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Sample records for contraception body water

  1. Contraceptives.

    PubMed

    1997-01-01

    This chart sets forth brief descriptions of 14 contraceptive methods: male condom, female condom, vaginal diaphragm and cap, spermicides, oral contraceptives, hormonal implants, injectables, IUD, natural family planning, fertility awareness, breast feeding, withdrawal, sterilization, and emergency contraception. After presenting a short description of each method, the chart rates its degree of protection from pregnancy, the protection provided against HIV and other sexually transmitted diseases, its availability, and the method's advantages and disadvantages. PMID:12348240

  2. The `natural' body, God and contraceptive use in the southeastern United States

    PubMed Central

    WOODSONG, CYNTHIA; SHEDLIN, MICHELE; KOO, HELEN

    2011-01-01

    Data collected among African-American and Caucasian women and men in the southeastern USA indicate that participants' perceptions of nature, God's will and the human body influence reproductive health and decision-making. Attitudes about the health care system, pharmaceutical companies and government programmes for fertility regulation reinforce these views and may negatively affect willingness to use contraceptive methods consistently and correctly. PMID:21972833

  3. Effect of the ethinylestradiol/norelgestromin contraceptive patch on body composition. Results of bioelectrical impedance analysis in a population of Italian women

    PubMed Central

    Piccoli, Antonio; Crosignani, PierGiorgio; Nappi, Carmine; Ronsini, Salvatore; Bruni, Vincenzina; Marelli, Silvia

    2008-01-01

    Background As weight gain is one of the most frequently cited reasons for not using and for discontinuing hormonal contraceptives, in an open-label, single-arm, multicentre clinical study we evaluated the effect of the ethinylestradiol/norelgestromin contraceptive patch (EVRA, Janssen-Cilag International, Belgium) on body composition using bioelectrical impedance analysis (BIA). Methods Body weight and impedance vector components (resistance (R) and reactance (Xc), at 50 kHz frequency, Akern-RJL Systems analyzer) were recorded before entry, after 1, 3 and 6 months in 182 Italian healthy women aged 29 yr (18 to 45), and with BMI 21.8 kg/m2 (16 to 31). Total body water (TBW) was estimated with a BIA regression equation. Vector BIA was performed with the RXc mean graph method and the Hotelling's T2 test for paired and unpaired data. Results After 6 months body weight increased by 0.64 kg (1.1%) and TBW increased by 0.51 L (1.7%). The pattern of impedance vector displacement indicated a small increase in soft tissue hydration (interstitial gel fluid). Body composition changes did not significantly differ among groups of previous contraceptive methods. Arterial blood pressure did not significantly change over time. Conclusion After 6 months of treatment with the ethinylestradiol/norelgestromin contraceptive patch we found a minimal, clinically not relevant, increase in body weight less than 1 kg that could be attributed to an adaptive interstitial gel hydration. This fluctuation is physiological as confirmed by the lack of any effect on blood pressure. This could be useful in increasing women's choice, acceptability and compliance of the ethinylestradiol/norelgestromin contraceptive patch. PMID:18727825

  4. About Body Water

    MedlinePlus

    ... Thoughts As Traffic Piles Up, So Does Air Pollution Heart Docs: Never Expose Kids to Cigarette Smoke ... Insulin Delivery Additional Content Medical News About Body Water By James L. Lewis, III, MD NOTE: This ...

  5. No association between body size and frequency of sexual intercourse among oral contraceptive users

    PubMed Central

    Brunner Huber, Larissa R.; Stanley, Whitney A.; Broadhurst, Leah; Dmochowski, Jacek; Vick, Tara M.; Scholes, Delia

    2014-01-01

    Purpose This study aimed to describe frequency of sexual intercourse and whether body size was associated with weekly sexual intercourse among a diverse group of women using oral contraceptives. Methods This longitudinal, prospective cohort study recruited participants (n=185) from several clinics in Charlotte, NC. Body mass index (BMI) and waist-to-hip ratio (WHR) were used as measures of body size and sexual intercourse frequency was determined from self-reported information provided on daily diaries. Mean monthly frequencies of sexual intercourse were calculated and linear mixed models were used to assess if means remained constant over time. Generalized estimating equations were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs). Results Mean monthly frequency of sexual intercourse was similar for women classified as normal/underweight or obese by BMI during each month of data collection, but was highest for women classified as overweight. After adjustment, obesity-sexual intercourse associations were attenuated (BMI ≥30 vs. <25.0: OR=0.78, 95% CI: 0.43, 1.42 and WHR ≥0.85 vs. <0.85: OR=1.11; 95% CI: 0.62, 2.01). Conclusions This study found no association between BMI or WHR and weekly sexual intercourse. However, more research is warranted given the importance of this possible relationship for future studies of fertility, contraceptive effectiveness, and sexual health. PMID:25034574

  6. [Contraception news].

    PubMed

    Vincent-Rohfritsch, A; Pernin, E; Chabbert-Buffet, N

    2012-04-01

    Although contraception is widely available in France, contraceptive failure remains high. However a number of modifications in contraceptive methods have been developed and should help reduce contraceptive failure. Among those, information and improvement of access to contraception are very important. Recent advances in contraceptive practice have also contributed to improve clinical tolerance and subsequently compliance. Finally, emergency contraception has evolved as well. PMID:22079029

  7. Influence of Body Weight, Ethnicity, Oral Contraceptives, and Pregnancy on the Pharmacokinetics of Azithromycin in Women of Childbearing Age

    PubMed Central

    Habibi, Mitra; Kilpatrick, Sarah J.; Tuomala, Ruth E.; Shier, Janice M.; Wollett, Lori; Fischer, Patricia A.; Khorana, Kinnari S.; Rodvold, Keith A.

    2012-01-01

    Women of childbearing age commonly receive azithromycin for the treatment of community-acquired infections, including during pregnancy. This study determined azithromycin pharmacokinetics in pregnant and nonpregnant women and identified covariates contributing to pharmacokinetic variability. Plasma samples were collected by using a sparse-sampling strategy from pregnant women at a gestational age of 12 to 40 weeks and from nonpregnant women of childbearing age receiving oral azithromycin for the treatment of an infection. Pharmacokinetic data from extensive sampling conducted on 12 healthy women were also included. Plasma samples were assayed for azithromycin by high-performance liquid chromatography. Population data were analyzed by nonlinear mixed-effects modeling. The population analysis included 53 pregnant and 25 nonpregnant women. A three-compartment model with first-order absorption and a lag time provided the best fit of the data. Lean body weight, pregnancy, ethnicity, and the coadministration of oral contraceptives were covariates identified as significantly influencing the oral clearance of azithromycin and, except for oral contraceptive use, intercompartmental clearance between the central and second peripheral compartments. No other covariate relationships were identified. Compared to nonpregnant women not receiving oral contraceptives, a 21% to 42% higher dose-adjusted azithromycin area under the plasma concentration-time curve (AUC) occurred in non-African American women who were pregnant or receiving oral contraceptives. Conversely, azithromycin AUCs were similar between pregnant African American women and nonpregnant women not receiving oral contraceptives. Although higher levels of maternal and fetal azithromycin exposure suggest that lower doses be administered to non-African American women during pregnancy, the consideration of azithromycin pharmacodynamics during pregnancy should guide any dose adjustments. PMID:22106226

  8. [Topical contraceptives].

    PubMed

    Alipov, V I; Korkhov, V V

    1982-02-01

    Recently there has been little interest in topical contraceptives. The most popular are the cervical cap and the diaphragm. Other types of mechanical contraceptive devices are being investigated. Standley and Kessler have developed a device for introduction into the cervical canal with a reservoir of spermatocide, it does not block the flow of blood during menstruation. New models of vaginal rings are also being developed which are simple enough for self-insertion and also contain a reservoir of spermatocide. Work is being done on spermatocide-containing sponges in many countries. Another project being investigated is the possibility of using natural proteins, collagens, and other substances which absorb spermatozoids. The ancients used various vaginal suppositories to kill spermatozoids; in the late 19th century quinine sulfate was used for this, and a variety of substances have been used recently. These spermicidal creams also have the advantage of acting as anti-infectious agents in many cases. But they do have some negative effects. They are about 85% effective, are local irritants, and some cause discomfort during intercourse. And it is possible that some are resorbed by the body and act on the liver and other organs. Vaginal globules and suppositories are also popular. The "Kontraceptin-T" brand contains quinosol, boric acid, and tannin. There are also foaming tablets which are mixed with water and then introduced. New locally-active chemical substances are being developed in Japan, West Germany, and the USSR. Kontraceptin-E contains paranonyl-phenoxypolyethylene glycol and sodium dioctylsulfosuccinate. The "Norforks" and other preparations contain mercurial compounds which may turn out to be harmful. The future promises the development of products which will act to prevent fertilization by acting on the hyaluronidase and the acrosine of the spermatozoid, thus preventing it from penetrating the ovum. It would be best to find enzyme inhibitors which are

  9. Transdermal delivery of contraceptives.

    PubMed

    Friend, D R

    1990-01-01

    Contraceptive agents are administered to the body through a variety of routes. Research has recently been directed at examining the transdermal route for systemic delivery of contraceptive agents, including estrogens and progestins. The transdermal route has several potential advantages over the other routes of administration: (1) improved compliance, (2) once-weekly administration, (3) delivery is easily terminated, and (4) some side effects can be alleviated based on more constant delivery rates. This article reviews the permeability of skin toward contraceptive steroids and how skin permeability is evaluated. The metabolism of contraceptive steroids is also considered. Transdermal delivery systems used to deliver contraceptives are presented, followed by a detailed discussion of several delivery systems for specific contraceptive agents such as levonorgestrel and estradiol. The potential problem of skin irritation is presented as it relates to transdermal contraceptive delivery systems, all of which will be worn chronically. PMID:2272099

  10. Lunelle monthly contraceptive injection (medroxyprogesterone acetate and estradiol cypionate injectable suspension): effects of body weight and injection sites on pharmacokinetics.

    PubMed

    Rahimy, M H; Cromie, M A; Hopkins, N K; Tong, D M

    1999-10-01

    A new contraceptive option, medroxyprogesterone acetate (MPA) and estradiol cypionate (E2C) (MPA/E2C, Lunelle Monthly Contraceptive Injection), will soon be available for women in the US. This article reports the results of a US trial that assessed the effects of body weight and injection site on the pharmacokinetics of MPA, the progestin mediating contraceptive efficacy. This assessment was part of a nonrandomized, open-label, multicenter US study in healthy women receiving a monthly injection of MPA/E2C for 60 weeks. A total of 77 women (aged 18-47 years) at four centers participated in the pharmacokinetics assessment during the sixth or the seventh injection. For determination of serum MPA concentration-time profiles, blood samples were collected before the sixth and seventh injections (day 0) and on days 3, 7, 14, 21, and 28 after the sixth and seventh monthly administrations. For effects of injection site, MPA pharmacokinetics were compared at injection sites of the arm, hip, and leg. The pharmacokinetics of MPA, determined at the sixth and seventh injection, were not significantly affected by injection sites. The mean area under the curve (AUC0-28), however, was different between the arm and the leg injection sites; the difference was < 20%. More important, the average MPA trough concentrations (Cmin) at the fifth and sixth monthly injections were similar (range 0.42-0.51 ng/mL) for the three injection sites and well above the threshold levels of 0.10-0.20 ng/mL required to suppress ovulation. For effects of body mass index (BMI) on pharmacokinetics, women were stratified into three groups: thin/normal (BMI 18-28, n = 48), obese (BMI 29-38, n = 23), and highly obese (BMI > 38, n = 6). There were no significant differences in the pharmacokinetics of MPA among the three BMI categories. The only significant difference (p = 0.0387) was the AUC0-28 between BMI 18-28 and BMI 29-38. Because of the small sample size in the highly obese group, a reanalysis was

  11. Emergency Contraception

    MedlinePlus

    ... contraception are available: emergency contraceptive pills and the copper-containing intrauterine device (IUD). Emergency contraceptive pills include ... for emergency use, talk to your doctor. The copper-containing IUD (brand name: Paragard) is a small, ...

  12. Emergency Contraception

    MedlinePlus

    f AQ FREQUENTLY ASKED QUESTIONS FAQ114 CONTRACEPTION Emergency Contraception • What is emergency contraception (EC)? • How does EC work? • What are the different types of EC? • What is the most ...

  13. Emergency Contraception.

    PubMed

    Batur, Pelin; Kransdorf, Lisa N; Casey, Petra M

    2016-06-01

    Emergency contraception (EC) may help prevent pregnancy in various circumstances, such as contraceptive method failure, unprotected sexual intercourse, or sexual assault, yet it remains underused. There are 4 approved EC options in the United States. Although ulipristal acetate requires a provider's prescription, oral levonorgestrel (LNG) is available over the counter for women of all ages. The most effective method of EC is the copper intrauterine device, which can be left in place for up to 10 years for efficacious, cost-effective, hormone-free, and convenient long-term primary contraception. Ulipristal acetate tends to be more efficacious in pregnancy prevention than is LNG, especially when taken later than 72 hours postcoitus. The mechanism of action of oral EC is delay of ovulation, and current evidence reveals that it is ineffective postovulation. Women who weigh more than 75 kg or have a body mass index greater than 25 kg/m(2) may have a higher risk of unintended pregnancy when using oral LNG EC; therefore, ulipristal acetate or copper intrauterine devices are preferable in this setting. Providers are often unaware of the range of EC options or are unsure of how to counsel patients regarding the access and use of EC. This article critically reviews current EC literature, summarizes recommendations, and provides guidance for counseling women about EC. Useful tips for health care providers are provided, with a focus on special populations, including breast-feeding women and those transitioning to long-term contraception after EC use. When treating women of reproductive age, clinicians should be prepared to counsel them about EC options, provide EC appropriately, and, if needed, refer for EC in a timely manner. PMID:27261868

  14. Emergency contraception

    MedlinePlus

    Morning-after pill; Postcoital contraception; Birth control - emergency; Plan B ... Emergency contraception most likely prevents pregnancy in the same way as regular birth control pills: By preventing or delaying ...

  15. Contraceptive Development.

    ERIC Educational Resources Information Center

    Troen, Philip; And Others

    This report provides an overview of research activities and needs in the area of contraceptive development. In a review of the present state, discussions are offered on the effectiveness and drawbacks of oral contraceptives, intrauterine devices, barrier methods, natural family planning, and sterilization. Methods of contraception that are in the…

  16. Changes in weight, total fat, percent body fat, and central-to-peripheral fat ratio associated with injectable and oral contraceptive use

    PubMed Central

    BERENSON, Abbey B.; RAHMAN, Mahbubur

    2010-01-01

    Objective To determine changes in body weight and composition resulting from hormonal contraception. Study design Dual-energy X-ray absorptiometry was performed at baseline and every 6 months for 3 years on 703 women (200 Black, 247 White, 256 Hispanic) initiating use of oral contraception (OC, n = 245), depot medroxyprogesterone acetate (DMPA, n = 240), or nonhormonal contraception (NH, n = 218). DMPA discontinuers were followed for up to 2 years to examine the reversibility of observed changes. Results Over 36 months, DMPA users increased their weight (+5.1 kg), body fat (+4.1 kg), percent body fat (+3.4%), and central-to-peripheral fat ratio (+0.1) more than OC and NH users (P<.01). OC use did not cause weight gain. After DMPA discontinuation, NH users lost 0.42 kg/6 months while OC users gained 0.43 kg/6 months. Conclusions Body weight and fat significantly increase while using DMPA. After discontinuation, some decrease occurs when NH is used. PMID:19254592

  17. Contraceptive Evaluation.

    ERIC Educational Resources Information Center

    Hulka, Barbara S.; And Others

    The objective of research in contraceptive evaluation is to improve the ability of individuals to choose contraceptive methods best suited to their needs and circumstances and to provide information that will lead to the development of safer and more effective methods. There are usually three considerations in judging the importance of a method of…

  18. Emergency contraception.

    PubMed

    Grimes, David A; Raymond, Elizabeth G

    2002-08-01

    Emergency contraception is used to prevent pregnancy after a coital act not adequately protected by a regular method of contraception. In contrast to early medical abortion, emergency contraception prevents a pregnancy from starting and does not disrupt an established pregnancy. The most commonly used approaches consist of two oral doses of contraceptive steroids. The levonorgestrel-only regimen (levonorgestrel, 0.75 mg, repeated in 12 hours) appears to be more effective and better tolerated than the Yuzpe regimen (ethinyl estradiol, 100 microg, and levonorgestrel, 0.5 mg, repeated in 12 hours). In the largest randomized, controlled trial to date, levonorgestrel prevented about 85% of pregnancies that would have occurred without its use. Hormonal emergency contraception has no known medical contraindications, although it is not indicated for suspected or confirmed pregnancy. However, if hormonal emergency contraception is inadvertently taken in early pregnancy, neither the woman nor the fetus will be harmed. Nausea and vomiting associated with the Yuzpe regimen can be reduced by prophylactic use of meclizine. A strong medical and legal case exists for making hormonal emergency contraception available over the counter, as has happened in countries other than the United States. Easier access to and wider use of emergency contraception could dramatically lower the high rates of unintended pregnancy and induced abortion in the United States. PMID:12160366

  19. Contraceptive Equity

    PubMed Central

    Temkin, Elizabeth

    2007-01-01

    The Equity in Prescription Insurance and Contraceptive Coverage Act, introduced in Congress in 1997 and still unpassed, seeks to redress health insurers’ failure to pay for birth control as they pay for other prescription drugs, most paradoxically Viagra. In 1936 the International Workers Order (IWO), a fraternal society, became the first insurer to include contraception in its benefits package. A forerunner in the movement for prepaid medical care, the IWO offered its members primary care and contraceptive services for annual flat fees. Founded at a time when the legal status of contraception was in flux, the IWO’s Birth Control Center was the only such clinic to operate on an insurance system. Recent state laws and judicial actions have revived the IWO’s groundbreaking view of contraception as a basic preventive service deserving of insurance coverage. PMID:17761562

  20. Water and electrolytes. [in human bodies

    NASA Technical Reports Server (NTRS)

    Greenleaf, J. E.; Harrison, M. H.

    1986-01-01

    It has been found that the performance of the strongest and fittest people will deteriorate rapidly with dehydration. The present paper is concerned with the anatomy of the fluid spaces in the body, taking into account also the fluid shifts and losses during exercise and their effects on performance. Total body water is arbitrarily divided into that contained within cells (cellular) and that located outside the cells (extracellular). The anatomy of body fluid compartments is considered along with the effects of exercise on body water, fluid shifts with exercise, the consequences of sweating, dehydration and exercise, heat acclimatization and endurance training, the adverse effects of dehydration, thirst and drinking during exercise, stimuli for drinking, and water, electrolyte, and carbohydrate replacement during exercise. It is found that the deterioration of physical exercise performance due to dehydration begins when body weight decreases by about 1 percent.

  1. Contraception today.

    PubMed

    Benagiano, Giuseppe; Bastianelli, Carlo; Farris, Manuela

    2006-12-01

    Modern contraceptive methods represent more than a technical advance: they are the instrument of a true social revolution-the "first reproductive revolution" in the history of humanity, an achievement of the second part of the 20th century, when modern, effective methods became available. Today a great diversity of techniques have been made available and-thanks to them, fertility rates have decreased from 5.1 in 1950 to 3.7 in 1990. As a consequence, the growth of human population that had more than tripled, from 1.8 to more than 6 billion in just one century, is today being brought under control. At the turn of the millennium, all over the world, more than 600 million married women are using contraception, with nearly 500 million in developing countries. Among married women, contraceptive use rose in all but two developing countries surveyed more than once since 1990. Among unmarried, sexually active women, it grew in 21 of 25 countries recently surveyed. Hormonal contraception, the best known method, first made available as a daily pill, can today be administered through seven different routes: intramuscularly, intranasally, intrauterus, intravaginally, orally, subcutaneously, and transdermally. In the field of oral contraception, new strategies include further dose reduction, the synthesis of new active molecules, and new administration schedules. A new minipill (progestin-only preparation) containing desogestrel has been recently marketed in a number of countries and is capable of consistently inhibiting ovulation in most women. New contraceptive rings to be inserted in the vagina offer a novel approach by providing a sustained release of steroids and low failure rates. The transdermal route for delivering contraceptive steroids is now established via a contraceptive patch, a spray, or a gel. The intramuscular route has also seen new products with the marketing of improved monthly injectable preparations containing an estrogen and a progestin. After the first

  2. Emergency contraception.

    PubMed

    Gold, M A

    2000-01-01

    High rates of adolescent pregnancy remain a challenge for health care providers. For most sexually active adolescents, pregnancy is unintended. Emergency contraception, also called the "morning-after-pill" or postcoital contraception, is a way to prevent pregnancy after unprotected intercourse. In the United States, three forms of emergency contraception currently are available: high-dose combination estrogen and progestin pills, high-dose progestin-only pills, and postcoital insertion of a copper intrauterine device. The postcoital intrauterine device is used infrequently. When emergency contraceptive pills (ECPs) are taken within 72 hours of unprotected intercourse, they reduce the risk of pregnancy by at least 75%. However, they are most effective if taken within 24 hours of coitus. Eleven brands of pills currently are marketed in the United States that conform to the regimens approved by the Food and Drug Administration (FDA) for this indication. Recently, two prepackaged ECPs were approved by the FDA. The only medical contraindication to prescribing ECPs is pregnancy. The most common side effects are nausea and vomiting, followed by menstrual disturbances, breast tenderness, abdominal cramping, dizziness, headache, and mood changes. Because vomiting can compromise the efficacy of ECPs, routine pretreatment with an antiemetic is recommended. Primary care providers can reduce unintended adolescent pregnancy by routinely counseling adolescents at all office visits about the existence of emergency contraception and by prescribing it in advance and over the telephone. PMID:10959448

  3. Male contraception.

    PubMed

    Chao, Jing; Page, Stephanie T; Anderson, Richard A

    2014-08-01

    Clear evidence shows that many men and women would welcome new male methods of contraception, but none have become available. The hormonal approach is based on suppression of gonadotropins and thus of testicular function and spermatogenesis, and has been investigated for several decades. This approach can achieve sufficient suppression of spermatogenesis for effective contraception in most men, but not all; the basis for these men responding insufficiently is unclear. Alternatively, the non-hormonal approach is based on identifying specific processes in sperm development, maturation and function. A range of targets has been identified in animal models, and targeted effectively. This approach, however, remains in the pre-clinical domain at present. There are, therefore, grounds for considering that safe, effective and reversible methods of contraception for men can be developed. PMID:24947599

  4. Male contraception

    PubMed Central

    Chao, Jing; Page, Stephanie T.; Anderson, Richard A.

    2015-01-01

    Clear evidence shows that many men and women would welcome new male methods of contraception, but none have become available. The hormonal approach is based on suppression of gonadotropins and thus of testicular function and spermatogenesis, and has been investigated for several decades. This approach can achieve sufficient suppression of spermatogenesis for effective contraception in most men, but not all; the basis for these men responding insufficiently is unclear. Alternatively, the nonhormonal approach is based on identifying specific processes in sperm development, maturation and function. A range of targets has been identified in animal models, and targeted effectively. This approach, however, remains in the pre-clinical domain at present. There are, therefore, grounds for considering that safe, effective and reversible methods of contraception for men can be developed. PMID:24947599

  5. Contraceptive revolution.

    PubMed

    Segal, S J

    1994-06-01

    Global population will increase by almost 1 billion people in the 1990s, the largest 10-year increase ever recorded. In 1994 alone, population will surpass 5.7 billion. The prospect of double-digit billions of people is worrisome, especially since these numbers may affect global warming, supplies of fresh water, destruction of rain forests, industrial pollution, and sustainable development. Yet, many indicators of quality of life show that people enjoy a better quality of life today than they did 100 years ago. Between India's independence and now, life expectancy increased by 20 years, infant mortality decreased 2-fold, literacy increased, and the food supply stabilized. Even though India's population has almost tripled since 1947, its economy increased rapidly and is 1 of the world's top 10 economies. University enrollment stands at 4.5 million. Agricultural production has exceeded demand. India represents the potential for human achievement through technological advancement and social organization. If the world's first national family planning program had been more successful when it began in 1952 in an India of 350 million people, India's population would be around 500 million instead of the expected 1 billion in 2000. All countries need to achieve a sustainable balance between human numbers and needs and natural resources. Family planning is an essential, cost-effective part of any development strategy. Family planning use has reduced fertility from 6 to 3.6 in developing countries. In 1965, only 8% used contraception, while more than 50% use it now. The most remarkable family planning/fertility reduction successes are Bangladesh, Brazil, Colombia, Indonesia, Mexico, and Thailand. Sufficient investment in family planning is needed if significant declines in fertility are to occur. More than 90% of the developing world's people are in countries with official family planning programs. Cost-effective assistance by donors and developing countries implementing

  6. Intrauterine Contraception.

    PubMed

    Hsia, Jennifer K; Creinin, Mitchell D

    2016-05-01

    Currently, there are only two basic types of intrauterine devices (IUDs): copper and hormonal. However, other types of IUDs are under development, some of which are in clinical trials around the world. Continued development has focused on increasing efficacy, longer duration of use, and noncontraceptive benefits. This review discusses currently available intrauterine contraceptives, such as the Cu380A IUD and levonorgestrel-releasing intrauterine systems; novel intrauterine contraceptives that are available in select parts of the world including the intrauterine ball, low-dose copper products, frameless devices, and intrauterine delivery systems impregnated with noncontraceptive medication; and novel products currently in development. PMID:26947701

  7. Total body water and total body potassium in anorexia nervosa

    SciTech Connect

    Dempsey, D.T.; Crosby, L.O.; Lusk, E.; Oberlander, J.L.; Pertschuk, M.J.; Mullen, J.L.

    1984-08-01

    In the ill hospitalized patient with clinically relevant malnutrition, there is a measurable decrease in the ratio of the total body potassium to total body water (TBK/TBW) and a detectable increase in the ratio of total exchangeable sodium to total exchangeable potassium (Nae/Ke). To evaluate body composition analyses in anorexia nervosa patients with chronic uncomplicated semistarvation, TBK and TBW were measured by whole body K40 counting and deuterium oxide dilution in 10 females with stable anorexia nervosa and 10 age-matched female controls. The ratio of TBK/TBW was significantly (p less than 0.05) higher in anorexia nervosa patients than controls. The close inverse correlation found in published studies between TBK/TBW and Nae/Ke together with our results suggest that in anorexia nervosa, Nae/Ke may be low or normal. A decreased TBK/TBW is not a good indicator of malnutrition in the anorexia nervosa patient. The use of a decreased TBK/TBW ratio or an elevated Nae/Ke ratio as a definition of malnutrition may result in inappropriate nutritional management in the patient with severe nonstressed chronic semistarvation.

  8. [Progestational contraception].

    PubMed

    Bercovici, J P

    1987-09-21

    Synthetic progestins derived from nortestosterone provide a promising contraceptive alternative for women with contraindications for estrogens. Progesterone and synthetic progestins reduce vasodilatation and edema induced by estrogens and stop estrogen-dependent cellular multiplication in target tissue. Progestins have 2 kinds of contraceptive affect: antigonadotropic action at sufficient doses, and peripheral action at lower doses. The cervical mucus is modified in composition and volume, becoming hostile to sperm; the endometrial mucus atrophies; and tubal motility is slowed. High dose progestins are administered from the 5th or 10th to the 25th cycle day, with the earlier date preferred for women with shorter cycles. They are an ideal method for women with endometrial hyperplasia or benign breast disease or histories of breast or uterine cancer, as well as for women over 40 with dysovulatory cycles. Contraindications to high dose progestins include obesity, hypertension, lipid metabolic anomalies, and diabetes. Low dose progestin-only pills are administered at the exact same time each day including during menstruation. They are attractive for some women because they contain no estrogen, a reduced progestin dose causing fewer headaches and less somnolence, and fewer metabolic effects. Low dose progestins are indicated for lactating women, those with contraindications to estrogens such as obesity, hypertension, hyperlipidemia, and diabetes, and those with renal or cardiac insufficiency with valvulopathy. Low dose progestins are also indicated for nulliparas and other women for whom IUDS are contraindicated. Women using low dose progestins should never take drugs that act as enzymatic inductors, which speed hepatic degradation of steroids and reduce their efficiency. A resulting pregnancy is likely to be extrauterine because of slowed tubal transport. The failure rate of low dose progestins ranges from .9-3%, with higher failure rates among younger women. About 30

  9. [Contraceptive pancreopathy].

    PubMed

    Riederer, J

    1973-01-26

    In a private practice an increasing number of young women or girls are being observed with sudden onset of acute stomach pains of unknown origin. Clinically the pancreas is sensitive to pressure and there is an alpha-amylase elevation in the urine often accompanied by moderate leukocytosis. A slight elevation of the transaminase count is usual in such cases. There are no indications of alchohol abuse or pancreatic disorders in the anamnese and x-rays reveal an adequately functionning gall bladder without stones. Without exception all the women have been on oral contraceptives. With spasmolytics and a diet low in fats the symptoms disappear, often without discontinuation of the contraceptive. More data are needed on this problem, and prospective research should determine which additional factors must be present for the activation of such pancreatic disorders. PMID:4684016

  10. Emergency contraception

    PubMed Central

    Langille, Donald B.; Allen, Michael; Whelan, Anne Marie

    2012-01-01

    Abstract Objective To determine the extent to which Nova Scotian FPs prescribe and provide emergency contraceptive pills (ECPs) and to explore their knowledge of and attitudes toward ECPs. Design Survey of Nova Scotian FPs using a modified Dillman method. Setting All regions of Nova Scotia. Participants Family physicians registered with Dalhousie University’s Division of Continuing Medical Education. Main outcome measures Sex differences in the provision of ECPs and knowledge and attitudes about the ECP Plan B. Results Of 913 eligible FPs, 155 (17.0%) participated in the survey. Respondents resembled the sampling frame closely. Most physicians (64.0%) had prescribed ECPs in the previous year (mean number of prescriptions, 4.92); only 12.9% provided ECPs in advance of need. Knowledge about Plan B was quite good, except for knowledge of the time frame for potential effectiveness; only 29.2% of respondents answered that question correctly. Respondents generally supported nonprescription availability of ECPs, but 25.0% of FPs were concerned that this could lead to less use of more effective methods of contraception, and 39.2% believed that it would encourage repeat use. Younger FPs provided ECPs more often than their older colleagues, while female respondents had better knowledge about Plan B. In multivariate analysis being younger than 40 years was marginally associated with prescribing Plan B and with prescribing any form of ECP. Conclusion Most Nova Scotian FPs provided ECPs and had generally good knowledge about and attitudes toward providing such contraception without prescription. However, FPs were poorly informed about the length of time that Plan B can be effective, which could potentially affect use when patients consult several days after unprotected sex. There were some concerns about nonprescription availability of ECPs, which could have implications for recommending it to patients. Rarely were ECPs prescribed for advance use, which might represent a lost

  11. Contraceptive practices.

    PubMed

    Morgenthau, J E; Rao, P S

    1976-08-01

    A family life education program (FLEP) providing contraceptive services within a comprehensive health care organization for low-income, inner-city adolescents is described. Each female patient attending in the July 1-September 30, 1974, period was included in a study undertaken to identify and serve the unmet needs of the teen-age population in the community of East Harlem. Of the 334 females interviewed, almost 1/2 were black, 37% were Hispanic, 12% were white, and 2% were Oriental, totals representative of the surrounding community. The questionnaire included information on demographic and social background, sexual history, reproductive history, and contraceptive experience. Comparisons are made on the answers between groups. Personal contacts and school outreach were the 2 main sources of referral to the clinic. Sexual history was found to be associated with social background rather than physiological factors. More than 1/2 the teen-agers had never used contraception prior to their 1st clinic visit and another 1/4 of the girls were using unreliable methods. The study indicated that teen-agers will use good programs which are designed to meet their needs. For teen-agers, a free-standing clinic offering comprehensive health care is the ideal situation. PMID:1066531

  12. Emergency Contraception Website

    MedlinePlus

    Text Only Full media Version Get Emergency Contraception NOW INFO about Emergency Contraception Q&A about Emergency Contraception Español | Arabic Find a Morning After Pill Provider Near You This website is ...

  13. Immaculate contraception.

    PubMed

    Smith, K

    The city of Dundee has the highest teen pregnancy and abortion rate in Scotland. In the heart of the city, The Corner is a health and information drop-in center for people aged 12-25 years which has provided a range of health promotion activities, contraception services, and general information and advice since April 1996. 8000 inquiries were posed from young people in Dundee and the surrounding areas in The Corner's first full year of operation, one-third on sexual health. A survey conducted last December found that 55% of the center's clients were aged 12-15. Young people helped to design the center, creating a cafe atmosphere in the main drop-in area with tables, chairs, and loungers. Reference literature is on display, music plays, and a series of computers is linked to health information databases. In this environment, clients can hang out, ask questions, and receive condoms or other contraceptive services without the embarrassment of attending a local family planning clinic. The examination and counseling rooms are also relaxed and warmly-appointed. The Corner has also offered emergency contraception since January, one of the few places in Scotland where nurses can provide it. While The Corner has received some local criticism, it is operating within the laws and codes of professional practices. The center is jointly funded by Tayside Health Board, Dundee City Council, and the Scottish Office. Finally, the center has a travel program which offers a package of activities based upon a different foreign country each week. PMID:9326014

  14. Intrauterine contraception.

    PubMed

    Reinprayoon, D

    1992-08-01

    Currently 85 million women use an intrauterine device (IUD), making it the most widely used, reliable, reversible contraceptive method worldwide. Although the exact mechanisms by which copper-bearing IUDs produce contraceptive action are not completely defined, recent evidence indicates that they act primarily to prevent sperm from fertilizing ova. The future of the IUD is brighter than it has been for the past 20 years. The latest generation of IUDs, such as the TCu 380A (Paragard, GynoPharma, Somerville, NJ), are safer and more effective than ever. In World Health Organization large, multicenter trials, pregnancy rates for the TCu 380A are 1.0, 1.4, 1.6, and 1.8 at 3, 5, 7, and 9 years of use, respectively. The ectopic pregnancy rates and removal for pelvic inflammatory disease are very low. The device may soon be the major IUD available in most countries. The acceptability of IUD use can be increased by good clinical management, sympathetic counseling, careful client selection, proper device selection, careful insertion, timing of insertion, and regular follow-up with quick access to medical care. PMID:1324024

  15. Robust three-body water simulation model

    NASA Astrophysics Data System (ADS)

    Tainter, C. J.; Pieniazek, P. A.; Lin, Y.-S.; Skinner, J. L.

    2011-05-01

    The most common potentials used in classical simulations of liquid water assume a pairwise additive form. Although these models have been very successful in reproducing many properties of liquid water at ambient conditions, none is able to describe accurately water throughout its complicated phase diagram. The primary reason for this is the neglect of many-body interactions. To this end, a simulation model with explicit three-body interactions was introduced recently [R. Kumar and J. L. Skinner, J. Phys. Chem. B 112, 8311 (2008), 10.1021/jp8009468]. This model was parameterized to fit the experimental O-O radial distribution function and diffusion constant. Herein we reparameterize the model, fitting to a wider range of experimental properties (diffusion constant, rotational correlation time, density for the liquid, liquid/vapor surface tension, melting point, and the ice Ih density). The robustness of the model is then verified by comparing simulation to experiment for a number of other quantities (enthalpy of vaporization, dielectric constant, Debye relaxation time, temperature of maximum density, and the temperature-dependent second and third virial coefficients), with good agreement.

  16. Body Fat and Muscle Mass as Functions of Body Water

    ERIC Educational Resources Information Center

    Sutton, R. A.; Miller, Carolyn

    2007-01-01

    Hydrostatic weighing and chemical dilution are well accepted methods for measuring body composition. Recently, Dual Energy X-ray Absorptiometry (DEXA) has become the preferred method. The two compartment algorithms used by these methods assume a fixed constant for lean body tissue. This constant has long been suspect of variations due to many…

  17. Oral Contraceptives and Cancer Risk

    MedlinePlus

    ... oral contraceptives are available in the United States today? How could oral contraceptives influence cancer risk? How ... oral contraceptives are available in the United States today? Two types of oral contraceptives (birth control pills) ...

  18. Providing Contraception to Adolescents.

    PubMed

    Raidoo, Shandhini; Kaneshiro, Bliss

    2015-12-01

    Adolescents have high rates of unintended pregnancy and face unique reproductive health challenges. Providing confidential contraceptive services to adolescents is important in reducing the rate of unintended pregnancy. Long-acting contraception such as the intrauterine device and contraceptive implant are recommended as first-line contraceptives for adolescents because they are highly effective with few side effects. The use of barrier methods to prevent sexually transmitted infections should be encouraged. Adolescents have limited knowledge of reproductive health and contraceptive options, and their sources of information are often unreliable. Access to contraception is available through a variety of resources that continue to expand. PMID:26598305

  19. Modern trends in contraception.

    PubMed

    Burkman, R T

    1990-12-01

    Substantial improvements have been made in oral contraceptives, a new injectable contraceptive (Norplant), and the intrauterine device (IUD). Major risks with oral contraceptives have declined substantially, and a number of noncontraceptive health benefits have been discovered. Norplant is probably the first new contraceptive in recent years, and offers long-term contraception with high efficacy and modest risks. The IUD, by carefully selecting users, is a safe and efficacious contraceptive method. The major risk, pelvic inflammatory disease (PID), is far less common if one avoids use in the presence of risk factors for PID. PMID:2128711

  20. Changes in total body water during spaceflight

    NASA Technical Reports Server (NTRS)

    Leach, Carolyn S.; Inners, L. D.; Charles, John B.

    1991-01-01

    Total body water (TBW) changes occurring in humans as a consequence of prolonged exposure to microgravity were measured in five male crewmembers of Space Shuttle missions STS-61C and STS-26. It was found that the inflight mean TBW values were significantly different from the preflight and postflight values, while the preflight TBW values were not significantly different from the postflight values. It was also found that individuals may differ in the rate at which they respond to weightlessness. Of the three crewmen who reported experiencing no symptoms of space motion sickness (SMS), two had not exhibited a decrease of TBW at the time of measurements (24 hrs after launch), while the two crewmen who reported SMS of intermediate severity showed a decrease of several kg by 24 hrs, suggesting that dehydration might be an important factor affecting the rate of TBW decrease.

  1. Young Australian women explain their contraceptive choices.

    PubMed

    Wigginton, Britta; Moran, Claire; Harris, Melissa L; Loxton, Deborah; Lucke, Jayne

    2016-07-01

    New developments in female contraceptives allow women increased options for preventing pregnancy, while men's options for reversible contraception have not advanced beyond the condom. There has been little discursive exploration of how neoliberal and postfeminist discourses shape women's accounts of choosing whether or not to use contraception. Our thematic discourse analysis of 760 free-text responses to a question about contraceptive choice considers the social and political climate that promotes the self-governed woman who freely chooses contraception. We examine the ways in which women formulated and defended their accounts of choice, focusing on the theme of free contraceptive choice that constructed women's choices as unconstrained by material, social and political forces. We identify two discursive strategies that underpinned this theme: a woman's body, a woman's choice and planning parenthood, and explore the ways in which choice was understood as a gendered entitlement and how contraceptive choices were shaped (and constrained) by women's plans for parenthood. We discuss the implications of these discursive strategies, and neoliberal and postfeminist discourses, in terms of the disallowance of any contextual, social and structural factors, including the absence of men in the 'contraceptive economy'. PMID:26670866

  2. [Emergency contraception].

    PubMed

    Bastianelli, C; Farris, M; Di Miscia, A

    2006-06-01

    A specific formulation has been approved for use in Italy for emergency contraception (EC) in 2000. As expected, marketing of this levonorgestrel (LNG) only formulation has been accompanied by an increased interest and, often, controversies leading to even strong opposition on the part of those ethically opposed to the use of any method that may act after fertilization. At present, several trials on the exact mechanism of action and safety have been conducted, giving good reason for simplifying access, providing it free or over the counter, in several European countries. EC, also known as ''the morning after pill'' or postcoital contraception, is a modality of preventing the establishment of an unwanted pregnancy after unprotected intercourse and thus, probably, of reducing the number of voluntary pregnancy terminations. Two different forms are available: the hormonal and the intrauterine. Hormonal estrogen only EC was first proposed in the 60s and in 1974 Yuzpe following his studies proposed for the first time his combined regimen, that showed better efficacy and lower side effects. More recently, a new regimen, consisting of LNG, administered alone at the dose of 1.5 mg, was introduced and found in clinical trials to be more effective than the Yuzpe regimen, if taken as early as possible, within 72 h, thereby replacing the latter in common use. Mechanism of action of both hormonal preparations used for EC is inhibiting or delaying ovulation, therefore a prefertilization action. No effect has been reported on the process of implantation nor on an ongoing pregnancy. The WHO have developed a third regimen based on the use of the selective progesterone receptor modulator (antiprogestin) Mifepristone and conducted trials with different dosages, reporting similar efficacy and safety compared to LNG. Intrauterine EC was first proposed by Lippes in 1976. It has the advantage of being effective if inserted within 5 days after unprotected intercourse and the disadvantage

  3. Clinical use of deslorelin implants for the long-term contraception in prepubertal bitches: effects on epiphyseal closure, body development, and time to puberty.

    PubMed

    Kaya, D; Schäfer-Somi, S; Kurt, B; Kuru, M; Kaya, S; Kaçar, C; Aksoy, Ö; Aslan, S

    2015-04-15

    Long-acting GnRH agonists have been used both for canine estrus induction and prevention. The objective of the study was to investigate the use of a deslorelin implant as a long-term and reversible contraceptive in prepubertal bitches with special regard to the time of epiphyseal closure. Thirteen healthy, crossbreed, medium-sized prepubertal female dogs were used in this study. An implant containing 9.4 mg (G1, n = 5) and 4.7 mg (G2, n = 4) deslorelin acetate (Suprelorin) or a placebo (sodium chloride 0.9%; G3, n = 4) was inserted subcutaneously in the interscapular region. Estrus was monitored once daily by physical and sexual behavioral changes. Body development, vaginal cytology, and serum progesterone and estradiol 17β concentration were monitored weekly for the first 5 weeks, and then every 3 weeks throughout the treatment period. Radiographic examinations were performed monthly to determine the epiphyseal closure. Half of the deslorelin-treated bitches (G1: n = 2 and G2: n = 2) came into estrus during the 83-week observation period. All animals in the control group showed estrus between the 39th and 64th weeks of observation. Time to puberty averaged 82.7 ± 8.9 and 61.9 ± 9.7 weeks in the deslorelin-treated (G1 and G2) and the control bitches, respectively (P < 0.02). Both deslorelin implants (9.4 and 4.7 mg) can be used efficiently for the long-term prevention of estrus in prepubertal bitches; however, epiphyseal closure is clearly delayed which was without any clinical effect in the present study. PMID:25619808

  4. Regulation of the synthetic estrogen 17α-ethinylestradiol in water bodies in Europe, the United States, and Brazil.

    PubMed

    da Cunha, Danieli Lima; da Silva, Samuel Muylaert Camargo; Bila, Daniele Maia; Oliveira, Jaime Lopes da Mota; Sarcinelli, Paula de Novaes; Larentis, Ariane Leites

    2016-03-01

    The synthetic estrogen 17α-ethinylestradiol, the principal component of oral contraceptives, has been identified as one of the main compounds accounting for adverse effects on the endocrine system in various species. This study aimed to analyze the state-of-the-art in legislation and guidelines for the control of this synthetic estrogen in water bodies in Europe and the United States and to draw a parallel with the Brazilian reality. Countries have generally attempted to expand the regulation and monitoring of certain emerging micropollutants not previously covered by legislation. Europe is more advanced in terms of water quality, while in the United States this estrogen is only regulated in water for human consumption. Brazil still lacks legal provisions or standards for this estrogen, which can be explained by the relatively limited maturity of the country's system for controlling water pollutants. PMID:27027456

  5. Contraception for adolescents.

    PubMed

    Ott, Mary A; Sucato, Gina S

    2014-10-01

    A working knowledge of contraception will assist the pediatrician in both sexual health promotion as well as treatment of common adolescent gynecologic problems. Best practices in adolescent anticipatory guidance and screening include a sexual health history, screening for pregnancy and sexually transmitted infections, counseling, and if indicated, providing access to contraceptives. Pediatricians' long-term relationships with adolescents and families allow them to help promote healthy sexual decision-making, including abstinence and contraceptive use. Additionally, medical indications for contraception, such as acne, dysmenorrhea, and heavy menstrual bleeding, are frequently uncovered during adolescent visits. This technical report provides an evidence base for the accompanying policy statement and addresses key aspects of adolescent contraceptive use, including the following: (1) sexual history taking, confidentiality, and counseling; (2) adolescent data on the use and side effects of newer contraceptive methods; (3) new data on older contraceptive methods; and (4) evidence supporting the use of contraceptives in adolescent patients with complex medical conditions. PMID:25266435

  6. Contraception for adolescents.

    PubMed

    2014-10-01

    Contraception is a pillar in reducing adolescent pregnancy rates. The American Academy of Pediatrics recommends that pediatricians develop a working knowledge of contraception to help adolescents reduce risks of and negative health consequences related to unintended pregnancy. Over the past 10 years, a number of new contraceptive methods have become available to adolescents, newer guidance has been issued on existing contraceptive methods, and the evidence base for contraception for special populations (adolescents who have disabilities, are obese, are recipients of solid organ transplants, or are HIV infected) has expanded. The Academy has addressed contraception since 1980, and this policy statement updates the 2007 statement on contraception and adolescents. It provides the pediatrician with a description and rationale for best practices in counseling and prescribing contraception for adolescents. It is supported by an accompanying technical report. PMID:25266430

  7. Permanent contraception for women.

    PubMed

    Micks, Elizabeth A; Jensen, Jeffrey T

    2015-11-01

    Permanent methods of contraception are used by an estimated 220 million couples worldwide, and are often selected due to convenience, ease of use and lack of side effects. A variety of tubal occlusion techniques are available for female permanent contraception, and procedures can be performed using a transcervical or transabdominal approach. This article reviews currently available techniques for female permanent contraception and discusses considerations when helping patients choose a contraceptive method and tubal occlusion technique. PMID:26626698

  8. [Contraception in French teenage girls in 2007].

    PubMed

    Robin, G; Massart, P; Letombe, B

    2007-10-01

    The two main objectives of adolescence contraception are the eviction of involuntary pregnancies and the prevention of sexually transmitted infections. In France, in spite of our rich contraceptive arsenal and a widely spread information, the rate of voluntary termination of pregnancy keeps growing among the teenagers population--and this, probably because the gap between theoretical effectiveness and practice of contraception is particularly wide among the young people. Every contraceptive means can be used by teenagers; the best option being, it seems, the "double DUTCH", which consists of concomitant use of condoms and hormonal contraception. Most often, the consultation for contraception is the first gynaecological consultation. That is the reason why it is usually stressful for teenagers who dread undergoing a gynaecological examination. If this examination is not necessary for most of young patients, it is essential to create a trustful relationship and to make explicit the several contraceptive methods. During this consultation it is interesting to look for common teenage troubles like addiction to smoking and eating disorders. For any prescription of hormonal contraception, it is important to explain the benefits and the possible side effects, to stress the observance and to tell the teenager about the recommendations in case of forgetting. Concerning condom - the only efficient way of preventing sexually transmitted infections--, it is useful to talk about it in concrete and straightforward terms, to show its handling and to inform about risks of tearing. With this state of mind, an emergency contraception can be prescribed straightaway in order to make its use easier. Also, without any moralizing speech, the need for maturity must be emphasized as well as taking care of one's body with the aim of avoiding a premature pregnancy or any sexually transmitted infection. This consultation must be coupled with a close follow-up, availability and mutual

  9. Searching for Ideal Contraceptives.

    ERIC Educational Resources Information Center

    Djerassi, Carl

    1985-01-01

    Discusses the problem of adolescent pregnancy and focuses on improving contraception as a practical solution. Describes the advantages and disadvantages of existing methods (the condom, the pill, and the contraceptive sponge). Predicts that the development of a fundamentally new contraceptive, such as a monthly menses-inducer pill, will not occur…

  10. Medicinal plants: conception / contraception.

    PubMed

    Chaing, H S; Merino-chavez, G; Yang, L L; Wang, F N; Hafez, E S

    1994-01-01

    Researchers have conducted considerable experiments on the effectiveness and therapeutic values of Chinese herbs and parts of plants. We should not ignore the significance of natural medicine. The Chinese have been perfecting medicinal therapy based on the raw ingredients of plants/herbs and their derivatives for thousands of years. Chinese practitioners of traditional medicine prescribe medicines based on yin and yang. Traditional medicine is communicated in a verb or written form. Natural resources used in traditional medicine to treat diseases are not limited to just medicinal plants but also include animals, shell fish, and minerals. Parts of plants used in traditional medicine are leaves, stems, flowers, bark, and root. Chinese medicine is the world's oldest continuous surviving tradition. The Chinese experimented with local plants, often resulting in mild to violent reactions. This process allowed them to become familiar with poisonous plants and those that could relieve pain or successfully treat illness. Current allopathic medicines are composed of synthetic compounds copied from natural chemical derivatives, which tend to be more potent than the original compound. Some medicinal plants used to effect conception/contraception include Striga astiatica (contraceptive); Eurycoma longifolia (male virility); and a mixture of lengkuas, mengkudu masak, black pepper seeds, ginger, salt, and 2 eggs (increase libido). Women in Malaysia take jamu to preserve their body shape and to provide nutrition during pregnancy. Praneem causes local cell-mediated immunity in the uterus. Clinical trials of Praneem with or without the hCG vaccine are planned. PMID:12287843

  11. Diatomological mapping of water bodies--a future perspective.

    PubMed

    Singh, Rajvinder; Deepa; Kaur, Ramanjeet

    2013-08-01

    Corpse floating in running or stagnant water may not keep a tail of its exact place of drowning. Disagreement between diatoms recovered from the body and those in the presumed drowning medium may possibly advocate that body has been moved from its exact site of drowning. It emphasizes on the importance of water sampling from where the body is found. Diatomological Mapping (D-Mapping) of water bodies assumes to be an important means to solve this problem even when reference water sample is not available. Information of the present attempt has been exercised to scratch the authenticity of D-maps of these four water bodies after a gap of four years (2007-2011). Current records have been found interesting and significant for the authenticity of D-maps for a prolong characterization of water bodies. PMID:23910847

  12. Contraception and Breastfeeding.

    PubMed

    Pieh Holder, Kelly Lynne

    2015-12-01

    Postpartum contraception is important to lengthening birth intervals and improving the health of women and children. For breastfeeding women the choice and timing of contraception may influence breastfeeding and infant growth patterns. Nonhormonal methods of contraception are the preferred choice for breastfeeding women. Progestin-only methods comprise a viable next option. Combined hormonal methods of contraception containing estrogen and progestin may be considered as a third option for birth control in breastfeeding women. The objective of this chapter is to review the current literature and recommendations for the use of hormonal and nonhormonal methods of contraception while breastfeeding. PMID:26457854

  13. Contraception and Diabetes.

    PubMed

    Afsana, Faria

    2016-09-01

    Contraception for women with diabetes mellitus is an important issue mainly as the pregnancy outcome depends on glycaemic control before conception among women with diabetes. Type of diabetes as type 1 or type 2 Diabetes, women with history of gestational diabetes and breast feeding diabetic mothers may be a consideration in selecting a contraceptive .On the other hand presence of diabetic complications is a significant determinant. Different methods of contraception as oral, injectable, implant, intrauterine devices are available. Patient\\'s choice and health issues both should be considered while prescribing a contraceptive to a woman with diabetes. Emergency contraception is sometimes required in situations where there is chance of contraceptive failure. This review article highlights different contraceptive methods, their use and limitations and will guide to make a rational choice for a woman with diabetes. PMID:27582166

  14. Detection of water bodies in Saline County, Kansas

    NASA Technical Reports Server (NTRS)

    Barr, B. G. (Principal Investigator)

    1973-01-01

    The author has identified the following significant results. A total of 2,272 water bodies were mapped in Saline County, Kansas in 1972 using ERTS-1 imagery. A topographic map of 1955 shows 1,056 water bodies in the county. The major increase took place in farm ponds. Preliminary comparison of image and maps indicates that water bodies larger than ten acres in area proved consistently detectable. Most water areas between four and ten acres are also detectable, although occasionally image context prevents detection. Water areas less than four acres in extent are sometimes detected, but the number varies greatly depending on image context and the individual interpretor.

  15. Estrogen and Progestin (Oral Contraceptives)

    MedlinePlus

    ... syndrome [AIDS]) and other sexually transmitted diseases.Some brands of oral contraceptives are also used to treat ... your doctor.Oral contraceptives come in many different brands. Different brands of oral contraceptives contain slightly different ...

  16. Oral Contraceptive Pill and PCOS

    MedlinePlus

    ... Health Gynecology Medical Conditions Nutrition & Fitness Emotional Health PCOS: The Oral Contraceptive Pill Posted under Health Guides . ... of oral contraceptive pills for young women with PCOS? Regular and Lighter Periods: Oral contraceptive pills can ...

  17. On the representation of many-body interactions in water

    SciTech Connect

    Medders, Gregory; Gotz, Andreas; Morales, Miguel A.; Bajaj, Pushp; Paesani, Francesco

    2015-09-09

    Recent work has shown that the many-body expansion of the interaction energy can be used to develop analytical representations of global potential energy surfaces (PESs) for water. In this study, the role of short- and long-range interactions at different orders is investigated by analyzing water potentials that treat the leading terms of the many-body expansion through implicit (i.e., TTM3-F and TTM4-F PESs) and explicit (i.e., WHBB and MB-pol PESs) representations. It is found that explicit short-range representations of 2-body and 3-body interactions along with a physically correct incorporation of short- and long-range contributions are necessary for an accurate representation of the water interactions from the gas to the condensed phase. Similarly, a complete many-body representation of the dipole moment surface is found to be crucial to reproducing the correct intensities of the infrared spectrum of liquid water.

  18. Mathematical modeling of the human body during water replacement and dehydration: body water changes.

    PubMed

    Downey, D; Seagrave, R C

    2000-03-01

    A model of the human body that integrates the variables involved in temperature regulation and blood gas transport within the cardiovascular and respiratory systems is presented here. It expands upon previous work to describe the competition between skin and muscles when both require increased blood flows during exercise and/or heat stress. First, a detailed study of the control relations used to predict skin blood flow was undertaken. Four other control relations employed in the model were also examined and modified as indicated by empirical results found in literature. Internal responses to exercise and/or heat stress can affect both thermoregulation and the cardiorespiratory system. Dehydration was studied in addition to complete water replacement during similar environmental and exercise situations. Control relations for skin blood flow and evaporative heat loss were modified and a water balance was added to study how the loss of water through sweat can be limiting. Runoff from sweating as a function of relative humidity was introduced along with evaporation, and these results were compared to data to validate the model. PMID:10784092

  19. Unexpected sequelae of contraception.

    PubMed

    Dunn, H P

    1996-01-01

    Dissident Roman Catholic theologians who promote the use of contraception have ignored the fact that contraception separates the loving aspect of sex from its fertile nature (which does not imply fecundity). While there is no obligation for Roman Catholics to achieve pregnancy, no interference with fertility is allowed. The importance of this seeming technicality can be seen when considering that contraception offers sex without babies and in vitro fertilization allows babies to be conceived without sexual intercourse. Barrier methods of contraception make sexual intercourse impure in a way similar to masturbation, oral contraceptives generally suppress ovulation but may also act as an abortifacient, and the IUD is an abortifacient, as are other hormonal methods and menstrual extraction. Sterilization and abortion are serious moral faults. Contraception is the first step towards the prevailing antinatalism that will cause demographic collapse in rich countries because there is a progression from contraception to sterilization to abortion. Rather than leading to fewer abortions, acceptance of contraception leads to more. This distressing sequence can be extended to include masturbation at one end and homosexuality at the other. Acceptance of contraception encourages all premarital and extramarital sexual intercourse and has depreciated the value of marriage. Rejection of child-bearing has exacerbated the estrangement of teenagers from parents who chose sterile sex and money over siblings for their children. Contraception fuels fears about a population explosion when people should be regarded as important resources. Finally, contraception has contributed to the shortage of those choosing religious vocations because it has demeaned their sacrifice of celibacy. The only permitted method of family limitation, therefore, is ovulation detection. PMID:12320545

  20. On the representation of many-body interactions in water

    SciTech Connect

    Medders, Gregory R.; Gotz, Andreas W.; Morales, Miguel A.; Bajaj, Pushp; Paesani, Francesco

    2015-09-09

    Our recent work has shown that the many-body expansion of the interactionenergy can be used to develop analytical representations of global potential energy surfaces (PESs) for water. In this study, the role of short- and long-range interactions at different orders is investigated by analyzing water potentials that treat the leading terms of the many-body expansion through implicit (i.e., TTM3-F and TTM4-F PESs) and explicit (i.e., WHBB and MB-pol PESs) representations. Moreover, it is found that explicit short-range representations of 2-body and 3-body interactions along with a physically correct incorporation of short- and long-range contributions are necessary for an accurate representation of the waterinteractions from the gas to the condensed phase. Likewise, a complete many-body representation of the dipole moment surface is found to be crucial to reproducing the correct intensities of the infrared spectrum of liquid water.

  1. Confirming the most water-rich extrasolar rocky body

    NASA Astrophysics Data System (ADS)

    Melis, Carl

    2014-10-01

    Most theories of exobiology require liquid water for a planet to be considered as habitable. Yet, very little is known about the prevalence of water for mature rocky objects in extrasolar planetary systems. A unique method of probing the existence, characteristics, and frequency of extrasolar water-bearing rocky bodies is through examining their bulk composition after they have been accreted by their host white dwarf star. Results to date show that water-rich extrasolar rocky bodies are rare. Evidence for oxygen in ground-based spectroscopy of SDSSJ104341.53+085558.2 suggests that it could be accreting the most water-rich extrasolar rocky object currently known. We propose COS ultraviolet spectroscopy to confirm the water-rich nature and characterize the mineralogy of the rocky body being accreted by this white dwarf star.

  2. Spatial Distribution of Small Water Body Types in Indiana Ecoregions

    EPA Science Inventory

    Due to their large numbers and biogeochemical activity, small water bodies (SWBs), such as ponds and wetlands, can have substantial cumulative effects on hydrologic and biogeochemical processes. Using updated National Wetland Inventory data, we describe the spatial distribution o...

  3. Spatial Distribution of Small Water Body Types across Indiana Ecoregions

    EPA Science Inventory

    Due to their large numbers and biogeochemical activity, small water bodies (SWB), such as ponds and wetlands, can have substantial cumulative effects on hydrologic, biogeochemical, and biological processes; yet the spatial distributions of various SWB types are often unknown. Usi...

  4. Oral contraceptive drug interactions.

    PubMed

    Baciewicz, A M

    1985-01-01

    Approximately 50 million women use oral contraceptives (OC). Studies and case reports demonstrate that OC failure may be caused by rifampin, anticonvulsant drugs, and possibly some antibiotics. Contraceptive steroids may interfere with the metabolism of the benzodiazepines, theophylline, and the glucocorticoids. Future investigation will document the clinical significance of other OC interactions as well as give rise to new interactions. PMID:2859674

  5. [Contraception and obesity].

    PubMed

    Lobert, M; Pigeyre, M; Gronier, H; Catteau-Jonard, S; Robin, G

    2015-11-01

    The prevalence of obesity is increasing massively over several decades in industrialized countries. Obese women are sexually active but they use fewer contraceptive methods and are at high risk of unintended pregnancy. In addition, obesity is an important risk factor for venous thromboembolism events and arterial thrombosis (myocardial infarction and ischemic stroke). All of these data are to be considered in choosing a contraceptive method for obese women. Except depot medroxyprogesterone acetate injection, the progestin-only contraceptives (progestin only pills and etonogestrel subdermal implant) and the intra-uterine devices are the preferred contraceptive methods in obese women. The combined estrogen-progestin contraceptives (pill, patch and vaginal ring) may be proposed in very strict conditions (no other associated vascular risk factor). Obesity does not increase the risk of failure of most contraceptive methods. Bariatric surgery is a complex situation. It requires to program a possible pregnancy and contraception is needed for several months. Some bariatric surgical techniques such as by-pass can induce gastrointestinal malabsorption. In this situation, all oral contraceptives are not recommended because of a higher risk of failure. PMID:26527416

  6. Social marketing of contraceptives.

    PubMed

    Schellstede, W P; Derr, B B

    1986-12-01

    Application of commercial marketing techniques has not only increased awareness, acceptability, and use of modern contraceptives in developing countries, but also overcome logistic problems in service delivery. The ability of contraceptive social marketing to reach large numbers and to treat contraceptives as common consumer products has helped to diminish social and religious constraints associated with family planning. Each contraceptive social marketing program is built around a theme tailored to meet specific cultural, social, and management requirements. The primary target populations are those who cannot afford regular commercial products and those who are not adequately reached by government programs. In countries such as Sri Lanka and Jamaica, profit is not a primary sales objective and retail prices are highly subsidized to make products affordable to low-income people. In contrast, the Colombian and Thai programs use contraceptive social marketing to help offset the operating costs of rural community-based programs and seek profits. The most impressive contraceptive social marketing sales performances have been recorded in Bangladesh, Colombia, Egypt, and Jamaica. The main reason contraceptive social marketing is more cost-efficient than other modes of contraceptive distribution is that the cost of product delivery is assumed by the commercial system. Although there has been some interest in making these programs self-sufficient financially, this step has tended to undermine the purpose of serving lower income groups. PMID:12341233

  7. Male Adolescent Contraceptive Utilization.

    ERIC Educational Resources Information Center

    Finkel, Madelon Lubin; Finkel, David J.

    1978-01-01

    The contraceptive utilization of a sample of sexually active, urban, high school males (Black, Hispanic, and White) was examined by anonymous questionnaire. Contraceptive use was haphazard, but White males tended to be more effective contraceptors than the other two groups. Reasons for nonuse were also studied. (Author/SJL)

  8. Body water content of extremely preterm infants at birth

    PubMed Central

    Hartnoll, G.; Betremieux, P.; Modi, N.

    2000-01-01

    BACKGROUND—Preterm birth is often associated with impaired growth. Small for gestational age status confers additional risk.
AIM—To determine the body water content of appropriately grown (AGA) and small for gestational age (SGA) preterm infants in order to provide a baseline for longitudinal studies of growth after preterm birth.
METHODS—All infants born at the Hammersmith and Queen Charlotte's Hospitals between 25 and 30 weeks gestational age were eligible for entry into the study. Informed parental consent was obtained as soon after delivery as possible, after which the extracellular fluid content was determined by bromide dilution and total body water by H218O dilution.
RESULTS—Forty two preterm infants were studied. SGA infants had a significantly higher body water content than AGA infants (906 (833-954) and 844 (637-958) ml/kg respectively; median (range); p = 0.019). There were no differences in extracellular and intracellular fluid volumes, nor in the ratio of extracellular to intracellular fluid. Estimates of relative adiposity suggest a body fat content of about 7% in AGA infants, assuming negligible fat content in SGA infants and lean body tissue hydration to be equivalent in the two groups.
CONCLUSIONS—Novel values for the body water composition of the SGA preterm infant at 25-30 weeks gestation are presented. The data do not support the view that SGA infants have extracellular dehydration, nor is their regulation of body water impaired.

 PMID:10873174

  9. A ground-water inventory of the Waialua basal-water body, Island of Oahu, Hawaii

    USGS Publications Warehouse

    Dale, Robert H.

    1978-01-01

    The Waialua basal-water body underlies an area of about 18 square miles on the north shore of the island of Oahu, Hawaii. The basal-water body is a body of fresh ground water that floats on saline ground water in a highly permeable and porous basaltic aquifer. Inflow to the basal-water body is from the deep infiltration of applied irrigation water and from leakage through a low permeability ground-water dam. Outflow from the basal-water body is from basal-water pumpage and leakage through low-permeability boundaries that separate the basal-water body from the ocean. The basal-water flux, computed as either the sum of the inflow terms or the sum of the outflow terms, is about the same value. The basal-water flux is 55 million gallons per day, (206,000 cubic meters per day), based on the sum of the outflow terms. The effective porosity was computed at 0.09 by a time-series analysis of the covariations in deep infiltration, pumpage, and basal-water head. The volume of basal water in storage is estimated to be 1.4 x 1011 gallons (5.4 x 108 cubic meters). Pumpage from the basal-water body can be increased. The most efficient development method is the skimming shaft. If shafts were used, an additional 15 million gallons per day could be pumped on a sustained basis.

  10. Hormonal contraception and lactation.

    PubMed

    Kelsey, J J

    1996-12-01

    Hormonal contraceptive measures can be used immediately postpartum if the patient so desires. Progestin-only contraceptives are preferable to estrogen-containing methods if initiated during the first six months after delivery. Progestin only contraceptives do not appear to affect milk volume, composition, or to cause deleterious effects in the infant. Ideally for women who desire a form of contraception in addition to lactation-induced amenorrhea, progestin-only methods should be started at six weeks postpartum if the woman is fully breastfeeding. Since contraception protection is provided by lactation amenorrhea, the six week delay will decrease infant exposure to exogenous hormones and decrease the incidence of irregular postpartum bleeding. Milk volume may decrease with the use of estrogen; however, no detrimental effects have been shown on infant growth or development. For women who are planning to gradually wean their infant, use of COCs may provide an easier transition to bottle-feeding. COCs should be used with caution by women who are not able to obtain supplemental milk. A decrease in milk volume can lead to earlier discontinuation of the hormonal contraceptive in an attempt to increase milk quantity. Supplementation is often needed, and then the woman ovulates again, possibly resulting in an unintended pregnancy. Many women are motivated immediately postpartum to accept contraception. For other women, lack of access to health care may provide barriers in obtaining adequate contraception later. In either case, there are adequate data to show no detriments of starting progestin-only contraceptives within days of delivery. Therefore, the best method for the patient should be employed to ensure adequate contraception while preserving optimal lactation. PMID:9025449

  11. [Community marketing of contraceptives].

    PubMed

    Urrutia, J M

    1987-09-01

    The 5-year-old community contraceptive distribution program developed by PROFAMILIA, Colombia's private family planning organization, has given excellent results, but several cost-effectiveness comparisons with social marketing programs have suggested that commercial distribution programs are superior. The community contraceptive distribution program has a high content of information and education activities, which produced significant increases in knowledge and use of contraception in the communities covered. It has been a fundamental support for the social marketing program, creating much of the demand for contraceptive products that the social marketing program has filled. The social marketing program has given good results in terms of volume of sales and in cost-effectiveness since 1976, prompting calls for replacement of the community contraceptive distribution program by the social marketing program in those sectors where knowledge and use of contraception have achieved acceptable levels. An experiment in the Department of Santander in 1984 and 1985 gave very favorable results, suggesting that community contraceptive distribution programs should be replaced by social marketing programs in all more developed markets. But economic problems in 1985 and the decision of manufacturers to decrease the profit margin for PROFAMILIA jeopardized the social marketing program. The community distribution program covered about 20% of the market. Reduced profits in the social marketing program threatened its continued expansion, at the same time that potential demand was growing because of increases in the fertile aged population and increased use of contraception. To meet the need, PROFAMILIA combined the community contraceptive distribution and social marketing programs into a new entity to be called community marketing. The strategy of the community marketing program will be to maintain PROFAMILIA's participation in the market and aid the growth of demand for

  12. Barrier methods of contraception.

    PubMed

    Skrine, R L

    1985-05-01

    Barrier methods of contraception make up an essential part of the present contraceptive range, and doctors need to know in detail how to choose and fit them as well as how to instruct patients in their use. This discussion reviews the mode of action of the barrier method and then focuses on the vaginal diaphragm, the cervical or vault cap, the collatex (Today) sponge, condoms, emotionl problems associated with the use of barrier methods, advantages of barrier methods, and future developments. Barrier methods of contraception are only effective if used consistently and carefully. Failure rates vary greatly between studies, but in selected populations the failure rate for the diaphragm with spermicide can be as low as 1.9/100 woman years (wy) and for the condom 3.6 per 100wy (Vessey et al., 1982). If known user failures are removed, the figure for the condom can drop to as low as 0.4 per 100wy (John, 1973), which compares favorably with that of the combined oral contraceptive. Other studies quote failure rates of 10 per 100wy or more. These methods call for considerable participation by the patient at or before each act of intercourse and there is, therefore, great scope for inefficient use, either as a result of poor instruction or because couples find that they interfere with happy, relaxed sexual activity -- or fear that they may do so. Doctors need to understand the feelings of their patients before recommending them. The aim of a barrier method is to prevent live sperm from meeting the ovum. This is accomplished by the combination of a physical barrier with a spermicide. In the case of the condom, the integrity of the physical barrier is the most important factor, although some patients feel more secure with an additional spermicide. The vaginal barriers used at present do not produce a "water-tight" fit, and the principle is that the spermicide is held over the cervix by the barrier. It is also possible that the device acts partially by holding the alkaline

  13. The 1998 Canadian Contraception Study.

    ERIC Educational Resources Information Center

    Fisher, William A.; Boroditsky, Richard; Bridges, Martha L.

    1999-01-01

    Describes the 1998 Canadian Contraception Study, a mailed survey which asked women about contraceptive practices past, present, and future (including use of oral contraceptives, condoms, and sterilization); familiarity with and opinion about different contraception methods; and general sexual and reproductive health. The paper also examines…

  14. Validation of Geoland2 small water bodies product: methodological overview

    NASA Astrophysics Data System (ADS)

    Schlaffer, S.; Kidd, R. A.; Haas, E. M.; Wagner, W.

    2012-04-01

    Remote sensing products covering the dynamics of small water bodies are important for diverse applications such as hydrology, monitoring of endangered wetlands and natural resources management. The goal of this study is to provide a scientific validation of the BioPar Water Bodies demonstration product derived from SPOT-VEGETATION data within the framework of the EU-funded project GMES-Geoland2. The demonstration product covers Africa during a time span of 1.5 years with a spatial resolution of 1 km and a temporal resolution of 10 days. A description of the product and the underlying algorithms is given in this paper. The validation effort described here is in agreement with level 1 of the validation methodology proposed by the CEOS (Committee on Earth Observation Satellites) Working Group on Calibration and Validation. In order to provide an independent dataset for validation, time series from the Advanced Synthetic Aperture Radar (ASAR) onboard ESA's ENVISAT are processed and analysed. Radar data offer a data source which is fundamentally different from the optical data acquired by SPOT-VEGETATION. Time series acquired by ASAR in Wide Swath (WS) mode with a resolution of 150 m have been successfully used to estimate flood extent in boreal and arctic regions. Water bodies cause incoming microwave radiation to be reflected away from the sensor so that they show up as dark areas in the resulting imagery. In a first step, a synthesis map is produced showing water bodies which persisted at least during half of the validation period. The ability of the BioPar product to detect these water bodies is then tested on a number of sites scattered throughout Sub-Saharan Africa. The original approach for water bodies detection with ASAR, a simple thresholding, proved insufficient due to the sparse coverage of ASAR WS data at low latitudes and the occurrence of very dry soil surfaces in semi-arid climates which can be confused with water bodies when using such a simple

  15. Diabetes and oral contraception.

    PubMed

    Gourdy, Pierre

    2013-02-01

    The prevalence of diabetes mellitus is increasing dramatically worldwide, resulting in more and more women of reproductive age being affected by either type 1 or type 2 diabetes. Management of contraception is a major issue due to the specific risks associated with pregnancy and those potentially induced by hormonal contraceptives in diabetic women. This review emphasizes the urgent need to improve the use of contraception in women with diabetes. There is no consistent evidence that combined oral contraceptives significantly influence the risk of developing diabetes, even in women with a history of gestational diabetes. Furthermore, although data from specific studies remain sparse, no worsening effect has been reported in diabetic women, either in glycemic control or on the course of microvascular complications. Thus, the use of estroprogestive pills is now recognized as a safe and effective option for preconception care of women with uncomplicated diabetes. According to recent guidelines, these contraceptives must be avoided in case of associated cardiovascular risk factors, cardiovascular disease or severe microvascular complications such as nephropathy with proteinuria or active proliferative retinopathy. Prescription of combined hormonal contraception in type 2 diabetic women must also be considered with caution due to a frequent association with obesity and vascular risk factors which increase both thromboembolic and arterial risks. Thanks to their metabolic and vascular safety profile, progestin-only contraceptives, as well as non-hormonal methods, represent alternatives according to patient wishes. PMID:23384747

  16. Adolescent Contraception: An Overview

    PubMed Central

    Pavilanis, Alan V.

    1988-01-01

    Adolescents are sexual beings who are undergoing important biological and social changes. Physicians must recognize the need for contraception in their teenage patients and realize when teenagers are asking for contraception. In order to deal effectively with the question of birth control, the physician must be comfortable with the issues of adolescent development and sexuality, as well as with his of her own sexuality. The birth-control pill remains the contraceptive prescription of choice, but other methods of birth control are discussed as well. Physicians must also be prepared to validate a teenager's decision not to engage in intercourse. PMID:21253171

  17. Ingested water equilibrates isotopically with the body water pool of a shorebird with unrivaled water fluxes.

    PubMed

    Visser, G H; Dekinga, A; Achterkamp, B; Piersma, T

    2000-11-01

    We investigated the applicability of (2)H to measure the amount of body water (TBW) and water fluxes in relation to diet type and level of food intake in a mollusk-eating shorebird, the Red Knot (Calidris canutus). Six birds were exposed to eight experimental indoor conditions. Average fractional (2)H turnover rates ranged between 0. 182 day(-1) (SD = 0.0219) for fasting birds and 7.759 day(-1) (SD = 0.4535) for birds feeding on cockles (Cerastoderma edule). Average TBW estimates obtained with the plateau method were within the narrow range of 75.9-85.4 g (or between 64.6 and 70.1% of the body mass). Those obtained with the extrapolation method showed strong day-to-day variations (range 55.7-83.7 g, or between 49.7 and 65.5%). Average difference between the two calculation methods ranged between 0.6% and 36.3%, and this difference was strongly negatively correlated with water flux rate. Average water influx rates ranged between 15.5 g/day (fasting) and 624.5 g/day (feeding on cockles). The latter value is at 26.6 times the allometrically predicted value and is the highest reported to date. Differences in (2)H concentrations between the blood and feces (i.e., biological fractionation) were small but significant (-3.4% when fed a pellet diet, and -1.1% for all the other diets), and did not relate to the rate of water flux (chi(2)(1) = 0.058, P < 0.81). We conclude that the ingested water equilibrated rapidly with the body water pool even in an avian species that shows record water flux rates when living on ingested marine bivalves. PMID:11049863

  18. Contraceptive use in acne.

    PubMed

    Lam, Charlene; Zaenglein, Andrea L

    2014-01-01

    Acne vulgaris is an inflammatory disorder of the pilosebaceous follicle. It is well established that androgen hormones play a major role in sebum production and excretion, and are vital in the pathogenesis of acne. Isotretinoin notwithstanding, hormonal therapies such as combined oral contraceptives (COCs) and spironolactone are the only treatments that can affect sebum production and the androgen component of acne. Contraceptives are also used during isotretinoin therapy for pregnancy prevention. It is important for a dermatologist to be familiar with all the available methods of contraception to provide essential counseling to patients. The aim of this paper is to review the role of hormones in acne pathogenesis, discuss the use of hormonal therapies for acne, and detail various alternative contraceptive methods in relation to isotretinoin treatment and pregnancy prevention. PMID:25017461

  19. Contraception and Birth Control

    MedlinePlus

    ... health, age, frequency of sexual activity, number of sexual partners, desire to have children in the future, and family history of certain diseases. Individuals should consult their health care provider to ... methods of contraception include: Barrier —physically ...

  20. On the representation of many-body interactions in water

    DOE PAGESBeta

    Medders, Gregory; Gotz, Andreas; Morales, Miguel A.; Bajaj, Pushp; Paesani, Francesco

    2015-09-09

    Recent work has shown that the many-body expansion of the interaction energy can be used to develop analytical representations of global potential energy surfaces (PESs) for water. In this study, the role of short- and long-range interactions at different orders is investigated by analyzing water potentials that treat the leading terms of the many-body expansion through implicit (i.e., TTM3-F and TTM4-F PESs) and explicit (i.e., WHBB and MB-pol PESs) representations. It is found that explicit short-range representations of 2-body and 3-body interactions along with a physically correct incorporation of short- and long-range contributions are necessary for an accurate representation ofmore » the water interactions from the gas to the condensed phase. Similarly, a complete many-body representation of the dipole moment surface is found to be crucial to reproducing the correct intensities of the infrared spectrum of liquid water.« less

  1. Water and the thermal evolution of carbonaceous chondrite parent bodies

    NASA Technical Reports Server (NTRS)

    Grimm, Robert E.; Mcsween, Harry Y., Jr.

    1989-01-01

    Two hypotheses are proposed for the aqueous alteration of carbonaceous chondrites within their parent bodies, in which respectively the alteration occurs (1) throughout the parent body interior, or (2) in a postaccretional surface regolith; both models assume an initially homogeneous mixture of ice and rock that is heated through the decay of Al-26. Water is seen to exert a powerful influence on chondrite evolution through its role of thermal buffer, permitting substitution of a low temperature aqueous alteration for high temperature recrystallization. It is quantitatively demonstrated that liquid water may be introduced by either hydrothermal circulation, vapor diffusion from below, or venting due to fracture.

  2. Contraception in Turkey.

    PubMed

    1967-01-01

    Population control and the use of contraceptives were discusses at the biannual meeting of the Turkish Academy of Medicine in September 1966. This was of special importance because contraception and dissemination of information about it were illegal in Turkey for many years before 1965. Thus, until quite recently Turkish doctors had only limited experience of modern contraceptive methods. Oral contraceptives and IUDs were discussed at the Academy meeting, and Dr Nusret Fisek has sent the Bulletin a summary of the main points raises. Oral contraceptives: Only minor side-effects were found and were ignored or easily treated; they disappeared when the oral contraception was stopped. Serious conditions such as liver dysfunction, thromboembolic phenomena, and diabetes have not been found. Intra-uterine devices: Endometritis requiring treatment is infrequent. In 23 of 45 women who had used IUDs for six months, endometrial histology showed diffuse bleeding, endometrial oedema or lymphocyctic endometritis. Expulsion and medical removal rates for IUDs over a six-month period were 5% in one clinic and 12% in another, with a pregnancy rate of between 1.2%. There was only one perforation in 6000 insertions. The doctor's attitude had a great influence on removal and discontinuation rates. In a large maternity hospital the Medical Board accepted, as a medical reason for induced abortion, accidental pregnancies that occurred in women wearing IUDs. PMID:12304991

  3. History of oral contraception.

    PubMed

    Dhont, Marc

    2010-12-01

    On the 50th birthday of the pill, it is appropriate to recall the milestones which have led to its development and evolution during the last five decades. The main contraceptive effect of the pill being inhibition of ovulation, it may be called a small miracle that this drug was developed long before the complex regulation of ovulation and the menstrual cycle was elucidated. Another stumbling block on its way was the hostile climate with regard to contraception that prevailed at the time. Animal experiments on the effect of sex steroids on ovulation, and the synthesis of sex steroids and orally active analogues were the necessary preliminaries. We owe the development of oral contraceptives to a handful of persons: two determined feminists, Margaret Sanger and Katherine McCormick; a biologist, Gregory Pincus; and a gynaecologist, John Rock. Soon after the introduction of the first pills, some nasty and life-threatening side effects emerged, which were due to the high doses of sex steroids. This led to the development of new preparations with reduced oestrogen content, progestins with more specific action, and alternative administration routes. Almost every decade we have witnessed a breakthrough in oral contraception. Social and moral objections to birth control have gradually disappeared and, notwithstanding some pill scares, oral contraceptives are now one of the most used methods of contraception. Finally, all's well that ends well: recent reports have substantiated the multiple noncontraceptive health benefits paving the way for a bright future for this 50-year-old product. PMID:21091163

  4. Introducing A Global Dataset Of Open Permanent Water Bodies

    NASA Astrophysics Data System (ADS)

    Santoro, Maurizio; Lamarche, Celine; Bontemps, Sophie; Wegmuller, Urs; Kalogirou, Vasileios; Arino, Oliver; Defourny, Pierre

    2013-12-01

    This paper introduces a 300-m global map of open permanent water bodies derived from multi-temporal synthetic aperture radar (SAR) data. The SAR dataset consisted of images of the radar backscatter acquired by Envisat Advanced SAR(ASAR) in Wide Swath Mode (WSM, 150 m spatial resolution) between 2005 and 2010. Extended time series of WSM to 2012, Image Mode Medium resolution (IMM) and Global Monitoring Mode (GMM) data have been used to fill gaps. Using as input the temporal variability (TV) of the backscatter and the minimum backscatter (MB), a SAR- based indicator of water bodies (SAR-WBI) has been generated for all continents with a previously validated thresholding algorithm and local refinements. The accuracy of the SAR-WBI is 80%; a threshold of 50% has been used for the land/water fraction in the case of mixed pixels. Correction of inconsistencies with respect to auxiliary datasets, completion of gaps and aggregation to 300 m were applied to obtain the final global water body map referred to as Climate Change Initiative Land Cover Water Body (CCI-LC WB) Product.

  5. Contraception: Efficacy, Risks, Continuation Rates, and Use in High-Risk Women.

    PubMed

    Batur, Pelin; Bowersox, Natalie; McNamara, Megan

    2016-08-01

    The clinical update serves as a brief review of recently published, high-impact, and potentially practice-changing journal articles summarized for our readers. Topics include menopause, sexual dysfunction, breast health, contraception, osteoporosis, and cardiovascular disease. In this clinical update, we selected recent publications relevant to the use of contraceptive methods. We highlight articles on continuation rates of long-acting reversible contraception versus nonlong-acting methods, updated risks of intrauterine devices, use of estrogen-containing contraceptives during anticoagulation for venous thromboembolic events, and the efficacy of oral and emergency contraception in women with elevated body mass index. PMID:27438879

  6. Lidar point density analysis: implications for identifying water bodies

    USGS Publications Warehouse

    Worstell, Bruce B.; Poppenga, Sandra; Evans, Gayla A.; Prince, Sandra

    2014-01-01

    Most airborne topographic light detection and ranging (lidar) systems operate within the near-infrared spectrum. Laser pulses from these systems frequently are absorbed by water and therefore do not generate reflected returns on water bodies in the resulting void regions within the lidar point cloud. Thus, an analysis of lidar voids has implications for identifying water bodies. Data analysis techniques to detect reduced lidar return densities were evaluated for test sites in Blackhawk County, Iowa, and Beltrami County, Minnesota, to delineate contiguous areas that have few or no lidar returns. Results from this study indicated a 5-meter radius moving window with fewer than 23 returns (28 percent of the moving window) was sufficient for delineating void regions. Techniques to provide elevation values for void regions to flatten water features and to force channel flow in the downstream direction also are presented.

  7. Remote sensing of ephemeral water bodies in western Niger

    USGS Publications Warehouse

    Verdin, J.P.

    1996-01-01

    Research was undertaken to evaluate the feasibility of monitoring the small ephemeral water bodies of the Sahel with the 1.1 km resolution data of the National Oceanic and Atmospheric Administration (NOAA) Advanced Very High Resolution Radiometer (AVHRR). Twenty-one lakes of western Niger with good ground observation records were selected for examination. Thematic Mapper images from 1988 were first analysed to determine surface areas and temperature differences between water and adjacent land. Six AVHRR scenes from the 1988-89 dry season were then studied. It was found that a lake can be monitored until its surface area drops below 10 ha, in most cases. Furthermore, with prior knowledge of the location and shape of a water body, its surface area can be estimated from AVHRR band 5 data to within about 10 ha. These results are explained by the sharp temperature contrast between water and land, on the order of 13?? C.

  8. On the representation of many-body interactions in water

    DOE PAGESBeta

    Medders, Gregory R.; Gotz, Andreas W.; Morales, Miguel A.; Bajaj, Pushp; Paesani, Francesco

    2015-09-09

    Our recent work has shown that the many-body expansion of the interactionenergy can be used to develop analytical representations of global potential energy surfaces (PESs) for water. In this study, the role of short- and long-range interactions at different orders is investigated by analyzing water potentials that treat the leading terms of the many-body expansion through implicit (i.e., TTM3-F and TTM4-F PESs) and explicit (i.e., WHBB and MB-pol PESs) representations. Moreover, it is found that explicit short-range representations of 2-body and 3-body interactions along with a physically correct incorporation of short- and long-range contributions are necessary for an accurate representationmore » of the waterinteractions from the gas to the condensed phase. Likewise, a complete many-body representation of the dipole moment surface is found to be crucial to reproducing the correct intensities of the infrared spectrum of liquid water.« less

  9. Statement on postcoital contraception.

    PubMed

    1981-12-01

    For the woman exposed to a single unexpected and unprotected act of sexual intercourse, postcoital contraception can be used to avoid an unwanted pregnancy. Since the mid-1960s postcoital contraception using orally administered hormones has been found to be highly effective. This should be, however, considered as a 1-time procedure rather than a routine approach to contraception. The recommended oral methods are combined oral contraceptives (OCs) containing ethinyl estradiol 50 mcg and levonorgestrel 0.25 mg. Other similar formulations may also have high efficacy. The dosage schedule is 2 tablets at once followed by 2 tablets after 12 hours. This method is indicated in women exposed to unexpected and unprotected sexual intercourse, such as in cases of rape. It is effective only if it is instituted within 72 hours of the exposure. Data suggest this regime is as effective as that using diethylstilbestrol but with fewer side effects. As with all hormonal contraceptives, the method is contraindicated where a pregnancy is already established. Possible side effects include nausea and vomiting, irregular uterine bleeding, breast tenderness, and headache. The woman should be advised to return after 1 month to reinforce the need for elective contraception or, in the case of failure, to diagnose pregnancy and initiate counseling. In the event of a pregnancy, the woman should be reassured that no evidence exists to associate this regime of OC steroid administration with teratogenesis. Recent evidence indicates that effective postcoital contraceptive can be achieved by the insertion of a copper-containing IUD within 5 days of unprotected, mid-cycle sexual intercourse. PMID:12263975

  10. Total body water and lean body mass estimated by ethanol dilution

    NASA Technical Reports Server (NTRS)

    Loeppky, J. A.; Myhre, L. G.; Venters, M. D.; Luft, U. C.

    1977-01-01

    A method for estimating total body water (TBW) using breath analyses of blood ethanol content is described. Regression analysis of ethanol concentration curves permits determination of a theoretical concentration that would have existed if complete equilibration had taken place immediately upon ingestion of the ethanol; the water fraction of normal blood may then be used to calculate TBW. The ethanol dilution method is applied to 35 subjects, and comparison with a tritium dilution method of determining TBW indicates that the correlation between the two procedures is highly significant. Lean body mass and fat fraction were determined by hydrostatic weighing, and these data also prove compatible with results obtained from the ethanol dilution method. In contrast to the radioactive tritium dilution method, the ethanol dilution method can be repeated daily with its applicability ranging from diseased individuals to individuals subjected to thermal stress, strenuous exercise, water immersion, or the weightless conditions of space flights.

  11. Innate recognition of water bodies in echolocating bats

    PubMed Central

    Greif, Stefan; Siemers, Björn M.

    2010-01-01

    In the course of their lives, most animals must find different specific habitat and microhabitat types for survival and reproduction. Yet, in vertebrates, little is known about the sensory cues that mediate habitat recognition. In free flying bats the echolocation of insect-sized point targets is well understood, whereas how they recognize and classify spatially extended echo targets is currently unknown. In this study, we show how echolocating bats recognize ponds or other water bodies that are crucial for foraging, drinking and orientation. With wild bats of 15 different species (seven genera from three phylogenetically distant, large bat families), we found that bats perceived any extended, echo-acoustically smooth surface to be water, even in the presence of conflicting information from other sensory modalities. In addition, naive juvenile bats that had never before encountered a water body showed spontaneous drinking responses from smooth plates. This provides the first evidence for innate recognition of a habitat cue in a mammal. PMID:21045825

  12. Introducing new contraceptives.

    PubMed

    Segal, S J; Coutinho, E

    1986-12-01

    At this time, private research efforts to discover new contraceptives are threatened. Drug companies, particularly in the US, have reduced their interest in contraceptive development due to concern over the rising cost of product liability insurance, the cost of lawsuits in defense of liability claims, and the fear of extremely high awards by juries in product liability cases. The current form of private-public collaboration, now threatened by the liability crisis, works under a few simple principles of agreement. Private industry agrees to supply its patented chemical compounds for assessment as contraceptive agents, to be willing to enter into negotiations with public sector organizations to develop the contraceptive drugs if initial tests warrant it, and to release compounds to another company if the patent-holder declines to proceed with contraceptive development. The public-sector program agrees to fund the studies, keep the industry informed, and maintain confidentiality. When the technology is discovered by the public sector and is of potential interest to private industry, the collaboration involves other issues. The public agency agrees to supply manufacturing know-how and all biological and clinical information, to license under applicable patents, and to permit cross reference to regulatory agency filings. Private industry agrees to use its best efforts to bring the product to market, to manufacture the product at reduced cost for public sector use, or to provide know-how for others to do so. It also agrees to assume product liability and to grant the public sector agency licenses to any patented improvement in its product. Contraceptive research both within and outside the US is feeling the effects of the US litigious atmosphere. Companies from abroad now wish to steer clear of contraceptive research, even though these companies would be prepared to meet the requirements of the Food and Drug Administration. Contraceptives, considered to be high risk

  13. Contraception in Sweden.

    PubMed

    Riphagen, F E; von Schoultz, B

    1989-06-01

    In 1987, a survey of contraceptive use, knowledge and attitudes was conducted in Sweden by the International Health Foundation (IHF) as part of a multi-country study that has so far involved six other countries in Europe. The women involved, who were aged 15-44, completed a standard questionnaire. The overall percentage use of contraceptive methods, especially the reliable ones, was found to be high (95%). Oral contraception was the most frequently used method, followed by barrier methods and the intrauterine device (IUD). Contraceptive methods were chosen or abandoned mainly because of health reasons and better reliability. Knowledge of fertility proved to be generally good. Medical methods such as oral contraceptives and IUDs were associated with health hazards. In the case of the pill, fears of cardiovascular risks, thrombosis and cancer were widespread, while infection risk and menorrhagia were the most frequently quoted perceived disadvantages of the IUD. Indeed, these two methods suffer from a very negative image among Swedish users. PMID:2752752

  14. Progestin-Only Oral Contraceptives

    MedlinePlus

    Progestin-only oral contraceptives are used to prevent pregnancy. Progestin is a female hormone. It works by preventing the ... mucus and the lining of the uterus. Progestin-only oral contraceptives are a very effective method of ...

  15. Contraception in the 1990s.

    PubMed

    Shoupe, D

    1996-06-01

    Contraceptive technology has recently provided the market place with new barrier methods, new progestin oral contraceptives, an injectable contraceptive, the female condom, new male condoms, and the contraceptive implant. During the last decade, epidemiologists have clearly defined the non-contraceptive benefits of current contraceptive methods that include decreased infections, protection from various cancers, protection from many gynecologic problems that lead to surgery, as well as symptomatic relief from many gynecologic conditions. In conjunction with medical specialists, contraceptive researchers have established the increased safety and benefits of various contraceptive choices in women with medical conditions that, until recently, were contra-indications for their use. That these advances have occurred despite multiple legal and scientific assaults gives hope that the field will continue to grow. PMID:8818532

  16. Water Transport and the Evolution of CM Parent Bodies

    NASA Technical Reports Server (NTRS)

    Coker, R.; Cohen, B.

    2014-01-01

    Extraterrestrial water-bearing minerals are of great importance both for understanding the formation and evolution of the solar system and for supporting future human activities in space. Asteroids are the primary source of meteorites, many of which show evidence of an early heating episode and varying degrees of aqueous alteration. The origin and characterization of hydrated minerals (minerals containing H2O or OH) among both the main-belt and near-earth asteroids is important for understanding a wide range of solar system formation and evolutionary processes, as well as for planning for human exploration. Current hypotheses postulate asteroids began as mixtures of water ice and anhydrous silicates. A heating event early in solar system history was then responsible for melting the ice and driving aqueous alteration. The link between asteroids and meteorites is forged by reflectance spectra, which show 3-µm bands indicative of bound OH or H2O on the C-class asteroids, which are believed to be the parent bodies of the carbonaceous chondrites in our collections. The conditions at which aqueous alteration occurred in the parent bodies of carbonaceous chondrites are thought to be well-constrained: at 0-25 C for less than 15 Myr after asteroid formation. In previous models, many scenarios exhibit peak temperatures of the rock and co-existing liquid water in more than 75 percent of the asteroid's volume rising to 150 C and higher, due to the exothermic hydration reactions triggering a thermal runaway effect. However, even in a high porosity, water-saturated asteroid very limited liquid water flow is predicted (distances of 100's nm at most). This contradiction has yet to be resolved. Still, it may be possible for water to become liquid even in the near-surface environment, for a long enough time to drive aqueous alteration before vaporizing or freezing then subliming. Thus, we are using physics- and chemistry-based models that include thermal and fluid transport as well

  17. [Test your knowledge: contraceptives].

    PubMed

    1998-06-01

    A brief self-administered quiz on contraceptive knowledge is presented. The 7 questions ask the reader to explain the mechanism of action of combined oral contraceptives, and why estrogens are used with progestins, and to indicate the main secondary effects of Depo-Provera and implants and the dosage of the "morning-after pill." A multiple-choice question concerns absolute contraindications to combined OC use. One clinical case involves selection of OCs for a woman with a family history of breast cancer and the other requires development of a strategy for reducing high-risk pregnancies and risk of AIDS. PMID:12321847

  18. [Contraception in adolescents].

    PubMed

    1992-12-01

    The proportion of women aged 15-19 in Colombia who are mothers declined from 14% in 1985 to 10% in 1990, but the actual number of cases increased due to population growth. Some 1,780,000 adolescents who have had children or are pregnant require family planning services. An additional, unknown number of adolescent pregnancies are terminated by abortion. It is estimated that 95% of adolescent pregnancies diagnosed or followed by PROFAMILIA's center for young people were unwanted. Reasons for making family planning services available to adolescents include the ever young age at initiation of sexual activity, the very low rates of contraceptive usage among sexually active adolescents, the lack of information of adolescents concerning reproduction and contraception, and their fear and guilt surrounding their sexual activity and contraceptive usage. Obstetrical services appear reluctant to furnish adolescent mothers with information on contraception, and the pharmacists and their employees who provide such information may not be aware of contraindications for this age group or whether adolescents are adequately instructed in use of the method. The rising age at marriage increases the span of time that adolescents are at risk of unwanted pregnancy. Adolescents who are well informed about sexuality and contraception and trained in decision making, self-esteem, and responsible parenthood are likely to postpone sexual activity. Information on contraception and family planning services needs to be made available to adolescents in a way that will actually motivate use. Information on sex and contraception should be made available at puberty and should include the form of use, contraindications, and advantages and disadvantages of all methods appropriate to adolescents. Orientation and assistance in selecting the best method should be individually tailored and should be provided in schools or other places accessible to young people, in a language they can understand. Rhythm and

  19. Techniques for determining total body water using deuterium oxide

    NASA Technical Reports Server (NTRS)

    Bishop, Phillip A.

    1990-01-01

    The measurement of total body water (TBW) is fundamental to the study of body fluid changes consequent to microgravity exposure or treatment with microgravity countermeasures. Often, the use of radioactive isotopes is prohibited for safety or other reasons. It was selected and implemented for use by some Johnson Space Center (JCS) laboratories, which permitted serial measurements over a 14 day period which was accurate enough to serve as a criterion method for validating new techniques. These requirements resulted in the selection of deuterium oxide dilution as the method of choice for TBW measurement. The development of this technique at JSC is reviewed. The recommended dosage, body fluid sampling techniques, and deuterium assay options are described.

  20. Intention to use contraceptives and subsequent contraceptive behavior in Morocco.

    PubMed

    Curtis, S L; Westoff, C F

    1996-01-01

    In this article, the relationship between stated intention to use contraceptives and subsequent use during a three-year period in Morocco is examined. Longitudinal data are drawn from two Demographic and Health Surveys: the 1992 Morocco DHS and the 1995 Morocco Panel Survey. Reported contraceptive intentions in 1992 have a strong predictive effect on subsequent contraceptive use even after controlling for other characteristics of respondents, and the strength of the effect is second only to that of previous contraceptive use. Women who in 1992 said they intended to use contraceptives in the future but did not do so are the most likely to have had an unmet need for contraception in 1995. Weakly held fertility preferences reported by some of the women surveyed in 1992 appear to have been a contributing factor in the subsequent failure of these women to act upon their intention to practice contraception. PMID:8923652

  1. Modeling of highly brines transport in large water bodies

    NASA Astrophysics Data System (ADS)

    Lyubimova, T. P.; Lepikhin, A. P.; Parshakova, Y. N.; Tiunov, A. A.

    2010-05-01

    The paper deals with the numerical modeling of a dilution and transport of highly brines in large water bodies taking into account the density stratification effects. This problem has an exceptional importance for the guarantee of ecological security of the Kama Reservoir in the conditions of extending exploitation of Verhnekamsk deposit of potassium and magnesium salts - one of the largest in the world. The output of million of tones of the potassium fertilizer is accompanied by the producing of the same quantity of highly brines demanding utilization. With the existing technologies the desalination of such quantity of brines is extremely energy-capacious and almost inapplicable. That is why main way for the brine utilization is the release into the surface water bodies or underground water-bearing horizons. Since the uncertainty level in the parameter setting for underground water-bearing horizons is higher than that for the surface water bodies, under the same or close conditions the release into the surface water bodies is considerably less dangerous. The main water body able to assimilate such huge amount of the removed brines is the upper part of the Kama Reservoir located within the Solikamsk-Berezniki industrial centre. The wastewater arriving from this centre make a decisive contribution to the formation of hydrochemical regime of Kama river. We suggested two-dimensional imitational hydrodynamical model allowing to determine the possible pollution zones depending on the flow rate and concentration of pollutant, flow rate and water level in the Kama river and wind characteristics in the zone of pollutant discharge. This model allows not only to calculate the distribution of pollution zones for various pollutant sources but also to estimate the consequences of emergencies. The Kama river near the Solikamsk-Berezniki industrial centre has complex morphometry. For the complete and efficient accounting for the morphometry peculiarities the non-linear orthogonal

  2. GFR Normalized to Total Body Water Allows Comparisons across Genders and Body Sizes

    PubMed Central

    Melsom, Toralf; Mathisen, Ulla D.; Jenssen, Trond G.; Solbu, Marit D.; Toft, Ingrid

    2011-01-01

    The normalization of GFR to a standardized body-surface area of 1.73 m2 impedes comparison of GFR across individuals of different genders, heights, or weights. Ideally, GFR should be normalized to a parameter that best explains variation in GFR. Here, we measured true GFR by iohexol clearance in a representative sample of 1627 individuals from the general population who did not have diabetes, cardiovascular disease, or kidney disease. We also estimated total body water (TBW), extracellular fluid volume, lean body mass, liver volume, metabolic rate, and body-surface area. We compared two methods of normalizing GFR to these physiologic variables: (1) the conventional method of scaling GFR to each physiologic variable by simple division and (2) a method based on regression of the GFR on each variable. TBW explained a higher proportion of the variation in GFR than the other physiologic variables. GFR adjusted for TBW by the regression method exhibited less dependence on gender, height, and weight compared with the other physiologic variables. Thus, adjusting GFR for TBW by the regression method allows direct comparisons between individuals of different genders, weights, and heights. We propose that regression-based normalization of GFR to a standardized TBW of 40 L should replace the current practice of normalizing GFR to 1.73 m2 of body-surface area. PMID:21784894

  3. Wet tropospheric delay spatial variability over terrestrial water bodies

    NASA Astrophysics Data System (ADS)

    Clark, E.; Moller, D.; Andreadis, K.; Lettenmaier, D. P.

    2013-12-01

    Among the sources of uncertainty in radar altimetry measurements of inland water bodies is the signal delay associated with space-time variations in water vapor in the atmosphere. Over the ocean, zenith wet tropospheric path delays (PD) can be measured by satellite microwave radiometry; however, the high brightness temperature of land prevents the use of these techniques over inland waters. SAR-based Atmospheric Phase Screens can be estimated over land, but not over water bodies. Radiosonde- and GPS-based estimates of PD over land are available, yet these measurements occur at specific, sparse locations. Atmospheric models are therefore the best source of information about space-time variations in PD, where observations (e.g., from radiosonde and GPS) are incorporated via data assimilation. The upcoming Surface Water and Ocean Topography mission (SWOT) will use Interferometric Synthetic Aperture Radar (InSAR) in Ka-band, at a high incidence angle, to measure temporal variations in water elevation, slope, and extent in rivers, lakes, and reservoirs. Images will be collected over a 120-km wide swath with <100 m spatial resolution and ~1 cm height precision when averaged over a 1 km2 area, with a 21-day repeat cycle. At present, the spatial and temporal variability of PD at spatial scales relevant to the mission's inland water objectives (e.g., measurement of variations in the storage of reservoirs and lakes with spatial extent order 1 sq. km and larger) is an open question. We report the results of simulations of PD based on simulations from the Weather Research and Forecasting (WRF) numerical weather prediction model. We consider two domains within the continental U.S.: 1) the Pacific Northwest (at 4-km and 4/3-km spatial resolutions, via WRF results provided by the Northwest Modeling Consortium), and 2) sections of New Mexico, Oklahoma, and Texas (at 2.33-km spatial resolution, via simulations performed for this study). We then investigate the spatial and temporal

  4. Heated Discharge Control and Management Alternatives: Small Water Bodies and Rivers.

    ERIC Educational Resources Information Center

    MacLaren, James F.

    Basic concepts of waste heat management on shallow and deep small water bodies and rivers are reviewed and examples are given. This study defines a small water body as a body in which the far field hydrothermal effects of a heated discharge can be detected in a major portion or practically all of the water body. Environmental effects due to…

  5. Oral contraceptives alter circadian rhythm parameters of cortisol, melatonin, blood pressure, heart rate, skin blood flow, transepidermal water loss, and skin amino acids of healthy young women.

    PubMed

    Reinberg, A E; Touitou, Y; Soudant, E; Bernard, D; Bazin, R; Mechkouri, M

    1996-08-01

    Sixteen healthy women users and nonusers of oral contraceptives (OC) volunteered to document a set of circadian rhythms. Nine were taking OC providing ethynyl estradiol (0.03-0.05 mg/24h, 21 days/month) combined with DL- or L-norgestrel or norethisterone. There was no group difference (p > 0.05) in median age (22 years), weight (57 kg), and height (162) cm). Data were obtained at fixed hours, 5 times/24h, during a 48-h span, in November. (Day activity from approximately 08:00 to approximately 23:00 h and night rest). Environmental conditions were controlled, using air-conditioned rooms of constant temperature (26 degrees +/- 0.5) and relative humidity 45% +/- 1. Both cosinor and ANOVA were used for statistical analyses. All circadian rhythms were validated with one exception: that of salivary melatonin was not detected in OC users. The 24h mean (M) exhibited group differences for certain variables: M was greater in OC than non-OC users for systolic blood pressure (p < 0.0001), heart rate (p < 0.01), skin blood flow (p < 0.04), and transepidermal water loss (p < 0.02). M was lower in OC than non-OC users in salivary cortisol (p < 0.04) and skin amino acids (p < 0.003). No group difference was detected in any other documented rhythms: diastolic blood pressure, grip strength of both hands, oral temperature, self-rated fatigue, and the skin variables of urea, lactate, triglycerides, and acid phosphatase activity. PMID:8874983

  6. Total body water measurements using resonant cavity perturbation techniques

    NASA Astrophysics Data System (ADS)

    Stone, Darren A.; Robinson, Martin P.

    2004-05-01

    A recent paper proposed a novel technique for determining the total body water (TBW) of patients suffering with abnormal hydration levels, using a resonant cavity perturbation method. Current techniques to measure TBW are limited by resolution and technical constraints. However, this new method involves measuring the dielectric properties of the body, by placing a subject in a large cavity resonator and measuring the subsequent change in its resonant frequency, fres and its Q-factor. Utilizing the relationship that water content correlates to these dielectric properties, it has been shown that the measured response of these parameters enables determination of TBW. Results are presented for a preliminary study using data estimated from anthropometric measurements, where volunteers were asked to lie and stand in an electromagnetic screened room, before and after drinking between 1 and 2 l of water, and in some cases, after voiding the bladder. Notable changes in the parameters were observed; fres showed a negative shift and Q was reduced. Preliminary calibration curves using estimated values of water content have been developed from these results, showing that for each subject the measured resonant frequency is a linear function of TBW. Because the gradients of these calibration curves correlate to the mass-to-height-ratio of the volunteers, it has proved that a system in which TBW can be unequivocally obtained is possible. Measured values of TBW have been determined using this new pilot-technique, and the values obtained correlate well with theoretical values of body water (r = 0.87) and resolution is very good (750 ml). The results obtained are measurable, repeatable and statistically significant. This leads to confidence in the integrity of the proposed technique.

  7. New aspects of injectable contraception.

    PubMed

    Phillips, O P

    2001-01-01

    Despite the availability of efficacious and safe contraceptive agents, not all women's contraceptive needs are being met. An injectable contraceptive method offers convenience and encourages compliance, both very important aspects for women seeking ideal contraception. Depot medroxyprogesterone acetate (DMPA) is a long-acting injectable, and is highly effective; one injection provides 3 months of contraception. Drawbacks of DMPA include irregular bleeding and a slow return to fertility. A new monthly injectable contraceptive agent is medroxyprogesterone acetate/estradiol cypionate suspension (Lunelle). It provides menstrual regulation and a rapid return to fertility. The estrogen ensures a withdrawal bleed monthly; however, women with contraindications to estrogen-containing contraception are not candidates for Lunelle. PMID:11294618

  8. Obesity and hormonal contraceptive efficacy

    PubMed Central

    Robinson, Jennifer A; Burke, Anne E

    2014-01-01

    Obesity is a major public health concern affecting an increasing proportion of reproductive-aged women. Avoiding unintended pregnancy is of major importance, given the increased risks associated with pregnancy, but obesity may affect the efficacy of hormonal contraceptives by altering how these drugs are absorbed, distributed, metabolized or eliminated. Limited data suggest that long-acting, reversible contraceptives maintain excellent efficacy in obese women. Some studies demonstrating altered pharmacokinetic parameters and increased failure rates with combined oral contraceptives, the contraceptive patch and emergency contraceptive pills suggest decreased efficacy of these methods. It is unclear whether bariatric surgery affects hormonal contraceptive efficacy. Obese women should be offered the full range of contraceptive options, with counseling that balances the risks and benefits of each method, including the risk of unintended pregnancy. PMID:24007251

  9. Contraceptive Beach Ball

    ERIC Educational Resources Information Center

    Ellis, Edith B.; Miller, Deborah A.

    2005-01-01

    Abstinence-based sexuality education includes a discussion about the various types of contraception available today. This lesson addresses the knowledge and skills identified in the National Health Education Standards, and can be used with two different audiences-students and teachers. Included in the lesson are step-by-step procedures, a…

  10. On the motion of very small bodies in water waves

    NASA Astrophysics Data System (ADS)

    GiméNez Curto, Luis A.

    1985-01-01

    The equation of motion of a small isolated body that moves in translational motion through a fluid which is itself in unsteady and nonuniform motion is established on the assumption that actual forces acting on the body can be split up in gravity; a drag component, which accounts for viscosity and vorticity effects; and an inertial force with the same formal expression as the force that would act on the body if the flow were irrotational (this force is obtained for an unrestricted irrotational flow in the appendix). By assuming that flow acceleration is small compared with that due to gravity and that ɛ = wƒω/g ≪ 1, which defines what here is called "very small body" (wƒ being still water terminal fall velocity, ω angular frequency, and g acceleration due to gravity), some approximate equations are obtained using a perturbation scheme. Subsequently, a simple expression is derived for the leading order approximation of the velocity of very small bodies in water waves. This solution shows that, at least under certain conditions, the hypothesis of some delay time (Kennedy and Locher, 1972) is sound, although this time is not the same, in general, for the vertical velocity component as for the horizontal one. From a practical point of view, owing to the assumptions involved in this derivation, the applicability of the solution must be restricted to suspended sediment particles in low concentrations and to reasonably well-behaved wave conditions, including superposition of linear waves (particularly standing waves and irregular wave fields), slightly nonlinear waves, and weak currents superimposed on waves. The direct application of the results of this investigation to flows with a high degree of turbulence intensity must be precluded because of the existence of large flow accelerations.

  11. Veterinary Forensic Pathology: Drowning and Bodies Recovered From Water.

    PubMed

    McEwen, B J; Gerdin, J

    2016-09-01

    Determining the cause of death in animals recovered from bodies of water, swimming pools, or other water-containing vessels is challenging. Animals recovered from water may or may not have drowned. The diagnosis of drowning is usually one of exclusion, requiring information from the crime scene, recovery scene, the medical history or reliable witness accounts. While there are characteristic macroscopic and microscopic lesions of drowning, none are specific and are dependent on the volume and tonicity of the drowning medium. Beyond interpreting the postmortem findings, the court may ask pathologists to comment on the behavioral and welfare implications of drowning. This requires an understanding of the drowning process, which is a complex series of sequential, concurrent, and overlapping cardiorespiratory reflexes, electrolyte and blood gas abnormalities, aspiration, physical exhaustion, and breathlessness eventually culminating in death. This review addresses the mechanisms, lesions, and diagnostic issues associated with drowning in nonaquatic companion animals. PMID:26926081

  12. The Effect of Age, Parity and Body Mass Index on the Efficacy, Safety, Placement and User Satisfaction Associated With Two Low-Dose Levonorgestrel Intrauterine Contraceptive Systems: Subgroup Analyses of Data From a Phase III Trial

    PubMed Central

    Gemzell-Danielsson, Kristina; Apter, Dan; Hauck, Brian; Schmelter, Thomas; Rybowski, Sarah; Rosen, Kimberly; Nelson, Anita

    2015-01-01

    Objective Two low-dose levonorgestrel intrauterine contraceptive systems (LNG-IUSs; total content 13.5 mg [average approx. 8 μg/24 hours over the first year; LNG-IUS 8] and total content 19.5 mg [average approx. 13 μg/24 hours over the first year; LNG-IUS 13]) have previously been shown to be highly effective (3-year Pearl Indices: 0.33 and 0.31, respectively), safe and well tolerated. The present subgroup analyses evaluated whether or not outcomes were affected by parity, age (18–25 vs 26–35 years), or body mass index (BMI, <30 vs ≥30 kg/m2). Methods Nulliparous and parous women aged 18‒35 years with regular menstrual cycles (21‒35 days) requesting contraception were randomized to 3 years of LNG-IUS 8 or LNG-IUS 13 use. Results In the LNG-IUS 8 and LNG-IUS 13 groups, 1432 and 1452 women, respectively, had a placement attempted and were included in the full analysis set; 39.2%, 39.2% and 17.1% were 18–25 years old, nulliparous and had a BMI ≥30 kg/m2, respectively. Both systems were similarly effective regardless of age, parity or BMI; the subgroup Pearl Indices had widely overlapping 95% confidence intervals. Placement of LNG-IUS 8 and LNG-IUS 13 was easier (p < 0.0001) and less painful (p < 0.0001) in women who had delivered vaginally than in women who had not. The complete/partial expulsion rate was 2.2–4.2% across all age and parity subgroups and higher in parous than in nulliparous women (p = 0.004). The incidence of pelvic inflammatory disease was 0.1–0.6% across all age and parity subgroups: nulliparous and younger women were not at higher risk than parous and older women, respectively. The ectopic pregnancy rate was 0.3–0.4% across all age and parity subgroups. Across all age and parity subgroups, the 3-year completion rate was 50.9–61.3% for LNG-IUS 8 and 57.9–61.1% for LNG-IUS 13, and was higher (p = 0.0001) among older than younger women in the LNG-IUS 8 group only. Conclusions LNG-IUS 8 and LNG-IUS 13 were highly effective

  13. Neonatal body water turnover: a putative index of perinatal morbidity

    SciTech Connect

    MacLennan, A.H.; Millington, G.; Grieve, A.; McIntosh, J.E.; Seamark, R.F.; Cox, L.W.

    1981-04-15

    The water metabolism of 46 newborn babies was determined during a 10 day period by means of an isotope dilution technique, and correlations were sought with the clinical assessment of the babies by multiple obstetric and pediatric clinical criteria. The babies, 48 to 72 hours of age, were given a single oral dose (2 ml/kg) of deuterated water (D/sub 2/O), a nonradioactive tracer, and the urinary excretion rate was followed by means of infrared spectrophotometry. After a period of equilibration of the D/sub 2/O with body water (20 hours), the rate of D2O clearance was found to be a single exponential decay process, thus allowing the fraction of total body water lost each hour (the rate constant) to be calculated for each baby. The median values of the rate constants X 10(4)(h-1) for 14 growth-retarded babies ws 104 (98% confidence limits, 97.8 to 122) compared with 76.3 (67.0 to 80.2) for 16 normal mature babies and 82.1 (73.4 to 90.6) for 16 normal premature babies. These data indicate that, compared with normal mature or normal premature babies, growth-retarded infants have a significantly (P less than 0.05) faster turnover of water during the first 10 days of postnatal life. Since there was little overlap in results between the normally grown and the retarded infants, the measurement of water turnover may provide a useful index of perinatal morbidity.

  14. [Stable Isotope Characteristics in Different Water Bodies in Changsha and Implications for the Water Cycle].

    PubMed

    Li, Guang; Zhang, Xin-ping; Zhang, Li-feng; Wang, Yue-feng; Deng, Xiao-jun; Yang, Liu; Lei, Chao-gui

    2015-06-01

    Analysis of the variation characteristics of different water bodies is the basis of applying isotopic tracer technique in regional water cycle research. Based on the samples of atmospheric precipitation, surface water (river water) and groundwater (spring water and well water) in Changsha from January 2012 to December 2013, the study analyzed the variation characteristics of δD and δ(18)O in different water bodies. The results showed that the values of D and 18O in precipitation of Changsha showed obvious seasonal variation because of the seasonal difference of the water vapor source, and it showed significant negative correlation between δ(18)O in precipitation and some meteorological factors such as the temperature and the amount, the local meteoric water line revealed the climatic characteristic of humid and rainy in Changsha; the fluctuation of 8D and 80 in surface water was more moderate than those in precipitation, and the seasonal variation of stable isotope value showed lagging characteristic compared with that in precipitation, the difference of river water line (RWL) indicated that the main supply sources of surface water were changing in different seasons; the fluctuation of δD and δ(18)O in groundwater was the least, the variation ranges and mean values of δD and δ(18)O in spring water and well water were very close, it showed that there were some hydraulic connections in the two water bodies, the values of δD and δ(18)O in groundwater were constantly lower during drought months, this phenomenon might have a certain relationship with the increasing absorbency of tree roots from groundwater. The results of the study have certain guiding significance for rational utilization of water resources in the region. PMID:26387312

  15. Increase of Total Body Water with Decrease of Body Mass while Running 100 km Nonstop--Formation of Edema?

    ERIC Educational Resources Information Center

    Knechtle, Beat; Wirth, Andrea; Knechtle, Patrizia; Rosemann, Thomas

    2009-01-01

    We investigated whether ultraendurance runners in a 100-km run suffer a decrease of body mass and whether this loss consists of fat mass, skeletal muscle mass, or total body water. Male ultrarunners were measured pre- and postrace to determine body mass, fat mass, and skeletal muscle mass by using the anthropometric method. In addition,…

  16. Adolescents and oral contraceptives.

    PubMed

    Sanfilippo, J S

    1991-01-01

    Oral contraceptive (OC) options for adolescents are provides. Clarification for those desiring a birth control method is necessary and the benefits of decreased acne and dysmenorrhea with low dose OCs should be stressed along with the importance of compliance. A community effort is suggested to communicate the sexual and contraceptive alternatives, including abstinence and outercourse (sexual stimulation to orgasm without intercourse). Attention is given to concerns associated with teenage sexual activity, prevention of adolescent pregnancy, contraceptive options for the adolescent patient, adolescent attitudes toward birth control OCs, management of the adolescent OC user, manipulation of steroid components of OCs to respond to adolescent concerns, and other hormonal contraceptive options such as minipills or abstinence. The text is supplemented with tables: the % of US women by single years of age for 1971, 1976, 1979, and 1982; comparative pregnancy and abortion rates for the US and 5 other countries; federal cost for teen childbearing; adolescent nonhormonal contraceptive methods (advantages, disadvantages, and retail cost); checklist to identify those at risk for noncompliance with OCs; hormonal side effects of OCs; risks from OCs to adolescents; and benefits of OCs. Concern about adolescent pregnancy dates back to Aristotle. A modern profile shows girls form single-parent families are sexually active at an earlier age, adolescent mothers produce offspring who repeat the cycle, victims of sexual abuse are more likely to be sexually active, and teenagers in foster care are 4 times more likely to be sexually active and 8 times more likely to become pregnant. Prevention involves a multifaceted approach. OCs are the most appropriate contraceptive choice for adolescents. Frequency of intercourse is closely associated with OC use after approximately 15 months of unprotected sexual activity. At risk for noncompliance variables are scales of personality development

  17. [Contraception and endometriosis].

    PubMed

    Brun, G

    1993-01-01

    Choosing a contraceptive method for a woman with endometriosis is an uncommon problem because endometriosis is relatively rare and because an estimated 30-50% of women with endometriosis are infertile. Uterine or internal endometriosis or adenomyosis is characterized by a congestive and pseudoinflammatory uterus slightly increased in volume. It must be distinguished from pelvic or external or peritoneo-ovarian endometriosis. Pelvic implants may involve destruction of the ovaries by cysts or their imprisonment in adhesions. They may cause stenosis in the proximal portion of the tubes or entrap them in adhesions. 4 stages of endometriosis have been distinguished according to the significance of the lesions and a scoring system. Stage 4 patients with scores over 70 or with a score over 50 for adhesions have been unable to conceive despite treatment. No contraception is necessary in these cases. The choice of a contraceptive for other patients is conditioned by the features of endometriosis. Endometriosis refers to the abnormal localization of a normal endometrium. The implants are sensitive to estrogen. Each implant behaves like a miniature uterus; the mucus proliferates and bleeds if estrogen secretions are present, or atrophies if not. Endometriosis may be completely asymptomatic, or cause sterility, or be accompanied by pain and metrorrhagia. Several earlier treatments of endometriosis have been abandoned because of side effects. The current treatment of choice is an LHRH analog administered by parenteral injections every 4 weeks to bring about a state of pseudomenopause. The treatment produces a rapid desensitization of the pituitary LHRH receptors and a diminution of gonadotrophins, estrogens, and progesterone. The secondary effects are those of hypoestrogenism: hot flashes, vaginal dryness, and increased bone loss after 6 months of treatment. It is also an expensive medication. Contraception is provided by the treatment itself for the first 6 months

  18. [Pollution hazard for water bodies at oil production].

    PubMed

    Zholdakova, Z I; Beliaeva, N I

    2015-01-01

    In the paper there have been summarizes the concepts of the danger of the pollution ofwater bodies in oil production (the most dangerous are reagents used in the drilling, drilling waste, oil and petrochemicals, oil biodestructors. There was shown the danger of the spread of oil pollution. New indices, presenting a hazard during drilling and oil production have been substantiated The tasks aimed to the improvement of the standards and methods of the control of the water pollution by oil, as well as of the documents regulating the conditions of environmental protection during the drilling have been conceived. PMID:26031037

  19. A new device for collecting time-integrated water samples from springs and surface water bodies

    USGS Publications Warehouse

    Panno, S.V.; Krapac, I.G.; Keefer, D.A.

    1998-01-01

    A new device termed the 'seepage sampler' was developed to collect representative water samples from springs, streams, and other surface-water bodies. The sampler collects composite, time-integrated water samples over short (hours) or extended (weeks) periods without causing significant changes to the chemical composition of the samples. The water sample within the sampler remains at the ambient temperature of the water body and does not need to be cooled. Seepage samplers are inexpensive to construct and easy to use. A sampling program of numerous springs and/or streams can be designed at a relatively low cost through the use of these samplers. Transient solutes migrating through such flow systems, potentially unnoticed by periodic sampling, may be detected. In addition, the mass loading of solutes (e.g., agrichemicals) may be determined when seepage samplers are used in conjunction with discharge measurements.

  20. Use of Natural Bodies of Water for IR Calibration Targets

    SciTech Connect

    Kurzeja, R.J.

    2001-04-17

    Natural bodies of water have several advantages as IR calibration targets in remote sensing. Among these are availability, homogeneity, and accurate knowledge of emissivity. A portable, low-cost, floating apparatus is described for calibration of remote IR sensors to within 0.15 C. The apparatus measures the surface and bulk water temperature as well as the wind speed, direction, temperature, and relative humidity. The apparatus collects data automatically and can be deployed for up to 24 hours. The sources of uncertainty, including the effects of skin temperature and waves are discussed. Data from several field campaigns to calibrate IR bands of DOE's Multi-Spectral Thermal Imager are described along with estimates of error.

  1. Marketing contraceptives by mail.

    PubMed

    Farley, J U; Harvey, P D

    1972-10-01

    7 ads (3" x 2") for information on nonprescription mail-order contraceptives were run in 51 college newspapters. Ads with specific product offerings, apparently directed to males and including offers of birth control literature, drew the most inquiries. Inquiries were also higher from ads placed in papers with larger circulations, and in rural areas. There were no discernible objections from the audience, and no difficulties were encountered in placing copy. About 207 of the inquiries resulted in orders. PMID:12276312

  2. Status of Contraceptive Vaccines

    PubMed Central

    Naz, Rajesh K.

    2008-01-01

    Problem This is a review of antisperm contraceptive vaccines (CV), and synthesis of human scFv antibodies that can be used as immunocontraceptives. Method of study Various methods of proteomics and genomics, peptide synthesis, phage display technology, and antibody engineering were used to obtain multi-epitope vaccines and human scFv antibodies from immunoinfertile and vasectomized men. The present review primarily focuses on the effect of multi-epitope vaccines and Izumo on fertility and synthesis and characterization of sperm specific human scFv antibodies. Results The immunization with Izumo peptides causes a contraceptive effect in female mice. The efficacy is enhanced by combination vaccination, including peptides based on other sperm antigens. Using phage display technology, we were able to synthesize at least four novel scFv antibodies with unique complimentarity determining regions (CDRs) that reacted with specific fertility-related sperm antigens. These antibodies inhibited human sperm function in vitro, and their immunocontraceptive effect in vivo is currently being investigated. Conclusions The multi-epitope vaccines may provide an efficacious and viable approach to contraception. The human scFv antibodies, if they block fertility in vivo, may provide unique and novel immunocontraceptives, the first of its kind for human use. The multi-epitope CV and preformed engineered antibodies of defined specificity may obliterate the concern related to inter-individual variability of the immune response. PMID:19086987

  3. [Initiation and monitoring of contraception].

    PubMed

    Sannisto, Tuire; Kuortti, Marjo; Kuukankorpi, Aki; Niitty, Siina

    2012-01-01

    The majority of those requiring contraception may safely use any available contraceptive method. Each method has, however, its particular contraindications, which should be screened by applying careful anamnesis and focused status, when contraception is being initiated. Gynecologic examination is not a prerequisite for the initiation of hormonal contraception, but measurement and monitoring of blood pressure is important. Testing for sexually transmitted diseases is readily worthwhile. Follow-up visits provide a chance for comprehensive support for a woman or a young person concerning sexual health. PMID:22822602

  4. Advances in male hormonal contraception.

    PubMed

    Costantino, Antonietta; Gava, Giulia; Berra, Marta; Meriggiola Maria, Cristina

    2014-11-01

    Contraception is a basic human right for its role on health, quality of life and wellbeing of the woman and of the society as a whole. Since the introduction of female hormonal contraception the responsibility of family planning has always been with women. Currently there are only a few contraceptive methods available for men, but recently, men have become more interested in supporting their partners actively. Over the last few decades different trials have been performed providing important advances in the development of a safe and effective hormonal contraceptive for men. This paper summarizes some of the most recent trials. PMID:25673544

  5. Advances in male hormonal contraception

    PubMed Central

    Antonietta, Costantino; Giulia, Gava; Marta, Berra; Cristina, Meriggiola Maria

    2014-01-01

    Contraception is a basic human right for its role on health, quality of life and wellbeing of the woman and of the society as a whole. Since the introduction of female hormonal contraception the responsibility of family planning has always been with women. Currently there are only a few contraceptive methods available for men, but recently, men have become more interested in supporting their partners actively. Over the last few decades different trials have been performed providing important advances in the development of a safe and effective hormonal contraceptive for men. This paper summarizes some of the most recent trials. PMID:25673544

  6. [Choosing contraception for adolescents].

    PubMed

    Wemeau-jacquemont, C

    1985-02-01

    Earlier and more frequent sexual activity and the significant risk of pregnancy have increased the need for contraception among young adolescent girls. The problem for the physician is to choose a contraceptive method which will not affect future fertility or the psychological and biological maturity of adolescents. Condoms, diaphragms, and spermicides are quite effective if used correctly; they have no deleterious side effects, and they provide protection against sexually transmitted diseases. They appear to be well-adapted to the sporadic sexual activity of adolescents. The efficacy of combined oral contraceptives (OCs) is also high. Side effects depend on the synthetic estrogen component and are dose dependent. Absolute contraindications to OC use in women of any age include thromboembolic disease, cerebral vascular accidents, severe cardiac or hepatic disorders, breast or genital cancer, pregnancy, undiagnosed genital bleeding, and pituitary adenoma. Relative contraindications include hypertension, diabetes, hyperlipidemia, obesity, history of hepatitis, migraines, epilepsy, asthma, renal insufficiency, cystic breast disease, and mammary fibroadenomas. Combined OCs do not seem to interfere with subsequent maturation of the hypothalamopituitary axis. The frequency of ovulatory cycles in adolescents who have discontinued pill use is the same as that in adolescents who have never used pills. However, estrogens accelerate the process of maturation in the bones, so combined OCs should never be prescribed for girls who have not terminated their growth. Minidose OCs containing 30-45 mcg of ethinyl estradiol aggravate the relative hyperestrogenism of adolescents and are associated with menstrual problems, functional ovarian cysts, and breast problems. They should only be prescribed for adolescents with regular sexual activity, no less than 3 years following menarche, with regular ovulatory menstrual cycles and no history of breast disorders. Otherwise, a standard

  7. Contraception: a social revolution.

    PubMed

    Benagiano, Giuseppe; Bastianelli, Carlo; Farris, Manuela

    2007-03-01

    Modern contraceptive technology is more than a technical advance: it has brought about a true social revolution, the 'first reproductive revolution' in the history of mankind. This latter was followed in rapid succession by other major changes in human reproductive strategies. In the human species, sexual activity began to lose its exclusive reproductive meaning at an early stage of its evolution. Human beings must have practiced non-conceptive sex from the outset and therefore must have had a need to avoid, rather than to seek conception during intercourse from time immemorial. The search for methods to control fertility went on for millennia, but a valid solution was only found during the twentieth century, when the population explosion had forever changed the shape of humanity: in only one century the total population of the planet had grown from some 1.6 billion to more than 6 billion. That increase will remain unique in the history of Homo sapiens. At the global level, contraception provided a tool to deal with overpopulation and, in only 50 years, went a long way towards its resolution. However, to solve the problem, national and international family planning initiatives were required. For individuals, contraception also meant a revolution. It allowed sexual intercourse without reproduction. Only 25 years later, in vitro fertilisation permitted childbearing without sexual intercourse. Other advances followed and now cloning, that is, reproduction without the two gametes, looms on the horizon. Such a series of rapid, major changes in human reproductive strategies has confused many. For this reason, a constructive dialogue between sociology and biology is mandatory. Contraception is a powerful tool to promote equity between sexes; it improves women's status in the family and in the community. Avoiding pregnancy during the teens increases opportunities for a young woman's education, training and employment. By controlling their fertility, women get a chance to

  8. Unmet contraceptive needs among refugees

    PubMed Central

    Aptekman, Marina; Rashid, Meb; Wright, Vanessa; Dunn, Sheila

    2014-01-01

    Abstract Objective To describe what women of reproductive age who received primary care at a refugee health clinic were using for contraception upon arrival to the clinic, and to quantify the unmet contraceptive needs within that population. Design Retrospective chart review. Setting Crossroads Clinic in downtown Toronto, Ont. Participants Women of reproductive age (15 to 49 years) who first presented for care between December 1, 2011, and December 1, 2012. To be included, a woman had to have had 2 or more clinic visits or an annual health examination. Exclusion criteria for the contraception prevalence calculation were female sexual partner, menopause, hysterectomy, pregnancy, or trying to conceive. Main outcome measures Contraception use prevalence was measured, as was unmet contraceptive need, which was calculated using a modified version of the World Health Organization’s definition: the number of women with an unmet need was expressed as a percentage of women of reproductive age who were married or in a union, or who were sexually active. Results Overall, 52 women met the criteria for inclusion in the contraceptive prevalence calculation. Of these, 16 women (30.8%) did not use any form of contraception. Twelve women were pregnant at some point in the year and stated the pregnancy was unwanted or mistimed. An additional 14 women were not using contraception but had no intention of becoming pregnant within the next 2 years. There were no women with postpartum amenorrhea not using contraception and who had wanted to delay or prevent their previous pregnancy. In total, 97 women were married or in a union, or were sexually active. Unmet need was calculated as follows: (12 + 14 + 0)/97 = 26.8%. Conclusion There was a high unmet contraceptive need in the refugee population in our study. All women of reproductive age should be screened for contraceptive need when first seeking medical care in Canada. PMID:25642489

  9. Utilization of Landsat Data for Water Quality Observation in Small Inland Water Bodies

    NASA Astrophysics Data System (ADS)

    Pásler, M.; Komárková, J.

    2016-06-01

    Many studies deal with water quality evaluation using remotely sensed data. In the field of remote sensing, there have been proposed several procedures how to observe selected parameters of water quality and conditions. The majority of works use methods and procedures based on satellite data but they usually do not deal with suitability and practicability of the satellite data. This paper provides summary of determinants and limitations of satellite data utilization for water quality evaluation. Cloud cover and its influence on size of visible water surfaces is the most deeply evaluated determinants. Temporal resolution, spatial resolution and some other technical factors are discussed as next determinants. The case study demonstrates evaluation of the determinants for Landsat 7 and Landsat 8 data (level 1) and for area of small ponds in part of Pardubice region in the Czech Republic. It clearly demonstrates several limitations of Landsat data for evaluation of selected parameters of water quality and changes of small water bodies.

  10. Cryptosporidium and Giardia detection in water bodies of Galicia, Spain.

    PubMed

    Castro-Hermida, José Antonio; García-Presedo, Ignacio; González-Warleta, Marta; Mezo, Mercedes

    2010-12-01

    animal health. These results demonstrate the wide distribution of Cryptosporidium and Giardia in the environment, the ineffectiveness of treatments in DWTPs and WWTPs in reducing/inactivating both protozoa and the need to monitor the presence, viability and infectivity of Cryptosporidium and Giardia in water bodies. In conclusion, the findings suggest the need for better monitoring of water quality and identification of sources of contamination. PMID:20673950

  11. Sculpting of a dissolvable body by flowing water

    NASA Astrophysics Data System (ADS)

    Huang, Jinzi Mac; Moore, M. Nicholas J.; Ristroph, Leif

    2014-11-01

    Fluid flows strongly influence the dissolution of materials in geological contexts and in chemical and pharmaceutical applications. We approach flow-driven dissolution as a moving boundary problem and conduct experiments on hard candy bodies immersed within fast flowing water. We discover that different initial shapes are sculpted into a similar final form before ultimately vanishing, suggesting convergence to a stable shape-flow state. A model linking the flow and solute concentration suggests an explanation for this state and offers scaling laws for quantities such as the volume decay rate in time. As a whimsical application, we also show how this model can be used to address the long-standing question, ``How many licks does it take to get to the center of lollipop?''

  12. Statement on injectable contraception.

    PubMed

    1982-12-01

    Injectable hormonal contraception with 2 longacting steroidal preparations--norethisterone enanthate (NET-EN) and depot medroxyprogesterone acetate (DMPA)--provides an effective means of fertility regulation and has become an important method of family planning. DMPA and NET-EN have several advantages which make them particularly appropriate for some women and acceptable in family planning programs. A single injection can provide highly effective contraception for 2 or more months, delivery is simple, independent of coitus, and ensures periodic contact with medical or other trained health personnel. Currently, DMPA is registered as a therapeutic agent in nearly all countries and as a contraceptive agent in over 80 developed and developing countries. NET-EN is registered as a contraceptive in 40 countries. Administered by intramuscular injection in an aqueous microcrystalline suspension, DMPA exerts its contraceptive effect primarily by suppression of ovulation, but its effects on the endometrium, the uterine tubes, and the production of cervical mucus may also play a role in reducing fertility. DMPA as a contraceptive agent is generally given at a dosage of 150 mg every 90 days. NET-EN when administered as an intramuscular injection of an oil preparation at a dose of 200 mg inhibits ovulation. It should be administered at 8 weekly intervals for the 1st 6 months of use, then at intervals of 8 or 12 weeks. Longterm animal studies with DMPA have been completed mainly on beagle bitches and rhesus monkeys, and similar studies with NET-EN are nearing completion. None of the findings in beagles is considered applicable to human populations because the beagle responds differently than humans to steroidal hormones. None of the deaths among rhesus monkeys was attributable to effects of the drug. Endometrial carcinoma was found in 2 of the replacement monkeys but the number of animals was too small for statistically significant studies, and it is not possible to conclude

  13. [Methodologic aspects of body water kinetic dynamic studies].

    PubMed

    Lobachik, V I; Chupushtanov, S A; Pishchulina, G N; Voronov, S F; Nosovskiĭ, A M

    1998-01-01

    In studying the level of hydration and liquid phases (LPs) in a space mission there use the stable and/or radioactive isotopes. The investigations are unique, the methods are adequate but not adapted in full measure to the challenges of the problem under study. The methodical approaches to the study of the dynamics of water metabolism are not available. Repeated introduction of the markers for these purposes is not acceptable. Another problem associates with taking the markers orally. In this case, a concentration of the markers will depend on the absorption and excretion processes. Prior to, during and in the readaptation period these functions will be different, making a correlation of the accumulated data difficult. There advances a possible version of solving these problems, namely, to use for the dynamic studies the residual contents of the markers in the LPs after single injection. However, this approach calls for investigating the kinetics of markers in weightlessness or during its ground-based simulation. The kinetics of tritium water has been studied in 6 volunteers under conditions of the 5-day bedrest and in 9 healthy men during free motor activity. There determined the characteristics of marker kinetics in a healthy man during his routine living activities. Under bedrest conditions there have been noted slowing-down of the rate and a decrease in the degree of marker accumulation in the body after its single injection, the shift of a period of relative stabilization of marker content in LP to the more late dates of experiment, slowing-down of the marker excretion rate from the body. PMID:9858979

  14. [Hormonal contraception in autoimmpne diseases].

    PubMed

    Matyszkiewicz, Anna; Jach, Robert; Rajtar-Ciosek, Agnieszka; Basta, Tomasz

    2016-01-01

    The onset and the course of autoimmune diseases is influenced among other factors by the sex hormones. Hormonal contraception might affect the course of the autoimmune disease. The paper summarises the manner of save application of hormonal contraception in patients with autoimmune disease. PMID:27526427

  15. Apparatus for removing oil and other floating contaminants from a moving body of water

    DOEpatents

    Strohecker, J.W.

    1973-12-18

    The patent describes a process in which floating contaminants such as oil and solid debris are removed from a moving body of water by employing a skimming system which uses the natural gravitational flow of the water. A boom diagonally positioned across the body of water diverts the floating contaminants over a floating weir and into a retention pond where an underflow weir is used to return contaminant-free water to the moving body of water. The floating weir is ballasted to maintain the contaminant-receiving opening therein slightly below the surface of the water during fluctuations in the water level for skimming the contaminants with minimal water removal.

  16. Worldwide Eutrophication of Water Bodies: Causes, Concerns, Controls

    NASA Astrophysics Data System (ADS)

    Prepas, E. E.; Charette, T.

    2003-12-01

    Eutrophication is the nutrient enrichment of waters that stimulates an array of symptomatic changes, that can include increased phytoplankton and rooted aquatic plant (macrophyte) production, fisheries and water quality deterioration, and other undesirable changes that interfere with water uses (Bartsch, 1972). The trophic state, or degree of fertility, of water bodies ranges from oligotrophic to mesotrophic to eutrophic with increasing supply of nutrients and organic matter ( Table 1). Eutrophication is most often the result of an elevated supply of nutrients, particularly nitrogen and phosphorus, to surface waters that results in enhanced production of primary producers, particularly phytoplankton and aquatic plants. Table 1. Mean annual values for the trophic classification system Total phosphorus (μg L-1)Chlorophyll a (μg L-1)Secchi disk depth (m) Ultra-oligotrophic<4<1>12 Oligotrophic<10<2.5>6 Mesotrophic10-352.5-86-3 Eutrophic35-1008-253-1.5 Hypertrophic>100>25<1.5 Source: OECD (1982). Phytoplankton are unpleasant at high densities. The sight and smell of clots or masses of decaying phytoplankton decreases the recreational value of most waters and usually generates concerns among the public. Furthermore, blooms of toxin-producing phytoplankton can cause widespread illness. A bloom is a conspicuous concentration of phytoplankton, often concentrated at or near the surface. It is difficult to quantify what constitutes a "bloom," but a rough estimate places it as a chlorophyll a concentration over 30 μg L-1. Toxins produced by dinoflagellates such as Pfiesteria in marine environments of the northeastern US and red tides in tropical waters have caused massive fish kills, millions of dollars in losses to seafood-related industries, human memory loss, paralysis, and even death (Van den Hoeck et al., 1995; Silbergeld et al., 2000). Bloom-forming species of cyanobacteria can produce potent hepato-(liver) toxins termed microcystins that have been implicated in

  17. [Young men's contraceptive habits].

    PubMed

    Kaiser, A H; Nielsen, B B; Hansen, K; Johansen, J B; Nielsen, M B

    1992-10-01

    A total of 379 men from the greater Copenhagen area were invited to fill out a questionnaire about sexual habits and use of contraception in connection with conscription for military duty. A total of 334 (88%) answered the questionnaire. In the autumn of 1988, a total of 27 men answered the test questionnaire, while in the spring of 1989, when the real study was conducted, 307 men answered it. The median age of 334 participants was 18 years (range of 17-29 years). 33% of the group stated that they had used condoms during first intercourse, while 47% had not. 1 person reported to be exclusively attracted sexually to men, 5 persons were attracted both to men and women, but 97% were exclusively attracted to women. 82% had had intercourse or other sexual experience with women. 1.8% had had intercourse or other sexual experience with men. 8% had no sexual experience, and 8% did not answer the question. Oral contraceptives were used by 60% and the condom by 56%. 10% had used coitus interruptus at one time or another; 15% had used no contraception; 5% used the IUD; and 5% used the diaphragm. Some gave several answers. 1% used spermicidal lotion. 60% thought that it was the responsibility of both men and women to be concerned about contraception, 12% opined that it was exclusively men's duty, and 2% that it was exclusively women's, while 26% did not answer. 68% wanted to use the condom in the future for protection, 24% did not know, but 8% did not want to use it more extensively. 64% did not think that the fear of AIDS would affect their sexual life, but 36% thought it would. Several of the subjects indicated that they would be more careful about choosing a partner, and every 10th suggested that they would use the condom with a new partner. One person (0.3%) was a drug addict, 89% had never injected drugs, but about 11% did not answer about drugs. 97% and 95%, respectively, indicated that the condom provided good protection against pregnancy and venereal diseases. PMID

  18. [Chronic illness and contraception].

    PubMed

    Saarikoski, S

    1987-01-01

    In recent years sterilization that can cause problems of the psyche and marital life has been recommended much less frequently with respect to chronic diseases. As regards heart and hypertensive diseases pregnancy is always contraindicated in case of 3rd and 4th disease categories and sterilization is recommended according to the New York Heart Association. As far as 1st and 2nd category patients are concerned if the load carrying capacity is normal pregnancy could be undertaken. Combination pills are not recommended for contraception because they can cause fluid retention or increase the risk of thrombosis. If the patient has a higher-than-normal risk of developing thrombosis or infection, for instance, those who wear pacemakers only tablets containing progesterone or subdermal capsule implants can be used. In those with blood pressure problems the additional use of the IUD is also advised. Among diseases of neurological and psychic origin the effect of hormonal contraceptives is weakened by antiepileptics, but even in such cases older combination pills of larger doses of active ingredients can be employed. Migraine is exacerbated in 1/3 of patients; here IUDs can be used. Even the contraceptive tablets themselves can induce depression. In psychosis methods requiring regular attention can be easily forgotten, therefore the IUD is the most suitable device. In diabetes progesterone and other progestogens reduce insulin response, harm carbohydrate metabolism; therefore in young people the IUD is preferred an in older women with children even sterilization can be employed. Hormonal tablets must not be used in hyperlipidemia and liver diseases. Caution must be exercised in hyperthyroidism and in endocrine disorders (e.g., Cushing's syndrome); if it is accompanied by blood pressure disorders appropriate treatment is required. In kidney diseases pregnancy is contraindicated if it is accompanied by blood pressure increase or a higher level of creatine. On the other hand

  19. [An implantable contraceptive: Norplant].

    PubMed

    Munyakazi, A

    1989-08-01

    The Norplant contraceptive system consists of 6 silastic capsules 34 mm long by 2.4 mm in diameter each containing 36 mg of levonorgestrel. Norplant provides a constant daily dose of 30 mcg of levonorgestrel beginning 24 hours after insertion and lasting for 5 years. 3 contraceptive effects are provided: the cervical mucus becomes less permeable for sperm, the endometrium atrophies, and ovulation is inhibited in about 50% of cycles. The failure rate is lower than those of pills and IUDs. It is somewhat higher for women weighing over 70 kg than for those weighing less. The safety of Norplant is due to the absence of estrogen. It has no effect on blood pressure, and the risks of ectopic pregnancies or infection at the insertion site are minor. The principal side effect is disturbance of the menstrual cycle, which usually decreases after 3-6 months of use. Other minor effects should not cause termination of the method if the user has been forewarned. Women using Norplant should be followed regularly. Norplant is particularly indicated for women desiring longterm contraception or a very effective method for spacing, postpartum women, and women with contraindications to oral contraceptives and IUDs. Contraindications include pregnancy or suspicion of pregnancy, unexplained vaginal bleeding, liver or cardiovascular disorders, jaundice or pruritus during the last pregnancy, thrombophlebitis or pulmonary embolism, falciform anemia, and breast cancer. Studies are underway to verify that Norplant does not affect lactation. Norplant should be removed immediately if the woman develops migraine headaches or visual problems, signs of thrombophlebitis or hepatic disorders, increased blood pressure, or if she becomes pregnant or must undergo a surgical procedure requiring lengthy bed rest. Norplant should be inserted under scrupulously aseptic conditions during the 1st 7 cycle days under local anesthesia. Large studies in Egypt, Indonesia, Chile and elsewhere have confirmed

  20. Antibiotics and oral contraceptives.

    PubMed

    Rubin, D F

    1981-04-01

    Dermatologists often prescribe oral tetracycline for the control of acne, primarily, and to a much lesser extent, for the treatment of cutaneous infections. A number of the patients taking tetracycline are also taking birth control pills. A recent article in the British Medical Journal (1980;1:293) indicates that this combination can lead to a failure of the (OC) oral contraceptive. Such failure had been associated with ampicillin as well. It is believed that the mechanism for this was the disturbance in normal gut flora, with consequent effects on bacterial hydrolysis of steroid conjugates. This would interrupt the enterohepatic circulation of contraceptive steroids, resulting in a less than normal concentration of circulating steroids. It was recommended that women taking low-dose OCs take extra precautions against pregnancy during any cycle in which antibiotics are given. In regard to our care of and responsibilities to our patients, and in an era when malpractice suits for all types of reasons are more common, it certainly behooves dermatologists to recognize and be concerned about this potential consequence of prescribing oral antibiotics. PMID:7212735

  1. Intrauterine steroid contraceptives.

    PubMed

    Scholten, P C; Christaens, G C; Haspels, A A

    1987-11-15

    Progestagen releasing IUDs were specially developed to diminish the problems of bleeding and pain with inert and copper containing IUDs. The intrauterine release of the progestagen causes endometrial atrophy, resulting in impairment of nidation, and interferes with transport of the ovum and the spermatozoa. Two available types, Progestasert, Biograviplan (Alza Corporation, California; Grünenthal) and Levonorgestrel Nova-T (Leiras Pharmaceuticals, Finland), have been sufficiently tested in multinational trials. Compared with Progestasert, LNG Nova-T showed lower pregnancy rates (Pearl Index 0.30), less risk for ectopic pregnancy and a longer effective lifetime (7 years). With both IUDs the amount and duration of menstrual blood loss is decreased. Amenorrhea is a frequent occurring side effect of LNG Nova-T, caused by endometrial atrophy. Intermenstrual blood loss and spotting incidences are not uniformly reduced and are still a frequent reason for removal. Preinsertion counselling may improve the acceptance of these non-health-threatening side effects. With both IUDs a decrease of menstrual cramps during periods is percepted and a low incidence of PID is found. Basically, the progestagen releasing IUD can be recommended to all women who wish an IUD for contraception and to women with contraindications for oral contraceptives, especially to those with menorrhagia, anaemia or risk for anaemia. PMID:3131966

  2. Development of Global 30m Resolution Water Body Map with Permanent/Temporal Water Body Separation Using Satellite Acquired Images of Landsat GLS Datasets

    NASA Astrophysics Data System (ADS)

    Ikeshima, D.; Yamazaki, D.; Yoshikawa, S.; Kanae, S.

    2015-12-01

    The specification of worldwide water body distribution is important for discovering hydrological cycle. Global 3-second Water Body Map (G3WBM) is a global scale map, which indicates the distribution of water body in 90m resolutions (http://hydro.iis.u-tokyo.ac.jp/~yamadai/G3WBM/index.html). This dataset was mainly built to identify the width of river channels, which is one of major uncertainties of continental-scale river hydrodynamics models. To survey the true width of the river channel, this water body map distinguish Permanent Water Body from Temporary Water Body, which means separating river channel and flood plain. However, rivers with narrower width, which is a major case in usual river, could not be observed in this map. To overcome this problem, updating the algorithm of G3WBM and enhancing the resolutions to 30m is the goal of this research. Although this 30m-resolution water body map uses similar algorithm as G3WBM, there are many technical issues attributed to relatively high resolutions. Those are such as lack of same high-resolution digital elevation map, or contamination problem of sub-pixel scale object on satellite acquired image, or invisibility of well-vegetated water body such as swamp. To manage those issues, this research used more than 30,000 satellite images of Landsat Global Land Survey (GLS), and lately distributed topography data of Shuttle Rader Topography Mission (SRTM) 1 arc-second (30m) digital elevation map. Also the effect of aerosol, which would scatter the sun reflectance and disturb the acquired result image, was considered. Due to these revises, the global water body distribution was established in more precise resolution.

  3. [Contraception and pregnancy in adolescence

    PubMed

    Herter, L D; Accetta, S G

    2001-11-01

    OBJECTIVE: To review and discuss different contraceptive methods currently used by adolescents, and also discuss adolescent pregnancy, including the associated risks and the importance of prenatal care. METHODS: Review of literature and clinical experience with different contraceptive methods and with adolescent pregnancy. RESULTS: The oral contraceptive pill is the most common method used by teenagers due to its low failure rate and other non-contraceptive effects. Emergency contraception is a good option in cases of rape, unplanned sexual intercourse, condom rupture, nonuse of oral contraceptives during short intervals. In this case, the pill should be taken within 72 hours after the intercourse (preferably before 24 hours for best effect). Most problems related to adolescent pregnancy have a social or economic origin; however, some medical complications such as preterm labor and anemia are frequently reported. CONCLUSIONS: The use of male and female condoms combined with other contraceptive methods should be encouraged to prevent sexually transmitted diseases. If pregnancy is confirmed, prenatal care must be implemented as soon as possible in order to minimize the risks of complication and to allow for an effective multidisciplinary approach. PMID:14676880

  4. The spectral signature analysis of inland and coastal water bodies acquired from field spectroradiometric measurements

    NASA Astrophysics Data System (ADS)

    Papoutsa, Christiana; Akylas, Evangelos; Hadjimitsis, Diofantos

    2013-08-01

    The main goal of this research is to examine the optical properties of different water bodies such as coastal water; oligotrophic and eutrophic inland water by observing their spectral signatures. Spectral profiles of sampling points, which correspond to water bodies with different water quality characteristics, are extracted and analyzed. Field spectroscopy is a very important tool giving critical information for the comprehension of spectral signatures of different water bodies. Field spectroradiometric measurements can assist to improve or develop new algorithms and methodology enables to classify several water bodies according to their water quality characteristics using remotely sensed data. Field spectroradiometric data presented at this study were obtained for inland water in Asprokremmos Dam, Paphos District/Cyprus; in Larnaca's Salt Lake, Larnaca District/Cyprus; and in Karla Lake, Volos District/Greece and for coastal water in Zugi-Vasilikos-Old Harbour, Limassol District/Cyprus.

  5. Emergency contraception: Focus on the facts.

    PubMed

    Najera, Deanna Bridge

    2016-01-01

    Significant progress on contraception, and in particular emergency contraception, has been made in the past decade. Emergency contraception was first introduced as a stand-alone prescription in 1998, and the interaction of politics and medicine meant a tumultuous course to the drug becoming available over the counter. This article reviews how emergency contraception works, the effectiveness of different methods, pros and cons, and the history of emergency contraception. PMID:26656383

  6. [Effect of oral contraceptives on vaginal flora].

    PubMed

    Batashki, I; Markova, D; Milchev, N; Uchikova, E; Gŭrova, A

    2006-01-01

    The contraceptive and non contraceptive advantages of oral chormonal contraceptives as well as the good control on fertility, make it one of the most preffered method of contraception. The normal vaginal flora is a dynamic ecosystem and itsequilibrium and status of eubyosis amongst its inhabitants is an important mechanism against exogenous infections. The use of oral contraceptives is not associated with significant changes in the vaginal microbial flora; the normal concentration of the lactobacillli is preserved. PMID:16889189

  7. New contraceptive choices across reproductive life.

    PubMed

    Foran, Therese M

    2003-06-16

    The range of contraceptive options and consumer awareness of new contraceptive methods have both increased significantly over the past 10 years. New methods available in Australia include lower-dose oral contraceptive pills, new oral progestogens, progestogen implants, a progestogen-bearing intrauterine device and polyurethane female condoms. Contraceptive options which may soon be introduced in Australia include novel methods of administering combined (oestrogen-progestogen) contraception, such as dermal patches and vaginal rings. PMID:12797848

  8. [Pregnancy contraception (Current Care Guideline)].

    PubMed

    Halttunen-Nieminen, Mervi; Piltonen, Terhi; Alenius, Heidi; Apukka, Laura; Kosunen, Elise; Pietilä, Kirsi; Sihvo, Sinikka; Vuorela, Piia; Väänänen, Eija; Yli-Kivistö, Tiina

    2016-01-01

    There are no age limits for the start or use of contraception. Prior gynecological examination or cervical smear is not needed. Condom is the only method that protects from sexually transmitted diseases. An increase in the risk of venous thromboembolism (VTE) is associated only with combined contraceptives. However, the risk is remarkably higher with pregnancy, puerperium or with smoking. The most effective reversible methods are intrauterine devices (IUD) and implants, as these do not depend on daily memory. Natural family planning methods are not reliable, and effective contraception should be easily available for all at all times. PMID:27382829

  9. Sculpting of an erodible body by flowing water.

    PubMed

    Ristroph, Leif; Moore, Matthew N J; Childress, Stephen; Shelley, Michael J; Zhang, Jun

    2012-11-27

    Erosion by flowing fluids carves striking landforms on Earth and also provides important clues to the past and present environments of other worlds. In these processes, solid boundaries both influence and are shaped by the surrounding fluid, but the emergence of morphology as a result of this interaction is not well understood. We study the coevolution of shape and flow in the context of erodible bodies molded from clay and immersed in a fast, unidirectional water flow. Although commonly viewed as a smoothing process, we find that erosion sculpts pointed and cornerlike features that persist as the solid shrinks. We explain these observations using flow visualization and a fluid mechanical model in which the surface shear stress dictates the rate of material removal. Experiments and simulations show that this interaction ultimately leads to self-similarly receding boundaries and a unique front surface characterized by nearly uniform shear stress. This tendency toward conformity of stress offers a principle for understanding erosion in more complex geometries and flows, such as those present in nature. PMID:23150552

  10. Body water compartments during bed rest: Evaluation of analytical methods

    NASA Technical Reports Server (NTRS)

    Young, H. L.; Juhos, L.; Castle, B. L.; Yusken, J.; Greenleaf, J. E.

    1973-01-01

    Nine healthy young men were studied to determine the reproducibility and interchangeability of the use of radio-iodinated human serum albumin and Evans Blue dye for estimating plasma volume, sodium bromide for extracellular fluid volume, and deuterium oxide for total body water volume. All subjects were tested in a semibasal condition and allowed to rest for at least 30 min. after arriving at the laboratory. The results indicate that there was uniform distribution of I131 and Evans Blue dye 10 min. after injection and of NaBr and D2O 3 hours after oral ingestion; the buildup of residual tracer did not interfere appreciably with the measurement of either or Evans Blue spaces when they are administered at equal intervals, and the buildup of background tracer after ingestion of NaBr and D2O once per week for three consecutive weeks did not affect the accuracy of the measurement. It was found that I131 and Evans Blue may be used interchangeably for estimating plasma volume; for estimating bromide and D2O spaces, one 3-hour equilibrium blood sample gives results similar to the extrapolation of multiple samples.

  11. Method of detection water-body and water-bearing formations above a coal seam -- a case history

    SciTech Connect

    Park, D.W.

    1983-03-01

    Ground water has been a problem in underground mines. (Anon., 1981; Aughenbough, 1973; Stansbury, 1981). Water migrates from water-bearing formations and surface water bodies such as lakes, ponds or creeks into the underground workings through fractures and tracks. As a result, underground workings become plagued with the necessity of having the water pumped out in large quantities. Underground workings become flooded when unexpected amounts of water flow into the openings, especially when mines use pillar extraction of longwall mining methods. It is difficult to detect water bodies above the coal mine roof before water problems take place. The resistivity method was used as a method for detecting water saturated rock layers and bodies of water above the roof of a coal mine in northern West Virginia, where the multiple seam mining method was being used.

  12. Non-Contraceptive Benefits of Oral Hormonal Contraceptives

    PubMed Central

    Schindler, Adolf E

    2012-01-01

    Abstract It is becoming evident that oral hormonal contraceptives-besides being well established contraceptives-seem to become important medications for many functional or organic disturbances. So far, clinical effectiveness has been shown for treatment as well as prevention of menstrual bleeding disorders and menstrual-related pain symptoms. Also this is true for premenstrual syndrome (PMS) and premenstrual disphoric disorder (PMDD). Particular oral contraceptives (OCs) containing anti-androgenic progestogens were shown to be effective medications for treatment of androgenisation symptoms (seborrhea, acne, hirsutism, alopecia). Through perfect suppression of the hypothalamic-pituitary-ovarian axis OCs have proven to be effective in elimination of persistent follicular cysts. Endometriosis/adenomyosis related pain symptoms are well handled similar to other drugs like Gonadotropine Releasing Hormone agonists but are less expensive, with less side effects, and possibility to be used for longer periods of time. This is also true for myoma. Pelvic inflammatory disease, rheumatoid arthritis, menstrual migraine, and onset of multiple sclerosis are prevented or delayed. Bone density is preserved and asthma symptoms improved. Endometrial hyperplasia and benign breast disease can be controlled. There is definitely a significant impact on risk reduction regarding endometrial, ovarian, and colon cancers. In conclusion, it needs to be recognized that oral combined hormonal contraceptives (estrogen/ progestogen combination) are - besides being reliable forms of contraception - are cost-effective medications for many medical disorders in women. Therefore, these contraceptives drugs are important for female and global health and should be used in clinical practice. PMID:23853619

  13. How Effective Is Male Contraception?

    MedlinePlus

    ... Trials Resources and Publications How effective is male contraception? Skip sharing on social media links Share this: ... health care providers to determine which method of birth control is best for them. For men, methods of ...

  14. Progestin-Only Oral Contraceptives

    MedlinePlus

    ... oral contraceptives are a very effective method of birth control, but they do not prevent the spread of ... on another day, use a backup method of birth control (such as a condom and/or a spermicide) ...

  15. Emerging Options for Emergency Contraception

    PubMed Central

    Koyama, Atsuko; Hagopian, Laura; Linden, Judith

    2013-01-01

    Emergency post-coital contraception (EC) is an effective method of preventing pregnancy when used appropriately. EC has been available since the 1970s, and its availability and use have become widespread. Options for EC are broad and include the copper intrauterine device (IUD) and emergency contraceptive pills such as levonorgestrel, ulipristal acetate, combined oral contraceptive pills (Yuzpe method), and less commonly, mifepristone. Some options are available over-the-counter, while others require provider prescription or placement. There are no absolute contraindications to the use of emergency contraceptive pills, with the exception of ulipristal acetate and mifepristone. This article reviews the mechanisms of action, efficacy, safety, side effects, clinical considerations, and patient preferences with respect to EC usage. The decision of which regimen to use is influenced by local availability, cost, and patient preference. PMID:24453516

  16. Detection of pathogenic organisms in food, water, and body fluids

    NASA Astrophysics Data System (ADS)

    Wallace, William H.; Henley, Michael V.; Sayler, Gary S.

    2002-06-01

    The construction of specific bioluminescent bacteriophage for detection of pathogenic organism can be developed to overcome interferences in complex matrices such as food, water and body fluids. Detection and identification of bacteria often require several days and frequently weeks by standard methods of isolation, growth and biochemical test. Immunoassay detection often requires the expression of the bacterial toxin, which can lead to non-detection of cells that may express the toxin under conditions different from testing protocols. Immunoassays require production of a specific antibody to the agent for detection and interference by contaminants frequently affects results. PCR based detection may be inhibited by substances in complex matrices. Modified methods of the PCR technique, such as magnetic capture-hybridization PCR (MCH-PCR), appear to improve the technique by removing the DNA products away from the inhibitors. However, the techniques required for PCR-based detection are slow and the procedures require skilled personnel working with labile reagents. Our approach is based on transferring bioluminescence (lux) genes into a selected bacteriophage. Bacteriophages are bacterial viruses that are widespread in nature and often are genus and species specific. This specificity eliminates or reduces false positives in a bacteriophage assay. The phage recognizes a specific receptor molecule on the surface of a susceptible bacterium, attaches and then injects the viral nucleic acid into the cell. The injected viral genome is expressed and then replicated, generating numerous exact copies of the viral genetic material including the lux genes, often resulting in an increase in bioluminescence by several hundred fold.

  17. Organic halogens in unpolluted waters and large bodies of water receiving bleach plant effluents

    SciTech Connect

    Grimvall, A.; Jonsson, S.; Karlsson, S.; Savenhed, R.; Boren, H. )

    1991-05-01

    In this paper the authors review and update recently performed studies of organic halogens in unpolluted waters and two large bodies of water receiving bleach plant effluents---Lake Vattern in Sweden and the Baltic Sea. All water samples contained measurable amounts of adsorbable organic halogens (AOX); the highest concentrations (up to 200 {mu}g Cl/L) were observed in humic lakes not exposed to any industrial discharges. Analysis of chlorophenols revealed that there is a long-distance transport ({gt} 100 km) of chloroguaiacols from bleach plants to remote parts of receiving waters. However, there was no evidence of chlorinated organics from bleach plants accumulating over several years in the water phase. One chlorophenol, 2,4,6-trichlorophenol, and its methylated analogue, 2,4,6-trichloroanisole, were also detected in surface waters considered to be unpolluted. Mass balance calculations showed that different processes in terrestrial environments make large contributions of AOX; enzyme-mediated chlorination of humic substances is a plausible explanation to the widespread occurrence of organic halogens.

  18. [Oral contraceptives: knowledge and compliance].

    PubMed

    Koch, T; Marslew, U; Nielsen, M R

    1993-11-01

    One hundred and twenty (120) women, taking contraceptive pills, underwent a structured interview with a view elucidating their knowledge of the physiology of menstruation, the action and side effects of contraceptive pills and their compliance in the taking of contraceptive pills. The most important sources of information were the medical letters in magazines and the women's own doctors, while the teaching in the Folkeskole (primary and lower secondary school) had not had any major influence on the level of information. Well over one third of the interviewed women knew the most important action mechanism of the contraceptive pill, and half of the women could give a satisfactory explanation of the physiology of menstruation. Twenty-four percent (24%) thought that pregnancy could not occur until 1-2 months after the woman had ceased taking the pill. There was high compliance among the women i.e. that their behavior was correct when they had forgotten to take one or two contraceptive pills, when bleeding was irregular, and when beginning on a new package of pills. Eighty-three percent (83%) had experienced side effects that could be related to contraceptive pills. The investigation shows that there is a need for more efficient information about the effects of the Pill and about the physiology of menstruation. PMID:8236575

  19. Beyond the Condom: Frontiers in Male Contraception.

    PubMed

    Roth, Mara Y; Amory, John K

    2016-05-01

    Nearly half of all pregnancies worldwide are unplanned, despite numerous contraceptive options available. No new contraceptive method has been developed for men since the invention of condom. Nevertheless, more than 25% of contraception worldwide relies on male methods. Therefore, novel effective methods of male contraception are of interest. Herein we review the physiologic basis for both male hormonal and nonhormonal methods of contraception. We review the history of male hormonal contraception development, current hormonal agents in development, as well as the potential risks and benefits of male hormonal contraception options for men. Nonhormonal methods reviewed will include both pharmacological and mechanical approaches in development, with specific focus on methods which inhibit the testicular retinoic acid synthesis and action. Multiple hormonal and nonhormonal methods of male contraception are in the drug development pathway, with the hope that a reversible, reliable, safe method of male contraception will be available to couples in the not too distant future. PMID:26947703

  20. Teaching in Uncharted Waters: Seeking Critical Body Literacy Scripts

    ERIC Educational Resources Information Center

    Robertson, Lorayne; Thomson, Dianne

    2012-01-01

    Schools are places of learning, but they are also sites of struggle when fitness, obesity, and body image issues converge for students and teachers. Responding to teachers' concerns about their students on diets, a Canadian teachers' organization produced a body image program which included a training day for schools undertaking whole-school…

  1. Efficacy and safety of metformin or oral contraceptives, or both in polycystic ovary syndrome

    PubMed Central

    Yang, Young-Mo; Choi, Eun Joo

    2015-01-01

    Background Polycystic ovary syndrome (PCOS) is an endocrinopathy that affects approximately 10% of reproductive-aged women throughout their lives. Women with PCOS present with heterogeneous symptoms including ovulatory dysfunction, hyperandrogenism, and polycystic ovaries. Therefore, lifelong individualized management should be considered. Pharmacological agents commonly used to manage the symptoms are metformin and oral contraceptive pills. Although these medications have been beneficial in treating PCOS symptoms, their efficacy and safety are still not entirely elucidated. This study aimed to report the efficacy and safety of metformin, oral contraceptives, or their combination in the treatment of PCOS and to define their specific individual roles. Methods A literature search of original studies published in PubMed and Scopus was conducted to identify studies comparing metformin with oral contraceptives or evaluating the combination of both in PCOS. Results Eight clinical trials involving 313 patients were examined in the review. The intervention dosage of metformin ranged from 1,000 to 2,000 mg/d and that of oral contraceptives was ethinylestradiol 35 µg and cyproterone acetate 2 mg. Lower body mass index was observed with regimens including metformin, but increased body mass index was observed in monotherapy with oral contraceptives. Administration of metformin or oral contraceptives, especially as monotherapy, had a negative effect on lipid profiles. In addition, there are still uncertainties surrounding the effects of metformin or oral contraceptives in the management of insulin level, although they improved total testosterone and sex hormone-binding globulin levels. In the included studies, significant side effects due to metformin or oral contraceptives were not reported. Conclusion The clinical trials suggest that metformin or oral contraceptives are at least patient convenient, efficacious, and safe for the treatment of PCOS. However, well

  2. Television and contraception.

    PubMed

    Klein, L

    1986-01-01

    This article consists of excerpts from a speach made on October 19th at the 1986 annual meeting of the Association of Planned Parenthood Professionals by Dr. Luella Klein, President of the American College of Obstetricians and Gynecologists (ACOG) between 1984-85. The speaker described the reaction of US television network to the ACOG's request that the networks air a public service announcement encouraging responsible sexual behavior among the nation's young people. In 1984 the ACOG initiated a public information program aimed at reducing the high number of unwanted births among young people. The ACOG with the help of an advertising agency developed a 27-second public service announcement stressing responsible parenthood and informing young people that they could write or call for further information. A booklet, entitled "Facts," was prepared for distribution to those who inquired. It advised young people to consider postponing sexual intercourse but to use the most effective methods of contraception if they decided to be sexually active. Oral contraceptives for females and condoms for males were recommended as the most effective methods. When the 3 major television networks, i.e., the American Broadcasting Company (ABC), the National Broadcasting Company (NBC), and the Columbia Broadcasting System (CBS), were requested to carry the announcement, all 3 networks claimed the announcement was too controversial to air. These same networks do not hesitate to show blatant, irresponsible sexual behavior repeatedly during their entertainment programming, and commercials with sexual innuendos are routinely accepted for airing by the networks. In July, 1986, the ACOG called a news conference in New York City to inform the news media about the rejection of the announcement by the networks. The conference stimulated considerable interest, and the story was carried by many newspapers and by radio and television news programs. Many of the news accounts of the story contained

  3. Condoms: still the most popular contraceptive.

    PubMed

    Silverstone, T

    1997-01-01

    Condoms can be used as a barrier contraceptive and/or to protect against many sexually-transmitted diseases. They are easy to buy and use and free from medical risk. Carefully used, and used in conjunction with a spermicide, condoms have similar reliability to IUDs, progesterone-only pills and the diaphragm. The condom must be put on before the penis touches the vaginal area. The penis should not touch the vaginal area after the condom has been taken off. Oil-based products, eg baby oil, massage oil, lipstick, petroleum jelly, suntan oil, can damage the condom. If a lubricant is required, use one that is water-based. PMID:9348972

  4. Long-acting contraceptive options.

    PubMed

    Kaunitz, A M

    1996-01-01

    Long-acting contraceptive methods are appropriate choices for women who prefer the convenience and high contraceptive efficacy of methods not requiring frequent compliance, and women for whom contraceptive doses of estrogen are either medically contraindicated or associated with persistent intolerable side effects. Annual pregnancy rates for the three methods described below are less than 1 per 100 woman-years. As currently formulated, levonorgestrel implants (Norplant) consist of six 34 x 2.4 mm soft plastic implants, each filled with 36 mg of crystalline levonorgestrel. Irregular and often persistent menstrual bleeding and spotting constitute the most important side effects experienced by and leading to method discontinuation in implant users. Implant removal is technically more difficult and time-consuming than insertion. Depot-medroxyprogesterone acetate (DMPA or Depo-Provera) is injected as an aqueous suspension of microcrystals. Intramuscular injection of 150 mg of DMPA results in more than 3 months of contraception. Irregular bleeding and spotting followed by amenorrhea, constitute the most importance side effects experienced by DMPA users. Because DMPA use can result in prolonged (but not permanent) infertility, DMPA is not an optimum contraceptive choice for women who may want to conceive in the next one or two years. The Copper T380A intrauterine device (IUD) provides reversible contraception for up to 10 years. IUDs act as contraceptives, not early abortafacients. Recent epidemiologic data indicate that long-term IUD use does not increase the occurrence of pelvic inflammatory disease. Heavier menstrual flow and cramps constitute the main side effects experienced by women using the copper IUD. Intrauterine device insertion and removal are accomplished during brief office-based procedures. PMID:8829701

  5. Fish movement and habitat use depends on water body size and shape

    USGS Publications Warehouse

    Woolnough, D.A.; Downing, J.A.; Newton, T.J.

    2009-01-01

    Home ranges are central to understanding habitat diversity, effects of fragmentation and conservation. The distance that an organism moves yields information on life history, genetics and interactions with other organisms. Present theory suggests that home range is set by body size of individuals. Here, we analyse estimates of home ranges in lakes and rivers to show that body size of fish and water body size and shape influence home range size. Using 71 studies including 66 fish species on five continents, we show that home range estimates increased with increasing water body size across water body shapes. This contrasts with past studies concluding that body size sets home range. We show that water body size was a consistently significant predictor of home range. In conjunction, body size and water body size can provide improved estimates of home range than just body size alone. As habitat patches are decreasing in size worldwide, our findings have implications for ecology, conservation and genetics of populations in fragmented ecosystems. ?? 2008 Blackwell Munksgaard.

  6. Contraceptive research and development.

    PubMed

    Aitken, R J

    1979-05-01

    Contraceptive research and development is primarily performed at universities and research councils due to the cost and time involved for industry and philanthropic organizations to bring drugs to market. Promising fundamental research includes immunization of women against chorionic gonadotrophin in order to disrupt the embryo in early pregnancy. Post-coital drugs, such as Anordrin, are also being developed for situations involving low-coital frequency. Once-a-month formulas are being developed to 1) exert a direct luteolytic effect on the corpus luteum; 2) interfere with the luteotrophic action of the implanting blastocyst; 3) inhibit the progestational development of the endometrium during the luteal phase of the cycle; or 4) exert a specific toxic effect on the early embryo. Methods for detecting ovulation incuding urine and saliva tests as well as electronic devices to measure the blood flow or temperature associated with ovulation are also being explored. Reversible fertility control for men which suppress the pituitary function is under investigation. Applied research includes the design and assessment of alternate delivery systems such as intranasal sprays, intracervical devices, paper pills, vaginal rings, and biodegradable subdermal implants. In addition, long-acting injectable progestins, improved IUDs, and improved sterilization techniques are all being tested. With future funds, the comparative safety, efficacy, and acceptability of various fertility methods can be established. PMID:387168

  7. Oral contraceptives and exercise.

    PubMed

    Mostardi, R A; Woebkenberg, N R; Jarrett, M T

    1980-01-01

    A laboratory study was undertaken with volunteer females (aged 20-25) to determine the effect of OCs (oral contraceptives) on hematologic and metabolic variables during exercise. 5 of the women studied were naturally cycling and 7 were taking OCs. The women worked at 2 workloads on a bicycle ergometer at 50% and 90% of their maximal aerobic capacity during 3 different phases of their menstrual cycle. There was no better time of the month for doing the 50% or the 90% workload in either group. Heartrate for the OC group was significantly higher at the 50% maximal capacity. Results of the test indicate tha women on OCs have somewhat reduced cardiac efficiency and are ventilating more to carry out a given amount of work when compared to women who are naturally cycling. Possible explanations for the higher heart rate are put forward. The main limitation of the study is that the subject numbers involved are small and the number of cycles studied is also small. PMID:12278397

  8. Stable isotope composition of land snail body water and its relation to environmental waters and shell carbonate

    SciTech Connect

    Goodfriend, G.A.; Magaritz, M.; Gat, J.R. )

    1989-12-01

    Day-to-day and within-day (diel) variations in {delta}D and {delta}{sup 18}O of the body water of the land snail, Theba pisana, were studied at a site in the southern coastal plain of Israel. Three phases of variation, which relate to isotopic changes in atmospheric water vapor, were distinguished. The isotopic variations can be explained by isotopic equilibration with atmospheric water vapor and/or uptake of dew derived therefrom. During the winter, when the snails are active, there is only very minor enrichment in {sup 18}O relative to equilibrium with water vapor or dew, apparently as a result of metabolic activity. But this enrichment becomes pronounced after long periods of inactivity. Within-day variation in body water isotopic composition is minor on non-rain days. Shell carbonate is enriched in {sup 18}O by ca. 1-2% relative to equilibrium with body water. In most regions, the isotopic composition of atmospheric water vapor (or dew) is a direct function of that of rain. Because the isotopic composition of snail body water is related to that of atmospheric water vapor and the isotopic composition of shell carbonate in turn is related to that of body water, land snail shell carbonate {sup 18}O should provide a reliable indication of rainfall {sup 18}O. However, local environmental conditions and the ecological properties of the snail species must be taken into account.

  9. Effects of Contraceptive Education on Adolescent Male Contraceptive Behavior and Attitudes.

    ERIC Educational Resources Information Center

    Taylor, Mary E.; And Others

    1989-01-01

    The relationship between contraceptive education and teenage male contraceptive behavior was investigated. Findings indicated that brief or moderately in-depth contraceptive education had little effect on contraceptive behavior. The teenage pregnancy and other sex-related problems may make parents and schools more amenable to comprehensive…

  10. Contraception--the morning after.

    PubMed

    Johnson, J H

    1984-01-01

    Although no postcoital method has been developed for safe and effective regular use, postcoital contraception is being offered in Canada and Western Europe on an emergency basis to people who experience such problems as a burst condom. It is little known in the US, however. The 1st commercial version of a postcoital method recently became available to women in England. A former postcoital contraceptive was diethylstilbestrol (DES) which has been linked to cancer in the daughters of women who had taken the drug to prevent miscarriage. A new postcoital contraceptive regime was developed by Albert Yuzpe and consists of 4 ordinary contraceptive pills combining estrogen and progestin to be taken over a 12-hour period. In the US, this is the formulaion of birth control pill marketed under the trade name Ovral by Wyeth Laboratories. England and Germany are the only countries in which the Yuzpe method is officially approved for use as an emergency postocital contraceptive, but the method is used to some degree in most European countries, being well-known in France and Denmark. The most frequent side-effect reported by Yuzpe is vomiting experienced by 29% of women; another 22% felt nauseated. Other side effects, e.g. headache, were infrequent. The findings of the Pregnancy Advisory Service and the Brook Advisory Centre in Britain are reported. Overall very few side effects were found. Postcoital contraceptive treatment may cause the length of the cycle in which it occurs to be irregular. Treatment before day 15 has been found to shorten the cycle, whereas treatment after day 15 lengthens it. The majority of women who become pregnant due to treatment failure tend to seek an abortion. Ectopic pregnancy incidence may also be a result of treatment failure. In 1981, the International Planned Parenthood Federation (IPPF) issued a statement endorsing the use of postcoital contraceptives. Reasons for using them include rape, problems with barrier methods, ineffective use of the

  11. Spatiotemporal dynamic of surface water bodies using Landsat time-series data from 1999 to 2011

    NASA Astrophysics Data System (ADS)

    Tulbure, Mirela G.; Broich, Mark

    2013-05-01

    Detailed information on the spatiotemporal dynamic in surface water bodies is important for quantifying the effects of a drying climate, increased water abstraction and rapid urbanization on wetlands. The Swan Coastal Plain (SCP) with over 1500 wetlands is a global biodiversity hotspot located in the southwest of Western Australia, where more than 70% of the wetlands have been lost since European settlement. SCP is located in an area affected by recent climate change that also experiences rapid urban development and ground water abstraction. Landsat TM and ETM+ imagery from 1999 to 2011 has been used to automatically derive a spatially and temporally explicit time-series of surface water body extent on the SCP. A mapping method based on the Landsat data and a decision tree classification algorithm is described. Two generic classifiers were derived for the Landsat 5 and Landsat 7 data. Several landscape metrics were computed to summarize the intra and interannual patterns of surface water dynamic. Top of the atmosphere (TOA) reflectance of band 5 followed by TOA reflectance of bands 4 and 3 were the explanatory variables most important for mapping surface water bodies. Accuracy assessment yielded an overall classification accuracy of 96%, with 89% producer's accuracy and 93% user's accuracy of surface water bodies. The number, mean size, and total area of water bodies showed high seasonal variability with highest numbers in winter and lowest numbers in summer. The number of water bodies in winter increased until 2005 after which a decline can be noted. The lowest numbers occurred in 2010 which coincided with one of the years with the lowest rainfall in the area. Understanding the spatiotemporal dynamic of surface water bodies on the SCP constitutes the basis for understanding the effect of rainfall, water abstraction and urban development on water bodies in a spatially explicit way.

  12. Water body distributions across scales: a comparison of three Arctic wetlands

    NASA Astrophysics Data System (ADS)

    Muster, S.; Heim, B.; Abnizova, A.; Boike, J.

    2012-12-01

    Water bodies are ubiquitous features in Arctic wetlands, ranging from very small polygonal ponds to very large thermokarst lakes. Ponds, i.e. waters with a surface area smaller than 1 ha, have been recognized as hotspots of biological activity and greenhouse gas emissions. Regional and global models, however, cannot resolve ponds due to the coarse resolution. The aims of this study were to identify common characteristics of Arctic wetlands regarding (1) water body size and abundance, and (2) Landsat subpixel fraction of water cover. We mapped water bodies in three Arctic wetlands, i.e. Polar Bear Pass on Bathurst Island in the Canadian High Arctic, Samoylov Island in the Lena River Delta in Siberia, Russia, and Barrow Peninsula on the Alaska Coastal Plain. High-resolution (0.3 to 4 m) water body maps were overlain on to Landsat albedo maps to extract the proportion of open water within a Landsat mixed pixel. At all three sites ponds occupied 95% of the total number of surface waters. Surface waters smaller than 0.1 ha, which cannot be detected with Landsat data, still contributed 60% and higher to the total number. All study areas showed similar rates of decline in water body abundance with increasing water surface area (Fig. 1). Previous studies have fitted abundance-size distributions of water bodies to the Pareto distribution, which appears linear on a log-log plot. Our data, however, shows paretian behavior only in the upper tail of the distribution so that the Pareto distribution strongly overestimates small water bodies. Landsat albedo increased with decreasing proportion of open water cover per Landsat pixel. Linear regressions for albedo values with a subpixel water cover between 100% and less than 5% showed r-square values larger than 0.8, which constitutes a better performance than other more complex unmixing methods. In conclusion, all three wetlands showed similar properties regarding size-abundance data of water bodies, scaling errors, and retrieval of

  13. [Ictus, pregnancy and contraception].

    PubMed

    Pareja, A; Láinez, J M

    1995-01-01

    Ictus is a severe complication of pregnancy and the puerperium and a significant cause of maternal mortality. The risk of ictus increases by 3-13 times during pregnancy because of a tendency toward hypercoagulability, hemodynamic alterations related to increased blood volume, and severe arterial hypertension. This work outlines the incidence, etiology, diagnosis, and treatment of ischemic cerebrovascular pathology, cerebral venous thrombosis, and hemorrhagic cerebrovascular pathology occurring during pregnancy. Risk factors are indicated. The role of oral contraceptives (OCs) as a risk factor for cerebrovascular pathology is then discussed. Various prospective and retrospective studies to establish the causal or casual relationship between OC use and ictus have been published since 1962. Two important studies published in 1969 found a statistically significant increased relative risk of ischemic cerebrovascular accident in OC users. The Collaborative Group for the Study of Stroke in Young Women included hemorrhagic ictus in a retrospective study for the first time in 1973, finding that the risk of thrombotic and hemorrhagic cerebrovascular accident was significantly greater in OC users. In 1975, using the same sample, the group found a positive relation between increased blood pressure and risk of ischemic and hemorrhagic events in OC users. The largest prospective study, begun by the Royal College of General Practitioners in England in 1968, found an increased risk of mortality from circulatory diseases in OC users, with mortality risks for coronary ischemia and subarachnoid hemorrhage statistically significant. The study found that the use of OCs increased the risk of fatal subarachnoid hemorrhage, especially in women over 35 who smoked. Other prospective studies found an increased incidence of nonfatal cerebrovascular accident, with relative risks for all cerebrovascular accidents ranging from 5 to 6.5. A recent continuation of the Royal College Study found that

  14. Water body mapping method with HJ-1A/B satellite imagery

    NASA Astrophysics Data System (ADS)

    Lu, Shanlong; Wu, Bingfang; Yan, Nana; Wang, Hao

    2011-06-01

    This paper proposes an integrated water body mapping method with HJ-1A/B satellite imagery, the CCD (charge coupled device) data of the Chinese environmental satellites that were launched on September 6th, 2008. It combines the difference between NDVI and NDWI (NDVI-NDWI) with SLOPE and near-infrared (NIR) band. The NDVI-NDWI index is used to enhance the contrast between water bodies and the surrounding surface features; the topographic SLOPE is used to eliminate the mountain shadow; and the NIR band is used to reduce the effects of artificial construction land. The objectives are evaluating the potential of the HJ-1A/B imagery on water body monitoring, and proposing ideally mapping method. The test study results indicated that the NDVI-NDWI index is superior to the single index of NDVI and NDWI to enhance the contrast between water bodies and the rest of the features. On the basis of the accurately mapped water bodies in the HJ-1A/B CCD images of the study area, we conclude that the HJ-1A/B multi-spectral satellite images is an ideal data source for high spatial and temporal resolution water bodies monitoring. And the integrated water body mapping method is suitable for the applications of HJ-1A/B multi-spectral satellite images in this field.

  15. Teen Council urges improved contraceptive accessibility.

    PubMed

    1988-01-01

    The Center for Population Option's (CPO) Teen Council conducted a survey of contraceptive accessibility in 45 pharmacies and 15 convenience stores in the Washington D.C. area. The survey focussed on where nonprescription contraceptives are located in the stores, whether condoms and spermicidal contraceptives are displayed on the same shelf, how clerks treat teenagers when buying contraceptives, the price of condoms, and whether signs indicate where contraceptives are located. Besides learning that finding contraceptives is difficult for teenagers, the survey revealed that teenagers often experience negative behavior from clerks, especially female teenagers when confronted with male clerks. Based on the results of the survey, the CPO Teen Council met with regional representatives of drug and convenience store chains to suggest ways to make contraceptives more accessible to teens. Since only 13% of the stores surveyed had signs clearly marking where contraceptives are, the Council recommended that all stores clearly mark the aisles where contraceptives are. Additionally, it suggested placing all contraceptives on the same shelf. According to the survey 35% of the pharmacies and 32% of the convenience stores had condoms behind the counter. Since teenagers are often reluctant to ask for them because of the fear of being judged by clerks, the Council suggested placing contraceptives where teens can buy them without having to ask for them. In addition, it recommended that clerks treat teens with the same respect as older customers when purchasing contraceptives. The Council also suggested that pamphlets and information on sexually transmitted diseases be available. PMID:12282042

  16. Urban impacts on the water quality of selected water bodies in the Three Gorges Reservoir, China

    NASA Astrophysics Data System (ADS)

    Reid, Lucas; Holbach, Andreas; Wei, Hu; Wang, Lijing; Chen, Hao; Zheng, Binghui; Norra, Stefan

    2013-04-01

    Urban systems belong to the major input sources for pollutants into aquatic systems. In China, the rising urbanisation and industrialisation causes a growing pressure on rivers, lakes and estuaries. With the recent impoundment of the Yangtze River by the Three Gorges Dam, the newly formed Three Gorges Reservoir is additionally experiencing drastic changes in the flow regime [1]. In the frame of the Sino-German "Yangtze-Project" [2] samples were taken from the water bodies in proximity to the Cities of Chongqing, Kaixian and Wushan during a field campaign in April 2011. Water samples were analysed for inorganic contents in suspended solids and the dissolved phase to assess the impact of these cities on the water quality of the reservoir. Results show that input from urban sources, together with the effects from the impoundment of the Yangtze River, deteriorates the quality of water and sediments in the Three Gorges Reservoir. Water in the Wushan Lake is trapped in by the Yangtze River flowing by, which leads to longer retention times of effluent water from the city. The chemical composition of the lake water is also measurable upstream in the Daninghe itself and might be due to the backwater effect. In the Xiaojiang River near Kaixian the low flow velocity from the backwater effect of the Yangtze, together with influences from the city have led to problems with algal blooms. High metal concentrations at Chongqing indicate a strong impact of this megacity on the water quality of the Three Gorges Reservoir and the sediments of the Yangtze River. Acknowledgements: Financial support by the Federal Ministry of Education and Research of Germany (BMBF), the Ministry of Science and Technology of the People's Republic of China (MOST) and the German Academic Exchange Service (DAAD). References: [1] Ministry of Environmental Protection of the People's Republic of China, 2010: Bulletin on the Ecological and Environmental Monitoring Results of the Three Gorges Project 2010 [2

  17. Water Body Extraction from Multi Spectral Image by Spectral Pattern Analysis

    NASA Astrophysics Data System (ADS)

    Nguyen, D. D.

    2012-07-01

    Water is one of the vital components of the Earth environment which needs to be frequently monitored. Satellite multispectral remote sensing image has been used over decades for water body extraction. Methodology of water body extraction can be summarized to three groups: feature extraction, supervised and unsupervised classification and data fusion. These methods, however, are of pure mathematical and statistical approach and little of them explore essential characteristics of multispectral image which is based on ground object radiance absorption behaviour in each sensing spectral bands. The spectral absorption characteristics of water body in visible and infrared bands differ very much from the other ground objects. They depend only on the used spectral bands and can be considered as invariant and sensor independent. In this paper the author proposed an application of spectral pattern analysis for water body extraction using spectral bands green, red, near infrared NIR and short wave infrared SWIR. The proposed algorithm has been used for water body extraction by Spot 5 and Landsat 5 TM images. Ground truth validation was carried out in Hanoi City. The advantage of this algorithm does not base on water body extraction only but it allows to asses also water quality. Different level of turbidity and organic matter contents could be classified by using additional index.

  18. Water-Body types identification in urban areas from radarsat-2 fully polarimetric SAR data

    NASA Astrophysics Data System (ADS)

    Xie, Lei; Zhang, Hong; Wang, Chao; Chen, Fulong

    2016-08-01

    This paper presents a novel method for supervised water-body extraction and water-body types identification from Radarsat-2 fully polarimetric (FP) synthetic aperture radar (SAR) data in complex urban areas. First, supervised water-body extraction using the Wishart classifier is performed, and the false alarms that are formed in built-up areas are removed using morphological processing methods and spatial contextual information. Then, the support vector machine (SVM), the classification and regression tree (CART), TreeBagger (TB), and random forest (RF) classifiers are introduced for water-body types (rivers, lakes, ponds) identification. In SAR images, certain other objects that are misclassified as water are also considered in water-body types identification. Several shape and polarimetric features of each candidate water-body are used for identification. Radarsat-2 PolSAR data that were acquired over Suzhou city and Dongguan city in China are used to validate the effectiveness of the proposed method, and the experimental results are evaluated at both the object and pixel levels. We compared the water-body types classification results using only shape features and the combination of shape and polarimetric features, the experimental results show that the polarimetric features can eliminate the misclassifications from certain other objects like roads to water areas, and the increasement of classification accuracy embodies at both the object and pixel levels. The experimental results show that the proposed methods can achieve satisfactory accuracies at the object level [89.4% (Suzhou), 95.53% (Dongguan)] and the pixel level [96.22% (Suzhou), 97.95% (Dongguan)] for water-body types classification, respectively.

  19. [Contraceptive pill amenorrhea--does it exist?].

    PubMed

    Fries, H; Nillius, S J

    1975-11-01

    The possibility of amenorrhea as a direct result of discontinuing oral contraceptives is discussed and its etiology is explored. In a study of 1860 women in Uppsala county in Sweden, 16% of the amenorrhea cases among these women could be temporally related to the discontinuation of oral contraceptive use. Earlier irregularities of menstruation and psychological stress are discussed as indications that "contraceptive pill amenorrhea" could occur. Loss of weight, often combined with symptoms of anorexia nervosa, is also a frequent indication of susceptibility to "contraceptive pill amenorrhea." The possibility of "contraceptive pill amenorrhea" as an iatrogenic syndrome is discussed. PMID:1186384

  20. New Evidence that the Valles Marineris Interior Layered Deposits Formed in Standing Bodies of Water

    NASA Technical Reports Server (NTRS)

    Weitz, C. M.; Parker, T. J.

    2000-01-01

    Our results indicate that the best explanation for the origin and current morphology of the Valles Marineris interior layered deposits is by deposition of sediments, including chemical precipitates, in standing bodies of water.

  1. LOCATING VOLATILE ORGANIC PLUMES ENTERING WATER BODIES USING PASSIVE VAPOR DIFFUSION SAMPLERS

    EPA Science Inventory

    Many water bodies in New England are impacted by volatile organic contaminated groundwater intrusions. To determine the health and ecological impacts of these intrusions, it is important to locate fracture zones that transport groundwater contaminated with volatile organic compou...

  2. Practice Bulletin Summary No. 152: Emergency Contraception.

    PubMed

    2015-09-01

    Emergency contraception, also known as postcoital contraception, is therapy used to prevent pregnancy after an unprotected or inadequately protected act of sexual intercourse. Common indications for emergency contraception include contraceptive failure (eg, condom breakage or missed doses of oral contraceptives) and failure to use any form of contraception (1-3). Although oral emergency contraception was first described in the medical literature in the 1960s, the U.S. Food and Drug Administration (FDA) approved the first dedicated product for emergency contraception in 1998. Since then, several new products have been introduced. Methods of emergency contraception include oral administration of combined estrogen-progestin, progestin only, or selective progesterone receptor modulators and insertion of a copper intrauterine device (IUD). Many women are unaware of the existence of emergency contraception, misunderstand its use and safety, or do not use it when a need arises (4-6). The purpose of this Practice Bulletin is to review the evidence for the efficacy and safety of available methods of emergency contraception and to increase awareness of these methods among obstetrician-gynecologists and other gynecologic providers. PMID:26287780

  3. Practice Bulletin No. 152: Emergency Contraception.

    PubMed

    2015-09-01

    Emergency contraception, also known as postcoital contraception, is therapy used to prevent pregnancy after an unprotected or inadequately protected act of sexual intercourse. Common indications for emergency contraception include contraceptive failure (eg, condom breakage or missed doses of oral contraceptives) and failure to use any form of contraception (). Although oral emergency contraception was first described in the medical literature in the 1960s, the U.S. Food and Drug Administration (FDA) approved the first dedicated product for emergency contraception in 1998. Since then, several new products have been introduced. Methods of emergency contraception include oral administration of combined estrogen-progestin, progestin only, or selective progesterone receptor modulators and insertion of a copper intrauterine device (IUD). Many women are unaware of the existence of emergency contraception, misunderstand its use and safety, or do not use it when a need arises (). The purpose of this Practice Bulletin is to review the evidence for the efficacy and safety of available methods of emergency contraception and to increase awareness of these methods among obstetrician-gynecologists and other gynecologic providers. PMID:26287787

  4. Contraception and the Adolescent Diabetic.

    ERIC Educational Resources Information Center

    Fennoy, Ilene

    1989-01-01

    Data from a study of 11 teenage diabetics suggests that pregnancy among adolescent diabetics is more frequent than among the general population, at a time when diabetic control is poor because of psychosocial factors associated with adolescence. Current recommendations regarding contraception for diabetic women, focusing on barrier methods, are…

  5. FastStats: Contraceptive Use

    MedlinePlus

    ... Family Growth [PDF - 723 KB] Use of Emergency Contraception Among Women Aged 15–44: United States, 2006–2010 Related Links National Survey of Family Growth CDC Division of Reproductive Health National Institute of Child Health and Human Development Get Email Updates To receive email updates ...

  6. Water Transport and the Evolution of CM Parent Bodies

    NASA Technical Reports Server (NTRS)

    Coker, Rob; Cohen, Barbara

    2014-01-01

    Meteorites have amino acids and hydrated minerals which constrain the peak temperature ranges they have experienced. CMs in particular have a narrow range (273-325K). Bulk fluid motion during hydration constrained to small scales (less than mm). Some asteroids are known to have hydrated minerals on their surfaces. It is presumed these two facts may be related. Problem: hydration only occurs (significantly) with liquid water; melting water only occurs early on in nebula (1-10 Myrs ANC); in nebula asteroid surface temperature very cold (approximately 150K). Can indigenous alteration produce CMs and/or surface hydration?

  7. Relationship between body condition of American alligators and water depth in the Everglades, Florida

    USGS Publications Warehouse

    Fujisaki, Ikuko; Rice, Kenneth G.; Pearlstine, Leonard G.; Mazzotti, Frank J.

    2009-01-01

    Feeding opportunities of American alligators (Alligator mississippiensis) in freshwater wetlands in south Florida are closely linked to hydrologic conditions. In the Everglades, seasonally and annually fluctuating surface water levels affect populations of aquatic organisms that alligators consume. Since prey becomes more concentrated when water depth decreases, we hypothesized an inverse relationship between body condition and water depth in the Everglades. On average, condition of adult alligators in the dry season was significantly higher than in the wet season, but this was not the case for juveniles/subadults. The correlation between body condition and measured water depth at capture locations was weak; however, there was a significant negative correlation between the condition and predicted water depth prior to capture for all animals except for spring juveniles/subadults which had a weak positive condition-water depth relationship. Overall, a relatively strong inverse correlation occurred at 10-49 days prior to the capture day, suggesting that current body condition of alligators may depend on feeding opportunities during that period. Fitted regression of body condition on water depth (mean depth of 10 days when condition-water depth correlation was greatest) resulted in a significantly negative slope, except for spring adult females and spring juveniles/subadults for which slopes were not significantly different from zero. Our results imply that water management practices may be critical for alligators in the Everglades since water depth can affect animal condition in a relatively short period of time.

  8. [Study on polarization spectral feature of suspended sediment in the water body].

    PubMed

    Zhu, Jin; Wang, Xian-Hua; Pan, Bang-Long

    2012-07-01

    Remote sensing of lake water based on water-leaving radiance is to retrieve the concentrations of suspended sediment, phytoplankton and yellow substance which have great impacts on spectrum to assess the water quality. Howerver, because of the complexity of the lake water compositons and the interference between the different components, it is of great difficulty to get accurate results with the reflectance spectrum method developed recently. In the present paper, the authors firstly discussed the reflectance and polarization spectral feature of suspended sediment water body, found out the relations of the reflectance and the degree of polarization of water-leaving radiance and the concentration of suspended sediment at the sensitive bands. The authors also compared the effectiveness of the retrieval approaches based on reflectance and polarization in laboratory water body and Chaohu water body respectively. The results show that in the lake water body where the constituents are very complex, the polarization information has greater capacity of anti-jamming, therefore it will have great potential applictions in lake water quality remote sensing. PMID:23016352

  9. Metabolic effects of contraceptive steroids.

    PubMed

    Sitruk-Ware, Regine; Nath, Anita

    2011-06-01

    Estrogen and progestins have been used by millions of women as effective combined contraceptives. The safety of hormonal contraceptives has been documented by years of follow-up and serious adverse events that may be related to their use are rare in the young population exposed to these agents. The balance between the benefits and the risks of contraceptive steroids is generally positive in particular when comparing to the risks of pregnancy and especially in women with risk factors. The metabolic changes induced by the synthetic steroids used in contraception, such as lipoprotein changes, insulin response to glucose, and coagulation factors have been considered as potential markers of cardiovascular and venous risk. Observations of these effects have led to modifications of the composition of hormonal contraceptive in order to minimize these changes and hence potentially decrease the risks. The synthetic estrogen Ethinyl-Estradiol (EE) exerts a stronger effect that natural estradiol (E2) on hepatic metabolism including estrogen-dependent markers such as liver proteins. This stronger hepatic impact of EE has been related to its 17α-ethinyl group which prevents the inactivation of the molecule and results in a more pronounced hepatic effect of EE as compared to estradiol. Due to its strong activity, administering EE via a non-oral route does not prevent its impact on liver proteins. In order to circumvent the metabolic changes induced by EE, newer products using more natural compounds such as estradiol (E2) and estradiol valerate (E2V) have been introduced. The synthetic progestins used for contraception are structurally related either to testosterone (T) (estranes and gonanes) or to progesterone (pregnanes and 19-norpregnanes). Several new progestins have been designed to bind more specifically to the progesterone receptor and to minimize side-effects related to androgenic, estrogenic or glucocorticoid receptor interactions. Dienogest (DNG), and drospirenone (DRSP

  10. An elastic body impacting the water surface; inspired by diving birds

    NASA Astrophysics Data System (ADS)

    Jung, Sunghwan; Ochs, Alex; Gart, Sean

    2013-11-01

    We investigate how a soft elastic body responds to water-entry impact analogous to a bird diving into water to catch prey. Dumbbell shaped objects made of two acrylic spheres connected by an elastic rod are dropped into water. A buckling threshold was found by varying impact force and elastic rod stiffness. This threshold may have implication as to how birds are able to safely dive into water at high speeds and avoid any neck-injury.

  11. Establishing water body areal extent trends in interior Alaska from multi-temporal Landsat data

    USGS Publications Warehouse

    Rover, Jennifer R.; Ji, Lei; Wylie, Bruce K.; Tieszen, Larry L.

    2012-01-01

    An accurate approach is needed for monitoring, quantifying and understanding surface water variability due to climate change. Separating inter- and intra-annual variances from longer-term shifts in surface water extents due to contemporary climate warming requires repeat measurements spanning a several-decade period. Here, we show that trends developed from multi-date measurements of the extents of more than 15,000 water bodies in central Alaska using Landsat Multispectral Scanner (MSS), Thematic Mapper (TM) and Enhanced Thematic Mapper Plus (ETM+) data (1979–2009) were highly influenced by the quantity and timing of the data. Over the 30-year period from 1979 to 2009, the study area had a net decrease (p < 0.05) in the extents of 3.4% of water bodies whereas 86% of water bodies exhibited no significant change. The Landsat-derived dataset provides an opportunity for additional research assessing the drivers of lake and wetland change in this region.

  12. Contraceptive knowledge, contraceptive use, and self-esteem among Navy personnel.

    PubMed

    Gallagher, C K; Lall, R; Johnson, W B

    1997-04-01

    This study evaluated the sexual knowledge (including contraceptive and reproductive knowledge), contraceptive use, and self-esteem among a sample of 158 male and female United States Navy sailors assigned to Navy ships. In spite of the fact that men and women viewed themselves as relatively knowledgeable with respect to contraception, results showed substantial knowledge deficits. Women demonstrated significantly greater sexual knowledge than men, and contraceptive/ reproductive knowledge was highly correlated with self-reported use of contraceptives. Finally, self-esteem was highly correlated with sexual knowledge and certain contraceptive use behaviors. PMID:9110557

  13. How Close Do We Live to Water? A Global Analysis of Population Distance to Freshwater Bodies

    PubMed Central

    Kummu, Matti; de Moel, Hans; Ward, Philip J.; Varis, Olli

    2011-01-01

    Traditionally, people have inhabited places with ready access to fresh water. Today, over 50% of the global population lives in urban areas, and water can be directed via tens of kilometres of pipelines. Still, however, a large part of the world's population is directly dependent on access to natural freshwater sources. So how are inhabited places related to the location of freshwater bodies today? We present a high-resolution global analysis of how close present-day populations live to surface freshwater. We aim to increase the understanding of the relationship between inhabited places, distance to surface freshwater bodies, and climatic characteristics in different climate zones and administrative regions. Our results show that over 50% of the world's population lives closer than 3 km to a surface freshwater body, and only 10% of the population lives further than 10 km away. There are, however, remarkable differences between administrative regions and climatic zones. Populations in Australia, Asia, and Europe live closest to water. Although populations in arid zones live furthest away from freshwater bodies in absolute terms, relatively speaking they live closest to water considering the limited number of freshwater bodies in those areas. Population distributions in arid zones show statistically significant relationships with a combination of climatic factors and distance to water, whilst in other zones there is no statistically significant relationship with distance to water. Global studies on development and climate adaptation can benefit from an improved understanding of these relationships between human populations and the distance to fresh water. PMID:21687675

  14. Steroidal contraceptive use is associated with lower bone mineral density in polycystic ovary syndrome.

    PubMed

    Moran, Lisa J; Thomson, R L; Buckley, J D; Noakes, M; Clifton, P M; Norman, R J; Brinkworth, G D

    2015-12-01

    Polycystic ovary syndrome (PCOS) is a common condition affecting reproductive-aged women with features including hyperandrogenism and menstrual irregularity frequently treated with hormonal steroidal contraceptives. Women with PCOS appear to have lower bone mineral density (BMD). While steroidal contraceptives may positively affect bone health, their effect on BMD in PCOS is not known. The aim of this study was to assess BMD in women with PCOS according to recent contraceptive use. A cross-sectional analysis of 95 pre-menopausal overweight or obese sedentary women with PCOS [age 29.4 ± 6.4 years, body mass index (BMI) 36.1 ± 5.3 kg/m(2)] who either recently took steroidal contraceptives (ceased 3 months prior) or were not taking steroidal contraceptives was conducted. Clinical outcomes included BMD, anthropometry, insulin, glucose, reproductive hormones, dietary intake and vitamin use. BMD was significantly lower for women who used contraceptives compared to those who did not (mean difference 0.06 g/cm(2) 95 % confidence interval -0.11, -0.02, p = 0.005). In regression models, lower BMD was independently associated with contraceptive use (β = -0.05, 95 % CI -0.094, -0.002, p = 0.042), higher testosterone (β = -0.03, 95 % CI -0.05, -0.0008, p = 0.043) and lower BMI (β = 0.006, 95 % CI 0.002, 0.01, p = 0.007) (r (2) = 0.22, p = 0.001 for entire model). We report for the first time that overweight and obese women with PCOS with recent steroidal contraceptive use had lower BMD in comparison to non-users independent of factors known to contribute to BMD. Whether this observation is directly related to steroidal contraceptive use or other factors requires further investigation. PMID:25957668

  15. Emergency contraception - Potential for women's health

    PubMed Central

    Mittal, Suneeta

    2014-01-01

    Emergency contraception (EC) is a safe and effective method which is used to prevent unwanted pregnancy after unprotected sexual intercourse. Many of the unwanted pregnancies end in unsafe abortions. The search for an ideal contraceptive, which does not interfere with spontaneity or pleasure of the sexual act, yet effectively controls the fertility, is still continuing. Numerous contraceptive techniques are available, yet contraceptive coverage continues to be poor in India. Thus, even when not planning for a pregnancy, exposure to unprotected sex takes place often, necessitating the use of emergency contraception. This need may also arise due to failure of contraceptive method being used (condom rupture, diaphragm slippage, forgotten oral pills) or following sexual assault. Emergency contraception is an intervention that can prevent a large number of unwanted pregnancies resulting from failure of regular contraception or unplanned sexual activity, which in turn helps in reducing the maternal mortality and morbidity due to unsafe abortions. However, a concern has been expressed regarding repeated and indiscriminate usage of e-pill, currently the rational use of emergency contraception is being promoted as it is expected to make a significant dent in reducing the number of unwanted pregnancies and unsafe abortions. In fact, since the introduction of emergency contraception, the contribution of unsafe abortion towards maternal mortality has declined from 13 to 8 per cent. PMID:25673542

  16. Psychosexual issues in adolescent contraception.

    PubMed

    Greer, J G

    1982-01-01

    This paper reviews the psychosocial and developmental research focusing on adolescent contraception. Specific emphasis is on the interrelationship of psychosexual development and culture in preventing or exacerbating problems. Attention is directed to the following: program policy and planning; major literature reviews on adolescent sexuality; female development and early coitus; the male partner; the competent adolescent contraceptor; and directions for future research (psychological sequelae of early coitus in girls, factors affecting delay of 1st coitus in girls, and the promotion of competent contraceptive behavior). In the less developed countries, efforts to delay 1st birth and increase birth spacing must form part of the overall strategy to upgrade the survival rates and health of infants. Ancillary to such urgent public health policy concerns is the current worldwide spread of the modern feminist social movement, generating pressures to make education and work opportunities available to female adolescents in the 3rd world. Adolescent pregnancy in the developed countries is not a major world health problem; prenatal care and adequate nutrition are feasible for the pregnant teenager. Yet, no cultural supports exist for such mother-infant dyads, and such pregnancies are viewed, particularly by educated women, as reversing a developed nation's social progress. There has been a growing effort in the US to implement contraceptive programs directed at the sexually active female adolescent between menarche and age 18. Issues other than availability of abortion and contraceptive supplies are also operating. Developmental level of the public health service user and specifically psychosexual developmental level, is a factor which must be considered in program policy and planning. Developmentally, the logical course of introduction to sexuality for young females would be solitary masturbation, heterosexual mutual masturbation, and coitus. Cultures at ease with

  17. Contamination of surface-water bodies after reactor accidents by the erosion of atmospherically deposited radionuclides.

    PubMed

    Helton, J C; Muller, A B; Bayer, A

    1985-06-01

    Reactor safety analyses usually do not consider the population risk which might result from the contamination of surface-water bodies after reactor accidents by the erosion of atmospherically deposited radionuclides. This paper is intended to provide perspective on the reasonableness of this omission. Data are presented which are suggestive of the rates at which atmospherically deposited radionuclides might erode into surface-water bodies. These rates are used in the calculation of potential health effects resulting from surface-water contamination due to such erosion. These health effects are compared with predicted health effects due to atmospheric and terrestrial pathways after reactor accidents. The presented results support the belief that the contamination of surface-water bodies after reactor accidents by the erosion of atmospherically deposited radionuclides is not a major contributor to the risk associated with such accidents. PMID:3997527

  18. Triple oxygen isotope signatures in evaporated water bodies from the Sistan Oasis, Iran

    NASA Astrophysics Data System (ADS)

    Surma, J.; Assonov, S.; Bolourchi, M. J.; Staubwasser, M.

    2015-10-01

    Natural samples from water bodies in the arid and semiarid environment of the Sistan Oasis, Iran, demonstrate a systematic evolution of 17O-excess and δ18O as a result of nonequilibrium fractionation during extreme evaporation. Residual water samples exhibit a significant and systematic decrease of 17O-excess with progressive evaporation loss, reaching values of -160 per meg over a 35‰ range of δ18O. Waters from heavily evaporated volume-limited natural bodies with limited or no recharge fall on the theoretically predicted isotopic evolution curve in agreement with ambient relative humidity of 30 to 35%. Recharged water bodies appear to follow a different trend. These new results demonstrate the potential of 17O-excess for the estimation of evaporation loss and ambient conditions in an arid environment.

  19. Moving towards adaptive management of cyanotoxin-impaired water bodies.

    PubMed

    Paerl, Hans W; Otten, Timothy G; Joyner, Alan R

    2016-09-01

    The cyanobacteria are a phylum of bacteria that have played a key role in shaping the Earth's biosphere due to their pioneering ability to perform oxygenic photosynthesis. Throughout their history, cyanobacteria have experienced major biogeochemical changes accompanying Earth's geochemical evolution over the past 2.5+ billion years, including periods of extreme climatic change, hydrologic, nutrient and radiation stress. Today, they remain remarkably successful, exploiting human nutrient over-enrichment as nuisance "blooms." Cyanobacteria produce an array of unique metabolites, the functions and biotic ramifications of which are the subject of diverse ecophysiological studies. These metabolites are relevant from organismal and ecosystem function perspectives because some can be toxic and fatal to diverse biota, including zooplankton and fish consumers of algal biomass, and high-level consumers of aquatic food sources and drinking water, including humans. Given the long history of environmental extremes and selection pressures that cyanobacteria have experienced, it is likely that that these toxins serve ecophysiological functions aimed at optimizing growth and fitness during periods of environmental stress. Here, we explore the molecular and ecophysiological mechanisms underlying cyanotoxin production, with emphasis on key environmental conditions potentially controlling toxin production. Based on this information, we offer potential management strategies for reducing cyanotoxin potentials in natural waters; for cyanotoxins with no clear drivers yet elucidated, we highlight the data gaps and research questions that are still lacking. We focus on the four major classes of toxins (anatoxins, cylindrospermopsins, microcystins and saxitoxins) that have thus far been identified as relevant from environmental health perspectives, but caution there may be other harmful metabolites waiting to be elucidated. PMID:27418325

  20. 'Stratified Contraception': Emergency Contraceptive Pills and Women's Differential Experiences in Contemporary India.

    PubMed

    Sheoran, Nayantara

    2015-01-01

    Available without prescriptions in India since 2005, emergency contraceptive pills (ECPs) and their advertisements have provided women with increased contraceptive options and a vocabulary to talk about their reproductive lives. I draw on long-term fieldwork with women in urban India about ECPs, demonstrating a new form of 'stratified contraception' enabled by these pills and their advertisements. I posit that there are within India spaces that replicate the luxuries and privileges of the global North. These material conditions, I suggest, are replicated when it comes to contraception as there are hubs of women consumers of contraception and contraceptive advertising that participate in an 'imagined cosmopolitanism' within the global South in close proximity to 'contraceptive ghettos.' Moving beyond simplistic binaries, I outline three major stratifications along which women experience this medical technology and outline the implications for women and their contraceptive choices when notions of northern privilege exist in the 'South.' PMID:24901232

  1. First-principles energetics of water clusters and ice: A many-body analysis

    SciTech Connect

    Gillan, M. J.; Alfè, D.; Bartók, A. P.; Csányi, G.

    2013-12-28

    Standard forms of density-functional theory (DFT) have good predictive power for many materials, but are not yet fully satisfactory for cluster, solid, and liquid forms of water. Recent work has stressed the importance of DFT errors in describing dispersion, but we note that errors in other parts of the energy may also contribute. We obtain information about the nature of DFT errors by using a many-body separation of the total energy into its 1-body, 2-body, and beyond-2-body components to analyze the deficiencies of the popular PBE and BLYP approximations for the energetics of water clusters and ice structures. The errors of these approximations are computed by using accurate benchmark energies from the coupled-cluster technique of molecular quantum chemistry and from quantum Monte Carlo calculations. The systems studied are isomers of the water hexamer cluster, the crystal structures Ih, II, XV, and VIII of ice, and two clusters extracted from ice VIII. For the binding energies of these systems, we use the machine-learning technique of Gaussian Approximation Potentials to correct successively for 1-body and 2-body errors of the DFT approximations. We find that even after correction for these errors, substantial beyond-2-body errors remain. The characteristics of the 2-body and beyond-2-body errors of PBE are completely different from those of BLYP, but the errors of both approximations disfavor the close approach of non-hydrogen-bonded monomers. We note the possible relevance of our findings to the understanding of liquid water.

  2. First-principles energetics of water clusters and ice: A many-body analysis

    NASA Astrophysics Data System (ADS)

    Gillan, M. J.; Alfè, D.; Bartók, A. P.; Csányi, G.

    2013-12-01

    Standard forms of density-functional theory (DFT) have good predictive power for many materials, but are not yet fully satisfactory for cluster, solid, and liquid forms of water. Recent work has stressed the importance of DFT errors in describing dispersion, but we note that errors in other parts of the energy may also contribute. We obtain information about the nature of DFT errors by using a many-body separation of the total energy into its 1-body, 2-body, and beyond-2-body components to analyze the deficiencies of the popular PBE and BLYP approximations for the energetics of water clusters and ice structures. The errors of these approximations are computed by using accurate benchmark energies from the coupled-cluster technique of molecular quantum chemistry and from quantum Monte Carlo calculations. The systems studied are isomers of the water hexamer cluster, the crystal structures Ih, II, XV, and VIII of ice, and two clusters extracted from ice VIII. For the binding energies of these systems, we use the machine-learning technique of Gaussian Approximation Potentials to correct successively for 1-body and 2-body errors of the DFT approximations. We find that even after correction for these errors, substantial beyond-2-body errors remain. The characteristics of the 2-body and beyond-2-body errors of PBE are completely different from those of BLYP, but the errors of both approximations disfavor the close approach of non-hydrogen-bonded monomers. We note the possible relevance of our findings to the understanding of liquid water.

  3. Water entry of a body which moves in more than six degrees of freedom

    PubMed Central

    Scolan, Y.-M.; Korobkin, A. A.

    2015-01-01

    The water entry of a three-dimensional smooth body into initially calm water is examined. The body can move freely in its 6 d.f. and may also change its shape over time. During the early stage of penetration, the shape of the body is approximated by a surface of double curvature and the radii of curvature may vary over time. Hydrodynamic loads are calculated by the Wagner theory. It is shown that the water entry problem with arbitrary kinematics of the body motion, can be reduced to the vertical entry problem with a modified vertical displacement of the body and an elliptic region of contact between the liquid and the body surface. Low pressure occurrence is determined; this occurrence can precede the appearance of cavitation effects. Hydrodynamic forces are analysed for a rigid ellipsoid entering the water with 3 d.f. Experimental results with an oblique impact of elliptic paraboloid confirm the theoretical findings. The theoretical developments are detailed in this paper, while an application of the model is described in electronic supplementary materials. PMID:27547102

  4. Long-acting hormonal contraception.

    PubMed

    Benagiano, Giuseppe; Gabelnick, Henry; Brosens, Ivo

    2015-11-01

    Today, a new category of fertility-regulating agents has been created: long-acting, reversible hormonal contraceptives; they minimize compliance, while maximize effectiveness. They comprise subdermal implants and intrauterine devices. Other long-acting agents exist, such as Depo Provera and Noristerat. Use of Depo Provera and Noristerat carries great effectiveness, good clinical safety and usefulness in developing countries. They cause no significant increase in breast cancer risk, but they may carry an increased risk of HIV. Subcutaneous delivery systems have two common features: prolongation of effect is obtained by a drug reservoir and for most of their duration of action they provide a continuous, sustained release of the active hormone. Finally, the intrauterine system Mirena represents both a very effective contraceptive and a specific treatment for menorrhagia. PMID:26626534

  5. Study of norethindrone in contraception.

    PubMed

    Goldzieher, J W; Moses, L E; Ellis, L T

    1962-05-01

    The contraceptive effectiveness of 10 mg norethindrone plus .06 mg ethinyl estradiol, administered orally for 20 days of the menstrual cycle, was evaluated in 210 women over 6232 cycles at the Planned Parenthood Center of San Antonio, Texas. There were no unplanned pregnancies during the study period, and not a single patient discontinued use because of side effects. Dysmenorrhea and premenstrual tension diminshed considerably. The incidence of menstrual irregularities, was low. 99 of the women reported an increase in libido. Of 18 patients who discontinued use to become pregnant, 16 became pregnant within the first 3 cycles. The contraceptive effect of norethindrone is thought to be due to the inhibition of ovulation, reinforced by additional protective mechanisms. PMID:12305165

  6. Contraception and the adolescent diabetic.

    PubMed

    Fennoy, I

    1989-01-01

    We believe our data suggests that pregnancy among adolescent diabetics is more frequent than would be expected from the general population at a time when diabetic control is at its worse. Thus patients and their offspring are exposed to extreme morbidity. Current recommendations regarding contraception in patients with diabetes are not appropriate for the adolescent population and therefore tend to support this phenomenon rather than relieve it. Because of the peculiar physiological and developmental characteristics of this population, more medical research is necessary regarding various hormonal preparations available to determine the safest acceptable contraceptive for the adolescent diabetic. To be truly effective, these new alternatives must be presented to the patient in the context of a counseling program that (1) recognizes that this population does have an unusually high frequency of pregnancy for reasons unknown, and that (2) stresses the need for the patient to take control of the diabetes prior to becoming pregnant. PMID:2516509

  7. [The acceptability of different oral contraceptive methods].

    PubMed

    Klinger, G; Fritzsche, H; Hempel, E; Carol, W; Böhme, W; Scholz, B; Grass, M; Chemnitius, K H

    1975-05-01

    Results of a survey of contraceptive acceptability are reported. In formation on oral and depot hormonal contraceptives was distributed to 1064 Ovosiston or Nonovlon users, 110 women using depot contraceptives, and 609 women who had never used hormonal contraception. The women's preferences with regard to administration schedule, and their perceptions of effectiveness and safety were noted. Non-users considered daily, weekly, or monthly administration acceptable, while only 2/3 of those taking oral contraceptives thought daily administration convenient. 90.2% of Deposiston patients did not care for daily administration. Deposiston patients also had the greatest confidence in their method. The authors believe on the basis of this survey that weekly administration may be highly acceptable alternative t o conventional oral contraception. PMID:1140078

  8. Relationship between contraceptive method and vaginal flora.

    PubMed

    Peddie, B A; Bishop, V; Bailey, R R; McGill, H

    1984-08-01

    This study was undertaken to assess whether the vaginal flora was affected by the method of contraception, and in particular as to whether the incidence of vaginal candidiasis increased when oral contraceptives were used. One thousand and two consecutive vaginal or cervical swabs from women attending a family planning centre were cultured. Candida albicans was isolated from 13% of women using no contraception, 16% using oral contraceptives, and from 9%, 19% and 18% of those using diaphragms, intrauterine contraceptive devices (IUCD) and condoms respectively. These differences were not statistically significant. Women using an IUCD had significantly more Gram-positive cocci cultured than women in any other group, while those using diaphragms had significantly more Gram-negative bacilli. Our clinical impression that the use of oral contraceptives led to an increase in vaginal candidiasis, was not confirmed by this study. PMID:6596089

  9. Simultaneous determination of 15 steroidal oral contraceptives in water using solid-phase disk extraction followed by high performance liquid chromatography-tandem mass spectrometry.

    PubMed

    Sun, Li; Yong, Wei; Chu, Xiaogan; Lin, Jin-Ming

    2009-07-10

    A rapid, accurate and sensitive method for simultaneous determination of 15 steroidal hormones including four estrogens (estrone, 17beta-estradiol, 17alpha-ethynylestradiol, estriol) and eleven progestogens (17beta-estradiol-3-benzoate, 19-norethindrone, gestodene, levonorgestrel, medroxyprogesterone, cyproterone acetate, megestrol-17-acetate, progesterone, norethindrone acetate, chlormadinone-17-acetate, and hydroxy progesterone caproate) in environmental waters was developed by coupling solid-phase disk extraction (SPDE) to ultra performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) with electrospray ionization. Among three types of extraction tested (C(8) SPDE, C(18) SPDE and C(18) SPE), the most satisfactory result was achieved using C(18) SPDE for its satisfactory recovery (75.6 to 101.4%) and short extraction time (15 min for 1L deionised water). The validity of this method was investigated and good analytical performance for all the analytes was obtained, including low limits of method detection (0.5-3.4 ng/L) and excellent linear dynamic range (1.0-50.0 ng/L). The method was applied to determine the steroidal hormones in 10 environmental waters including tap water, river water, lake water and waste water in Beijing. No progestogen was detected in all samples and estrone, estriol, 17alpha-ethynylestradiol were found in most samples at levels between 1.8 and 127.9 ng/L. PMID:19497575

  10. Effect of Ramadan Fasting on Body Water Status Markers after a Rugby Sevens Match

    PubMed Central

    Trabelsi, Khaled; Rebai, Haithem; el-Abed, Kais; Stannard, Stephen R.; Khannous, Hamdi; Masmoudi, Liwa; Sahnoun, Zouheir; Hakim, Ahmed; Fellman, Nicole; Tabka, Zouhair

    2011-01-01

    Purpose To evaluate the effect of Ramadan fasting on body water status markers of rugby players at basal condition and following a simulation of rugby sevens match. Methods Twelve recreational rugby sevens players played three matches: one day before Ramadan (before Ramadan), at the end of the first week of Ramadan (Beg-R) and at the end of Ramadan (End-R). Before and immediately after each match, body weight was determined and blood samples were taken for the measurement of body water status markers. Total body water was measured with an impedancemeter only before matches. Results At rest, an increase in hematocrit (+4.4%, P=0.03), hemoglobin (+3.4%, P=0.01) and plasma osmolarity (+2.8%, P<0.001) was noticed at End-R compared to before Ramadan. Total body water measured before Ramadan did not differ significantly from that of Ramadan. After the match, values of hematocrit and plasma osmolarity increased significantly at End-R (+1.4%, P=0.02; +3.1%, P<0.001 respectively) compared to before Ramadan. Although, hemoglobin measured after matches occurring during Ramadan did not differ from those of before Ramadan. In response to matches, the change of percentage of body water status markers did not differ during each period of the investigation. Conclusions The present results show that Ramadan fasting induces dehydration at basal conditions. Also, rugby sevens match played during Ramadan did not exacerbate the magnitude of responses to matches of blood and body water status markers. PMID:22375238

  11. [The cervix and hormonal contraception].

    PubMed

    Gorins, A

    1985-01-01

    This article reviews the histological effects of hormonal contraceptives on the cervix and assesses statistical studies examining the relationship between oral contraceptive (OC) usage and cancerous lesions of the cervix. The cervix acquires a pseudopregnant appearance under the influence of combined OCs. The Malpighian epithelium acquires a richly vascularized stroma characterized by accelerated maturation and the endocervical ectropion may be swollen, frequently with epidermoid metaplasia. Such changes increase with the duration of hormonal contraception and are more pronounced with combined than with sequential OCs. Among pathological changes that may occur are active adenomatous hyperplasia and epithelial abnormalities including dysplasia involving dyscaryotic cells with regular nuclei and no mitotic abnormality. Epithelial anomalies may present various histocytological features and are sometimes difficult to interpret. Epidemiologic study of the cervix is difficult because of the number of parameters to be considered: age at 1st intercourse, frequency of intercourse, number of partners, the formulation of the OC, and the variable duration of use which may have been interrupted by use of another method such as the IUD. Statistical studies have yielded contradictory results, with the earliest reports showing a higher incidence of dysplasia among women using OCs and most later studies showing a possible increased incidence of moderate dysplasia but no increased incidence of carcinoma in situ or invasive carcinoma. The recent study by Vessey et al. which compared 6838 parous OC users with 3154 parous IUD users over 10 years revealed invasive cancer in 13 women all of whom used OCs, with carcinomas in situ and dysplasias also more frequent in women using OCs. The duration of use was found to be a significant factor. Age and dates of marriage and 1st pregnancy were similar in subjects and controls, but no data were provided on age at 1st intercourse or number of

  12. Contraceptive development and clinical trials.

    PubMed

    Fraser, I S

    1986-02-01

    This article provides an overview of the contraceptive development process, with particular emphasis on the importance of clinical trials. Development of a new contraceptive drug begins with chemical synthesis of a large number of substances that may have antifertility effects. Before human trials are considered, drugs must undergo a complex process of animal toxicology testing. Such studies assess acute, subacute, and chronic toxicity. Once a drug has passed the initial screening process, human testing must follow a logical sequence of clinical trials: phase I, pharmacology testing; phase II, initial assessment of efficacy, safety, acceptability, and ease of use; phase III, acurate assessment of efficacy, side effects, and reasons for discontinuation under controlled conditions; and phase IV, evaluation of effectiveness under field conditions. When these have been satisfactorily completed, a detailed marketing application must be submitted to the drug regulatory agency in each country. The process of assessment of the application often takes as long as 2 years. Once marketing approval has been received, there is still a need for postmarketing surveillance of the performance of the new contraceptive method. In many cases, a careful program of training is required. Among the research and recording strategies for postmarketing surveillance are voluntary recording of possible adverse reactions, longterm prospective cohort studies, retrospective case-control studies, and registered release. As controls on the safety and performance of new contraceptive methods are being tightened, the time scale and costs of development are increasing. The time from the 1st synthesis of a drug to marketing approval often takes 13-14 years and costs US$25-50 million. Since the patent life of a new substance is limited to 17 years in most countries, pharmaceutical companies have little time to recoup development costs, which has caused fewer new methods to be developed. PMID:3708511

  13. Potential of mixed microalgae to harness biodiesel from ecological water-bodies with simultaneous treatment.

    PubMed

    Mohan, S Venkata; Devi, M Prathima; Mohanakrishna, G; Amarnath, N; Babu, M Lenin; Sarma, P N

    2011-01-01

    Biodiesel as an eco-friendly fuel is gaining much acceptance in recent years. This communication provides an overview on the possibility of using mixed microalgae existing in ecological water-bodies for harnessing biodiesel. Microalgal cultures from five water-bodies are cultivated in domestic wastewater in open-ponds and the harvested algal-biomass was processed through acid-catalyzed transesterification. Experiments evidenced the potential of using mixed microalgae for harnessing biodiesel. Presence of palmitic acid (C16:0) in higher fraction and physical properties of algal oil correlated well with the biodiesel properties. Functional characteristics of water-bodies showed to influence both species diversity and lipid accumulation. Microalgae from stagnant water-bodies receiving domestic discharges documented higher lipid accumulation. Algal-oil showed to consist 33 types of saturated and unsaturated fatty acids having wide food and fuel characteristics. Simultaneous wastewater treatment was also noticed due to the syntrophic association in the water-body microenvironment. Diversity studies visualized the composition of algae species known to accumulate higher lipids. PMID:20864335

  14. American values and contraceptive acceptance.

    PubMed

    Rzepka, J R

    1979-07-01

    A number of individual personality factors and social norms may be associated with reproductive confusion and/or irresponsibility. More specifically, the values underlying common American social norms may contribute to ineffective birth planning in the following ways: 1) The traditional roles of women in our society seem to encourage parenthood. The rule has been early marriage, closely spaced children, and few alternate sources of satisfaction or self-esteem. 2) Our culture strongly encourages family life. Children are a symbol of normalcy. 3) The importance of sexual enjoyment per se often conflicts with contraceptive use. Conversely, innocence is also valued and also contributes to unprotected sexual activity. 4) Religious reasons or adherence to concepts of natural law are almost always given by people opposed to contraception. 5) Health is important to Americans, and birth control methods negatively affect health in real and imagined ways. Social norms, though changing, remain essentially congruent with former contraceptive technology and former ideologies, customs, and dreams. PMID:24318586

  15. Depo-provera: contraceptive risk?

    PubMed

    Rosenfield, A

    1980-04-01

    This writer agrees with Carol Levine that the issue involving depo-provera is both complex and confusing. Comment is offered on some of the conclusions reached by Levine in her article, "Depo-Provera and Contraceptive Risk: A Case Study of Values and Conflicts". In the discussion of risks and benefits, problems with administration of estrogens are rarely recommended for depo-provera users. The metabolic side-effects which are identified are also seen among oral contraceptive (OC) users and, with the exception of weight gain, appear to have a smaller impact than the combination oral steroids. Exception is taken with the description of delayed return of fertility as a "particularly serious side-effect," for delay in return appears to be a matter of months only. In regard to carcinogenicity, there is no statistically valid evidence of danger relating depo-provera to breast or cervical cancer in the human. Levine's article gives the impression that depo-provera is intended for poor women or "2nd class" citizens and this fails to accurately reflect what probably would occur were the drug available in the United States. This writer believes depo-provera to be a safer contraceptive method than the OC and to be more effective in practice. PMID:6445344

  16. Recently approved and experimental methods of contraception.

    PubMed

    Franklin, M

    1990-01-01

    The U.S. Food and Drug Administration has recently approved two new contraceptive methods, and others are nearing approval. In addition, several innovative approaches to contraception are under investigation. This paper details the latest information on the following methods: Paragard Copper T 380A intrauterine device, cervical cap, NORPLANT, vaginal pouch, long-acting injectables, hormonal vaginal ring, transdermal patch, experimental male methods, inhibin, and contraceptive vaccines. PMID:2286850

  17. Letter: State clings to archaic contraceptive law.

    PubMed

    Ris, H W

    1974-10-01

    The state of Wisconsin is still clinging to an archaic contraceptive law that prohibits birth control for unmarrieds.¿The mos t tragic victims of this law are unmarried teen-agers because studies indicate that sexual intercourse is very frequent among teen-agers, yet access to contraception is hard to come by.¿It is hoped that the Legislature will see fit to repeal this outdated contraceptive law. PMID:4456832

  18. Rhodovulum aestuarii sp. nov., isolated from a brackish water body.

    PubMed

    Divyasree, B; Lakshmi, K V N S; Bharti, Dave; Sasikala, Ch; Ramana, Ch V

    2016-01-01

    A yellowish brown, phototrophic, purple non-sulfur bacterium, strain JA924T, was isolated in pure culture from a brackish water sample collected from an estuary. Single cells were oval to rod-shaped, non-motile and Gram-stain-negative and had a vesicular architecture of intracellular photosynthetic membranes. Bacteriochlorophyll-a and carotenoids of the spheroidene series were present as photosynthetic pigments. Photolithoautotrophy, chemo-organoheterotrophy and photo-organoheterotrophy were the growth modes observed. Strain JA924T had complex growth requirements. Strain JA924T was mesophilic and moderately halophilic. The DNA G+C content was 64 mol% (HPLC). The major cellular fatty acids were C18 : 1ω7c/C18 : 1ω6c, C16 : 0 and C18 : 0. The major quinone was ubiquinone-10 (Q-10). Phosphatidylglycerol, phosphatidylethanolamine, sulfolipid and an aminolipid were the main polar lipids of strain JA924T. EzTaxon-e blast searches based on the 16S rRNA gene sequence of JA924T revealed highest similarity with Rhodovulum mangrovi AK41T (98.19 %) and other members of the genus Rhodovulum ( < 95.71 %). Strain JA924T was further identified to be distantly related to Rhodovulum mangrovi AK41T ( < 29 % based on DNA-DNA hybridization and ΔTm (>5 °C). Phenotypic, chemotaxonomic and molecular differences indicate that strain JA924T represents a novel species of the genus Rhodovulum, for which the name Rhodovulum aestuarii sp. nov. is proposed. The type strain is JA924T ( = LMG 29031T = KCTC 15485T). PMID:26475698

  19. Communication about Contraception and Knowledge of Oral Contraceptives amongst Norwegian High School Students.

    ERIC Educational Resources Information Center

    Hansen, Thomas; Skjeldestad, Finn Egil

    2003-01-01

    Examines communication about contraception and specific knowledge of oral contraceptives (OCs) in a sample of Norwegian high school students. More females than males discussed contraception at least monthly. Discussions were predominantly held with peers and not adults. Females were far more knowledgeable about OCs than males. The most significant…

  20. New hyperspectral difference water index for the extraction of urban water bodies by the use of airborne hyperspectral images

    NASA Astrophysics Data System (ADS)

    Xie, Huan; Luo, Xin; Xu, Xiong; Tong, Xiaohua; Jin, Yanmin; Pan, Haiyan; Zhou, Bingzhong

    2014-01-01

    Extracting surface land-cover types and analyzing changes are among the most common applications of remote sensing. One of the most basic tasks is to identify and map surface water boundaries. Spectral water indexes have been successfully used in the extraction of water bodies in multispectral images. However, directly applying a water index method to hyperspectral images disregards the abundant spectral information and involves difficulty in selecting appropriate spectral bands. It is also a challenge for a spectral water index to distinguish water from shadowed regions. The purpose of this study is therefore to develop an index that is suitable for water extraction by the use of hyperspectral images, and with the capability to mitigate the effects of shadow and low-albedo surfaces, especially in urban areas. Thus, we introduce a new hyperspectral difference water index (HDWI) to improve the water classification accuracy in areas that include shadow over water, shadow over other ground surfaces, and low-albedo ground surfaces. We tested the new method using PHI-2, HyMAP, and ROSIS hyperspectral images of Shanghai, Munich, and Pavia. The performance of the water index was compared with the normalized difference water index (NDWI) and the Mahalanobis distance classifier (MDC). With all three test images, the accuracy of HDWI was significantly higher than that of NDWI and MDC. Therefore, HDWI can be used for extracting water with a high degree of accuracy, especially in urban areas, where shadow caused by high buildings is an important source of classification error.

  1. Pavement Sealcoat, PAHs, and Water Quality of Urban Water Bodies: An Overview

    NASA Astrophysics Data System (ADS)

    Mahler, B. J.; Van Metre, P. C.; Ingersoll, C.; Kunz, J. L.; Kienzler, A.; Devaux, A.; Bony, S.

    2014-12-01

    Coal-tar-based (CT) sealcoat is used to protect and beautify the asphalt pavement of driveways and parking lots primarily in the central, southern, and northeastern U.S. and in Canada. CT sealcoat typically is 20 to 35 percent crude coal tar or coal-tar pitch and contains from 50,000 to 100,000 mg/kg PAHs, about 1,000 times more than asphalt-based (AS) sealcoat or asphalt itself. Tires and snowplows abrade the friable sealcoat surface into fine particles—PAH concentrations in fine particles (dust) from CT-sealcoated pavement are about 1,000 times higher than in dust from AS-sealcoated pavement (median total PAH concentrations 2,200 and 2.1 mg/kg, respectively). Use of CT sealcoat has several implications for urban streams and lakes. Source apportionment modeling has indicated that, in regions where CT sealcoat is prevalent, particles from sealcoated pavement are contributing the majority of the PAHs to recently deposited lake sediment, with implications for ecological health. Acute 2-d toxicity of runoff from CT-sealcoated pavement to stream biota, demonstrated for a cladoceran (Ceriodaphnia dubia) and fathead minnows (Pimephales promelas), continues for samples collected as long as weeks or months following sealcoat application. Using the fish-liver cell line RGL-W1, runoff collected as much as 36 days following CT-sealcoat application has been demonstrated to cause DNA damage and impair DNA repair capacity. These results demonstrate that CT runoff is a potential hazard to aquatic ecosystems for at least several weeks after sealant application, and that exposure to sunlight can enhance toxicity and genetic damage. Recent research has provided direct evidence that restricting use of CT sealcoat in a watershed can lead to a substantial reduction in PAH concentrations in receiving water bodies.

  2. Learning in social networks and contraceptive choice.

    PubMed

    Kohler, H P

    1997-08-01

    A puzzling observation in the diffusion of modern fertility control is the persistent diversity in contraceptive practices across communities or social strata. I propose a model of "learning in social networks" to explain this diversity with the random dynamics of word-of-mouth communication. Women are uncertain about the merits of modern contraception and estimate the different qualities of available method based on imprecise information from network partners. Their contraceptive choices are determined by this estimate and by private knowledge about one's personal characteristics. This process of social learning leads to path-dependent adoption of fertility control within, and diversity in contraceptive practices across villages or social strata. PMID:9275246

  3. Contraception in the Developing World: Special Considerations.

    PubMed

    Schivone, Gillian B; Blumenthal, Paul D

    2016-05-01

    The United States Agency for International Development (USAID) estimates that there are 225 million women and girls with unmet contraceptive need yearly. Unmet need for contraception is defined as women who desire a delay in childbearing and are not using a modern method of contraception. It is projected that providing contraception to these women would avert 36 million abortions, 70,000 maternal deaths, and 52 million unintended pregnancies overall. In the past 30 years, there has been an increase both in population and in contraception use in the developing world. As a result, it is estimated that in 2015 there were 500 million contraceptive users in developing countries, which is nearly double the prevalence in 2000. Unfortunately, women and girls in developing nations still face many obstacles in obtaining modern methods of contraception. Particular challenges in the developing world include lack of access due to inadequate number of trained providers, fewer method options, and "stock-outs" of contraceptive supplies. Innovative strategies for decreasing unmet need will have to address these challenges, and will necessarily involve programmatic solutions such as community-based distribution and social marketing campaigns. Additionally, increasing uptake of long-acting reversible contraceptive methods will be essential for achieving the goal of decreasing unmet need. PMID:26956690

  4. Body water metabolism in high altitude natives during and after a stay at sea level

    NASA Astrophysics Data System (ADS)

    Jain, S. C.; Bardhan, Jaya; Swamy, Y. V.; Grover, A.; Nayar, H. S.

    1981-03-01

    Body fluid compartments were studied in a group of high altitude natives after a stay of two months at sea level and during 12 days at an altitude of 3,500 m. Measurements of total body water and extracellular water were made on day 3 and 12 of reinduction to altitude, while plasma volume was measured on day 12 only. The intracellular water, blood volume and red cell mass were computed from the above parameters. Total body water and intracellular water decreased by 3.3% (P<0.001) and 5.0% (P<0.001) respectively by the 3rd day at altitude and did not change thereafter. Extracellular water increased progressively at altitude, but the increase was not significant. Blood volume and red cell mass increased significantly while plasma volume decreased at altitude. These data were compared with that of low landers. This study suggested body hypohydration on high altitude induction in low landers as well as in high altitude natives on reinduction.

  5. Calculation of Water Drop Trajectories to and About Arbitrary Three-Dimensional Bodies in Potential Airflow

    NASA Technical Reports Server (NTRS)

    Norment, H. G.

    1980-01-01

    Calculations can be performed for any atmospheric conditions and for all water drop sizes, from the smallest cloud droplet to large raindrops. Any subsonic, external, non-lifting flow can be accommodated; flow into, but not through, inlets also can be simulated. Experimental water drop drag relations are used in the water drop equations of motion and effects of gravity settling are included. Seven codes are described: (1) a code used to debug and plot body surface description data; (2) a code that processes the body surface data to yield the potential flow field; (3) a code that computes flow velocities at arrays of points in space; (4) a code that computes water drop trajectories from an array of points in space; (5) a code that computes water drop trajectories and fluxes to arbitrary target points; (6) a code that computes water drop trajectories tangent to the body; and (7) a code that produces stereo pair plots which include both the body and trajectories. Code descriptions include operating instructions, card inputs and printouts for example problems, and listing of the FORTRAN codes. Accuracy of the calculations is discussed, and trajectory calculation results are compared with prior calculations and with experimental data.

  6. Contraceptive method-mix and family planning program in Vietnam.

    PubMed

    Hardjanti, K

    1995-01-01

    In Vietnam between 1989 and 1993, the modern contraceptive prevalence rate stopped at 38%. In 1984, the government implemented economic renovation (Doi Moi). This closed agricultural cooperatives which had supported commune health centers. Health workers received either low or no wages, resulting in low morale, absenteeism, and moving to the private sector or agriculture. Most women began using the IUD because it was low cost and easy to monitor, provided long-term protection against pregnancy, and there was a limited supply of oral contraceptives (OCs) and condoms. Condom use fell from 13% in 1984 to 1.4% in 1993. More than 80% of contraceptive users used the IUD. The IUD is not appropriate for many women because of health problems: 60-70% of pregnant women and 80% of parturient women have anemia, 40-60% of women have reproductive tract infections, and sexually transmitted diseases are rising. Vietnam's Prime Minister and the Communist Party are committed to expanding the range of the contraceptive method-mix and choice. Limited method choice is especially a problem in rural areas. It increases the abortion rate. About 38% of abortions supplant modern and traditional family planning methods. Improper counseling, insufficient knowledge, and low promotion of OCs account for the low use of OCs. Inferior quality, aversion by couples, and inaccessibility in most rural areas limit condom use. Women's fear and husband's objection outweigh the government's promotion of sterilization. Providers have limited comprehensive accurate and current knowledge of contraceptives. Health service facilities are concentrated in urban and semiurban areas. The quality of care in rural areas, where there is no clean water supply, is inferior. An annual target used to forecast contraceptive needs risks contraceptive stocks expiring during storage and/or disruptions in supply of users. Consecutive actions to eliminate constraints to use of other methods, developing a community level service

  7. Hormonal contraception and platelet function.

    PubMed

    Saleh, A A; Ginsburg, K A; Duchon, T A; Dorey, L G; Hirata, J; Alshameeri, R S; Dombrowski, M P; Mammen, E F

    1995-05-15

    73 healthy women (29 controls, 25 using OCs, and 19 using Norplant) were selected from the clinic population at North Oakland Medical Center for inclusion in this study after obtaining informed consent. Age, race, height, weight, blood pressure, and cigarette smoking were recorded for each subject. 12 patients were on monophasic OCs while 13 were on triphasic preparations. Both hormonal contraceptive groups had used their particular contraceptive for at least 3 months prior to blood drawing. Platelet tests were performed within 2 hours of sample collection: platelet counts (PLC) and mean platelet volume (MPV) were determined on an Automated Platelet Counter (Baker 810 Platelet Analyzer). Whole blood aggregation was performed on a platelet aggregometer (Chrono-Log, Model 550) using both ADP (ADP, 5 mM) and collagen (COLL, 2 mcg/ml) as inducing agents. Demographic differences were not significant (p 0.05) among the 3 treatment groups, whose average age was 25.3-25.8 years old. Furthermore, no significant differences (p 0.05) in platelet function were detected among controls or subjects receiving either oral contraceptives or Norplant, compared to control patients. The mean platelet counts (X 10/9/L) were 223 for OC users, 231 for Norplant users, and 232 for controls. The respective platelet aggregation (ADP, ohms) values were 12.5, 18.0, and 19.2 as well as (COLL, ohms) 35.6, 40.7, and 39.0. These results demonstrated that there is no evidence for altered platelet function, with the testing methods employed, in women using either Norplant or combination low dose oral contraceptives. To date, several studies have examined this issue, with contradictory reports about the effects of hormonal contraceptives in platelet function. After controlling for differences between various steroid preparations and other such confounding variables, some of these conflicting conclusions could be the result of a lack of uniformity among the methods used to evaluate platelet aggregation

  8. Bacteriological quality of abattoir effluents discharged into water bodies in abuja, Nigeria.

    PubMed

    Nafarnda, W D; Ajayi, I E; Shawulu, J C; Kawe, M S; Omeiza, G K; Sani, N A; Tenuche, O Z; Dantong, D D; Tags, S Z

    2012-01-01

    Bacteriological characteristics of abattoir effluents (wastewater), abattoir water source, and water bodies receiving abattoir wastewater were investigated in Abuja, Nigeria using the multiple-tube fermentation technique. Source of water to the abattoirs and the usage of water bodies receiving abattoir effluents were determined using questionnaires. Bacterial counts ranged from 4.8 × 10(6) to 5.8 × 10(5) /100 mL of total coliform (TC), 8.2 × 10(4) to 3.2 × 10(4)/100 mL of Fecal coliform (FC), 5.2 × 10(4) to 2.0 × 10(4)/100 mL of Fecal streptococcus and 1.2 × 10(4) to 2.0 × 10(3)/100 mL of Escherichia coli for abattoir effluents 6.6 × 10(5) to 6.0 × 10(5)/100 mL of TC, 6.2 × 10(4) to 1.8 × 10(4)/100 mL of FC, 1.8 × 10(4) to 6.0 × 10(3)/100 mL of F. streptococcus, and 4.8 × 10(3) to 6.6 × 10(2)/100 mL of E. coli for water bodies receiving abattoir effluents 100 m downstream. TC bacteria counts for abattoir effluents exceeded recommended limit for discharge into surface water in Nigeria. No significant difference (P < 0.05) was observed between bacterial counts of abattoir effluents and receiving water bodies 100 m downstream: an indication of contamination of receiving water bodies by abattoir effluents and possible public and environmental health hazards. PMID:23738127

  9. Identification of Water Bodies in a Landsat 8 OLI Image Using a J48 Decision Tree

    PubMed Central

    Acharya, Tri Dev; Lee, Dong Ha; Yang, In Tae; Lee, Jae Kang

    2016-01-01

    Water bodies are essential to humans and other forms of life. Identification of water bodies can be useful in various ways, including estimation of water availability, demarcation of flooded regions, change detection, and so on. In past decades, Landsat satellite sensors have been used for land use classification and water body identification. Due to the introduction of a New Operational Land Imager (OLI) sensor on Landsat 8 with a high spectral resolution and improved signal-to-noise ratio, the quality of imagery sensed by Landsat 8 has improved, enabling better characterization of land cover and increased data size. Therefore, it is necessary to explore the most appropriate and practical water identification methods that take advantage of the improved image quality and use the fewest inputs based on the original OLI bands. The objective of the study is to explore the potential of a J48 decision tree (JDT) in identifying water bodies using reflectance bands from Landsat 8 OLI imagery. J48 is an open-source decision tree. The test site for the study is in the Northern Han River Basin, which is located in Gangwon province, Korea. Training data with individual bands were used to develop the JDT model and later applied to the whole study area. The performance of the model was statistically analysed using the kappa statistic and area under the curve (AUC). The results were compared with five other known water identification methods using a confusion matrix and related statistics. Almost all the methods showed high accuracy, and the JDT was successfully applied to the OLI image using only four bands, where the new additional deep blue band of OLI was found to have the third highest information gain. Thus, the JDT can be a good method for water body identification based on images with improved resolution and increased size. PMID:27420067

  10. Identification of Water Bodies in a Landsat 8 OLI Image Using a J48 Decision Tree.

    PubMed

    Acharya, Tri Dev; Lee, Dong Ha; Yang, In Tae; Lee, Jae Kang

    2016-01-01

    Water bodies are essential to humans and other forms of life. Identification of water bodies can be useful in various ways, including estimation of water availability, demarcation of flooded regions, change detection, and so on. In past decades, Landsat satellite sensors have been used for land use classification and water body identification. Due to the introduction of a New Operational Land Imager (OLI) sensor on Landsat 8 with a high spectral resolution and improved signal-to-noise ratio, the quality of imagery sensed by Landsat 8 has improved, enabling better characterization of land cover and increased data size. Therefore, it is necessary to explore the most appropriate and practical water identification methods that take advantage of the improved image quality and use the fewest inputs based on the original OLI bands. The objective of the study is to explore the potential of a J48 decision tree (JDT) in identifying water bodies using reflectance bands from Landsat 8 OLI imagery. J48 is an open-source decision tree. The test site for the study is in the Northern Han River Basin, which is located in Gangwon province, Korea. Training data with individual bands were used to develop the JDT model and later applied to the whole study area. The performance of the model was statistically analysed using the kappa statistic and area under the curve (AUC). The results were compared with five other known water identification methods using a confusion matrix and related statistics. Almost all the methods showed high accuracy, and the JDT was successfully applied to the OLI image using only four bands, where the new additional deep blue band of OLI was found to have the third highest information gain. Thus, the JDT can be a good method for water body identification based on images with improved resolution and increased size. PMID:27420067

  11. Modeling Molecular Interactions in Water: From Pairwise to Many-Body Potential Energy Functions.

    PubMed

    Cisneros, Gerardo Andrés; Wikfeldt, Kjartan Thor; Ojamäe, Lars; Lu, Jibao; Xu, Yao; Torabifard, Hedieh; Bartók, Albert P; Csányi, Gábor; Molinero, Valeria; Paesani, Francesco

    2016-07-13

    Almost 50 years have passed from the first computer simulations of water, and a large number of molecular models have been proposed since then to elucidate the unique behavior of water across different phases. In this article, we review the recent progress in the development of analytical potential energy functions that aim at correctly representing many-body effects. Starting from the many-body expansion of the interaction energy, specific focus is on different classes of potential energy functions built upon a hierarchy of approximations and on their ability to accurately reproduce reference data obtained from state-of-the-art electronic structure calculations and experimental measurements. We show that most recent potential energy functions, which include explicit short-range representations of two-body and three-body effects along with a physically correct description of many-body effects at all distances, predict the properties of water from the gas to the condensed phase with unprecedented accuracy, thus opening the door to the long-sought "universal model" capable of describing the behavior of water under different conditions and in different environments. PMID:27186804

  12. Study of information extraction method of water body based on Mapping satellite-1 imagery

    NASA Astrophysics Data System (ADS)

    Zhang, Zhaoxi; Hu, Zhuowei; Du, Hongyue

    2014-11-01

    To find a suitable water extraction method from Mapping satellite-1 imagery in urban areas, this paper compared the results of different water extraction methods and studied the effect of building shadow on water extraction. Taken parts of Xinjiang (Beitun of Irtysh river Basin) as the study area, Mapping satellite-1 imagery as data sources, single-band threshold method, Normalized Difference Water Index (NDWI), Normalized Difference Vegetation Index (NDVI), and spectral relationship method based on spectral area were applied respectively to extract information of water body. The results of information extraction by use of the four methods were compared to determine the optimal method for water body extraction. The results showed that, for Mapping satellite-1 imagery, single-band threshold method and spectral relationship method which based on spectral area were effective to eliminate classification errors cased by shadows from buildings, fast, easy and accurate to extract information of water body from urban areas. In addition, the spectral relationship method based on spectral area also had the character of extracting small tributary rivers.

  13. An automatic water body area monitoring algorithm for satellite images based on Markov Random Fields

    NASA Astrophysics Data System (ADS)

    Elmi, Omid; Tourian, Mohammad J.; Sneeuw, Nico

    2016-04-01

    Our knowledge about spatial and temporal variation of hydrological parameters are surprisingly poor, because most of it is based on in situ stations and the number of stations have reduced dramatically during the past decades. On the other hand, remote sensing techniques have proven their ability to measure different parameters of Earth phenomena. Optical and SAR satellite imagery provide the opportunity to monitor the spatial change in coastline, which can serve as a way to determine the water extent repeatedly in an appropriate time interval. An appropriate classification technique to separate water and land is the backbone of each automatic water body monitoring. Due to changes in the water level, river and lake extent, atmosphere, sunlight radiation and onboard calibration of the satellite over time, most of the pixel-based classification techniques fail to determine accurate water masks. Beyond pixel intensity, spatial correlation between neighboring pixels is another source of information that should be used to decide the label of pixels. Water bodies have strong spatial correlation in satellite images. Therefore including contextual information as additional constraint into the procedure of water body monitoring improves the accuracy of the derived water masks significantly. In this study, we present an automatic algorithm for water body area monitoring based on maximum a posteriori (MAP) estimation of Markov Random Fields (MRF). First we collect all available images from selected case studies during the monitoring period. Then for each image separately we apply a k-means clustering to derive a primary water mask. After that we develop a MRF using pixel values and the primary water mask for each image. Then among the different realizations of the field we select the one that maximizes the posterior estimation. We solve this optimization problem using graph cut techniques. A graph with two terminals is constructed, after which the best labelling structure for

  14. Features of deformation of metal body surfaces under impact of a water jet

    NASA Astrophysics Data System (ADS)

    Aganin, A. A.; Khismatullina, N. A.

    2016-01-01

    The paper presents a mathematical model and computational results on dynamics of a perfect elastic-plastic body under the load arising during impact of a high-velocity liquid jet with the hemispherical end. The body is simulated by the isotropic linearly-elastic semi-space, its plastic state is described by the von Mises condition. The dependence of features of the body surface deformation on the body material is studied. The problem is considered in the axisymmetric statement. The axis of symmetry is that of the jet. The loaded domain is a circle with its radius rapidly growing from zero to the jet radius. The pressure in the loaded domain is non-uniform both in time and space. Three metal alloys (aluminium, copper-nickel and steel) are considered as the body material. The loading of the body surface in all the cases corresponds to the impact of a water jet with the radius 100 pm and the velocity 300 m/s. It has been shown that under such impact a nanometer pit arises on the body surface at the center of the domain of the jet action. The profile of the pit and its maximal depth depend on the body material.

  15. The risk of river pollution due to washout from contaminated floodplain water bodies during high floods

    NASA Astrophysics Data System (ADS)

    Lyubimova, Tatyana; Lepikhin, Anatoly; Parshakova, Yanina; Tiunov, Alexey

    2016-04-01

    Today, the potential impact of extremely high floods, which in the last years have become a rather frequent weather-related disaster, is the problem of primary concern. In studies of the potential impact of floods the emphasis is placed first of all on the estimation of possible flood zones and the analysis of the flow regimes in these zones. However, in some cases the hydrochemical parameters related to changes in the chemical composition of water are more important than the hydraulic parameters. It is generally believed that the higher is the flow rate, the more intensive is the process of dissolution, i.e. the lower is the concentration of limiting contaminants in water. However, this statement is valid provided that flooding does not activate new sources of water pollution such as contaminated floodplain water bodies located in the vicinity of water supply systems. Being quite reliable and safe at small and moderate discharges, in the case of extremely high level of river waters they become intensive sources of water pollution, essentially limiting the water consumption schedule for downstream water consumers. It should be noted that compared to the well-studied mechanisms of waste discharge due to failure of hydraulic engineering structures by flood waves, the mechanisms of pollutant washout from the contaminated floodplain water bodies by the flood waves is still poorly understood. We analyze the impacts of such weather-related events on the quality of water in the water intake system, taking as an example, the section of the Vyatka River located in the Prikamskaya lowland of the Russian Federation. The risk of river pollution due to washout from the contaminated floodplain water bodies during high floods is studied by hydrodynamical modeling in the framework of combined approach using one-, two- and three-dimensional hydrodynamic models are implemented and by in situ measurements. It is shown that during high floods the removal of pollutants from the

  16. Water quality observations of ice-covered, stagnant, eutrophic water bodies and analysis of influence of ice-covered period on water quality

    NASA Astrophysics Data System (ADS)

    sugihara, K.; Nakatsugawa, M.

    2013-12-01

    The water quality characteristics of ice-covered, stagnant, eutrophic water bodies have not been clarified because of insufficient observations. It has been pointed out that climate change has been shortening the duration of ice-cover; however, the influence of climate change on water quality has not been clarified. This study clarifies the water quality characteristics of stagnant, eutrophic water bodies that freeze in winter, based on our surveys and simulations, and examines how climate change may influence those characteristics. We made fixed-point observation using self-registering equipment and vertical water sampling. Self-registering equipment measured water temperature and dissolved oxygen(DO).vertical water sampling analyzed biological oxygen demand(BOD), total nitrogen(T-N), nitrate nitrogen(NO3-N), nitrite nitrogen(NO2-N), ammonium nitrogen(NH4-N), total phosphorus(TP), orthophosphoric phosphorus(PO4-P) and chlorophyll-a(Chl-a). The survey found that climate-change-related increases in water temperature were suppressed by ice covering the water area, which also blocked oxygen supply. It was also clarified that the bottom sediment consumed oxygen and turned the water layers anaerobic beginning from the bottom layer, and that nutrient salts eluted from the bottom sediment. The eluted nutrient salts were stored in the water body until the ice melted. The ice-covered period of water bodies has been shortening, a finding based on the analysis of weather and water quality data from 1998 to 2008. Climate change was surveyed as having caused decreases in nutrient salts concentration because of the shortened ice-covered period. However, BOD in spring showed a tendency to increase because of the proliferation of phytoplankton that was promoted by the climate-change-related increase in water temperature. To forecast the water quality by using these findings, particularly the influence of climate change, we constructed a water quality simulation model that

  17. Flow and transport within a coastal aquifer adjacent to a stratified water body

    NASA Astrophysics Data System (ADS)

    Oz, Imri; Yechieli, Yoseph; Eyal, Shalev; Gavrieli, Ittai; Gvirtzman, Haim

    2016-04-01

    The existence of a freshwater-saltwater interface and the circulation flow of saltwater beneath the interface is a well-known phenomenon found at coastal aquifers. This flow is a natural phenomenon that occurs due to density differences between fresh groundwater and the saltwater body. The goals of this research are to use analytical, numerical, and physical models in order to examine the configuration of the freshwater-saltwater interface and the density-driven flow patterns within a coastal aquifer adjacent to long-term stratified saltwater bodies (e.g. meromictic lake). Such hydrological systems are unique, as they consist of three different water types: the regional fresh groundwater, and low and high salinity brines forming the upper and lower water layers of the stratified water body, respectively. This research also aims to examine the influence of such stratification on hydrogeological processes within the coastal aquifer. The coastal aquifer adjacent to the Dead Sea, under its possible future meromictic conditions, serves as an ideal example to examine these processes. The results show that adjacent to a stratified saltwater body three interfaces between three different water bodies are formed, and that a complex flow system, controlled by the density differences, is created, where three circulation cells are developed. These results are significantly different from the classic circulation cell that is found adjacent to non-stratified water bodies (lakes or oceans). In order to obtain a more generalized insight into the groundwater behavior adjacent to a stratified water body, we used the numerical model to perform sensitivity analysis. The hydrological system was found be sensitive to three dimensionless parameters: dimensionless density (i.e. the relative density of the three water bodies'); dimensionless thickness (i.e. the ratio between the relative thickness of the upper layer and the whole thickness of the lake); and dimensionless flux. The results

  18. [Individualization of low-dose oral contraceptives. Pharmacological principles and practical indications for oral contraceptives].

    PubMed

    Cianci, A; De Leo, V

    2007-08-01

    The contraceptive pill has been a revolution of the last 40 years. In Italy, however, it is much less widely used than in other countries. Explanations for this phenomenon range from religious implications and customs to misinformation and word-of-mouth communication of negative experiences. The oral contraceptive pill is often used to correct menstrual disorders, leading to poor results and side-effects. Recent advances in oral contraception have led to a substantial reduction in doses and side-effects. Low-dose pills contain minimal doses of progesterones and estrogens and ensure good control of the menstrual cycle. Although reduction of ethinyl estradiol (EE) concentrations has reduced the incidence of negative systemic side effects such as water retention, edema and swollen breasts, the low estrogen dose may be associated with spotting and hypomenorrhea or amenorrhea in the long term, as well as dyspareunia due to reduced vaginal trophism, which may induce women to suspend use of the drug. It is also true that only one type of estrogen is used in the pill, albeit at different doses, whereas the progesterone may differ and in many cases is the cause of common side-effects. The choice of progesterone therefore involves not only its effect on the endometrium in synergy with estrogen, but also possible residual androgenic activity which may have negative metabolic repercussions. Indeed, addition of a progesterone, especially androgen-derived, attenuates the positive metabolic effects of estrogen. Two new monophasic oral contraceptives were recently released. They contain 30 microg (Yasmin) or 20 muicrog (Yasminelle) EE and a new progesterone, drospirenone, derived from spirolactone, which has antiandrogenic and antimineralcorticoid activity similar to endogenous progesterone. Like progesterone, the drospirenone molecule is an aldosterone antagonist and has a natriuretic effect that opposes the sodium retention effect of EE. It may, therefore, help to prevent the

  19. La contraception de l'adolescente

    PubMed Central

    Pinsonneault, Odette

    1991-01-01

    Approximately one-half of all female adolescents are sexually active. Family physicians whose patients include female adolescents must be able to provide them with information and advice about contraception. In this article, adolescent contraception is examined in detail and a number of strategies for achieving optimum compliance are presented. PMID:21229024

  20. Advance Provision of Emergency Contraception for Adolescents

    ERIC Educational Resources Information Center

    Adamji, Jehan-Marie; Swartwout, Kathryn

    2010-01-01

    Emergency contraception is most effective at preventing unintended pregnancy when taken as early as possible following unprotected sexual intercourse. Advance provision of this medication supports more timely and effective use. In the midst of rising teen pregnancy rates, current policies often limit access to emergency contraception for…

  1. Understanding Adolescent Contraceptive Choice: An Empirical Test.

    ERIC Educational Resources Information Center

    Adler, Nancy E.; And Others

    Research using expectancy models has shown contraceptive choice among adults to be a rational process in that intentions and behaviors reflect an individual's beliefs, values, attitudes, and perceptions of social norms. This study examined whether such an approach could accurately represent adolescents' contraceptive decision-making. It used the…

  2. Contraception in women with medical problems

    PubMed Central

    Dhanjal, Mandish K

    2008-01-01

    Women with medical disease have a higher incidence of maternal mortality compared with healthy women, with cardiac disease now being the most common cause of maternal death in the UK. A handful of medical conditions exist where pregnancy is not recommended due to mortality rates approaching 50%. It is imperative that such women have the most reliable methods of contraception available. Contraceptive agents may themselves affect medical disease, or may interact with medications used by such women. There may be a range of contraceptive agents suitable for each medical condition. The contraceptive selected should be tailored to suit the individual. The following points should be considered when deciding on the most appropriate contraceptive agent: efficacy, thrombotic risk (oestrogen containing contraceptives), arterial risks (oestrogen containing contraceptives), infective risk (e.g. insertion of intrauterine device [IUD]), vagal stimulation (e.g. insertion of IUD, ESSURE®), bleeding risks with patients on anticoagulants, interaction with concomitant drugs, effects of anaesthesia and ease of use. This review aims to cover the different contraceptive agents available and the best ones to use for certain medical illnesses. PMID:27582790

  3. Adolescent Contraceptive Use: Models, Research, and Directions.

    ERIC Educational Resources Information Center

    Whitley, Bernard E., Jr.; Schofield, Janet Ward

    Both the career model and the decision model have been proposed to explain patterns of contraceptive use in teenagers. The career model views contraceptive use as a symbol of a woman's sexuality and implies a clear decision to be sexually active. The decision model is based on the subjective expected utility (SEU) theory which holds that people…

  4. Adolescent health services and contraceptive use.

    PubMed

    Mudd, E H; Dickens, H O; García, C R; Rickels, K; Freeman, E; Huggins, G R; Logan, J J

    1978-07-01

    A pilot study of a health services program for never-pregnant high-school students, which stresses development of incentives for personal involvement in their own health care, reports a low incidence of unintended pregnancy among girls who requested contraceptives. The social and emotional characteristics of those who continued contraceptive use are compared with the small group who had uninteneded pregnancies. PMID:677283

  5. Use of Contraception and Attitudes towards Contraceptive Use in Swedish Women - A Nationwide Survey

    PubMed Central

    Kopp Kallner, Helena; Thunell, Louise; Brynhildsen, Jan; Lindeberg, Mia; Gemzell Danielsson, Kristina

    2015-01-01

    Objective To describe contraceptive use and attitudes towards contraceptive use in Sweden which has the highest abortion rate in Western Europe. Secondary objectives were to investigate knowledge of contraceptive methods and outcomes of unplanned and unwanted pregnancies. Design Telephone survey. Setting National survey of women living in Sweden. Population Women between 16 and 49 years. Methods The survey contained 22 questions with free text and multi choice answers on demographics, contraceptive use, knowledge of and attitudes towards contraception, the importance of monthly bleeding and experience of unintended pregnancy. Main Outcome Measures Distribution of use of contraceptive methods and non-use of contraception among Swedish women. Prevalence and outcome of unintended pregnancies. Results A total of 1001 women participated in the survey. Of all women, 721/1001 (72.1%) currently used contraception whereas 268/1001 (26.8%) women did not. Long acting reversible contraception, (LARC; implant and intra uterine contraception) was used by 24.3% of women. The unmet need of contraception in Sweden was estimated at 8.9% (89/1001 women). A total of 781 (78%) women had never experienced an unintended pregnancy whereas 220 (22%) women had had at least one unintended pregnancy. Users and non-users alike stated that one of the most important characteristics of a contraceptive method is its effectiveness. Conclusions Sweden has a large unmet need for contraception. Furthermore, a large proportion of women have experienced at least one unintended pregnancy. Increasing contraceptive use and promotion of LARC is a possible way forward in the effort to reduce the rates of unwanted pregnancies. PMID:25992901

  6. [Detection of chlorophyll content in water body based on two-dimensional correlation spectroscopy].

    PubMed

    Zhang, Yao; Zheng, Li-Hua; Sun, Hong; Li, Min-Zan

    2014-02-01

    Twenty five samples were collected from 10 different ponds in Jiangsu Province of China. According to the different water status and surface area of each pond, different numbers of water samples were collected. The present paper aims to detect chlorophyll content in water body based on hyperspectrum. The visible and near infrared spectral transmittance of the water samples was measured by using a Shimadzu UV-2450 spectrograph. At the same time, the chlorophyll content of each sample was measured using hot-ethanol extraction method in the laboratory. Then the spectral characteristics were analyzed for the water samples and the results showed that with chlorophyll concentration increasing, spectral transmittance decreased gradually. There is an apparent transmission valley at 676 nm. And then two dimensional correlation spectrum technology was used to analyze the sensitive absorption band of chlorophyll in water body. Comprehensive observation of the spectral characteristics of water samples can be carried out much accurately by analyzing two-dimensional correlation spectra of synchronous and asynchronous spectrograms. And the effective spectral response bands of the chlorophyll content were found at 488 and 676 nm. Then the NDWCI (normalized difference water chlorophyll index) was established with the transmittance of red band and blue band. Two regression models were built to predict the chlorophyll concentration in water. One is a multiple linear regression model based on the original transmittances at 488 and 676 nm. The other is the linear regression model based on NDWCI. By comparison, the model based on NDWCI was better. The R2 of its training model reached to 0.7712, and the root mean square error of calibration was 45.5099 mg x L(-1). The R2 of prediction model reached to 0.7658, and the root mean square error of prediction was 39.5038 mg x L(-1). It reached to a practical level to predict the chlorophyll content in water body rapidly. PMID:24822407

  7. Hydrographic Surveys for Six Water Bodies in Eastern Nebraska, 2005-07

    USGS Publications Warehouse

    Johnson, Michaela R.; Andersen, Michael J.; Sebree, Sonja K.

    2008-01-01

    The U.S. Geological Survey, in cooperation with the Nebraska Department of Environmental Quality, completed hydrographic surveys for six water bodies in eastern Nebraska: Maskenthine Wetland, Olive Creek Lake, Standing Bear Lake, Wagon Train Lake and Wetland, Wildwood Lake, and Yankee Hill Lake and sediment basin. The bathymetric data were collected using a boat-mounted survey-grade fathometer that operated at 200 kHz, and a differentially corrected Global Positioning System with antenna mounted directly above the echo-sounder transducer. Shallow-water and terrestrial areas were surveyed using a Real-Time Kinematic Global Positioning System. The bathymetric, shallow-water, and terrestrial data were processed in a geographic information system to generate a triangulated irregular network representation of the bottom of the water body. Bathymetric contours were interpolated from the triangulated irregular network data using a 2-foot contour interval. Bathymetric contours at the conservation pool elevation for Maskenthine Wetland, Yankee Hill Lake, and Yankee Hill sediment pond also were interpolated in addition to the 2-foot contours. The surface area and storage capacity of each lake or wetland were calculated for 1-foot intervals of water surface elevation and are tabulated in the Appendix for all water bodies.

  8. [Microbial risk assessment of urban water bodies for aesthetical and recreational uses].

    PubMed

    Sun, Fu; Sha, Jing; Zhang, Yi-Fan; Liu, Yan-Hua

    2013-03-01

    With the increasing public access to urban water bodies for aesthetical and recreational purposes, it is of critical importance for densely populated urban areas to conduct microbial risk assessment and accordingly implement effective risk management. Based on the methodology of quantitative microbial risk assessment, a case study was conducted on three typical urban water bodies for aesthetical and recreational uses in a southern city in China. Exposure assessment was carried out through water quality monitoring, field survey and literature review, and accordingly human health risk was assessed with different dose-response equations based on fecal coliforms (FC), Escherichia coli (EC) and Enterococci (ENT). Microbial risk estimated by different dose-response equations was found consistent with and comparable to each other. Stream B located in a residential area was not suitable for primary- or secondary-contact recreational uses, and its microbial risk to the public mainly came from water abstraction for household miscellaneous uses. Stream C and Lake E, located in a public open space and a scenic area respectively, could meet the current recreational requirements, and their microbial risk to the public was generally attributed to various recreational activities. It was necessary to address the public health risk associated with the unauthorized or inappropriate water uses (e.g. abstraction for household miscellaneous uses) of urban aesthetical and recreational water bodies. PMID:23745397

  9. Water ages of 20 groundwater bodies and its relevance for the implementation of the European Water Framework Directive

    NASA Astrophysics Data System (ADS)

    Kralik, Martin; Brielmann, Heike; Humer, Franko; Grath, Johannes; Sültenfuß, Jürgen; Philippitsch, Rudolf

    2015-04-01

    The 'Mean Residence Time' (MRT) of groundwater is required to develop reliable hydrogeological concepts of groundwater bodies as a prerequisite for a qualified monitoring and risk assessment. MRTs from monitoring wells help to assess if groundwater bodies are 'at risk' or 'not at risk' failing to meet good groundwater quantitative and chemical status according to the Water Framework Directive and therefore not being able to use the groundwater as drinking water or industrial water resource. A combination of 18O/2H, 3H, 3H/3He and in some cases additional CFC, SF6, 85Kr and 35S measurements allow to calculate reliable MRTs in 20 groundwater bodies covering 13% (approx.10719 km2) of the Austrian territory. Altogether 401 groundwater wells and springs from the existing groundwater monitoring network were analysed for δ18O (n=1500), 3H (n=800) and 3He (n=327) since 2006. Considering both the fact that monitoring wells may have multiple or long well screens and the inherent uncertainties of groundwater age dating techniques, age estimations were classified into 5 categories of short ( 50years) mean residence times for each monitoring site. Subsequently, median values of the MRT categories were assigned to each investigated groundwater body. These are valuable information to fix extraction rates, to set measures to improve the land use and groundwater protection and to validate hydrogeological concepts. Generally, MRTs of groundwater bodies increase from shallow Alpine groundwater bodies over deeper Alpine valley-aquifers to longer MRTs in the Pannonian climate range in the east of Austria.

  10. The effect of water temperature and synoptic winds on the development of surface flows over narrow, elongated water bodies

    NASA Technical Reports Server (NTRS)

    Segal, M.; Pielke, R. A.

    1985-01-01

    Simulations of the thermally induced breeze involved with a relatively narrow, elongated water body is presented in conjunction with evaluations of sensible heat fluxes in a stable marine atmospheric surface layer. The effect of the water surface temperature and of the large-scale synoptic winds on the development of surface flows over the water is examined. As implied by the sensible heat flux patterns, the simulation results reveal the following trends: (1) when the synoptic flow is absent or light, the induced surface breeze is not affected noticeably by a reduction of the water surface temperature; and (2) for stronger synoptic flow, the resultant surface flow may be significantly affected by the water surface temperature.