta-Cockerill, Irene Seis, Eva-Maria Gröniger-Voss, Linda Griffiths. Bottom: In 2015, the working group celebrates the achievements of the Diversity policy together with the various people who have been involved in its implementation. From left to right: Maria Fidecaro, Geneviève Guinot, Eva-Maria Gröniger-Voss, Sudeshna Datta-Cockerill, Irene Seis, Josi Schinzel, Doris Chromek-Burckhart. &nbs...

  11. The relationship of total body composition with bone mineral density in postmenopausal women with type 2 diabetes

    Directory of Open Access Journals (Sweden)

    Vadim Valer'evich Klimontov

    2015-03-01

    Full Text Available Aim. To determine the relationship between bone mineral density (BMD and total body composition in postmenopausal women with type 2 diabetes. Materials and Methods. The study included 78 women, from 50 to 70 years of age (median 63 years. Twenty women had normal body mass index (BMI, 29 ones were overweight and 29 had obesity. The body composition and BMD was studied by dual-energy X-ray absorptiometry. Results. Women with normal BMD had higher BMI, total and truncal fat mass, as well lean mass as compared to women with osteoporosis and osteopenia (all p

  12. The Occupational Profile of Women with Fibromyalgia Syndrome.

    Science.gov (United States)

    Pérez-de-Heredia-Torres, Marta; Huertas Hoyas, Elisabet; Sánchez-Camarero, Carlos; Pérez-Corrales, Jorge; Fernández de-Las-Peñas, César

    2016-06-01

    The aims of this study were to assess the functional level of women with fibromyalgia; to investigate the differences in the occupational activities between women with fibromyalgia and healthy women; and to analyse the perceived importance of occupational performance during self-care, productivity and leisure activities. A cross-sectional case control study was performed. Twenty women with fibromyalgia and 20 healthy women completed the Functional Independence Measure (FIM), the Canadian Occupational Performance Measure (COPM), a Numerical Pain Rating Scale, the Fibromyalgia Impact Questionnaire and the SF-36 health survey. The Chi-square test (χ2), the Student's t test and the Spearman's test were used on the data. The FIM revealed significant differences regarding several activities: personal hygiene, bathing and memory (p  0.10). Women with fibromyalgia had higher disability and reduced quality of life and required greater assistance to perform specific activities of daily living, i.e. hygiene, than healthy women. This highlights the specific occupational therapy needs these women have for performing many basic activities and for improving their quality of life. Limitations of the study include the small sample size, the exclusion of male participants and the possible influence of the women's psychological status on the assessments performed. Findings should be generalized with caution. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  13. Short-term water-based aerobic training promotes improvements in aerobic conditioning parameters of mature women.

    Science.gov (United States)

    Costa, Rochelle Rocha; Reichert, Thais; Coconcelli, Leandro; Simmer, Nicole Monticelli; Bagatini, Natália Carvalho; Buttelli, Adriana Cristine Koch; Bracht, Cláudia Gomes; Stein, Ricardo; Kruel, Luiz Fernando Martins

    2017-08-01

    Aging is accompanied by a decrease in aerobic capacity. Therefore, physical training has been recommended to soften the effects of advancement age. The aim of this study was to assess the effects of a short-term water-based aerobic training on resting heart rate (HR rest ), heart rate corresponding to anaerobic threshold (HR AT ), peak heart rate (HR peak ), percentage value of HR AT in relation to HR peak and test duration (TD) of mature women. Twenty-two women (65.91 ± 4.83 years) were submitted to a five-week water-based interval aerobic training. Aerobic capacity parameters were evaluated through an aquatic incremental test. After training, there was an increase in TD (16%) and HR AT percentage in relation to HR peak (4.68%), and a reduction of HR rest (9%). It is concluded that a water-based aerobic interval training prescribed through HR AT of only five weeks is able to promote improvements in aerobic capacity of mature women. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Over Twenty Years Of Experience In ITU TRIGA MARK-II Reactor

    International Nuclear Information System (INIS)

    Yavuz, Hasbi

    2008-01-01

    I.T.U. TRIGA MARK-II Training and Research Reactor, rated at 250 kW steady-state and 1200 MW pulsing power is the only research and training reactor owned and operated by a university in Turkey. Reactor has been operating since March 11, 1979; therefore the reactor has been operating successfully for more than twenty years. Over the twenty years of operation: - The tangential beam tube was equipped with a neutron radiography facility, which consists of a divergent collimator and exposure room; - A computerized data acquisition system was designed and installed such that all parameters of the reactor, which are observed from the console, could be monitored both in normal and pulse operations; - An electrical power calibration system was built for the thermal power calibration of the reactor; - Publications related with I.T.U. TRIGA MARK-II Training and Research Reactor are listed in Appendix; - Two majors undesired shutdown occurred; - The I.T.U. TRIGA MARK-II Training and Research Reactor is still in operation at the moment. (authors)

  15. The Twenty Statement Test in Teacher Development

    Directory of Open Access Journals (Sweden)

    Ahmet Aypay

    2011-10-01

    Full Text Available The purpose of this study is to describe teacher characteristics using Twenty Statements Test (TST. Study group includes a total of thirty-five individuals, including teachers, guidance and counselors and research assistants. The study used a qualitative approach on teacher identity. TST is one of the qualitative methods that were used to determine individual self-conceptualization. Study group were requested to write twenty statements that describe themselves responding to the question “Who I am?” in a free format. The findings indicated that teachers were overwhelmingly in group c (reflective. No differences were found in terms of gender and profession. Only few significant differences have been found based on marital status. The utility of TST in teacher training and development was discussed.

  16. The Twenty Statement Test in Teacher Development

    Directory of Open Access Journals (Sweden)

    Ahmet Aypay

    2011-04-01

    Full Text Available The purpose of this study is to describe teacher characteristics using Twenty Statements Test (TST. Study group includes a total of thirty-five individuals, including teachers, guidance and counselors and research assistants. The study used a qualitative approach on teacher identity. TST is one of the qualitative methods that were used to determine individual self-conceptualization. Study group were requested to write twenty statements that describe themselves responding to the question “Who I am?” in a free format. The findings indicated that teachers were overwhelmingly in group c (reflective. No differences were found in terms of gender and profession. Only few significant differences have been found based on marital status. The utility of TST in teacher training and development was discussed

  17. Women on board: female board membership as a form of elite democratization

    NARCIS (Netherlands)

    Heemskerk, E.M.; Fennema, M.

    2014-01-01

    Corporate elites have been all-male bastions until the twenty-first century. The recent inclusion of women in the corporate elite needs explanation because it is an abrupt change in recruitment practices. We consider female presence in corporate boards as a sign of the democratization of elite

  18. Abortion: a review of women's perception in relation to their partner's reactions in two Brazilians cities

    Directory of Open Access Journals (Sweden)

    Daniele Nonnenmacher

    2014-07-01

    Full Text Available Objective: to analyze women's perception in relation to their partner's reaction and behavior during the abortion process in two Brazilian capitals, associating the variables from women who suffered a spontaneous abortion with those from women who induced it. Methods: semi-structured, questionnaire-based interviews were conducted with 285 women who underwent spontaneous abortion and 31 who reported having induced it. The data were analyzed using the thematic analysis technique, and, subsequently, by the IBM SPSS Statistics Standard Edition software program. The significance level was set at p < 0.05. Results: in both capitals, the women who induced an abortion referred to the partner as the person who could not find out about the abortion (p<0.01 in Natal; p = 0.02 in São Paulo-SP and, simultaneously, as the one who could have avoided it (p < 0.01 in Natal; p = 0.03 in São Paulo. In Natal-RN, induced abortion was associated with the partner's absence at the time pregnancy was confirmed (p = 0.02 and, in Sao Paulo-SP, with their negative reaction to news of the pregnancy (p = 0.04 and lack of participation in the abortion process (p < 0.01. Conclusion: despite having achieved independence, women still regard male participation in the abortion process as an important factor. The specifics of each capital denote the influence of the geographic and cultural dimension, indicating the need to take into account the particulars of each region in Brazil while considering a holistic approach to women's health.

  19. Voices and Images of Migrant Women who are Survivors of Domestic Violence

    Science.gov (United States)

    MOYA, EVA M.; BARAY, SILVIA MARÍA CHÁVEZ; MARTÍNEZ, OMAR

    2014-01-01

    Twenty-two Mexican immigrant women, using the Photovoice method, discuss their experiences and the challenges they have faced as domestic violence survivors in El Paso, Texas, usa. These include limited access to health services, their status as immigrants, and the lack of education on sexual and reproductive health, in conjunction with their deteriorating physical and mental health as well as that of their children. The final outcome of the project includes a bilingual Photovoice gallery of 28 photographs and stories as well as a “Call-to-action” addressed to policy and decision makers insisting on visibility, gender equality, legal support, education, as well as sexual and reproductive health education. PMID:25328561

  20. No Memory, No Future: Memoirs of Sephardic Women Published in the Past Twenty Years

    Directory of Open Access Journals (Sweden)

    Romeu Ferré, Pilar

    2008-12-01

    Full Text Available Throughout the 20th century, as well as in these early years of the 21th, several memoirs, autobiographical novels and orally-transmitted testimonies by Sephardic Jews have been published. These people knew the traditional community lifestyle of the Ottoman Empire before living through the social, cultural and political changes around the turn of the 20th century which brought about the decomposition of their Sephardic communities. Later they recreate —often in the new countries where they settled— this world that disappeared. The author analyzes here more than a dozen of such works, published by Sephardic women between 1987 and 2006. She calls attention to the way these women reconstruct their past and their identity in evoking the lifestyle, manners and customs of their original communities. Their testimonies differ significantly from those of the men, especially with regard to subjects such as family and social relationships.A lo largo del siglo XX y en lo que va del XXI se han publicado muchos libros de memorias, novelas autobiográficas y testimonios de historia oral de judíos sefardíes. Son gentes que conocieron la vida tradicional de las comunidades del antiguo imperio otomano, experimentaron los cambios sociales, culturales y políticos del paso de los siglos XIX al XX y la descomposición de las comunidades. Hoy recrean —la mayor parte de las veces, desde los nuevos países de emigración— ese mundo ya desaparecido. En este artículo la autora analiza una docena larga de este tipo de obras, publicadas por mujeres sefardíes entre 1987 y 2006. Enfatiza cómo estas mujeres reconstruyen su pasado y su identidad, evocando la vida, los usos y las costumbres de sus comunidades. Sus descripciones difieren sustancialmente de las de los hombres, en especial en lo que atañe a las relaciones familiares y sociales.

  1. An Inconvenient Truth: the invisibility of Women in ICT

    Directory of Open Access Journals (Sweden)

    Sue Lewis

    2007-12-01

    Full Text Available This paper presents research findings from an Australian Faculty of Information and Communication Technology (FICT against a backdrop of declining interest amongst women in courses and careers in Information and Communication Technology (ICT. It poses the question of why research conversations around women in ICT are still pedagogically ignored, even after over twenty years of gender research and projects. In reporting the findings of this research project it seeks an understanding of and remedy for the steep decline of interest and uptake of ICT places at tertiary institutions in Australia, particularly amongst young women. In addition to understanding gender differences in educational motivation and performance, and appreciating the challenges posed to ICT education, readers must also be cognisant of the steep decline of interest in careers in ICT in general.

  2. Changes in basal rates and bolus calculator settings in insulin pumps during pregnancy in women with type 1 diabetes

    DEFF Research Database (Denmark)

    Mathiesen, Jonathan M; Secher, Anna L; Ringholm, Lene

    2014-01-01

    OBJECTIVE: To explore insulin pump settings in a cohort of pregnant women with type 1 diabetes on insulin pump therapy with a bolus calculator. METHODS: Twenty-seven women with type 1 diabetes on insulin pump therapy were included in this study. At 8, 12, 21, 27 and 33 weeks, insulin pump setting...

  3. The influence of feminist ascription on judgements of women's physical attractiveness.

    Science.gov (United States)

    Swami, Viren; Salem, Natalie; Furnham, Adrian; Tovée, Martin J

    2008-06-01

    The present study examined the effect of feminist ascription on perceptions of the physical attractiveness of women ranging in body mass index (BMI). One-hundred and twenty-nine women who self-identified as feminists and 132 who self-identified as non-feminists rated a series of 10 images of women that varied in BMI from emaciated to obese. Results showed no significant differences between feminist and non-feminists in the figure they considered to be maximally attractive. However, feminists were more likely to positively perceive a wider range of body sizes than non-feminists. These results are discussed in relation to possible protective factors against the internalisation of the thin ideal and body objectification.

  4. Barriers to Physical Activity Among African American Women: An Integrative Review of the Literature.

    Science.gov (United States)

    Joseph, Rodney P; Ainsworth, Barbara E; Keller, Colleen; Dodgson, Joan E

    2015-01-01

    A key aspect for researchers to consider when developing culturally appropriate physical activity (PA) interventions for African American (AA) women are the specific barriers AA women face that limit their participation in PA. Identification and critical examination of these barriers is the first step in developing comprehensive culturally relevant approaches to promote PA and help resolve PA-related health disparities in this underserved population. We conducted a systematic integrative literature review to identify barriers to PA among AA women. Five electronic databases were searched, and forty-two studies (twenty-seven qualitative, fourteen quantitative, one mixed method) published since 1990 (range 1998-2013) in English language journals met inclusion criteria for review. Barriers were classified as intrapersonal, interpersonal, or environment/community according to their respective level of influence within our social ecological framework. Intrapersonal barriers included lack of time, knowledge, and motivation; physical appearance concerns; health concerns; monetary cost of exercise facilities; and tiredness/fatigue. Interpersonal barriers included family/caregiving responsibilities; lack of social support; and lack of a PA partner. Environmental barriers included safety concerns; lack of facilities; weather concerns; lack of sidewalks; and lack of physically active AA role models. Results provide key leverage points for researchers to consider when developing culturally relevant PA interventions for AA women.

  5. Discourses on menopause--Part II: How do women talk about menopause?

    DEFF Research Database (Denmark)

    Hvas, Lotte; Gannik, Dorte Effersøe

    2008-01-01

    The aim of this article is to describe which of the different available discourses women relate to as revealed in the way they talk about menopause. We use a discourse analytic approach, which implies that meaning is ascribed to things according to how we talk about them. Twenty-four menopausal...... women from Denmark were interviewed. They were selected to cover a broad spectrum of Danish women with different menopausal experiences and social background factors. Seven previously identified discourses could be found in the interviews, though to varying degrees from woman to woman. Nearly all women...... the menopause was talked about almost became kaleidoscopic when images speedily changed from the decrepit osteoporotic woman or a woman with lack of vitality and sex-appeal to a healthy and strong woman with control over her body and self. Since many women contact doctors in relation to menopause, and since...

  6. Evaluation of Bronchoalveolar Lavage Fluid Cytokines as Biomarkers for Invasive Pulmonary Aspergillosis in At-Risk Patients

    Science.gov (United States)

    Gonçalves, Samuel M.; Lagrou, Katrien; Rodrigues, Cláudia S.; Campos, Cláudia F.; Bernal-Martínez, Leticia; Rodrigues, Fernando; Silvestre, Ricardo; Alcazar-Fuoli, Laura; Maertens, Johan A.; Cunha, Cristina; Carvalho, Agostinho

    2017-01-01

    Background: Invasive pulmonary aspergillosis (IPA) is an infection that primarily affects immunocompromised hosts, including hematological patients and stem-cell transplant recipients. The diagnosis of IPA remains challenging, making desirable the availability of new specific biomarkers. High-throughput methods now allow us to interrogate the immune system for multiple markers of inflammation with enhanced resolution. Methods: To determine whether a signature of alveolar cytokines could be associated with the development of IPA and used as a diagnostic biomarker, we performed a nested case-control study involving 113 patients at-risk. Results: Among the 32 analytes tested, IL-1β, IL-6, IL-8, IL-17A, IL-23, and TNFα were significantly increased among patients with IPA, defining two clusters able to accurately differentiate cases of infection from controls. Genetic variants previously reported to confer increased risk of IPA compromised the production of specific cytokines and impaired their discriminatory potential toward infection. Collectively, our data indicated that IL-8 was the best performing cytokine, with alveolar levels ≥904 pg/mL predicting IPA with elevated sensitivity (90%), specificity (73%), and negative predictive value (88%). Conclusions: These findings highlight the existence of a specific profile of alveolar cytokines, with IL-8 being the dominant discriminator, which might be useful in supporting current diagnostic approaches for IPA. PMID:29238334

  7. Composição da avifauna em duas matas ciliares na bacia do rio Jacaré-Pepira, São Paulo, Brasil Bird community composition of two riparian forests at Jacaré-Pepira river, São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Maria Elisa de Castro Almeida

    1999-01-01

    Full Text Available A quali-quantitative survey was carried out in two riparian forests fragmente (approximately 40 ha each at Jacaré-Pepira river. Our intention was to characterize its bird community conceming richness, abundance and species occurrence in these areas. The qualitative survey showed 130 species at Santa Elisa (Brotas, São Paulo and 151 at Morro Chato (Dourado, São Paulo, whereas the quantitative survey revealed the presence of 69 and 75 species at Santa Elisa and Morro Chato, respectively. The small size and the isolation might be responsible for the low number of species found. Observing the abundance index values (IPA we realize that there are a few number of species with a high IPA on the one hand, while on the other there is a large number of species with intermediate and low IPA rates. A high detection coefficient (vocalization, low predatoiy rates and competition might have contributed for the higher abundance values found among these species. Furthermore, we have also registered species which are abundant in a fragment, but absent in the other, which might be explained by initial exclusion or local extinction. In spite of the riparian forests being protected by law, its clearing process has not stopped yet. Therefore, the study of this bird community is of uppermost impoitance for the elaboration of both conservation and management projects regarding these areas.

  8. Confidence and connectedness: Indigenous Māori women's views on personal safety in the context of intimate partner violence.

    Science.gov (United States)

    Wilson, Denise; Jackson, Debra; Herd, Ruth

    2016-07-01

    Māori (New Zealand) women, similar to women belonging to Indigenous and minority groups globally, have high levels of lifetime abuse, assault, and homicide, and are over-represented in events that compromise their safety. We sought insights into how Māori women view safety. Twenty Māori women's narratives revealed safety as a holistic concept involving a number of different elements. We found women had developed an acute sense of the concept of safety. They had firm views and clear strategies to maintain their own safety and that of their female family and friends. These women also provided insights into their experiences of feeling unsafe.

  9. KUALITAS SOAL UJIAN SEKOLAH MATEMATIKA PROGRAM IPA DAN KONTRIBUSINYA TERHADAP HASIL UJIAN NASIONAL

    Directory of Open Access Journals (Sweden)

    C. Heri Sulistiawan

    2016-06-01

    Full Text Available Penelitian ini bertujuan untuk mendeskripsikan kualitas soal Ujian Sekolah Matematika program IPA dan kontribusi skor Ujian Sekolah terhadap nilai Ujian Nasional. Jenis penelitian ini deskriptif eksploratif dengan pendekatan survei. Populasi penelitian ini adalah enam SMA Swasta Yayasan Katolik di Kota Yogyakarta. Sampel adalah lima SMA yang representatif dalam menggambarkan ciri populasi. Naskah soal ditelaah tiga orang ahli untuk analisis kualitas soal secara kualitatif. Jawaban siswa dianalisis secara Teori Tes Klasik dan Teori Respons Butir untuk mengetahui kualitas soal secara kuantitatif. Skor Ujian Sekolah dikorelasikan terhadap nilai Ujian Nasional untuk mengukur kontribusinya. Hasil penelitian: (1 kualitas soal secara kualitatif adalah sangat baik (satu SMA, baik (dua SMA, cukup baik (satu SMA, dan kurang baik (satu SMA; (2 secara kuantitatif menurut Teori Tes Klasik adalah cukup baik (satu SMA, kurang baik (tiga SMA, dan tidak baik (satu SMA, dengan reliabilitas Alpha termasuk reliabel; (3 secara kuantitatif menurut Teori Respons Butir adalah baik (tiga SMA, cukup baik (satu SMA, dan kurang baik (satu SMA; (4 Indeks konsistensi analisis butir soal termasuk cukup konsisten; (5 korelasi skor Ujian Sekolah terhadap nilai Ujian Nasional termasuk kategori besar; (6 berdasarkan telaah validitas isi perangkat, lebih dari 90% soal valid dan skor Ujian Sekolah valid/akurat dalam memprediksi hasil Ujian Nasional. Kata kunci: kualitas soal, ujian sekolah, matematika, ujian nasional   THE QUALITY OF MATHEMATICS SCHOOL EXAMINATION OF SCIENCE MAJOR AND ITS CONTRIBUTION TO THE RESULT OF NATIONAL EXAMINATION Abstract The purpose of this research is to describe the quality of Mathematics School Examination of Science Major and the contribution of School Examination scores to the result of National Examination. This research is a descriptive explorative research with survey approach. The population in this research are six Senior High Schools in

  10. Osteoporosis Medication and Quality of Life in Older Women - Original Investigation

    Directory of Open Access Journals (Sweden)

    Ayşe Dicle Turhanoğlu

    2008-04-01

    Full Text Available Aim: We aimed to investigate the effect of drug therapy on quality of life in older women with osteoporosis. Material and Methods: One hundred seventy seven women over 65 years were enrolled in this study. Quality of life was evaluated by Short-Form-36 (SF-36. Participants’ quality of life was compared according to their medication use for osteoporosis by comparing Physical Component Summary (PCS and Mental Component Summary (MCS score of SF-36 between groups. Results: While one hundred twenty two(68.9% of the participants had not used any drug, 20 (11.3% women had used only vitamin D-calcium and, 35 (19.8% women had used antiresorptive agents plus vitamin D-calcium. There were no statistically difference between groups in respect to age and bone mineral density (p>0.05. The mean values of PCS were 34.80±11.24, 30.33±9.49, and 31.56±7.28 respectively in the groups 1, 2 and 3. The mean values of MCS were 44.91±9, 44.15±11.93, and 44.42±12.09 respectively in the groups 1, 2 and 3. There were no significant differences between the PCS and MCS values (p>0.05, p>0.05. Conclusion: The findings of this study were considered that vitamin D plus calcium and antiresorptive agents were not sufficient to improve the quality of life in the older women with osteoporosis. (From the World of Osteoporosis 2008;14:7-11

  11. Twenty years of energy policy: What should we have learned?

    International Nuclear Information System (INIS)

    Greene, D.L.

    1994-07-01

    This report examines the past twenty years of energy market events and energy policies to determine what may be useful for the future. The author focuses on two important lessons that should have been learned but which the author feels have been seriously misunderstood. The first is that oil price shocks were a very big and very real problem for oil importing countries, a problem the has not gone away. The second is that automobile fuel economy regulation has worked and worked effectively to reduce oil consumption and the externalities associated with it, and can still work effectively in the future

  12. Twenty years of energy policy: What should we have learned?

    Energy Technology Data Exchange (ETDEWEB)

    Greene, D.L. [Oak Ridge National Lab., TN (United States). Center for Transportation Analysis

    1994-07-01

    This report examines the past twenty years of energy market events and energy policies to determine what may be useful for the future. The author focuses on two important lessons that should have been learned but which the author feels have been seriously misunderstood. The first is that oil price shocks were a very big and very real problem for oil importing countries, a problem the has not gone away. The second is that automobile fuel economy regulation has worked and worked effectively to reduce oil consumption and the externalities associated with it, and can still work effectively in the future.

  13. Prioritizing Improvable Human Capital Processes in Esfahan Oil Refinery Company Based on PCF and by IPA approach

    Directory of Open Access Journals (Sweden)

    Reza Behmanesh

    2012-06-01

    Full Text Available Development and management of human capital is an important task because it affects the performance of organization and hence the process improvements. However, it is necessary to deploy performance evaluation to prioritize improvable processes due to limited human resource, time and equipments. The objective of this research is to evaluate performance of the developed and managed human capital based upon the predetermined key performance indicators of American Productivity and Quality Center (APQC and to prioritize processes by Importance-Performance Analysis (IPA approach. As a case study, Esfahan Oil Refining Company (EORC has been studied. In order to analyze hypotheses, the state of human resource has been determined through data extracting among the best practice industries, and hence the strengths and weaknesses of the EORC have been identified. Finally, fuzzy numbers have been assigned to the Key Performance Indicators (KPIs and then the processes have been measured using the average value of its related KPIs. Consequently, the importance of the developed and managed human capital processes could be determined using the five points Likert spectrum. The reliability of the questionnaire has been determined by the Cronbach's Alpha of higher than 0.7, which is satisfactory. Findings imply that 10 out of 35 HCM processes in needs of improvement are prioritized as managing employee performance managing employee relations managing employee orientation and deployment developing and managing employee metrics developing and training employees managing employee communication managing human resource information systems (HRIS managing and maintaining employee data managing employee inquiry process and developing and managing time and attendance.

  14. Ecomorphological correlates of twenty dominant fish species of Amazonian floodplain lakes

    Directory of Open Access Journals (Sweden)

    F. K. Siqueira-Souza

    Full Text Available Abstract Fishes inhabiting Amazonian floodplain lakes exhibits a great variety of body shape, which was a key advantage to colonize the several habitats that compose these areas adjacent to the large Amazon rivers. In this paper, we did an ecomorphological analysis of twenty abundant species, sampled in May and August 2011, into two floodplain lakes of the lower stretch of the Solimões River. The analysis detected differences among species, which could be probably associated with swimming ability and habitat use preferences.

  15. Fractal dimension analysis in digital periapical radiographs: A diagnostic indicator of osteoporosis in post-menopausal women

    Directory of Open Access Journals (Sweden)

    Mathivanan Kavitha

    2017-01-01

    Full Text Available Objectives: To assess the alveolar bone density by fractal dimension (FD analysis in radiovisiograph of postmenopausal women of mandibular posterior region and to correlate FD values with t-scores of quantitative ultrasound of the calcaneus bone. Materials and Methods: This study, approved by the institutional review board, included 40 participants, aged 45–60 years divided into two groups. Twenty postmenopausal women with osteoporosis comprised group 1, and 20 postmenopausal women without osteoporosis comprised group 2 based on bone mineral density assessment of ultrasound of the calcaneus bone. Digital dental radiograph of mandibular first molar were obtained and used for assessing alveolar bone density by FD analysis and were correlated with t-scores of ultrasound of calcaneus bone. Results: The mean FD values were evaluated using SPSS 14 version software, and were found to be 1.738 and 1.867 for group 1 and group 2, respectively, which was statistically significant (P 0.05. Conclusion: FD analysis using direct digital periapical radiographs is a novel method, which can be used for early diagnosis of osteoporosis in the alveolar bone.

  16. Establishing the R&D Agenda for Twenty-First Century Learning

    Science.gov (United States)

    Kay, Ken; Honey, Margaret

    2006-01-01

    Much ink has flowed over the past few years describing the need to incorporate twenty-first century skills into K-12 education. Preparing students to succeed as citizens, thinkers, and workers--the bedrock of any educational system--in this environment means arming them with more than a list of facts and important dates. Infusing twenty-first…

  17. The interplay of trait anger, childhood physical abuse, and alcohol consumption in predicting intimate partner aggression.

    Science.gov (United States)

    Maldonado, Rosalita C; Watkins, Laura E; DiLillo, David

    2015-04-01

    The current study examined three well-established risk factors for intimate partner aggression (IPA) within Finkel and Eckhardt's I(3) model, including two impellance factors-trait anger and childhood physical abuse history-and the disinhibiting factor of alcohol consumption. Participants were 236 male and female college students in a committed heterosexual dating relationship who completed a battery of self-report measures assessing childhood physical abuse, trait anger, alcohol consumption, and IPA perpetration. Results revealed a significant three-way interaction showing that as the disinhibition factor alcohol consumption increased, the interaction of the two impelling factors, trait anger and childhood physical abuse, became increasingly more positive. Individuals who had high levels of childhood physical abuse and alcohol consumption were at greater risk of IPA perpetration when trait anger was high. Consistent with the I(3) model, these findings suggest that trait anger and a history of childhood physical abuse may increase tendencies to aggress against one's partner, whereas alcohol consumption may reduce individuals' abilities to manage these aggressive tendencies. The importance of interplay among these risk factors in elevating IPA risk is discussed, as are the implications for clinicians working with male and female IPA perpetrators. © The Author(s) 2014.

  18. Self-concept and sexuality of spinal cord injured women.

    Science.gov (United States)

    Fitting, M D; Salisbury, S; Davies, N H; Mayclin, D K

    1978-03-01

    Differences in perceived self-concept and sexual response before and after spinal cord injury were examined. Twenty-four women between the ages of 20 and 40 completed a questionnaire and participated in a brief taped interview. Most of the women viewed themselves as very or somewhat attractive and had been involved in a sexual relationship since injury. The majority viewed sexual relationships as very enjoyable, although many commented that changes in bowel and bladder function had inhibited sexual expression. The need for more effective sexual counseling was highlighted. A trend was noted for an interrelationship between sexuality and self-concept in adapting to acquired disability.

  19. "Missing pieces": exploring cardiac risk perceptions in older women.

    Science.gov (United States)

    Lefler, Leanne L; McSweeney, Jean C; Garner, Kimberly K

    2013-04-01

    Approximately 95% of older women have factors that put them at risk for developing cardiovascular disease, but research indicates many do not perceive themselves to be at risk. We examined older women's perceived risk for coronary heart disease (CHD) and the factors influencing their perceptions. We conducted a descriptive, qualitative study using in-depth, individual interviews and quantitative measures to assess perceived risk and risk factors. Twenty-four older African American and Caucasian women had a mean 4.46 cardiac risk factors but perceived their own CHD risk as unrealistically low at 1.95 cm (SD = 1.57, on 0-to-8 cm visual analogue scale). Narrative data clustered in themes that represented a lack of fact-based information and multiple misconceptions about CHD and prevention. Major improvements in CHD health are only achievable if risk factors are prevented. This research suggests older women have substantial needs for consistent CHD information and prevention guidance. Copyright 2013, SLACK Incorporated.

  20. ANALISIS PENINGKATAN KUALITAS PELAYANAN MAHASISWA MAGISTER MANAJEMEN TEKNOLOGI ITS SURABAYA DENGAN METODE SERVQUAL DAN IMPORTANCE PERFORMANCE ANALYSIS (IPA

    Directory of Open Access Journals (Sweden)

    Lissa Rosdiana Noer

    2016-08-01

    Full Text Available MMT-ITS Study Program is a program that has orientations in developing and implementing Technology Management science. This program has some fields and they are Industrial Management, Project Management, and Information Technology Management. Service quality can be known by using Service Quality Methods, they are: (i tangible, (ii reliability, (iii responsiveness, (iv assurance, and (v emphaty. The assesment of service levels use questionnaire and this research propose to use Gap 5.  Based on the integration result of Servqual Method and Importance Performance Analysis (IPA, MMT-ITS students’ satisfaction will be reached by improving some variables, they are: motorcycle parking space, availability of cleaning service, the ease of delivering facilities and infrastructures complaints, the efficiency of security guard (a main priority of quadrant I. Maintaining the achievement of quadrant II includes: quick in delivering academic information, satisfying literatures of books/references/journals, good lecture materials comprehension, online journal can be accessed easily and fast, any replacement class, fast response to students’ complaints, the ease of academic students’ complaints, the good conditions of tables and chairs, clean classroom,  employees willing to give lectures information, clarity in giving information related to college payment and another activities, guarantee of students’ data confidentiality, bright light in the room, safe feeling in students, polite and kind employees, room temperature which is cool. While, another very important variables are fast wifi/internet facility and clean toilet (quadrant IV that has high satisfaction level.

  1. Women And Visual Representations Of Space In Two Chinese Film Adaptations Of Hamlet

    Directory of Open Access Journals (Sweden)

    CHEANG WAI FONG

    2014-12-01

    Full Text Available This paper studies two Chinese film adaptations of Shakespeare’s Hamlet, Xiaogang Feng’s The Banquet (2006 and Sherwood Hu’s Prince of the Himalayas (2006, by focusing on their visual representations of spaces allotted to women. Its thesis is that even though on the original Shakespearean stage details of various spaces might not be as vividly represented as in modern film productions, spaces are still crucial dramatic elements imbued with powerful significations. By analyzing the two Chinese film adaptations alongside the original Hamlet text, the paper attempts to reinterpret their different representations of spaces in relation to their different historical-cultural gender notions.

  2. Day-3 embryo metabolomics in the spent culture media is altered in obese women undergoing in vitro fertilization.

    Science.gov (United States)

    Bellver, José; De Los Santos, María J; Alamá, Pilar; Castelló, Damià; Privitera, Laura; Galliano, Daniela; Labarta, Elena; Vidal, Carmen; Pellicer, Antonio; Domínguez, Francisco

    2015-06-01

    To determine whether the global metabolomic profile of the spent culture media (SCM) of day-3 embryos is different in obese and normoweight women undergoing in vitro fertilization (IVF). Prospective cohort analysis. IVF clinic. Twenty-eight young, nonsmoking women with normoweight, nonsmoking male partners with mild/normal sperm factors undergoing a first IVF attempt for idiopathic infertility, tubal factor infertility, or failed ovulation induction: obese ovulatory women (n = 12); obese women with polycystic ovary syndrome (PCOS; n = 4); normoweight ovulatory women (n = 12). Fifty μl of SCM collected from two day-3 embryos of each cohort. Metabolomic profiling via ultrahigh performance liquid chromatography coupled to mass spectrometry of SCM from a total of 56 embryos. The untargeted metabolomic profile was different in obese and normoweight women. Partial least squares discriminant analysis resulted in a clear separation of samples when a total of 551 differential metabolites were considered. A prediction model was generated using the most consistent metabolites. Most of the metabolites identified were saturated fatty acids, which were detected in lower concentrations in the SCM of embryos from obese women. The metabolomic profile was similar in obese women with or without PCOS. The metabolomic profile in the SCM of day-3 embryos is different in normoweight and obese women. Saturated fatty acids seem to be reduced when embryos from obese patients are present. NCT01448863. Copyright © 2015 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  3. Deployed Women’s Illness Behaviors While Managing Genitourinary Symptoms: An Exploratory Theoretical Synthesis of Two Qualitative Studies

    Science.gov (United States)

    2018-04-21

    IACUC approval letter for the research related study. If this is a technical publication/presentation. state the type (e.g. case report, QNQI study...behaviors of military women. " Qualitative research syntheses are at least three times removed from the lived experiences of the research participants they...two qualitative studies. Qualitative Health Research , 15, 729-749. Naclerio A, Stoia J, Trego L, & Flaherty, E. (2011). The ·Concerns of Women

  4. Taking account of what young women want from school sex education: two groups from Scotland and Uganda.

    Science.gov (United States)

    Cook, Sinead

    2010-01-01

    This study seeks to explore what young women want from their school-based sex education. Qualitative methods were used to explore the perspectives of two groups of young women from Uganda and Scotland. Of particular importance to all the young women were: a diverse sex education curriculum appropriate to the ages of the students, being taught by an outside female facilitator, single-sex classes and access to a female teacher. Furthermore, they proposed that discussion between small groups of friends is very useful. The Scottish group said that having a young teacher, teaching about emotions and relationships and being guided through their own decision making is also important. The Ugandan group emphasized the importance of being taught by female family members and having written materials provided on sex education. The study showed that young women from different backgrounds have strong opinions about sex education, and are an important resource for policy makers.

  5. IMPROVING WOMEN'S LIVES Practical support for women gives ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    IDRC Communications. LASTING IMPACTS. IDRC has supported poor women in developing countries in their efforts to learn, to earn, and to take part in local decision-making. University degrees and decent jobs make it easier ... Two Palestinian women sit in classroom. Scholarships bring hope to poor Palestinian women ...

  6. Design and feasibility testing of a novel group intervention for young women who binge drink in groups.

    Science.gov (United States)

    Irvine, Linda; Crombie, Iain K; Swanson, Vivien; Dimova, Elena D; Melson, Ambrose J; Fraser, Tracey M; Barbour, Rosaline; Rice, Peter M; Allan, Sheila

    2018-01-01

    Young women frequently drink alcohol in groups and binge drinking within these natural drinking groups is common. This study describes the design of a theoretically and empirically based group intervention to reduce binge drinking among young women. It also evaluates their engagement with the intervention and the acceptability of the study methods. Friendship groups of women aged 18-35 years, who had two or more episodes of binge drinking (>6 UK units on one occasion; 48g of alcohol) in the previous 30 days, were recruited from the community. A face-to-face group intervention, based on the Health Action Process Approach, was delivered over three sessions. Components of the intervention were woven around fun activities, such as making alcohol free cocktails. Women were followed up four months after the intervention was delivered. The target of 24 groups (comprising 97 women) was recruited. The common pattern of drinking was infrequent, heavy drinking (mean consumption on the heaviest drinking day was UK 18.1 units). Process evaluation revealed that the intervention was delivered with high fidelity and acceptability of the study methods was high. The women engaged positively with intervention components and made group decisions about cutting down. Twenty two groups set goals to reduce their drinking, and these were translated into action plans. Retention of individuals at follow up was 87%. This study successfully recruited groups of young women whose patterns of drinking place them at high risk of acute harm. This novel approach to delivering an alcohol intervention has potential to reduce binge drinking among young women. The high levels of engagement with key steps in the behavior change process suggests that the group intervention should be tested in a full randomised controlled trial.

  7. Prospective study of p-[{sup 123}I]iodo-L-phenylalanine and SPECT for the evaluation of newly diagnosed cerebral lesions: specific confirmation of glioma

    Energy Technology Data Exchange (ETDEWEB)

    Hellwig, Dirk; Schaefer, Andrea; Farmakis, Georgios; Grgic, Aleksandar; Kirsch, Carl-Martin [Saarland University Medical Center, Department of Nuclear Medicine, Homburg/Saar (Germany); Ketter, Ralf; Moringlane, Jean R.; Steudel, Wolf-Ingo [Saarland University Medical Center, Department of Neurosurgery, Homburg (Germany); Romeike, Bernd F.M. [Saarland University Medical Center, Institute of Neuropathology, Homburg (Germany); Friedrich-Schiller-University, Department of Neuropathology, Jena (Germany); Samnick, Samuel [Saarland University Medical Center, Department of Nuclear Medicine, Homburg/Saar (Germany); University of Wuerzburg, Department of Nuclear Medicine, Wuerzburg (Germany)

    2010-12-15

    The differentiation between gliomas, metastases and gliotic or inflammatory lesions by imaging techniques remains a challenge. Gliomas frequently exhibit increased uptake of radiolabelled amino acids and are thus amenable to PET or SPECT imaging. Recently, p-[{sup 123}I]iodo-L-phenylalanine (IPA) was validated for the visualization of glioma by SPECT and received orphan drug status. Here we investigated its diagnostic performance for differentiating indeterminate brain lesions. This prospective open study included 67 patients with newly diagnosed brain lesions suspicious for glioma (34 without and 33 with contrast enhancement in the MRI scan). Patients received 250 MBq IPA intravenously after overnight fasting. SPECT images at 30 min and 3 h post-injection were iteratively reconstructed and visually interpreted after image fusion with an MRI brain scan (fluid-attenuated inversion recovery sequence or T1-weighted contrast-enhanced image). Findings were correlated with results of stereotactic or open biopsies or serial imaging. Twenty-seven low-grade (2 WHO I, 25 WHO II) and 24 high-grade gliomas (1 WHO III, 23 WHO IV), 3 metastases originating from lung cancer as well as 13 non-neoplastic lesions were proven. All non-neoplastic lesions and all metastases were negative with IPA SPECT. Forty gliomas were true-positive (TP) and 11 false-negative (FN) findings (8 WHO II, 1 WHO III, 2 WHO IV) occurred. There were no false-positive (FP) findings. For the differentiation of primary brain tumours and non-neoplastic lesions, sensitivity and specificity were 78 and 100%. In 34 lesions without contrast enhancement in MRI, IPA SPECT resulted in 17 TP, 8 true-negative, 9 FN and no FP findings (sensitivity 65%, specificity 100%). In patients with suspected glioma, IPA SPECT shows a high specificity, but especially in low-grade gliomas FN findings may occur. Due to the high positive predictive value a positive finding allows a suspected glioma to be confirmed. (orig.)

  8. Prevalence of malaria parasitaemia and malaria related anaemia among pregnant women in Abakaliki, South East Nigeria.

    Science.gov (United States)

    Nwonwu, E U; Ibekwe, P C; Ugwu, J I; Obarezi, H C; Nwagbara, O C

    2009-06-01

    Malaria currently is regarded as the most common and potentially the most serious infection occurring in pregnancy in many sub Saharan African countries. This study was undertaken to evaluate the prevalence of malaria parasitaemia and malaria related anaemia among pregnant women in Abakaliki, South East, Nigeria. This is a cross sectional, descriptive study conducted in two tertiary health institutions in Abakaliki, South East, Nigeria (Ebonyi State University Teaching Hospital And Federal Medical Centre). Using systematic sampling method, 193 pregnant women were selected from the health institutions for the study. Their blood were analysed for haemoglobin status and malaria parasite. Data were also collected using an interviewer administered questionnaire. All the data were analysed using Epi info version 6 statistical software. Response rate was 100%. Twenty nine percent prevalence of malaria parasitaemia was detected, more common among primigravidae. Women with higher parity had higher frequency of anaemia in pregnancy. More than half of the pregnant women (51%) were in their second trimester at the time of booking. There was no case of severe anaemia requiring blood transfusion. Our pregnant women register late for antenatal care. Prevalence of malaria parasitaemia is high in our environment as well as anaemia in pregnancy, using the standard WHO definition. It is suggested that effort should be intensified to make our women register early for antenatal care in order to identify complications early. Intermittent preventive treatment for malaria should be incorporated into routine drugs for antenatal women.

  9. The next twenty years - IAEA's role

    International Nuclear Information System (INIS)

    Tape, G.F.

    1977-01-01

    The twentieth anniversary of an institution is an appropriate time to look back and to ask what has been achieved. It is also an appropriate time to look ahead and to ask what should be the mission for the future. How can the strengths of the International Atomic Energy Agency (IAEA) be best utilized, what new opportunities should be seized upon, and what challenges should the IAEA be prepared to meet in the next twenty years? Forward planning is a very necessary activity in today's world. There are so many demands on national or institutional resources that careful analysis of options is necessary to establish priorities and ultimately to provide for implementation. But such planning must be done carefully with full appreciation for the validity and sensitivity of the input assumptions and data. Furthermore, today's plan, while setting goals and directions, cannot be so inflexible that it cannot be responsive to ever-changing political, economic and technical constraints or opportunities. Thus in looking ahead, the plan must contain provisions for flexibility to provide for further modifications in the light of ever-changing knowledge, attitudes, and world conditions. The experience of the past five years in the energy field, and especially in nuclear energy, underscores this need. In looking ahead for the next twenty years, we are attempting to describe the International Atomic Energy Agency and its role through the twentieth century. In doing so, we are automatically laying the base for the Agency's work going into the twenty-first century. In short, we are trying to visualize a programme that can serve the coming generation and, in doing so, creating a base from which the needs of the succeeding generation can be met. This is a large order and the crystal ball is less than clear. (author)

  10. Nutritive value of diferents silage sorghum (Sorghum bicolor L. Moench cultivares - doi: 10.4025/actascianimsci.v34i2.12853

    Directory of Open Access Journals (Sweden)

    Luiz Henrique dos Santos Gomes

    2012-03-01

    Full Text Available Nutrition values of silages from different sorghum cultivars are evaluated. Five 26-kg castrated crossbred lambs, housed in pens equipped with feces and urine collectors for the study of their metabolism, were employed in a 5 x 5 Latin square experimental design. Treatments consisted of silage from five different sorghum cultivars: IPA 1011 and IPA 2564 (grain sorghum, IPA 2502 (dual purpose sorghum, IPA FS-25 and IPA 467 (forage sorghum. Protein level was corrected to 12% by adding a mixture of urea: ammonium sulfate (9:1. Treatments IPA 1011, IPA 2564 and IPA 2502 provided high intake of dry matter, total carbohydrate and total digestible nutrients, and low intake of neutral detergent fiber. Cultivars IPA 1011 and IPA 2564 provided high apparent crude protein digestibility coefficient, whereas cultivars IPA 1011 and IPA 2564 had high total digestible nutrient levels. All cultivars provided positive nitrogen. Owing to nutrient intake and digestibility values, grain sorghum silages evidenced high potential in ruminant nutrition.

  11. Body image perceptions in women with pelvic organ prolapse: a qualitative study.

    Science.gov (United States)

    Lowder, Jerry L; Ghetti, Chiara; Nikolajski, Cara; Oliphant, Sallie S; Zyczynski, Halina M

    2011-05-01

    To describe perceptions of prolapse-specific body image in women with symptomatic prolapse. Women with symptomatic pelvic organ prolapse quantification stage ≥ II prolapse participated in semistructured focus groups or self-report questionnaire. Transcripts were independently reviewed and body image themes were identified and confirmed by consensus. Twenty-five women participated in focus groups and 27 in online questionnaires. Transcript analysis revealed 3 central themes and 25 body-image related subthemes. Women living with prolapse were more likely to feel self-conscious, isolated, "different," less feminine, and less attractive. Women often changed sexual intimacy practices because of embarrassment or discomfort, and many avoided intimacy all together. Prolapse greatly affected women's personal and professional activities causing some women to adjust routines or stop activities. Women reported loss of interest in activities, distraction while performing daily/work-related tasks, and embarrassment when asking for help with activities. Themes identified in this qualitative study demonstrate the profound effect of prolapse on a woman's body image. Copyright © 2011 Mosby, Inc. All rights reserved.

  12. An Intersectional Analysis of Women's Experiences of Smoking-Related Stigma.

    Science.gov (United States)

    Triandafilidis, Zoi; Ussher, Jane M; Perz, Janette; Huppatz, Kate

    2017-08-01

    In this article, we explore how young women encounter and counter discourses of smoking-related stigma. Twenty-seven young Australian women, smokers and ex-smokers, took part in interviews. A sub-sample of 18 participants took photographs to document their smoking experience, and took part in a second interview. Data were analyzed through Foucauldian discourse analysis. Four discourses were identified: "smoking as stigmatized," "the smoking double standard," "smoking as lower class," and "smokers as bad mothers." The women negotiated stigma in a variety of ways, shifting between agreeing, disagreeing, challenging, and displacing stigma onto "other" smokers. These experiences and negotiations of smoking-related stigma were shaped by intersecting identities, including gender, cultural background, social class, and mothering, which at times, compounded levels of stigmatization. It is concluded that tobacco control measures should consider the negative implications of smoking-related stigma, and the potential for women to experience compounding levels of stigma.

  13. Diurnal changes of blood pressure values (24 h blood pressures in women with polycystic ovary syndrome

    Directory of Open Access Journals (Sweden)

    Barbara Grzechocińska

    2011-06-01

    Full Text Available Background: More attention is being paid lately to polycystic ovary syndrome (PCOS not only in the aspect of fertility but also according to long-term metabolic and cardiovascular abnormalities. Observations of women with PCOS show that the occurrence of blood hypertension is more frequent after the menopause. There are few articles concerning the predictable symptoms of blood hypertension. It seems that twenty-four hour blood pressure monitoring and assessment of changes of diurnal rhythm could be useful in this group of patients.Aim of the study: The purpose of this study was to assess diurnal changes of blood pressure in women with polycystic ovary syndrome.Material and methods: 26 women with PCOS diagnosed according to Rotterdam consensus criteria and Androgen Excess Society (AES criteria were included in our study. The mean age of the examined women was 29.5 years and the mean BMI (body mass index was 24.7 kg/m2. The control group consisted of 12 age-matched women, without PCOS. Twenty-four hour Holter monitoring of ambulatory blood pressure was performed during normal daily activity in all patients. Halberg’s cosinor method was used to analyse daily biorhythm.Results: Results show the diurnal changes of systolic blood pressure in the preclinical phase in 30% and diastolic in 15% of PCOS women. In this group no physiological decrease of blood pressure at night time was observed.

  14. Catholic school governance in the twenty-first century: continuity, incongruity and challenge

    OpenAIRE

    Storr, Christopher John

    2007-01-01

    This study has two main aspects: first, it reports the results of a survey of ninety nine governors working in Roman Catholic primary and secondary schools situated in four English Catholic dioceses, and publishes hitherto unknown information about them; and, second, it examines how, in seeking to maintain a distinctive educational ethos, these governors are responding both to the legislative changes of the last twenty years, and to changes in English social and cultural attitudes. It shows h...

  15. Women Fellows of IASc | Women in Science | Initiatives | Indian ...

    Indian Academy of Sciences (India)

    Home; Initiatives; Women in Science; Women Fellows of IASc ... The Academy governing council had in the past two women Fellows over the years and in ... young age of 52, after a valiant battle with cancer, today on 29th March 2016 in Delhi.

  16. Genetic variants of genital mycoplasmas and their relation to the clinical course of inflammatory diseases of the urogenital system in women

    Directory of Open Access Journals (Sweden)

    M. R. Rakhmatulina

    2014-01-01

    Full Text Available Goal of the study. To study genetic variability of M. hominis (based on the vaa gene and M. genitalium (based on the mg192 gene derived from biological material samples taken from women with different clinical manifestations of inflammatory diseases of the urogenital system and clinically healthy women (for M. hominis. Materials and methods. Genetic variability of twenty M. hominis samples taken from patients with inflammatory diseases of the urogenital system and twenty M. hominis samples taken from patients without clinical and laboratory signs of inflammatory processes of the urogenital system was studied by the sequence analysis method. Genetic variability of eight M. genitalium samples taken from patients with different clinical signs of inflammatory diseases of the urogenital system was also examined by the sequence analysis method. Results. Three genetic variants of M. hominis based on the vaa gene were found; variant I was revealed more often in patients with clinical manifestations of inflammatory diseases (65.0%, and variant II - in clinically healthy women (60.0%. Three phylogenetic M. gentium groups based on the mg192 gene were revealed; two samples were referred to Groups I and II, and four samples were referred to Group III. Samples from each phylogenetic groups were taken from patients with clinical and laboratory manifestations of cervicitis and urethritis. Conclusion. The study data demonstrate a potential effect of the VAA surface protein on the virulence of opportunistic M. hominis pathogens.

  17. Opinion of women about elective abortion

    Directory of Open Access Journals (Sweden)

    Bülent Çakmak

    2014-09-01

    Full Text Available Objective: The aim of this study was to investigate the opinions of women who presented to the hospital for elective abortion. Materials and Methods: This descriptive study was designed and conducted at our university hospital between March 2013-April 2013 by the method of face-to-face interviews with 500 women who presented to the hospital as patient or relatives of patients. Poll consisted of 6 questions about demographic characteristics and 14 questions evaluating the opinions and attitudes about abortion. Results: The age of the women who participated in the study was ranging between 18 and 75 years with the mean age of 31.5±11.9 years. Twenty-six women (5.2% were illiterate, while 109 (21.8% were university graduates. 70.8% of women stated that they were against elective abortion. Among the reasons against abortion on request were: “forbidden by the religion”-53.1% of women, “against human rights”-35.3%, and “unhealthy for the mother”-7.1% of women. About the prohibition of abortion, 82.4% of women said that “it may be performed under necessary conditions”, 9.6% “it should be completely forbidden”, and 8% stated that “it should never be forbidden”. Conclusion: A large number of respondents reported that they have negative attitude towards elective abortion, however, in case of medical necessity, abortion should be performed. During the legal arrangements done about situations that may affect the public health, such as abortion regulations, we believe it would be useful to assess the perspective of the society on this issue.

  18. Why American business demands twenty-first century skills: an industry perspective.

    Science.gov (United States)

    Bruett, Karen

    2006-01-01

    Public education is the key to individual and business prosperity. With a vested stake in education, educators, employers, parents, policymakers, and the public should question how this nation's public education system is faring. Knowing that recent international assessments have shown little or no gains in American students' achievement, the author asserts the clear need for change. As both a large American corporate employer and a provider of technology for schools, Dell is concerned with ensuring that youth will thrive in their adult lives. Changing workplace expectations lead to a new list of skills students will need to acquire before completing their schooling. Through technology, Dell supports schools in meeting educational goals, striving to supply students with the necessary skills, referred to as twenty-first century skills. The Partnership for 21st Century Skills, of which Dell is a member, has led an initiative to define what twenty-first century learning should entail. Through extensive research, the partnership has built a framework outlining twenty-first century skills: analytical thinking, communication, collaboration, global awareness, and technological and economic literacy. Dell and the partnership are working state by state to promote the integration of these skills into curricula, professional development for teachers, and classroom environments. The authors describe two current initiatives, one in Virginia, the other in Texas, which both use technology to help student learning. All stakeholders can take part in preparing young people to compete in the global economy. Educators and administrators, legislators, parents, and employers must play their role in helping students be ready for what the workforce and the world has in store for them.

  19. Women's experiences of their violent behavior in an intimate partner relationship.

    Science.gov (United States)

    Flinck, Aune; Paavilainen, Eija

    2010-03-01

    The purpose of this study was to describe women's perceptions of their violent behavior in a heterosexual partnership. The study followed the traditions of Husserlian descriptive phenomenology and the philosophy of existential phenomenology. Twenty-four volunteer Finnish women, aged 19 to 58 years, with a history of different manifestations of intimate partner violence (IPV) participated in open-ended interviews. The data were analyzed by the method developed by Colaizzi. The findings revealed that some of the women who opposed all violence on ethical grounds did not label their behavior as violent; some others minimized or justified their violent behavior. The findings offer professional insight into women's violent behavior and call for a readjustment in approaches to work in the area. Prevention and early identification of IPV require knowledge of the various manifestations and individual meanings of violence. Helping methods should provide women with the opportunity to talk about their abusive behavior and to confront and address their feelings of guilt, disappointment, and shame.

  20. Two Women with Multiple Disabilities Communicate with Distant Partners via a Special Text Messaging System

    Science.gov (United States)

    Lancioni, Giulio E.; O'Reilly, Mark F.; Singh, Nirbhay N.; Sigafoos, Jeff; Green, Vanessa A.; Oliva, Doretta; Alberti, Gloria; Carrella, Luigina

    2013-01-01

    This study extended the research on a special text messaging system, which allows persons with multiple disabilities to (a) write and send messages to distant partners and (b) have messages from those partners read out to them. The study involved two women with multiple disabilities (including blindness or minimal residual vision). The system…

  1. Use of HIV pre-exposure prophylaxis during the preconception, antepartum and postpartum periods at two United States medical centers.

    Science.gov (United States)

    Seidman, Dominika L; Weber, Shannon; Timoney, Maria Teresa; Oza, Karishma K; Mullins, Elizabeth; Cohan, Deborah L; Wright, Rodney L

    2016-11-01

    Pregnancy may increase a woman's susceptibility to HIV. Maternal HIV acquisition during pregnancy and lactation is associated with increased perinatal and lactational HIV transmission. There are no published reports of preexposure prophylaxis use after the first trimester of pregnancy or during lactation. The purpose of this study was to report the use of preexposure prophylaxis and to identify gaps in HIV prevention services for women who were at substantial risk of HIV preconception and during pregnancy and lactation at 2 United States medical centers. Chart review was performed on women who were identified as "at significant risk" for HIV acquisition preconception (women desiring pregnancy) and during pregnancy and lactation at 2 medical centers in San Francisco and New York from 2010-2015. Women were referred to specialty clinics for women who were living with or were at substantial risk of HIV. Twenty-seven women who were identified had a median age of 27 years. One-half of the women had unstable housing, 22% of the women had ongoing intimate partner violence, and 22% of the women had active substance use. Twenty-six women had a male partner living with HIV, and 1 woman had a male partner who had sex with men. Of the partners who were living with HIV, 73% (19/26) were receiving antiretroviral therapy, and 42% (11/26) had documented viral suppression. Thirty-nine percent (10/26) of partners had known detectable virus, and 19% (5/26) had unknown viral loads. Women were identified by clinicians, health educators, and health departments. Approximately one-third of the women were identified preconception (8/27); the majority of the women were identified during pregnancy (18/27) with a median gestational age of 20 weeks (interquartile range, 11-23), and 1 woman was identified in the postpartum period. None of the pregnant referrals had received safer conception counseling to reduce HIV transmission. Twenty-six percent of all women (7/27) were eligible for

  2. Physical activity and coronary artery calcification in two cohorts of women representing early and late postmenopause.

    Science.gov (United States)

    Storti, Kristi L; Pettee Gabriel, Kelley K; Underwood, Darcy A; Kuller, Lewis H; Kriska, Andrea M

    2010-01-01

    The aim of this study was to examine the association between physical activity (PA) and coronary artery calcification (CAC) among two cohorts of postmenopausal (PM) women representing early and late postmenopause. The cross-sectional relationship between PA and CAC was examined in 173 younger PM women (mean age ± SD, 56.8 ± 2.9 y) from the Women on the Move Through Activity and Nutrition (WOMAN) study and 121 older PM women (mean age ± SD, 73.9 ± 3.8 y) from the Walking Women Follow-up (WWF) study who had complete PA and CAC data. PA was measured objectively using a pedometer over a 7-day period in both cohorts. CAC was assessed using electron beam tomography. Descriptive statistics were used to describe median levels of PA and CAC, as well as proportions of detectable CAC (0 vs > 0). Fifty-seven percent of WOMAN study participants and 74% of WWF study participants had detectable CAC. The median (interquartile range) CAC score was 1.4 (0-23.3) for participants in the WOMAN study and 38.8 (0-264.4) among WWF study participants. Median (interquartile range) step counts were 6,447 (4,823-8,722) steps per day in the WOMAN study and 5,466 (3,610-7,576) steps per day for WWF study participants. Among WWF study participants, there was a statistically significant inverse association between pedometer steps and CAC (P for trend = 0.002); no association was found among WOMAN study participants. Among older PM women, higher levels of PA were associated with lower CAC. However, the relationship was not observed in PM women, likely due to the lower prevalence of CAC in this age group.

  3. Incidence of stroke in women in Auckland, New Zealand. Ethnic trends over two decades: 1981-2003.

    Science.gov (United States)

    Dyall, Lorna; Carter, Kristie; Bonita, Ruth; Anderson, Craig; Feigin, Valery; Kerse, Ngaire; Brown, Paul

    2006-11-17

    Although women have a greater lifetime risk of stroke than men, along with other gender differences in stroke, there is lack of reliable data on long-term trends in stroke in women. This paper presents the results of three population-based registers in Auckland (1981-1982, 1991-1992, and 2002-2003) which aimed to determine the trends in the incidence of stroke in New Zealand. This paper reports on the burden of stroke in women across different ethnic groups over the study period from 1981 to 2003. Three studies using similar methodology and overlapping case finding methods have been conducted in New Zealand to estimate trends in the incidence and outcome of stroke. The studies are recognised as meeting the 'ideal' criteria for stroke incidence and identify all first-ever and recurrent strokes in residents (aged greater than and equal to 15 years) the population of Auckland, New Zealand in the 12-month periods from 1981-1982, 1991-1992, and 2002-2003. There were totals of 307,578 strokes among women in 1981, 372,642 in 1991, and 470,727 in 2001, according to each Census representing over 50% of the population at each period (51%-54%). The WHO standard world population was used for direct age standardisation of annual rates (per 100,000 population), reported with 95% confidence intervals (CI). The proportion of women who have experienced a stroke did not change markedly over the study period but there were ethnic differences emerging which were related to population changes within the New Zealand population. Standardised stroke incidence in women was relatively stable across the three study periods (1981-1982), 133 [95% CI 118-151]; (1991-1992), 143 [95% CI 116-241]; and (2002-2003), 124 [95% CI 115-134]). However, a significant decline of 14% (95% CI 2%-29%) in rates of first-ever stroke was found between 1991-1992 and 2002-2003 in women. In contrast to the significant declines in event rates in European women over two decades (Rate ratio 0.84, 95% CI 0

  4. Prevalence and associated factors of domestic violence among pregnant women attending routine antenatal care in Nepal.

    Science.gov (United States)

    Rishal, Poonam; Pun, Kunta Devi; Darj, Elisabeth; Joshi, Sunil Kumar; Bjørngaard, Johan Håkon; Swahnberg, Katarina; Schei, Berit; Lukasse, Mirjam

    2017-08-01

    The primary aim of this study was to assess the prevalence of domestic violence (DV) and its associated factors among pregnant women in Nepal. The secondary aims were to investigate disclosure of DV by women to health-care personnel and to assess whether health-care personnel had asked women about their experience of DV. This cross-sectional study included 2004 pregnant women between 12 and 28 weeks of gestation attending routine antenatal care at two hospitals in Nepal from August 2014 to November 2015. In this study, DV was defined as fear of a family member and/or an experience of physical, emotional or sexual violence. Associated risk factors were analysed using logistic regression analyses. Twenty-one per cent of the women had experienced DV; 12.5% experienced fear only, 3.6% violence only and 4.9% experienced both violence and fear. Less than 2% per cent reported physical violence during pregnancy. This study found that just 17.7% had ever been asked by health-care personnel about DV, and of the women who had reported DV, only 9.5% had disclosed their experience to health-care personnel. Women of young age and low socio-economic status were more likely to have experienced DV. Women who reported having their own income and the autonomy to use it were at significantly lower risk of DV compared to women with no income. A substantial proportion of women reported having experienced DV. Victims had rarely disclosed their experience of DV to health-care personnel. This study underlines the importance of integrating systematic assessment of DV in antenatal care.

  5. Acute stress alters autonomic modulation during sleep in women approaching menopause.

    Science.gov (United States)

    de Zambotti, Massimiliano; Sugarbaker, David; Trinder, John; Colrain, Ian M; Baker, Fiona C

    2016-04-01

    Hot flashes, hormones, and psychosocial factors contribute to insomnia risk in the context of the menopausal transition. Stress is a well-recognized factor implicated in the pathophysiology of insomnia; however the impact of stress on sleep and sleep-related processes in perimenopausal women remains largely unknown. We investigated the effect of an acute experimental stress (impending Trier Social Stress Task in the morning) on pre-sleep measures of cortisol and autonomic arousal in perimenopausal women with and without insomnia that developed in the context of the menopausal transition. In addition, we assessed the macro- and micro-structure of sleep and autonomic functioning during sleep. Following adaptation to the laboratory, twenty two women with (age: 50.4 ± 3.2 years) and eighteen women without (age: 48.5 ± 2.3 years) insomnia had two randomized in-lab overnight recordings: baseline and stress nights. Anticipation of the task resulted in higher pre-sleep salivary cortisol levels and perceived tension, faster heart rate and lower vagal activity, based on heart rate variability measures, in both groups of women. The effect of the stress manipulation on the autonomic nervous system extended into the first 4 h of the night in both groups. However, vagal tone recovered 4-6 h into the stress night in controls but not in the insomnia group. Sleep macrostructure was largely unaltered by the stress, apart from a delayed latency to REM sleep in both groups. Quantitative analysis of non-rapid eye movement sleep microstructure revealed greater electroencephalographic (EEG) power in the beta1 range (15-≤23 Hz), reflecting greater EEG arousal during sleep, on the stress night compared to baseline, in the insomnia group. Hot flash frequency remained similar on both nights for both groups. These results show that pre-sleep stress impacts autonomic nervous system functioning before and during sleep in perimenopausal women with and without insomnia. Findings also indicate

  6. A Systematic Review of Osteoporosis Health Beliefs in Adult Men and Women

    Directory of Open Access Journals (Sweden)

    Katherine M. McLeod

    2011-01-01

    Full Text Available Osteoporosis is major public health concern affecting millions of older adults worldwide. A systematic review was carried out to identify the most common osteoporosis health beliefs in adult men and women from descriptive and intervention studies. The Osteoporosis Health Belief Scale (OHBS and Osteoporosis Self-efficacy Scale (OSES evaluate osteoporosis health beliefs, including perceived susceptibility and seriousness, benefits, barriers, and self-efficacy of calcium and exercise, and health motivation, and their relationship to preventive health behaviours. A comprehensive search of studies that included OHBS and OSES subscale scores as outcomes was performed. Fifty full-text articles for citations were reviewed based on inclusion criteria. Twenty-two articles met the inclusion criteria. Greater perceived seriousness, benefits, self-efficacy, health motivation, and fewer barriers were the most common health-belief subscales in men and women. Few studies were interventions (n=6 and addressed osteoporosis health beliefs in men (n=8. Taking health beliefs into consideration when planning and conducting education interventions may be useful in both research and practice for osteoporosis prevention and management; however, more research in this area is needed.

  7. Childhood risk factors in Korean women with anorexia nervosa: two sets of case-control studies with retrospective comparisons.

    Science.gov (United States)

    Kim, Youl-Ri; Heo, Si Young; Kang, Heechan; Song, Ki Jun; Treasure, Janet

    2010-11-01

    The aim of this study was to investigate the characteristics of the risk factors for anorexia nervosa (AN) in Korean women. Two sets of case-control comparisons were conducted, in which 52 women with lifetime AN from Seoul, S. Korea, were compared with 108 Korean healthy controls and also with 42 women with lifetime AN from the UK in terms of their childhood risk factors. A questionnaire designed to conduct a retrospective assessment of the childhood risk factors was administered to all participants. The Korean AN women were more likely to report premorbid anxiety, perfectionism, and emotional undereating and were less likely to report having supportive figures in their childhood than the Korean healthy controls. There were no overall differences in the childhood risk factors between the Korean and British women with AN. Premorbid anxiety, perfectionism, less social support, and emotional undereating merit attention as risk factors in Korean AN. The current results are informative, but an epidemiologically robust prospective case-control study would be needed to validate these findings. © 2009 by Wiley Periodicals, Inc.

  8. The frontier 'cowboy' myth and entrepreneurialism in the culture of the Alberta oil industry. Professional women's coping strategies: an interpretive study of women's experience

    International Nuclear Information System (INIS)

    Miller, G.E.

    1998-01-01

    Barriers to professional advancement of women in the oil industry are examined. Four mechanisms in particular are considered to be the source of these barriers: (1) the myth of the frontier and the cowboy hero that create a particular approach to life and work, (2) the primacy of entrepreneuralism, combined with the technical, rational culture of engineers which reinforces division of work by gender, (3) the culture of reliance on informal, shared masculine interests and a paternalistic behaviour towards women that excludes them from circles of power, and (4) women's own adaptation strategies that reinforce the masculine value system and result in short term success and long term failure. In-depth interviews with twenty women provide most of the data, supported by accounts of the founders of the industry, and contextual, observational data derived from many years of immersion in a community dominated by the oil industry. The implications of gender bias for organizations are highlighted

  9. Winged Auxiliaries: Women Pilots in the UK and US during World War Two

    Science.gov (United States)

    Schrader, Helena P.

    2006-05-01

    During World War II women in the US and the UK were given the then unprecedented opportunity to fly military aircraft. Yet while the women flying in the UK soon gained the privileges and status enjoyed by their male colleagues, the American women pilots were expressly denied the same status, rank, pay, and benefits as USAAF pilots. In fact, after an ugly slander campaign against the women pilots' organisation, the US programme was discontinued and the women were sent home before their job was done. The American women pilots were not less dedicated or inherently less capable than the women flying in Britain. Rather, key environmental and organisational differences and above all a failure of leadership accounts for their fate. This paper summarises the differences and their impact. The complete findings of the comparative research on the experiences of women pilots in the US and the UK during WWII will be published by Pen & Sword Books Inc early in 2006 under the title Sisters in Arms.

  10. Socio-economic development of women in Zambia, an analysis of two women's organisations

    NARCIS (Netherlands)

    Touwen, Anne

    1990-01-01

    This report on the role of local nongovernmental organizations (NGOs) in the improvement of the socioeconomic position of women in Zambia is based on anthropological fieldwork carried out in 1988 and 1989, and a consultancy mission undertaken on behalf of the Organization of Dutch volunteers abroad

  11. Changes in Cosmetics Use during Pregnancy and Risk Perception by Women.

    Science.gov (United States)

    Marie, Cécile; Cabut, Sophie; Vendittelli, Françoise; Sauvant-Rochat, Marie-Pierre

    2016-03-30

    Cosmetic products contain various chemical substances that may be potential carcinogen and endocrine disruptors. Women's changes in cosmetics use during pregnancy and their risk perception of these products have not been extensively investigated. The main objective of this study was to describe the proportion of pregnant women changing cosmetics use and the proportion of non-pregnant women intending to do so if they became pregnant. The secondary objectives were to compare, among the pregnant women, the proportions of those using cosmetics before and during pregnancy, and to describe among pregnant and non-pregnant women, the risk perception of these products. A cross-sectional study was carried out in a gynaecology clinic and four community pharmacies. One hundred and twenty-eight women (60 non-pregnant and 68 pregnant women) replied to a self-administered questionnaire. Cosmetics use was identified for 28 products. The results showed that few women intended to change or had changed cosmetics use during pregnancy. Nail polish was used by fewer pregnant women compared to the period before pregnancy (p risk during pregnancy and 65% would have appreciated advice about these products. Our findings indicate that all perinatal health professionals should be ready to advise women about the benefits and risks of using cosmetics during pregnancy.

  12. Evaluation of two vaccine education interventions to improve pertussis vaccination among pregnant African American women: A randomized controlled trial.

    Science.gov (United States)

    Kriss, Jennifer L; Frew, Paula M; Cortes, Marielysse; Malik, Fauzia A; Chamberlain, Allison T; Seib, Katherine; Flowers, Lisa; Ault, Kevin A; Howards, Penelope P; Orenstein, Walter A; Omer, Saad B

    2017-03-13

    Vaccination coverage with tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine in pregnancy or immediately postpartum has been low. Limited data exist on rigorously evaluated interventions to increase maternal vaccination, including Tdap. Tailored messaging based on the Elaboration Likelihood Model (ELM) framework has been successful in improving uptake of some public health interventions. We evaluated the effect of two ELM-based vaccine educational interventions on Tdap vaccination among pregnant African American women, a group of women who tend to have lower vaccine uptake compared with other groups. We conducted a prospective randomized controlled trial to pilot test two interventions - an affective messaging video and a cognitive messaging iBook - among pregnant African American women recruited during routine prenatal care visits. We measured Tdap vaccination during the perinatal period (during pregnancy and immediately postpartum), reasons for non-vaccination, and intention to receive Tdap in the next pregnancy. Among the enrolled women (n=106), 90% completed follow-up. Tdap vaccination in the perinatal period was 18% in the control group; 50% in the iBook group (Risk Ratio [vs. control group]: 2.83; 95% CI, 1.26-6.37), and 29% in the video group (RR: 1.65; 95% CI, 0.66-4.09). From baseline to follow-up, women's reported intention to receive Tdap during the next pregnancy improved in all three groups. Among unvaccinated women, the most common reason reported for non-vaccination was lack of a recommendation for Tdap by the woman's physician. Education interventions that provide targeted information for pregnant women in an interactive manner may be useful to improve Tdap vaccination during the perinatal period. However, larger studies including multiple racial and ethnic groups are needed to evaluate robustness of our findings. clinicaltrials.gov Identifier: NCT01740310. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. The influence of patriarchal norms, institutions, and household composition on women's employment in twenty-eight Muslim-majority countries

    NARCIS (Netherlands)

    Spierings, N.

    2014-01-01

    The low level of women's employment in Muslim-majority countries is often explained by patriarchy, while disregarding variation among and within these countries. Using a new theoretical framework, this study translates patriarchy as a concept to macro- and micro-level explanations of employment. It

  14. Severe physical violence among intimate partners: a risk factor for vaginal bleeding during gestation in less privileged women?

    Science.gov (United States)

    Moraes, Claudia Leite; Reichenheim, Michael; Nunes, Antônio Paulo

    2009-01-01

    To evaluate the role of severe physical violence within intimate partners on the occurrence of vaginal bleeding during gestation in less privileged women. Health service survey. Three large public maternities in the city of Rio de Janeiro, Brazil. Five hundred and twenty-eight women who gave birth to full-term newborn infants were selected at random among the births that took place during the six months of fieldwork. Information on vaginal bleeding during gestation was obtained from medical records, pre-natal cards, and by means of a questionnaire addressed to the women giving birth. To collect severe physical violence data, use was made of the Portuguese version of the instrument Revised Conflict Tactics Scales, formally adapted for use in Brazil. Vaginal bleeding during gestation. After accounting for socio-economic, demographic, reproductive, and pregnant women's life-style variables, women who had been victims of two or more acts of severe physical violence were 2.74 (95% CI: 1.37-5.48) times more liable to present with vaginal bleeding during pregnancy than those who did not. Our findings suggest that physical violence increases the risk of vaginal bleeding in pregnancy. This result should encourage studies on whether intervention in violent relationships can reduce the risk of vaginal bleeding and other pregnancy complications.

  15. Virulotyping of Shigella spp. isolated from pediatric patients in Tehran, Iran.

    Science.gov (United States)

    Ranjbar, Reza; Bolandian, Masomeh; Behzadi, Payam

    2017-03-01

    Shigellosis is a considerable infectious disease with high morbidity and mortality among children worldwide. In this survey the prevalence of four important virulence genes including ial, ipaH, set1A, and set1B were investigated among Shigella strains and the related gene profiles identified in the present investigation, stool specimens were collected from children who were referred to two hospitals in Tehran, Iran. The samples were collected during 3 years (2008-2010) from children who were suspected to shigellosis. Shigella spp. were identified throughout microbiological and serological tests and then subjected to PCR for virulotyping. Shigella sonnei was ranking first (65.5%) followed by Shigella flexneri (25.9%), Shigella boydii (6.9%), and Shigella dysenteriae (1.7%). The ial gene was the most frequent virulence gene among isolated bacterial strains and was followed by ipaH, set1B, and set1A. S. flexneri possessed all of the studied virulence genes (ial 65.51%, ipaH 58.62%, set1A 12.07%, and set1B 22.41%). Moreover, the pattern of virulence gene profiles including ial, ial-ipaH, ial-ipaH-set1B, and ial-ipaH-set1B-set1A was identified for isolated Shigella spp. strains. The pattern of virulence genes is changed in isolated strains of Shigella in this study. So, the ial gene is placed first and the ipaH in second.

  16. Twenty-One at TREC-8: using Language Technology for Information Retrieval

    NARCIS (Netherlands)

    Kraaij, Wessel; Pohlmann, Renée; Hiemstra, Djoerd; Voorhees, E.M; Harman, D.K.

    2000-01-01

    This paper describes the official runs of the Twenty-One group for TREC-8. The Twenty-One group participated in the Ad-hoc, CLIR, Adaptive Filtering and SDR tracks. The main focus of our experiments is the development and evaluation of retrieval methods that are motivated by natural language

  17. Predominant Lactobacillus species types of vaginal microbiota in pregnant Korean women: quantification of the five Lactobacillus species and two anaerobes.

    Science.gov (United States)

    Kim, Jeong Hyun; Yoo, Seung Min; Sohn, Yong Hak; Jin, Chan Hee; Yang, Yun Suk; Hwang, In Taek; Oh, Kwan Young

    2017-10-01

    To investigate the predominant Lactobacillus species types (LSTs) of vaginal microbiota in pregnant Korean women by quantifying five Lactobacillus species and two anaerobes. In all, 168 pregnant Korean women under antenatal care at Eulji University Hospital and local clinics were enrolled in the prospective cohort study during pregnancy (10-14 weeks). Vaginal samples were collected with Eswab for Quantitative polymerase chain reaction (qPCR) and stored in a -80 °C freezer. qPCR was performed for five Lactobacillus species and two anaerobes. To identify the predominant LSTs, quantifications were analyzed by the Cluster and Tree View programs of Eisen Lab. Also the quantifications were compared among classified groups. L. crispatus and L. iners were most commonly found in pregnant Korean women, followed by L. gasseri and L. jensenii; L. vaginalis was nearly absent. Five types (four predominant LSTs and one predominant anaerobe type without predominant Lactobacillus species) were classified. Five predominant LSTs were identified in vaginal microbiota of pregnant Korean women. L. crispatus and L. iners predominant types comprised a large proportion.

  18. The p300 event-related potential technique for libido assessment in women with hypoactive sexual desire disorder.

    Science.gov (United States)

    Vardi, Yoram; Sprecher, Elliot; Gruenwald, Ilan; Yarnitsky, David; Gartman, Irena; Granovsky, Yelena

    2009-06-01

    There is a need for an objective technique to assess the degree of hypoactive sexual desire disorder (HSDD). Recently, we described such a methodology (event-related potential technique [ERP]) based on recording of p300 electroencephalography (EEG) waves elicited by auditory stimuli during synchronous exposure to erotic films. To compare sexual interest of sexually healthy women to females with sexual dysfunction (FSD) using ERP, and to explore whether FSD women with and without HSDD would respond differently to two different types of erotic stimuli-films containing (I) or not containing (NI) sexual intercourse scenes. Twenty-two women with FSD, of which nine had HSDD only, and 30 sexually healthy women were assessed by the Female Sexual Functioning Index. ERP methodology was performed applying erotic NI or I films. Significant differences in percent of auditory p300 amplitude reduction (PR) in response to erotic stimuli within and between all three groups for each film type. PRs to each film type were similar in sexually healthy women (60.6% +/- 40.3 (NI) and 51.7% +/- 32.3 [I]), while in women with FSD, reduction was greater when viewing the NI vs. I erotic films (71.4% +/- 41.0 vs. 37.7% +/- 45.7; P = 0.0099). This difference was mainly due to the greater PR of the subgroup with HSDD in response to NI vs. I films (77.7% +/- 46.7 vs. 17.0% +/- 50.3) than in the FSD women without HSDD group or the sexually healthy women (67.5% +/- 38.7 vs. 50.4% +/- 39.4 respectively), P = 0.0084. For comparisons, we used the mixed-model one-way analysis of variance. Differences in neurophysiological response patterns between sexually healthy vs. sexually dysfunctional females may point to a specific inverse discrimination ability for sexually relevant information in the subgroup of women with HSDD. These findings suggest that the p300 ERP technique could be used as an objective quantitative tool for libido assessment in sexually dysfunctional women.

  19. Strategic Leader Competencies for the Twenty-First Century

    National Research Council Canada - National Science Library

    Becker, Bradley A

    2007-01-01

    ...: interpersonal skills, conceptual skills, and technical skills. From these three primary strategic leadership skills, there is a list of twenty-one competencies that a strategic leader should posses...

  20. From "uncertifiable" medical practice to Berlin Clinic of Women Doctors: the medical career of Franziska Tiburtius (M.D. Zurich, 1876).

    Science.gov (United States)

    Meyer, P

    1999-01-01

    Problems in gender expectations and relationships complicated increasing professionalization of medical arts at an important point of transformation toward the modern industrial European state. Subordination of women's work in these processes altered possible outcomes for German society in general and for female medical careers in particular. Franziska Tiburtius was one of twenty German women who graduated from the coeducational medical school in Zurich, Switzerland, in the nineteenth century. She was a founder of the Clinic of Women Doctors despite prohibitions against certifying women as physicians. Imperial Germany was the last Western nation to admit women to full medical practice in 1899.

  1. Hepatitis C virus prevalence and genetic diversity among pregnant women in Gabon, central Africa

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    Mahé Antoine

    2008-06-01

    Full Text Available Abstract Background Hepatitis C virus (HCV infection is a major global public health problem in both developed and developing countries. The prevalence and genetic diversity of HCV in pregnant women in Gabon, central Africa, is not known. We therefore evaluated the prevalence and the circulating genotypes of HCV in a large population cohort of pregnant women. Methods Blood samples (947 were collected from pregnant women in the five main cities of the country. The prevalence was evaluated by two ELISA tests, and the circulating genotypes were characterized by sequencing and phylogenetic analysis. Results Twenty pregnant women (2.1% were infected with HCV. The seroprevalence differed significantly by region (p = 0.004 and increased significantly with age (p = 0.05, being 1.3% at 14–20 years, 1.1% at 21–25 years, 1.9% at 26–30 years, 4.1% at 31–35 years and 6.0% at > 35 years. Sequencing in the 5'-UTR and NS5B regions showed that the circulating strains belonged to genotypes 4 (4e and 4c. Conclusion We found that the HCV seroprevalence in pregnant women in Gabon is almost as high as that in other African countries and increases with age. Furthermore, only genotype 4 (4e and 4c was found. More extensive studies aiming to evaluate the prevalence and heterogeneity of HCV genotypes circulating in the general population of the country are needed.

  2. Mobile phones are a viable option for surveying young Australian women: a comparison of two telephone survey methods

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    Liu Bette

    2011-11-01

    Full Text Available Abstract Background Households with fixed-line telephones have decreased while mobile (cell phone ownership has increased. We therefore sought to examine the feasibility of recruiting young women for a national health survey through random digit dialling mobile phones. Methods Two samples of women aged 18 to 39 years were surveyed by random digit dialling fixed and mobile numbers. We compared participation rates and responses to a questionnaire between women surveyed by each contact method. Results After dialling 5,390 fixed-lines and 3,697 mobile numbers, 140 and 128 women were recruited respectively. Among women contacted and found to be eligible, participation rates were 74% for fixed-lines and 88% for mobiles. Taking into account calls to numbers where eligibility was unknown (e.g. unanswered calls the estimated response rates were 54% and 45% respectively. Of women contacted by fixed-line, 97% reported having a mobile while 61% of those contacted by mobile reported having a fixed-line at home. After adjusting for age, there were no significant differences between mobile-only and fixed-line responders with respect to education, residence, and various health behaviours; however compared to those with fixed-lines, mobile-only women were more likely to identify as Indigenous (OR 4.99, 95%CI 1.52-16.34 and less likely to live at home with their parents (OR 0.09, 95%CI 0.03-0.29. Conclusions Random digit dialling mobile phones to conduct a health survey in young Australian women is feasible, gives a comparable response rate and a more representative sample than dialling fixed-lines only. Telephone surveys of young women should include mobile dialling.

  3. Obstetric and psychological characteristics of women choosing epidural analgesia during labour: A cohort study.

    Science.gov (United States)

    Sitras, Vasilis; Šaltytė Benth, Jūratė; Eberhard-Gran, Malin

    2017-01-01

    To investigate the obstetric and psychological characteristics of women who opt to use epidural analgesia (EDA) during labour and the impact of participating in labour preparation courses on women's decisions to use EDA. Longitudinal cohort study. Akershus University Hospital, Norway. 2596 women with singleton pregnancies and intended vaginal delivery. Data were collected using two self-completed questionnaires at pregnancy weeks 17 and 32. Fear of childbirth was assessed by the Wijma Delivery Expectancy Questionnaire (W-DEQ). Symptoms of anxiety were measured by the Hopkins Symptom Check List (SCL-25) and depression by the Edinburgh Postnatal Depression Scale (EPDS). Obstetric and socio-demographic information was retrieved from birth records at the maternity ward. Preference for EDA was indicated by the questionnaire item "I would prefer an epidural regardless" on a 4-point scale (1 = highly agree, 4 = highly disagree) at pregnancy week 32. Twenty-one percent of the women (540/2596) answered that they would choose EDA as the only alternative method of analgesia during labour. Counselling for fear of childbirth [OR 3.23 (95%CI 2.12; 4.92)] and W-DEQ sum score ≥ 85 [OR 2.95 (95%CI 2.06; 4.23)] were significantly (plabour preparation courses was significantly (p = 0.008) associated with a reduction of intended use of EDA during labour [OR 0.67 (95%CI 0.49; 0.90)]. Fear of childbirth is significantly associated with women's choice of EDA during labour. On the other hand, women that participate in labour preparation courses would rather consider other methods of analgesia during labour.

  4. Effect of six-week aerobic exercise on Chemerin and Resistin concentration in hypertensive postmenopausal women

    OpenAIRE

    Aghapour, Atieh; Farzanegi, Parvin

    2013-01-01

    Background: Physical activity reduces symptoms of cardiovascular diseases. The aim of this study was to examine the effect of six-week aerobic exercise upon Chemerin and Resistin concentration in women with menopause who had hypertension. Methods: The population of this quasi-experimental study included postmenopausal women diagnosed with hypertension. They were 50 to 55 years old and lived in Amol, a city in north part of Iran. Twenty volunteers were filled the personal consent and Health Qu...

  5. Sexting Coercion as a Component of Intimate Partner Polyvictimization.

    Science.gov (United States)

    Ross, Jody M; Drouin, Michelle; Coupe, Amanda

    2016-07-01

    We examined the role of sexting coercion as a component of the intimate partner abuse (IPA) construct among young adults to determine whether sexting coercion would emerge alongside other forms of partner aggression as a cumulative risk factor for psychological, sexual, and attachment problems. In a sample of 885 undergraduates (301 men and 584 women), 40% had experienced some type of coercion. Although there was some overlap between sexual coercion and sexting coercion (21% of participants had experienced both), some individuals had experienced only sexting coercion (8%) and some only sexual coercion (11%). Women were more likely than men to be coerced into sexting. Both sexting coercion and sexual coercion were significantly and independently related to negative mental health symptoms, sexual problems, and attachment dysfunction, and, notably, sexting coercion was found to be a cumulative risk factor for nearly all of these negative effects. These data support the idea that digital sexual victimization is a new component of IPA polyvictimization, potentially increasing the negative effects experienced by victims of multiple forms of partner aggression.

  6. Reflections on having children in the future--interviews with highly educated women and men without children.

    Science.gov (United States)

    Eriksson, Carola; Larsson, Margareta; Tydén, Tanja

    2012-08-01

    There is a trend to delay birth of the first child until the age at which female reproductive capacity has started to decrease. The aim of the present study was to explore how highly educated women and men reflected on future parenthood. Twenty-two women and 18 men, who had started their professional career, were subjected to individual qualitative semi-structured interviews with qualitative content analysis guiding the analysis. All informants, except for three women, planned to have children when some important prerequisites were fulfilled. Women and men reflected in much the same way, and prerequisites for parenthood were being of reasonable age and having a partner in the same phase of life. A reasonable age was considered in relation to reproductive capacity, and both women and men expressed awareness of the natural decline in fertility at higher ages. Good living conditions with stable finances were also important. Parenthood was perceived as a challenge and a sacrifice but also as enriching life. Reasons for having children included being part of the future and settling down to build their own family. Many concluded that there would never be a perfect time for having children. Highly educated women and men reflect on various factors when considering family planning. Being of reasonable age and having good living conditions, in particular a sound personal economy, were important. Given their goals, it is not surprising that many postpone parenthood until ages when female reproductive capacity is decreased.

  7. Twenty-One at TREC-7: ad-hoc and cross-language track

    NARCIS (Netherlands)

    Hiemstra, Djoerd; Kraaij, Wessel; Voorhees, E.M; Harman, D.K.

    1999-01-01

    This paper describes the official runs of the Twenty-One group for TREC-7. The Twenty-One group participated in the ad-hoc and the cross-language track and made the following accomplishments: We developed a new weighting algorithm, which outperforms the popular Cornell version of BM25 on the ad-hoc

  8. Validation of a Smartphone Image-Based Dietary Assessment Method for Pregnant Women

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    Amy M. Ashman

    2017-01-01

    Full Text Available Image-based dietary records could lower participant burden associated with traditional prospective methods of dietary assessment. They have been used in children, adolescents and adults, but have not been evaluated in pregnant women. The current study evaluated relative validity of the DietBytes image-based dietary assessment method for assessing energy and nutrient intakes. Pregnant women collected image-based dietary records (via a smartphone application of all food, drinks and supplements consumed over three non-consecutive days. Intakes from the image-based method were compared to intakes collected from three 24-h recalls, taken on random days; once per week, in the weeks following the image-based record. Data were analyzed using nutrient analysis software. Agreement between methods was ascertained using Pearson correlations and Bland-Altman plots. Twenty-five women (27 recruited, one withdrew, one incomplete, median age 29 years, 15 primiparas, eight Aboriginal Australians, completed image-based records for analysis. Significant correlations between the two methods were observed for energy, macronutrients and fiber (r = 0.58–0.84, all p < 0.05, and for micronutrients both including (r = 0.47–0.94, all p < 0.05 and excluding (r = 0.40–0.85, all p < 0.05 supplements in the analysis. Bland-Altman plots confirmed acceptable agreement with no systematic bias. The DietBytes method demonstrated acceptable relative validity for assessment of nutrient intakes of pregnant women.

  9. Identifying the Misconceptions of Natural Science (IPA Using CRI (Certanty of Response Index at the Primary School Students in Tarakan

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    Muhsinah Annisa

    2017-10-01

    Full Text Available The objective of this study is to identify the misconceptions of Natural Science (IPA on primary school students in Tarakan. The output of this study is presented into a national scientific journal with ISSN. This study absolutely contributes to the schools and the education providers (universities. This study can identify the misconceptions of what happens to the students, so that teachers know how to handle and remediate these misconceptions. This study employs quantitative descriptive research. The population is the sixth grade students of primary schools in Tarakan. It is because the students of this grade have got the learning material on force, light, and simple machine. The technique.;s used in taking the sample is cluster sampling by considering on the three criteria, namely: superior, medium, and low school category which is based on the mean scores of final test (UAS on natural science subject. So, the sixth grade students of SDN A, SDN B Tarakan, and SDN C Tarakan are chosen as the sample of this study. The instrument of this research is a written test in a form of multiple choice test equiped with the CRI (certainty of response index answer sheet. The data are collected by distributing multiple-choice test which is consisted of 40 questions that are equipped with the CRI answer sheet.

  10. Reliability of perfluoroalkyl substances in plasma of 100 women in two consecutive pregnancies

    Science.gov (United States)

    Papadopoulou, Eleni; Haug, Line S.; Sabaredzovic, Azemira; Eggesbø, Merete; Longnecker, Matthew P.

    2015-01-01

    The potential toxicity of background exposure to perfluoroalkyl substances (PFASs) is currently under active investigation. Such investigations typically rely on a single measure of PFAS concentration, yet the longer-term reliability of a single measure has not been well characterized, especially among reproductive-aged women. Our aim was to investigate the association between PFAS plasma concentrations of 100 women in two consecutive pregnancies and explore changes in plasma concentration related to reproductive factors. The women in our study were enrolled in the Norwegian Mother and Child Cohort Study (MoBa) from 2003 to 2009. About half of them breastfed exclusively for 6 months and the rest of the participants did not breastfeed between the two consecutive pregnancies (median time between pregnancies: 18 months). Maternal blood was collected at mid-pregnancy and plasma was analyzed for 10 PFASs. Statistical analyses were restricted to 6 PFASs that were quantifiable in more than 80% of the samples. We estimated the correlation between repeated PFAS measurements, the percentage change between pregnancies and the effect of several reproductive factors in multivariate linear regression models of PFAS concentration in the second pregnancy. The Pearson correlation coefficient between repeated PFAS measurements was, for perfluorooctane sulfonate (PFOS), 0.80; perfluorooctanoate (PFOA), 0.50; perfluorohexane sulfonate (PFHxS), 0.74; perfluorononanoate (PFNA), 0.39; perfluoroundecanoate (PFUnDA), 0.71; and perfluorodecanoate (PFDA), 0.60. Adjustment for maternal age, delivery year, and time and breastfeeding between pregnancies did not substantially affect the observed correlations. We found 44-47% median reductions in the concentrations of PFOS, PFOA and PFHxS between pregnancies, while the change in concentrations between pregnancies was smaller and more variable for PFNA, PFUnDA and PFDA. The variation in plasma concentrations in the second pregnancy was mainly

  11. HIV prevention and low-income Chilean women: machismo, marianismo and HIV misconceptions.

    Science.gov (United States)

    Cianelli, Rosina; Ferrer, Lilian; McElmurry, Beverly J

    2008-04-01

    Socio-cultural factors and HIV-related misinformation contribute to the increasing number of Chilean women living with HIV. In spite of this, and to date, few culturally specific prevention activities have been developed for this population. The goal of the present study was to elicit the perspectives of low-income Chilean women regarding HIV and relevant socio-cultural factors, as a forerunner to the development of a culturally appropriate intervention. As part of a mixed-methods study, fifty low-income Chilean women participated in a survey and twenty were selected to participate in prevention, in-depth interviews. Results show evidence of widespread misinformation and misconceptions related to HIV/AIDS. Machismo and marianismo offer major barriers to prevention programme development. Future HIV prevention should stress partner communication, empowerment and improving the education of women vulnerable to HIV.

  12. Involuntary sterilization among HIV-positive Garifuna women from Honduras seeking asylum in the United States: Two case reports.

    Science.gov (United States)

    Atkinson, Holly G; Ottenheimer, Deborah

    2018-05-01

    Voluntary sterilization is one of the most widely used forms of contraception by women worldwide; however, involuntary sterilization is considered a violation of multiple human rights and grounds for asylum in the United States. Women have been disproportionately affected by this practice. We report two cases of involuntary sterilization in HIV-positive Garifuna women from Honduras who sought asylum in America and were medically evaluated at the request of their attorneys. Key lessons can be drawn from these cases with regard to the importance of medical evaluations in establishing persecution. These include the need for a detailed account of the events surrounding sterilization, radiologic proof of tubal blockage if at all possible, and confirmation of significant and enduring mental distress as a result of the involuntary sterilization. Immigration attorneys and medical evaluators need to be attuned to the possibility of a history of involuntary sterilization among at risk women seeking asylum in the United States. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

  13. Flexibility of Knee Joint Muscles in Women with Knee Osteoarthritis and Healthy Controls

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    Sara Abolahrari Shirazi

    2015-09-01

    Full Text Available Background: Osteoarthritis is one of the most common diseases in synovial joints. Due to high loading forces during weight-bearing activities, the knee joint is prone to degenerative processes. This study aimed to compare the flexibility of muscles around the knee joint in patients with knee osteoarthritis with those of healthy individuals. Methods: Twenty-three women with bilateral knee osteoarthritis and 23 healthy women matched with the patient group for age, height and weight participated in this study. Flexibility of the quadriceps, hamstring, iliotibial band, adductor and gastrocnemius muscles was evaluated with a goniometric device. Pain intensity was assessed with a visual analogue scale. The data were analyzed with independent t-tests to compare the two groups, and Pearson correlation coefficient was calculated to correlate muscle flexibility and pain intensity. Results: significant lower flexibility of the bilateral quadriceps muscles was found in patients compared to healthy women (P<0.05. No significant differences were detected between groups regarding other muscles. Quadriceps flexibility correlated significantly with pain intensity in patients (P<0.001. Conclusion: In patients with osteoarthritis, quadriceps flexibility may be decreased although other muscles may remain unaffected. Quadriceps stretching is thus a potentially important component of treatment, which may influence pain reduction in these patients.

  14. Women in Indian Courts of Law: A Study of Women Legal Professionals in the District Court of Lucknow, Uttar Pradesh, India

    OpenAIRE

    Mishra, Saurabh Kumar

    2016-01-01

    Men have traditionally dominated legal profession in India. Women’s entry could be possible only after long and protracted legal battles, and even then, their presence in the courts remained insignificant until the end of the twentieth century. However, the policy of globalisation in the twenty-first century has provided additional opportunities to Indian women in legal education and training. The invasion of modernity has not only moderated the court environment but has also put an end to th...

  15. Determinants of prevalent HIV infection and late HIV diagnosis among young women with two or more sexual partners in Beira, Mozambique

    NARCIS (Netherlands)

    Zango, Arlinda; Dubé, Karine; Kelbert, Sílvia; Meque, Ivete; Cumbe, Fidelina; Chen, Pai Lien; Ferro, Josefo J.; Feldblum, Paul J.; van de Wijgert, Janneke

    2013-01-01

    The prevalence and determinants of HIV and late diagnosis of HIV in young women in Beira, Mozambique, were estimated in preparation for HIV prevention trials. An HIV prevalence survey was conducted between December 2009 and October 2012 among 1,018 women aged 18-35 with two or more sexual partners

  16. Women's health, equality and empowerment in tobacco farming - findings from two counties in Yunnan, China

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    Weilin Jie

    2018-03-01

    Full Text Available Background Research takes place in Yunnan, the most important tobacco producing province in China, to gather empirical evidence of women´s role in tobacco farming. Methods Research adopts mixed methods. Quantitative data was collected with structured questionnaire while qualitative data was obtained through individual interviews and focus group discussions. Participatory research method was employed as well in order to better understand the workload of women. Due to sensitivity of tobacco control in Yunnan, respondents had to be reached through personal contacts. Thus a convenience sampling method was used. The information was collected from a sample of 436 female tobacco farmers in two counties in October - November 2015. Results Women spend 50% of working hours on tobacco farming. In tobacco farming season, women work 16+ hours a day and on average they spend 2-3 hours more than their husbands on tobacco farming. 50.1% of respondents had to hire temporary help and 58.0% had to exchange labour (without pay with neighbours / relatives for tobacco farming. 62.4% of respondents borrowed money for tobacco farming. The average income from tobacco farming is US$1,490, accounting for about 26-35% of the household income. Respondents experienced discomforts while growing and picking tobacco leaf, but did not associate these discomforts with tobacco farming. 50.5% of respondents were not aware of negative health effect of tobacco farming. There is no mechanism or entity representing tobacco farmers to bargain with the tobacco corporation. Instead, farmers lost autonomy over farming activity under the pressure of both government and tobacco corporation. Women are even more vulnerable because they rarely participate in decision making at community and above levels although they have significant power over family finance and household farming activity.. Conclusions Being at the bottom of exploitation chain, women lack awarness, knowledge, resource and

  17. Is It All about Money? Work Characteristics and Women's and Men's Marriage Formation in Early Adulthood.

    Science.gov (United States)

    Kuo, Janet Chen-Lan; Raley, R Kelly

    2016-06-01

    Using data from the NLSY 97, this paper investigates how work characteristics (earnings and autonomy) shape young adults' transition to first marriage separately for men and women. The results suggest that earnings are positively associated with marriage and that this association is as strong for women as men in their mid-to-late twenties. Additionally, occupational autonomy-having the control over one's own work structure-facilitates entry into first marriage for women in their mid-to late-20s but, for men, occupational autonomy is not associated with marriage at these ages. These results suggest that even as women's earnings are increasingly important for marriage, other aspects of work are also important for stable family formation.

  18. Effects of a 16-week hydrotherapy program on three-dimensional scapular motion and pain of women with fibromyalgia: A single-arm study.

    Science.gov (United States)

    Avila, Mariana Arias; Camargo, Paula Rezende; Ribeiro, Ivana Leão; Alburquerque-Sendín, Francisco; Zamunér, Antonio Roberto; Salvini, Tania Fatima

    2017-11-01

    Although hydrotherapy is widely used to treat women with fibromyalgia, no studies have investigated the effects of this intervention on scapular kinematics in this population. This study verified the effectiveness of a hydrotherapy program on scapular kinematics, pain and quality of life in women with fibromyalgia. Twenty women completed the study and performed three evaluations before treatment (to establish a baseline), and two other evaluations (after 8 and 16weeks of hydrotherapy) at the end of treatment. Three-dimensional kinematics of the scapula was evaluated during arm elevation in two different planes with the Flock of Birds® system. Patients also answered quality of life and Fibromyalgia Impact Questionnaires and had pain assessed with a digital algometer. Treatment consisted of 2 weekly hydrotherapy sessions, lasting 45min each, for 16weeks. Data were analyzed with a two-way ANOVA (for kinematics results) and one-way ANOVA (for the other variables). Effect size was assessed with Cohen's d coefficient for all quantitative variables. Although an important improvement was achieved in terms of pain and quality of life (P0.05, effect sizes from -0.40 to 0.46 for all kinematic variables). The proposed program of hydrotherapy was effective to improve quality of life, pain intensity and fibromyalgia impact in women with fibromyalgia. However, scapular kinematics did not change after the period of treatment. Although symptoms improved after the treatment, the lack of changes in scapular kinematics may indicate these women have an adaptive movement pattern due to their chronic painful condition. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Domestic violence against women and associated factors in Ethiopia; systematic review.

    Science.gov (United States)

    Semahegn, Agumasie; Mengistie, Bezatu

    2015-08-29

    Violence against women is now widely recognized as a serious human right abuse, and an important public health problem with substantial consequences physical, mental, sexual, and reproductive health. Data on systematic review of domestic violence are needed to support policy and program recommendations. Therefore, the overall purpose of this systematic review was to assess magnitude of domestic violence against women and associated factors in Ethiopia. Studies systematically reviewed in Federal Democratic Republic of Ethiopia from 2000 to 2014. Systematic review was employed on published research works from databases such as Pubmed, popline, Hinari, and Google using key words. We also consulted public health experts. Community based studies with a study population (15-49 years) were included for review. Thirteen peer reviewed papers and two consecutive Ethiopian demographic and health surveys (2005 and 2011) were included to the systematic review. Twenty seven available in open access journals were retrieved and assessed based on the criteria's such as community based study, cross sectional study design, clearly report prevalence and associated factors were included in the systematic review work. Finally, 15 papers were included in this review. Lifetime prevalence of domestic violence against women by husband or intimate partner among 10 studies ranged from 20 to 78 %. The lifetime domestic physical violence by husband or intimate partner against women ranged from 31 to 76.5 %. The life time domestic sexual violence against women by husband or intimate partner ranged from 19.2 to 59 %. The mean life time prevalence of domestic emotional violence was 51.7 %. Significant number of women experienced violence during their pregnancy period. Domestic violence against women significantly associated with alcohol consumption, chat chewing, family history of violence, occupation, religion, educational status, residence and decision making power. Domestic violence against

  20. Glutamic acid decarboxylase autoantibody-positivity post-partum is associated with impaired β-cell function in women with gestational diabetes mellitus.

    Science.gov (United States)

    Lundberg, T P; Højlund, K; Snogdal, L S; Jensen, D M

    2015-02-01

    To investigate whether the presence of glutamic acid decarboxylase (GAD) autoantibodies post-partum in women with prior gestational diabetes mellitus was associated with changes in metabolic characteristics, including β-cell function and insulin sensitivity. During 1997-2010, 407 women with gestational diabetes mellitus were offered a 3-month post-partum follow-up including anthropometrics, serum lipid profile, HbA1c and GAD autoantibodies, as well as a 2-h oral glucose tolerance test (OGTT) with blood glucose, serum insulin and C-peptide at 0, 30 and 120 min. Indices of insulin sensitivity and insulin secretion were estimated to assess insulin secretion adjusted for insulin sensitivity, disposition index (DI). Twenty-two (5.4%) women were positive for GAD autoantibodies (GAD+ve) and the remainder (94.6%) were negative for GAD autoantibodies (GAD-ve). The two groups had similar age and prevalence of diabetes mellitus. Women who were GAD+ve had significantly higher 2-h OGTT glucose concentrations during their index-pregnancy (10.5 vs. 9.8 mmol/l, P = 0.001), higher fasting glucose (5.2 vs. 5.0 mmol/l, P = 0.02) and higher 2-h glucose (7.8 vs. 7.1 mmol/l, P = 0.05) post-partum. Fasting levels of C-peptide and insulin were lower in GAD+ve women compared with GAD-ve women (520 vs. 761 pmol/l, P = 0.02 and 33 vs. 53 pmol/l, P = 0.05) Indices of insulin sensitivity were similar in GAD+ve and GAD-ve women, whereas all estimates of DI were significantly reduced in GAD+ve women. GAD+ve women had higher glucose levels and impaired insulin secretion adjusted for insulin sensitivity (DI) compared with GAD-ve women. The combination of OGTT and GAD autoantibodies post-partum identify women with impaired β-cell function. These women should be followed with special focus on development of Type 1 diabetes. © 2014 The Authors. Diabetic Medicine © 2014 Diabetes UK.

  1. Women's self-management of chronic illnesses in the context of caregiving: a grounded theory study.

    Science.gov (United States)

    Martinez-Marcos, Mercedes; De la Cuesta-Benjumea, Carmen

    2015-06-01

    Uncover how women self-manage their own chronic illness while taking care of a dependent relative. International policies place special emphasis in promoting interventions addressed to control, prevent and care for people with chronic health conditions. Self-management is a crucial part of this care. Caregivers are more prone to have chronic illness than non-caregivers. They are confronted with dilemmas about taking care of themselves while taking care of their dependent relative and the rest of their families. Caregivers articulate strategies to enable them to focus their energy on caring. Qualitative study using constructivist grounded theory. Thirty-nine women caregivers with a chronic illness participated in the study. Twenty-three semi-structured interviews and two focus groups were carried out between April 2010-December 2011. Data were analysed using grounded theory procedures. Self-management helps women caregivers with a chronic illness to balance the demands of their own illness and those of the dependent relative. They self-manage their illness by self-regulating the treatment, by regulating their strength and by controlling their emotions. Women caregivers integrate effectively and creatively the management of their chronic illnesses within the complexities of family care. This renders their health needs invisible and reaffirms them as capable caregivers. Identifying self-management strategies of women caregivers allow health professionals to acknowledge and reinforce effective self-care measures and to deter those that are ineffective and lessen their quality of life. © 2014 John Wiley & Sons Ltd.

  2. Changes in Cosmetics Use during Pregnancy and Risk Perception by Women

    Science.gov (United States)

    Marie, Cécile; Cabut, Sophie; Vendittelli, Françoise; Sauvant-Rochat, Marie-Pierre

    2016-01-01

    Cosmetic products contain various chemical substances that may be potential carcinogen and endocrine disruptors. Women’s changes in cosmetics use during pregnancy and their risk perception of these products have not been extensively investigated. The main objective of this study was to describe the proportion of pregnant women changing cosmetics use and the proportion of non-pregnant women intending to do so if they became pregnant. The secondary objectives were to compare, among the pregnant women, the proportions of those using cosmetics before and during pregnancy, and to describe among pregnant and non-pregnant women, the risk perception of these products. A cross-sectional study was carried out in a gynaecology clinic and four community pharmacies. One hundred and twenty-eight women (60 non-pregnant and 68 pregnant women) replied to a self-administered questionnaire. Cosmetics use was identified for 28 products. The results showed that few women intended to change or had changed cosmetics use during pregnancy. Nail polish was used by fewer pregnant women compared to the period before pregnancy (p women considered cosmetics use as a risk during pregnancy and 65% would have appreciated advice about these products. Our findings indicate that all perinatal health professionals should be ready to advise women about the benefits and risks of using cosmetics during pregnancy. PMID:27043593

  3. Title IX: The Realization of a Dream Deferred Twenty Years.

    Science.gov (United States)

    Fields, Cheryl D.

    1997-01-01

    For one woman, federal legislation forbidding sex discrimination in educational institutions receiving federal funds has made it possible to return to college on an athletic scholarship after almost two decades of waiting. Since passage of the law, the average number of sports available to women at colleges and universities and the number of women…

  4. Painful languages of the body: experiences of headache among women in two Peruvian communities.

    Science.gov (United States)

    Darghouth, Sarah; Pedersen, Duncan; Bibeau, Gilles; Rousseau, Cecile

    2006-09-01

    This exploratory study focuses on the understandings of and experiences with headache in two settings in Peru: the Quechua-speaking district of Ayacucho, in southern Peru, and a poor urban district of Lima Metropolitana. More specifically, it explores the personal and collective meanings constructed around women's headache experiences. Structured and open-ended interviews were administered to patients suffering headache to elicit interpretations of headache episodes. An analysis of the collected narratives suggests that headache is often comprehended in a polysemic framework, where meanings ascribed in bodily, emotional, family, and social terms articulate individual and shared notions of suffering within larger contexts of social dislocation. Often woven into experiences of solitude, headache accounts are lived and told in dynamic temporal spaces, and narrate dissolution of family ties and tensions associated with women's roles. The results underscore the significance of patients' subjective interpretations of painful experiences and underscore the connections between bodily and emotional pain and distress experienced at family, community, and larger social levels.

  5. Violence against women: the perspective of academic women.

    Science.gov (United States)

    Kalaca, Sibel; Dundar, Pınar

    2010-08-17

    Opinion surveys about potential causes of violence against women (VAW) are uncommon. This study explores academic women's opinions about VAW and the ways of reducing violence. Quantitative and qualitative methods were used in this descriptive study. One hundred-and-fifteen academicians participated in the study from two universities. A questionnaire was used regarding the definition and the causes of VAW, the risk groups and opinions about the solutions. Additionally, two authors interviewed 8 academicians from universities other than that of the interviewing author. Academicians discussed the problem from the perspective of "gender-based violence" rather than "family violence". The majority of the participants stated that nonworking women of low socioeconomic status are most at risk for VAW. They indicated that psychological violence is more prevalent against educated women, whilst physical violence is more likely to occur against uneducated and nonworking women. Perpetrator related factors were the most frequently stated causes of VAW. Thirty-five percent of the academicians defined themselves as at risk of some act of VAW. Recommendations for actions against violence were empowerment of women, increasing the educational levels in the society, and legal measures. Academic women introduced an ecological approach for the explanation of VAW by stressing the importance of taking into account the global context of the occurrence of VAW. Similar studies with various community members -including men- will help to define targeted interventions.

  6. Women in Division I Sports Programs: "The Glass Is Half Empty and Half Full."

    Science.gov (United States)

    Naughton, Jim

    1997-01-01

    Twenty-five years after passage of Title IX, federal legislation barring sex discrimination in athletics in federally-funded schools, females make up 37% of college athletes and receive 38% of athletic scholarships at National Collegiate Athletic Association Division I schools. Women's participation in college sports has increased four-fold.…

  7. Clinical Management of Obesity in Women: Addressing a Lifecycle of Risk.

    Science.gov (United States)

    Ahmad, Nadia N; Butsch, Winfield Scott; Aidarous, Sabina

    2016-06-01

    The World Health Organization estimates that nearly 2 billion people worldwide are overweight, 600 million of whom are obese. The increasing prevalence of this condition in women is of particular concern given its impact on reproductive health and mortality. Burgeoning data implicating maternal obesity in fetal programming and the metabolic health of future generations further suggest that obesity in women is one of the most pressing public health concerns of the twenty-first century. However, health care professionals are infrequently engaged in obesity management. This article provides a conceptual understanding of obesity and a rational approach to treatment. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Complications after transcatheter arterial chemoembolization via the inferior phrenic arteries: incidence, risk factors, and prophylaxis

    International Nuclear Information System (INIS)

    Wang Maoqiang; Liu Fengyong; Guan Jun; Gu Xiaofang; Lin Hanying; Wang Zhiqiang

    2004-01-01

    Objective: To investigate the frequency, patterns of the angiographic findings and risk factors for development of complications after transcatheter arterial chemoembolization (TACE) via the inferior phrenic artery (IPA). Methods: One hundred and sixty eight patients with hepatic tumor fed by the IPA underwent a total of 226 procedures of TACE of the IPA, with combined routine TACEO (88.7%) or without (11.3%) the combination of routine TACE of the hepatic artery. TACE of the malignancy was performed with an emulsion of iodized oil and anti-cancer agents and then followed by gelatin sponge particle injection. The complications were assessed on clinical observation, laboratory tests, and computed tomographic (CT) images after TACE of the IPA; and finally were correlated with the angiographic findings of the IPA. Results: The tumor supplied by IPA was noted at initial TACE in 25 (14.9%), at successive TACE in 97 (57.8%), after percutaneous tumor ablation guided by ultrasound in 28 (16.7%), and after hepatic surgery in 18 (10.7%) cases. The abnormal findings on arteriography showed enlargement of the IPA with tumor staining in all cases, dense non-tumor staining in 61 (36.3%), artery-to-artery anastomosis in 62(36.9%), arteriovenous shunts in 12(7.1%) cases. 96.4% of these patients complained of shoulder pain during TACE of the IPA. The cumulative complication rate after the procedure was 8.9%, including hiccup in 13 cases (5.8%), chest pain with cough and mild hemoptysis in 9 (4.0%), phrenoparalysis in 8 (3.5%), angina with abnormal ECG in 4 (1.8%), increasing of CPK, AST, and ALT significantly in 6 (2.7%), transient myeloparalysis in 2 (0.9%), and subphrenic abscess in 2 cases (0.9%). Two patients with the subphrenic abscess were successfully treated with percutaneous catheter drainage and antibiotics. The symptoms of these mild complications subsided with symptomatic treatment. Conclusions: Complications of TACE via the IPA occur in about 9% of the patients and

  9. Exploring the relevance of autonomy and relatedness for mental health in healthy and depressed women from two different cultures: when does culture matter?

    Science.gov (United States)

    Balkir, Nazli; Arens, Elisabeth A; Barnow, Sven

    2013-08-01

    It is well known that the absence of both autonomy and social support (relatedness) are two important etiologic pathways to major depressive disorder (MDD). However, cross-cultural researchers state that the implications of autonomy and relatedness for mental health vary across cultures. To test these assumptions, the current study investigated the relevance of autonomy and relatedness for mental health in healthy and depressed women from two different cultures (Germans and Turkish immigrants in Germany). One hundred and eight (108) women were evaluated for their levels of autonomy/relatedness satisfaction, for overall psychopathological complaints including depression, for affectivity and for perceived loneliness through self-report measures. Among healthy groups, relatedness satisfaction predicted better mental health in Turkish women, whereas in German women, autonomy satisfaction was the better mental health predictor. Within depressed groups however, cultural differences in mental health outcomes regarding autonomy were no longer evident. Autonomy was associated with higher levels of mental health in Turkish as well as in German patients. Our findings indicate that the relationship between autonomy and mental health is culture-specific in healthy women, but disappears in depressed women. These findings are discussed with consideration of clinical implications and an outlook regarding further research.

  10. Development and pilot testing of a Decision Aid (DA) for women with early-stage breast cancer considering contralateral prophylactic mastectomy.

    Science.gov (United States)

    Ager, B; Jansen, J; Porter, D; Phillips, K A; Glassey, R; Butow, P

    2018-05-22

    Describe the development, acceptability and feasibility of a Decision Aid (DA) for women with early-stage breast cancer (BC) at average contralateral breast cancer (CBC) risk considering contralateral prophylactic mastectomy (CPM). The DA was developed using the International Patient Decision Aid Standards (IPDAS) and the Ottawa Decision Support Framework. It provides evidence-based information about CPM in a booklet format combining text, graphs and images of surgical options. Twenty-three women with a history of early-stage breast cancer were interviewed in person or over the phone using a 'think aloud approach'. Framework analysis was used to code and analyse data. Twenty-three women participated in the study. Mean age of participants was 58.6 years and time since diagnosis ranged from 14 months to 21 years. Five women had CPM and eighteen had not. Women strongly endorsed the DA. Many felt validated by a section on appearance and found information on average risk of recurrence and metastases helpful, however, noted the importance of discussing personal risk with their surgeon. Many requested more information on surgery details (time taken, recovery) and costs of the different options. The DA was acceptable to women, including the format, content and proposed implementation strategies. Practical and financial issues are important to women in considering treatment options. Women appreciate information about CPM at diagnosis and emphasised the importance of discussing potential downsides of the procedure in addition to benefits. The DA was considered acceptable to facilitate such discussions. Copyright © 2018 Elsevier Ltd. All rights reserved.

  11. Characteristics of culture-positive invasive pulmonary aspergillosis in patients with hematologic diseases: Comparison between Aspergillus fumigatus and non-fumigatus Aspergillus species.

    Science.gov (United States)

    Cho, Sung-Yeon; Lee, Dong-Gun; Choi, Jae-Ki; Lee, Hyo-Jin; Kim, Si-Hyun; Park, Sun Hee; Choi, Su-Mi; Choi, Jung-Hyun; Yoo, Jin-Hong; Park, Yeon-Joon; Lee, Jong-Wook

    2017-12-01

    While the epidemiology and clinical differences of various Candida spp. has been relatively well-identified, data regarding invasive aspergillosis (IA) caused by different Aspergillus spp. are insufficient.We aimed to determine the epidemiology of culture-positive invasive pulmonary aspergillosis (IPA) and to compare the characteristics and outcomes of Aspergillus fumigatus IPA with those of non-fumigatus IPA in patients with hematologic diseases. All consecutive cases of IPA from 2011 to 2015 were reviewed retrospectively.There were 430 proven/probable IPA and 76 culture-positive proven/probable IPA. Excluding cases of multiple species of fungi or cases having difficulties in species-level identification, 41 A fumigatus and 22 non-fumigatus IPA (Aspergillus flavus [n = 11], Aspergillus niger [n = 6], and Aspergillus terreus [n = 5]) were compared. There were no significant differences in baseline characteristics between the 2 groups. However, disseminated IA was more common in non-fumigatus IPA (2.4% vs 18.2%; P = .046). Paranasal sinus (PNS) involvement was more common in non-fumigatus IPA. There was a trend towards higher peak serum galactomannan values in non-fumigatus IPA than in A fumigatus IPA group (median 1.33 [interquartile 0.98-3.29] vs 0.97 [0.66-1.97]; P = .084). Clinical response and mortality did not differ between groups.The culture-positive rate of proven/probable IPA was 17.7%, of which non-fumigatus Aspergillus accounted for about one-third. Disseminated IA, especially involving the PNS, was more frequent in non-fumigatus IPA than in A fumigatus IPA.

  12. Psychosexual distress in women with gynecologic cancer: a feasibility study of an online support group.

    Science.gov (United States)

    Classen, Catherine C; Chivers, Meredith L; Urowitz, Sara; Barbera, Lisa; Wiljer, David; O'Rinn, Susan; Ferguson, Sarah E

    2013-04-01

    The psychosexual concerns of gynecologic cancer patients are often unaddressed and there are limited resources available for women to deal with this highly sensitive topic. This feasibility study examines the participation rates and preliminary outcomes for an online support group designed specifically for women who are sexually distressed subsequent to gynecologic cancer treatment A 12-week online intervention was developed to address the psychosexual impact of gynecologic cancer. This intervention included a professionally moderated, asynchronous discussion forum as well as the provision of psycho-educational materials addressing the psychosexual impact of gynecologic cancer. Each week, a new topic was introduced and relevant material was posted on the website. Women were encouraged to share their experiences related to the topic. Twenty-seven, sexually distressed, remitted gynecologic cancer patients were randomly assigned to immediate treatment or a waitlist control condition. Participants completed questionnaires at baseline, 4-month and 8-month follow-ups assessing sexual distress as the primary outcome as well as anxiety, depression, and illness intrusiveness. Participation rates differed between the two groups, with greater participation occurring in the second group. Exit interviews indicated that the majority of the participants were satisfied with the intervention. Intent-to-treat analyses suggest a small effect for reduction in sexual distress This feasibility study suggests that women find this intervention acceptable. Further research is required to determine efficacy. Copyright © 2012 John Wiley & Sons, Ltd.

  13. Effects of adipose tissue distribution on maximum lipid oxidation rate during exercise in normal-weight women.

    Science.gov (United States)

    Isacco, L; Thivel, D; Duclos, M; Aucouturier, J; Boisseau, N

    2014-06-01

    Fat mass localization affects lipid metabolism differently at rest and during exercise in overweight and normal-weight subjects. The aim of this study was to investigate the impact of a low vs high ratio of abdominal to lower-body fat mass (index of adipose tissue distribution) on the exercise intensity (Lipox(max)) that elicits the maximum lipid oxidation rate in normal-weight women. Twenty-one normal-weight women (22.0 ± 0.6 years, 22.3 ± 0.1 kg.m(-2)) were separated into two groups of either a low or high abdominal to lower-body fat mass ratio [L-A/LB (n = 11) or H-A/LB (n = 10), respectively]. Lipox(max) and maximum lipid oxidation rate (MLOR) were determined during a submaximum incremental exercise test. Abdominal and lower-body fat mass were determined from DXA scans. The two groups did not differ in aerobic fitness, total fat mass, or total and localized fat-free mass. Lipox(max) and MLOR were significantly lower in H-A/LB vs L-A/LB women (43 ± 3% VO(2max) vs 54 ± 4% VO(2max), and 4.8 ± 0.6 mg min(-1)kg FFM(-1)vs 8.4 ± 0.9 mg min(-1)kg FFM(-1), respectively; P normal-weight women, a predominantly abdominal fat mass distribution compared with a predominantly peripheral fat mass distribution is associated with a lower capacity to maximize lipid oxidation during exercise, as evidenced by their lower Lipox(max) and MLOR. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  14. Effects of Muay Thai training frequency on body composition and physical fitness in healthy untrained women.

    Science.gov (United States)

    de S Rapkiewicz, Jeniffer A; Nunes, João P; Mayhew, Jerry L; Silva Ribeiro, Alex; Garcez Nabuco, Hellen C; Fávero, Maria T; Franchini, Emerson; Amarante do Nascimento, Matheus

    2017-11-07

    The purpose of the study was to compare the effects of different frequencies of Muay Thai training on body composition, and physical fitness in healthy untrained women. Twenty women were randomly assigned to one of two training groups: G2X (n = 9) performed Muay Thai twice a week, while G3X (n = 11) performed the same program three times a week, both for 13 weeks. Anthropometric dimensions, fat-free mass, fat mass, resting metabolic rate, VO2 max, upper-body and abdominal muscle endurance, explosive leg power, agility, flexibility, and dietary intake were measured at pre and post-training. Training intensity was estimated every training session by rating of perceived exertion with a Borg 10- point scale. Both groups significantly improved in all measured physical fitness variables, without any significant changes in body composition. G2X was not significantly different from G3X on any variable. Average relative changes for all performance variables in G2X and G3X were 28.5% and 27.5%, respectively. Thirteen-weeks of Muay Thai practice can improve physical fitness in women, regardless of weekly frequency (two or three times a week). This suggests that instructors and coaches can structure a Muay Thai training program based on a twice or three-times per week protocol in order to promote positive changes in several important outcomes related to health for healthy untrained women. Moreover, practitioners are able to choose their training frequency preference, since both frequencies provided similar adaptations.

  15. Effect of 8 Weeks Soccer Training on Health and Physical Performance in Untrained Women.

    Science.gov (United States)

    Ortiz, Jaelson G; da Silva, Juliano F; Carminatti, Lorival J; Guglielmo, Luiz G A; Diefenthaeler, Fernando

    2018-03-01

    This study aims to analyze the physiological, neuromuscular, and biochemical responses in untrained women after eight weeks of regular participation in small-sided soccer games compared to aerobic training. Twenty-seven healthy untrained women were divided into two groups [soccer group (SG = 17) and running group (RG = 10)]. Both groups trained three times per week for eight weeks. The variables measured in this study were maximal oxygen uptake (VO 2 max), relative velocity at VO 2 max (vVO 2 max), peak velocity, relative intensity at lactate threshold (vLT), relative intensity at onset of blood lactate accumulation (vOBLA), peak force, total cholesterol, HDL, LDL, triglycerides, and cholesterol ratio (LDL/HDL). VO 2 max, vLT, and vOBLA increased significantly in both groups (12.8 and 16.7%, 11.1 and 15.3%, 11.6 and 19.8%, in SG and RG respectively). However, knee extensors peak isometric strength and triglyceride levels, total cholesterol, LDL, and HDL did not differ after eight weeks of training in both groups. On the other hand, the LDL/HDL ratio significantly reduced in both groups. In conclusion, eight weeks of regular participation in small-sided soccer games was sufficient to increase aerobic performance and promote health benefits related to similar aerobic training in untrained adult women.

  16. Apparent diffusion coefficients of normal uterus in premenopausal women with 3 T MRI

    International Nuclear Information System (INIS)

    Kuang, F.; Chen, Z.; Zhong, Q.; Fu, L.; Ma, M.

    2013-01-01

    Aim: To investigate the apparent diffusion coefficient (ADC) values of the normal uterine cervical zonal structures (cervical epithelium, the junctional zone, and myometrium) during different phases of the menstrual cycle among premenopausal women in different age groups. Materials and methods: Seventy healthy women, who were divided into three age groups (group A, 24 women in their twenties; group B, 23 women in their thirties; group C, 23 women in their forties), underwent 3 T magnetic resonance imaging (MRI) with T2-weighted and diffusion-weighted imaging (DWI) during the mid-proliferative and the mid-secretory phases. Results: The ADC values of each cervical zonal structure were significantly different from one another (p 0.05). Conclusion: ADC values of normal cervical epithelium and the junctional zone change with different phases of the menstrual cycle, which should be taken into consideration when early cervical disease is detected, when monitoring treatment response, and differentiating early tumour recurrence

  17. Child Care, Education, and Job Training: How Investing in Quality Programs Improves Outcomes for Children, Girls, and Women. Research in Brief #L003. Updated

    Science.gov (United States)

    Firlein, Holly; Gault, Barbara; Nelson, Bethany

    2013-01-01

    This Research-in-Brief is one in a series of publications highlighting the Institute for Women's Policy Research's (IWPR) most significant research contributions to policy issues affecting women across IWPR's twenty-five year history. Recognizing that education is the gateway to opportunity, the IWPR has been a significant source of research on…

  18. Births in two different delivery units in the same clinic – A prospective study of healthy primiparous women

    Directory of Open Access Journals (Sweden)

    Nilsen Anne

    2009-06-01

    Full Text Available Abstract Background Earlier studies indicate that midwife-led birth settings are associated with modest benefits, including reduced medical interventions and increased maternal satisfaction. The generalizability of these studies to birth settings with low intervention rates, like those generally found in Norway, is not obvious. The aim of the present study was to compare intervention rates associated with labour in low-risk women who begin their labour in a midwife-led unit and a conventional care unit. Methods Eligible participants were low-risk primiparas who met the criteria for delivery in the midwife-led ward regardless of which cohort they were allocated to. The two wards are localised at the same floor. Women in both cohorts received the same standardized public antenatal care by general medical practitioners and midwifes who were not involved in the delivery. After admission of a woman to the midwife-led ward, the next woman who met the inclusion criteria, but preferred delivery at the conventional delivery ward, was allocated to the conventional delivery ward cohort. Among the 252 women in the midwife-led ward cohort, 74 (29% women were transferred to the conventional delivery ward during labour. Results Emergency caesarean and instrumental delivery rates in women who were admitted to the midwife-led and conventional birth wards were statistically non-different, but more women admitted to the conventional birth ward had episiotomy. More women in the conventional delivery ward received epidural analgesia, pudental nerve block and nitrous oxide, while more women in the midwife-led ward received opiates and non-pharmacological pain relief. Conclusion We did not find evidence that starting delivery in the midwife-led setting offers the advantage of lower operative delivery rates. However, epidural analgesia, pudental nerve block and episiotomies were less often while non-pharmacological pain relief was often used in the midwife-led ward.

  19. Chinese women's experiences, emotions and expectations of breast-feeding in public: a qualitative study.

    Science.gov (United States)

    Zhao, Ya; Ouyang, Yan-Qiong; Redding, Sharon R

    2018-06-01

    To explore Chinese mothers' experiences, emotions and expectations of breast-feeding in public places. Exploratory qualitative study. Purposive sampling was used to recruit participants and face-to-face interviews were conducted. Themes were identified by content analysis. Two different geographical communities in Wuhan, Hubei Province, central China, March-May 2016. A total of twenty-seven mothers aged 23-33 years, who had one child under 3 years of age and had experience of breast-feeding in public places. Seven themes emerged from the interviews: struggling to balance infant's needs and personal feelings; embarrassed or natural emotion regarding breast-feeding in public places; effect of cultural and social norms; internalized concerns going beyond actual social reaction; measures to make breast-feeding in public places easier; desire for more public facilities; and expecting emotional support from society members. More positive social support, favourable policies and necessary facilities were desired to enable mothers to breast-feed in an appropriate public location. Women expected increased public acceptance of breast-feeding practices and support from government health officials to ensure women's success in breast-feeding in public settings.

  20. Twenty-First Century Literacy: A Matter of Scale from Micro to Mega

    Science.gov (United States)

    Brown, Abbie; Slagter van Tryon, Patricia J.

    2010-01-01

    Twenty-first century technologies require educators to look for new ways to teach literacy skills. Current communication methods are combinations of traditional and newer, network-driven forms. This article describes the changes twenty-first century technologies cause in the perception of time, size, distance, audience, and available data, and…

  1. Accelerators for the twenty-first century - a review

    International Nuclear Information System (INIS)

    Wilson, E.J.N.

    1990-01-01

    Modern synchrotrons and storage rings are based upon the electrical technology of the 1900s boosted by the microwave radar techniques of World War II. This method of acceleration now seems to be approaching its practical limit. It is high time that we seek a new physical acceleration mechanism to provide the higher energies and luminosities needed to continue particle physics beyond the machines now on the stocks. Twenty years is a short time in which to invent, develop, and construct such a device. Without it, high-energy physics may well come to an end. Particle physicists and astrophysicists are invited to join accelerator specialists in the hunt for this new principle. This report analyses the present limitations of colliders and explores some of the directions in which one might look to find a new principle. Chapters cover proton colliders, electron-positron colliders, linear colliders, and two-beam accelerators; transverse fields, wake-field and beat-wave accelerators, ferroelectric crystals, and acceleration in astrophysics. (orig.)

  2. Are women positive for the One Step but negative for the Two Step screening tests for gestational diabetes at higher risk for adverse outcomes?

    Science.gov (United States)

    Caissutti, Claudia; Khalifeh, Adeeb; Saccone, Gabriele; Berghella, Vincenzo

    2018-02-01

    The aim of this study was to evaluate if women meeting criteria for gestational diabetes mellitus (GDM) by the One Step test as per International Association of the Diabetes and Pregnancy Study Groups (IADPSG) criteria but not by other less strict criteria have adverse pregnancy outcomes compared with GDM-negative controls. The primary outcome was the incidence of macrosomia, defined as birthweight > 4000 g. Electronic databases were searched from their inception until May 2017. All studies identifying pregnant women negative at the Two Step test, but positive at the One Step test for IADPSG criteria were included. We excluded studies that randomized women to the One Step vs. the Two Step tests; studies that compared different criteria within the same screening method; randomized studies comparing treatments for GDM; and studies comparing incidence of GDM in women doing the One Step test vs. the Two Step test. Eight retrospective cohort studies, including 29 983 women, were included. Five study groups and four control groups were identified. The heterogeneity between the studies was high. Gestational hypertension, preeclampsia and large for gestational age, as well as in some analyses cesarean delivery, macrosomia and preterm birth, were significantly more frequent, and small for gestational age in some analyses significantly less frequent, in women GDM-positive by the One Step, but not the Two Step. Women meeting criteria for GDM by IADPSG criteria but not by other less strict criteria have an increased risk of adverse pregnancy outcomes such as gestational hypertension, preeclampsia and large for gestational age, compared with GDM-negative controls. Based on these findings, and evidence from other studies that treatment decreases these adverse outcomes, we suggest screening for GDM using the One Step IADPSG criteria. © 2017 Nordic Federation of Societies of Obstetrics and Gynecology.

  3. Neural Correlates of Memories of Childhood Sexual Abuse in Women With and Without Posttraumatic Stress Disorder

    Science.gov (United States)

    Bremner, J. Douglas; Narayan, Meena; Staib, Lawrence H.; Southwick, Steven M.; McGlashan, Thomas; Charney, Dennis S.

    2011-01-01

    Objective Childhood sexual abuse is very common in our society, but little is known about the long-term effects of abuse on brain function. The purpose of this study was to measure neural correlates of memories of childhood abuse in sexually abused women with and without the diagnosis of posttraumatic stress disorder (PTSD). Method Twenty-two women with a history of childhood sexual abuse underwent injection of [15O]H2O, followed by positron emission tomography imaging of the brain while they listened to neutral and traumatic (personalized childhood sexual abuse events) scripts. Brain blood flow during exposure to traumatic and neutral scripts was compared for sexually abused women with and without PTSD. Results Memories of childhood sexual abuse were associated with greater increases in blood flow in portions of anterior prefrontal cortex (superior and middle frontal gyri—areas 6 and 9), posterior cingulate (area 31), and motor cortex in sexually abused women with PTSD than in sexually abused women without PTSD. Abuse memories were associated with alterations in blood flow in medial prefrontal cortex, with decreased blood flow in subcallosal gyrus (area 25), and a failure of activation in anterior cingulate (area 32). There was also decreased blood flow in right hippocampus, fusiform/inferior temporal gyrus, supramarginal gyrus, and visual association cortex in women with PTSD relative to women without PTSD. Conclusions These findings implicate dysfunction of medial prefrontal cortex (subcallosal gyrus and anterior cingulate), hippocampus, and visual association cortex in pathological memories of childhood abuse in women with PTSD. Increased activation in posterior cingulate and motor cortex was seen in women with PTSD. Dysfunction in these brain areas may underlie PTSD symptoms provoked by traumatic reminders in subjects with PTSD. PMID:10553744

  4. The Persistent Dearth of Women in the Physical Sciences

    Science.gov (United States)

    Urry, C. Megan

    2002-04-01

    For twenty years, scientists and society alike have averred that discrimination against women is a thing of the past, which may be largely true for the most overt kind of discrimination. Yet judging from the scarcity of women in the physical sciences in the U.S. today, it is clear that these professions efficiently filter out women (and probably other minorities). Not only are women present in much smaller numbers than men at all levels, their presence decreases with increasing rank in the academic hierarchy, and women advance more slowly and with greater attrition than men. Notably, the pre-college pipeline is no longer the critical issue, since women are present in large numbers in introductory science and math classes at top undergraduate institutions. However, there is little agreement on what the critical problem might be, much less its solution. Furthermore, most physical scientists in academia, which is to say male full professors, have paid relatively little attention to this problem and are not well informed about the current status of women in their fields or the extensive research on gender bias. I review the relevant statistics and some of this research. I conclude that progress is possible if people in positions of power adopt the inclusion of women as a priority. This will enhance excellence in our profession, both because it taps a wider pool of talent and because it corrects the bias that has (under the assumption of equal distribution of talent among men and women) excluded some of our best scientists.

  5. Contraceptive use and the role of contraceptive counseling in reproductive-aged women with cancer.

    Science.gov (United States)

    Maslow, Bat-Sheva L; Morse, Christopher B; Schanne, Allison; Loren, Alison; Domchek, Susan M; Gracia, Clarisa R

    2014-07-01

    Few data on contraceptive choices in women with cancer exist. Contraception is challenging for women with cancer, particularly those with breast cancer, who are limited to nonhormonal methods. This study characterized contraceptive use during cancer treatment in a group of reproductive-aged women with a recent cancer diagnosis and assessed the impact of contraceptive counseling on the methods they selected. Cross-sectional, survey study of reproductive-aged women at a large tertiary care health system with a recent cancer diagnosis. A total of 107 women completed the survey. Eighty-two women reported 101 contraceptive choices. Twenty-seven percent (27/101) of all methods selected were Tier I/II, and 35% (35/101) were Tier III/IV. Only 4 used an intrauterine device (IUD). Among women reporting sexual activity after diagnosis, 19 (27%) of 71 reported using Tier I/II methods, 21 (30%) of 71 reported using Tier III/IV methods, 16 (23%) of 71 reported abstinence and 10 (14%) of 71 reported using no method. Factors significantly associated with Tier I/II use in the multivariable model included not having a college degree [odds ratio (OR) 0.21, 95% confidence interval (CI) 0.05-0.92, p=.038], intercourse during treatment (OR 5.92, 95% CI 1.48-23.66, p=.012) and non-breast cancer (OR 3.60, 95% CI 1.03-12.64, p=.046). Report of contraceptive counseling was positively associated with Tier I/II contraceptive use during cancer treatment (OR 6.92, 95% CI 1.14-42.11, p=.036). Reproductive-aged women diagnosed with cancer underutilized Tier I/II contraceptive agents, especially IUDs. Contraceptive counseling by physicians increases contraceptive use, particularly methods most effective at preventing pregnancy. The study uniquely described the contraceptive practices of over 100 women with cancer. The study sample commonly reported abstinence and use of contraceptive methods with high failure rates. Our data suggest that contraceptive counseling from a health care provider may

  6. Anther development stage and gamma radiation effects on tomato anther-derived callus formation

    International Nuclear Information System (INIS)

    Brasileiro, Ana Christina R.; Willadino, Lilia; Guerra, Marcelo; Colaco, Waldeciro; Meunier, Isabelle; Camara, Terezinha R.

    1999-01-01

    Two experiments were carried (I) to determine tomato anther development stage influence on callus production; and (II) to investigate gamma radiation effects on anther culture. In the first experiment, anthers of a tomato hybrid (IPA 5 x Rotam 4-F 1 ) were grown on three media. Although calli were induced at all stages of anther development, varying from prophase I to mono nucleate microspore, callus frequency decreased as anther development progressed and calli induction were not significantly affected by all media tested. Anthers containing prophase I meiocytes produced the highest calli frequency. Anther and flower bud length both were significantly correlated with anther development stage. In the second experiment, seed and floral buds of tomato hybrids IPA 5 x Rotam 4 (F 2 ), IPA 6 x Rotam 4 (F 2 ) and IPA 8 x 217.1 (F 2 ) were submitted to gamma-ray and anthers were plated on two media described by Gresshoff and Doy (1972) supplemented with 2.0 mg L -1 NAA + 5.0 mg L -1 KIN and 2.0 mg L -1 NAA + 1.0 mg L -1 KIN. No significant differences for genotype and dosage testes were found for calli formation. (author)

  7. Coffee consumption and incidence of colorectal cancer in two prospective cohort studies of Swedish women and men.

    Science.gov (United States)

    Larsson, Susanna C; Bergkvist, Leif; Giovannucci, Edward; Wolk, Alicja

    2006-04-01

    Investigators have reported an inverse association between coffee consumption and risk of colorectal cancer in several case-control studies, but prospective studies, most of them involving small numbers of cases, have not supported such a relation. In this analysis, the authors prospectively examined the association of coffee consumption with colorectal cancer risk among participants from two population-based cohort studies: 61,433 women in the Swedish Mammography Cohort and 45,306 men in the Cohort of Swedish Men. Information about coffee consumption was obtained from food frequency questionnaires in 1987-1990 and 1997 for women and in 1997 for men. The authors used Cox proportional hazards modeling for cohort-specific multivariate analyses, and results were pooled using random-effects models. During 1,240,597 person-years of follow-up, 1,279 incident cases of colorectal cancer were diagnosed. Coffee consumption was not associated with risk of colorectal cancer, colon cancer, or rectal cancer in either women or men. For both cohorts combined, the multivariate rate ratio for colorectal cancer for each additional cup of coffee per day was 1.00 (95% confidence interval: 0.97, 1.04). The associations were not modified by colorectal cancer risk factors. The findings from these two large prospective cohort studies do not support the hypothesis that coffee consumption lowers the risk of colorectal cancer.

  8. Trends in CPAP adherence over twenty years of data collection: a flattened curve.

    Science.gov (United States)

    Rotenberg, Brian W; Murariu, Dorian; Pang, Kenny P

    2016-08-19

    Obstructive sleep apnea (OSA) is a common disorder, and continuous airway positive pressure (CPAP) is considered to be the gold standard of therapy. CPAP however is known to have problems with adherence, with many patients eventually abandoning the device. The purpose of this paper is to assess secular trends in CPAP adherence over the long term to see if there have been meaningful improvements in adherence in light of the multiple interventions proposed to do so. A comprehensive systematic literature review was conducted using the Medline-Ovid, Embase, and Pubmed databases, searching for data regarding CPAP adherence over a twenty year timeframe (1994-2015). Data was assessed for quality and then extracted. The main outcome measure was reported CPAP non-adherence. Secondary outcomes included changes in CPAP non-adherence when comparing short versus long-term, and changes in terms of behavioral counseling. Eighty-two papers met study inclusion/exclusion criteria. The overall CPAP non-adherence rate based on a 7-h/night sleep time that was reported in studies conducted over the twenty year time frame was 34.1 %. There was no significant improvement over the time frame. Behavioral intervention improved adherence rates by ~1 h per night on average. The rate of CPAP adherence remains persistently low over twenty years worth of reported data. No clinically significant improvement in CPAP adherence was seen even in recent years despite efforts toward behavioral intervention and patient coaching. This low rate of adherence is problematic, and calls into question the concept of CPAP as gold-standard of therapy for OSA.

  9. Knowledge and utilization of intermittent preventive treatment for malaria among pregnant women attending antenatal clinics in primary health care centers in rural southwest, Nigeria: a cross-sectional study.

    Science.gov (United States)

    Akinleye, Stella O; Falade, Catherine O; Ajayi, Ikeoluwapo O

    2009-07-09

    Intermittent preventive treatment for prevention of malaria in pregnancy (IPTp) is a key component of malaria control strategy in Nigeria and sulfadoxine-pyrimethamine (SP) is the drug of choice. Despite the evidence of the effectiveness of IPTp strategy using SP in reducing the adverse effects of malaria during pregnancy the uptake and coverage in Nigeria is low. This study set out to assess the use of IPTp among pregnant women attending primary health centres in the rural area and determine factors that influence the uptake. A cross-sectional study was carried out between July and August 2007 among 209 pregnant women selected by systematic random sampling from antenatal care attendees at primary health care in a rural Local Government Area of Ekiti State, Nigeria. Information on knowledge of IPT, delivery, adherence and acceptability was obtained using an interviewer administered questionnaire. Descriptive statistics such as means, range, proportions were used. Chi-square test was used to examine association between categorical variables. All analyses were performed at 5% level of significance. One hundred and nine of 209 (52.2%) respondents have heard about IPTp but only 26 (23.9%) were able to define it. Fifty seven (27.3%) reported to have received at least one dose of IPTp during the index pregnancy and all were among those who have heard of IPTp (52.3%). Twenty one of the 57 (36.8%) took the SP in the clinic. Only three of the twenty-one (14.3%) were supervised by a health worker. Twenty two of the 36 women (61.1%) who did not take their drugs in the clinic would have liked to do so if allowed to bring their own drinking cups. Almost half (43.9%) of those who had used IPTp during the index pregnancy expressed concern about possible adverse effect of SP on their pregnancies. Periodic shortages of SP in the clinics were also reported. In this study, IPTp use among pregnant women was very low and there was poor adherence to the Directly Observed Therapy (DOT

  10. Perspectives of young Chinese Singaporean women on seeking and processing information to decide about vaccinating against human papillomavirus.

    Science.gov (United States)

    Basnyat, Iccha; Lim, Cheryl

    2017-07-06

    Human papillomavirus (HPV) vaccination uptake in Singapore is low among young women. Low uptake has been found to be linked to low awareness. Thus, this study aimed to understand active and passive vaccine information-seeking behavior. Furthermore, guided by the Elaboration Likelihood Model (ELM), this study examined young women's (aged 21-26 years) processing of information they acquired in their decision to get vaccinated. ELM postulates that information processing could be through the central (i.e., logic-based) or peripheral (i.e., heuristic-based) route. Twenty-six in-depth interviews were conducted from January to March 2016. Data were analyzed using thematic analysis. Two meta-themes-information acquisition and vaccination decision-revealed the heuristic-based information processing was employed. These young women acquired information passively within their social network and actively in healthcare settings. However, they used heuristic cues, such as closeness and trust, to process the information. Similarly, vaccination decisions revealed that women relied on heuristic cues, such as sense of belonging and validation among peers and source credibility and likability in medical settings, in their decision to get vaccinated. The findings of this study highlight that intervention efforts should focus on strengthening social support among personal networks to increase the uptake of the vaccine.

  11. Two cases of colossal heamtometra in old women with a difficult preoperative diagnostic technique

    International Nuclear Information System (INIS)

    Aono, Kaname; Fukumoto, Satoru

    1980-01-01

    With the progress in diagnostic imaging techniques, the preoperative diagnostic technique for lesion in the pelvic cavity has become comparatively easy and its clinical usefulness is in high estimation. However, in case of an atypical lesion, it is not always easy to recognize the original organ by traditional imaging pattern. In the present report two cases of colossal hematometra in old women which presented a cystic lesion pattern are dealt with and discussed from a point of medical imagings for diagnosis. (author)

  12. Comparison of Sex-Role Orientation and Personality Variables in Traditional Women and College Re-Entry Women.

    Science.gov (United States)

    Pierce, Norma F.

    Studies have indicated that mature women maintain a permanent role identity along two dimensions, i.e., traditional women or nontraditional women. However, the lifeset of many mature adult women may be on the continuum between these two positions, i.e., in the position of "deferred achiever." The personality variables and sex-role orientations of…

  13. Results of two years of water training on jump height in postmenopausal women with moderate hip risk fracture

    Directory of Open Access Journals (Sweden)

    María Carrasco Poyatos

    2010-01-01

    Full Text Available The aim of the present study was to investigate the effect of a water-based calisthenics and resistance program on jump height in postmenopausal women with moderate hip risk fracture. 39 women were divided into three groups: swimming group (GN; n = 17, calisthenics and resistance group (GIR; n = 14, and control group (GC; n = 8. Body composition test included body mass index (IMC and waist to hip ratio (ICC. Jump height was assessed by a countermovement jump (CMJ. GN showed a significant (p<0.05 decrease in ICC (5.81%. GIR showed a significant decrease in IMC (3.65% and a significant increase in CMJ (15.5%. Two years of water-based calisthenics and resistance training can offer significant benefits in jump height in postmenopausal women with moderate hip risk fracture. Both exercise programs can also improve body composition.

  14. Violence against women: The perspective of academic women

    Directory of Open Access Journals (Sweden)

    Kalaca Sibel

    2010-08-01

    Full Text Available Abstract Background Opinion surveys about potential causes of violence against women (VAW are uncommon. This study explores academic women's opinions about VAW and the ways of reducing violence. Methods Quantitative and qualitative methods were used in this descriptive study. One hundred-and-fifteen academicians participated in the study from two universities. A questionnaire was used regarding the definition and the causes of VAW, the risk groups and opinions about the solutions. Additionally, two authors interviewed 8 academicians from universities other than that of the interviewing author. Results Academicians discussed the problem from the perspective of "gender-based violence" rather than "family violence". The majority of the participants stated that nonworking women of low socioeconomic status are most at risk for VAW. They indicated that psychological violence is more prevalent against educated women, whilst physical violence is more likely to occur against uneducated and nonworking women. Perpetrator related factors were the most frequently stated causes of VAW. Thirty-five percent of the academicians defined themselves as at risk of some act of VAW. Recommendations for actions against violence were empowerment of women, increasing the educational levels in the society, and legal measures. Conclusions Academic women introduced an ecological approach for the explanation of VAW by stressing the importance of taking into account the global context of the occurrence of VAW. Similar studies with various community members -including men- will help to define targeted interventions.

  15. Afterword: Victorian Sculpture for the Twenty-First Century

    Directory of Open Access Journals (Sweden)

    David J. Getsy

    2016-06-01

    Full Text Available Commenting on the directions proposed by this issue of '19', the afterword discusses the broad trends in twenty-first century studies of Victorian sculpture and the opportunity for debate arising from the first attempt at a comprehensive exhibition.

  16. Reflections on having children in the future—interviews with highly educated women and men without children

    Science.gov (United States)

    Eriksson, Carola; Larsson, Margareta

    2012-01-01

    Background There is a trend to delay birth of the first child until the age at which female reproductive capacity has started to decrease. The aim of the present study was to explore how highly educated women and men reflected on future parenthood. Methods Twenty-two women and 18 men, who had started their professional career, were subjected to individual qualitative semi-structured interviews with qualitative content analysis guiding the analysis. Results All informants, except for three women, planned to have children when some important prerequisites were fulfilled. Women and men reflected in much the same way, and prerequisites for parenthood were being of reasonable age and having a partner in the same phase of life. A reasonable age was considered in relation to reproductive capacity, and both women and men expressed awareness of the natural decline in fertility at higher ages. Good living conditions with stable finances were also important. Parenthood was perceived as a challenge and a sacrifice but also as enriching life. Reasons for having children included being part of the future and settling down to build their own family. Many concluded that there would never be a perfect time for having children. Conclusion Highly educated women and men reflect on various factors when considering family planning. Being of reasonable age and having good living conditions, in particular a sound personal economy, were important. Given their goals, it is not surprising that many postpone parenthood until ages when female reproductive capacity is decreased. PMID:22300332

  17. Women's Athletics: Coping with Controversy.

    Science.gov (United States)

    Hoepner, Barbara J., Ed.

    This book is a collection of papers discussing controversial topics in women's athletics. Section one, "Overview--Women's Rights," includes articles on women's rights and equal opportunities in sports, the emergence of women in sports, and significant events in a century of American women's sports. Section two, "Women's Intercollegiate…

  18. Supplementation with Guanidinoacetic Acid in Women with Chronic Fatigue Syndrome.

    Science.gov (United States)

    Ostojic, Sergej M; Stojanovic, Marko; Drid, Patrik; Hoffman, Jay R; Sekulic, Damir; Zenic, Natasa

    2016-01-29

    A variety of dietary interventions has been used in the management of chronic fatigue syndrome (CFS), yet no therapeutic modality has demonstrated conclusive positive results in terms of effectiveness. The main aim of this study was to evaluate the effects of orally administered guanidinoacetic acid (GAA) on multidimensional fatigue inventory (MFI), musculoskeletal soreness, health-related quality of life, exercise performance, screening laboratory studies, and the occurrence of adverse events in women with CFS. Twenty-one women (age 39.3 ± 8.8 years, weight 62.8 ± 8.5 kg, height 169.5 ± 5.8 cm) who fulfilled the 1994 Centers for Disease Control and Prevention criteria for CFS were randomized in a double-blind, cross-over design, from 1 September 2014 through 31 May 2015, to receive either GAA (2.4 grams per day) or placebo (cellulose) by oral administration for three months, with a two-month wash-out period. No effects of intervention were found for the primary efficacy outcome (MFI score for general fatigue), and musculoskeletal pain at rest and during activity. After three months of intervention, participants receiving GAA significantly increased muscular creatine levels compared with the placebo group (36.3% vs. 2.4%; p fatigue and musculoskeletal soreness.

  19. [Trends in socioeconomic inequalities in mortality over a twenty-two-year period in the city of Barcelona (Spain)].

    Science.gov (United States)

    Dalmau-Bueno, Albert; García-Altés, Anna; Marí-Dell'Olmo, Marc; Pérez, Katherine; Kunst, Anton E; Borrell, Carme

    2010-01-01

    To analyze the trend in socioeconomic inequalities in all-cause mortality in Barcelona from 1983 to 2004. We performed an ecological study of trends over 4 cross-sections (1983-1988, 1989-1994, 1995-1999 and 2000-2004), with the basic health area (BHA) as the unit of analysis. The study population consisted of men and women aged 20 years or more living in Barcelona. The information sources were the mortality registry, the municipal census and the census of inhabitants and dwellings. The age- and sex-specific mortality rate (ASMR) for all causes was used as the dependent variable. As the independent variable, a composite index of socioeconomic deprivation of the BHA was calculated; BHAs were grouped in quartiles according to the values on the index. Poisson models were adjusted to estimate the relative risk of mortality from all causes in the 4 groups of BHA, stratified by age groups and sex. In all the study periods, inequalities in mortality were found, depending on the BHA of residence, both for men and for women: the ASMR of the most deprived BHAs were greater than those of less deprived BHA, and were greater among men than among women. Likewise, relative risks in the youngest age groups were higher than in the oldest age groups. However, from the second to fourth study periods, inequalities decreased in absolute and relative terms, especially among men. Inequalities in mortality persist in BHA in Barcelona but have decreased over the last 2 decades. Public policies should take this information into account when tackling inequalities among BHA. Copyright 2009 SESPAS. Published by Elsevier Espana. All rights reserved.

  20. Prevalence of Human Papillomavirus in Women from Mexico City

    Directory of Open Access Journals (Sweden)

    María Guadalupe López Rivera

    2012-01-01

    Full Text Available Introduction. Cervical cancer is the most common cancer among Mexican women. The goal of the present study was to determine the prevalence and distribution of HPV types in women from Mexico City. Methods. Our study was conducted in the Clinica de Especialidades de la Mujer de la Secretaría de la Defensa Nacional, Mexico. Random samples were taken from 929 healthy women requesting a cervical Papanicolaou examination. Detection and genotyping of HPV were performed by multiplex PCR, with the HPV4A ACE Screening kit (Seegene. Results. 85 of nine hundred twenty-nine women (9.1% were infected with HPV. Of HPV-positive women, 99% and 1% had high- and low-risk HPV genotypes, respectively. The prevalence of the 16 high-risk (HR HPV types that were screened was 43% : 42% (18 were HPV positive and 14% (16 were HPV positive, which includes coinfection. Multiple infections with different viral genotypes were detected in 10% of the positive cases. Abnormal cervical cytological results were found in only 15.3% of HPV-positive women, while 84.7% had normal cytological results. Conclusions. We found a similar prevalence of HPV to previous studies in Mexico. The heterogeneity of the HPV genotype distribution in Mexico is evident in this study, which found a high frequency of HPV HR genotypes, the majority of which were HPV 18.

  1. Human papilloma virus vaccination: perceptions of young Korean women.

    Science.gov (United States)

    Kang, Hee Sun; Shin, Hyunsook; Hyun, Myung-Sun; Kim, Mi Ja

    2010-09-01

    This paper is a report of a descriptive study of young Korean women's perceptions of use of the human papilloma virus vaccine. In Korea, cervical cancer is one of the leading cancers in women, and the rate of human papilloma virus infection is increasing. A national media campaign has recently begun to promote human papilloma virus vaccination. However, research addressing the acceptability of this vaccine to women in Korea has been limited. Twenty-five Korean women, 21-30 years of age, participated in seven focus groups. The data were collected in 2007. Participants were concerned about the potential harmful effects of the human papilloma virus vaccine, a possible increase in unsafe sexual behaviours, and the high cost of the vaccine, which is not covered by health insurance. They suggested group vaccination at-cost or free of charge. They discussed ambivalence about the vaccination, the need for more information about the vaccine, and questions about its effectiveness. Most preferred to wait until more people have been vaccinated. There is a need for more aggressive dissemination of information about the safety and efficacy of the human papilloma virus vaccine. More reasonable cost, insurance coverage, or free vaccination using a group approach might increase young Korean women's acceptance and use of the human papilloma virus vaccine.

  2. The effect of exercise on affective and self-efficacy responses in older and younger women.

    Science.gov (United States)

    Barnett, Fiona

    2013-01-01

    This study examined the self-efficacy and affective responses to an acute exercise bout in sedentary older and younger women to determine whether aging has an effect on affective states. Twenty-five sedentary younger (mean age = 19.9 yrs) and 25 older (mean age = 55.7 yrs) women completed an acute bout of exercise. Affective responses were measured before, during, and immediately following exercise. Self-efficacy responses were measured before and immediately following exercise. Positive engagement, revitalization, tranquility, Felt Arousal and Feeling Scale responses, and self-efficacy were all higher immediately following compared with before or during exercise for both groups of women. In addition, older women experienced higher overall positive engagement and lower physical exhaustion compared with younger women as well as higher tranquility and Feeling Scale responses immediately following exercise. This investigation found that an acute bout of moderate-intensity exercise produced more positive and fewer negative affective states in both younger and older women.

  3. Complementary therapy use by women's health clinic clients.

    Science.gov (United States)

    Pettigrew, Amy C; King, Margaret O'Brien; McGee, Karen; Rudolph, Connie

    2004-01-01

    While it is known that more women than men use complementary and alternative therapies, it is important to look at women who are pregnant or possibly receiving hormonal therapy, as side effects and consequences of these therapies may have a significant effect on their health status. To assess women's knowledge, perceived effectiveness and use of 20 complementary and alternative therapies. Descriptive four-page questionnaire to obtain data on the use, reason for use, knowledge, perceived effectiveness, and sources of information of twenty complementary and alternative therapies. Women's Health Center at a large Midwestern hospital. A convenience sample of 250 women waiting to be seen by either a nurse midwife or obstetrician/gynecologist at an outpatient clinic. Sixty-nine percent of the participants used one or more complementary therapy. The most frequently used therapies included prayer, vitamins, massage, diet, and aromatherapy. The best predictor of use of each therapy was the participant's knowledge of the therapy. Participants generally rated the efficacy of the therapies higher than their knowledge level. Frequently cited sources of information were popular media and family. The least common information sources were nurse-midwives, drug stores, Internet, and other professional healthcare providers. Women in this setting use complementary therapies at a rate greater than the general population. The participants obtained a great deal of their information about the therapies from popular press, media, friends, and family members rather than from licensed healthcare providers.

  4. Clinicians? and womens? experiences of two consent pathways in a trial of timing of clamping at very preterm birth: a qualitative study

    OpenAIRE

    Ayers, Susan; Sawyer, Alex; Chhoa, Celine; Pushpa-Rajah, Angela; Duley, Lelia

    2015-01-01

    Background\\ud Recruitment to trials when birth is imminent requires offering consent at a difficult and stressful time, often with limited time. The Cord Pilot Trial assessed timing of cord clamping at very preterm birth. To ensure high risk women were not excluded we developed a two stage oral assent pathway, for use when birth was imminent. A third of women were recruited using this pathway. The aim of this study was to explore clinicians’ and women’s’ experiences of the two consent pathway...

  5. Cultural differences in postnatal quality of life among German-speaking women - a prospective survey in two countries.

    Science.gov (United States)

    Grylka-Baeschlin, Susanne; van Teijlingen, Edwin; Gross, Mechthild M

    2014-08-15

    Assessment of quality of life after childbirth is an important health-outcome measurement for new mothers and is of special interest in midwifery. The Mother-Generated Index (MGI) is a validated instrument to assess postnatal quality of life. The tool has not been applied for making a cross-cultural comparison before. This study investigated (a) responses to the MGI in German-speaking women in Germany and Switzerland; and (b) associations between MGI scores on the one hand and maternity and midwifery care on the other. A two-stage survey was conducted in two rural hospitals 10 km apart, on opposite sides of the German-Swiss border. The questionnaires included the MGI and questions on socio-demographics, physical and mental health and maternity care, and were distributed during the first days after birth and six weeks postpartum. Parametric and non-parametric tests were computed with the statistical programme SPSS. A total of 129 questionnaires were returned an average of three days after birth and 83 in the follow-up after seven weeks. There were no statistically significant differences in the MGI scores between the German and the Swiss women (p = 0.22). Significantly more favourable MGI scores were found associated with more adequate information during pregnancy (p = 0.02), a more satisfactory birth experience (p German-speaking women were higher than those in other studies reported previously. Thus the tool may be able to detect differences in postnatal quality of life among women with substantially divergent cultural backgrounds. Shortcomings in maternity and midwifery care were detected, as for example the inadequate provision of information during pregnancy, a lack of individualised postpartum care during the hospital stay and insufficient support for exclusively breastfeeding mothers. The MGI is an appropriate instrument for maternity care outcome measurement in cross-cultural comparison research.

  6. The Representation of Francoist Spain by Two British Women Travel Writers

    Directory of Open Access Journals (Sweden)

    Mulligan Maureen

    2016-12-01

    Full Text Available This article offers a discussion of two books by British women which describe travels in Spain during the post-war period, that is, during the dictatorship of General Franco. The aim is to analyse how Spanish culture and society are represented in these texts, and to what extent the authors engage with questions of the ethics of travelling to Spain in this period. Two different forms of travel - by car, and by horse - also influence the way the travellers can connect with local people; and the individual’s interest in Spain as a historical site, or as a timeless escape from industrial northern Europe, similarly affect the focus of the accounts. The global politics of travel writing, and the distinction between colonial and cosmopolitan travel writers, are important elements in our understanding of the way a foreign culture is articulated for the home market. Women’s travel writing also has its own discursive history which we consider briefly. In conclusion, texts involve common discursive and linguistic strategies which have to negotiate the specificity of an individual’s travels in a particular time and place. The authors and books referred to are Rose Macaulay’s Fabled Shore: From the Pyrenees to Portugal (1949 and Penelope Chetwode’s Two Middle-Aged Ladies in Andalusia (1963.

  7. The Notion of Twenty-Two Shrutis

    Indian Academy of Sciences (India)

    IAS Admin

    k-th sur – starting with Saa corresponding to k = 0. – has the ratio 2k/12 with Saa. .... The whole 81/80 business thus comes up, since rather than considering G22 .... proximately 22, 70, 90 (better approximations would be. 21.5, 70.7, 90.2) and ...

  8. Twenty-two patients with Sotos' syndrome

    International Nuclear Information System (INIS)

    Miyake, Shota; Tada, Hiroshi; Hayashi, Michiko; Iwamoto, Hiroko; Fukushima, Yoshimitsu; Kuroki, Yoshikazu

    1985-01-01

    A retrospective study of 22 patients with Sotos' syndrome (17 boys and 5 girls) seen in the past 14 years was made respecting the age of the patients at the first visit, the age of the patients' parents at birth, neonatal abnormalities, neonatal physical characteristics, facial expression characteristics of this syndrome, growth index, and CT findings. CT showed ventricular dilation in all patients (moderate or extreme dilation in 87%, and the association of structure abnormality in the median part in many patients), subdural edema in 4 and arachnoid cyst in 2. (Namekawa, K.)

  9. PENGGUNAAN BAHAN AJAR BERBASIS IMTAQ DALAM MENINGKATKAN HASIL BELAJAR SISWA PADA POKOK BAHASAN SISTEM REPRODUKSI MANUSIA DI KELAS XI IPA SMA NEGERI 1 ASTANAJAPURA KABUPATEN CIREBON

    Directory of Open Access Journals (Sweden)

    Akhmad Makhin

    2014-06-01

    Full Text Available Pendidikan merupakan salah satu sumber dasar peradaban umat manusia, karakter yang dibentuk melalui pendidikan akan diaplikasikan dalam kehidupan sehari-hari. Penggunaan bahan ajar berbasis Imtaq diharapakan siswa tidak hanya baik secara IQ (Intelligence Quotient akan tetapi baik juga dari segi EQ (Emotional Quetiont dan SQ (Spiritual Quotien. Metode penelitian yang digunakan Research and Development dengan pendekatan kuantitatif. Populasi dalam penelitian ini adalah siswa kelas XI IPA. peningkatan N-gain kelas eksperimen 0,32 dengan kriteria sedang dan kelas kontrol peningkatan N-gain 0,23 dengan kriteria rendah. Aktivitas siswa dalam penggunaan bahan ajar berbasis imtaq yang mendukung (On task 87,36 %; yang tidak mendukung (Off task   12,66 %. Terdapat perbedaan hasil belajar siswa yang signifikan antara kelas eksperimen dengan kelas kontrol dengan hasil Sig (2-tailed 0.040 pada uji independent sample t test. Respon siswa terhadap penggunaan bahan ajar berbasis imtaq rata-rata prosentase 82 %; sehingga sikap siswa dapat dikatakan sangat baik (sangat kuat.Kata Kunci : Bahan Ajar Modul, Imtaq, Hasil Belajar

  10. Nuclear power in the twenty-first century - An assessment (Part 1)

    OpenAIRE

    von Hirschhausen, Christian

    2017-01-01

    Nuclear power was one of the most important discoveries of the twentieth century, and it continues to play an important role in twenty-first century discussions about the future energy mix, climate change, innovation, proliferation, geopolitics, and many other crucial policy topics. This paper addresses some key issues around the emergence of nuclear power in the twentieth century and perspectives going forward in the twenty-first, including questions of economics and competitiveness, the str...

  11. Circulating Gut-Homing (α4β7+) Plasmablast Responses against Shigella Surface Protein Antigens among Hospitalized Patients with Diarrhea.

    Science.gov (United States)

    Sinha, Anuradha; Dey, Ayan; Saletti, Giulietta; Samanta, Pradip; Chakraborty, Partha Sarathi; Bhattacharya, M K; Ghosh, Santanu; Ramamurthy, T; Kim, Jae-Ouk; Yang, Jae Seung; Kim, Dong Wook; Czerkinsky, Cecil; Nandy, Ranjan K

    2016-07-01

    Developing countries are burdened with Shigella diarrhea. Understanding mucosal immune responses associated with natural Shigella infection is important to identify potential correlates of protection and, as such, to design effective vaccines. We performed a comparative analysis of circulating mucosal plasmablasts producing specific antibodies against highly conserved invasive plasmid antigens (IpaC, IpaD20, and IpaD120) and two recently identified surface protein antigens, pan-Shigella surface protein antigen 1 (PSSP1) and PSSP2, common to all virulent Shigella strains. We examined blood and stool specimens from 37 diarrheal patients admitted to the Infectious Diseases & Beliaghata General Hospital, Kolkata, India. The etiological agent of diarrhea was investigated in stool specimens by microbiological methods and real-time PCR. Gut-homing (α4β7 (+)) antibody-secreting cells (ASCs) were isolated from patient blood by means of combined magnetic cell sorting and two-color enzyme-linked immunosorbent spot (ELISPOT) assay. Overall, 57% (21 of 37) and 65% (24 of 37) of the patients were positive for Shigella infection by microbiological and real-time PCR assays, respectively. The frequency of α4β7 (+) IgG ASC responders against Ipas was higher than that observed against PSSP1 or PSSP2, regardless of the Shigella serotype isolated from these patients. Thus, α4β7 (+) ASC responses to Ipas may be considered an indirect marker of Shigella infection. The apparent weakness of ASC responses to PSSP1 is consistent with the lack of cross-protection induced by natural Shigella infection. The finding that ASC responses to IpaD develop in patients with recent-onset shigellosis indicates that such responses may not be protective or may wane too rapidly and/or be of insufficient magnitude. Copyright © 2016, American Society for Microbiology. All Rights Reserved.

  12. Women as Agents

    DEFF Research Database (Denmark)

    Košťál, Jaroslav; Pristed Nielsen, Helene

    2011-01-01

    This part of the project report contain an overview of some quantitative characteristics of the Eurosphere interview data, with a specific view to addressing the two broad research areas ‘where are the women?’ and ‘gendering as a process'. We consider two aspects of whether gender matters for the...... for the overall research questions of the project: I) women´s position/presence within the organizations, and II) gender differences in attitudes towards key questions in the interview guide.......This part of the project report contain an overview of some quantitative characteristics of the Eurosphere interview data, with a specific view to addressing the two broad research areas ‘where are the women?’ and ‘gendering as a process'. We consider two aspects of whether gender matters...

  13. Underserved Pregnant and Postpartum Women's Access and Use of Their Health Records.

    Science.gov (United States)

    Guo, Yuqing; Hildebrand, Janet; Rousseau, Julie; Brown, Brandon; Pimentel, Pamela; Olshansky, Ellen

    The purpose of this study was to examine knowledge of and experiences with use of their electronic health record (EHR) among mostly Hispanic women during pregnancy and postpartum. Women who were in the MOMS Orange County prenatal or postpartum home visitation program completed surveys and participated in focus groups. Descriptive and content analyses were used. Twenty-six women participated. Nearly all women (24, 92.3%) knew what health records were and most (80.8%) felt that keeping their records would increase or greatly increase their confidence in caring for themselves and their families. Approximately one third reported already keeping a copy of their health records. Common barriers to accessing and understanding health records included healthcare providers' noncompliance with the Health Information Technology for Economic and Clinical Health Act, limited EHR adoption, unfriendly patient portals, complicated medical terminology, rushed appointments with healthcare providers, lack of Spanish interpreters, and lack of Spanish-speaking healthcare providers. Programs are needed to educate and support women and providers in using health records to promote health literacy, pregnancy management, and patient-provider relationships in underserved populations.

  14. Two novel combined drug treatments for women with hypoactive sexual desire disorder

    NARCIS (Netherlands)

    Poels, Saskia; Bloemers, Jos; van Rooij, Kim; Koppeschaar, Hans; Olivier, Berend|info:eu-repo/dai/nl/073067199; Tuiten, Adriaan

    Low sexual desire is the most common sexual complaint in women. As a result, many women suffer from sexual dissatisfaction which often negatively interferes with their quality of life. These complaints have been classified as the condition Hypoactive Sexual Desire Disorder (HSDD), and have recently

  15. Hospitals, Part of Community Facilities data set for all eleven counties and twenty-two cities within Middle Georgia. Updated by MGRC and maintained by the GA Dept of Community Affairs., Published in 2000, 1:24000 (1in=2000ft) scale, Middle Georgia Regional Commission.

    Data.gov (United States)

    NSGIC Regional | GIS Inventory — Hospitals dataset current as of 2000. Part of Community Facilities data set for all eleven counties and twenty-two cities within Middle Georgia. Updated by MGRC and...

  16. Twenty-first workshop on geothermal reservoir engineering: Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    None

    1996-01-26

    PREFACE The Twenty-First Workshop on Geothermal Reservoir Engineering was held at the Holiday Inn, Palo Alto on January 22-24, 1996. There were one-hundred fifty-five registered participants. Participants came from twenty foreign countries: Argentina, Austria, Canada, Costa Rica, El Salvador, France, Iceland, Indonesia, Italy, Japan, Mexico, The Netherlands, New Zealand, Nicaragua, the Philippines, Romania, Russia, Switzerland, Turkey and the UK. The performance of many geothermal reservoirs outside the United States was described in several of the papers. Professor Roland N. Horne opened the meeting and welcomed visitors. The key note speaker was Marshall Reed, who gave a brief overview of the Department of Energy's current plan. Sixty-six papers were presented in the technical sessions of the workshop. Technical papers were organized into twenty sessions concerning: reservoir assessment, modeling, geology/geochemistry, fracture modeling hot dry rock, geoscience, low enthalpy, injection, well testing, drilling, adsorption and stimulation. Session chairmen were major contributors to the workshop, and we thank: Ben Barker, Bobbie Bishop-Gollan, Tom Box, Jim Combs, John Counsil, Sabodh Garg, Malcolm Grant, Marcel0 Lippmann, Jim Lovekin, John Pritchett, Marshall Reed, Joel Renner, Subir Sanyal, Mike Shook, Alfred Truesdell and Ken Williamson. Jim Lovekin gave the post-dinner speech at the banquet and highlighted the exciting developments in the geothermal field which are taking place worldwide. The Workshop was organized by the Stanford Geothermal Program faculty, staff, and graduate students. We wish to thank our students who operated the audiovisual equipment. Shaun D. Fitzgerald Program Manager.

  17. Wii Balance Board: Reliability and Clinical Use in Assessment of Balance in Healthy Elderly Women.

    Science.gov (United States)

    Monteiro-Junior, Renato Sobral; Ferreira, Arthur Sá; Puell, Vivian Neiva; Lattari, Eduardo; Machado, Sérgio; Otero Vaghetti, César Augusto; da Silva, Elirez Bezerra

    2015-01-01

    Force plate is considered gold standard tool to assess body balance. However the Wii Balance Board (WBB) platform is a trustworthy equipment to assess stabilometric components in young people. Thus, we aim to examine the reliability of measures of center of pressure with WBB in healthy elderly women. Twenty one healthy and physically active women were enrolled in the study (age: 64 ± 7 years; body mass index: 29 ± 5 kg/m2. The WBB was used to assess the center of pressure measures in the individuals. Pressure was linearly applied to different points to test the platform precision. Three assessments were performed, with two of them being held on the same day at a 5- to 10-minute interval, and the third one was performed 48 h later. A linear regression analysis was used to find out linearity, while the intraclass correlation coefficient was used to assess reliability. The platform precision was adequate (R2 = 0.997, P = 0.01). Center of pressure measures showed an excellent reliability (all intraclass correlation coefficient values were > 0.90; p < 0.01). The WBB is a precise and reliable tool of body stability quantitative measure in healthy active elderly women and its use should be encouraged in clinical settings.

  18. The Effect of Korean Red Ginseng on Sexual Function in Premenopausal Women: Placebo-Controlled, Double-Blind, Crossover Clinical Trial

    Directory of Open Access Journals (Sweden)

    Ho Seok Chung

    2015-01-01

    Full Text Available This study investigated whether Korean red ginseng (KRG extracts could improve sexual function in premenopausal women. Forty-one premenopausal women participated in this placebo-controlled, double-blind, and crossover clinical study with administration of either three ginseng capsules (1 g per capsule or placebo daily. After 8 weeks of medication of KRG or placebo, medication was changed for the subjects to placebo or KRG after 2 weeks of washout period. The efficacy of KRG extracts was measured by using Female Sexual Function Index (FSFI. Results. Twenty-three women completed the study. Total FSFI scores increased after KRG treatment (from 20.13±2.87 to 23.98±4.10, p=0.015 and placebo treatment (from 20.06±2.64 to 23.78±3.28, p=0.003. However, this change was not significantly different between the two groups (p=0.702. KRG treatment significantly improved sexual desire, arousal, orgasm, and satisfaction domains; however, there was no treatment effect compared with placebo. There was a case of gastric discomfort after taking KRG extracts. Oral administration of KRG extracts improved sexual function in premenopausal women; however, there were no statistical significant changes compared to placebo. It implies that KRG extracts have a substantial placebo effect in premenopausal women with sexual dysfunction.

  19. Summary record of the twenty-seventh meeting

    International Nuclear Information System (INIS)

    Young, P.

    1990-01-01

    The topics presented and discussed at the twenty-seventh international meeting of the Nuclear Data Committee of the Nuclear Energy Agency are summarized. Relations with other committees and reports of data centers are analyzed. Problems concerning nuclear model codes are underlined. National evaluation efforts on data library and data file are reported. Reports from several laboratories and subcommittees are summarized

  20. Twenty years of operation of WWER 440/230 units in Jaslovske Bohunice

    International Nuclear Information System (INIS)

    Tomek, J.

    1998-01-01

    It is twenty years this year since the first unit WWER 440 of Slovak Nuclear Power Plant Jaslovske Bohunice was commissioned. There are four units WWER 440 in operation Jaslovske Bohunice site. First two units of older soviet PWR design V-230 (also known as V-1) and other two units of newer V-213 type (also known as V-2). The goal of this presentation is to summarize and evaluate the operation of Unit 1 and 2 for this period of time and mainly to describe what has been done and what is planned to be done to increase the nuclear safety and operational reliability of both units. The operating organization and regulatory authority assume that an internationally acceptable level of safety will be reached by accomplishing of the upgrading program.(author)