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1

Intimate Partner Violence among Midlife and Older Women: A Descriptive Analysis of Women Seeking Medical Services  

ERIC Educational Resources Information Center

Although intimate partner violence (IPV) may occur throughout a woman's life course, there has been a paucity of research on the experiences of victimization among midlife and older women. This article examines both the prevalence of IPV among a sample of women ages 50 to 64 (N = 620), who were recruited at an emergency department and primary care…

Sormanti, Mary; Shibusawa, Tazuko

2008-01-01

2

Identifying Risk Factors for PTSD in Women Seeking Medical Help after Rape  

PubMed Central

Objectives Rape has been found to be the trauma most commonly associated with Posttraumatic Stress Disorder (PTSD) among women. It is therefore important to be able to identify those women at greatest risk of developing PTSD. The aims of the present study were to analyze the PTSD prevalence six months after sexual assaults and identify the major risk factors for developing PTSD. Methods Participants were 317 female victims of rape who sought help at the Emergency Clinic for Raped Women at Stockholm South Hospital, Sweden. Baseline assessments of mental health were carried out and followed up after six months. Results Thirty-nine percent of the women had developed PTSD at the six month assessment, and 47% suffered from moderate or severe depression. The major risk factors for PTSD were having been sexually assaulted by more than one person, suffering from acute stress disorder (ASD) shortly after the assault, having been exposed to several acts during the assault, having been injured, having co-morbid depression, and having a history of more than two earlier traumas. Further, ASD on its own was found to be a poor predictor of PTSD because of the substantial ceiling effect after sexual assaults. Conclusions Development of PTSD is common in the aftermath of sexual assaults. Increased risk of developing PTSD is caused by a combination of victim vulnerability and the extent of the dramatic nature of the current assault. By identifying those women at greatest risk of developing PTSD appropriate therapeutic resources can be directed. PMID:25340763

Tiihonen Möller, Anna; Bäckström, Torbjörn; Söndergaard, Hans Peter; Helström, Lotti

2014-01-01

3

From mothers to daughters: An intergenerational examination of African American women's health seeking behavior  

Microsoft Academic Search

African American women continue to underutilize standard medical services that target women, such as prenatal care, mammography, and pap smears. Using grounded theory techniques, this study presents a critical approach to the health seeking behavior of African American women for obstetric\\/gynecologic services. ^ The primary explanatory variable used in this study for health seeking behavior is sexual socialization that women

Lari Warren-Jeanpiere

2006-01-01

4

Treatment seeking in women with myocardial infarction  

Microsoft Academic Search

The present research examined factors thought to influence illness-related treatment-seeking behaviors in women with Myocardial Infarction (MI). Early treatment for MI reduces morbidity and mortality but time to treatment has not decreased in the past fifteen years and remains longer for females than males. Much of the prior research on treatment seeking in MI has occurred with males, and knowledge

Elizabeth A Roe

2006-01-01

5

Women in Medical School.  

ERIC Educational Resources Information Center

Research on the characteristics of women in non-traditional fields, e.g., medicine, has yielded complex information in terms of adherence to sex-role stereotypes. To determine whether students' attitudes toward helping and achieving followed sex-role typing and were different at various stages in medical school, 384 male and female oncology…

Bean, Glynis; Kidder, Louise H.

6

Contraceptive knowledge and attitudes among women seeking induced abortion in Kathmandu, Nepal  

PubMed Central

Objective To map the knowledge about and attitudes toward birth control methods among women in Kathmandu, Nepal, and to compare the results between women seeking an induced abortion and a control group. Method This was a cross-sectional cohort study with matched controls. Women aged 15–49 years seeking medical care at the Department of Gynecology and Obstetrics at Kathmandu Medical College were included and interviewed. A case was defined as a woman who sought an elective medical or surgical abortion. A control was defined as a woman who sought medical care at the outpatient department or had already been admitted to the ward for reasons other than elective abortion. A questionnaire developed for the study – dealing with different demographic characteristics as well as knowledge about and attitudes toward contraceptives – was filled out based on the interview. Results A total of 153 women were included: 64 women seeking an abortion and 89 controls. Women seeking an abortion had been pregnant more times than the control group and were more likely to have been informed about contraceptives. Women with higher education were less likely to seek an abortion than women with lower education. There was no significant difference in knowledge about and attitudes toward contraceptives between cases and controls. The women considered highest possible effectiveness to be the most important feature when deciding on a birth control method. Conclusion Women seeking abortion in Kathmandu had shorter education and a history of more pregnancies and deliveries than women in the control group. Education and counseling on sex and reproduction as well as on contraceptive methods probably need to be improved in Nepal to avoid unwanted pregnancies. Attitudes about contraceptives need to be further investigated to develop better and more effective methods to educate women about family planning in order to increase reproductive health. PMID:24672261

Berin, Emilia; Sundell, Micaela; Karki, Chanda; Brynhildsen, Jan; Hammar, Mats

2014-01-01

7

Postpartum depression in refugee and asylum-seeking women in Canada: A critical health psychology perspective.  

PubMed

Canada has one of the world's largest refugee resettlement programs in the world. Just over 48?percent of Canadian refugees are women, with many of them of childbearing age and pregnant. Refugee and asylum-seeking women in Canada face a five times greater risk of developing postpartum depression than Canadian-born women. Mainstream psychological approaches to postpartum depression emphasize individual-level risk factors (e.g. hormones, thoughts, emotions) and individualized treatments (e.g. psychotherapy, medication). This conceptualization is problematic when applied to refugee and asylum-seeking women because it fails to acknowledge the migrant experience and the unique set of circumstances from which these women have come. The present theoretical article explores some of the consequences of applying this psychiatric label to the distress experienced by refugee and asylum-seeking women and presents an alternative way of conceptualizing and alleviating this distress. PMID:25389234

Brown-Bowers, Amy; McShane, Kelly; Wilson-Mitchell, Karline; Gurevich, Maria

2014-11-10

8

Women's rights, domestic violence, and recourse seeking in rural Bangladesh.  

PubMed

This article seeks to deepen understanding of the reasons that abused women in a resource-poor rural setting seek recourse so seldom and with so little success. Data from in-depth interviews and group discussions are used to explore the range of responses to domestic violence and to examine barriers to recourse seeking. Findings illustrate how the combination of poverty and gender inequality, inequities in the legal framework, and patriarchal attitudes and corruption in both formal and informal institutions at the local level discourage abused women from seeking recourse and decrease the likelihood of a favorable outcome when they do. PMID:18292373

Schuler, Sidney Ruth; Bates, Lisa M; Islam, Farzana

2008-03-01

9

Women's help seeking for intimate partner violence in Jordan.  

PubMed

Little is known about Jordanian women's help seeking for intimate partner violence (IPV), despite local and international investment in victim services. Using a clinic based survey (n = 517; response rate 70%) and focus group discussions (FGDs, n = 17) we explored Jordanian women's nonfamily help seeking for physical or sexual IPV. We evaluated survey data using bivariate and multivariate regression and examined FGD transcripts using open coding methodology. Nonfamily help seeking was uncommon, an option only in serious circumstances after familial help was ineffective, and correlated with violence severity and relative violence. Nonfamily resources are underutilized but critical for vulnerable Jordanian women. PMID:23998703

Spencer, Rachael A; Shahrouri, Manal; Halasa, Louma; Khalaf, Inaam; Clark, Cari Jo

2014-01-01

10

Why Chinese women do not seek help: a cultural perspective on the psychology of women  

Microsoft Academic Search

It is not surprising that many of the subjects of previous studies of help-seeking by Chinese parents and families have been women. After all, in almost all cultures women comprise the majority of those seeking help. Nonetheless a women's perspective on help-seeking is underrepresented in the literature. This paper, a follow-up to an earlier study, constitutes an analysis of two

Marcus Yu-Lung Chiu

2004-01-01

11

Seeking knowledge: Women, science, and Islam  

Microsoft Academic Search

In this paper, we report on research based on our work with feminist projects in science, run in the city of Coventry, UK. Our approach to working with women's groups on science projects was to “start from woman's lives”; understanding how difference women perceived science and technology was thus central to the projects. Among the communities involved were Asian Muslim

Rosalind Whitworth

1998-01-01

12

Rabies Exposure: When Should I Seek Medical Attention?  

MedlinePLUS

... I seek medical attention? Were you exposed to rabies? What materials can spread rabies? What kind of ... Events Rabies in the Americas World Rabies Day Rabies and Kids! File Formats Help: How do I ...

13

Battered Women’s Profiles Associated with Service Help-Seeking Efforts: Illuminating Opportunities for Intervention  

PubMed Central

Knowledge about where battered women present for services and the violence, biopsychosocial, and demographic factors associated with their help seeking can provide social workers with guidance in anticipating needs among this portion of their clientele. The authors examined the service contact patterns of a sample of battered women (N = 448) following an incident of partner violence that triggered legal involvement. Significant group differences, tested with t tests and chi squares, between women who sought compared with those who did not seek services were found on partner violence exposure and biopsychosocial factors. Correlations and regression analyses of relationships among partner violence and biopsychosocial and demographic factors with help-seeking indices show how battered women’s needs differentially relate across a range of service types. Results show distinctive profiles of needs and resources among battered women who seek violence, legal, health, economic, substance abuse, and religious helping services.

Macy, Rebecca J.; Nurius, Paula S.; Kernic, Mary A.; Holt, Victoria L.

2015-01-01

14

Indications for Seeking a Medical Consultation  

ERIC Educational Resources Information Center

Recognizing barriers to academic success and full student development, some of which are medical in nature, is a primary task of school psychologists. Expanding biomedical information compels school-based psychologists to collaborate with medical professionals when their input can clarify diagnostic issues and expand treatment choices. This…

Wodrich, David L.; Kaplan, Allen M.

2006-01-01

15

Unsuccessful prior attempts to terminate pregnancy among women seeking first trimester abortion at registered facilities in Bihar and Jharkhand, India.  

PubMed

Many abortion seekers in India attempt to induce abortion on their own, by accessing oral medication/preparations from a chemist without a prescription or from an unauthorized provider, and present at registered facilities if these attempts fail. However, little is known about those whose efforts fail or the ways in which programmes and policies may address the needs of such women. This paper explores the experiences of women whose efforts failed, including their socio-demographic profile, the preparations they used, and the extent to which they experienced serious complications, delayed seeking care from an authorized provider, or delayed abortion until the second trimester of pregnancy. Data come from a larger study assessing the feasibility of the provision of medical abortion by non-physicians; a total of 3394 women who sought medical abortion from selected clinical settings in Bihar and Jharkhand between 2008 and 2010 constitute the sample. Prior to visiting the clinic, nearly a third of these women (31%) had made at least one unsuccessful attempt to terminate the unwanted pregnancy by using a range of oral medications/preparations available over-the-counter in medical shops. Logistic regression analysis suggests that educated women (OR 1.6-1.7), those from urban areas (OR 6.2) and those from Bihar (OR 1.6) were significantly more likely than women with no education, rural women and those from Jharkhand to have used such medication. Also notable is that the average gestational age of women who had made a previous attempt to terminate their pregnancy was almost identical to that of women who had not done so when they presented at the registered facility. These findings may inform policies and programmes that seek to identify and reduce the potential risks associated with unauthorized abortion-seeking practices, and highlight the need to fully inform women, chemists and providers about oral medications, what works and what does not, and how effective medication must be taken. PMID:22938870

Kumar, Rajesh; Zavier, A J Francis; Kalyanwala, Shveta; Jejeebhoy, Shireen J

2013-03-01

16

Women in STEM networks: who seeks advice and support from women scientists?  

Microsoft Academic Search

Supporting and advancing women’s science careers continues to be of interest to researchers, scientists, science funders,\\u000a and universities. Similarly, professional advice and support networks are important to understanding the advancement of scientific\\u000a careers. This research aims to marry these two lines of research to investigate and compare the ways in which men and women\\u000a scientists seek advice and support from

Mary K. Feeney; Margarita Bernal

2010-01-01

17

Birth characteristics in a clinical sample of women seeking infertility treatment: a case–control study  

PubMed Central

Objective To determine the distribution of low birth weight (LBW), preterm birth, small for gestational age (SGA) and large for gestational age (LGA) by main cause of infertility (female, combined, male, unexplained) in women seeking infertility treatment. Design A case–control study. Setting A Centre for Reproductive Medicine in Sweden. Participants All women (n=1293) born in Sweden in 1973 or later and who were part of heterosexual couples seeking infertility treatment at a Centre of Reproductive Medicine from 2005 to 2010 were asked to participate. Those who had not begun the diagnostic process and who declined participation in the study were excluded. In total, 1206 women (94.5%) participated in the study. Main outcome measures Main cause of infertility (female, combined, male, unexplained) collected from the patients’ medical charts. LBW (<2500?g), preterm birth (<37?weeks), SGA (+2SD of the mean weight for the gestational length), collected from the Swedish Medical Birth Register. Results The risk of being born with LBW was increased about 2.4 times (OR=2.40, CI 1.13 to 5.07, p=0.02) in women seeking treatment for infertility due to female causes rather than for male or unexplained causes. Women with a female infertility factor were 2.7 times more likely to be born SGA (OR=2.73, CI 1.02 to 7.34, p=0.047) compared with those in whom the cause of infertility was unexplained. Conclusions Women born with LBW or SGA seem to suffer an increased risk of infertility due to a female factor. Thus, infants born with birth characteristics that deviate from the norm may be at greater risk of difficulties in childbearing later on in life. Since this study is the first of its kind, more studies are needed to verify the associations found in this study and to determine their nature. PMID:24613821

Vikström, Josefin; Hammar, Mats; Josefsson, Ann; Bladh, Marie; Sydsjö, Gunilla

2014-01-01

18

Medical Education for Women in Great Britain.  

ERIC Educational Resources Information Center

Prior to 1858, the women in Great Britain were denied the right to attend courses in the medical curricula that were prerequisites to the practicing of medicine in that country. The movement to permit women to study and practice medicine was spearheaded by Sophia Jex-Blake when she sought admission to the medical classes in the University of…

Lutzker, Edythe

19

Help-Seeking in a National Sample of Victimized Latino Women: The Influence of Victimization Types  

ERIC Educational Resources Information Center

The current study aimed to examine formal and informal help-seeking responses to interpersonal victimization among a national sample of Latino women. In addition, an examination of help-seeking by victimization type was undertaken. Data came from the Sexual Assault Among Latinas (SALAS) study that obtained help-seeking rates among a victimized…

Sabina, Chiara; Cuevas, Carlos A.; Schally, Jennifer L.

2012-01-01

20

Curriculum Redevelopment: Medical Geography and Women's Health.  

ERIC Educational Resources Information Center

Reports on efforts to redesign medical geography courses taught to undergraduate and graduate students. Describes the author's participation in a curriculum development seminar that focused on current research on women and other underrepresented groups. (CFR)

Matthews, Stephen A.

1993-01-01

21

Investigating barriers to electronic medical record use during collaborative information seeking activities  

Microsoft Academic Search

Collaborative information seeking (CIS) is an intrinsic part of medical work. Patient care teams increasingly rely upon various systems, such as Electronic Medical Records (EMRs), to support collaborative information seeking across hierarchical, functional and occupational boundaries of the organization in order to enhance the quality of medical care. However, despite their proven benefits, there still are several challenges to using

Arvind Karunakaran; Young Hee-Nam; Madhu Reddy

2012-01-01

22

Medical Risks for Women Who Drink Alcohol  

PubMed Central

OBJECTIVE To summarize for clinicians recent epidemiologic evidence regarding medical risks of alcohol use for women. METHODS MEDLINE and PsychINFO, 1990 through 1996, were searched using key words “women” or “woman,” and “alcohol.” MEDLINE was also searched for other specific topics and authors from 1980 through 1996. Data were extracted and reviewed regarding levels of alcohol consumption associated with mortality, cardiovascular disease, alcohol-related liver disease, injury, osteoporosis, neurologic symptoms, psychiatric comorbidity, fetal alcohol syndrome, spontaneous abortion, infertility, menstrual symptoms, breast cancer, and gynecologic malignancies. Gender-specific data from cohort studies of general population or large clinical samples are primarily reviewed. MAIN RESULTS Women develop many alcohol-related medical problems at lower levels of consumption than men, probably reflecting women's lower total body water, gender differences in alcohol metabolism, and effects of alcohol on postmenopausal estrogen levels. Mortality and breast cancer are increased in women who report drinking more than two drinks daily. Higher levels of alcohol consumption by women are associated with increased menstrual symptoms, hypertension, and stroke. Women who drink heavily also appear to have increased infertility and spontaneous abortion. Adverse fetal effects occur after variable amounts of alcohol consumption, making any alcohol use during pregnancy potentially harmful. CONCLUSIONS In general, advising nonpregnant women who drink alcohol to have fewer than two drinks daily is strongly supported by the epidemiologic literature, although specific recommendations for a particular woman should depend on her medical history and risk factors. PMID:9754520

Bradley, Katharine A; Badrinath, Seeta; Bush, Kristen; Boyd-Wickizer, Jodie; Anawalt, Bradley

1998-01-01

23

Contraceptive use among women seeking repeat abortion in Addis Ababa, Ethiopia.  

PubMed

Limited access to modern contraceptives in populations that desire smaller families can lead to repeat unintended pregnancy and repeat abortions. We conducted an analysis of the medical records of 1,200 women seeking abortion-related services in public and private facilities in Addis Ababa, Ethiopia from October 2008 to February 2009. We examined the characteristics of initial and repeat abortion clients including prior contraceptive use and subsequent method selection. The incidence of repeat abortion was 30%. Compared with women seeking their first abortion, significantly more repeat abortion clients had ever used contraceptives and they were nearly twice as likely to leave the facility with a method. However, repeat abortion clients were significantly more likely to have ever used short-term reversible methods and to choose short-term methods post-abortion. Contraceptive counseling services for repeat abortion clients' should address reasons for previous contraceptive failure, discontinuation, or non-use. Post-abortion family planning services should be strengthened to help decrease repeat abortion. PMID:24558782

Prata, Ndola; Holston, Martine; Fraser, Ashley; Melkamu, Yilma

2013-12-01

24

Latin American women’s experiences with medical abortion in settings where abortion is legally restricted  

PubMed Central

Abortion is legally restricted in most of Latin America where 95% of the 4.4 million abortions performed annually are unsafe. Medical abortion (MA) refers to the use of a drug or a combination of drugs to terminate pregnancy. Mifepristone followed by misoprostol is the most effective and recommended regime. In settings where mifepristone is not available, misoprostol alone is used. Medical abortion has radically changed abortion practices worldwide, and particularly in legally restricted contexts. In Latin America women have been using misoprostol for self-induced home abortions for over two decades. This article summarizes the findings of a literature review on women’s experiences with medical abortion in Latin American countries where voluntary abortion is illegal. Women’s personal experiences with medical abortion are diverse and vary according to context, age, reproductive history, social and educational level, knowledge about medical abortion, and the physical, emotional, and social circumstances linked to the pregnancy. But most importantly, experiences are determined by whether or not women have the chance to access: 1) a medically supervised abortion in a clandestine clinic or 2) complete and accurate information on medical abortion. Other key factors are access to economic resources and emotional support. Women value the safety and effectiveness of MA as well as the privacy that it allows and the possibility of having their partner, a friend or a person of their choice nearby during the process. Women perceive MA as less painful, easier, safer, more practical, less expensive, more natural and less traumatic than other abortion methods. The fact that it is self-induced and that it avoids surgery are also pointed out as advantages. Main disadvantages identified by women are that MA is painful and takes time to complete. Other negatively evaluated aspects have to do with side effects, prolonged bleeding, the possibility that it might not be effective, and the fact that some women eventually need to seek medical care at a hospital where they might be sanctioned for having an abortion and even reported to the police. PMID:23259660

2012-01-01

25

041 (a) 1-WH 06/2012 MEDICAL HISTORY--WOMEN'S HEALTH Page 1 of 1 MEDICAL HISTORY WOMEN'S HEALTH  

E-print Network

041 (a) 1-WH 06/2012 MEDICAL HISTORY--WOMEN'S HEALTH Page 1 of 1 MEDICAL HISTORY ­ WOMEN'S HEALTH: _______________________ DOB: / / Mo. Day Year Please complete for your first Women's Health visit at University Health

Yener, Aylin

26

Psychological Consequences of Abortion among the Post Abortion Care Seeking Women in Tehran  

PubMed Central

Objective Abortion either medical or criminal has distinctive physical, social, and psychological side effects. Detecting types and frequent psychological side effects of abortion among post abortion care seeking women in Tehran was the main objective of the present study. Method 278 women of reproductive age (15-49) interviewed as study population. Response rate was 93/8. Data collected through a questionnaire with 2 parts meeting broad socio-economic characteristics of the respondents and health- related abortion consequences. Tehran hospitals were the site of study. Results The results revealed that at least one-third of the respondents have experienced psychological side effects. Depression, worrying about not being able to conceive again and abnormal eating behaviors were reported as dominant psychological consequences of abortion among the respondents. Decreased self-esteem, nightmare, guilt, and regret with 43.7%, 39.5%, 37.5%, and 33.3% prevalence rates have been placed in the lower status, respectively. Conclusion Psychological consequences of abortion have considerably been neglected. Several barriers made findings limited. Different types of psychological side effects, however, experienced by the study population require more intensive attention because of chronic characteristic of psychological disorders, and women's health impact on family and population health. PMID:22952518

Pourreza, Abolghasem

2011-01-01

27

Resistance, agency, and liminality in women's accounts of symptom appraisal and help-seeking upon discovery of a breast irregularity.  

PubMed

In the breast cancer literature, "delayed presentation" is defined as a period of 3 months or more between the self-detection of a new breast symptom and the decision to seek help for it. Delay studies have overlooked the relevance of dominant medical discourses such as those concerning "proper" health. In this paper we use a critical discursive method to analyze interviews with 14 women about their symptom appraisal process to demonstrate how many inhabited a liminal space comprised of both "knowing and not knowing" about the symptom, and "acting and not acting" on it (interviews took place from January 2006 to April 2007). We describe three discursive themes that arose in the transcripts including "Doing the right thing", "Deliberate ignorance", and "Passive resistance." These women's narratives are juxtaposed with two commonly accepted medical discourses in relation to self-detected breast symptoms: That of the woman who was unaware of her symptom, or interpreted it as being insignificant, and therefore, not requiring medical attention; or that of the woman who noticed the symptom, interpreted it as threatening, and immediately sought medical attention. We suggest that such discourses are constricting and fail to account for the sizeable number of women who do not fit this mold (i.e., those who are both aware of the concerning change and delay presentation). We conclude that these constricting medical discourses effectively have a role to play in the contradictory reasoning or perceived irrationality of women's delay behavior when it occurs. PMID:22884943

Granek, Leeat; Fergus, Karen

2012-11-01

28

The medicalization of women's sexual pain.  

PubMed

The medicalization of women's sexual problems under the overall rubric of female sexual dysfunction (FSD) has been thoroughly critiqued by feminist scholars, health practitioners, and sex therapists. However, there has been much less commentary on the medicalization of women's sexual pain-currently, a subset of an official FSD diagnosis. This article critically examines interdisciplinary understandings and ways of addressing sexual pain. It analyzes these frameworks in relation to feminist theories on medicalization, heteronormativity, and the reciprocal relationship between these two processes. We argue that many women who experience sexual pain have been eager for medicalization as a path to minimizing pain during sexual activity and reinstating normative heterosexual practices and identities. These goals have been lobbied for by patient advocacy groups and noted by professionals in the field. Although there are some clear benefits to this case for medicalization, there are also theoretical, personal, and political costs. Guided by a growing body of feminist theoretical and qualitative, empirical research on this topic, as well as the first author's personal experience of sexual pain, this article highlights some alternatives to medicalization and makes suggestions for change. PMID:22720824

Farrell, Janine; Cacchioni, Thea

2012-01-01

29

Trauma, Depression, Coping, and Mental Health Service Seeking Among Impoverished Women  

ERIC Educational Resources Information Center

The authors examined the relationship among trauma, coping, depression, and mental health service seeking in a probability sample of sheltered homeless and low-income housed women. Results highlight the diversity of trauma. In a longitudinal analysis, women who lived in shelters or experienced major violence had a twofold increase in their risk of…

Rayburn, Nadine Recker; Wenzel, Suzanne L.; Elliott, Marc N.; Hambarsoomians, Katrin; Marshall, Grant N.; Tucker, Joan S.

2005-01-01

30

Lung Cancer Stigma Predicts Timing of Medical Help–Seeking Behavior  

PubMed Central

Purpose/Objectives To examine relationships among demographic variables, healthcare system distrust, lung cancer stigma, smoking status, and timing of medical help–seeking behavior in individuals with symptoms suggestive of lung cancer after controlling for ethnicity, socioeconomic status, and social desirability. Design Descriptive, cross-sectional, correlational study. Setting Outpatient oncology clinics in Louisville, KY. Sample 94 patients diagnosed in the past three weeks to six years with all stages of lung cancer. Methods Self-report, written survey packets were administered in person followed by a semistructured interview to assess symptoms and timing characteristics of practice-identified patients with lung cancer. Main Research Variables Timing of medical help–seeking behavior, healthcare system distrust, lung cancer stigma, and smoking status. Findings Lung cancer stigma was independently associated with timing of medical help–seeking behavior in patients with lung cancer. Healthcare system distrust and smoking status were not independently associated with timing of medical help–seeking behavior. Conclusions Findings suggest that stigma influences medical help–seeking behavior for lung cancer symptoms, serving as a barrier to prompt medical help–seeking behavior. Implications for Nursing When designing interventions to promote early medical help–seeking behavior in individuals with symptoms suggestive of lung cancer, methods that consider lung cancer stigma as a barrier that can be addressed through public awareness and patient-targeted interventions should be included. PMID:24769603

Carter-Harris, Lisa; Hermann, Carla P.; Schreiber, Judy; Weaver, Michael T.; Rawl, Susan M.

2014-01-01

31

The Efficacy of a Condensed Seeking Safety Intervention for Women in Residential Chemical Dependence Treatment at 30 Days Posttreatment  

Microsoft Academic Search

This study examined the efficacy of a condensed version of the Seeking Safety intervention in the reduction of trauma-related symptoms and improved drug abstinence rates among women in residential chemical dependence treatment. One hundred and four women were randomly assigned to treatment including a condensed (six session) Seeking Safety intervention or the standard chemical dependence intervention. The Seeking Safety participants

Anna Cash Ghee; Lanny C. Bolling; Candace S. Johnson

2009-01-01

32

Partnered Decisions? U.S. Couples and Medical Help-Seeking for Infertility  

ERIC Educational Resources Information Center

We examined male partners' influence on the decision to seek medical help for infertility using the National Study of Fertility Barriers. Building upon an existing help-seeking framework, we incorporated characteristics of both partners from 219 heterosexual couples who had ever perceived a fertility problem. In logistic regression analyses, we…

Johnson, Katherine M.; Johnson, David R.

2009-01-01

33

Seeking life balance: the perceptions of health of Cambodian women in resettlement.  

PubMed

This grounded theory study in California, United States was an inquiry into the perceptions of health of Cambodian women in resettlement. The sequelae of significant life trauma on the health of women who escaped political conflict have received little attention in the nursing literature. Thirty-nine Cambodian women were recruited through a social service organization and verbal referrals. Open-ended questions and a conversational approach to dialogue and data gathering facilitated the interview process. Women were interviewed at home or the local temple. Seeking life balance emerged as the core perspective of this study. The relationships between thematic categories of seeking life balance, patterns of knowing, and caring for self were salient. Outcomes of these interrelationships further moved women's health toward disharmony or harmony. The findings of this study are limited by sampling participants in a tightly networked community and may serve as a pilot for future research. PMID:23545697

Catolico, Olivia

2013-07-01

34

Seeking Authenticity: Women and Learning in the Catholic Worker Movement  

ERIC Educational Resources Information Center

Oral history interviews form the basis of an investigation into both the context and the everyday actions that contributed to the learning environment for women within the Catholic Worker Movement during the 1930s and 1940s. Findings reveal that narrators (a) were grounded in a variety of learning environments including family, Catholic Church,…

Parrish, Marilyn McKinley; Taylor, Edward W.

2007-01-01

35

Seeking Authenticity: Women and Learning in the Catholic Worker Movement  

Microsoft Academic Search

Oral history interviews form the basis of an investigation into both the context and the everyday actions that contributed to the learning environment for women within the Catholic Worker Movement during the 1930s and 1940s. Findings reveal that narrators (a) were grounded in a variety of learning environments including family, Catholic Church, and school contexts; (b) sought adventure and authenticity

Marilyn McKinley Parrish; Edward W. Taylor

2007-01-01

36

Intimate partner violence and help-seeking – a cross-sectional study of women in Sweden  

PubMed Central

Background Intimate partner violence (IPV) is a global public health concern with possible detrimental consequences for its victims. Studies have found prevalence rates of 15 to 71% for IPV. There is evidence that IPV exposed women perceive barriers to help-seeking and many remain undetected by care givers and authorities. This cross-sectional study aimed to examine IPV exposed women in relation to help-seeking versus non help-seeking from the social services or women’s shelters with regard to social and psychological characteristics as well as relationship with the perpetrator and type of violence exposure. Methods Two groups of Swedish IPV exposed women were included: non help-seekers (n?=?128) were recruited through ads in newspapers, while help-seekers (n?=?347) were recruited from four social service sites and twenty women’s shelters around Sweden. Participants were assessed with questionnaires regarding age, education, occupation and relation to the perpetrator as well as validated instruments measuring psychological distress, psychosocial functioning alcohol use and violence. Analyses were made using Chi2 and multivariate logistic regression. Results Help-seekers had significantly more often children together with the perpetrator than non help-seekers (64% and 29% respectively) and a high association was found in the fully adjusted model (Adj. OR?=?5.46 95% CI 2.99-9.97). Many women in both groups reported a poor social situation and high levels of psychological distress, although more psychological distress was associated with elevated odds for help-seeking (Adj. OR?=?2.83 95% CI 1.84-4.34). No differences were found between the groups regarding violence exposure and most women in both groups had experienced severe violence from an intimate partner (95% to 98%). Conclusions Results indicate a high problem load among women who had not contacted the social services or women’s shelters due to IPV, and that non help-seekers had similar experiences of severe IPV as help-seekers. This stresses a need to identify IPV exposed women outside specialized settings within the social services and women’s shelters. Asking about partner violence in various health and social care settings could be a feasible strategy to identify battered women and provide them with alternatives for help that ultimately could lead to a life without violence. PMID:24053735

2013-01-01

37

Johns Hopkins study finds obese white women less likely to seek colon cancer screening  

Cancer.gov

A new study by Johns Hopkins researchers shows that obese white women may be less likely than normal-weight counterparts and African-Americans of any weight or gender to seek potentially lifesaving colon cancer screening tests. Results of this study follow the same Johns Hopkins group’s previous research suggesting that obese white women also are less likely to arrange for mammograms, which screen for breast cancer, and Pap smears, which search for early signs of cervical cancer.

38

Analyzing Traditional Medical Practitioners' Information-Seeking Behaviour Using Taylor's Information-Use Environment Model  

ERIC Educational Resources Information Center

This survey-based study examined the information-seeking behaviour of traditional medical practitioners using Taylor's information use model. Respondents comprised all 160 traditional medical practitioners that treat sickle cell anaemia. Data were collected using an interviewer-administered, structured questionnaire. Frequency and percentage…

Olatokun, Wole Michael; Ajagbe, Enitan

2010-01-01

39

Health information-seeking behavior and older African American women.  

PubMed

This study explored the ways in which urban, older, African American women obtain health information and some of the factors that influence such activity. Among the possible determinants examined were self-perceived literacy, access to health information, and mobility. The findings suggest that respondents receive health information from their physicians, the mass media, and members of their social networks. The results of this research also indicated that members of this population have a highly positive perception of the public library, although only a small segment use the library regularly, and that it may be in the interest of the library to investigate the role it could play in providing health information to older adults. PMID:9160150

Gollop, C J

1997-04-01

40

Effectiveness of a Mass Media Campaign in Promoting HIV Testing Information Seeking Among African American Women  

Microsoft Academic Search

“Take Charge. Take the Test.” (TCTT), a media campaign promoting HIV testing among African American women, was piloted in Cleveland and Philadelphia from October 2006 to October 2007. This study assesses TCTT's effectiveness in promoting HIV testing information seeking among target audiences in each pilot city. The authors analyzed data on telephone hotlines promoted by the campaign and the www.hivtest.org

Kevin C. Davis; Jennifer Uhrig; Douglas Rupert; Jami Fraze; Joshua Goetz; Michael Slater

2011-01-01

41

Synergy between Seeking Safety and Twelve-Step Affiliation on Substance Use Outcomes for Women  

PubMed Central

Objective The Recovery Management paradigm provides a conceptual framework for the examination of joint impact of a focal treatment and post-treatment service utilization on substance abuse treatment outcomes. We test this framework by examining the interactive effects of a treatment for comorbid PTSD and substance use, Seeking Safety, and post-treatment Twelve-Step Affiliation (TSA) on alcohol and cocaine use. Method Data from 353 women in a six-site, randomized controlled effectiveness trial within the NIDA Clinical Trials Network were analyzed under latent class pattern mixture modeling. LCPMM was used to model variation in Seeking Safety by TSA interaction effects on alcohol and cocaine use. Results Significant reductions in alcohol use among women in Seeking Safety (compared to Health Education) were observed; women in the Seeking Safety condition who followed up with TSA had the greatest reductions over time in alcohol use. Reductions in cocaine use over time were also observed but did not differ between treatment conditions nor were there interactions with post-treatment TSA. Conclusions Findings advance understanding of the complexities for treatment and continuing recovery processes for women with PTSD and SUDs, and further support the chronic disease model of addiction. PMID:23558158

Morgan-Lopez, Antonio A.; Saavedra, Lissette M.; Hien, Denise A.; Campbell, Aimee N.; Wu, Elwin; Ruglass, Lesia

2014-01-01

42

The Efficacy of a Condensed "Seeking Safety" Intervention for Women in Residential Chemical Dependence Treatment at 30 Days Posttreatment  

ERIC Educational Resources Information Center

This study examined the efficacy of a condensed version of the "Seeking Safety" intervention in the reduction of trauma-related symptoms and improved drug abstinence rates among women in residential chemical dependence treatment. One hundred and four women were randomly assigned to treatment including a condensed (six session) "Seeking Safety"…

Cash Ghee, Anna; Bolling, Lanny C.; Johnson, Candace S.

2009-01-01

43

Introduction: Women's Health: A Catalyst for Reform of Medical Education.  

ERIC Educational Resources Information Center

Discusses curriculum reform in medical education to ensure that women's health issues receive adequate attention. There has been remarkable progress in this area, but the reforms have not yet been translated into equitable care for women patients. (SLD)

Donoghue, Glenda D.

2000-01-01

44

Perilous Uncertainty: Situating Women's Breast-Health Seeking in Northern Peru.  

PubMed

Breast cancer rates in Peru, as in other low- and middle-income countries, continue to rise, and survival rates are poor, in part because many women are diagnosed with late-stage disease. As part of a pilot project to improve breast cancer screening and diagnostic services in remote regions of Peru, the Program for Appropriate Technology in Health (PATH) partnered with Peruvian organizations to train community health workers in breast health promotion and providers in clinical breast exam (CBE). To inform these strategies, we undertook a qualitative study to determine factors that influence Peruvian women's decisions to seek CBE. Anthropological approaches incorporating the PRECEDE/PROCEED public health model guided our conversations with providers and women living in the region of the pilot intervention. Grounded theory analysis helped us uncover a central theme of uncertainty, a state of doubt and insecurity that created a sense of impotent worry and impeded clinical health-seeking behaviors. PMID:24747287

Hayes Constant, Tara K; Winkler, Jennifer L; Bishop, Amie; Taboada Palomino, Leyla G

2014-04-18

45

Health-seeking behaviors and self-care practices of Dominican women with lymphoedema of the leg: implications for lymphoedema management programs  

PubMed Central

Background In the Dominican Republic, a Latin American country with filariasis-endemic areas, more than 63,000 people have lymphatic filariasis and more than 400,000 people are at risk of future infection. In this paper, we explore the health beliefs, health-seeking behaviors and self-care practices of women with lymphoedema in filariasis-endemic areas to better understand the needs of women when developing lymphoedema morbidity control programs. Methods Qualitative data were collected through semi-structured interviews of 28 women, 3 focus group discussions with 28 women, field notes and photographs. Results Women described exhaustive and expensive attempts at seeking a cure for their lymphoedema. Family members were influential in providing women with initial care seeking referrals to indigenous healers credited with influence over physical, mental, spiritual and supernatural properties of illness. When indigenous treatments proved to be ineffectual, the women sought care from trained healthcare providers. Most healthcare providers incorrectly diagnosed the edema, failed to adequately treat and meet the needs of women and were viewed as expensive. Most women resorted to self-prescribing injectable, oral, or topical antibiotics along with oral analgesics as a standard practice of self-care. Conclusion Healthcare providers must understand a woman's cultural perspectives of illness, her natural networks of support and referral, her behavioural practices of care-seeking and self-care and the financial burden of seeking care. In the culture of the Dominican Republic family members and traditional healthcare providers are influential advisors on initial health-seeking behaviors and self-care practices. For this reason family-oriented interventions, support groups for women and their families, community education and training on simple, low cost lymphoedema management techniques for indigenous healers are viable ways to influence the early detection, diagnosis and treatment of women with lymphoedema. The extensive use of injectable, oral and topical antibiotics by indigenous healers and women without medical supervision suggests a need for health education messages related to the risks of such practices. PMID:17187660

Person, Bobbie; Addiss, David G; Bartholomew, L Kay; Meijer, Cecilia; Pou, Victor; van den Borne, Bart

2006-01-01

46

Contesting the cruel treatment of abortion-seeking women.  

PubMed

This article draws on legal arguments made by civil society organisations to challenge the legal reasoning that apparently produced the decision in the Ms Y case in Ireland in August 2014. I show how legal standards of reasonableness and practicality ought to be interpreted in ways that are respectful of the patient's wishes and rights. The case concerned a decision by the Health Service Executive, the Irish public health authority, to refuse an abortion to a pregnant asylum seeker and rape survivor on the grounds that a caesarean section and early live delivery were practicable and reasonable alternatives justified by the need to protect fetal life. I argue that the abortion refusal may not have been a reasonable decision, as required by the terms of relevant legislation, for four different reasons. First, the alternative of a caesarean section and early live delivery was not likely to avert the risk of suicide, and in fact did not do so. Second, the consent to the caesarean section alternative may not have been a real consent in the legal sense if it was not voluntary. Third, an abortion refusal and forcible treatment fall below the norms of good medical practice as interpreted through a patient-centred perspective. Fourth, an abortion refusal that entails forms of cruel, inhumane and degrading treatment ought not to be a reasonable action under the legislation. PMID:25555759

Fletcher, Ruth

2014-11-01

47

Pregnancy-Related Health Information-Seeking Behaviors Among Rural Pregnant Women in India: Validating the Wilson Model in the Indian Context  

PubMed Central

Objectives: Understanding health information-seeking behaviors and barriers to care and access among pregnant women can potentially moderate the consistent negative associations between poverty, low levels of literacy, and negative maternal and child health outcomes in India. Our seminal study explores health information needs, health information-seeking behaviors, and perceived information support of low-income pregnant women in rural India. Methods: Using the Wilson Model of health information-seeking framework, we designed a culturally tailored guided interview to assess information-seeking behaviors and barriers to information seeking among pregnant women. We used a local informant and health care worker to recruit 14 expectant women for two focus group interviews lasting 45 minutes to an hour each. Thirteen other related individuals including husbands, mothers, mothers-in-law, and health care providers were also recruited by hospital counselors for in-depth interviews regarding their pregnant wives/daughters and daughters-in-law. Interviews were transcribed and analyzed by coding the data into thematic categories. Results: The data were coded manually and emerging themes included pregnancy-related knowledge and misconceptions and personal, societal, and structural barriers, as well as risk perceptions and self-efficacy. Lack of access to health care and pregnancy-related health information led participants to rely heavily on information and misconceptions about pregnancy gleaned from elder women, friends, and mothers-in-law and husbands. Doctors and para-medical staff were only consulted during complications. All women faced personal, societal, and structural level barriers, including feelings of shame and embarrassment, fear of repercussion for discussing their pregnancies with their doctors, and inadequate time with their doctors. Conclusion: Lack of access and adequate health care information were of primary concern to pregnant women and their families. Policy Implications: Our study can help inform policies and multi-sectoral approaches that are being taken by the Indian government to reduce maternal and child morbidity and burdens. PMID:25191141

Das, Ashavaree; Sarkar, Madhurima

2014-01-01

48

The limits of medicine: Women's perception of medical technology  

Microsoft Academic Search

This paper develops an analysis of women's perceptions of medical technology and the elements which shape them, and then draws out the implications for medicine and the medicalization thesis. In the first part of the paper we outline the macro-theoretical debates about medicalization and the role of medical technology in this process, and the consequences for those who use health

Jonathan Gabe; Michael Calnan

1989-01-01

49

Women’s Perspectives on their Experiences of Chronic Pelvic Pain and Medical Care  

Microsoft Academic Search

This study aimed to explore women’s experiences of chronic pelvic pain (CPP). Twenty-one interviews with women 12 to 18 months after a negative laparoscopy were conducted. A predominantly qualitative methodology was adopted. The majority of women were still experiencing pain at this time, yet few were in receipt of continuing medical care. Women’s accounts suggested that their pain continued to

C. J. Savidge; P. Slade; P. Stewart; T. C. Li

1998-01-01

50

An attachment insecurity model of negative affect among women seeking treatment for an eating disorder.  

PubMed

The purpose of this study was to propose and test a model of attachment insecurity in a clinical sample of 268 eating disordered women. Structural relationships among attachment insecurity, BMI, perceived pressure to diet, body dissatisfaction, restrained eating, and negative affect were assessed. A heterogeneous sample of treatment seeking women with a diagnosed eating disorder completed psychometric tests prior to receiving treatment. The data were analysed using structural equation modeling. Fit indices indicated that the hypothesized model fit adequately to the data. Although cross-sectional in nature, the data suggested that attachment insecurity may lead to negative affect. As well, attachment insecurity may lead to body dissatisfaction, which in turn may lead to restrained eating among women with eating disorders. Attachment insecurity could be a possible vulnerability factor for the development of eating disorder symptoms among women. PMID:16843228

Tasca, Giorgio A; Kowal, John; Balfour, Louise; Ritchie, Kerri; Virley, Barbara; Bissada, Hany

2006-08-01

51

Social network normative influence and sexual risk-taking among women seeking a new partner.  

PubMed

This paper examines the relative influence of social network norms on sexual risk-taking among women seeking a new partner in Quebec (Canada). A survey was conducted among 430 women, 30 to 54 years of age, and living without a partner. Condom use is significantly influenced by the norms of women's different social networks: confidants, social circles through which they meet partners (e.g., family, friends, internet or newspapers virtual communities), with a minority following prescribed condom use habits. Further the results indicate that among the study participants the search for love and well being, social proximity, feelings of trust and intimacy that appear to evolve almost instantly in new encounters, are in conflict with the prescribed condom-use norms. These results suggest that there is a need to build new norms for starting relationships, for improved dialogue among women and between women and men on affective solitude. The findings also underscore the need for public health interventions that seek to influence social networks as well as the behavior of individuals. PMID:15970576

Dedobbeleer, Nicole; Morissette, Pauline; Rojas-Viger, Celia

2005-01-01

52

Medical apps in endocrine diseases – hide and seek  

PubMed Central

Objectives: Quantitative review and categorization of available endocrinology related mobile apps for the iOS platform (Apple®) and outline of search strategies to identify appropriate mobile apps for this field. Methods: A total of 80 endocrinology related search terms were collected and grouped into 8 main categories covering different areas of endocrinology. These terms were then used to perform comprehensive searches in three categories of Apple’s app store, namely ‘Medicine’, ‘Health and Fitness’, and ‘Reference’. Results: Altogether, matches were found for only 33 of the 80 collected endocrinology related search terms; the majority of matches were found in the medical category, followed by matches for the health and fitness (27/33), and reference (16/33) categories. Restricting the search to these categories significantly helped in discriminating between health related apps and those having another purpose. The distribution of apps per category roughly matches what one can expect considering available data for incidence and prevalence of corresponding endocrinological conditions. Apps matching terms belonging to the spectrum of glucose homeostasis disorders are the most common. For conditions where patients do not have to constantly monitor their condition, apps tend to have a reference or educational character, while for conditions that require a high level of involvement from patients, there are proportionally more apps for self-management. With a single exception, the identified apps had not undergone regulation, and information about the data sources, professional backgrounds, and reliability of the content and integrated information sources was rare. Conclusions: While applying a good search strategy is important for finding apps for endocrinology related problems, users also need to consider whether the app they have found respects all necessary criteria regarding reliability, privacy and data protection before they place their trust in it. PMID:25152809

von Jan, Ute

2014-01-01

53

Correlates for Legal Help-Seeking: Contextual Factors for Battered Women in Shelter  

PubMed Central

Legal redress can play a critical role in interrupting the pattern of domination and control inherent in intimate partner violence (IPV), yet it remains an infrequent strategy among battered women. The current study employed a contextual framework for investigating the correlates for engagement in the criminal justice system for a sample of 227 sheltered battered women. Results indicated that individual, relational, and system-level factors were all associated with two legal help-seeking behaviors: having a civil protection order and criminal prosecution. In particular, posttraumatic stress disorder (PTSD) symptomatology, social support, and prior experience with police officers were significant correlates for legal help-seeking. Results highlight the need for a coordinated community response to IPV, addressing both legal needs and psychological needs simultaneously. PMID:20055214

Wright, Caroline Vaile; Johnson, Dawn M.

2010-01-01

54

A Finger on the Pulse: Temporal Rhythms and Information Seeking in Medical Work  

E-print Network

A Finger on the Pulse: Temporal Rhythms and Information Seeking in Medical Work Madhu Reddy {mreddy, jpd}@ics.uci.edu ABSTRACT Most cooperative work takes place in information-rich environments. However, studies of "information work" tend to focus on the decontextualized access and retrieval problems

Dourish,Paul

55

Correlates of Body Image Dissatisfaction Among Overweight Women Seeking Weight Loss  

Microsoft Academic Search

Predictors of body image dissatisfaction (BID) among obese people are poorly understood. In 79 obese women seeking weight reduction, associations with BID of self-esteem, youth teasing, adult teasing, and internalization of sociocultural appearance standards (ISAS) were studied. Analyses revealed that only self- esteem, adult teasing, and ISAS predicted BID. Results highlight the importance of adulthood self-esteem and interpersonal-cultural context—rather than

Patty E. Matz; Gary D. Foster; Myles S. Faith; Thomas A. Wadden

2002-01-01

56

FOCUS Medical Student Fellowship in Women's Health Research  

E-print Network

FOCUS Medical Student Fellowship in Women's Health Research Website: www and 5 awards annually ­ Range of study in women's health, defined broadly; 1 award may be specific to CV completing 3rd year- some flexibility · Funding for 6 months of mentored, intensive women's health research

Bushman, Frederic

57

Neuroanatomical Differences between Men and Women in Help-Seeking Coping Strategy  

PubMed Central

Help seeking (HS) is a core coping strategy that is directed towards obtaining support, advice, or assistance as means of managing stress. Women have been found to use more HS than men. Neural correlates of sex differences have also been reported in prefrontal-limbic system (PLS) regions that are linked to stress and coping, yet structural differences between men and women relating to HS in the PLS are still unknown. Thus, the association between gray matter volume (GMV) and HS was investigated using voxel-based morphometry (VBM) in a large healthy sample (126 men and 156 women). Results indicated women reported more HS than men did. VBM results showed that the relation between HS scores and GMV differed between men and women in regions of the bilateral orbitofrontal cortex extending to the subgenual anterior cingulate cortex(OFC/sgACC). Among women, higher HS scores were associated with smaller GMV in these areas while a positive correlation between GMV and HS scores was observed among men. These results remained significant after controlling for general intelligence, stress, anxiety and depression. Thus, this study suggested that structural differences between men and women are correlated to characteristic brain regions known to be involved in the PLS which is considered critical in stress regulation. PMID:25027617

Li, Hai-Jiang; Sun, Jiang-Zhou; Zhang, Qing-Lin; Wei, Dong-Tao; Li, Wen-Fu; Jackson, Todd; Hitchman, Glenn; Qiu, Jiang

2014-01-01

58

Information-seeking behavior of cardiovascular disease patients in Isfahan University of Medical Sciences hospitals  

PubMed Central

Background: Patients, as one of the most prominent groups requiring health-based information, encounter numerous problems in order to obtain these pieces of information and apply them. The aim of this study was to determine the information-seeking behavior of cardiovascular patients who were hospitalized in Isfahan University of Medical Sciences hospitals. Materials and Methods: This is a survey research. The population consisted of all patients with cardiovascular disease who were hospitalized in the hospitals of Isfahan University of Medical Sciences during 2012. According to the statistics, the number of patients was 6000. The sample size was determined based on the formula of Cochran; 400 patients were randomly selected. Data were collected by researcher-made questionnaire. Two-level descriptive statistics and inferential statistics were used for analysis. Results: The data showed that the awareness of the probability to recover and finding appropriate medical care centers were the most significant informational needs. The practitioners, television, and radio were used more than the other informational resources. Lack of familiarity to medical terminologies and unaccountability of medical staff were the major obstacles faced by the patients to obtain information. The results also showed that there was no significant relationship between the patients’ gender and information-seeking behavior, whereas there was a significant relationship between the demographic features (age, education, place of residence) and information-seeking behavior. Conclusion: Giving information about health to the patients can help them to control their disease. Appropriate methods and ways should be used based on patients’ willingness. Despite the variety of information resources, patients expressed medical staff as the best source for getting health information. Information-seeking behavior of the patients was found to be influenced by different demographic and environmental factors. PMID:25250349

Zamani, Maryam; Soleymani, Mohammad Reza; Afshar, Mina; Shahrzadi, Leila; Zadeh, Akbar Hasan

2014-01-01

59

Women’s Perspectives on Counseling about Medication-Induced Birth Defects  

PubMed Central

Purpose This qualitative study explored women’s experiences with counseling about medication-induced birth defects, as well as how and when they would like to receive information on medication-induced birth defects from their health care providers (HCPs). Methods We conducted 4 focus groups with 36 women of reproductive age (18–45 years) in Pittsburgh, PA. Twenty-one women were using medications to treat a chronic health condition, and two were pregnant. Content analysis was performed by 3 independent coders using a Grounded Theory Approach. Discrepancies were resolved by consensus. Results Women reported depending on their HCPs for information about the risks of teratogenic effects of medications on a pregnancy, but felt the information they had been provided was not always comprehensive. Women want HCPs to initiate discussions about potentially teratogenic medications at the time the medications are prescribed, regardless of whether the woman is sexually active or planning a pregnancy. Women want clear information about all potential outcomes for a fetus. Factors women reported as being critical to effective teratogenic risk counseling included privacy, sufficient time to discuss the topic, and a trusting relationship with their HCP. Conclusions Women of reproductive age feel provision of information about the possible teratogenic effects of medications could be improved by routine discussions of teratogenic risks at the time medications are prescribed. PMID:19637252

Santucci, Aimee K.; Gold, Melanie A.; Akers, Aletha Y.; Borrero, Sonya; Schwarz, Eleanor Bimla

2009-01-01

60

Navigating Social and Institutional Obstacles: Low-Income Women Seeking Abortion.  

PubMed

Nearly half of all women in the United States will have at least one abortion during their lifetime, and many will encounter economic, logistical, and/or social obstacles while attempting to undergo the procedure. The purpose of this project was to examine the abortion-seeking experiences of a volunteer sample of Oregon women, to identify key barriers and the strategies women employed to overcome them. Using a mixed-methods approach combining survey and interview data with participant observation, we found that low-income women experienced structural and economic barriers to abortion even though abortion is covered by the state Medicaid program in Oregon. Social support helped women overcome obstacles, and a lack of support was itself experienced as an obstacle. Women of lower socioeconomic status also encountered more barriers and had a more difficult time overcoming them. Our findings indicate the need for improved advocacy to reduce structural delay, and to improve access to social support and other resources needed for timely abortion care. PMID:24970251

Ostrach, Bayla; Cheyney, Melissa

2014-06-16

61

'Intimate mothering publics': comparing face-to-face support groups and Internet use for women seeking information and advice in the transition to first-time motherhood.  

PubMed

This paper seeks to contribute to an understanding of the changing nature of support and information-seeking practices for women in the transition to first-time motherhood. In the context of increasing digitalisation, the significance of new virtual spaces for parenting is discussed. The paper demonstrates how women seek out alternative forms of expertise (specifically, non-medical expertise) and social support. The author argues for the importance of 'intimate mothering publics' through which women gather experiential information and practical support. These publics can act as a space for women to 'test' or legitimise their new identity as a mother. Intimate mothering publics are particularly useful for thinking about the meaning-making practices and learning experiences that occur during intimate online and face-to-face interactions. A variety of types of online support may be used during pregnancy. Surreptitious support in particular involves users invisibly receiving advice, information and reassurance that might otherwise be lacking. Access to intimate mothering publics is motivated by a number of factors, including feelings of community or acceptance, the desire to be a good mother or parent, emotional support and the need for practical and experiential advice. PMID:25339096

Johnson, Sophia Alice

2015-02-01

62

Prevalence and degree of sexual dysfunction in a sample of women seeking bariatric surgery  

PubMed Central

Background Sexual functioning is shown to be impaired in women who are obese, particularly those seeking bariatric surgery. However, most prior studies evaluating sexual function in these populations have not used validated measures. We used the validated Female Sexual Function Index (FSFI) to assess prevalence of female sexual dysfunction (FSD) in a sample of over 100 women evaluated for bariatric surgery. Methods The FSFI was administered to reportedly sexually active women during their preoperative evaluation. Scores for individual FSFI domains (desire, arousal, lubrication, orgasm, satisfaction, and pain) ranging from 0(or 1.2) to 6 were summed to produce a FSFI-total score (range = 2-36). A FSFI-total cut-off score of ? 26.55 was used to identify participants with FSD. Participants' FSFI- total and domain scores were compared to previously published norms available for women diagnosed with female sexual arousal disorder (FSAD) and healthy controls. Results Sixty-one of the 102 participants (59.8%) had FSFI-total scores ? 26.55, indicative of FSD. Older age and menopause were associated with FSD. Compared to published norms, bariatric surgery candidates had FSFI domain scores that were lower than the control group (ps <0.0001) but higher than the FSAD group (ps <0.0001), except for desire where scores were similar. Conclusion Women seeking bariatric surgery are clearly a population with substantial sexual function impairment, with 60% of participants reporting FSD. These findings highlight the need to initiate routine assessment of sexual functioning in this population and examine whether weight loss following bariatric surgery contributes to reversal of FSD. PMID:19733514

Bond, Dale S.; Vithiananthan, Siva; Leahey, Tricia M.; Thomas, J. Graham; Sax, Harry C.; Pohl, Dieter; Ryder, Beth A.; Roye, G. Dean; Giovanni, Jeannine; Wing, Rena R.

2009-01-01

63

Irish midwives’ experiences of providing maternity care to non-Irish women seeking asylum  

PubMed Central

Background Immigration and asylum seeking has been an important social and political phenomenon in Ireland since the mid 1990s. Inward migration to Ireland was seen in unprecedented numbers from 1995 onward, peaking in 2002 with 11,634 applications for refugee status. Asylum and immigration is an issue of national and international relevance as the numbers of displaced people worldwide continues to grow, reaching the highest level in 20 years at 45.2 million in 2012. Midwives provide the majority of care to childbearing women around the world, whether working as autonomous practitioners or under the direction of an obstetrician. Limited data currently exist on the perspectives of midwives who provide care to childbearing women while they are in the process of seeking asylum. Such data are important to midwifery leaders, educators, and policy-makers. The aims of this study were to explore midwives’ perceptions and experiences of providing care to women in the asylum process and to gain insight into how midwives can be equipped and supported to provide more effective care to this group in the future. Methods Data were collected via indepth unstructured interviews with a purposive sample of ten midwives from two sites, one a large urban inner city hospital, and the second, a smaller more rural maternity hospital. The interviews were audio-recorded and transcribed verbatim. The data were analyzed using content analysis. Results Five themes emerged from the data, barriers to communication, understanding cultural difference, challenges of caring for women who were unbooked, the emotional cost of caring, and structural barriers to effective care. Conclusion Findings highlight a need to focus on support and education for midwives, improved maternity services for immigrant women, and urgent policy revision. PMID:24516340

Tobin, Carolyn L; Murphy-Lawless, Jo

2014-01-01

64

Family Violence and Associated Help-Seeking Behavior among Older African American Women  

PubMed Central

Objective Little is known about how older African American women define family violence (FV) and what FV survivors might expect from their healthcare providers. The purpose of this study was to understand how these women define FV, where they seek help for FV, and what barriers they face in these efforts. Methods We conducted 6 focus groups with 30 African American women over the age of 50, including some FV survivors, at a large, inner-city public hospital. Results Participants defined FV broadly, citing examples of abuse (physical, sexual, emotional and financial) and neglect. Spiritual sources were cited over physicians as being available to help FV survivors. Barriers to receiving assistance included negative encounters with physicians, lack of trust in the system and dearth of age-appropriate resources. Conclusions For older African American women, FV takes many forms of which many may not be obvious during the clinical encounter. Like younger FV survivors, they expect physicians to serve as a resource for FV. Practice implications Physicians caring for older African American women need to remember to ask them about FV, and when making referrals for abuse and neglect, consider offering referrals to pastoral care if appropriate. PMID:17644300

Paranjape, Anuradha; Tucker, Alyce; Mckenzie-Mack, LaTasha; Thompson, Nancy; Kaslow, Nadine

2007-01-01

65

Substance use and partner violence among urban women seeking emergency care.  

PubMed

Growing evidence suggests intimate partner violence (IPV) and substance misuse are co-occurring problems that disproportionately affect low income urban women seeking care in emergency departments (EDs) and represent leading causes of injuries that result in ED visits. This paper examines temporal bidirectional associations between different types of drug and alcohol use and different types of IPV in a longitudinal study of a representative sample of 241 low-income urban women receiving emergency care from an ED in the Bronx, New York. After adjusting and matching for sociodemographics and potentially confounding multilevel risk and protective covariates, women who reported using heroin in the prior 6 months at Wave 1 were twice as likely as nonheroin-using women to indicate any physical, injurious, or sexual IPV at subsequent waves and were 2.7 times more likely to indicate experiencing an injury from IPV at subsequent waves. Crack or cocaine use in the past 6 months at Wave 1 was associated with an increased likelihood of injurious IPV and severe verbal abuse at subsequent waves. Findings also suggested that sexual IPV was significantly associated with subsequent use of crack or cocaine. The multiple bidirectional associations found linking these problems underscore the need for conducting routine screening for IPV and substance misuse among women in low-income urban EDs, and for improving linkages to services that will ultimately reduce the risk of morbidity, disability, and mortality related to these co-occurring problems. PMID:22023020

Gilbert, Louisa; El-Bassel, Nabila; Chang, Mingway; Wu, Elwin; Roy, Lolita

2012-06-01

66

Health seeking behaviour of childless women in Bangladesh: An ethnographic exploration for the special issue on: Loss in child bearing  

Microsoft Academic Search

This paper deals with the health seeking behaviour of childless rural poor and urban middle class women in Bangladesh. Data for this study were collected from a northern district of Bangladesh named Mymensing, using various qualitative methods including life histories, in-depth interviews, and key-informant interviews The study shows that social class and the geographical location of the childless women determine

Papreen Nahar

2010-01-01

67

Concomitant forms of abuse and help-seeking behavior among white, African American, and Latina women who experience intimate partner violence.  

PubMed

This study uses National Violence against Women Survey data to investigate the differential impact of concomitant forms of violence (sexual abuse, stalking, and psychological abuse) and ethnicity on help-seeking behaviors of women physically abused by an intimate partner (n = 1,756). Controlling for severity of the physical abuse, women who experienced concomitant sexual abuse are less likely to seek help, women who experienced concomitant stalking are more likely to seek help, whereas concomitant psychological abuse is not associated with help seeking. Ethnic differences are found in help seeking from friends, mental health professionals, police, and orders of protection. Implications for service outreach are discussed. PMID:21821618

Flicker, Sharon M; Cerulli, Catherine; Zhao, Xi; Tang, Wan; Watts, Arthur; Xia, Yinglin; Talbot, Nancy L

2011-08-01

68

The Association between Medical Education Accreditation and Examination Performance of Internationally Educated Physicians Seeking Certification in the United States  

ERIC Educational Resources Information Center

The purposes of this research were to examine medical education accreditation practices around the world, with special focus on the Caribbean, and to explore the association between medical school accreditation and graduates' examination performance. In addition to other requirements, graduates of international medical schools seeking to…

van Zanten, Marta; Boulet, John R.

2013-01-01

69

The influence of ethnic group variation on victimization and help seeking among Latino women.  

PubMed

Interpersonal violence research on Latinos has largely ignored the ethnic group variations that are included under the pan-ethnic term Latino. The current study adds to the literature by utilizing a national sample of Latino women to examine the interpersonal victimization experiences and help-seeking responses to victimization by ethnic group. The sample was drawn from the Sexual Assault Among Latinas Study (SALAS; Cuevas & Sabina, 2010) that surveyed 2,000 self-identified adult Latino women. For the purpose of this study, victimization in the United States was examined among Mexican ethnics (73.3% of sample), Cuban ethnics (14%), and other ethnics (12.8%). Mexican ethnicity was found to be significantly associated with increased odds of experiencing any, physical, sexual, threat, and stalking victimization. Findings also show that higher levels of Latino orientation and being an immigrant were associated with decreased odds of experiencing any victimization, whereas Anglo orientation, as measured by the Brief ARSMA-II (Cuéllar, Arnold, & Maldonado, 1995), was associated with greater odds of experiencing any victimization. Anglo orientation was significantly associated with formal help seeking. Taken as a whole, these findings emphasize the importance of bilingual and culturally competent services and also reveal that culturally competent services includes developing an understanding of the cultural differences between Latino ethnic groups. Specifically, service providers should be aware that Latinos of Mexican ethnicity may face unique risks for victimization. (PsycINFO Database Record (c) 2015 APA, all rights reserved). PMID:25111549

Sabina, Chiara; Cuevas, Carlos A; Schally, Jennifer L

2015-01-01

70

“It’s not easy to acknowledge that I’m ill”: a qualitative investigation into the health seeking behavior of rural Palestinian women  

PubMed Central

Background This qualitative study sets to fill a gap in knowledge by exploring the health seeking behaviour of rural women living in the occupied Palestinian territories (oPt). The existing literature on the oPt has so far focused on unravelling the country’s epidemiological and health system profile, but has largely neglected the assessment of factors shaping people’s decisions on health care use. Methods Based on a conceptual framework rooted in the Anderson behavioural model, we conducted 30 semi-structured interviews with purposely selected women and seven key informant interviews in three purposely selected villages in Ramallah district. Results Our findings indicate that women delay seeking professional care, use self-prescribed medications and home treatment, and do not use preventive and educational health services. Their health seeking behaviour is the result of the interplay of several factors: their gendered socio-cultural role; their health beliefs; financial affordability and geographical accessibility; their perceptions of the quality of care; and their perceived health needs. Conclusions Findings are discussed in the light of their policy implications, suggesting that adequate health policy planning ought to take into considerations socio-cultural dimensions beyond those directly pertinent to the health care system. PMID:23705933

2013-01-01

71

Delays in Seeking Conventional Medical Care and Complementary and Alternative Medicine Utilization  

PubMed Central

Objective To test the association between delays in utilization of conventional medical care and complementary and alternative medicine (CAM) utilization. Data Source The 2007 National Health Interview Survey, a cross-sectional nationally representative study of adults aged 18 years and older. Study Design Using zero-inflated regression models, delays in utilizing conventional care due to organizational inaccessibility are examined to determine whether delays are associated with both the decision to try CAM and the number of CAM types used. Principal Findings Individuals have significantly higher odds using provider-based CAM types if they delayed seeking conventional care due to organizational inaccessibility (OR = 1.63). Individuals use significantly more types of both provider-based (IRR = 1.35) and non-provider-based (IRR = 1.49) CAM if they delayed seeking conventional care due to organizational inaccessibility. Conclusion Individuals who delay seeking conventional medical care are more likely to use CAM and use more types of CAM. The current structure of the conventional health care system may have created barriers that can make conventional health care inaccessible. Individuals who face these barriers appear to be pushed not only into trying CAM but using a greater number of CAM types, a finding not in previous research. PMID:22985034

Ayers, Stephanie L; Kronenfeld, Jennie J

2012-01-01

72

Effectiveness of a mass media campaign in promoting HIV testing information seeking among African American women.  

PubMed

"Take Charge. Take the Test." (TCTT), a media campaign promoting HIV testing among African American women, was piloted in Cleveland and Philadelphia from October 2006 to October 2007. This study assesses TCTT's effectiveness in promoting HIV testing information seeking among target audiences in each pilot city. The authors analyzed data on telephone hotlines promoted by the campaign and the www.hivtest.org Web site to examine trends in hotline calls and testing location searches before, during, and after the campaign. Cleveland hotline data were available from October 1, 2005, through February 28, 2008, for a total of 29 months (N = 126 weeks). Philadelphia hotline data were available from May 1, 2006, through February 28, 2008, for a total of 22 months (N = 96 weeks). The authors assessed the relation between market-level measures of the campaign's advertising activities and trends in hotline call volume and testing location searches. They found a significant relation between measures of TCTT advertising and hotline calls. Specifically, they found that increases in advertising gross ratings points were associated with increases in call volume, controlling for caller demographics and geographic location. The campaign had similar effects on HIV testing location searches. Overall, it appears the campaign generated significant increases in HIV information seeking. Results are consistent with other studies that have evaluated the effects of media campaigns on similar forms of information seeking. This study illustrates useful methods for evaluating campaign effects on information seeking with data on media implementation, hotline calls, and zip code-based searches for testing locations. PMID:21707409

Davis, Kevin C; Uhrig, Jennifer; Rupert, Douglas; Fraze, Jami; Goetz, Joshua; Slater, Michael

2011-10-01

73

Considering Care-Seeking Behaviors Reveals Important Differences Among HIV-Positive Women Not Engaged in Care: Implications for Intervention.  

PubMed

Abstract We sought to examine characteristics of HIV-positive women with varying levels of engagement in care and care-seeking behaviors. From 2010 to 2013, in a multi-site US-based study of engagement in care among HIV-positive women, we conducted baseline interviews, which included socio-demographic, clinical, and risk behavior characteristics, and barriers to care. We used multinomial logistic regression to compare differences among three distinct categories of 748 women: engaged in care; not engaged in care, but seeking care ("seekers"); and not engaged in care and not seeking care ("non-seekers"). Compared with women in care, seekers were more likely to be uninsured and to report fair or poor health status. In contrast, non-seekers were not only more likely to be uninsured, but, also, to report current high-risk drug use and sexual behaviors, and less likely to report transportation as a barrier to care. Examining care-seeking behaviors among HIV-positive women not engaged in care revealed important differences in high-risk behaviors. Because non-seekers represent a particularly vulnerable population of women who are not engaged in care, interventions targeting this population likely need to address drug use and be community-based given their limited interaction with the health care system. PMID:25561307

Blackstock, Oni J; Blank, Arthur E; Fletcher, Jason J; Verdecias, Niko; Cunningham, Chinazo O

2015-01-01

74

Seeking evidence to support usability principles for medication-related clinical decision support (CDS) functions.  

PubMed

There is a need for evidence-based usability principles to support the design of usable medication-related computerized CDS functions and systems. Such evidence requires establishing scientific relationships between usability principles, their violation in terms of usability flaws, issuing usage problems and their consequences or outcomes in the clinical work and patient care. This kind of evidence is not currently directly available in scientific evaluation studies of medication CDS functions. A possible proxy to seek evidence is systematic review of existing scientific evaluation reports. We rely on a four-stage framework describing the chain of consequences and inferences linking usability principles to clinical outcomes to design the systematic review methodology and interpretation principles. This paper describes the four-stage framework and the resulting consequences for the systematic review design. PMID:23920590

Marcilly, Romaric; Beuscart-Zéphir, Marie-Catherine; Ammenwerth, Elske; Pelayo, Sylvia

2013-01-01

75

Women seeking second opinion for symptomatic uterine leiomyoma: role of comprehensive fibroid center  

PubMed Central

Objective The objective of the study was to describe our early experience with a comprehensive uterine fibroid center and report our results in women seeking a second opinion for management of symptomatic uterine leiomyoma. Methods We performed a HIPAA-complaint, IRB-approved retrospective study of women seeking second opinion for management of uterine fibroids at our multidisciplinary fibroid treatment center in a tertiary care facility from July 2008 to August 2011. After a review of patients’ history, physical examination, and magnetic resonance imaging (MRI) findings, treatment options were discussed which included conservative management, uterine-preserving options, and hysterectomy. We performed Fisher’s exact test for categorical variables between the cohort that did or did not undergo a uterine-preserving treatment. Differences were considered significant at p?

2014-01-01

76

Information Activities in Medical Library : Tokyo Women's Medical College Library  

NASA Astrophysics Data System (ADS)

The library facilities, resource materials, training of librarians and so on are described at first. The library collection is that of middle sized medical library. However, since the facilities are not enough to handle it, it is necessary for the library to be supplemented by information services. Then primary information services such as reading of materials, interlibrary loan and journal acquisition system of the recent issues for each laboratory is outlined. Secondary information services centered around on-line information retrieval service, contents sheet service and preparation of index cards are also described. What a medical library should be is considered in terms of its relation to information services.

Nishioka, Masayuki

77

To Seek or Not to Seek the Superintendency: Minority Women and the Factors That Inhibit or Motivate Their Decision  

ERIC Educational Resources Information Center

Purpose. A purpose of this study was to describe the career (extrinsic) and personal (intrinsic) factors perceived by K-12 minority women central office administrators (Directors, Assistant Superintendents, Associate Superintendents, Deputy Superintendents in California) who facilitated or inhibited their promotion for (or desire to pursue) the…

Escobedo, Ana D.

2011-01-01

78

Cross-border mobility and social networks: Laotians seeking medical treatment along the Thai border.  

PubMed

Drawing upon research conducted on cross-border patients living in Laos and seeking care in Thailand, this paper examines the important role played by social networks in patients' decision-making and on the itineraries they choose to seek treatment on the Thai side of the border. Due to the vastly contrasting situations between the two countries in terms of healthcare supply, and considering Laotians' increasing demand for high quality healthcare, a number of them have managed to satisfy their needs by combining cross-border treatment with the use of the healthcare facilities provided by their own country. This study consisted first of household surveys conducted in five border areas (2006-2007) in Laos in order to quantify and map out cross-border healthcare-related travel patterns. Afterwards, interviews were conducted with cross-border patients (55), Laotian and Thai medical doctors (6), Thai social workers (5), and officials working in public institutions (12). While socioeconomic and spatial factors partly explain cross-border mobility, patients' social networks significantly influence treatment itineraries throughout the decision-making process, including logistical and financial considerations. The social networks existing at different geographical levels (neighbourhood, regional and global) are therefore a powerful analytical tool not only for understanding the emergence of these cross-border movements but also for justifying them in an authoritarian political environment such as Lao PDR's. PMID:25454637

Bochaton, Audrey

2015-01-01

79

Peri-Abortion Contraceptive Choices of Migrant Chinese Women: A Retrospective Review of Medical Records  

PubMed Central

Background Migrant Asian women reportedly have low levels of contraceptive use and high rates of abortion in New Zealand. Chinese make up the largest proportion of migrant Asian in New Zealand. This study aimed to describe the contraceptive choices of Chinese women seeking abortion; to examine method choice in relation to demographic characteristics (including length of stay) and to determine whether Chinese women were over-represented among abortion clinic attendees. Methods Retrospective review of medical records at a public hospital abortion clinic involving 305 Chinese women. Previously collected data for European (n?=?277) and Maori women (n?=?128) were used for comparative analyses. Regression analyses explored correlates of contraceptive method choice. Population census data were used to calculate rates of clinic attendance across ethnic groups. Results Chinese women were not over-represented among clinic attendees, and had similar rates of contraceptive non-use pre-abortion as women in comparison groups. Use of the oral contraceptive pill by Chinese was lower pre-abortion than for other ethnic groups, but choice of this method post-abortion was similar for Chinese (46.9%, 95% CI 41–52.7) and European women (43.7%, 95% CI 37.8–49.7). Post-abortion choice of an intrauterine device did not differ significantly between Chinese (28.9%, 95% CI 23.8–34.3) and Maori women (37%, 95% CI 28.4–45.7), but was higher than uptake of this method by European women (21.7%, 95% CI 17–27.0). Age, parity and previous abortion were significant predictors of post-abortion method choice by Chinese women (p<0.05). Conclusions Following contraceptive counseling at the clinic, Chinese women chose more effective contraceptive methods for use post-abortion than they had used previously. As the population of migrant Chinese in New Zealand continues to increase, strategies are urgently needed to provide new arrivals with appropriate information and advice about contraception and where to access it, so women can be better prepared to avoid unplanned pregnancy. PMID:22768231

Rose, Sally B.; Wei, Zhang; Cooper, Annette J.; Lawton, Beverley A.

2012-01-01

80

Labour exploitation and health: a case series of men and women seeking post-trafficking services.  

PubMed

Research on the health of trafficked men and on the health problems associated with trafficking for labor exploitation are extremely limited. This study analysed data from a case series of anonymised case records of a consecutive sample of 35 men and women who had been trafficked for labor exploitation in the UK and who were receiving support from a non-governmental service between June 2009 and July 2010. Over three-quarters of our sample was male (77 %) and two-thirds aged between 18 and 35 years (mean 32.9 years, SD 10.2). Forty percent reported experiencing physical violence while they were trafficked. Eighty-one percent (25/31) reported one or more physical health symptoms. Fifty-seven percent (17/30) reported one or more post-traumatic stress symptoms. A substantial proportion of men and women who are trafficked for labor exploitation may experience violence and abuse, and have physical and mental health symptoms. People who have been trafficked for forced labor need access to medical assessment and treatment. PMID:23649665

Turner-Moss, Eleanor; Zimmerman, Cathy; Howard, Louise M; Oram, Siân

2014-06-01

81

Is military sexual trauma associated with trading sex among women veterans seeking outpatient mental health care?  

PubMed

A robust association between sexual trauma and trading sex has been documented in civilian samples but has not been examined in veterans. Women veterans experience high rates of sexual victimization across the lifespan, including during military service (military sexual trauma [MST]). Associations between MST and trading sex were examined in 200 women enrolled in a crosssectional study of HIV risks and seroprevalence among women receiving outpatient mental health care at a Veterans Affairs (VA) medical center. Each woman completed an assessment interview composed of validated measures that queried childhood sexual trauma; substance use; and risk behaviors, including trading sex for money, drugs, shelter, food, or other things. History of MST was derived from mandated VA screening results and chart notes. Overall, 19.7% reported a history of trading sex. Those who reported trading sex had a higher rate of MST than those who did not report trading sex (87.2% vs. 62.9%, respectively). A multivariable logistic regression model examined the relationship between trading sex and MST, controlling a priori for substance abuse and childhood sexual trauma (both associated with trading sex in civilian samples) and education, which was associated with trading sex in our sample. In this adjusted model, MST was associated with trading sex: odds ratio = 3.26, p = .025, 95% confidence interval = [1.16, 9.18]. To our knowledge, this is the 1st report of an association between MST and trading sex. Results extend previously observed associations between sexual trauma and trading sex in civilian cohorts and underscore the pernicious influence of sexual victimization across the lifespan. PMID:21534097

Strauss, Jennifer L; Marx, Christine E; Weitlauf, Julie C; Stechuchak, Karen M; Straits-Troster, Kristy; Worjoloh, Ayaba W; Sherrod, Christina B; Olsen, Maren K; Butterfield, Marian I; Calhoun, Patrick S

2011-01-01

82

Delay in Seeking Medical Help following Transient Ischemic Attack (TIA) or “Mini-Stroke”: A Qualitative Study  

PubMed Central

Background Prompt treatment following Transient Ischemic Attack (TIA) can reduce the risk of subsequent stroke and disability. However, many patients delay in making contact with medical services. This study aimed to explore TIA patients' accounts of delay between symptom onset and contacting medical services including how decisions to contact services were made and the factors discussed in relation to delay. Methods Twenty interviews were conducted with TIA patients in England. Using a previous systematic review as an initial framework, interview data were organised into categories of symptom recognition, presence of others and type of care sought. A thematic analysis was then conducted to explore descriptions of care-seeking relevant to each category. Results Delay in contacting medical services varied from less than an hour to eight days. Awareness of typical stroke symptoms could lead to urgent action when more severe TIA symptoms were present but could lead to delay when experienced symptoms were less severe. The role of friends and family varied widely from deciding on and enacting care-seeking decisions to simply providing transport to the GP practice. When family or friends played a greater role, and both made and enacted care-seeking decisions, delays were often shorter, even when patients themselves failed to identify symptoms. Healthcare professionals also impacted on patients' care-seeking with greater delays in seeking further care for the same episode described when patients perceived a lack of urgency during initial healthcare interactions. Conclusions This study provides new information on patients' decisions to contact medical services following TIA and identifies overlapping factors that can lead to delay in receiving appropriate treatment. While recognition of symptoms may contribute to delay in contacting medical services, additional factors, including full responsibility being taken by others and initial healthcare interactions, can over-ride or undermine the importance of patients' own identification of TIA. PMID:25137185

Mc Sharry, Jennifer; Baxter, Alison; Wallace, Louise M.; Kenton, Anthony; Turner, Andrew; French, David P.

2014-01-01

83

A qualitative study of women's views on medical confidentiality  

PubMed Central

Context: The need to reinvigorate medical confidentiality protections is recognised as an important objective in building patient trust necessary for successful health outcomes. Little is known about patient understanding and expectations from medical confidentiality. Objective: To identify and describe patient views of medical confidentiality and to assess provisionally the range of these views. Design: Qualitative study using indepth, open ended face-to-face interviews. Setting: Southeastern Pennsylvania and southern New Jersey, USA. Participants: A total of 85 women interviewed at two clinical sites and three community/research centres. Main outcome measures: Subjects' understanding of medical confidentiality, beliefs about the handling of confidential information and concerns influencing disclosure of information to doctors. Results: The subjects defined medical confidentiality as the expectation that something done or said would be kept "private" but differed on what information was confidential and the basis and methods for protecting information. Some considered all medical information as confidential and thought confidentiality protections functioned to limit its circulation to medical uses and reimbursement needs. Others defined only sensitive or potentially stigmatising information as confidential. Many of these also defined medical confidentiality as a strict limit prohibiting information release, although some noted that specific permission or urgent need could override this limit. Conclusions: Patients share a basic understanding of confidentiality as protection of information, but some might have expectations that are likely not met by current practice nor anticipated by doctors. Doctors should recognise that patients might have their own medical confidentiality models. They should address divergences from current practice and provide support to those who face emotional or practical obstacles to self-revelation. PMID:16131550

Jenkins, G; Merz, J; Sankar, P

2005-01-01

84

Rural HIV-infected women's access to medical care: ongoing needs in California.  

PubMed

HIV-infected women living in rural areas often have considerably less access to care than their urban and suburban counterparts. In much of the USA, little is known about HIV care among rural populations. This study elucidated barriers to care for rural women in California. Methods included retrospective structured interviews conducted with 64 women living in rural areas and receiving HIV care at 11 California healthcare facilities. Facilities were randomly sampled and all HIV-infected female patients seeking care at those facilities during a specified time period were eligible. The most commonly cited barriers to accessing care included physical health problems that prevented travel to care (32.8%), lack of transportation (31.2%), and lack of ability to navigate the healthcare system (25.0%). Being divorced/separated/widowed (compared to being either married or single) was associated with reporting physical health as a barrier to care (p=0.03); being unemployed (p=0.003) or having to travel 31-90 minutes (p=0.007, compared to less than 31 or greater than 90) were both associated with transportation as a barrier; and speaking English rather than Spanish was associated with reporting "difficulty navigating the system" (p=0.04). Twenty-nine women (45.3%) reported difficulty in traveling to appointments. Overall, 24 (37.5%) women missed an HIV medical appointment in the previous 12-month period, primarily due to their physical health and transportation limitations. Physical health and transportation problems were both the major barriers to accessing health services and the primary reasons for missing HIV care appointments among this population of HIV-infected women living in rural areas. Providing transportation programs and/or mobile clinics, as well as providing support for patients with physical limitations, may be essential to improving access to HIV care in rural areas. PMID:21287418

Sarnquist, Clea C; Soni, Shila; Hwang, Helen; Topol, Barbara B; Mutima, Salima; Maldonado, Yvonne A

2011-07-01

85

Socio-economic factors associated with maternal health-seeking behaviours among women from poor households in rural Egypt.  

PubMed

IntroductionSocio-economic inequalities in basic maternal health interventions exist in Egypt, yet little is known about health-seeking of poor households. This paper assesses levels of maternal health-seeking behaviours in women living in poor households in rural Upper Egypt, and compares these to national averages. Secondly, we construct innovative measures of socio-economic resourcefulness among the rural poor in order to examine the association between the resulting variables and the four dimensions of maternal health-seeking behaviour.MethodsWe analysed a cross-sectional survey conducted in Assiut and Sohag governorates in 2010¿2011 of 2,242 women in households below the poverty line in 65 poorest villages in Egypt. The associations between four latent socio-economic constructs (socio-cultural resourcefulness, economic resourcefulness, dwelling quality and woman¿s status) and receipt of any antenatal care (ANC), regular ANC (four or more visits), facility delivery and private sector delivery for women¿s most recent pregnancy in five years preceding survey were assessed using multivariate logistic regression.ResultsIn the sample, 58.5% of women reported using any ANC and 51.1% facility delivery, lower than national coverage (74.2% and 72.4%, respectively). The proportion of ANC users receiving regular ANC was lower (67%) than nationally (91%). Among women delivering in facilities, 18% of women in the poor Upper Egypt sample used private providers (63% nationally). In multivariate analysis, higher economic resourcefulness was associated with higher odds of receiving ANC but with lower odds of facility delivery. Socio-cultural resourcefulness was positively associated with receiving any ANC, regular ANC and facility delivery, whereas it was not associated with private delivery care. Dwelling quality was positively associated with private delivery facility use. Woman¿s status was not independently associated with any of the four behaviours.ConclusionsCoverage of basic maternal health interventions and utilisation of private providers are lower among rural poor women in Upper Egypt than nationally. Variables capturing socio-cultural resourcefulness and economic resourcefulness were useful predictors of ANC and facility delivery. Further understanding of issues surrounding availability, affordability and quality of maternal health services among the poor is crucial to eliminating inequalities in maternal health coverage in Egypt. PMID:25424200

Benova, Lenka; Campbell, Oona; Sholkamy, Hania; Ploubidis, George B

2014-11-25

86

Women in Science Award Winners Women scientists at the Medical College of Wisconsin are advancing biomedical research and finding innovative  

E-print Network

Women in Science Award Winners Women scientists at the Medical College of Wisconsin are advancing care. The College celebrates their accomplishments with the Women Pioneers in Research Award. 2007 in the Department of Medicine. She is researching the role of fatty acids in the body and the affect these acids

87

Seeking balance: decision support needs of women without cancer and a deleterious BRCA1 or BRCA2 mutation.  

PubMed

Recommendations for women with a deleterious BRCA1 or BRCA2 gene mutation include complex medical approaches related to cancer risk reduction and detection. Current science has not yet fully elucidated decision support needs that women face when living with medical consequences associated with known hereditary cancer risk. The purpose of this study was to describe health communication and decision support needs in healthy women with BRCA1/2 gene mutations. The original researchers completed an interpretive secondary qualitative data analysis of 23 phenomenological narratives collected between 2008 and 2010. The Ottawa Decision Support and Patient Centered Communication frameworks guided the study design and analysis. Women described a pattern wherein breast and ovarian cancer risk, health related recommendations and decisions, and personal values were prioritized over time based on life contexts. Knowing versus acting on cancer risk was not a static process but an ongoing balancing act of considering current and future personal and medical values, further compounded by the complexity of recommendations. Women shared stories of anticipatory, physical and psychosocial consequences of the decision making experience. The findings have potential to generate future research questions and guide intervention development. Importantly, findings indicate a need for ongoing, long-term, support from genetics professionals and decision support interventions, which challenges the current practice paradigm. PMID:24271037

Underhill, Meghan L; Crotser, Cheryl B

2014-06-01

88

Ondansetron and sertraline may interact with 5-HTTLPR and DRD4 polymorphisms to reduce drinking in non-treatment seeking alcohol-dependent women: exploratory findings.  

PubMed

The purpose of this exploratory study was to examine the interaction of 5-HTTLPR and DRD4 exon III polymorphisms with gender in non-treatment seeking alcohol-dependent (AD) individuals while alternately taking ondansetron and sertraline. Evidence suggests that alcohol dependence may be influenced by a genetic interaction that may be gender-specific with temporal changes making pharmacological treatment with serotonergic drugs complex. The main trial was a within-subject double-blind placebo-controlled human laboratory study with 77 non-treatment-seeking AD individuals randomized (55 completed, 49 complete data) to receive 200 mg/day of sertraline or 0.5 mg/day of ondansetron for 3 weeks followed by an alcohol self-administration experiment (ASAE), then placebo for 3 weeks followed by a second ASAE, then receive the alternate drug, in a counterbalanced order, for 3 weeks followed by a third ASAE. Results for men were not significant. Women with the LL 5-HTTLPR genotype receiving ondansetron and SS/SL 5-HTTLPR genotype receiving sertraline (matched), drank significantly fewer drinks per drinking day (DDD) during the 7 days prior to the first and third ASAEs than women receiving the mismatched medication (i.e., sertraline to LL and ondansetron to SS/SL). In a 3-way interaction, 5-HTTLPR alleles by DRD4 alleles by medications, women with the LL genotype who received ondansetron and had DRD4?7 exon III repeats drank significantly fewer DDD as did SS/SL women who received sertraline but conversely had DRD4<7 repeats in the 7-day period leading up to the first and third ASAEs. Consistent with these data was a significant reduction of milliliters consumed ad libitum during these same ASAEs. These exploratory findings add possible support to gender and genetic differences among AD individuals in response to serotonergic pharmacotherapies. Future trials should be powerful enough to take into account that endophenotypes and a targeting of serotonergic interactions may be essential to successfully treat alcohol dependence. PMID:25212749

Kenna, George A; Zywiak, William H; Swift, Robert M; McGeary, John E; Clifford, James S; Shoaff, Jessica R; Fricchione, Samuel; Brickley, Michael; Beaucage, Kayla; Haass-Koffler, Carolina L; Leggio, Lorenzo

2014-09-01

89

Fourth World Conference on Women. Seeking action for equality, development, peace.  

PubMed

There is a strong international push to secure broader rights for women. In the 20 years since the first global conference on women's issues was held in Mexico City, governments have adopted legislation which promotes equal opportunity, treatment, and rights, and women are entering the labor market in unprecedented numbers. There is evidence that investments in women have had an enormous impact upon society overall, but millions of individual women continue to face discrimination in social, economic, political, and cultural spheres. They are disproportionately denied access to positions of leadership, undereducated, underpaid, die from complications related to childbirth and unsafe abortions, and are battered and killed by men. The Fourth World Conference on Women will be held September 4-15, 1995, in Beijing, to allow participants to assess the progress and shortfalls of the past two decades and identify action to be taken into the next century. The UN-sponsored global meeting will offer governments, nongovernmental organizations, the private sector, and individuals the opportunity to review their efforts and renew their commitment to improve the equality and conditions of women and defend their human rights. The main objectives are to adopt a plan of action against obstacles to the advancement of women worldwide, to determine priority actions to be taken by the international community over the period 1996-2001, and to mobilize men and women at the grassroots level to achieve those objectives. A parallel nongovernmental organization forum on women will be held August 30 - September 8, also in Beijing. PMID:12289951

Seufert-barr, N

1995-06-01

90

Strategies and help-seeking behavior among Mexican women experiencing partner violence.  

PubMed

According to a recent Mexican survey, 10.72% of women have at some point experienced sexual partner violence, and 23.71% physical violence at the hands of their current or last partner. Using this survey and a series of semi-structured interviews with experts, this study used a mixed-methods approach to examine, first, whether women who experienced violence turned to law enforcement agencies for help, and the characteristics of these women. Second, the research examined what type of service and treatment they reported receiving from these agencies. Finally, the research examined reasons women did not request help from police and law enforcement agencies. PMID:23404245

Frías, Sonia M

2013-01-01

91

Writing women into medical history in the 1930s: Kate Campbell Hurd-Mead and "medical women" of the past and present.  

PubMed

Kate Campbell Hurd-Mead (1867–1941), a leader among second-generation women physicians in America, became a pioneer historian of women in medicine in the 1930s. The coalescence of events in her personal life, the declining status of women in medicine, and the growing significance of the new and relatively open field of history of medicine all contributed to this transformation in her career. While she endeavored to become part of the community of male physicians who wrote medical history, her primary identity remained that of a “medical woman.” For Hurd-Mead, the history of women in the past not only filled a vital gap in scholarship but served practical ends that she had earlier pursued by other means—those of inspiring and advancing the careers of women physicians of the present day, promoting organizations of women physicians, and advocating for equality of opportunity in the medical profession. PMID:25345770

Appel, Toby A

2014-01-01

92

Domestic violence and mental health: a cross-sectional survey of women seeking help from domestic violence support services  

PubMed Central

Background Domestic violence and abuse (DVA) are associated with an increased risk of mental illness, but we know little about the mental health of female DVA survivors seeking support from domestic violence services. Objective To characterize the demography and mental health of women who access specialist DVA services in the United Kingdom and to investigate associations between severity of abuse and measures of mental health and health state utility, accounting for important confounders and moderators. Design Baseline data on 260 women enrolled in a randomized controlled trial of a psychological intervention for DVA survivors was analyzed. We report prevalence of and associations between mental health status and severity of abuse at the time of recruitment. We used logistic and normal regression models for binary and continuous outcomes, respectively. Mental health measures used were: Clinical Outcomes in Routine Evaluation–Outcome Measure (CORE-OM), Patient Health Questionnaire, Generalized Anxiety Disorder Assessment, and the Posttraumatic Diagnostic Scale (PDS) to measure posttraumatic stress disorder. The Composite Abuse Scale (CAS) measured abuse. Results Exposure to DVA was high, with a mean CAS score of 56 (SD 34). The mean CORE-OM score was 18 (SD 8) with 76% above the clinical threshold (95% confidence interval: 70–81%). Depression and anxiety levels were high, with means close to clinical thresholds, and all respondents recorded PTSD scores above the clinical threshold. Symptoms of mental illness increased stepwise with increasing severity of DVA. Conclusions Women DVA survivors who seek support from DVA services have recently experienced high levels of abuse, depression, anxiety, and especially PTSD. Clinicians need to be aware that patients presenting with mental health conditions or symptoms of depression or anxiety may be experiencing or may have experienced DVA. The high psychological morbidity in this population means that trauma-informed psychological support is needed for survivors who seek support from DVA services. PMID:25319597

Ferrari, Giulia; Agnew-Davies, Roxane; Bailey, Jayne; Howard, Louise; Howarth, Emma; Peters, Tim J.; Sardinha, Lynnmarie; Feder, Gene

2014-01-01

93

Increasing awareness of gynecological cancer symptoms and reducing barriers to medical help seeking: does health literacy play a role?  

PubMed

Health literacy may influence the efficacy of print-based public health interventions. A key part of the U.K. cancer control strategy is to provide information to the public on earlier diagnoses with a view to improving the United Kingdom's relatively poor 1-year cancer survival statistics. This study examined the effect of health literacy on the efficacy of a gynecological cancer information leaflet. Participants (n = 451) were recruited from 17 Cancer Research UK events. Health literacy was assessed with the Newest Vital Sign test. Gynecological cancer symptom awareness and barriers to medical help seeking were assessed before and after participants read the leaflet. Symptom awareness improved, and barriers to medical help seeking were reduced (ps < .001). Symptom awareness was lower in individuals in lower health literacy groups, both at baseline and at follow-up (p < .05, p < .001, respectively), but there were no significant differences in barriers to medical help seeking at either time point (p > .05). As predicted, individuals with lower health literacy benefited less after exposure to the leaflet (ps < .01 for interactions). Despite careful consideration of information design principles in the development of the leaflet, more intensive efforts may be required to ensure that inequalities are not exacerbated by reliance on print-based public health interventions. PMID:23030575

Boxell, Emily M; Smith, Samuel G; Morris, Melanie; Kummer, Sonja; Rowlands, Gill; Waller, Jo; Wardle, Jane; Simon, Alice E

2012-01-01

94

Rural Australian women's legal help seeking for intimate partner violence: women intimate partner violence victim survivors' perceptions of criminal justice support services.  

PubMed

Intimate partner violence (IPV) is a widespread, ongoing, and complex global social problem, whose victims continue to be largely women. Women often prefer to rely on friends and family for IPV help, yet when informal support is unavailable they remain hesitant to contact formal services, particularly legal support for many reasons. This study applies a sociological lens by framing the IPV and legal help-seeking experiences of rural Australian women gained from 36 in-depth face-to-face interviews as socially contextualized interactions. Findings reveal police and court responses reflect broader social inequalities and rurality exacerbates concerns such as anonymity and lack of service. Cultural differences and power imbalances between survivors and formal support providers are manifested to inform future research seeking to improve survivors' willingness to engage and satisfaction with formal services. Finally, the important role police and the criminal justice system play in de-stigmatizing IPV and legitimating its unacceptability is argued a crucial, yet unrecognized, key to social change. PMID:22929344

Ragusa, Angela T

2013-03-01

95

Perceptions of Elder Abuse and Help-Seeking Patterns among African-American, Caucasian American, and Korean-American Elderly Women.  

ERIC Educational Resources Information Center

Used 13 scenarios to measure and compare perceptions of elder abuse and help-seeking behaviors of African-American, Caucasian American, and Korean-American elderly women. Significant group differences existed in perceptions of elder abuse with regard to six scenarios, and Korean-American women were substantially less likely to perceive given…

Moon, Ailee; Williams, Oliver

1993-01-01

96

Is Military Sexual Trauma Associated with Trading Sex Among Women Veterans Seeking Outpatient Mental Health Care?  

Microsoft Academic Search

A robust association between sexual trauma and trading sex has been documented in civilian samples but has not been examined in veterans. Women veterans experience high rates of sexual victimization across the lifespan, including during military service (military sexual trauma [MST]). Associations between MST and trading sex were examined in 200 women enrolled in a crosssectional study of HIV risks

Jennifer L. Strauss; Christine E. Marx; Julie C. Weitlauf; Karen M. Stechuchak; Kristy Straits-Tröster; Ayaba W. Worjoloh; Christina B. Sherrod; Maren K. Olsen; Marian I. Butterfield; Patrick S. Calhoun

2011-01-01

97

The Effect of a First Child on Female Labor Supply: Evidence from Women Seeking Fertility Services  

ERIC Educational Resources Information Center

Estimating the causal effect of a first child on female labor supply is complicated by the endogeneity of fertility. This paper addresses this problem by focusing on a sample of women from the National Survey of Family Growth (NSFG) who sought help to become pregnant. After a certain period, only some of these women gave birth. Results using this…

Cristia, Julian P.

2008-01-01

98

Medications for the Risk Reduction of Primary Breast Cancer in Women  

MedlinePLUS

... Recommendations Medications for the Risk Reduction of Primary Breast Cancer in Women The U.S. Preventive Services Task Force ( ... shown to reduce a woman’s risk of developing breast cancer. These medications work by blocking the effects of ...

99

Perceived Control and Hot Flashes in Treatment-seeking Breast Cancer Survivors and Menopausal Women  

PubMed Central

Background Lower perceived control over hot flashes has been linked to fewer coping strategies, more catastrophizing, and greater hot flash severity and distress in midlife women; yet, this important concept has not yet been studied in breast cancer survivors. Objective To explore perceived control over hot flashes and hot flashes in breast cancer survivors compared to midlife women without cancer. Methods 99 survivors and 138 midlife women completed questionnaires and a prospective, electronic hot flash diary. All data were collected at a baseline assessment prior to randomization in a behavioral intervention study. Results Both groups had moderate perceived control over hot flashes. Control was not significantly related to hot flash frequency, but was significantly related to hot flash severity, bother, and interference in both groups. A significantly stronger association between control and hot flash interference was found for survivors than for mid-life women. Survivors using hot flash treatments perceived less control than survivors not using hot flash treatments, whereas the opposite was true in midlife women. Conclusions Findings extend our knowledge of perceived control over hot flashes in both survivors and midlife women. Implications for Practice Findings emphasize the importance of continued menopausal symptom assessment and management, support the importance of continuing nursing care even for survivors who are already using hot flash treatment, and suggest that nursing interventions aimed at improving perceived control over hot flashes may be more helpful for survivors than for midlife women. PMID:21946903

Carpenter, Janet S.; Wu, Jingwei; Burns, Debra S.; Yu, Menggang

2011-01-01

100

Evaluation of a comedy intervention to improve coping and help-seeking for mental health problems in a women's prison.  

PubMed

Rates of mental illness and self-harm are very high among women prisoners. Questionnaires assessed prisoners' knowledge of and attitudes towards mental health problems, and relevant behavioural intentions before and after the intervention, to evaluate the effectiveness of a comedy show in a women's prison to reduce mental health stigma and improve coping and help-seeking for mental health problems. The intervention appeared to have been successful in improving some aspects of prisoners' knowledge about the effectiveness of psychotherapy (Z = - 2.304, p = 0.021) and likelihood of recovery from mental health problems (Z = - 2.699, p = 0.007). There were significant post-intervention increases in the proportion who stated they would discuss or disclose mental health problems with all but one of the sources of help in the questionnaire, which was consistent with the increases in the number of prisoners who rated themselves as likely to start using different sources of help or prison activities. There was no improvement in intentions to associate with people with a mental health problem. The intervention appeared effective in improving factors that might increase help-seeking and improve coping, but not those that would change behaviour towards others with a mental health problem. PMID:25137108

Wright, Steve; Twardzicki, Maya; Gomez, Fabio; Henderson, Claire

2014-08-01

101

Sexuality Information Seeking and Sexual Function Among Women Attending In-Home Sex Toy Parties  

Microsoft Academic Search

ABSTRACT. Outside traditional risk-oriented public health campaigns, few sexuality education opportunities exist for adult women, particularly those in partnered relationships, that address issues related to sexual desire and pleasure. Data were collected from 677 women attending in-home sex toy parties to assess whether they sought sexuality-related information at a recent party they attended. Participants reported asking 765 questions at parties.

Kristen N. Jozkowski; Vanessa Schick; Debby Herbenick; Michael Reece

2012-01-01

102

Prevalence of commonly prescribed medications potentially contributing to urinary symptoms in a cohort of older patients seeking care for incontinence  

PubMed Central

Background Several medication classes may contribute to urinary symptoms in older adults. The purpose of this study was to determine the prevalence of use of these medications in a clinical cohort of incontinent patients. Methods A cross-sectional study was conducted among 390 new patients aged 60 years and older seeking care for incontinence in specialized outpatient geriatric incontinence clinics in Quebec, Canada. The use of oral estrogens, alpha-blocking agents, benzodiazepines, antidepressants, antipsychotics, ACE inhibitors, loop diuretics, NSAIDs, narcotics and calcium channel blockers was recorded from each patient’s medication profile. Lower urinary tract symptoms and the severity of incontinence were measured using standardized questionnaires including the International Consultation on Incontinence Questionnaire. The type of incontinence was determined clinically by a physician specialized in incontinence. Co-morbidities were ascertained by self-report. Logistic regression analyses were used to detect factors associated with medication use, as well as relationships between specific medication classes and the type and severity of urinary symptoms. Results The prevalence of medications potentially contributing to lower urinary tract symptoms was 60.5%. Calcium channel blockers (21.8%), benzodiazepines (17.4%), other centrally active agents (16.4%), ACE inhibitors (14.4%) and estrogens (12.8%) were most frequently consumed. Only polypharmacy (OR?=?4.9, 95% CI?=?3.1-7.9), was associated with medication use contributing to incontinence in analyses adjusted for age, sex, and multimorbidity. No associations were detected between specific medication classes and the type or severity of urinary symptoms in this cohort. Conclusion The prevalence of use of medications potentially causing urinary symptoms is high among incontinent older adults. More research is needed to determine whether de-prescribing these medications results in improved urinary symptoms. PMID:23758756

2013-01-01

103

The Impact of an Online Educational Video and a Medical Amnesty Policy on College Students' Intentions to Seek Help in the Presence of Alcohol Poisoning Symptoms  

ERIC Educational Resources Information Center

This study analyzed the impact of a medical amnesty policy and an online alcohol poisoning video on college students' intentions to seek help when witnessing alcohol poisoning symptoms. Students were randomly assigned to receive an amnesty policy, alcohol poisoning video, or both. The group that received both treatments was most likely to seek

Oster-Aaland, Laura; Thompson, Kevin; Eighmy, Myron

2011-01-01

104

Radiation exposure of fertile women in medical research studies  

SciTech Connect

Fertile women may be exposed to ionizing radiation as human subjects in medical research studies. If the woman is pregnant, such exposures may result in risk to an embryo/fetus. Fertile women may be screened for pregnancy before exposure to ionizing radiation by interview, general examination, or pregnancy test. Use of the sensitive serum pregnancy test has become common because it offers concrete evidence that the woman is not pregnant (more specifically, that an embryo is not implanted). Evidence suggests that risk to the embryo from radiation exposure before organogenesis is extremely low or nonexistent. Further, demonstrated effects on organogenesis are rare or inconclusive at fetal doses below 50 mSv (5 rem). Therefore, there may be some level of radiation exposure below which risk to the fetus may be considered essentially zero, and a serum pregnancy test is unnecessary. This paper reviews the fetal risks and suggests that consideration be given to establishing a limit to the fetus of 0.5 mSv (50 mrem), below which pregnancy screening need not include the use of a serum pregnancy test.

Vetter, R.J.

1988-08-01

105

The emotional-psychological consequences of infertility among infertile women seeking treatment: Results of a qualitative study  

PubMed Central

Background: Infertility is a major life event that brings about social and psychological problems. The type and rate these problems in the context of socio-cultural of different geographical areas and sex of people is different. Objective: The aim of this qualitative study was to explain the psychological consequences of infertility in Iranian infertile women seeking treatment. Materials and Methods: This qualitative study was done using qualitative content analysis on 25 women affected by primary and secondary infertility with no surviving children in 2012. They were purposefully selected with maximum sample variation from a large Fertility Health Research Center in Tehran, Iran. Data were collected using 32 semi-structured interviews and analyzed by the conventional content analysis method. Results: The findings of this study include four main themes: 1. Cognitive reactions of infertility (mental engagement; psychological turmoil). 2. Cognitive reactions to therapy process (psychological turmoil; being difficult to control in some situations; reduced self-esteem; feelings of failure). 3. Emotional-affective reactions of infertility (fear, anxiety and worry; loneliness and guilt; grief and depression; regret). 4. Emotional-affective reactions to therapy process (fear, anxiety and worry; fatigue and helplessness; grief and depression; hopelessness). Conclusion: This study revealed that Iranian infertile women seeking treatment face several psychological-emotional problems with devastating effects on the mental health and well-being of the infertile individuals and couples, while the infertility is often treated as a biomedical issue in Iranian context with less attention on the mental-emotional, social and cultural aspects. This article extracted from Ph.D. thesis. (Seyede Batool Hasanpoor-Azghady) PMID:24799871

Hasanpoor-Azghdy, Seyede Batool; Simbar, Masoumeh; Vedadhir, Abouali

2014-01-01

106

Rx for Success. Improving the Climate for Women in Medical Schools and Teaching Hospitals.  

ERIC Educational Resources Information Center

The report focuses attention on those areas of medical school education that may have a negative effect on women students' confidence and competence. It examines the different ways that male and female medical students experience their training and the particular stresses that women may face, including: role conflicts; questions about commitment;…

Ehrhart, Julie Kuhn; Sandler, Bernice R.

107

Stress in Hispanic women enrolled in selected medical schools in Texas  

E-print Network

STRESS IN HISPANIC WOMEN ENROLLED IN SELECTED MEDICAL SCHOOLS IN TEXAS A Dissertation by ANITA CONNELLY NICHOLSON December 2004 Major Subject: Educational Human Resource Development Submitted... NICHOLSON ALL RIGHTS RESERVED STRESS IN HISPANIC WOMEN ENROLLED IN SELECTED MEDICAL SCHOOLS IN TEXAS A Dissertation by ANITA CONNELLY NICHOLSON Submitted to Texas A&M University in partial fulfillment of the requirements for the degree...

Anita, Connelly Nicholson

2005-02-17

108

What doctors and policymakers should know: Battered women's views about mandatory medical reporting laws  

Microsoft Academic Search

Medical professionals in forty-five states and the District of Colombia are under a legal obligation to report a variety of injuries to the police, including those believed to be the result of domestic violence. Responses to these laws by doctors and battered women have been mixed. Using logistic regression analysis, this study explored battered women's views about mandatory medical reporting

J. D. Alisa Smith; Kristin Parsons Winokur

2004-01-01

109

Delivering at home or in a health facility? health-seeking behaviour of women and the role of traditional birth attendants in Tanzania  

PubMed Central

Background Traditional birth attendants retain an important role in reproductive and maternal health in Tanzania. The Tanzanian Government promotes TBAs in order to provide maternal and neonatal health counselling and initiating timely referral, however, their role officially does not include delivery attendance. Yet, experience illustrates that most TBAs still often handle complicated deliveries. Therefore, the objectives of this research were to describe (1) women’s health-seeking behaviour and experiences regarding their use of antenatal (ANC) and postnatal care (PNC); (2) their rationale behind the choice of place and delivery; and to learn (3) about the use of traditional practices and resources applied by traditional birth attendants (TBAs) and how they can be linked to the bio-medical health system. Methods Qualitative and quantitative interviews were conducted with over 270 individuals in Masasi District, Mtwara Region and Ilala Municipality, Dar es Salaam, Tanzania. Results The results from the urban site show that significant achievements have been made in terms of promoting pregnancy- and delivery-related services through skilled health workers. Pregnant women have a high level of awareness and clearly prefer to deliver at a health facility. The scenario is different in the rural site (Masasi District), where an adequately trained health workforce and well-equipped health facilities are not yet a reality, resulting in home deliveries with the assistance of either a TBA or a relative. Conclusions Instead of focusing on the traditional sector, it is argued that more attention should be paid towards (1) improving access to as well as strengthening the health system to guarantee delivery by skilled health personnel; and (2) bridging the gaps between communities and the formal health sector through community-based counselling and health education, which is provided by well-trained and supervised village health workers who inform villagers about promotive and preventive health services, including maternal and neonatal health. PMID:23448583

2013-01-01

110

Medical Student Fellowship in Women's Health Research Perelman School of Medicine at the University of Pennsylvania  

E-print Network

Medical Student Fellowship in Women's Health Research Perelman School of Medicine at the University in academic medicine · To promote research and education in women's health Dual Mission To support in women's health: 1 award may be specific to CV research ­ Clinical, basic science or community · Open

Bushman, Frederic

111

Time in Bed Is Associated with Decreased Physical Activity and Higher BMI in Women Seeking Weight Loss Treatment  

PubMed Central

Short sleep duration is associated with obesity risk. Despite calls to incorporate strategies to enhance sleep within the context of behavioral weight loss (BWL) treatment, little is known regarding the association between sleep and body mass index (BMI) among individuals presenting for BWL. Moreover, most research has focused on eating pathways linking sleep and BMI and has not explored how sleep may impact engagement in physical activity. The purpose of the present study was to determine whether, in a sample of women seeking treatment for weight loss, there was an association between reported time in bed (TIB), higher BMI, lower physical activity, and less favorable dietary composition. Prior to randomization, 318 women completed measures of TIB, eating, and activity; weight and height were measured. Findings demonstrated that report of “6 hours or less” TIB/night was associated with higher BMI and lower reported physical activity compared to that of the referent (>7 to ?8 hours/night). It was not associated with the number of reported calories consumed each day or with the percent of calories consumed from fat, carbohydrates, or protein. Better understanding of the role of sleep within the context of BWL treatment in women seems warranted. PMID:24198999

Hart, Chantelle N.; Fava, Joseph L.; Subak, Leslee L.; Stone, Katie; Vittinghoff, Eric; Demos, Kathryn E.; O'Brien, Erin; Cairns, Alyssa; Wing, Rena R.

2012-01-01

112

New Challenges for Women Seeking an Academic Career: The Hiring Process in Portuguese Higher Education Institutions  

ERIC Educational Resources Information Center

This paper provides an analysis of the potential impact of changes in recruitment and hiring processes in Portuguese higher education institutions--under the New Public Management framework--on the representation of women in academia. Based on official data from the Portuguese Ministry of Science, Technology and Higher Education, two major…

Carvalho, Teresa; Santiago, Rui

2010-01-01

113

A Qualitative Study of Cancer Information Seeking Among English-as-a-Second-Language Older Chinese Immigrant Women to Canada: Sources, Barriers, and Strategies  

Microsoft Academic Search

Little is known about the cancer information seeking experiences of Chinese immigrants despite reported disparities in cancer\\u000a burden and use of cancer screening. This research used semi-structured interviews to the explore cancer information seeking\\u000a preferences and experiences of 50 English-as-a-second-language older Chinese immigrant women to Canada with different levels\\u000a of health literacy. Directed content analysis was used to identify three

Laura Todd; Laurie Hoffman-Goetz

2011-01-01

114

Examining Career Success of Minority and Women Emergency Medical Technicians (EMTs): A LEADS Project  

ERIC Educational Resources Information Center

Emergency medical technicians (EMTs) are a critical segment in prehospital medical care. This study examined EMT-paramedic career success focused on minorities and women, as part of the Longitudinal Emergency Medical Technician Attributes and Demographics Study (LEADS). The LEADS data come from a representative sampling of EMTs throughout the…

Russ-Eft, Darlene F.; Dickison, Philip D.; Levine, Roger

2008-01-01

115

Reproductive health characteristics of young Malawian women seeking post-abortion care.  

PubMed

Abortion is illegal in Malawi except when the pregnancy endangers the mother's life, yet complications of abortion account for the majority of admissions to gynecological wards. This study collected data on all post-abortion care (PAC) cases reporting to all PAC-providing health facilities in Malawi over a 30-day period. Of a total of 2,028 PAC clients, 20.9% were adolescents (age 10-19) and 29.6% were young adults (age 20-24). More than half of adolescents and almost 80% of young adults were married. Less than 5% of adolescents and 22.5% of young adults reported using contraception when they became pregnant. Being unmarried was associated with previous abortion and contraceptive use among young adults. These statistics indicate a high proportion of unwanted pregnancy and lack of access to modern contraception among young women. Programs to increase access to pregnancy prevention services and protect young women from unsafe abortions are greatly needed. PMID:22916557

Levandowski, Brooke A; Pearson, Erin; Lunguzi, Juliana; Katengeza, Hans R

2012-06-01

116

The influence of socio-cultural interpretations of pregnancy threats on health-seeking behavior among pregnant women in urban Accra, Ghana  

PubMed Central

Background Although antenatal care coverage in Ghana is high, there exist gaps in the continued use of maternity care, especially utilization of skilled assistance during delivery. Many pregnant women seek care from different sources aside the formal health sector. This is due to negative perceptions resulting from poor service quality experiences in health facilities. Moreover, the socio-cultural environment plays a major role for this care-seeking behavior. This paper seeks to examine beliefs, knowledge and perceptions about pregnancy and delivery and care-seeking behavior among pregnant women in urban Accra, Ghana. Methods A qualitative study with 6 focus group discussions and 13 in-depth interviews were conducted at Taifa-Kwabenya and Madina sub-districts, Accra. Participants included mothers who had delivered within the past 12 months, pregnant women, community members, religious and community leaders, orthodox and non-orthodox healthcare providers. Interviews and discussions were audio-taped, transcribed and coded into larger themes and categories. Results Evidence showed perceived threats, which are often given socio-cultural interpretations, increased women’s anxieties, driving them to seek multiple sources of care. Crucially, care-seeking behavior among pregnant women indicated sequential or concurrent use of biomedical care and other forms of care including herbalists, traditional birth attendants, and spiritual care. Use of multiple sources of care in some cases disrupted continued use of skilled provider care. Furthermore, use of multiple forms of care is encouraged by a perception that facility-based care is useful only for antenatal services and emergencies. It also highlights the belief among some participants that care from multiple sources are complementary to each other. Conclusions Socio-cultural interpretations of threats to pregnancy mediate pregnant women’s use of available healthcare services. Efforts to encourage continued use of maternity care, especially skilled birth assistance at delivery, should focus on addressing generally perceived dangers to pregnancy. Also, the attractiveness of facility-based care offers important opportunities for building collaborations between orthodox and alternative care providers with the aim of increasing use of skilled obstetric care. Conventional antenatal care should be packaged to provide psychosocial support that helps women deal with pregnancy-related fear. PMID:24246028

2013-01-01

117

An Interactional Perspective on the Relationship of Immigration to Intimate Partner Violence in a Representative Sample of Help-Seeking Women  

ERIC Educational Resources Information Center

This article reports a study of the possible impact of immigration on interactional aspects of intimate partner violence (IPV) among help-seeking women. Are there differences concerning (a) IPV categories, (b) IPV severity, frequency, duration, regularity, and predictability, (c) guilt and shame, (d) partners' ethnicity, and (e) children being…

Bo Vatnar, Solveig Karin; Bjorkly, Stal

2010-01-01

118

Need for Comprehensive Women's Health Continuing Medical Education among Primary Care Physicians.  

ERIC Educational Resources Information Center

Women's health topics of interest for continuing medical education were identified by 91 primary care physicians. Most felt that more knowledge of these topics would reduce the number of referrals to specialists. A more comprehensive, rather than reproductive, perspective of women's health was called for. (SK)

Kwolek, Deborah S.; Donnelly, Michael B.; Carr, Ellen; Sloan, David A.; Haist, Steven A.

2000-01-01

119

Psychiatric and Medical Effects of Anabolic-Androgenic Steroid Use in Women  

Microsoft Academic Search

Background: Although numerous studies have documented the psychiatric and physiological effects of anabolic-androgenic steroids (AAS) in males, virtually no studies have investigated the effects of illicit AAS use in women. Methods: We performed psychiatric and medical evaluations of 75 dedicated women athletes, recruited by advertisement primarily from gymnasiums in the Boston, Mass., area. Results: Twenty-five (33%) of the women reported

Amanda J. Gruber; Harrison G. Pope Jr.

2000-01-01

120

Neurotic Disorders of General Medical Outpatients in Xi’an, China: Knowledge, Attitudes, and Help-Seeking Preferences  

PubMed Central

Objective This study assessed knowledge of neurotic disorders, and attitudes and preferences toward professional help and treatment for them, among general medical outpatients in general hospitals in Xi’an, China. Methods General medical outpatients (N=372) from general hospitals in China were recruited by using a stratified cluster sampling method between June and September 2010. In face-to-face interviews, participants age 16 years or older were assessed for their knowledge, attitudes, and help-seeking preferences in regard to neurotic disorders (obsessive-compulsive disorder, social phobia, and panic disorder). Demographic data were also collected. Results Lack of insight into neurotic disorders was common among medical outpatients in general hospitals of Xi’an, China. Twenty-four percent to 58% of the outpatients had some knowledge of the symptoms and treatment of neurotic disorders. Only 11% of the outpatients would reveal to others that they or a family member suffered from neurotic disorders. When faced with the problem of neurotic disorders, the preference of the respondents was to visit a psychiatrist in a general hospital (44%), and only 17% would visit a physician in a psychiatric hospital. Major ways for the outpatients to obtain knowledge regarding neurotic disorders were via radio and television (36%), and only 18%223% of outpatients obtained knowledge about neurotic disorders through printed public health materials and by attending lectures. Conclusions Study results underscore the need for information campaigns aimed at improving the mental health literacy of general medical outpatients. Such campaigns must consider culturally relevant beliefs to facilitate the development of specific educational programs. PMID:24733481

Ni, Chunping; Ma, Lihua; Wang, Bo; Yan, Yongping; Huang, Yueqin; Wallen, Gwenyth R.; Li, Lu; Lang, Hongjuan; Hua, Qianzhen

2014-01-01

121

Factors Affecting Older Women's Adherence to Medication and Treatment  

Microsoft Academic Search

Over the past 25 years, there has been a growing interest in why many patients do not take prescribed medications or fail to follow medical advice. As many as 50% of all patients fail to adhere adequately to therapeutic advice or engage in inappropriate use of prescribed medications. Additionally, there has been a struggle over how best to describe this

Shawn A. Lawrence; Barbara Rittner

2009-01-01

122

Documentation of Contraception and Pregnancy When Prescribing Potentially Teratogenic Medications for Reproductive-Age Women  

PubMed Central

Background Certain medications are identified by the U.S. Food and Drug Administration (FDA) as class D or X because they increase the risk for birth defects if used during pregnancy. Objective To assess pregnancy rates and the frequency of contraceptive counseling documented with prescriptions for class D or X drugs filled by women of reproductive age. Design Description of prescriptions filled in 2001. Setting A large health maintenance organization in northern California in 2001. Patients 488 175 women age 15 to 44 years who filled a total of 1 011 658 class A, B, D, or X prescriptions. Measurements Medications dispensed, contraceptive counseling, and pregnancy testing. Results A class D or X prescription was filled by 1 of every 6 women studied. Women who filled a prescription for class D or X medications were no more likely than women who filled prescriptions for safer, class A or B medications to have received contraceptive counseling, filled a contraceptive prescription, or been sterilized (48% vs. 51% of prescriptions). There was little variation by clinical indication in rates of contraceptive counseling with class D or X prescriptions, except for isotretinoin. Women who filled a class D or X prescription were only slightly less likely to have a pregnancy documented within 3 months than women filling a class A or B prescription (1.0% vs. 1.4% of prescriptions). Limitations International Classification of Diseases, Ninth Revision, codes underestimate contraceptive counseling. Documentation of a positive pregnancy test after filling a prescription may overestimate medication use in early pregnancy. Women who filled several prescriptions are overrepresented in prescription analyses. Conclusion Prescriptions for potentially teratogenic medications are frequently filled by women of childbearing age without documentation of contraceptive counseling. PMID:17876020

Schwarz, Eleanor Bimla; Postlethwaite, Debbie A.; Hung, Yun-Yi; Armstrong, Mary Anne

2010-01-01

123

Syndromic treatment of gonococcal and chlamydial infections in women seeking primary care for the genital discharge syndrome: decision-making.  

PubMed Central

The syndromic treatment of gonococcal and chlamydial infections in women seeking primary care in clinics where resources are scarce, as recommended by WHO and implemented in many developing countries, necessitates a balance to be struck between overtreatment and undertreatment. The present paper identifies factors that are relevant to the selection of specific strategies for syndromic treatment in the above circumstances. Among them are the general aspects of decision-making and caveats concerning the rational decision-making approach. The positive and negative implications are outlined of providing or withholding treatment following a specific algorithm with a given accuracy to detect infection, i.e. sensitivity, specificity and predictive values. Other decision-making considerations that are identified are related to implementation and include the stability of risk factors with regard to time, space and the implementer, acceptability by stakeholders, and environmental constraints. There is a need to consider empirically developed treatment algorithms as a basis for policy discourse, to be evaluated together with the evidence, alternatives and arguments by the stakeholders. PMID:11731816

Behets, F. M.; Miller, W. C.; Cohen, M. S.

2001-01-01

124

Blatant and Subtle Patterns of Discrimination: Minority Women in Medical Schools.  

ERIC Educational Resources Information Center

Discusses discrimination in medical school settings and dominant group strategies to comply with remedial requirements while trying to maintain their dominance. Describes how minority women medical students experience double discrimination, based on stereotyped notions of their qualifications (as minorities) to study medicine and their dedication…

Kendall, Diana; Feagin, Joe R.

1983-01-01

125

Asian/Pacific Islander Women in Medical Education: Personal and Professional Challenges.  

ERIC Educational Resources Information Center

This qualitative study sought to identify the complex issues facing Asian/Pacific Islander (API) women students at one Midwestern medical school as they subjectively experience their medical training. Students reported parental and Asian community influences on their decision to enter medicine; most thought faculty perceive them as "quiet," often…

Wear, Delese

2000-01-01

126

Medical Students' Comfort with Pregnant Women with Substance-Use Disorders: A Randomized Educational Study  

ERIC Educational Resources Information Center

Objective: The study objective was to determine whether medical students' attendance at a rehabilitation residence for pregnant women with substance-use disorders yielded changes in their attitudes and comfort levels in providing care to this population. Methods: This randomized educational trial involved 96 consecutive medical students during…

Albright, Brittany; Skipper, Betty; Riley, Shawne; Wilhelm, Peggy; Rayburn, William F.

2012-01-01

127

Reducing the time-lag between onset of chest pain and seeking professional medical help: a theory-based review  

PubMed Central

Background Research suggests that there are a number of factors which can be associated with delay in a patient seeking professional help following chest pain, including demographic and social factors. These factors may have an adverse impact on the efficacy of interventions which to date have had limited success in improving patient action times. Theory-based methods of review are becoming increasingly recognised as important additions to conventional systematic review methods. They can be useful to gain additional insights into the characteristics of effective interventions by uncovering complex underlying mechanisms. Methods This paper describes the further analysis of research papers identified in a conventional systematic review of published evidence. The aim of this work was to investigate the theoretical frameworks underpinning studies exploring the issue of why people having a heart attack delay seeking professional medical help. The study used standard review methods to identify papers meeting the inclusion criterion, and carried out a synthesis of data relating to theoretical underpinnings. Results Thirty six papers from the 53 in the original systematic review referred to a particular theoretical perspective, or contained data which related to theoretical assumptions. The most frequently mentioned theory was the self-regulatory model of illness behaviour. Papers reported the potential significance of aspects of this model including different coping mechanisms, strategies of denial and varying models of treatment seeking. Studies also drew attention to the potential role of belief systems, applied elements of attachment theory, and referred to models of maintaining integrity, ways of knowing, and the influence of gender. Conclusions The review highlights the need to examine an individual’s subjective experience of and response to health threats, and confirms the gap between knowledge and changed behaviour. Interventions face key challenges if they are to influence patient perceptions regarding seriousness of symptoms; varying processes of coping; and obstacles created by patient perceptions of their role and responsibilities. A theoretical approach to review of these papers provides additional insight into the assumptions underpinning interventions, and illuminates factors which may impact on their efficacy. The method thus offers a useful supplement to conventional systematic review methods. PMID:23388093

2013-01-01

128

Dalhousie Medical School Cancer Researcher Seeks Biomarkers of Treatment Success HALIFAX,NOVA SCOTIA | CANADA B3H 4H7 | +1 (902) 494-2756  

E-print Network

Dalhousie Medical School Cancer Researcher Seeks Biomarkers of Treatment Success HALIFAX for monitoring the effectiveness of cancer treatments. "Structures in the nucleus of every cell - known as PML. Their response to cancer therapies could tell us if treatment is working - within 24 hours, instead of weeks," he

Dellaire, Graham

129

Emergent HIV technology: urban Tanzanian women's narratives of medical research, microbicides and sexuality.  

PubMed

In response to the growing HIV epidemic in Africa in the 1990s, microbicide technologies emerged from discourses of empowerment and imaginings of the sexual lives and agency of African women. This draws on an anthropological enquiry which explored narratives from Tanzanian women who participated in a microbicide clinical trial. In the context of the HIV epidemic in Tanzania, women's lives were full of uncertainty and insecurity and their sexual lives were situated in a wider discourse of urban women's sexuality linked to morality and power. Their narratives revealed that women participated in the trial to seek knowledge as well as to 'try' the gel. In relation to their concerns about sexual health, the gel was experienced as cleansing as well as enhancing sexual desire and pleasure. The idea of empowerment imbued in the gel and transported to the women through the clinical trial was meaningful to the women, and this and ideas of sexual health and pleasure suggest future and hopeful possibilities for such HIV prevention technologies. However, if made widely available the potential for enhanced inequalities and further intensified surveillance of women's sexual lives must be considered. PMID:25317758

Lees, Shelley

2014-10-15

130

[Medical social features of women with pregnancy pathology].  

PubMed

Prenatal infection was observed more frequently in women with lower social status and such adverse style of life as physical and psychological maltreatment before and during pregnancy, lack of husband's proper support, necessity of self-dependent decision-making, tensed relationship of conjoints and their relatives. Women with prenatal infection had worse reproductive attitudes e.g. inappropriate self-vison in mother role and lack of care of one's own and infant health. Among them, deviant behavior before and during pregnancy was observed more frequently too. Prenatal infection results in more frequent labour complications and deterioration of infant characteristics. PMID:16158756

Nazarova, A O; Provorova, T S

2005-01-01

131

Medical genetics, public understanding and patient experiences: An exploratory qualitative study of recently pregnant women  

NASA Astrophysics Data System (ADS)

The purpose of the study was to document how individuals' experiences and understanding of genetics concepts affects their medical experiences. Recently pregnant women were interviewed because they represent a population that needs to comprehend biological and genetic information to understand their health. Three women were designated as science experts (SE) defined as having extensive university level science education and three women were designated as science non-experts (SNE). In general, SEs described a more positive pregnancy experience. Both SEs and SNEs demonstrated a basic understanding of genetic concepts but varied in the application of concepts to personal medical issues. Participants' views and experiences of pre and postnatal tests were linked to their understanding of nature of science components such as recognition that tests have limitations. Results from this study indicate an incomplete understanding of the nature of science among participants may have led to unsatisfactory medical experiences.

Garman, Jamie L.

132

The impact of mass media health communication on health decision-making and medical advice-seeking behavior of u.s. Hispanic population.  

PubMed

Mass media health communication has enormous potential to drastically alter how health-related information is disseminated and obtained by different populations. However, there is little evidence regarding the influence of media channels on health decision-making and medical advice-seeking behaviors among the Hispanic population. The Pew 2007 Hispanic Healthcare Survey was used to test the hypothesis that the amount of mass media health communication (i.e., quantity of media-based health information received) is more likely to influence Hispanic adults' health decision-making and medical advice-seeking behavior compared to health literacy and language proficiency variables. Results indicated that quantity of media-based health information is positively associated with health decision-making and medical advice-seeking behavior above and beyond the influence of health literacy and English and Spanish language proficiency. In a context where physician-patient dynamics are increasingly shifting from a passive patient role model to a more active patient role model, media-based health information can serve as an influential cue to action, prompting Hispanic individuals to make certain health-related decisions and to seek more health advice and information from a health provider. Study implications are discussed. PMID:22888787

De Jesus, Maria

2013-01-01

133

Knowledge, attitudes and practices of health professionals and women towards medication use in breastfeeding: A review  

PubMed Central

Many breastfeeding women require and regularly take medicines, especially those available over-the-counter, and the safe use of these is dependent on the advice provided by health professionals such as general practitioners and pharmacists. The primary aim of this review therefore, was to investigate the literature relating to health professionals' and women's knowledge, attitudes and practices towards medication use and safety in breastfeeding. The limited literature that was uncovered identified that general practitioners and pharmacists have poor knowledge, but positive attitudes, and variable practices that are mostly guided by personal experience. They tend to make decisions about the use of a medicine whilst breastfeeding based on the potential 'risk' that it poses to the infant in terms of possible adverse reactions, rather than its 'compatibility' with breast milk. The decision-making process between health professionals and women is usually not a negotiated process, and women are often asked to stop breastfeeding whilst taking a medicine. Women, in turn, are left dissatisfied with the advice received, many choosing not to initiate therapy or not to continue breastfeeding. Some directions for future research have been suggested to address the issues identified in this critical area. This review is important from a societal perspective because many breastfeeding women require and regularly take medications, especially those available without prescription, and the safe use of these is dependent on the advice provided by health professionals, which is ultimately influenced by their knowledge, attitudes and practices. However, there is an absence of high quality evidence from randomised controlled trials on the safety of medications taken during breastfeeding, which naturally would hinder health professionals from appropriately advising women. It is equally important to know about women's experiences of advice received from health professionals, and whether there is consistency between recommendations made across resources on medication safety in breastfeeding, in order to gain a full understanding of the issues prevalent in this area of practice. PMID:21867562

2011-01-01

134

Contextualising the medical risks of cigarette smoking: Australian young women’s perceptions of anti-smoking campaigns  

Microsoft Academic Search

This paper presents results from a qualitative analysis of the perceptions Australian young women cigarette smokers have of the medical health messages espoused through anti-smoking campaigns. The study aims to show that the deployment of medico-scientific knowledges in the most recent series of anti-smoking campaigns disseminated in New South Wales Australia (those which emerged in the 1990s under the auspices

Emilee Gilbert

2005-01-01

135

Benefits of psychotropic medications on depressive symptoms and HIV medication adherence among HIV-positive men and women  

PubMed Central

Context Psychiatric symptoms including depression are common among people living with HIV/AIDS (PLWHA), and antidepressant medications have been shown to reduce depressive symptoms and also enhance antiretroviral (ARV) adherence in this population. Objective Because these benefits have not been studied among PLWHA using other psychotropic (PSY) medications in addition to antidepressants, we examined the impact of adherence to a diverse range of PSY medications (including antidepressants, mood stabilizers, and anti-psychotic medications) on depressive symptoms and ARV adherence in PLWA. Design Participants for this cohort study were recruited through physician outpatient clinics. Depressive symptoms were assessed monthly using a 10-item version of the Center for Epidemiological Studies – Depression (CES-D) scale; PSY and ARV medication adherence were assessed using monthly unannounced telephone pill count assessments across a three-month period. Setting A general community-based, healthcare setting was utilized for the study. Participants Of the 353 PLWHA we identified on stable ARV medications, we were able to maintain contact with 324 (92%) across a 3-month period (227 men; 97 women). Mean age of this convenience sample was 45 years and 90% were African-American. Intervention None. Main Outcome Measure Mean ARV adherence across a 3-month study period. Results The results showed that greater depressive symptoms were associated with lower ARV adherence among our sample of PLWHA. Greater adherence to PSY medications regardless of medication class was positively related to higher ARV adherence. We also found that greater adherence to PSY medications significantly reduced the negative association between depressive symptoms and ARV medication adherence among PLWHA. Conclusions The results of this study point to the need for screening and treatment of depressive symptoms and also further study of the impact of multiple PSY medications regimens on health outcomes among PLWHA. PMID:22076697

Cruess, Dean G.; Kalichman, Seth C.; Amaral, Christine; Swetzes, Connie; Cherry, Chauncey; Kalichman, Moira O.

2015-01-01

136

Use of non-medical methods of labor induction and pain management among U.S. women  

PubMed Central

Background There is limited documentation of non-medical methods of labor induction and pain management during childbirth in the U.S. We estimated the prevalence of non-medical interventions for induction and pain management and examined the association between medical and non-medical care during labor. Methods We used a nationally-representative survey of U.S. women who gave birth in 2005 (N=1,382) to examine use of non-medical methods of labor induction and pain management. Using logistic regression, we calculated odds of non-medical and medical interventions to induce labor or mitigate pain, and the odds of medical induction and obstetric analgesia by whether non-medical methods were used. Results Nearly 30% of women used non-medical methods to start labor, and over 70% of women used non-medical pain management. Doula support was the strongest predictor of non-medical methods of labor induction (Adjusted Odds Ratio (AOR) = 3.0) and labor pain management (AOR = 5.7). Use of non-medical pain management was significantly associated with decreased odds of medical pain management (OR = 0.65); this relationship was attenuated with covariate adjustment. Conclusions Non-medical methods to induce labor and manage pain during childbirth are commonly used by U.S. women. Future research should examine effectiveness of these strategies and their influence on medical services use. PMID:24344703

Kozhimanil, Katy Backes; Johnson, Pamela Jo; Attanasio, Laura B.; Gjerdingen, Dwenda K.; McGovern, Patricia M.

2013-01-01

137

Thanks, but No Thanks: Women's Avoidance of Help-Seeking in the Context of a Dependency-Related Stereotype  

ERIC Educational Resources Information Center

The stereotype that women are dependent on men is a commonly verbalized, potentially damaging aspect of benevolent sexism. We investigated how women may use behavioral disconfirmation of the personal applicability of the stereotype to negotiate such sexism. In an experiment (N = 86), we manipulated female college students' awareness that women may…

Wakefield, Juliet R. H.; Hopkins, Nick; Greenwood, Ronni M.

2012-01-01

138

Korean American women's perceptions about physical examinations and cancer screening services offered in Korea: the influences of medical tourism on Korean Americans.  

PubMed

Cancer is the leading cause of death for Korean-Americans (KAs), while cancer screening rates among KAs have been consistently low. Seven semi-structured focus group interviews with 34 KA women aged 40 or older in the Washington, DC metropolitan area were conducted to explore the perceptions of KA women about seeking physical examinations and cancer screening services in Korea. Data were analyzed using a framework approach. Informants positively perceived the use of health screening services in Korea in comparison to seeking such services in the US. Decision-making factors included cost benefits, high quality services, and more convenient screening procedures in Korea. These benefits outweighed the risks of delaying health care and travelling a vast distance with incurring additional travel costs. Motivations to seek these services in Korea included opportunities to visit their homeland and to enjoy comfortable communication with their native language. The increase of available information about Korean medical services due to the industry's aggressive marketing/PR was identified as a facilitator. Most informants did not recognize possible negative health outcomes of obtaining services in Korea such as inappropriate follow up care if having abnormal findings. Educational programs are needed to educate KAs about the benefits and risks of getting the services in Korea and proper follow up care in the US. Health care providers need to know the different cancer risks and screening needs for this population. PMID:24322599

Oh, Kyeung Mi; Jun, Jungmi; Zhou, Qiuping; Kreps, Gary

2014-04-01

139

Augmenting Antidepressant Medication Treatment of Depressed Women with Emotionally Focused Therapy for Couples: A Randomized Pilot Study  

ERIC Educational Resources Information Center

This is the first study to evaluate adding emotionally focused therapy for couples (EFT) to antidepressant medication in the treatment of women with major depressive disorder and comorbid relationship discord. Twenty-four women and their male partners were randomized to 6 months of medication management alone (MM) or MM augmented with EFT (MM +…

Denton, Wayne H.; Wittenborn, Andrea K.; Golden, Robert N.

2012-01-01

140

Hazardous Drinking, Depression, and Anxiety Among Sexual-Minority Women: Self-Medication or Impaired Functioning?  

PubMed Central

Objective: Sexual-minority women are at heightened risk for a number of mental health problems, including hazardous alcohol consumption, depression, and anxiety. We examined self-medication and impaired-functioning models of the associations among these variables and interpreted results within a life course framework that considered the unique social stressors experienced by sexual-minority women. Method: Data were from a sample of 384 women interviewed during the first two waves of the Chicago Health and Life Experiences of Women (CHLEW) study. Results: Covariance structure modeling revealed that (a) consistent with a self-medication process, anxiety was prospectively associated with hazardous drinking and (b) consistent with an impaired-functioning process, hazardous drinking was prospectively associated with depression. Conclusions: Our findings support a life course perspective that interprets the mental health of adult sexual-minority women as influenced by adverse childhood experiences, age at drinking onset, first heterosexual intercourse, and first sexual identity disclosure, as well as by processes associated with self-medication and impaired functioning during adulthood. PMID:23739020

Johnson, Timothy P.; Hughes, Tonda L.; Cho, Young IK; Wilsnack, Sharon C.; Aranda, Frances; Szalacha, Laura A.

2013-01-01

141

Medication as a risk factor for falls in older women in Brazil  

Microsoft Academic Search

Objective. To assess the prevalence of falls and their association with the use of medications among elderly women in the city of Rio de Janeiro, Brazil. Falls among the elderly are likely to gain additional public health importance in Brazil and many other developing countries given the rapid growth of the elderly populations in those nations. Methods. A cross-sectional study

Suely Rozenfeld; Luiz Antonio Bastos Camacho; Renato Peixoto Veras

2003-01-01

142

Women's participation in the medical profession: insights from experiences in Japan, Scandinavia, Russia, and Eastern Europe.  

PubMed

Although much literature has focused on the status of female physicians in the United States, limited English-language studies have examined the role of women in the medical profession elsewhere in the world. This article synthesizes evidence regarding the status of female physicians in three purposively selected regions outside the United States: Japan, Scandinavia, and Russia and Eastern Europe. These three regions markedly differ in the proportion of female physicians in the workforce, overall status of the medical profession, cultural views of gender roles, and workforce policies. Through a review of studies and articles published between 1992 and 2012 examining women's representation, status measures such as salary and leadership positions, and experiences of female physicians, the authors discuss potential relationships between the representation of female physicians, their status in medicine, and the overall status of the profession. The findings suggest that even when women constitute a high proportion of the physician workforce, they may continue to be underrepresented in positions of leadership and prestige. Evolving workforce policies, environments, and cultural views of gender roles appear to play a critical role in mediating the relationship between women's participation in the medical profession and their ability to rise to positions of influence within it. These insights are informative for the ongoing debates over the impact of the demographic shifts in the composition of the medical workforce in the United States. PMID:25320867

Ramakrishnan, Aditi; Sambuco, Dana; Jagsi, Reshma

2014-11-01

143

Depression and Women's Medical Issues: Laughter May Really Be the Best Medicine  

Microsoft Academic Search

This article looks at the relationship between depression and other medical conditions in women. Depression is a major healthcare issue in its own right, but is also known to be related to many physical conditions which are routinely seen in a primary care provider's office and not thought of as \\

Marghani M. Reever

144

Integration of Women's Health into an Internal Medicine Core Curriculum for Medical Students.  

ERIC Educational Resources Information Center

Describes a collaboration to analyze and integrate elements of women's health into the core curriculum in internal medicine for a medical school's third year clerkship. Illustrates the new curriculum by describing the new module in pulmonary medicine and discusses the use of the process to integrate curricula in other interdisciplinary fields.…

Nicolette, JoDean; Jacobs, Michael D.

2000-01-01

145

"I Should Know Better": The Roles of Relationships, Spirituality, Disclosure, Stigma, and Shame for Older Women Living With HIV Seeking Support in the South.  

PubMed

The population of older people living with HIV in the United States is growing. Little is known about specific challenges older HIV-infected women face in coping with the disease and its attendant stressors. To understand these issues for older women, we conducted semi-structured in-depth interviews with 15 women (13 African American, 2 Caucasian) 50 years of age and older (range 50-79 years) in HIV care in the southeastern United States, and coded transcripts for salient themes. Many women felt isolated and inhibited from seeking social connection due to reluctance to disclose their HIV status, which they viewed as more shameful at their older ages. Those receiving social support did so mainly through relationships with family and friends, rather than romantic relationships. Spirituality provided great support for all participants, although fear of disclosure led several to restrict connections with a church community. Community-level stigma-reduction programs may help older HIV-infected women receive support. PMID:24630627

Grodensky, Catherine A; Golin, Carol E; Jones, Chaunetta; Mamo, Meheret; Dennis, Alexis C; Abernethy, Melinda G; Patterson, Kristine B

2015-01-01

146

Seeking Safety”: Outcome of a New Cognitive-Behavioral Psychotherapy for Women with Posttraumatic Stress Disorder and Substance Dependence  

Microsoft Academic Search

Women with current posttraumatic stress disorder (PTSD) comprise 30–59% of substance abuse treatment samples and experience a more severe course than women with either disorder alone. As yet, no effective treatment for this population has been identified. This paper reports outcome results on 17 women who completed a new manual-based 24-session cognitive behavioral group therapy protocol treatment, based on assessments

Lisa M. Najavits; Roger D. Weiss; Sarah R. Shaw; Larry R. Muenz

1998-01-01

147

[Profile of exposure to medication among women of reproductive age attended in a Toxicologial Information Center].  

PubMed

The scope of this article is to analyze the epidemiological data relating to exposure to medication among women of reproductive age attended at a Toxicology Information Center. A study was conducted among women of reproductive age exposed to medication between 2007 and 2011. The variables relating to the patients, the occurrence and the medication involved were studied in a total of 777 notified cases. Data was collected from Aggravated Injury Notification System forms and processed on Epi Info for Windows software. The majority of the occurrences (90.5%) was intentional, 33.7% of theses incidents involved the intake of 2 or 3 types of drugs by the patients and the percentile of hospitalization was 35.6%. Drugs acting on the central nervous system were responsible for 59.9% of the incidents, and antidepressants (21.3%) and anti-epileptics (21.2%) were most commonly involved. The main factors associated with hospitalization were: delayed medical rescue after exposure, patients with higher education, ingestion of 2 or 3 types of drugs and exposure to anti-epileptics and antidepressants. Data from this study showed that exposure to medication is a serious health problem for women of reproductive age and it contributes to the increase in the number of hospitalizations. PMID:24820602

Takahama, Carina Harumi; Turini, Conceição Aparecida; Girotto, Edmarlon

2014-04-01

148

Depressive and posttraumatic symptoms among women seeking protection orders against intimate partners: relations to coping strategies and perceived responses to abuse disclosure.  

PubMed

This investigation examined the relationship of abuse-specific coping strategies and perceived responses to abuse disclosure to symptoms of depression and posttraumatic stress among 131 women seeking a protection order against an intimate partner. Disengagement, denial, and self-blame coping strategies, as well as blaming of the participant by others, were associated with greater depressive and posttraumatic symptoms. None of the strategies of coping or responses to abuse disclosure were negatively related to depressive or posttraumatic stress symptoms. Findings suggest that mental health providers may find it useful to address these negative styles of coping while public education campaigns should target victim blaming. PMID:22735315

Flicker, Sharon M; Cerulli, Catherine; Swogger, Marc T; Talbot, Nancy L

2012-04-01

149

DEPRESSIVE AND POSTTRAUMATIC SYMPTOMS AMONG WOMEN SEEKING PROTECTION ORDERS AGAINST INTIMATE PARTNERS: RELATIONS TO COPING STRATEGIES AND PERCEIVED RESPONSES TO ABUSE DISCLOSURE  

PubMed Central

This investigation examined the relationship of abuse-specific coping strategies and perceived responses to abuse disclosure to symptoms of depression and posttraumatic stress among 131 women seeking a protection order against an intimate partner. Disengagement, denial, and self-blame coping strategies, as well as blaming of the participant by others, were associated with greater depressive and posttraumatic symptoms. None of the strategies of coping or responses to abuse disclosure were negatively related to depressive or posttraumatic stress symptoms. Findings suggest that mental health providers may find it useful to address these negative styles of coping while public education campaigns should target victim-blaming. PMID:22735315

Flicker, Sharon M.; Cerulli, Catherine; Swogger, Marc T.; Talbot, Nancy L.

2014-01-01

150

Overcoming the Odds: Challenges and Successes of Sub-Saharan African Women Seeking Higher Education in the United States  

ERIC Educational Resources Information Center

This article describes the challenges Sub-Saharan African women, including the author, have experienced in their pursuit of graduate studies in the United States and successful strategies that have been adopted. The author begins with a brief overview of the education of girls and women in Sub-Saharan African countries. She then explores the…

Gatua, Mary Wairimu

2009-01-01

151

Permeability of public and private spaces in reproductive healthcare seeking: barriers to uptake of services among low income African American women in a smaller urban setting.  

PubMed

This study was undertaken in partnership with a publicly funded reproductive healthcare organization to better understand barriers to utilization of its services as perceived by low income African American women in its community and how those barriers might be managed. The study uses a place-based, ecological perspective to theorize privacy challenges across different levels of the communication ecology. Analysis of participant observation, interviews, and focus group data identified three key public-private problematics in African American women's experience of reproductive healthcare seeking in a smaller urban setting: a public-private problematic of organizational identity, of organizational regions, and of organizational members. Potential strategies are identified for managing these problematics by the organization and community members. PMID:24641878

Golden, Annis G

2014-05-01

152

Rural Australian Women's Legal Help Seeking for Intimate Partner Violence: Women Intimate Partner Violence Victim Survivors' Perceptions of Criminal Justice Support Services  

ERIC Educational Resources Information Center

Intimate partner violence (IPV) is a widespread, ongoing, and complex global social problem, whose victims continue to be largely women. Women often prefer to rely on friends and family for IPV help, yet when informal support is unavailable they remain hesitant to contact formal services, particularly legal support for many reasons. This study…

Ragusa, Angela T.

2013-01-01

153

A Qualitative Study on the Attitudes and Beliefs towards Help Seeking for Emotional Distress in Omani Women and Omani General Practitioners: Implications for Post-Graduate Training  

PubMed Central

Objectives This study aims to explore the attitudes and beliefs of Omani women attending primary health care and Omani general practitioners regarding help seeking behaviour for emotional distress. The study also intends to clarify the understanding of help seeking from both lay and professional perspectives in the context of Omani culture exploring factors related to doctors’ training and health care services. Methods A qualitative phenomenological study using semi-structured interviews was conducted at the Family Medicine Health Care Centre at Sultan Qaboos University Hospital. 20 lay informants (Omani women) and 10 professional informants (Omani family physicians) were interviewed. Results Two main sets of themes are presented in this study; 1). the original themes, which are presented in the results section and represent the descriptive level of analysis, and 2). the emergent themes are presented in the discussion section and represent the interpretive level of analysis. The original themes are: a) self help, with subthemes including the role of faith, talking and distraction. b) Health care and doctors, with subthemes including: reasons for seeing a doctor, reasons for not seeing a doctor, continuity of care, doctor-patient relationship and time. c) Traditional (folk) medicine. The emergent themes are: a) Talking b) Religious faith c) Cultural beliefs and d) The doctor’s role. Cultural and religious beliefs were found to shape the experience of help seeking in the study group. In addition, factors associated with doctor-patient relationship were found to play a major role in determining the help seeking behaviour of women experiencing symptoms related to psychological distress. Professional informants emphasized the role of their training, availability of supporting services, time and continuity of care. The study showed discrepancy between lay and professional informants’ beliefs regarding the role of family physicians in managing mental problems. Conclusion This study recommends paying more attention to factors related to cultural beliefs, doctor-patient relationship and family physicians’ role when planning health services and residency programs, and when planning research on aspects related to mental health in non-Western cultures. PMID:22043336

Al-Busaidi, Zakiya Q.

2010-01-01

154

The lack of paid sick leave as a barrier to cancer screening and medical care-seeking: results from the National Health Interview Survey  

PubMed Central

Background Preventive health care services, such as cancer screening can be particularly vulnerable to a lack of paid leave from work since care is not being sought for illness or symptoms. We first describe the prevalence of paid sick leave by broad occupational categories and then examine the association between access to paid sick leave and cancer testing and medical care-seeking in the U.S. workforce. Methods Data from the 2008 National Health Interview survey were analyzed by using paid sick leave status and other health-related factors to describe the proportion of U.S. workers undergoing mammography, Pap testing, endoscopy, fecal occult blood test (FOBT), and medical-care seeking. Results More than 48 million individuals (38%) in an estimated U.S. working population of 127 million did not have paid sick leave in 2008. The percentage of workers who underwent mammography, Pap test, endoscopy at recommended intervals, had seen a doctor during the previous 12?months or had at least one visit to a health care provider during the previous 12?months was significantly higher among those with paid sick leave compared with those without sick leave after controlling for sociodemographic and health-care-related factors. Conclusions Lack of paid sick leave appears to be a potential barrier to obtaining preventive medical care and is a societal benefit that is potentially amenable to change. PMID:22788387

2012-01-01

155

"Grief that Has No Vent in Tears, Makes Other Organs Weep." Seeking Refuge from Trauma in the Medical Setting  

ERIC Educational Resources Information Center

This paper will look at work carried out with asylum-seeking families and children within a hospital paediatric setting, exploring theories that can help us to understand how highly traumatic experiences, emotionally and cognitively unprocessed, may become expressed bodily. The case examples will show how these shattered and dislocated patients…

Martin, Paddy

2012-01-01

156

Interpretative Repertoires That Shape Low-Income African American Women's Reproductive Health Care Seeking: "Don't Want to Know" and "Taking Charge of Your Health"  

PubMed

In the context of reproductive and sexual health, African American women have higher incidence of disease and poorer outcomes on key indicators when compared with White women. In this study, we used discourse analysis to identify and examine the workings of two clusters of interpretive resources ("interpretative repertoires") associated with reproductive/sexual health care seeking among low-income African American women who participated in semistructured interviews as part of a health promotion initiative. Interpretative repertoires are ways of accounting for engaging in or refraining from engaging in actions, which are shared by people in a community. We labeled the two interpretative repertoires "Don't Want to Know," and "Take Charge of Your Health." Within the "Don't Want to Know" repertoire, that testing would lead to threatening findings was assumed, a chain of devastating consequences was imagined, and a preference for uncertainty over certain knowledge was expressed. Conversely, the "Take Charge of Your Health" repertoire valued certainty over uncertainty, though in both interpretive frameworks, knowledge-based and emotion-based decision-making were intertwined. We conclude that health promotion initiatives-if they are to succeed in encouraging women to obtain valuable preventive health care services-must respond, in their choices of language and outreach strategies, to the expressed dilemma of wishing for reassurance but fearing bad news, to the intertwining of emotional reasoning and technorationality in health decision making, and to the particular relational experiences of African American women. Failure to do so will contribute to the continuation of reproductive and sexual health disparities. PMID:25144501

Golden, Annis G; Pomerantz, Anita

2014-08-21

157

Smartphone Medical Applications for Women's Health: What Is the Evidence-Base and Feedback?  

PubMed Central

Background. Smartphone medical applications have a major role to play in women's health with their roles being very broad, ranging from improving health behaviours to undertaking personalised tests. Objective(s). Using Medline, Web of Knowledge, and the PRISMA guidelines 15 randomized controlled trials (RCTs) were identified, with mobile interventions being tested on 1603 females, in relation to key aspects of health. Using a similar systematic approach an iPhone database search identified 47 applications (apps) developed to improve women's health. Findings. Ten RCTs used text messaging or app interventions to support weight loss, with significant improvements being observed in eight studies. For other aspects of women's health RCTs are needed to determine possible health benefits. iPhone store data analysis identified that a substantial number of women's health apps did not have star ratings or feedback comments (68 and 49 per cent, resp.), raising concerns about their validity. Conclusion. Peer-review systems, supporting statements of evidence, or certification standards would be beneficial in maintaining the quality and credibility of future health-focused apps. Patient groups should also ideally be involved in the development and testing of mobile medical apps. PMID:24454354

Derbyshire, Emma; Dancey, Darren

2013-01-01

158

Perspective for Female Medical Physicists  

SciTech Connect

Due to cultural and religious reasons, Pakistani women can be reluctant to seek medical attention for disorders affecting their genitals or breasts. As a result, in the case of cervical and breast cancers, oncological treatment is often not received until the diseases are in the late stages. Once a cancer is classified and the tumor marked, the role of the medical physicist begins. Medical physicists' responsibilities include treatment planning, supervising treatment through radiation, dosimetry, contouring, training, equipment selection, education, research, and supervising radiotherapy facilities. In brachytherapy, isotopes are placed at the tumor site in the form of wires or seeds. There are very few female medical physicists in Pakistan. This leads to further hesitation on the part of many women to seek treatment. To help female patients obtain needed medical care, female physics students should be encouraged to pursue the emerging field of medical physics. This would provide a new professional opportunity for female physics students and give comfort to female patients.

Naqvi, Syed Mansoor [Department of Radiology, Aga Khan University Hospital, Karachi (Pakistan); Hasnain, Aziz Fatima [Center for Physics Education, Karachi (Pakistan)

2009-04-19

159

Seeking Balance: The Importance of Environmental Conditions in Men and Women Faculty's Well-Being  

ERIC Educational Resources Information Center

Faculty retention is of increasing importance in the current economic climate. We examined the role of an institution's environmental conditions (e.g., climate, collegiality, and administration) in faculty well-being (i.e., job satisfaction, intent to leave, emotional and physical health). Women reported significantly lower well-being and a…

McCoy, Shannon K.; Newell, Ellen E.; Gardner, Susan K.

2013-01-01

160

A Rural Perspective on Perinatal Depression: Prevalence, Correlates, and Implications for Help-Seeking among Low-Income Women  

ERIC Educational Resources Information Center

Context/Purpose: To examine a low-income sample of women in the rural Midwest (N = 1,086) who were screened for perinatal depression through the outreach and education activities within a Healthy Start Initiative project. Specifically, we describe the frequency and severity of depressive symptoms, explore social and demographic correlates of…

Price, Sarah Kye; Proctor, Enola K.

2009-01-01

161

The Association between Medical Education Accreditation and the Examination Performance of Internationally Educated Physicians Seeking Certification in the United States  

ERIC Educational Resources Information Center

Background: The purpose of the first phase of the present research was to examine medical education accreditation practices around the world, with special focus on the Caribbean region, to determine the association of accreditation of medical schools with student/graduate performance on examinations. The aim of the second phase of this research…

van Zanten, Marta

2012-01-01

162

Expanding Women's Rural Medical Work in Early Modern Brittany: The Daughters of the Holy Spirit  

PubMed Central

During the eighteenth century, orders of nursing sisters took on an expanded role in the rural areas of Brittany. This article explores the impact of religious change on the medical activities of these women. While limits were placed on the medical practice of unlicensed individuals, areas of new opportunity for nuns as charitable practitioners were created by devout nobles throughout the eighteenth century. These nuns provided comprehensive care for the sick poor on their patrons' estates, acting not only as nurses, but also in lieu of physicians, surgeons, and apothecaries. This article argues that the medical knowledge and expertise of these sisters from the nursing orders were highly valued by the elites of early modern Brittany. PMID:21724643

McHugh, Tim

2012-01-01

163

Key determinants of induced abortion in women seeking postabortion care in hospital facilities in Ouagadougou, Burkina Faso  

PubMed Central

Introduction Despite the universal recognition of unsafe abortion as a major public health problem, very little research has been conducted to document its precipitating factors in Burkina Faso. Our aim was to investigate the key determinants of induced abortion in a sample of women who sought postabortion care. Materials and methods A cross-sectional household survey was carried out from February to September 2012 in Ouagadougou, Burkina Faso. Data of 37 women who had had an induced abortion and 267 women who had had a spontaneous abortion were prospectively collected on sociodemographic characteristics, pregnancy and birth history, abortion experience, including previous abortion experience, and selected clinical information, including the type of abortion. A two-step regression analysis consisting of a univariate and a multivariate logistic regression was run on Stata version 11.2 in order to identify the key determinants of induced abortion. Results The findings indicated that 12% of all abortions were certainly induced. Three key factors were significantly and positively associated with the probability of having an induced abortion: whether the woman reported that her pregnancy was unwanted (odds ratio [OR] 10.45, 95% confidence interval [CI] 3.59–30.41); whether the woman reported was living in a household headed by her parents (OR 6.83, 95% CI 2.42–19.24); and if the woman reported was divorced or widowed (OR 3.47, 95% CI 1.08–11.10). On the contrary, being married was protective against induced abortion, with women who reported being married having an 83% (OR 0.17, CI 0.03–0.89) lower chance of having an induced abortion, even when the pregnancy was unwanted. Conclusion This study has identified three major determinants of induced abortion in Ouagadougou, Burkina Faso. Improved targeted programs on family planning counseling, methods of contraception, and availability of contraceptives should be widely promoted. PMID:24920938

Ilboudo, Patrick GC; Somda, Serge MA; Sundby, Johanne

2014-01-01

164

Severity of Depressive Symptoms and Accuracy of Dietary Reporting among Obese Women with Major Depressive Disorder Seeking Weight Loss Treatment  

PubMed Central

An elevation in symptoms of depression has previously been associated with greater accuracy of reported dietary intake, however this association has not been investigated among individuals with a diagnosis of major depressive disorder. The purpose of this study was to investigate reporting accuracy of dietary intake among a group of women with major depressive disorder in order to determine if reporting accuracy is similarly associated with depressive symptoms among depressed women. Reporting accuracy of dietary intake was calculated based on three 24-hour phone-delivered dietary recalls from the baseline phase of a randomized trial of weight loss treatment for 161 obese women with major depressive disorder. Regression models indicated that higher severity of depressive symptoms was associated with greater reporting accuracy, even when controlling for other factors traditionally associated with reporting accuracy (coefficient ?=? 0.01 95% CI?=?0.01 – 0.02). Seventeen percent of the sample was classified as low energy reporters. Reporting accuracy of dietary intake increases along with depressive symptoms, even among individuals with major depressive disorder. These results suggest that any study investigating associations between diet quality and depression should also include an index of reporting accuracy of dietary intake as accuracy varies with the severity of depressive symptoms. PMID:24587338

Whited, Matthew C.; Schneider, Kristin L.; Appelhans, Bradley M.; Ma, Yunsheng; Waring, Molly E.; DeBiasse, Michele A.; Busch, Andrew M.; Oleski, Jessica L.; Merriam, Philip A.; Olendzki, Barbara C.; Crawford, Sybil L.; Ockene, Ira S.; Lemon, Stephenie C.; Pagoto, Sherry L.

2014-01-01

165

Breast Cancer Knowledge, Beliefs, and Screening Practices among Women Seeking Care at District Hospitals in Dar es Salaam, Tanzania  

PubMed Central

BACKGROUND Limited disease awareness among women may impact breast cancer stage-at-diagnosis in Tanzania, reducing survival. This study assessed breast cancer knowledge, screening practices, and educational preferences among outpatients at Tanzanian government-supported hospitals. METHODS A convenience sample of women was surveyed regarding (1) knowledge/beliefs of breast cancer etiology, risk factors, symptoms, treatment, (2) early detection knowledge/practice, and (3) educational preferences. RESULTS Among 225 respondents, 98.2% knew of breast cancer; 22.2% knew someone affected by breast cancer. On average, 30% of risk factors and 51% of symptoms were identified. Most accepted one or more breast cancer myths. Among 126 aware of breast self-exam, 40% did not practice it; only 0.9% underwent regular clinical breast examinations despite 68% being aware of the procedure. Among treatments, 87% recognized surgery, 70% radiation, and fewer systemic therapy. Preferred educational sources were group sessions, television/radio, and meetings with breast cancer survivors. CONCLUSIONS This work reveals incomplete breast cancer awareness among Tanzanian women and promises to inform development of user-focused educational resources. PMID:24855371

Morse, Emma Perry; Maegga, Bertha; Joseph, Gertrud; Miesfeldt, Susan

2014-01-01

166

Rates of Bone Loss Among Women Initiating Antidepressant Medication Use in Midlife  

PubMed Central

Context: Concern has been raised that medications that block serotonin reuptake may affect bone metabolism, resulting in bone loss. Objective: The aim of the study was to compare annual bone mineral density (BMD) changes among new users of selective serotonin reuptake inhibitors (SSRIs), new users of tricyclic antidepressants (TCAs), and nonusers of antidepressant medications. Design and Setting: We conducted a prospective cohort study at five clinical centers in the United States. Participants: The study included 1972 community-dwelling women, aged 42 years and older, enrolled in the Study of Women's Health Across the Nation (SWAN). Exposure: The use of antidepressant medications was assessed by interview and verified from medication containers at annual visits. Subjects were categorized as nonusers (no SSRI or TCA use at any examination), SSRI users (initiated SSRI use after the baseline SWAN visit), or TCA users (initiated TCA use after the baseline visit), using a computerized dictionary to categorize type of medication. Main Outcome Measures: BMD at the lumbar spine, total hip, and femoral neck was measured using dual-energy x-ray absorptiometry at annual visits. Results: BMD was compared among 311 new users of SSRIs, 71 new users of TCAs, and 1590 nonusers. After adjustment for potential confounders, including age, race, body mass index, menopausal status, and hormone therapy use, mean lumbar spine BMD decreased on average 0.68% per year in nonusers, 0.63% per year in SSRI users (P = .37 for comparison to nonusers), and 0.40% per year in TCA users (P = .16 for comparison to nonusers). At the total hip and femoral neck, there was also no evidence that SSRI or TCA users had an increased rate of bone loss compared with nonusers. Results were similar in subgroups of women stratified by the Center for Epidemiologic Studies Depression Scale (<16 vs ?16). Conclusions: In this cohort of middle-aged women, use of SSRIs and TCAs was not associated with an increased rate of bone loss at the spine, total hip, or femoral neck. PMID:24001746

Ruppert, Kristine; Cauley, Jane A.; Lian, YinJuan; Bromberger, Joyce T.; Finkelstein, Joel S.; Greendale, Gail A.; Solomon, Daniel H.

2013-01-01

167

Comparison of Employment Status of Women Medical Graduates and Women Science Graduates, University of Sheffield, 1960-65  

ERIC Educational Resources Information Center

This survey suggests that the employment prospects of women in medicine are more optimistic than suspected, but women may be employed in posts underusing their talents. An advisory service for women science students is recommended. (Author/LBH)

Eskin, Frada

1976-01-01

168

Associations between Anxiety, Depression, Antidepressant Medication, Obesity and Weight Gain among Canadian Women  

PubMed Central

Purpose Some mental illnesses have been suggested to be associated with obesity, although results are somewhat inconsistent and research has focused mainly on depression. Methods Associations between anxiety, depression, medications for these illnesses, and obesity were investigated cross-sectionally among women aged 25–74 (n?=?3004) who participated as population controls in a cancer case-control study. Participants self-reported information on anxiety, depression, height, current weight and weight at age 25. Results No association was observed between either anxiety or depression and either current overweight or obesity status. However, depressed women taking antidepressants were more likely to be obese [OR?=?1.71 (95%CI ?=? 1.16–2.52) daily antidepressant use; OR?=?1.89 (95%CI?=?1.21–2.96) ever tricyclic antidepressant use]. In the full study sample consistent positive associations between anxiety, depression and obesity among women with a history of antidepressant use, and generally negative associations among women without, were suggested. Finally, weight gain was associated with history of anxiety [5–19 kg OR?=?1.29 (95% CI?=?1.06–1.57); ?20 kg OR?=?1.43 (95% CI?=?1.08–1.88)] and depression [?20 kg OR?=?1.28 (95% CI?=?0.99–1.65)]. Conclusions These results suggest depression and anxiety may be associated with weight gain and antidepressant use may be associated with obesity. PMID:24932472

Grundy, Anne; Cotterchio, Michelle; Kirsh, Victoria A.; Kreiger, Nancy

2014-01-01

169

Women's perceptions of homebirths in two rural medical districts in Burkina Faso: a qualitative study  

PubMed Central

Background In developing countries, most childbirth occurs at home and is not assisted by skilled attendants. The situation increases the risk of death for both mother and child and has severe maternal complications. The purpose of this study was to describe women's perceptions of homebirths in the medical districts of Ouargaye and Diapaga. Methods A qualitative approach was used to gather information. This information was collected by using focus group discussions and individual interviews with 30 women. All the interviews were tape recorded and managed by using QSR NVIVO 2.0, qualitative data management software. Results The findings show that homebirths are frequent because of prohibitive distance to health facilities, fast labour and easy labour, financial constraints, lack of decision making power to reach health facilities. Conclusion The study echoes the need for policy makers to make health facilities easily available to rural inhabitants to forestall maternal and child deaths in the two districts. PMID:21276252

2011-01-01

170

Protocol study: sexual and reproductive health knowledge, information-seeking behaviour and attitudes among Saudi women: a questionnaire survey of university students  

PubMed Central

Background Sexual and reproductive health (SRH), a basic right for women worldwide, is infrequently researched in countries in the Middle East and North Africa (MENA). No empirical studies of SRH among Saudi women exist. This protocol describes a study to explore the SRH knowledge, information-seeking behaviour and attitudes of Saudi female university students. Methods/Design This study will administer a questionnaire survey to female students at 13 universities in Riyadh, Saudi Arabia. The questionnaire was developed following a literature search to identify relevant content, with psychometrically tested tools used when available. The content layout and the wording and order of the questions were designed to minimize the risk of bias. The questionnaire has been translated into Arabic and piloted in preparation for administration to the study sample. Ethical approval for the study has been granted (reference no. QMREC2012/54). After questionnaire administration, the data will be collated, analysed and reported anonymously. The findings will be published in compliance with reporting guidelines for survey research. Discussion This study will be the first to provide fundamental information concerning Saudi females university students SRH knowledge and information needs. PMID:24885041

2014-01-01

171

Nurses’ and physicians’ attitudes about women abuse: The effects of gender and professional role  

Microsoft Academic Search

The apathy encountered by battered women when they seek help from medical and other professions has been attributed to patriarchal norms and victim?blaming. Because of their place in the medical hierarchy this study hypothesized that: a) nurses would have more sympathetic attitudes toward battered women than physicians; and b) professional roles and not gender would explain the differences. The findings

Karla Rose; Daniel G. Saunders

1986-01-01

172

Patterns of Anti-Osteoporosis Medication Use among Women at High Risk of Fracture: Findings from the Global Longitudinal Study of Osteoporosis in Women (GLOW)  

PubMed Central

Objective To assess patterns of anti-osteoporosis medication (AOM) use over 3 years among women at high risk of major fracture. Methods The GLOW registry follows a cohort of more than 40,000 women aged ?55 from 615 primary care practices in 10 countries. Self-administered surveys (baseline, 12, 24, and 36 months) collected data on patient characteristics, perception of fracture risk, and AOM use. FRAX scores were calculated from the baseline surveys and women classified as high risk if their FRAX 10-year probability of major fracture was ?20%. Results A total of 5774 women were classified as at high risk and had complete data over 3 years. At baseline, 2271 (39%) reported receiving AOM, 739 (13%) reported prior but not current use, and 2764 (48%) said they had never used AOM. Over 3 years, 85% of baseline non-users continued as non-users and 15% initiated AOM; among baseline users, 49% continued the same medication class, 29% stopped AOM, and 12% switched. Women who stopped AOM were less likely to self-report osteoporosis (HR 0.56, 95% CI 0.42–0.75) than women who continued AOM. Compared with non-users who did not begin treatment, women initiating AOM were more likely to report a diagnosis of osteoporosis (HR 11.3, 95% CI 8.2–15.5) or osteopenia (HR 4.1, 95% CI 2.9–5.7) and be very concerned about osteoporosis (HR 1.9, 95% CI 1.3–2.8). Conclusions Less than 40% of women at high risk of fracture reported taking AOM. Women who stopped AOM were less likely to believe they have osteoporosis. Women who initiated treatment appeared motivated primarily by a diagnosis of osteoporosis or osteopenia and concern about the condition. PMID:24376589

Gehlbach, Stephen; Hooven, Frederick H.; Wyman, Allison; Diez-Perez, Adolfo; Adachi, Jonathan D.; Luo, Xuemei; Bushmakin, Andrew G.; Anderson, Frederick A.

2013-01-01

173

Medications as a potential source of exposure to phthalates among women of childbearing age  

PubMed Central

Objective To evaluate the association between the use of medications potentially containing phthalates and urinary concentrations of specific phthalate metabolites around conception. Methods Women enrolled in the Environment and Reproductive Health project from 2006 to 2009 completed questionnaires about the use of medications and provided multiple urine samples before and after conception. We compared the mean urinary concentration of phthalate metabolites between users of phthalate containing medications and a matched unexposed control group. Results One woman used Asacol® (mesalamine), which utilizes dibutyl phthalate (DBP) as a delayed release coating material, and had a mean urinary concentration of the main DBP metabolite 200 times higher than the controls (8176 ?g/L vs. 37.5 ?g/L). The three users of stool softeners had a higher concentration of the main diethyl phthalate (DEP) metabolite (8636 ?g/L vs. 714.2 ?g/L). Neither the three additional Prilosec® (omeprazole) users nor one cyclobenzaprine user had higher urinary concentration than controls. Conclusion Selected medications may be important sources of DBP and DEP exposures around conception. PMID:23333816

Hernández-Díaz, Sonia; Su, Yung-Cheng; Mitchell, Allen A.; Kelley, Katherine E.; Calafat, Antonia M.; Hauser, Russ

2013-01-01

174

Differences in professional activities, perceptions of professional problems, and practice patterns between men and women graduates of Jefferson Medical College.  

PubMed

Differences between men and women graduates of one medical school in practice patterns, professional activities, and problems were investigated. A questionnaire was mailed in 1986 to 600 physicians, randomly selected from 1,102 who had graduated from Jefferson Medical College of Thomas Jefferson University between 1977 and 1981. Four hundred fifty (364 men and 86 women) responded (75%). The women were less likely than the men to be employed full-time; however, proportionately more women than men held full-time academic appointments, treated patients from low-income families, and served in underserved areas in inner cities. The women reported working fewer hours per week and having fewer patients than did the men. The women published scientific articles as often as did the men but were less likely to serve on professional committees, receive professional awards, or develop medical procedures. The women were less concerned about the oversupply of physicians and malpractice litigation. Implications of the findings for health manpower planning and practice pattern expectations are discussed. PMID:2252494

Hojat, M; Gonnella, J S; Veloski, J J; Moses, S

1990-12-01

175

Relation of demographic factors, menstrual history, reproduction and medication use to sex hormone levels in postmenopausal women  

Microsoft Academic Search

In postmenopausal women, levels of estrogens, androgens, and perhaps prolactin have been related to risk of breast and other\\u000a hormonal cancers in women. However, the determinants of these hormone concentrations have not been firmly established. Associations\\u000a among various demographic, menstrual, and reproductive factors, medication use and endogenous sex hormone concentrations (estradiol,\\u000a free estradiol, estrone, estrone sulfate, testosterone, free testosterone, sex

Anne McTiernan; LieLing Wu; Vanessa M. Barnabei; Chu Chen; Susan Hendrix; Francesmary Modugno; Thomas Rohan; Frank Z. Stanczyk; C. Y. Wang

2008-01-01

176

Immunosuppressive medications during pregnancy and lactation in women with autoimmune diseases.  

PubMed

Most autoimmune diseases predominantly affect females. Many of these diseases occur in women who have the potential to become pregnant or wish to plan a pregnancy. The potential for fetotoxic effects of immunosuppressive medications that are commonly used to treat systemic autoimmune diseases must be weighed against the need for control of disease activity during pregnancy and the postpartum period, since active disease can be an independent risk factor for adverse pregnancy outcomes. Although far from conclusive, most data concerning the safety of medications for use during pregnancy come from case series and observational studies. It is often necessary to continue treating patients throughout pregnancy and lactation in order to control the activity of the underlying disease. The aim of this paper is to review the evidence regarding the safety of the most commonly used medications in rheumatic disease during pregnancy or lactation and to enable practitioners and patients to make informed decisions regarding treatment during this period in a woman's life. PMID:20426608

Elliott, Amy B; Chakravarty, Eliza F

2010-05-01

177

Perspective for Female Medical Physicists (abstract)  

NASA Astrophysics Data System (ADS)

Due to cultural and religious reasons, Pakistani women can be reluctant to seek medical attention for disorders affecting their genitals or breasts. As a result, in the case of cervical and breast cancers, oncological treatment is often not received until the diseases are in the late stages. Once a cancer is classified and the tumor marked, the role of the medical physicist begins. Medical physicists' responsibilities include treatment planning, supervising treatment through radiation, dosimetry, contouring, training, equipment selection, education, research, and supervising radiotherapy facilities. In brachytherapy, isotopes are placed at the tumor site in the form of wires or seeds. There are very few female medical physicists in Pakistan. This leads to further hesitation on the part of many women to seek treatment. To help female patients obtain needed medical care, female physics students should be encouraged to pursue the emerging field of medical physics. This would provide a new professional opportunity for female physics students and give comfort to female patients.

Naqvi, Syed Mansoor; Hasnain, Aziz Fatima

2009-04-01

178

Validity of self-reports of breast cancer treatment in low-income, medically underserved women with breast cancer  

Microsoft Academic Search

Few studies have assessed the agreement between subjects’ self-report and medical records among patients with breast cancer\\u000a (BC), and none has addressed this issue in low-income women with BC. We assessed the level of agreement between self-report\\u000a and medical records data for key BC treatment and prognostic characteristics using correct proportion and the Kappa statistic,\\u000a among 726 low-income BC patients.

Yihang Liu; Allison L. Diamant; Amardeep Thind; Rose C. Maly

2010-01-01

179

Africa's middle class women bring entrepreneurial opportunities in breast care medical tourism to South Africa.  

PubMed

Africa's distribution of specialized private health services is severely disproportionate. Mismatch between South Africa's excess supply and a huge demand potential in an under-serviced continent represents an entrepreneurial opportunity to attract patients to South Africa for treatment and recuperative holidays. However, effective demand for intra-African medical tourism could be constrained by sub-Saharan poverty. Results from interviewing 320 patients and five staff at the Johannesburg Breast care Centre of Excellence, however, reject this proposition, Africa's middle class women being the target market estimated to grow annually by one million while breast cancer incidence increases with middle-class lifestyles. Uncovering this potential involves an extensive marketing strategy. PMID:22392794

Ahwireng-Obeng, Frederick; van Loggerenberg, Charl

2011-01-01

180

SEED GRANTS for Biological/Medical Research on Sex Differences and/or Women's Health The Stanford WSDM* (Women and Sex Differences in Medicine) Center aims to promote basic &  

E-print Network

SEED GRANTS for Biological/Medical Research on Sex Differences and/or Women's Health The Stanford, and population health research on sex differences and women's health at Stanford University School of Medicine/or in women's health. This year, we are particularly eager for School of Medicine faculty to collaborate

Bogyo, Matthew

181

The relationship between self-reported and registry-based data on use of psychoactive medications in postmenopausal women  

PubMed Central

Background Self-report is commonly used as a source of information on the use of medicine. The aim of this study was to investigate the relationship between self-reported and register-based information on the use of psychoactive medication, especially in respect to antidepressants, and reasons of non-reporting. Methods Study subjects (n?=?11,031) originated from a population-based cohort of postmenopausal women born in 1932–41 from Eastern Finland who responded to a postal enquiry in 1999. Self-reported currently used prescribed medications were compared to the National prescription register data. Diuretics served as a reference for psychoactive medications. Results Only 44% out of 1,638 women reported their use of psychoactive medication when compared to the prescription register within a 4-month time window preceding their response to enquiry. Altogether, 55% out of 777 women reported their use of antidepressants and 29% out of 861 reported their use of other psychoactive medications. In comparison 83% reported their use of diuretics. After excluding the occasional use, an increase in sensitivity by approximately 10 percentage points was seen regardless of the group of psychoactive medication. High use and history of work disability pension due to psychiatric cause were associated with a much higher likelihood of reporting psychoactive medication use (for antidepressants 70% and 81%, respectively). Conclusions For research purposes, self-reported current use of psychoactive medication seems to be a sufficient indicator for regular use of antidepressants or in respect of use of any psychoactive medication, for subjects with severe psychiatric disease. PMID:23819474

2013-01-01

182

Women in the C-Suite: A Study of How Succession Planning May Best Be Utilized for Career Advancement of Medical College Executives  

ERIC Educational Resources Information Center

This study evaluated and analyzed medical school executives' perceptions of the low level of advancement of women into the healthcare c-suite. As well, medical school executives' recommendations for increasing the number of women entering and experiencing sustained success in executive positions were assessed. Related to these observations were…

Mack, Yvette E.

2010-01-01

183

The Characteristics of Adherent, Black, HIV+ Women: The Influence of Spirituality, Social Support and Trust in Physician on Medication Adherence and CD4 Cell Count  

Microsoft Academic Search

Despite increases in HIV awareness, prevention and treatment, little is known about the contributing factors to medication adherence among adherent Black women with HIV. Understanding the protective factors that improve medication adherence and CD4 cell count for Black HIV+ women is essential and necessary to improve the treatment outcomes for this understudied population. The purpose of this study was to

Monica A. Hobbs

2010-01-01

184

Recurrence rates of bipolar disorder during the postpartum period: a study on 276 medication-free Italian women.  

PubMed

The postpartum period is considered a time of heightened vulnerability to bipolar disorder. The primary goal of this study was to examine the frequency and the polarity of postpartum episodes in a clinical sample of women with bipolar disorder who were medication-free during their pregnancies. In addition, we sought to examine whether there are differences in terms of clinical features of bipolar disorder between women with and without postpartum episodes. Lastly, we analyzed the potential relationship between polarity of the postpartum episodes and clinical features of bipolar disorder. The presence/absence of postpartum episodes and their characteristics were obtained from medical records of 276 women with bipolar disorder who were medication-free during their pregnancies. Two hundred seven women (75.0 %) had a history of one or more postpartum mood episodes: depressive (79.7 %), (hypo)manic (16.4 %), or mixed episodes (3.9 %). Psychotic symptoms during postpartum episodes were associated with depression in 37 (22.4 %) patients, with mania in 19 (67.8 %) patients, and with mixed episodes in 7 (87.5 %) patients. Postpartum manic and mixed episodes were significantly associated with type I disorder and with psychotic features. Our findings indicate high risk of clinically ascertained mood episodes during postpartum period in bipolar women who are not treated during pregnancy. PMID:24449192

Maina, Giuseppe; Rosso, Gianluca; Aguglia, Andrea; Bogetto, Filippo

2014-10-01

185

Medical eligibility, contraceptive choice, and intrauterine device acceptance among HIV-infected women receiving antiretroviral therapy in Lilongwe, Malawi  

PubMed Central

Objective To determine medical eligibility for contraceptive use, contraceptive preference, and acceptance of a copper intrauterine device (IUD) among a cohort of HIV-infected women receiving antiretroviral therapy (ART). Methods All HIV-infected women who received ART and sought contraceptive services at the Lighthouse clinic, an integrated HIV/ART clinic in Lilongwe, Malawi, between August and December 2010 were invited to participate in a structured interview. Eligibility and preference for the following contraceptive methods were assessed: combined hormonal contraceptives, progestogen-only pills, copper IUD, injectable depot medroxyprogesterone acetate (DMPA), and contraceptive implants. Results The final sample included 281 women; five were pregnant. The remaining 276 women were eligible for at least three contraceptive methods, with 242 (87.7%) eligible for all five methods evaluated. After counseling, 163 (58.0%) selected DMPA and 98 (34.9%) selected an IUD as their preferred contraceptive method. Regardless of their method of choice, 222 (79.0%) women agreed to have an IUD placed on the same day. Conclusion Most methods of contraception are safe for use by HIV-infected women. Approximately 80% of the women were willing to receive an IUD. Efforts must be made to increase education about, and access to, long-acting reversible methods that may be acceptable and appropriate contraceptive options for HIV-infected women. PMID:24890746

Haddad, Lisa B.; Feldacker, Caryl; Jamieson, Denise J.; Tweya, Hannock; Cwiak, Carrie; Bryant, Amy G.; Hosseinipour, Mina C.; Chaweza, Thomas; Mlundira, Linly; Kachale, Fanny; Stuart, Gretchen S.; Hoffman, Irving; Phiri, Sam

2014-01-01

186

Rachel Littler Bodley: A Charter Member of the American Chemical Society and Revolutionizer of Chemical and Medical Education for Women  

Microsoft Academic Search

Rachel Littler Bodley was an important contributor to the study of chemistry and the work of women in science. In 1862, she undertook the cataloging of an extensive plant collection at Cincinnati Female Seminary. Her work was praised by many eminent botanists of that time. In 1865, Bodley became a professor of chemistry at Woman’s Medical College. While at that

Cassandra T. Eagle; Jennifer Sloan

2001-01-01

187

Quality of Medical Follow-Up of Young Women with Turner Syndrome Treated in One Clinical Center  

Microsoft Academic Search

For Turner syndrome (TS) patients, smooth transition from pediatric to adult health care is a critical point. The study objective was to evaluate the medical follow-up of young women with TS in one clinical center 3 years after the latest guidelines had been introduced by the TS Study Group. A questionnaire study was performed in 59 TS adults selected from

Aneta Gawlik; Barbara Kaczor; Halla Kaminska; Agnieszka Zachurzok-Buczynska; Tomasz Gawlik; Ewa Malecka-Tendera

2012-01-01

188

Gestational carriers: A viable alternative for women with medical contraindications to pregnancy*  

PubMed Central

Objective Compare the efficacy of surrogate or gestational carrier (GC) cycles to that of autologous in vitro fertilization (IVF)/intracytoplasmic sperm injections (ICSI) in patients with gynecologic or medical co-morbidities contraindicative to pregnancy. Design Retrospective cohort study. Setting Infertility patients from a single university hospital-based program from 1998-2009. Intervention(s) 128 GC cycles from 80 intended parents were identified and compared with 15,311 IVF or ICSI cycles. Main Outcome Measure(s) The peak estradiol (E2), number of oocytes retrieved, cycle cancellation, ongoing pregnancy, and live-birth were compared between GCs and autologous IVF carriers. Indications for GC use were also identified. Multiple cycles contributed by the same patient were accounted for using multivariable generalized estimating equations and two-sided Wald p-values. Results Uterine factors (67%) was the most common indication for using a GC, followed by non-gynecologic medical conditions including coagulopathies (13%), end stage renal disease (10%), cardiovascular disease (5%) and cancer (5%). Adjusting for age, ovulation induction in GC cycles had similar peak E2 levels and number of oocytes retrieved relative to IVF cycles (p = 0.23 and 0.43, respectively). Clinical pregnancy (49% vs. 42%, p = 0.28) and live-birth rates (31% vs. 32%, p = 0.74) were also comparable. A sub-analysis of GC cycles in those women with uterine factor indications, demonstrated significantly higher clinical pregnancy rates (OR = 2.0; CI = 1.2 - 3.5) with 60% greater odds of live-birth relative to IVF/ICSI cycles, however this odds was not statistically significant for differences in live-birth (CI = 0.9 - 2.9). Conclusions: GCs are a viable alternative to start families for patients with medical co-morbidities precluding pregnancy.

Correia, Katharine F.; Ginsburg, Elizabeth S.

2015-01-01

189

Women and Lung Cancer  

MedlinePLUS

... Horrigan Conners Center for Women’s Health and Gender Biology, Brigham and Women’s Hospital, Harvard Medical School, April, ... Lung Cancer in Women: The Differences in Epidemiology, Biology and Treatment Outcomes, Maria Patricia Rivera MD Expert ...

190

Rural HIV-infected women's access to medical care: ongoing needs in California  

Microsoft Academic Search

HIV-infected women living in rural areas often have considerably less access to care than their urban and suburban counterparts. In much of the USA, little is known about HIV care among rural populations. This study elucidated barriers to care for rural women in California. Methods included retrospective structured interviews conducted with 64 women living in rural areas and receiving HIV

Clea C. Sarnquist; Shila Soni; Helen Hwang; Barbara B. Topol; Salima Mutima; Yvonne A. Maldonado

2011-01-01

191

The Global Health Organization seeks to prepare medical students for training and careers throughout the world. Our vision is to promote awareness and provide  

E-print Network

international agencies. "TransNational Women's Health Stories: Beyond the Hippocratic Oath" Carol Ritter, MD without means. Dr. Ritter's focus on humanitarian work was sharpened by her training in women's health as the president of the Continental Gynecological Society and the Society for Humanism in Medicine. "Women's Health

192

A Case Analysis of a Model Program for the Leadership Development of Women Faculty and Staff Seeking to Advance Their Careers in Higher Education  

ERIC Educational Resources Information Center

The purpose of this case study was to explore a model of leadership development for women faculty and staff in higher education. This study is significant because it explored the only identified campus-based program open to both faculty and staff. The campus-based Women's Institute for Leadership Development (WILD) program at the University of…

Calizo, Lee Scherer Hawthorne

2011-01-01

193

Predictors of Online Health Information Seeking Among Women with Breast Cancer: The Role of Social Support Perception and Emotional Well-Being  

PubMed Central

This study attempts to examine the role of social support perception and emotional well-being on online information seeking among cancer patients within the context of CHESS, a well-established Interactive Cancer Communication System (ICCS). Factor and regression analyses conducted among 231 breast cancer patients revealed that social support perception and emotional well-being interacted with each other to influence online health information seeking. Patients with low social support perception and high emotional well-being were most likely to seek health information, whereas patients with high social support perception and high emotional well-being sought out the same information least. Practical implications of the study findings were further discussed. PMID:24634575

Kim, Sojung Claire; Shah, Dhavan V.; Namkoong, Kang; McTavish, Fiona M.; Gustafson, David H.

2013-01-01

194

Health Status of HIV-Infected Women Entering Care: Baseline Medical Findings from the Women of Color Initiative.  

PubMed

Abstract The WOC Initiative is a prospective study of 921 women of color (WOC) entering HIV care at nine (three rural, six urban) sites across the US. A baseline interview was performed that included self-reported limitation(s) in activity, health conditions, and the CDC's health-related quality of life measures (Healthy Days). One-third of the WOC reported limiting an activity because of illness or a health condition and those with an activity limitation reported 13 physically and 14 mentally unhealthy days/month, compared with 5 physically and 9 mentally unhealthy days/month in the absence of an activity limitation. Age was associated with a three- to fourfold increased risk of an activity limitation but only for WOC in the urban sites. Diabetes was associated with a threefold increased risk of a limitation among women at rural sites. Cardiac disease was associated with a six- to sevenfold increased risk of an activity limitation for both urban and rural WOC. HIV+ WOC reported more physically and mentally unhealthy days than the general US female population even without an activity limitation. Prevention and treatment of diabetes and cardiovascular disease will need to be a standard part of HIV care to promote the long-term health and HRQOL for HIV-infected WOC. PMID:25561306

Quinlivan, E Byrd; Fletcher, Jason; Eastwood, Elizabeth A; Blank, Arthur E; Verdecias, Niko; Roytburd, Katya

2015-01-01

195

Reproductive endocrine function in women with epilepsy: The role of epilepsy type and medication  

Microsoft Academic Search

The purpose of the analysis described here was to assess reproductive endocrine disorders in 148 women with epilepsy (WWE) by epilepsy type and antiepileptic drug use. Women with idiopathic generalized epilepsy had a higher prevalence of reproductive endocrine disorders than control subjects. In addition, hyperandrogenism, polycystic ovaries, and polycystic ovary syndrome were more prevalent in WWE on valproate than in

Eeva Löfgren; Kirsi Mikkonen; Uolevi Tolonen; Arto Pakarinen; Riitta Koivunen; Vilho V. Myllyla; Juha S. Tapanainen; Jouko I. T. Isojärvi

2007-01-01

196

Seeking Michigan  

NSDL National Science Digital Library

The Seeking Michigan website is part of a collaboration between the Library of Michigan and Archives of Michigan, and its aim is to provide "access to unique historical information that promotes Michigan's cultural heritage." Some of the historical information visitors will find on the site includes images, documents, oral histories, maps, films, and artifacts. The "Look" section of the website is a blog where various people author articles about a story or item they have chosen from the site, for example Randy Riley of the Library of Michigan writes about Elmore Leonard, often called "The Dickens of Detroit" by his fans. Visitors who are Detroit Red Wings fans will appreciate the article about their last game at Olympia Stadium, authored by Matt Zarb of the Michigan Historical Museum. Lastly, visiting educators will find that the "Teach" link has a short video about the "History of the Photograph", which is the introduction to a lesson for young people on how to analyze the many historic photographs on the Seeking Michigan website. The link to the lesson is at the end of the video.

197

“I AM PROUD OF MYSELF, JUST THE WAY I AM” (MWEN FYÈ DE TÈT MWEN, JAN MWEN YE YA): A QUALITATIVE STUDY AMONG YOUNG HAITIAN WOMEN SEEKING CARE FOR SEXUALLY TRANSMITTED INFECTIONS (STIS) IN HAITI  

PubMed Central

Haitian women are twice as likely as men to have HIV/AIDs. Factors underlying the feminization of HIV are complex. Self-esteem is an important correlate of sexual behavior. However, its meaning and impact on health behaviors may be influenced by cultural factors. This qualitative study took place in Haiti 4 months after the 2010 earthquake and examines the meaning of self-esteem among young Haitian women seeking treatment for a recurrent sexually transmitted infection (STI). The meaning of self-esteem was derived from a sense of gratitude and was rooted in their ability to provide for family. This may have led to behaviors such as not using condoms or having sex with partners in concurrent relationships. This article highlights the resilience and resourcefulness of Haitian women, provides insight into how women with apparent positive self-images were led to make choices that placed them at high risk for contracting HIV, and concludes with recommendations for future interventions. PMID:24694329

Severe, Linda; Fitzgerald, Daniel W.; Deschamps, Marie M.; Reif, Lindsey; Post, Kendall; Johnson, Warren D.; Pape, Jean W.; Boutin-Foster, Carla

2014-01-01

198

Violence against women.  

PubMed

This essay opens its discussion of violence against women by referring to the 1994 television broadcast of a 10-year-old Egyptian girl undergoing female genital mutilation (FGM) without benefit of infection control measures or anesthesia at the hands of a local barber. After presenting a brief description of FGM, its various justifications, and its impacts on its victims, the official Egyptian policy is described as ambiguous, and the broadcast is shown to have caused influential religious leaders and medical personnel to defend FGM and, thus, led to postponement of a bill to outlaw FGM. The next section of the essay shows that Egypt's response to FGM reflects the international debate on all forms of violence against women emerging from and reinforcing the social relationships that give men power over women. These forms of violence include domestic violence in almost all societies; the dowry-related, bride-burning homicides that claim 5000-12,000 lives each year in India; son preference that leads to abortion of female fetuses and female infanticide; and crimes such as rape, sexual abuse, and forced prostitution. The essay continues with a look at the costs of violence hidden in the damage to women that increases health care costs substantially and reduces economic productivity. Violence towards women, which occurs throughout the world and can prevent women from participating in public life or from controlling their fertility, is a male tool to inhibit women from gaining autonomy outside the home. The essay concludes that victims of violence are beginning to break the silence that surrounded these deeds and are seeking legislative protection. Laws may not result in real-life changes, but the movement to eliminate FGM may prove to be the first success in women's efforts to achieve human rights. An example is the important precedent being set in the US by a woman seeking asylum to avoid facing an arranged marriage and FGM in her native Togo. PMID:12291323

Nelson, T

1996-01-01

199

Effect of HCV status on liver enzymes in opioid-dependent pregnant women maintained on opioid-agonist medication  

PubMed Central

Aim To examine hepatic enzyme test results throughout the course of pregnancy in women maintained on methadone or buprenorphine. Design Participants were randomized to either methadone or buprenorphine maintenance. Blood chemistry tests, including liver transaminases and HCV status, were determined every four weeks and once postpartum. As part of a planned secondary analysis, generalized mixed linear models were conducted with aspartate aminotransferase (AST), alanine aminotransferase (ALT) and gamma-glutamyl transferase (GGT) as the dependent variables. Setting Six United States sites and one European site that provided comprehensive treatment to pregnant opioid-dependent women. Participants n = 175 opioid-dependent pregnant women enrolled in the Maternal Opioid Treatment: Human Experimental Research (MOTHER) study. Findings ALT, AST, and GGT levels decreased for all subjects across pregnancy trimesters, rising slightly postpartum. Hepatitis C (HCV)-positive subjects exhibited higher transaminases at all time points compared to HCV-negative subjects, regardless of medication condition. Both HCV-positive and negative buprenorphine-maintained participants exhibited lower GGT levels than those who were methadone-maintained. Conclusions Neither methadone nor buprenorphine appear to have adverse hepatic effects in the treatment of pregnant opioid-dependent women. PMID:23106931

McNicholas, Laura F.; Holbrook, Amber M.; O’Grady, Kevin; Jones, Hendrée E.; Coyle, Mara G.; Martin, Peter R.; Heil, Sarah H.; Stine, Susan M.; Kaltenbach, Karol

2014-01-01

200

Experiences, Feelings and Thoughts of Women Undergoing Second Trimester Medical Termination of Pregnancy  

PubMed Central

Main Objective The objective of this study was to explore women's expectations and experiences of undergoing second trimester abortion. Methods This is a cross-sectional study using a screening questionnaire and semi-structured interviews for data collection. Thirty-one women filled out the questionnaire and 23 of them were later interviewed. The questionnaires were analyzed by descriptive statistics. The interviews were recorded, transcribed verbatim and analyzed with qualitative content analysis. Most Important Findings Indications for the abortion were fetal malformation or unintended pregnancy. The women expressed similar feelings and these were irrespective for the reason for having an abortion. Both physical and mental pain was experienced during the abortion process and described by the women. Taking the mifepristone-pill was experienced as especially emotionally difficult for many participants. Professional support from the staff together with support from the partner, a friend or relative helped in transforming the worries related to something unknown to feelings of coping with a new and hard experience. Prior to the abortion most women stated that they did not want to view the fetus but women who chose to view the fetus described this as a way of confronting the reality and an opportunity to say farewell to the pregnancy/fetus. The analysis of the interview transcripts revealed five themes mirroring the women's experiences, thoughts and feelings related to the abortion. Conclusions The decision to undergo second trimester abortion sometimes exposes women to strong and conflicting emotions which are irrespective for the reason for having an abortion. Despite this women do not regret their decision to terminate the pregnancy. This analysis shows that their rational thinking outweighs their emotionally difficult feelings. It is important for the attending staff to be responsive to the needs of each individual woman whatever the indication is for the abortion. PMID:25546416

Andersson, Inga-Maj; Christensson, Kyllike; Gemzell-Danielsson, Kristina

2014-01-01

201

Exploring the Perspectives and Behaviors Regarding Help-Seeking and Knowledge about Marriage and Family Therapy in 2nd and 3rd Generation Mexican-American Women  

Microsoft Academic Search

The importance of increasing cultural awareness and sensitivity when working with diverse clients has been expressed within the literature in the field of Marriage and Family Therapy (MFT) and incorporated into many MFT training programs. Research specifically related to the Latino culture has identified that Mexican-Americans' under use professional mental health services. Gender differences between help-seeking behaviors in Mexican-Americans have

Ashley Marie Barrera

2011-01-01

202

Comparison on information-seeking behavior of postgraduated students in Isfahan University of Medical Sciences and University of Isfahan in writing dissertation based on Kuhlthau model of information search process  

PubMed Central

Introduction: Information-seeking behaviors have been one of the main focuses of researchers in order to identify and solve the problems users face in information recovery. The aim of this research is Comparative on Information-Seeking Behavior of the Postgraduate Students in Isfahan University of Medical Sciences and Isfahan University in Writing Dissertation based on Kuhlthau Model of Information Search Process in 2012. Materials and Methods: The research method followed is survey and the data collection tool is Narmenji questionnaire. Statistical population was all postgraduate students in Isfahan University of Medical Sciences and Isfahan University. The sample size was 196 people and sampling was stratified randomly. The type of statistical analyses were descriptive (mean and frequency) and inferential (independent t test and Pearson's correlation) and the software used was SPSS20. Results: The findings showed that Isfahan Medical Sciences University followed 20% of the order steps of this model and Isfahan University did not follow this model. In the first stage (Initiation) and sixth (Presentation) of feelings aspects and in actions (total stages) significant difference was found between students from the two universities. Between gender and fourth stage (Formulation) and the total score of feelings the Kuhlthau model there has a significant relationship. Also there was a significant and inverse relationship between the third stage (Exploration) of feelings and age of the students. Conclusion: The results showed that in writing dissertation there were some major differences in following up the Kuhlthau model between students of the two Universities. There are significant differences between some of the stages of feelings and actions of students’ information-seeking behavior from the two universities. There is a significant relationship between the fourth stage (Formulation) of feelings in the Kuhlthau Model with gender and third stage of the Feelings (Exploration) with age. PMID:25250354

Abedi, Mahnaz; Ashrafi-rizi, Hasan; Zare-Farashbandi, Firoozeh; Nouri, Rasoul; Hassanzadeh, Akbar

2014-01-01

203

Physiological employment standards IV: integration of women in combat units physiological and medical considerations.  

PubMed

Anthropometric and physiological factors place the average female soldier at a disadvantage relative to male soldiers in most aspects of physical performance. Aerobic and anaerobic fitness levels are lower in women than in men. Thus, women have a lower overall work capacity and must therefore exert themselves more than men to achieve the same output. The lower weight and fat-free mass and the higher body fat of women are associated with lower muscle strength and endurance, placing them at disadvantage compared with men in carrying out military tasks such as lifting and carrying weights or marching with a load. Working at a higher percentage of their maximal capacity to achieve the same performance levels as men, women tire earlier and are at increased risk of overuse injuries. Their smaller size, different bone geometry and lower bone strength also predispose women to a higher incidence of stress fractures. Although training in gender-integrated groups narrows the gaps in fitness, significant differences between the genders after basic training still remain. Nevertheless, integration of women into military combat professions is feasible in many cases. Some 'close combat roles' will still be an exception, mainly because of the extreme physical demands that are required in those units that are beyond the physiological adaptability capacities of an average female. There is no direct evidence that women have a negative impact on combat effectiveness. Once the gender differences are acknowledged and operational doctrines adjusted accordingly, female soldiers in mixed-gender units can meet the physical standards for the assigned missions. PMID:23238928

Epstein, Yoram; Yanovich, Ran; Moran, Daniel S; Heled, Yuval

2013-11-01

204

Perspective Bankruptcy Is The Tip Of A Medical-Debt Iceberg Tracking the number of uninsured Americans is only part of the story: How many insured Americans incur medical debt that deters them from seeking care?  

Microsoft Academic Search

Medical bankruptcy, whatever its actual frequency, is an extreme example of a much broader phenomenon. Medical debt is surprisingly common, affecting about twenty- nine million nonelderly adult Americans, with and without health insurance. The presence of medical debt, even for the insured, appears to create health care access barriers akin to those faced by the uninsured. Policymakers, researchers, and medical

Robert W. Seifert; Mark Rukavina

205

Fatal intimate partner violence against women in Portugal: a forensic medical national study.  

PubMed

Intimate partner violence (IPV) is an important cause of women's health and socio-familial severe problems, the most extreme being the victims' homicide. This is the first nationwide Portuguese autopsy-based and judicial-proven study about female intimate partner homicide. At least 62 women over 15 years old were killed by current or former men-intimate partners, corresponding to an IPV-related female mortality rate of 0.44/100.000 women; intimate partner violence was the reason of homicide in 60.8% of all autopsied women. The typical Portuguese victim showed to be a young adult woman, employed, killed by a current husband in a long-term relationship, usually with children in common and with a history of previous IPV. The typical Portuguese perpetrator showed to be older than the victim, employed, owning a firearm and without criminal records. At the time of the fatal event 59.7% of the relationships were current. In 57.9% of the former relationships women were killed during the 1st year after its terminus. Near half of the perpetrators attempted or committed suicide afterward. Most women were killed by gunshot wounds (45.2%), especially in the thorax (48.4%), with multiple fatal injuries; 56.5% also presented non-fatal injuries. The detection of prior IPV and the risk evaluation seems to be fundamental to decrease these fatal outcomes, but also, the prevention of perpetrators' alcohol abuse and carrying weapons. This work emphasizes the need to deepen the research on this issue, aiming to contribute to prevent both fatal and non-fatal IPV-related cases. PMID:24237830

Pereira, Ana Rita; Vieira, Duarte Nuno; Magalhães, Teresa

2013-11-01

206

The UCONN Medical Anthropology Forum, the Women's Studies Department, and the Middle East Studies Program  

E-print Network

, and In Vitro Fertilization in Egypt", "Infertility and Patriarchy: The Cultural Politics of Gender and Family Life in Egypt" and "Quest for Conception: Gender, Infertility, and Egyptian Medical Traditions." Her

Holsinger, Kent

207

Increased Hatha yoga experience predicts lower body mass index and reduced medication use in women over 45 years  

PubMed Central

Background: Yoga has been shown to have many short-term health benefits, but little is known about the extent to which these benefits accrue over a long time frame or with frequent practice. Aims: The purpose of this study was to examine the extent to which body mass index (BMI) and medication use in a sample of female yoga practitioners over 45 years varied according to the length and frequency of yoga practice. Materials and Methods: We administered online surveys to 211 female yoga practitioners aged 45 to 80 years. We used regression analyses to evaluate the relationship of extent of yoga experience to both BMI and medication use after accounting for age and lifestyle factors. We also conducted comparisons with 182 matched controls. Results: Participants had practiced yoga for as long as 50 years and for up to 28 hours per week. There were significant inverse relationships between yoga experience and both BMI and medication load. These significant relationships remained after accounting for age and lifestyle factors. When we computed yoga experience in terms of total calendar years, without accounting for hours of practice, significant relationships did not remain. However, there was no obesity in the 49 participants with more than 25 years of yoga practice. Yoga practitioners were less likely than non-practitioners to use medication for metabolic syndrome, mood disorders, inflammation, and pain. Conclusions: A long-term yoga practice was associated with little or no obesity in a non-probability sample of women over 45 years. Relationships showed a dose-response effect, with increased yoga experience predicting lower BMI and reduced medication use. PMID:22022126

Moliver, N; Mika, EM; Chartrand, MS; Burrus, SWM; Haussmann, RE; Khalsa, SBS

2011-01-01

208

Utilization of Mental Health Services by Low-Income Pregnant and Postpartum Women on Medical Assistance  

Microsoft Academic Search

This paper examines mental health service use among publicly insured white and African-American pregnant and postpartum women who live in a metropolitan area. The study examines the extent to which ethnicity, physical health problems, and behavioral health risk factors are associated with the probability of service use during the pre-natal-postpartum period. It also analyzes the patterns of service utilization for

Dayoung Song; Roberta G. Sands; Yin-Ling Irene Wong

2004-01-01

209

Career progression of men and women doctors in the UK NHS: a questionnaire study of the UK medical qualifiers of 1993 in 2010/2011  

PubMed Central

Summary Objectives To report the career progression of a cohort of UK medical graduates in mid-career, comparing men and women. Design Postal and questionnaire survey conducted in 2010/2011, with comparisons with earlier surveys. Setting UK. Participants In total, 2507 responding UK medical graduates of 1993. Main outcome measures Doctors’ career specialties, grade, work location and working pattern in 2010/2011 and equivalent data in earlier years. Results The respondents represented 72% of the contactable cohort; 90% were working in UK medicine and 7% in medicine outside the UK; 87% were in the UK NHS (87% of men and 86% of women). Of doctors in the NHS, 70.6% of men and 52.0% of women were in the hospital specialties and the great majority of the others were in general practice. Within hospital specialties, a higher percentage of men than women were in surgery, and a higher percentage of women than men were in paediatrics, obstetrics and gynaecology, clinical oncology, pathology and psychiatry. In the NHS, 63% of women and 8% of men were working less-than-full-time (in general practice, 19% of men and 83% of women; and in hospital specialties, 3% of men and 46% of women). Among doctors who had always worked full-time, 94% of men and 87% of women GPs were GP principals; in hospital practice, 96% of men and 93% of women had reached consultant level. Conclusions The 1993 graduates show a continuing high level of commitment to the NHS. Gender differences in seniority lessened considerably when comparing doctors who had always worked full-time. PMID:25408921

Svirko, Elena; Goldacre, Michael J

2014-01-01

210

Consumption of ayahuasca by children and pregnant women: medical controversies and religious perspectives.  

PubMed

In 2010, the Brazilian Government agency responsible for drug-related issues formulated official Resolutions that categorized the consumption of ayahuasca by pregnant women and children in the Santo Daime and União do Vegetal ayahuasca-based religions as an "exercise of parental rights." Although ayahuasca groups do enjoy a relative degree of social legitimacy and formal legal recognition in Brazil, the participation of pregnant women and children nevertheless continues to provoke heated discussion. This article raises the main issues involved in the public debate over this subject. In the first part, a diverse group of biomedical and health specialists was consulted, and their opinions were briefly analyzed. In the second, a full interview with a follower of one branch of Santo Daime, mother of four children who took ayahuasca during all her pregnancies, and whose children all drink ayahuasca, is presented. Her interview reveals important cultural parameters of ayahuasca consumption. The article explores common themes and contradictions found between the biomedical, anthropological, and ayahuasca-users' discourses. It raises central issues regarding the limits of freedom of religion and the state's right to interfere in family matters. The following analysis also has implications regarding the role of science in influencing policy decisions on drug use. PMID:21615005

Labate, Beatriz Caiuby

2011-01-01

211

Comparative Effectiveness of Medication versus Cognitive-Behavioral Therapy in a Randomized Controlled Trial of Low-Income Young Minority Women with Depression  

ERIC Educational Resources Information Center

Objective: To examine whether there are latent trajectory classes in response to treatment and whether they moderate the effects of medication versus psychotherapy. Method: Data come from a 1-year randomized controlled trial of 267 low-income, young (M = 29 years), minority (44% Black, 50% Latina, 6% White) women with current major depression…

Siddique, Juned; Chung, Joyce Y.; Brown, C. Hendricks; Miranda, Jeanne

2012-01-01

212

A Stress and Coping Model of Medication Adherence and Viral Load in HIV-Positive Men and Women on Highly Active Antiretroviral Therapy (HAART)  

Microsoft Academic Search

The authors tested a structural model that incorporated age, time since diagnosis, social support, coping, and negative mood as predictors of medication adherence and HIV viral load on 188 men and 134 women on highly active antiretroviral therapy (HAART). The authors used psychosocial latent factors formed from baseline measures to predict latent factors of adherence, as assessed by electronic monitoring

Kathryn E. Weaver; María M. Llabre; Ron E. Durán; Michael H. Antoni; Gail Ironson; Frank J. Penedo; Neil Schneiderman

2005-01-01

213

Prevalence and predictors of over-the-counter medication use among pregnant women: a cross-sectional study in the Netherlands  

PubMed Central

Background Over-the-counter-medication (OTC-medication) use during pregnancy can be potentially harmful for the fetus. To successfully counsel the patient it is important to know if the patient is at risk. In this study possible predictors for OTC-medication use were identified and a model was designed to predict OTC-medication use during pregnancy. Methods We performed a post-hoc analysis on data collected for a clustered clinical trial to study a screening strategy for Query fever. Pregnant women under supervision of a midwife were eligible for inclusion. These women filled out questionnaires during their pregnancy and post-partum. These questionnaires were used to determine the prevalence and to select possible predictors for OTC-medication use. These predictors were included in a prediction model using multivariate analysis. The discrimination and calibration of the model were assessed with Receiver Operating Characteristic analysis and the Hosmer and Lemeshow test. Results Of the 1348 women enrolling in the clustered clinical trial, we included 1246 women in this analysis. The prevalence of OTC-medication use was 12.5%. The predictors for OTC-medication use in our cohort were: nulliparity, use of prescription medication, the presence of a comorbidity, Body Mass Index between 26 and 30 kg/m2 and General Practitioner visits. These predictors were used to design a prediction model for OTC-medication use. The area under the Receiver Operating Characteristic-curve of the prediction model was 0.667 (95% CI 0.620-0.714 P<0.001) and the predictive probabilities ranged from 6.6% to 57.4%. The Hosmer and Lemeshow goodness-of-fit test indicated good calibration of the model (P = 0.640). Conclusion It is possible to indicate women at risk for OTC-medication use during pregnancy, using five maternal characteristics that independently contribute to the prediction model. The predictors are easy to estimate and the model is easy to implement in daily practice. PMID:23452432

2013-01-01

214

Participation in medical research as a resource-seeking strategy in socio-economically vulnerable communities: call for research and action.  

PubMed

The freedom to consent to participate in medical research is a complex subject, particularly in socio-economically vulnerable communities, where numerous factors may limit the efficacy of the informed consent process. Informal consultation among members of the Switching the Poles Clinical Research Network coming from various sub-Saharan African countries, that is Burkina Faso, The Gambia, Rwanda, Ethiopia, the Democratic Republic of Congo (DRC) and Benin, seems to support the hypothesis that in socio-economical vulnerable communities with inadequate access to health care, the decision to participate in research is often taken irrespectively of the contents of the informed consent interview, and it is largely driven by the opportunity to access free or better quality care and other indirect benefits. Populations' vulnerability due to poverty and/or social exclusion should obviously not lead to exclusion from medical research, which is most often crucially needed to address their health problems. Nonetheless, to reduce the possibility of exploitation, there is the need to further investigate the complex links between socio-economical vulnerability, access to health care and individual freedom to decide on participation in medical research. This needs bringing together clinical researchers, social scientists and bioethicists in transdisciplinary collaborative research efforts that require the collective input from researchers, research sponsors and funders. PMID:25302444

Ravinetto, Raffaella M; Afolabi, Muhammed O; Okebe, Joseph; Van Nuil, Jennifer Ilo; Lutumba, Pascal; Mavoko, Hypolite Muhindo; Nahum, Alain; Tinto, Halidou; Addissie, Adamu; D'Alessandro, Umberto; Grietens, Koen Peeters

2015-01-01

215

Information Seeking Within Organizations.  

ERIC Educational Resources Information Center

Reviews literature on employee feedback-seeking behavior and the literature on information seeking by organizational newcomers. Highlights the various motives that affect the decision of whether or not to seek information. Offers an integrated model of antecedents, dynamics, forms, and outcomes of employee information seeking. Concludes with…

Morrison, Elizabeth Wolfe

2002-01-01

216

High Medication Adherence During Periconception Periods Among HIV-1–Uninfected Women Participating in a Clinical Trial of Antiretroviral Pre-exposure Prophylaxis  

PubMed Central

Introduction: Pre-exposure prophylaxis (PrEP) may be an important safer conception strategy for HIV-1–uninfected women with HIV-1–infected partners. Understanding medication adherence in this population may inform whether PrEP is a feasible safer conception strategy. Methods: We evaluated predictors of pregnancy and adherence to study medication among HIV-1–uninfected women enrolled in a randomized placebo-controlled trial of PrEP among African HIV-1–serodiscordant couples. Participants were counseled on HIV-1 risk reduction, contraception, and adherence and tested for pregnancy at monthly study visits. Pill counts of dispensed drug were performed and, at a subset of visits, plasma was collected to measure active drug concentration. Results: Among 1785 women, pregnancy incidence was 10.2 per 100 person-years. Younger age, not using contraception, having an additional sexual partner, and reporting unprotected sex were associated with increased likelihood of pregnancy. Monthly clinic pill counts estimated that women experiencing pregnancy took 97% of prescribed doses overall, with at least 80% pill adherence for 98% of study months, and no difference in adherence in the periconception period compared with previous periods (P = 0.98). Tenofovir was detected in plasma at 71% of visits where pregnancy was discovered. By multiple measures, adherence was similar for women experiencing and not experiencing pregnancy (P ? 0.1). Conclusions: In this clinical trial of PrEP, pregnancy incidence was 10% per year despite excellent access to effective contraception. Women experiencing pregnancy had high medication adherence, suggesting that PrEP may be an acceptable and feasible safer conception strategy for HIV-1–uninfected women with HIV-1–serodiscordant partners. PMID:25118795

Heffron, Renee; Mugo, Nelly R.; Cohen, Craig R.; Hendrix, Craig W.; Celum, Connie; Bangsberg, David R.; Baeten, Jared M.

2014-01-01

217

Effects of a GABA-ergic medication combination and initial alcohol withdrawal severity on cue-elicited brain activation among treatment-seeking alcoholics  

PubMed Central

Rationale Many studies have reported medication effects on alcohol cue-elicited brain activation or associations between such activation and subsequent drinking. However, few have combined the methodological rigor of a randomized clinical trial (RCT) with follow-up assessments to determine whether cue-elicited activation predicts relapse during treatment, the crux of alcoholism. Objectives This study analyzed functional magnetic resonance imaging (fMRI) data from 48 alcohol-dependent subjects enrolled in a six-week RCT of an investigational pharmacotherapy. Methods Subjects were randomized, based on their level of alcohol withdrawal (AW) at study entry, to receive either a combination of gabapentin (up to 1200 mg for 39 days) and flumazenil infusions (two days) or two placebos. Midway through the RCT, subjects were administered an fMRI alcohol cue reactivity task. Results There were no main effects of medication or initial AW status on cue-elicited activation, but these factors interacted, such that the gabapentin-flumazenil/higher AW and placebo/lower AW groups, which had previously been shown to have relatively reduced drinking, demonstrated greater dorsal anterior cingulate cortex (dACC) activation to alcohol cues. Further analysis suggested that this finding represented differences in task-related deactivation and was associated with greater control over alcohol-related thoughts. Among study completers, regardless of medication or AW status, greater left dorsolateral prefrontal cortex (DLPFC) activation predicted more post-scan heavy drinking. Conclusions These data suggest that alterations in task-related deactivation of dACC, a component of the default mode network, may predict better alcohol treatment response, while activation of DLPFC, an area associated with selective attention, may predict relapse drinking. PMID:23389755

Schacht, Joseph P.; Anton, Raymond F.; Randall, Patrick K.; Li, Xingbao; Henderson, Scott; Myrick, Hugh

2013-01-01

218

GPs' decision-making when prescribing medicines for breastfeeding women: Content analysis of a survey  

Microsoft Academic Search

BACKGROUND: Many breastfeeding women seek medical care from general practitioners (GPs) for various health problems and GPs may consider prescribing medicines in these consultations. Prescribing medicines to a breastfeeding mother may lead to untimely cessation of breastfeeding or a breastfeeding mother may be denied medicines due to the possible risk to her infant, both of which may lead to unwanted

Hiranya S. Jayawickrama; Lisa H. Amir; Marie V. Pirotta

2010-01-01

219

North Korean defectors seeking health certification to take the national medical licensing examination in the Republic of Korea: figures and procedures.  

PubMed

In May 2011, the Ministry of Unification of the Republic of Korea (Korea) announced that 21,165 defectors from Democratic People's Republic of Korea (North Korea) had settled in Korea. Since healthcare workers are counted among these defectors, it is necessary to provide them with a pathway to certification to work in Korea. This report summarizes the vetting and approval process defectors from North Korea must pass through to be eligible to take the national medical licensing examination. Defectors must pass an oral test conducted by the National Health Personnel Licensing Examination Board to be eligible to sit for the exam. From 2002 to August 2011, 41 North Korean defectors applied for the approval process to take the exam. Twenty-nine were approved (70.7%): 23 physicians, 1 dentist, 2 oriental medical doctor, 1 nurse, and 2 pharmacists. Out of 29 approved, 11 passed the licensing examination (39.3%). This report also highlights the difficulty in assessing North Korean defectors' eligibility by oral test, and suggests that adequate competency should be emphasized to recognize their unique abilities as healthcare personnel. PMID:23330055

Kim, Yoon Hee

2012-01-01

220

North Korean defectors seeking health certification to take the national medical licensing examination in the Republic of Korea: figures and procedures  

PubMed Central

In May 2011, the Ministry of Unification of the Republic of Korea (Korea) announced that 21,165 defectors from Democratic People’s Republic of Korea (North Korea) had settled in Korea. Since healthcare workers are counted among these defectors, it is necessary to provide them with a pathway to certification to work in Korea. This report summarizes the vetting and approval process defectors from North Korea must pass through to be eligible to take the national medical licensing examination. Defectors must pass an oral test conducted by the National Health Personnel Licensing Examination Board to be eligible to sit for the exam. From 2002 to August 2011, 41 North Korean defectors applied for the approval process to take the exam. Twenty-nine were approved (70.7%): 23 physicians, 1 dentist, 2 oriental medical doctor, 1 nurse, and 2 pharmacists. Out of 29 approved, 11 passed the licensing examination (39.3%). This report also highlights the difficulty in assessing North Korean defectors’ eligibility by oral test, and suggests that adequate competency should be emphasized to recognize their unique abilities as healthcare personnel. PMID:23330055

Kim, Yoon Hee

2012-01-01

221

Seeking Help for Psychological Distress in Urban China  

ERIC Educational Resources Information Center

Based on data gathered through a household survey of 1,474 urban residents in Beijing, this study examines Chinese help-seeking behaviors in times of psychological distress and perceived barriers to seeking professional help. The results demonstrate that most respondents rely on informal means of seeking help whereas mental health and medical

Chen, Juan

2012-01-01

222

An examination of how women and underrepresented racial/ethnic minorities experience barriers in biomedical research and medical programs  

NASA Astrophysics Data System (ADS)

Women in medicine and biomedical research often face challenges to their retention, promotion, and advancement to leadership positions (McPhillips et al., 2007); they take longer to advance their careers, tend to serve at less research-intensive institutions and have shorter tenures compared to their male colleagues (White, McDade, Yamagata, & Morahan, 2012). Additionally, Blacks and Hispanics are the two largest minority groups that are vastly underrepresented in medicine and biomedical research in the United States (AAMC, 2012; NSF, 2011). The purpose of this study is to examine specific barriers reported by students and post-degree professionals in the field through the following questions: 1. How do women who are either currently enrolled or graduated from biomedical research or medical programs define and make meaning of gender-roles as academic barriers? 2. How do underrepresented groups in medical schools and biomedical research institutions define and make meaning of the academic barriers they face and the challenges these barriers pose to their success as individuals in the program? These questions were qualitatively analyzed using 146 interviews from Project TrEMUR applying grounded theory. Reported gender-role barriers were explained using the "Condition-Process-Outcome" theoretical framework. About one-third of the females (across all three programs; majority White or Black between 25-35 years of age) reported gender-role barriers, mostly due to poor mentoring, time constraints, set expectations and institutional barriers. Certain barriers act as conditions, causing gender-role issues, and gender-role issues influence certain barriers that act as outcomes. Strategies to overcome barriers included interventions mostly at the institutional level (mentor support, proper specialty selection, selecting academia over medicine). Barrier analysis for the two largest URM groups indicated that, while Blacks most frequently reported racism, gender barriers, mentoring, and personal barriers, Hispanics most frequently reported economic barriers, language barriers, institutional and workplace environment barriers, and gender-role barriers. Examining barriers using the "Individual-Institutional" theoretical framework indicated that barriers do not occur in isolation, but due to an interaction between the individual and its institution. Additionally, the barriers of the two groups are qualitatively different and the "one size fits all" approach may not be suitable for interventions. Implications and recommendations were stated.

Chakraverty, Devasmita

223

Assessing and treating insulin resistance in women with polycystic ovarian syndrome.  

PubMed

Polycystic ovarian syndrome (PCOS) is a highly prevalent hormonal and metabolic disorder among reproductive aged women worldwide. Women with PCOS have widely varying phenotypes and seek medical care for differing reasons. In addition to concern for menstrual cycle function, ovulation, hirsutism and acne, many PCOS women have abnormal glucose metabolism. While diabetes mellitus and impaired glucose tolerance are easily diagnosed, the diagnosis of and concern for insulin resistance as a precursor disorder is underappreciated. Insulin resistance may be the first important marker of metabolic disease in PCOS women at risk for metabolic syndrome and coronary artery disease. PMID:21537458

Traub, Michael L

2011-03-15

224

Analyzing the Relationship of Geographic Mobility and Institutional Prestige to Career Advancement of Women in Academic Medicine Pursuing Midcareer-, Senior-, or Executive-Level Administrative Positions: Implications for Career Advancement Strategies  

ERIC Educational Resources Information Center

The purpose of this study was to explore the relationship of geographic mobility and institutional prestige to career advancement defined as administrative promotions of women seeking midcareer-, senior-, or executive-level positions at academic health centers (AHCs) and their medical schools or in non-AHC related medical schools in the United…

McLean, Marsha Renee

2010-01-01

225

Supplementation of polyunsaturated fatty acids, magnesium and zinc in children seeking medical advice for attention-deficit/hyperactivity problems - an observational cohort study  

PubMed Central

Background Polyunsaturated fatty acids are essential nutrients for humans. They are structural and functional components of cell membranes and pre-stages of the hormonally and immunologically active eicosanoids. Recent discoveries have shown that the long-chained omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) also play an important role in the central nervous system. They are essential for normal brain functioning including attention and other neuropsychological skills. Materials and methods In our large observational study we monitored 810 children from 5 to 12 years of age referred for medical help and recommended for consuming polyunsaturated fatty acids (PUFA) in combination with zinc and magnesium by a physician over a period of at least 3 months. The food supplement ESPRICO® (further on referred to as the food supplement) is developed on the basis of current nutritional science and containing a combination of omega-3 and omega-6 fatty acids as well as magnesium and zinc. Study objective was to evaluate the nutritional effects of the PUFA-zinc-magnesium combination on symptoms of attention deficit, impulsivity, and hyperactivity as well as on emotional problems and sleep related parameters. Assessment was performed by internationally standardised evaluation scales, i.e. SNAP-IV and SDQ. Tolerance (adverse events) and acceptance (compliance) of the dietary therapy were documented. Results After 12 weeks of consumption of a combination of omega-3 and omega-6 fatty acids as well as magnesium and zinc most subjects showed a considerable reduction in symptoms of attention deficit and hyperactivity/impulsivity assessed by SNAP-IV. Further, the assessment by SDQ revealed fewer emotional problems at the end of the study period compared to baseline and also sleeping disorders. Mainly problems to fall asleep, decreased during the 12 week nutritional therapy. Regarding safety, no serious adverse events occurred. A total of 16 adverse events with a possible causal relationship to the study medication were reported by 14 children (1.7%) and only 5.2% of the children discontinued the study due to acceptance problems. Continuation of consumption of the food supplement was recommended by the paediatricians for 61.1% of the children. Conclusion Our results suggest a beneficial effect of a combination of omega-3 and omega-6 fatty acids as well as magnesium and zinc consumption on attentional, behavioural, and emotional problems of children and adolescents. Thus, considering the behavioural benefit in combination with the low risk due to a good safety profile, the dietary supplementation with PUFA in combination with zinc and magnesium can be recommended. PMID:20868469

2010-01-01

226

Anthropometric, medical history and lifestyle risk factors for myeloproliferative neoplasms in the Iowa Women's Health Study cohort.  

PubMed

Classical myeloproliferative neoplasms (MPNs) are composed of essential thrombocythemia (ET), polycythemia vera (PV) and myelofibrosis (MF), the etiology of which is largely unknown. We investigated the role of anthropometric, medical and lifestyle factors with risk of MPN in a prospective cohort of 27,370 women aged 55-69 years at enrollment. After >250,000 person-years of follow-up, 257 cases of MPN were identified (172 ET, 64 PV, 21 MF). Risk factor profiles were mostly unique for the two most common types, ET and PV. ET was associated with energy balance factors including body mass index (RR = 1.52 for >29.3 vs. <23.4 kg/m(2) ; p-trend = 0.042), physical activity (RR = 0.66 for high vs. low; p-trend = 0.04) and adult onset diabetes (RR = 1.82; p = 0.009), while PV was not. PV was associated with current smoking (RR = 2.83; p-trend = 0.016), while ET was not. Regular use of aspirin was associated with lower risk of ET (RR = 0.68; p = 0.017). These results broadly held in multivariate models. Our results suggest distinct etiologies for these MPN subtypes and raise mechanistic hypotheses related to obesity-related inflammatory pathways for ET and smoking-related carcinogenic pathways for PV. Regular aspirin use may lower risk for ET. PMID:24114627

Leal, Alexis D; Thompson, Carrie A; Wang, Alice H; Vierkant, Robert A; Habermann, Thomas M; Ross, Julie A; Mesa, Ruben A; Virnig, Beth A; Cerhan, James R

2014-04-01

227

Connecting the Dots: Examining Transgender Women's Utilization of Transition-Related Medical Care and Associations with Mental Health, Substance Use, and HIV.  

PubMed

Findings on access to general healthcare for transgender people have emerged, but little is known about access to transition-related medical care for transwomen (i.e., hormones, breast augmentation, and genital surgery). Transgender women have low access to general medical care and are disproportionately at risk for substance use, mental illness, and HIV. We conducted an analysis to determine if utilization of transition-related medical care is a protective factor for health risks to transgender women and to investigate if care differs by important demographic factors and HIV status. A secondary analysis was conducted using data from a 2010 HIV surveillance study using respondent-driven sampling to recruit 314 transwomen in San Francisco. Survey-corrected logistic regression models were used to estimate odds ratios for six psychosocial health problems-binge drinking, injection drug use, anxiety, depression, suicidal ideation, and high-risk intercourse-comparing various levels of utilization of transition-related medical care. Odds ratios were also calculated to determine if utilization of transition-related medical care was related to less overlap of risk domains. We found that Latina and African American transwomen had significantly lower estimated utilization of breast augmentation and genital surgery, as did transwomen who identified as transgender rather than female. Overall, utilization of transition-related medical care was associated with significantly lower estimated odds of suicidal ideation, binge drinking, and non-injection drug use. Findings suggest that utilization of transition-related medical care may reduce risk for mental health problems, especially suicidal ideation, and substance use among transwomen. Yet, important racial/ethnic and gender identity disparities in utilization of transition-related medical care need to be addressed. PMID:25476958

Wilson, Erin C; Chen, Yea-Hung; Arayasirikul, Sean; Wenzel, Conrad; Raymond, H Fisher

2014-12-01

228

Medical Assistants  

NSDL National Science Digital Library

For a concise summary of the medical assistant profession the Medical Assistants entry in the Bureau of Labor Statistics' Occupational Outlook Handbook is must read. The site covers topics ranging from the nature of the profession, working conditions, earnings, and more. The section on training, qualifications and advancement will be of special interest to medical assistant faculty and students. The section on sources of addition information will also be a good launching point for anyone seeking additional online resources.

2006-11-01

229

Immediate and delayed treatment seeking among adult sexual assault victims.  

PubMed

There is a growing body of literature which seeks to better understand the needs of sexual assault victims presenting for specialized treatment. This study explored aspects of immediate and delayed treatment seeking among 1118 women who presented for treatment to a specialized sexual assault care centre within a large urban hospital. Variables related to demographic and assault-specific characteristics were examined for association with immediate (within 12 hours) or delayed (after 12 hours) treatment seeking. Results indicate the severity of the attack prompted women to seek treatment earlier and that women who were assaulted by a known perpetrator were more likely to delay seeking assistance. Findings are conceptualized under the rubric of sociological and feminist frameworks with suggestions for additional research. PMID:11942469

Millar, Golden; Stermac, Lana; Addison, Mary

2002-01-01

230

Evaluation of existence and transmission of extended spectrum beta lactamase producing bacteria from post-delivery women to neonates at Bugando Medical Center, Mwanza-Tanzania  

PubMed Central

Background Extended spectrum beta-lactamase producing bacteria (ESBL) are common causes of neonatal sepsis worldwide. Neonatal sepsis due to ESBL is associated with increased morbidity and mortality at Bugando Medical Centre (BMC). Due to limited information on the sources of these ESBL strains at BMC, this study was conducted to evaluate the existence, magnitude and transmission of ESBL from post-delivery women to neonates at BMC, Mwanza-Tanzania. Results A cross-sectional study was conducted at obstetrics and neonatal wards from May to July 2013, involving post-delivery women and their neonates. Rectal swabs were collected and processed to identify the ESBL strains and their antimicrobial susceptibility patterns. Patients’ data were obtained using a standardized data collection tool. We enrolled 113 women and 126 neonates with mean age of 26.5?±?5.5 years and median gestation age [IQR] of 39 [35–40] weeks respectively. The prevalence of ESBL carriage among women and neonates were 15% (17/113) and 25.4% (32/126) respectively. The acquisition of ESBL isolates among neonates on day 1, day 3 and day 7 were 60.0% (21/35), 25.7% (9/35) and 14.3% (5/35) respectively. There was no phenotypic similarity between ESBL strains from women and their respective neonates, suggesting other sources of transmission. Neonates given antibiotics were more likely to carry ESBL than those not given [100% (32/32) versus 86% (81/94), p?=?0.018]. Conclusion The carriage rate of ESBL strains among post-delivery women and neonates at BMC is high. Our findings suggest that neonates acquire these strains from sources other than post-delivery women and more than half acquire them on the first day of life. More studies are recommended to further explore the sources of ESBL strains among neonates. PMID:24886506

2014-01-01

231

Alcoholism and women's health.  

PubMed

There are a variety of reasons why women are believed to be more susceptible than men to the effects of alcohol. Physical factors, such as body water content and hereditary predisposition to alcoholism, differentiate women from men. Social factors include secretive drinking, role model in the family, and a perceived increase in promiscuity. Societal stigmas make it difficult for alcoholic women to seek help, yet the mortality rates are high for those women who continue to drink. PMID:3120219

Blume, S B

1987-01-01

232

All this fuss about a trivial incident? women, hospitals and medical work in New South Wales, 1900-1920  

Microsoft Academic Search

The ‘woman doctor question’ was a title given to the public debates that erupted in early twentieth-century New South Wales (Australia) over the employment of women doctors in general hospitals. Two wellqualified women, Drs Susie O'Reilly and Jessie Aspinall, were rejected from hospital residencies in Sydney, which led a wide variety of groups and individuals to mobilise in print, not

Louella McCarthy

2005-01-01

233

The Relationship between Intake of Dairy Products and Polycystic Ovary Syndrome in Women Who Referred to Isfahan University of Medical Science Clinics in 2013  

PubMed Central

Background: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in reproductive women. Nearly 10% of young women in this period involved. Although factors such as Insulin Resistance, hyper insulinemia, obesity and dietary are suggested to be associated with PCOS, cause of PCOS is not completely understood. Dairy products (a key component of the usual diet) of participants can also affect the factors of this disease and may have beneficial effects on treatment of PCOS. However, research in this area is scarce. The purpose of this study was to evaluate the relationship between dairy products consumption and PCOS. Methods: This descriptive cross-sectional study of 400 women was conducted in Shahid Beheshti Hospital of Isfahan University of Medical Science, Iran. Dietary intake was evaluated by validated food frequency questionnaire. Other variables such as ovarian disease, inherited predisposition, age at menarche, physical activity and history of other diseases were evaluated using questionnaire. Data analysis was performed by a logistic regression test using SPSS software version 15 Predictive analytics software and solutions. Results: There were a significant association between PCOS and ovarian disease (P < 0.001), age (P < 0.001) and using medication (P = 0.001). Body mass index (BMI) was inversely associated with PCOS, but it was not significant (P = 0.068). There was a significant direct relationship between milk consumption and risk of PCOS after adjusting for confounding factors (P = 0.028). Conclusions: The findings of this study indicated that ovarian disease and medication use is directly linked to PCOS. Dairy consumption was not significantly correlated with PCOS. However, after adjustment for confounders, there was an direct relationship between milk consumption and risk of PCOS. PMID:25013687

Rajaeieh, Golnaz; Marasi, Mohamadreza; Shahshahan, Zahra; Hassanbeigi, Fatemmeh; Safavi, Seied Morteza

2014-01-01

234

UCSF Betty Irene Moore Women's Hospital On February 1, 2015, one of the nation's premier medical centers  

E-print Network

's Hospital is designed to treat the whole woman, not just her symptoms, with compassion, innovation imbalances. Exceptional Features: · Onsite helipad to transport pregnant women, babies and children

Derisi, Joseph

235

Australian women's use of complementary and alternative medicines to enhance fertility: exploring the experiences of women and practitioners  

PubMed Central

Background Studies exploring the use of complementary and alternative medicine (CAM) to enhance fertility are limited. While Australian trends indicate that women are using CAM during pregnancy, little is known about women's use of CAM for fertility enhancement. With the rising age of women at first birth, couples are increasingly seeking assisted reproductive technologies (ART) to achieve parenthood. It is likely that CAM use for fertility enhancement will also increase, however this is not known. This paper reports on an exploratory study of women's use of CAM for fertility enhancement. Methods Three focus groups were conducted in Melbourne, Australia in 2007; two with women who used CAM to enhance their fertility and one with CAM practitioners. Participants were recruited from five metropolitan Melbourne CAM practices that specialise in women's health. Women were asked to discuss their views and experiences of both CAM and ART, and practitioners were asked about their perceptions of why women consult them for fertility enhancement. Groups were digitally recorded (audio) and transcribed verbatim. The data were analysed thematically. Results Focus groups included eight CAM practitioners and seven women. Practitioners reported increasing numbers of women consulting them for fertility enhancement whilst also using ART. Women combined CAM with ART to maintain wellbeing and assist with fertility enhancement. Global themes emerging from the women's focus groups were: women being willing to 'try anything' to achieve a pregnancy; women's negative experiences of ART and a reluctance to inform their medical specialist of their CAM use; and conversely, women's experiences with CAM being affirming and empowering. Conclusions The women in our study used CAM to optimise their chances of achieving a pregnancy. Emerging themes suggest the positive relationships achieved with CAM practitioners are not always attained with orthodox medical providers. Women's views and experiences need to be considered in the provision of fertility services, and strategies developed to enhance communication between women, medical practitioners and CAM practitioners. Further research is needed to investigate the extent of CAM use for fertility enhancement in Australia, and to explore the efficacy and safety of CAM use to enhance fertility, in isolation or with ART. PMID:20003533

2009-01-01

236

Limited Career Pathways: Occupational Challenges for Women and Girls in the Medical Field. Executive Summary. Research Briefs.  

ERIC Educational Resources Information Center

A 2-year investigation was conducted of Connecticut's high school medical careers programs and the career opportunities available to students, particularly females, who have graduated from them. Research conducted in two phases in four communities involved the following activities: site visits of high school medical careers programs and student…

Silverman, Suzanne; Pritchard, Alice

237

End of life decisions and pregnant women: do pregnant women have the right to refuse life preserving medical treatment? A comparative study.  

PubMed

In this article the practice of end of life decisions is applied to pregnant women. This is not an easy task as shown by the extensive case law and literature on the subject. The main conclusion of the article is that the pregnant woman's wishes should always be respected whatever the consequences for the foetus may be. Another position would unjustly sacrifice the woman's fundamental rights to bodily integrity and self-determination for the benefit of a non-person. The result is repeated in the situation where the woman is found to be incompetent or brain dead. PMID:21133244

Lemmens, Christophe

2010-12-01

238

Causes of delay in seeking treatment for heart attack symptoms  

Microsoft Academic Search

With the advent of thrombolytic therapy and other coronary reperfusion strategies, rapid identification and treatment of acute myocardial infarction greatly reduces mortality. Unfortunately, many patients delay seeking medical care and miss the benefits afforded by recent advances in treatment. Studies have shown that the median time from onset of symptoms to seeking care ranges from 2 to 61\\/2 hours, while

Kathleen Dracup; Debra K. Moser; Mickey Eisenberg; Hendrika Meischke; Angelo A. Alonzo; Allan Braslow

1995-01-01

239

Impact of maternal age on obstetric and neonatal outcome with emphasis on primiparous adolescents and older women: a Swedish Medical Birth Register Study  

PubMed Central

Objectives To evaluate the associations between maternal age and obstetric and neonatal outcomes in primiparous women with emphasis on teenagers and older women. Design A population-based cohort study. Setting The Swedish Medical Birth Register. Participants Primiparous women with singleton births from 1992 through 2010 (N=798?674) were divided into seven age groups: <17?years, 17–19?years and an additional five 5-year classes. The reference group consisted of the women aged 25–29?years. Primary outcome Obstetric and neonatal outcome. Results The teenager groups had significantly more vaginal births (adjusted OR (aOR) 2.04 (1.79 to 2.32) and 1.95 (1.88 to 2.02) for age <17?years and 17–19?years, respectively); fewer caesarean sections (aOR 0.57 (0.48 to 0.67) and 0.55 (0.53 to 0.58)), and instrumental vaginal births (aOR 0.43 (0.36 to 0.52) and 0.50 (0.48 to 0.53)) compared with the reference group. The opposite was found among older women reaching a fourfold increased OR for caesarean section. The teenagers showed no increased risk of adverse neonatal outcome but presented an increased risk of prematurity <32?weeks (aOR 1.66 (1.10 to 2.51) and 1.20 (1.04 to 1.38)). Women with advancing age (?30?years) revealed significantly increased risk of prematurity, perineal lacerations, preeclampsia, abruption, placenta previa, postpartum haemorrhage and unfavourable neonatal outcomes compared with the reference group. Conclusions For clinicians counselling young women it is of importance to highlight the obstetrically positive consequences that fewer maternal complications and favourable neonatal outcomes are expected. The results imply that there is a need for individualising antenatal surveillance programmes and obstetric care based on age grouping in order to attempt to improve the outcomes in the age groups with less favourable obstetric and neonatal outcomes. Such changes in surveillance programmes and obstetric interventions need to be evaluated in further studies. PMID:25387756

Blomberg, Marie; Birch Tyrberg, Rasmus; Kjølhede, Preben

2014-01-01

240

Racial Disparities in Intimate Partner Violence and in Seeking Help With Mental Health.  

PubMed

Applying Aday and Andersen's health services utilization model, this examination of racial disparities in women's experience of intimate partner violence also looked at racial disparities in mental disorders and in use of mental health professionals' help. We conducted a secondary data analysis of 6,589 women completing the National Violence Against Women Survey. Per our linear regression results, minority women, versus White, tended proportionally to seek less help from mental health professionals. Help seeking by African American women was less likely if they were using illegal drugs; among Hispanic women, additional threats from partner curtailed help seeking from mental health professionals. "Other ethnic minority" women's help seeking decreased with their use of stimulants. Implications for intervention are discussed. PMID:25349016

Cheng, Tyrone C; Lo, Celia C

2014-10-27

241

Women Lead the Way  

ERIC Educational Resources Information Center

Female corporate leaders are becoming more common, but that does not mean it was a snap for them to get there. Much has been said about the hard road faced by women who seek top spots in corporate America. Many point out, for instance, that women executives still often are paid less than their male counterparts, and that they face stereotypes,…

Weinstein, Margery

2010-01-01

242

[Women members of the Mexican National Academy of Medicine. An analysis of their membership and place in the medical elite].  

PubMed

This article analyzes women's admission to Mexico's National Academy of Medicine (NAM) originally an all-male institution. We describe the demographic characteristics of female members of the NAM. By the year 2006, the NAM had 536 academic members, 62 of them were women. Data gathered included date of entry to the NAM, members' age at time of admission, current age, whether they had children and the field and or area to which they were assigned. We also analyzed membership to the "National System of Researchers" (Sistema Nacional de Investigadores, SNI). Women admitted to the NAM were all competitive scholars who planned their career choices, sought and achieved positions of power yet gender issues still determined their professional careers. PMID:18714597

Rodríguez-de Romo, Ana Cecilia

2008-01-01

243

Are statin medications associated with lower urinary tract symptoms in men and women? Results from the Boston Area Community Health (BACH) Survey  

PubMed Central

PURPOSE Statins may ameliorate lower urinary tract symptoms (LUTS) through anti-inflammatory or other pathways. We investigated the association between statin use and storage, voiding, and overall LUTS symptoms. METHODS The Boston Area Community Health Survey is an epidemiologic study of Boston, MA residents (2301 men; 3202 women) aged 30–79. LUTS, voiding and storage symptoms were ascertained through an interviewer-administered questionnaire and defined as scores of ?8, ?5, and ?4, respectively, on relevant components of the American Urologic Association Symptom Index. Participants were included if they had a history of provider-diagnosed high cholesterol or recently used statin medications (N=1,346). Associations were estimated using odds ratios (ORs) and 95% confidence intervals from multivariate logistic regression. RESULTS In multivariate models, statin use had no association with LUTS (OR=1.03, 95% CI: 0.70, 1.51) among women. No associations were observed for any LUTS among younger (<60) men, but among older (60+) men, we observed significant inverse associations for voiding (OR=0.23, 95% CI: 0.08, 0.66), storage (OR=0.24, 95% CI: 0.11, 0.56) and overall LUTS (OR=0.15, 95% CI: 0.05, 0.44). CONCLUSIONS Our results suggest that use of statins is associated with a lower prevalence of urologic symptoms among older men but not among women or younger men. PMID:21311603

Hall, Susan A.; Chiu, Gretchen R.; Link, Carol L.; Steers, William D.; Kupelian, Varant; McKinlay, John B.

2011-01-01

244

Women and health care in rural Pakistan.  

PubMed

The provision of medical facilities to rural areas is a major objective of development in Pakistan and the government has undertaken several programs to train and deploy auxiliary health workers on a large scale. Programs to train lady health visitors, dispensers and sanitary inspectors, have been in operation for decades and their graduates have a place in the workforce. Currently the Government is developing a Basic Health Program to train auxiliary health workers and to establish a network of rural health facilities throughout the country. The research here reported was meant to help plan this program. The 4 week study was conducted in four districts of the Punjab and North West Frontier Provinces. We first interviewed women patients of rural dispensaries in the four districts to determine their views of their needs and of the constraints of the purdah system when seeking health care. We then interviewed principals of medical colleges and training institutes, who were in a position to assess the availability of women to enter the medical workforce and female mid-level health workers who were currently serving in their posts. Finally, since allopathic medical institutions compete with indigenous medical specialists, we interviewed two hakims and a homeopathic physician to obtain their view of rural health needs, as well as their potential for contributing to a broad based rural health care system. PMID:6867786

Schmidt, R L

1983-01-01

245

A hard pill to swallow: a qualitative study of women's experiences of adjuvant endocrine therapy for breast cancer  

PubMed Central

Objective To explore women's experiences of taking adjuvant endocrine therapy as a treatment for breast cancer and how their beliefs about the purpose of the medication, side effects experienced and interactions with health professionals might influence adherence. Design Qualitative study using semistructured, one-to-one interviews. Setting 2 hospitals from a single health board in Scotland. Participants 30 women who had been prescribed tamoxifen or aromatase inhibitors (anastrozole or letrozole) and had been taking this medication for 1–5?years. Results Women clearly wished to take their adjuvant endocrine therapy medication as prescribed, believing that it offered them protection against breast cancer recurrence. However, some women missed tablets and did not recognise that this could reduce the efficacy of the treatment. Women did not perceive that healthcare professionals were routinely or systematically monitoring their adherence. Side effects were common and impacted greatly on the women’s quality of life but did not always cause women to stop taking their medication, or to seek advice about reducing the side effects they experienced. Few were offered the opportunity to discuss the impact of side effects or the potential options available. Conclusions Although most women in this study took adjuvant endocrine therapy as prescribed, many endured a range of side effects, often without seeking help. Advice, support and monitoring for adherence are not routinely offered in conventional follow-up settings. Women deserve more opportunity to discuss the pros, cons and impact of long-term adjuvant endocrine therapy. New service models are needed to support adherence, enhance quality of life and ultimately improve survival. These should ideally be community based, in order to promote self-management in the longer term. PMID:24928595

Harrow, Alison; Dryden, Ruth; McCowan, Colin; Radley, Andrew; Parsons, Mark; Thompson, Alastair M; Wells, Mary

2014-01-01

246

The PRCI study: design of a randomized clinical trial to evaluate a coping intervention for medical waiting periods used by women undergoing a fertility treatment  

PubMed Central

Background Many medical situations necessitate a stressful period of waiting for potentially threatening test results. The medical waiting period is often associated with negative anticipatory anxiety and rumination about the outcome of treatment. Few evidence-based self-help coping interventions are available to assist individuals manage these periods. Theory and research suggest that positive reappraisal coping strategies may be particularly useful for this type of unpredictable and uncontrollable stressful context. The objective of this study is to investigate the effects of a Positive Reappraisal Coping Intervention (PRCI) on psychological well-being of women waiting for the outcome of their fertility treatment cycle. Methods/Design In a three-armed randomized controlled trial, the effectiveness of the PRCI will be tested. Consecutive patients undergoing in vitro fertilisation in a Dutch university hospital and meeting selection criteria will be invited to participate. Those who agree will be randomized to one of three experimental groups (N=372). The PRCI Intervention group will receive the intervention that comprises an explanatory leaflet and the 10 statements designed to promote positive reappraisal coping, to be read at least once in the morning, once in the evening. To capture the general impact of PRCI on psychological wellbeing patients will complete questionnaires before the waiting period (pre-intervention), on day ten of the 14-day waiting period (intervention) and six weeks after the start of the waiting period (post-intervention). To capture the specific effects of the PRCI during the waiting period, patients will also be asked to monitor daily their emotions and reactions during the 14-day waiting period. The primary outcome is general anxiety, measured by the Hospital Anxiety and Depression Scale. Secondary outcomes are positive and negative emotions during the waiting period, depression, quality of life, coping and treatment outcome. During recruitment for the RCT it was decided to add a fourth non-randomized group, a PRCI Control group that received the PRCI and completed the questionnaires but did not complete daily monitoring. Discussion Positive reappraisal is one of the few ways of coping that has been shown to be associated with increased wellbeing during unpredictable and uncontrollable situations like medical waiting periods. A simple evidence based self-help intervention could facilitate coping during this common medical situation. This RCT study will evaluate the value of a self-help coping intervention designed for medical waiting periods in women undergoing fertility treatment. Trial registration The study is registered at the Clinical Tials.gov (NCT01701011). PMID:24004640

2013-01-01

247

Women at risk: why increasing numbers of women are failing to get the health care they need and how the Affordable Care Act will help. Findings from the Commonwealth Fund Biennial Health Insurance Survey of 2010.  

PubMed

Women have greater health care needs than men, and generally play larger roles in the health care of family members. Rising health care costs combined with sluggish income growth has contributed to losses in health insurance among women and rising rates of problems gaining necessary health care and paying medical bills. Women who seek coverage in the individual insurance market face additional hurdles--few plans offer maternity coverage and, in most states, insurance carriers charge higher premium rates to young women than men of the same age. The Affordable Care Act is bringing change for women through required free coverage of preventive care services, small business tax credits, new affordable coverage options, and insurance market reforms, including bans on gender rating. When the law is fully implemented in 2014, nearly all the 27 million working-age women who went without health insurance in 2010 will gain affordable and comprehensive benefits. PMID:21638798

Robertson, Ruth; Collins, Sara R

2011-05-01

248

Social differentiation and embodied dispositions: a qualitative study of maternal care-seeking behaviour for near-miss morbidity in Bolivia  

PubMed Central

Background Use of maternal health care in low-income countries has been associated with several socioeconomic and demographic factors, although contextual analyses of the latter have been few. A previous study showed that 75% of women with severe obstetric morbidity (near-miss) identified at hospitals in La Paz, Bolivia were in critical conditions upon arrival, underscoring the significance of pre-hospital barriers also in this setting with free and accessible maternal health care. The present study explores how health care-seeking behaviour for near-miss morbidity is conditioned in La Paz, Bolivia. Methods Thematic interviews with 30 women with a near-miss event upon arrival at hospital. Near-miss was defined based on clinical and management criteria. Modified analytic induction was applied in the analysis that was further influenced by theoretical views that care-seeking behaviour is formed by predisposing characteristics, enabling factors, and perceived need, as well as by socially shaped habitual behaviours. Results The self-perception of being fundamentally separated from "others", meaning those who utilise health care, was typical for women who customarily delivered at home and who delayed seeking medical assistance for obstetric emergencies. Other explanations given by these women were distrust of authority, mistreatment by staff, such as not being kept informed about their condition or the course of their treatment, all of which reinforced their dissociation from the health-care system. Conclusion The findings illustrate health care-seeking behaviour as a practise that is substantially conditioned by social differentiation. Social marginalization and the role health institutions play in shaping care-seeking behaviour have been de-emphasised by focusing solely on endogenous cultural factors in Bolivia. PMID:19640286

Rööst, Mattias; Jonsson, Cecilia; Liljestrand, Jerker; Essén, Birgitta

2009-01-01

249

Seeking Clarity About Crisis.  

ERIC Educational Resources Information Center

The "clearness committee," a Quaker practice, might provide an avenue for educators grappling with crises and seeking clarity about their worries and concerns over time. A Lewis and Clark College seminar held in April 1998 dealt with an administrator's fears about carrying on following a former student's suicide. Steps for freeing one's "inner…

Hagstrom, David

1999-01-01

250

Dysregulation of leukocyte gene expression in women with medication-refractory depression versus healthy non-depressed controls  

PubMed Central

Background Depressive Disorders (DD) are a great financial and social burden. Females display 70% higher rate of depression than males and more than 30% of these patients do not respond to conventional medications. Thus medication-refractory female patients are a large, under-served, group where new biological targets for intervention are greatly needed. Methods We used real-time quantitative polymerase chain reaction (qPCR) to evaluate mRNA gene expression from peripheral blood leukocytes for 27 genes, including immune, HPA-axis, ion channels, and growth and transcription factors. Our sample included 23 females with medication refractory DD: 13 with major depressive disorder (MDD), 10 with bipolar disorder (BPD). Our comparison group was 19 healthy, non-depressed female controls. We examined differences in mRNA expression in DD vs. controls, in MDD vs. BPD, and in patients with greater vs. lesser depression severity. Results DD patients showed increased expression for IL-10, IL-6, OXTR, P2RX7, P2RY1, and TRPV1. BPD patients showed increased APP, CREB1, NFKB1, NR3C1, and SPARC and decreased TNF expression. Depression severity was related to increased IL-10, P2RY1, P2RX1, and TRPV4 expression. Conclusions These results support prior findings of dysregulation in immune genes, and provide preliminary evidence of dysregulation in purinergic and other ion channels in females with medication-refractory depression, and in transcription and growth factors in those with BPD. If replicated in future research examining protein levels as well as mRNA, these pathways could potentially be used to explore biological mechanisms of depression and to develop new drug targets. PMID:24143878

2013-01-01

251

Understanding Rape Survivors' Decisions Not to Seek Help from Formal Social Systems  

ERIC Educational Resources Information Center

Few rape survivors seek help from formal social systems after their assault. The purpose of this study was to examine factors that prevent survivors from seeking help from the legal, medical, and mental health systems and rape crisis centers. In this study, 29 female rape survivors who did not seek any postassault formal help were interviewed…

Patterson, Debra; Greeson, Megan; Campbell, Rebecca

2009-01-01

252

Medical Evaluation of the Special Supplemental Food Program for Women, Infants and Children. Select Committee on Nutrition and Human Needs, United States Senate, Ninety-Fourth Congress, 2d Session. Committee Print.  

ERIC Educational Resources Information Center

This paper reports a medical evaluation of a federal program providing funds for special nutritious food supplements to low income pregnant and lactating women, infants, and children up to four years of age who are nutritional risks. Growth, dietary intake, and biochemical measures were obtained for study infants at the time of enrollment in the…

Congress of the U.S., Washington, DC. Senate Select Committee on Nutrition and Human Needs.

253

Health seeking and access to care for children with suspected dengue in Cambodia: An ethnographic study  

PubMed Central

Background The continuing contribution of dengue fever to the hospitalization and deaths in hospital of infants and small children in Cambodia is associated with delays in presentation for medical attention, diagnosis and appropriate care. It is important to identify the reasons that influence these delays, in order to develop appropriate interventions to redress the impact of dengue. Methods Data on health seeking were collected during an ethnographic study conducted in two villages in the eastern province of Kampong Cham, Cambodia in 2004. Interviews were conducted with mothers whose children had been infected with suspected dengue fever, or who had been sick for other reasons, in 2003 and 2004. Results Women selected a therapeutic option based on perceptions of the severity of the child's condition, confidence in the particular modality, service or practitioner, and affordability of the therapy. While they knew what type of health care was required, poverty in combination with limited availability and perceptions of the poor quality of care at village health centers and public referral hospitals deterred them from doing so. Women initially used home remedies, then sought advice from public and private providers, shifting from one sector to another in a pragmatic response to the child's illness. Conclusion The lack of availability of financial resources for poor people and their continuing lack of confidence in the care provided by government centres combine to delay help seeking and inappropriate treatment of children sick with dengue. PMID:17892564

Khun, Sokrin; Manderson, Lenore

2007-01-01

254

Escitalopram Reduces Hot Flashes in Non-depressed Menopausal Women: A Pilot Study  

PubMed Central

Background Hot flashes are one of the most troubling manifestations of menopause, affecting about 80% of women. Due to recent controversies about hormone replacement therapy (HRT), many women are seeking alternative treatments. The use of antidepressants to treat hot flashes and other menopausal symptoms has been an active area of investigation. However, the majority of past research in this area has included women with significant medical or psychiatric histories that may influence treatment response. This was the first study to examine the impact of escitalopram on hot flashes, mood, sleep, and quality of life in a healthy sample of non-depressed menopausal women. Methods Twenty-five menopausal women, with no significant psychiatric or medical history, were enrolled. All women were treated with escitalopram (10-20mg flexibly dosed) for 8 weeks. The active treatment phase was preceded by a single blind placebo lead-in period. Results Over the course of the study, women reported significant decreases in both hot flash frequency and severity and improvements in dysphoria, anxiety, quality of life, and sleep. Conclusions These preliminary findings suggest that escitalopram may be a feasible and effective option for treating hot flashes and other menopausal symptoms in healthy women who might not ordinarily consider antidepressant treatment. PMID:19439155

Dobkin, Roseanne DeFronzo; Menza, Matthew; Allen, Lesley A.; Marin, Humberto; Bienfait, Karina L.; Tiu, Jade; Howarth, Jennifer

2009-01-01

255

Supportive care for women with unexplained recurrent miscarriage: patients' perspectives.  

PubMed

BACKGROUND Supportive care is currently the only 'therapy' that can be offered to women with unexplained recurrent miscarriage (RM). What these women themselves prefer as supportive care in their next pregnancy has never been substantiated. Therefore the aim of this study was to explore what women with unexplained RM prefer as supportive care during their next pregnancy. METHODS We performed explorative, semi-structured, in-depth interviews. The interviews were performed with 15 women with unexplained RM who were actively seeking conception. All interviews were conducted by telephone. The interviews were fully transcribed and two researchers independently identified text segments from the transcribed interviews and categorized them in the appropriate domain. RESULTS Women identified 20 different supportive care options; 16 of these options were preferred for their next pregnancy. Examples of the preferred supportive care were early and frequently repeated ultrasounds, ?HCG monitoring, practical advice concerning life style and diet, emotional support in the form of counselling, a clear policy for the upcoming 12 weeks and medication. The four supportive care options that were not preferred by the women were admittance to a hospital ward at the same gestational age as previous miscarriages, Complementary Alternative Medicine, ultrasound every other day and receiving supportive care from their general practitioner. CONCLUSIONS Our study identified several relevant preferences for supportive care in women with unexplained RM. Many of these can be offered by the gynaecologist and will help in guaranteeing high-quality patient-centred care. PMID:21317153

Musters, A M; Taminiau-Bloem, E F; van den Boogaard, E; van der Veen, F; Goddijn, M

2011-04-01

256

Children's Help Seeking and Impulsivity  

ERIC Educational Resources Information Center

The aim of the present study was to analyze the relationship between students' (100 children aged 8 to 12) help-seeking behavior and impulsivity. Help-seeking behavior was evaluated using a naturalistic experimental paradigm in which children were placed in a problem-solving situation and had the opportunity to seek help from the experimenter, if…

Puustinen, Minna; Kokkonen, Marja; Tolvanen, Asko; Pulkkinen, Lea

2004-01-01

257

Voices of Women A Report on the Status of Women at Michigan State University  

E-print Network

conducted a number of studies about campus diversity and the environment for women in particular1 Voices of Women A Report on the Status of Women at Michigan State University November 2006 EXECUTIVE SUMMARY Purpose & Authorization The Status of Women Project at Michigan State University seeks

258

Seeking Other Worlds  

NSDL National Science Digital Library

Is Earth unique in the universe? What is a habitable planet? How abundant are habitable planets? NASA's Kepler Mission team seeks answers to these questions. Launching in 2009, Kepler is NASA's first mission capable of finding Earth-sized and smaller planets in the habitable zone of other stars in our galaxy. This space mission offers an intriguing context for teaching and learning science concepts that support the National Science Education Standards in "Earth and Space Sciences" and "Science as Inquiry." These activities include building models, positing explanations, understanding our solar system and extending that knowledge to other planetary systems, interpreting graphical data, and applying mathematics to analyze science data.

Gould, Alan; Koch, David; Devore, Edna K.; Harmen, Pamela

2009-01-01

259

Historical Influences on Women’s Sexual and Reproductive Health  

Microsoft Academic Search

\\u000a To understand contemporary debates over women’s sexual and reproductive health in American society, we must first look to\\u000a the past. Since the beginning of time, perceptions of female sexuality have shaped medical practices, public policy, legal\\u000a rights, technology, and the contours of women’s everyday experiences. To answer a battery of questions—Why are most contraceptives\\u000a for women? Why are abortions stigmatized

Andrea Tone

260

Joslyn Yudenfreund Kravitz, Ph.D., Editor Office of Research on Women's Health  

E-print Network

Joslyn Yudenfreund Kravitz, Ph.D., Editor Office of Research on Women's Health Office Meeting to Seek New Dimensions and Strategies for Women's Health Research and Advancing Women's Biomedical Will Hold Fifth Regional Meeting to Seek New Dimensions and Strategies for Women's Health Research

Bandettini, Peter A.

261

MEDICAL OR PSYCHOLOGICAL EMERGENCY Ambulatory Patient (Students)  

E-print Network

MEDICAL OR PSYCHOLOGICAL EMERGENCY Ambulatory Patient (Students): Medical assistance can) with a physician is available for urgent medical concerns. Faculty and Staff can seek medical assistance If the individual needing assistance is not ambulatory, call 911 to request assistance from Emergency Medical

Meyers, Steven D.

262

The Departments of Population Health Sciences (PHS) and of Biostatistics & Medical Informatics (BMI) at the University of Wisconsin School of Medicine & Public Health seek applicants for a joint faculty  

E-print Network

The Departments of Population Health Sciences (PHS) and of Biostatistics & Medical Informatics (BMI in the area of biostatistics at the (tenure-track) Assistant or (tenured) Associate ranks. We are especially interested in individuals with expertise in biostatistical methods applied to epidemiologic, health services

Wisconsin at Madison, University of

263

Challenges facing women entrepreneurs in Nigeria  

Microsoft Academic Search

Purpose – This study seeks to examine the business and social profiles of 67 women entrepreneurs in three regions of Nigeria in order to identify patterns of entrepreneurship and social and economic challenges facing women business owners in Nigeria. The study aims to support and encourage sustainable small-scale economic development activities by Nigerian women and determine ways to integrate these

Daphne Halkias; Chinedum Nwajiuba; Nicholas Harkiolakis; Sylva M. Caracatsanis

2011-01-01

264

Women's strategic responses to violence in Nicaragua  

PubMed Central

STUDY OBJECTIVE—To describe the responses of women in León, Nicaragua to partner abuse and identify contextual factors associated with the use of certain coping mechanisms and the likelihood of permanent separation.?DESIGN—Cross sectional population-based survey.?SETTING—León, Nicaragua.?PARTICIPANTS—188 women 15-49 years of age who had experienced physical partner abuse, out of 488 women interviewed.?MAIN RESULTS—66% of women defended themselves effectively from abuse either physically or verbally. Forty one per cent of women had left home temporarily because of violence and 20% had sought help outside the home. Women experiencing severe abuse were more likely to leave or seek help, whereas women with less severe abuse were more able to defend themselves effectively. Seventy per cent of women eventually left abusive relationships. Help seeking and temporary separations increased the likelihood of a permanent separation, whereas women who defended themselves and were able to stop the violence, at least temporarily, were more likely to remain in abusive relationships.?CONCLUSIONS—Women in Nicaragua use a variety of methods in order to overcome physical partner abuse. Temporary leaving and help seeking are critical steps in the process of leaving a violent relationship. However, many women indicated that they did not receive support for their situation. More interventions are needed to help women recognise and deal with violence, as well as strengthening the community support networks available to abused women.???Keywords: partner abuse; violence; women PMID:11449011

Ellsberg, M; Winkvist, A; Pena, R; Stenlund, H

2001-01-01

265

Women’s health care utilization and expenditures  

Microsoft Academic Search

This study examines women's use and expenditures for medical care in the US. In 2000, 91% of women aged 18 years and older used any form of health care services. Overall, 82% of adult women reported an ambulatory care visit, and 11% had an inpatient hospital stay. Mean expense per person with expenses was $3219 for that year. We examined

Amy K. Taylor; Sharon Larson; Rosaly Correa-de-Araujo

2006-01-01

266

Health Issues Facing Black Women.  

ERIC Educational Resources Information Center

Black women in the United States experience a high incidence of serious health problems and, as a group, receive insufficient and inadequate medical care. The death rate for black women suffering from breast cancer has increased substantially since 1950. Also of great concern is the high incidence of cervical cancer in low income black women

Reid, Inez Smith

267

A study of anticonvulsant medication on ovarian function in a group of women with epilepsy who have only ever taken one anticonvulsant compared with a group of women without epilepsy  

Microsoft Academic Search

A group of 105 women (54 of whom were, and had only ever been, taking valproate for at least a year, and 51 who had only ever taken either lamotrigine or carbamazepine, for at least a year) were compared with a group of 50 women who did not have epilepsy: any oral contraceptive taken at the time of testing was

TIM BETTS; HELEN YARROW; NICOLA DUTTON; LYN GREENHILL; TED ROLFE

2003-01-01

268

FIPSE: Changing Medical Education Forever.  

ERIC Educational Resources Information Center

Describes how the Fund for the Improvement of Postsecondary Education (FIPSE) has played a central role in sponsoring innovations in the medical and health sciences, including landmark medical projects to integrate women's health issues into the medical curriculum and to use lay people in the teaching and evaluating of medical students. (EV)

Levison, Sandra P.; Straumanis, Joan

2002-01-01

269

Hypertension in Postmenopausal Women  

PubMed Central

Blood pressure is typically lower in premenopausal women than in men. However, after menopause, the prevalence of hypertension in women is higher than it is in men. Hypertension is a major risk factor for cardiovascular disease in women and men. Cardiovascular disease is the leading cause of death in women. Furthermore, there is evidence that blood pressure may not be as well-controlled in women as in men, despite the fact that most women adhere better to their therapeutic regimens and medications than do men, and have their blood pressures measured more frequently than do men. This review describes possible mechanisms by which blood pressure may be increased in postmenopausal women. PMID:22427070

Lima, Roberta; Wofford, Marion; Reckelhoff, Jane F.

2012-01-01

270

Substance Abuse, Clinical Needs, and Treatment Outcomes for Women.  

ERIC Educational Resources Information Center

Many women seek treatment for substance abuse problems during their child-bearing years. Evaluations of interventions for these women need to take into account other problems that women may have when they enter treatment. The effectiveness of residential treatment for women, some of whom reported a history of abuse and psychological problems, is…

Cosden, Merith A.; Peerson, Stacey

271

Medical Dictionary  

NSDL National Science Digital Library

For nurses and other health care professionals who seek to distinguish the habitus from the humerus, this online medical dictionary provided by MedicineNet will be a place to bookmark for repeat visits. The dictionary contains well-written explanations for over 16,000 medical terms, and users can go ahead and browse around, or enter keywords or phrases into the search engine that resides on the page. The site also features a âÂÂWord of the DayâÂÂ, and visitors can also look through recent news items that address different health issues and also look over the latest entries to the dictionary. The site is rounded out by a list of the âÂÂTop 10 MedtermsâÂÂ, which is also a good way to start exploring the materials here.

2007-03-31

272

Acne in hirsute women  

PubMed Central

Introduction Acne and hirsutism are common manifestations of hyperandrogenism. Aim To investigate whether or not acne is present in women with hirsutism, associated with different clinical, endocrine and ultrasonographic features. Material and methods The prospective study included 135 women with hirsutism, aged 14–46 years. We measured the levels of hormones with radioimmunoassay/immunoradiometric assay methods. Results Acne were present in 63 (47.6%) women with hirsutism. Sixty women had mild forms of acne, including: whiteheads, blackheads, papules and pustules. Only 3 women had moderate to severe acne, including nodules. In a group of women with hirsutism and acne, 6 (9.5%) were obese. In our study we found a high prevalence of androgen excess among hirsute women with acne: total testosterone was increased in 79%, free testosterone in 20.6%, androstenedione in 69.8%, dehydroepiandrosterone sulfate (DHEAS) in 30.1%, 17-OH-progesterone 68.2% and sex hormone-binding globulin (SHBG) was decreased in 33.3% of women. Women with hirsutism and acne have received oral contraceptives for a year, without or in a combination with other medication. Thirty-four (53.9%) women have shown improvement in hirsutism and acne. Conclusions In this study we found a high prevalence of acne in hirsute women. The prevalence of acne was higher in polycystic ovarian syndrome. Since these women have associated endocrine changes it is important to correct them with hormonal therapy. PMID:25610349

Pupovci, Hatixhe Latifi; Berisha, Violeta Lokaj; Goçi, Aferdita Uka; Gerqari, Antigona

2014-01-01

273

An Integrated Web-Based Mental Health Intervention of Assessment-Referral-Care to Reduce Stress, Anxiety, and Depression in Hospitalized Pregnant Women With Medically High-Risk Pregnancies: A Feasibility Study Protocol of Hospital-Based Implementation  

PubMed Central

Background At prevalence rates of up to 40%, rates of depression and anxiety among women with medically complex pregnancies are 3 times greater than those in community-based samples of pregnant women. However, mental health care is not a component of routine hospital-based antenatal care for medically high-risk pregnant women. Objective The purpose of this study is to evaluate the effectiveness and feasibility of the hospital-based implementation of a Web-based integrated mental health intervention comprising psychosocial assessment, referral, and cognitive behavioral therapy (CBT) for antenatal inpatients. Methods This study is a quasi-experimental design. Pregnant women are eligible to participate if they are (1) <37 weeks gestation, (2) admitted to the antenatal inpatient unit for >72 hours, (3) able to speak and read English or be willing to use a translation service to assist with completion of the questionnaires and intervention, (4) able to complete follow-up email questionnaires, (5) >16 years of age, and (6) not actively suicidal. Women admitted to the unit for induction (eg, <72-hour length of stay) are excluded. A minimum sample of 54 women will be recruited from the antenatal high-risk unit of a large, urban tertiary care hospital. All women will complete a Web-based psychosocial assessment and 6 Web-based CBT modules. Results of the psychosocial assessment will be used by a Web-based clinical decision support system to generate a clinical risk score and clinician prompts to provide recommendations for the best treatment and referral options. The primary outcome is self-reported prenatal depression, anxiety, and stress symptoms at 6-8 weeks postrecruitment. Secondary outcomes are postpartum depression, anxiety, and stress symptoms; self-efficacy; mastery; self-esteem; sleep; relationship quality; coping; resilience; Apgar score; gestational age; birth weight; maternal-infant attachment; infant behavior and development; parenting stress/competence at 3-months postpartum; and intervention cost-effectiveness, efficiency, feasibility, and acceptability. All women will complete email questionnaires at 6-8 weeks postrecruitment and 3-months postpartum. Qualitative interviews with 10-15 health care providers and 15-30 women will provide data on feasibility and acceptability of the intervention. Results The study was funded in September, 2014 and ethics was approved in November, 2014. Subject recruitment will begin January, 2015 and results are expected in December, 2015. Results of this study will determine (1) the effectiveness of an integrated Web-based prenatal mental health intervention on maternal and infant outcomes and (2) the feasibility of implementation of the intervention on a high-risk antenatal unit. Conclusions This study will provide evidence and guidance regarding the implementation of a Web-based mental health program into routine hospital-based care for women with medically high-risk pregnancies. PMID:25595167

Janes-Kelley, Selikke; Tyrrell, Janie; Clark, Lorna; Hamza, Deena; Holmes, Penny; Parkes, Cheryl; Moyo, Nomagugu; McDonald, Sheila; Austin, Marie-Paule

2015-01-01

274

Impact of education on women with perinatal depression  

Microsoft Academic Search

Objective. To assess the impact that education through participation in a depression screening program has on mental health literacy and help seeking behavior in perinatal women. Methods. Responses to a hypothetical case of depression, help seeking behavior, and screening levels for risk of depression using the Edinburgh Postnatal Depression Scale were compared between two groups of postnatal women; one group

Anne Buist; Craig Speelman; Barbara Hayes; R. Reay; Jeannette Milgrom; D. Meyer; J. Condon

2007-01-01

275

2015 Summer Ethics Fellowships for Medical Students  

E-print Network

2015 Summer Ethics Fellowships for Medical Students The Fellowships at Auschwitz for the Study of Professional Ethics (FASPE) seeks appli- cations for its 2015 medical fellowships. FASPE Medical, a component of study on medical ethics. FASPE is predicated upon the power of place, and in particular the first

Jenny, Andreas

276

Counseling Issues for Gay Men and Lesbians Seeking Assisted Reproductive Technologies (ART)  

MedlinePLUS

... Website of the American Society for Reproductive Medicine Counseling Issues for Gay Men and Lesbians Seeking Assisted ... Issues may arise medically, legally, socially and emotionally. Counseling prior to embarking on the path to parenthood, ...

277

“I Need to Talk About It”: A Qualitative Analysis of Trauma-Exposed Women’s Reasons for Treatment Choice  

Microsoft Academic Search

A significant proportion of individuals suffering from posttraumatic stress disorder do not seek or receive effective treatment. Understanding the reasons why an individual chooses to seek treatment or prefers one treatment to another is a critical step to improve treatment seeking. To begin to understand these reasons, we conducted a qualitative analysis of the reasons women gave for choosing a

Frank N. Angelo; Helen E. Miller; Lori A. Zoellner; Norah C. Feeny

2008-01-01

278

Factors associated with seeking treatment for postpartum morbidities in rural India  

PubMed Central

OBJECTIVES: To understand the prevalence of postpartum morbidities and factors associated with treatment-seeking behaviour among currently married women aged 15-49 residing in rural India. METHODS: We used data from the nationally representative District Level Household Survey from 2007-2008. Cross-tabulation was used to understand the differentials for the prevalence of postpartum morbidities and treatment-seeking behaviours across selected background characteristics. Two-level binary logistic regression was applied to understand the factors associated with treatment-seeking behaviour. RESULTS: Approximately 39.8% of rural women suffered from at least one of the six postpartum morbidities including high fever, lower abdominal pain, foul-smelling vaginal discharge, excessive bleeding, convulsions, and severe headache. Morbidities were more prevalent among poor, illiterate, Muslim, and high-parity women. About 55.1% of these rural women sought treatment/consultation for their problems. The odds of seeking treatment/consultation increased as economic status and years of schooling among both the woman and her husband increased. Poor, uneducated, unemployed, Hindu, and tribal women were less likely to seek treatment/consultation for postpartum morbidities than their counterparts were. The odds of seeking treatment/consultation decreased as the distance to the nearest private health facility increased. Most women visited a private hospital (46.3%) or a friend/family member’s home (20.8%) for treatment/consultation. Only a small percentage visited publicly funded health institutions such as a primary health centre (8.8%), community health centre (6.5%), health sub-centre (2.8%), or district hospital (13.1%). Rural women from the northeast region of India were 50% less likely to seek treatment/consultation than women from the central region were. CONCLUSIONS: Providing antenatal and delivery care, and ensuring nearby government healthcare facilities are available to serve rural women might increase the likelihood of care-seeking for postpartum morbidities. Targeted interventions for vulnerable groups should be considered in future policies to increase the likelihood women will seek treatment or advice postpartum. PMID:25358467

Singh, Aditya; Kumar, Abhishek

2014-01-01

279

Comparison of outpatient health care utilization among returning women and men Veterans from Afghanistan and Iraq  

PubMed Central

Background The number of women serving in the United States military increased during Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF), leading to a subsequent surge in new women Veterans seeking health care services from the Veterans Administration (VA). The objective of this study was to examine gender differences among OEF/OIF Veterans in utilization of VA outpatient health care services. Methods Our retrospective cohort consisted of 1,620 OEF/OIF Veterans (240 women and 1380 men) who enrolled for outpatient healthcare at a single VA facility. We collected demographic data and information on military service and VA utilization from VA electronic medical records. To assess gender differences we used two models: use versus nonuse of services (logistic regression) and intensity of use among users (negative binomial regression). Results In our sample, women were more likely to be younger, single, and non-white than men. Women were more likely to utilize outpatient care services (odds ratio [OR] = 1.47, 95% confidence interval [CI]:1.09, 1.98), but once care was initiated, frequency of visits over time (intensity) did not differ by gender (incident rate ratio [IRR] = 1.07; 95% CI: 0.90, 1.27). Conclusion Recently discharged OEF/OIF women Veterans were more likely to seek VA health care than men Veterans. But the intensity of use was similar between women and men VA care users. As more women use VA health care, prospective studies exploring gender differences in types of services utilized, health outcomes, and factors associated with satisfaction will be required. PMID:20565985

2010-01-01

280

Using Women's Health Research to Develop Women Leaders in Academic Health Sciences: The National Centers of Excellence in Women's Health  

Microsoft Academic Search

While the number of women entering U.S. medical schools has risen substantially in the past 25 years, the number of women in leadership positions in academic medicine is dispropor- tionately small. The traditional pathway to academic leadership is through research. Women's health research is an ideal venue to fill the pipeline with talented women physicians and sci- entists who may

Molly Carnes; Gayla VandenBosche; Patricia K. Agatisa; Anne Hirshfield; Alice Dan; Joan L. F. Shaver; Donna Murasko; Margaret McLaughlin

2001-01-01

281

Women's Law Initiative  

NSDL National Science Digital Library

This information Web site, established and maintained by the Women's Law Initiative (WLI), is an online resource that provides legal information to women and girls living with or escaping domestic violence. Seeking to "empower women and girls to lead independent and productive lives, free from abuse," this site offers step-by-step instructions on filing for and obtaining restraining orders in all 50 US states and Washington, DC. Also, the site contains "plain language translations" of domestic violence statutes, as well as online links to counseling services, shelters, legal assistance, downloadable court documents, locations of courthouses and sheriffs' offices for filing forms and serving court papers, and legislation news regarding domestic violence. The site is not only a valuable resource for women who experience domestic abuse, but also a handy guide for the people who help them.

282

Peer influences within the campus environment on help seeking related to violence.  

PubMed

While partner violence and sexual assault are public health concerns affecting college women, most young women do not seek help after the experience. Limited research explores the interpersonal context of help seeking related to violence in young women. The overall purpose of this research was to understand peer factors within a campus culture associated with seeking help in response to violence within a campus environment. Eight focus groups were held with 64 participants representing a broad spectrum of diversity in race and ethnicity. Narrative analysis was the primary method of analysis. Three themes emerged from the data: victim blaming, fear of direct response, and the alcohol factor. The young women's stories demonstrate the effects of friends and campus culture on perceptions of violence and abuse and help seeking. Findings suggest that peers and the social norms of the campus environment influence help-seeking behavior. An understanding of interpersonal level determinants of help seeking is essential for clinically relevant and effective prevention efforts. Nurse practitioners in campus health settings can use this research to guide assessment, intervention, and prevention strategies. PMID:23061163

Amar, Angela Frederick; Sutherland, Melissa; Laughon, Kathryn; Bess, Renee; Stockbridge, Jennifer

2012-07-01

283

Factors Associated with Retention and Viral Suppression Among a Cohort of HIV+ Women of Color.  

PubMed

Abstract Access to sustained HIV medical care is critical to achieving viral suppression. However, a variety of factors may impede or facilitate retention in care or becoming virally suppressed. Though retention and suppression are often treated separately, this study examined both in a cohort of 921 HIV+ women of color who participated in eight demonstration programs across the US. For women who met the inclusion criteria, 83% (n=587) were retained and 73% (n=357) were virally suppressed. Average age of women retained was 40.9, and 41.9 for those virally suppressed. The majority were African American/Black or Hispanic/Latina, single, and had no children less than 18 years of age, had health insurance, a high school degree or higher, were stably housed, and unemployed. Some factors associated with retention in care were indecision about seeking HIV medical care (AOR=0.42) and having children under the age of 18 (AOR=0.59). Some factors associated with being virally suppressed were living with others (AOR=0.58), current substance abuse (AOR=0.38), and fair/poor health (AOR=0.40). The findings suggest different processes and social mechanisms may influence retention and viral suppression. Interventions seeking to improve retention in care may require tailored program components and strategies that focus on improving viral suppression. PMID:25458205

Blank, Arthur E; Fletcher, Jason; Verdecias, Niko; Garcia, Iliana; Blackstock, Oni; Cunningham, Chinazo

2015-01-01

284

A Standardized Kudzu Extract (NPI-031) Reduces Alcohol Consumption in Non Treatment-Seeking Male Heavy Drinkers  

PubMed Central

OBJECTIVE We previously demonstrated that short-term treatment with a standardized kudzu extract (NPI-031) reduced alcohol drinking by men and women in a natural setting. The present study was conducted in non treatment-seeking heavy drinkers to assess the safety and efficacy of four weeks of kudzu extract in an outpatient setting. METHOD This randomized between-subject, double-blind, placebo-controlled study involved two weeks of baseline, four weeks of treatment and two weeks of follow-up. Seventeen men (21–33 years) who reported drinking 27.6 ± 6.5 drinks/week with a diagnosis of alcohol abuse/dependence took either kudzu extract (250 mg isoflavones, t.i.d.) or matched placebo on a daily basis. They reported alcohol consumption and desire to use alcohol using a wrist actigraphy device; twice weekly laboratory visits were scheduled to monitor medication adherence and adverse events. RESULTS Medication adherence was excellent and there were no adverse events, changes in vital signs, blood chemistry, renal or liver function. There was no effect on alcohol craving, but kudzu extract significantly reduced the number of drinks consumed each week by 34–57%, reduced the number of heavy drinking days and significantly increased the percent of days abstinent and the number of consecutive days of abstinence. CONCLUSIONS A standardized formulation of kudzu extract produced minimal side effects, was well-tolerated and resulted in a modest reduction in alcohol consumption in young non treatment-seeking heavy drinkers. Additional studies using treatment-seeking alcohol-dependent persons will be necessary to determine the usefulness of this herbal preparation in reducing alcohol use in other populations. PMID:23070022

Lukas, Scott E.; Penetar, David; Su, Zhaohui; Geaghan, Thomas; Maywalt, Melissa; Tracy, Michael; Rodolico, John; Palmer, Christopher; Ma, Zhongze; Lee, David Y.-W.

2012-01-01

285

Women’s Experiences of Group Prenatal Care  

PubMed Central

Group prenatal care (GPNC) is an innovative alternative to individual prenatal care. In this longitudinal study we used ethnographic methods to explore African American and Hispanic women’s experiences of receiving GPNC in two urban clinics. Methods included individual, in-depth, semistructured interviews of women and group leaders in GPNC, participant observation of GPNC sessions, and medical record review. GPNC offered positive experiences and met many of the women’s expressed preferences regarding prenatal care. Six themes were identified, which represented separate aspects of women’s experiences: investment, collaborative venture, a social gathering, relationships with boundaries, learning in the group, and changing self. Taken together, the themes conveyed the overall experience of GPNC. Women were especially enthusiastic about learning in groups, about their relationships with group leaders, and about having their pregnancy-related changes and fears normalized. There were also important boundaries on relationships between participants, and some women wished for greater privacy during physical examinations. PMID:20693516

Novick, Gina; Sadler, Lois S.; Kennedy, Holly Powell; Cohen, Sally S.; Groce, Nora E.; Knafl, Kathleen A.

2011-01-01

286

Women's reproductive health needs in Russia: what can we learn from an intervention to improve post-abortion care?  

PubMed

It has been well documented that abortion is a common means of controlling fertility in Russia. Women undergo repeat abortions throughout their reproductive lives, but recent studies of abortion trends in the Russian Federation suggest that abortion rates are on the decline, use of modern contraceptives is increasing, and women dislike abortion as a method of fertility control. Using data collected during 1999-2003 in women's health facilities in three Russian cities, this paper reports the results of an evaluation of interventions to improve post-abortion care, which show an impressive increase in post-abortion contraceptive counselling but no reduction in the rate at which women present at clinics for repeat abortions. The findings indicate a discrepancy between women's stated preferences for modern medical contraceptive methods and their abortion-seeking behaviour. Further exploration of these data suggests that certain women resort to abortion with greater frequency than others, and points to the need for a more focused investigation of these women. These results indicate the complexities associated with changing what has been a relatively common and long-standing practice, and have implications for improving reproductive health services. Meeting the reproductive health needs of Russian women requires not only improved provider and client knowledge but may also demand a more focused delivery of client-centred care than may be the case in other settings. PMID:17299022

David, P H; Reichenbach, L; Savelieva, I; Vartapetova, N; Potemkina, R

2007-03-01

287

Women's Health  

MedlinePLUS

Women have unique health issues. And some of the health issues that affect both men and women can affect women differently. Unique issues ... and men also have many of the same health problems. But these problems can affect women differently. ...

288

Giving birth in maternity hospitals in Benin: testimonies of women.  

PubMed

In Benin, a Francophone country in West Africa, maternity mortality has been estimated at between 473 and 990 deaths per 100,000 live births. Yet 92 per cent of women gave birth in either a public or private health centre, and almost all of them received antenatal care. This paper reports on an exploratory, qualitative study in 1995, among 19 women aged 20-40 who had recently given birth in a referral hospital, of their experiences of antenatal and emergency obstetric care, as part of a larger study on measuring the prevalence of severe maternal morbidity in the community. Thirteen of the women had had obstetric complications and 11 had had a caesarean section. Pregnancy was described as a period of great vulnerability, and feelings of insecurity and fear of death were omnipresent in the women's accounts. Their primary motivation for seeking antenatal care was the appearance of symptoms or events they perceived as abnormal. Although a minority were lucky enough to have a kind midwife, many complained about not being able to ask questions or get any explanations, being mistreated and humiliated by health personnel and described the anguish they felt in the face of medical procedures they did not understand, especially caesarean section, which they were told were necessary to save their lives. Access to emergency obstetric care is a priority in the battle against maternal mortality, but it cannot be at the expense of improvements in the quality of the interaction between women and health personnel. The inclusion of women's voices in the objectives of safe motherhood programmes is necessary to better serve women's needs. PMID:11765405

Grossmann-Kendall, F; Filippi, V; De Koninck, M; Kanhonou, L

2001-11-01

289

The effect of exercise on quality of life in postmenopausal women referred to the Bone densitometry centers of Iran University of Medical Sciences  

PubMed Central

Background: One of the most critical stages of women's lives is menopause and one of the aims of health for all in the 21st century is the improvement of the quality of life. Aim and Objective: The aim of this study was to determine the effect of exercise on quality of life in postmenopausal women. Materials and Methods: This study was designed by a randomized-controlled trial. Eighty volunteer postmenopausal women who experienced the menopause period naturally and have been taking hormone replacement treatment (HRT) were divided into two groups randomly (exercise group n = 40, control group n = 40). The Nottingham Health Profile (NHP) was used to assess quality of life in both groups before and after 8 weeks. The exercise group participated in an exercise program, which was composed of sub-maximal aerobic exercises for an 8-week period 5 times a week. Quality of life in two groups was compared at the end of 8 weeks. Results: The results showed that there was a statistically significant difference in the exercise group for the NHP indicating an improvement in the quality of life (P < 0.05). Conclusion: We concluded that quality of life on postmenopausal women could be improved with a regular and controlled exercise program of 8 weeks. Thus, implementing appropriate educational programs to promote the quality of life in postmenopausal women is recommended. PMID:25540567

Nikpour, Soghra; Haghani, Hamid

2014-01-01

290

Factors influencing resource use by African American and African Caribbean women disclosing intimate partner violence.  

PubMed

Many victims of intimate partner violence (IPV) do not access services. Education and severity of physical violence have previously been shown to predict resource utilization, but whether these hold true specifically among women of African descent is unknown. This article furthers our understanding of the relationship between IPV and resource use, considering sociodemographics and aspects of IPV by presenting results from a study conducted with African American and African Caribbean women in Baltimore, Maryland, and the U.S. Virgin Islands. Of the 545 women included in this analysis, 95 (18%) reported emotional abuse only, 274 (50%) reported experiencing physical abuse only, and 176 (32%) had experienced both physical and sexual abuse by an intimate partner. Resource utilization was relatively low among these women, with only 57% seeking any help. Among those who did, 13% sought medical, 18% DV, 37% community, and 41% criminal justice resources. Generalized linear model results indicated that older age and severe risk for lethality from IPV and PTSD were predictive of certain types of resource use, while education, insurance status, and depression had no influence. Perceived availability of police and shelter resources varied by site. Results suggest that systems that facilitate resource redress for all abused women are essential, particularly attending to younger clients who are less likely to seek help, while building awareness that women accessing resources may be at severe risk for lethality from the violence and may also be experiencing mental health complications. In addition, greater efforts should be made on the community level to raise awareness among women of available resources. PMID:23295377

Lucea, Marguerite B; Stockman, Jamila K; Mana-Ay, Margarita; Bertrand, Desiree; Callwood, Gloria B; Coverston, Catherine R; Campbell, Doris W; Campbell, Jacquelyn C

2013-05-01

291

Cambodian Women's Health Project  

Cancer.gov

Increasing the regular use of Pap testing by underserved populations has been identified as a national research priority. Southeast Asian immigrants to the United States have high rates of invasive cervical cancer and demonstrate low use of Pap testing compared to other groups. However, there is little information concerning the control of cancer in Southeast Asian populations. Harborview Medical Center and Fred Hutchinson Cancer Research Center are working together on the Cambodian Women’s Health Project.

292

One hundred alcoholic women in medicine. An interview study.  

PubMed

To examine the patterns of diagnosis, referral, and help-seeking behaviors of alcoholic women physicians, 95 women physicians and five women medical students were interviewed. Both groups were self-described alcoholics and members of Alcoholics Anonymous and were abstinent from alcohol for at least one year. Subjects participated in one-hour interviews with a recovered alcoholic professional woman. Addictions to drugs other than alcohol were common, with only 40% reporting addiction to alcohol alone. Seventy-three reported serious suicidal ideation prior to sobriety, 26 after the drinking ended. Thirty-eight had made overt suicide attempts, 15 more than once. The presence of alcoholics in the nuclear family and marital instability were common. Treatment experiences varied from none other than Alcoholics Anonymous (21%) to long-term residential treatment of 15 weeks or more per episode (23%). Most had reached treatment through circumstances other than referral by therapists or intervention by impaired-physician committees. Their current procedures should be evaluated with the particular needs of women in mind. PMID:3573293

Bissell, L; Skorina, J K

1987-06-01

293

Thoughts of Modern Women in Physics  

ERIC Educational Resources Information Center

In 2007, the Women in Physics Group of the Institute of Physics initiated the Very Early Career Woman Physicist of the Year Award. The award seeks to recognise the outstanding achievements of women physicists who are embarking on a career in physics and to promote the career opportunities open to people with physics qualifications. The prize is…

Ainsbury, Liz; Heaney, Libby; Hodges, Vicki; Harkness, Laura; Russell, Laura

2011-01-01

294

Toward Collaborative Information Seeking (CIS)  

Microsoft Academic Search

It is natural for humans to collaborate while dealing with complex problems. In this article I consider this process of collaboration in the context of information seeking. The study and discussion presented here are driven by two dis- satisfactions: (1) the majority of IR systems today do not facilitate collaboration directly, and (2) the concept of col- laboration itself is

Chirag Shah

2009-01-01

295

Teachers Seek Specialized Peer Networks  

ERIC Educational Resources Information Center

Within the wide expanse of social networking, educators appear to be gravitating to more protected and exclusive spaces. While teachers often use such popular mainstream social networks as Facebook, they are more likely to seek out and return to less-established networks that offer the privacy, peer-to-peer connections, and resource sharing that…

Tomassini, Jason

2013-01-01

296

Do women lack ambition?  

PubMed

For men, ambition is considered a necessary and desirable part of life. Most women, however, associate ambition with egotism, self-aggrandizement, or manipulation. Getting to the bottom of why this is so required study of what ambition consists of--for both sexes. In childhood, the research uncovered, girls are clear about their ambitions. Their goals are grand, and they make no apologies for them. In nearly all childhood ambitions, two distinct factors are in place: the mastery of a special skill, and recognition for it. And what's true in childhood is no less true in later life: We all want our efforts and accomplishments acknowledged. Yet there are dramatic differences in how women and men create, reconfigure, and realize (or abandon) their goals. Most women are demure when praised for their achievements. One could chalk up this behavior to women's innate modesty or see it as a passive way of highlighting their accomplishments. But the fear of recognition that many women express suggests otherwise. Research has shown that such behavior varies according to social context: Women more openly seek and compete for affirmation when they are with other women, but they behave differently when competing with men. The underlying problem has to do with cultural ideals of femininity. Women face the reality that to appear feminine, they must provide or relinquish scarce resources to others--and recognition is indeed a scarce resource. Although women have more opportunities than ever before, they still come under social scrutiny that makes hard choices--such as when and whether to start a family or advance in the workplace--even harder. There are no easy solutions, but there are ways women can hold fast to their dreams. They must band together, learn to blow their own horns, and structure their lives in a way that promotes recognition. PMID:15077366

Fels, Anna

2004-04-01

297

Why patients seek bariatric surgery: does insurance coverage matter?  

PubMed

Despite increasing prevalence of bariatric surgery, little is known about why patients seek out this treatment option. Heads Up is an observational study sponsored by a large benefits management group that examines surgical and nonsurgical approaches to weight management in obese adults. This study examined patients' reasons for choosing surgery. The sample included 360 adult obese patients seeking bariatric surgery who were invited to volunteer for a surgical or a medical weight loss program by their insurer. Participants rank ordered their top three reasons as a deciding factor for choosing to consider surgery. The top three reasons were concerns regarding health (52%), current obesity-related medical conditions (28%), and improved physical fitness (5%). Overall, 13% endorsed insurance coverage as one of their top three choices. When insurance coverage is assured, health and functionality issues were the major reasons reported for obese adults choosing to undergo bariatric surgery. PMID:24671622

Brantley, Phillip J; Waldo, Krystal; Matthews-Ewald, Molly R; Brock, Ricky; Champagne, Catherine M; Church, Tim; Harris, Melissa N; McKnight, Tipton; McKnight, Melanie; Myers, Valerie H; Ryan, Donna H

2014-06-01

298

1 Women's Studies WOMEN'S STUDIES  

E-print Network

1 Women's Studies WOMEN'S STUDIES Students gain knowledge of contemporary feminist theories of the Columbian College of Arts and Sciences' arts and humanities programs, women's studies examines women's lives's programs · Bachelor of Arts with a major in women's studies (http:// bulletin.gwu.edu/arts-sciences/womens-studies

Vertes, Akos

299

Mind the gaps: a qualitative study of perceptions of healthcare professionals on challenges and proposed remedies for cervical cancer help-seeking in post conflict northern Uganda  

PubMed Central

Background There are limited data on perceptions of health professionals on challenges faced by cervical cancer patients seeking healthcare in the developing countries. We explored the views of operational level health professionals on perceived barriers to cervical screening and early help–seeking for symptomatic cervical cancer and the proposed remedies to the challenges. Methods Fifteen key informant interviews were held with health professionals including medical directors, gynecologists, medical officers, nurses and midwives in the gynecology and obstetrics departments of two hospitals in northern Uganda during August 2012 to April 2013. We used content analysis techniques to analyze the data. Results Health professionals’ perceived barriers to cervical cancer care included: (i) patients and community related barriers e.g. lack of awareness on cervical cancer and available services, discomfort with exposure of women’s genitals and perceived pain during pelvic examinations, and men’s lack of emotional support to women (ii) individual healthcare professional’s challenges e.g. inadequate knowledge and skills about cervical cancer management; (iii) health facility related barriers e.g. long distances and lack of transport to cervical cancer screening and care centers, few gynecologists and lack of pathologists, delayed histology results, lack of established palliative care services and inadequate pain control; and (iv) health policy challenges e.g. lack of specialized cancer treatment services, and lack of vaccination for human papilloma virus. Other challenges included increased number of cervical cancer patients and late stage of cervical cancer at presentations. Conclusions Operational level healthcare professionals in northern Uganda reported several practical challenges facing cervical cancer care that influence their decisions, management goals and practices. The challenges and proposed remedies can inform targeted interventions for early detection, management, and control of cervical cancer in Uganda. PMID:24341601

2013-01-01

300

Attitudes of Oncologists, Oncology Nurses, and Patients from a Women's Clinic Regarding Medical Decision Making for Older and Younger Breast Cancer Patients.  

ERIC Educational Resources Information Center

Administered Beisecker Locus of Authority in Decision Making: Breast Cancer survey to 67 oncologists, 94 oncology nurses, and 288 patients from women's clinic. All groups believed that physicians should have dominant role in decision making. Nurses felt that patients should have more input than patients or physicians felt they should. Physicians…

Beisecker, Analee E.; And Others

1994-01-01

301

What motivates senior clinicians to teach medical students?  

PubMed Central

Background This study was designed to assess the motivations of senior medical clinicians to teach medical students. This understanding could improve the recruitment and retention of important clinical teachers. Methods The study group was 101 senior medical clinicians registered on a teaching list for a medical school teaching hospital (The Canberra Hospital, ACT, Australia). Their motivations to teach medical students were assessed applying Q methodology. Results Of the 75 participants, 18 (24%) were female and 57 (76%) were male. The age distribution was as follows: 30–40 years = 16 participants (21.3%), 41–55 years = 46 participants (61.3%) and >55 years = 13 participants (17.3%). Most participants (n = 48, 64%) were staff specialists and 27 (36%) were visiting medical officers. Half of the participants were internists (n = 39, 52%), 12 (16%) were surgeons, and 24 (32%) were other sub-specialists. Of the 26 senior clinicians that did not participate, two were women; 15 were visiting medical officers and 11 were staff specialists; 16 were internists, 9 were surgeons and there was one other sub-specialist. The majority of these non-participating clinicians fell in the 41–55 year age group. The participating clinicians were moderately homogenous in their responses. Factor analysis produced 4 factors: one summarising positive motivations for teaching and three capturing impediments for teaching. The main factors influencing motivation to teach medical students were intrinsic issues such as altruism, intellectual satisfaction, personal skills and truth seeking. The reasons for not teaching included no strong involvement in course design, a heavy clinical load or feeling it was a waste of time. Conclusion This study provides some insights into factors that may be utilised in the design of teaching programs that meet teacher motivations and ultimately enhance the effectiveness of the medical teaching workforce. PMID:16022738

Dahlstrom, Jane; Dorai-Raj, Anna; McGill, Darryl; Owen, Cathy; Tymms, Kathleen; Watson, D Ashley R

2005-01-01

302

Labour management and Obstetric outcomes among pregnant women admitted in latent phase compared to active phase of labour at Bugando Medical Centre in Tanzania  

PubMed Central

Background Interventions given to women admitted in latent or active phase of labor may influence the outcomes of labor and ameliorate complications which can affect the mother and fetus. Labour management, maternal and fetal outcomes among low risk women presenting both in latent phase and active phase of labour in Tanzania have not recently been explored. Methods This was a descriptive cross-sectional study. It was done from February to April 2013. Case notes were collected serially until the sample size was reached. A structured checklist was used to extract data. Data was analyzed using SPSS version 17. A p < 0.05 was considered significant at 95% confidence interval. Results Five hundred case notes of low risk pregnant women were collected, half of each presented in latent phase and active phase of labour. Key interventions including augmentation with oxytocin, artificial rupture of membranes and caesarean section were significantly higher in the latent phase group than the active phase group 84(33.6%) versus 52(20.8%) p < 0.05; 96(38.6%) versus 56(22.4%) p < 0.05 and 87(34.8%) versus 60(24.0%) p < 0.05 respectively. Spontaneous vertex delivery was higher among pregnant women admitted initially in active phase than in latent phase groups 180(72.0%), versus 153(61.2%) p > 0.01). There were more women in the active phase group who sustained genital tract tear and postpartum haemorrhage than in the latent phase group 101(18.6%), versus 38(15.6%) p < 0.01 and 46(18.4%), versus 17(6.6%) p < 0.05 respectively. Conclusions Pregnant women admitted at BMC in latent phase of labour are subjected to more obstetric interventions than those admitted in the active phase. There is need to produce guidelines on management of women admitted in latent phase of labour at BMC to reduce the risk of unnecessary interventions. PMID:24521301

2014-01-01

303

Aging and reproductive potential in women.  

PubMed Central

Reproductive potential in women declines with age. Age-related changes in the ovary account for most of this loss of reproductive function. Oocytes, all of which are present at birth, decline in number and quality with age. The endocrine function of the ovary also declines with age, and the ovary becomes unable to sustain its normal function in the neuroendocrine axis. The neuroendocrine axis may be further affected by primary changes occurring in the hypothalamus and pituitary during aging, although this has not been established in humans. Aging also affects the function of the uterus as the endometrium loses its ability to support implantation and growth of an embryo. Diminished uterine function during aging may be due to changes in the uterine vasculature or to changes in the hormone-dependent development of the endometrium. Finally, aging increases a woman's risk of developing medical, gynecologic or obstetric conditions that may impair her fertility. Knowledge of these affects of aging on a woman's reproductive function is essential to advise and treat the growing number of women seeking pregnancy at advanced reproductive age. PMID:10527364

Fitzgerald, C.; Zimon, A. E.; Jones, E. E.

1998-01-01

304

Accidental Equity: The Status of Women in the Community College  

ERIC Educational Resources Information Center

Community colleges have a high percentage of women students and a higher percentage of women faculty and administrators than do four-year colleges. Yet the extent to which the community college offers an equitable work and study site for women is not clear. The authors seek to determine this by applying to existing literature an adaptation of…

Townsend, Barbara K.; Twombly, Susan B.

2007-01-01

305

Young Adults Seeking Medical Care: Do Race and Ethnicity Matter?  

MedlinePLUS

... estimates and estimates of corresponding variances for this analysis were calculated using SUDAAN software ( 7 ) to account for the complex sample design of the NHIS. The Taylor series linearization method ...

306

Restoring the Balance: Women Physicians and the Profession of Medicine, 1850-1995  

Microsoft Academic Search

From about 1850, American women physicians won gradual acceptance from male colleagues and the general public, primarily as caregivers to women and children. By 1920, they represented approximately five percent of the profession. But within a decade, their niche in American medicine--women's medical schools and medical societies, dispensaries for women and children, women's hospitals, and settlement house clinics--had declined. The

Ellen S. More

1999-01-01

307

3 CFR - Enhanced Collection of Relevant Data and Statistics Relating to Women  

Code of Federal Regulations, 2012 CFR

...Enhanced Collection of Relevant Data and Statistics Relating to Women Presidential Documents...Enhanced Collection of Relevant Data and Statistics Relating to Women Memorandum for...identify and to seek to fill in gaps in statistics and improve survey methodology...

2012-01-01

308

Strategies for recruiting Hispanic women into a prospective cohort study of modifiable risk factors for gestational diabetes mellitus  

PubMed Central

Background The purpose of this article was to describe effective strategies for recruitment of Hispanic women into a prospective cohort study of modifiable risk factors for gestational diabetes mellitus (GDM). Although Hispanic women have two to four times the risk of developing GDM compared with non-Hispanic white women, few GDM prevention studies have included Hispanic women. Methods The study was conducted in the ambulatory obstetrical practices of Baystate Medical Center located in a socioeconomically and ethnically diverse city in Massachusetts. The study employed a range of strategies to recruit Hispanic women based on a review of the literature as well as prior experience with the study population. Results Over a period of 32 months, a total of 851 Hispanic prenatal care patients were recruited. Among eligible women, 52.4% agreed to participate. Participants were young (70% <25 years), with low levels of education, and on public health insurance (81.5%); 88% were unmarried. Study design features such as use of bilingual recruiters, a flexible recruitment process, training recruiters to be culturally sensitive, use of culturally tailored materials, prescreening participants, participant compensation, seeking the cooperation of clinic staff, and continuous monitoring of recruitment goals emerged as important issues influencing recruitment. Conclusions Findings suggest that investigators can successfully recruit pregnant women from ethnic minority groups of low socioeconomic status into observational studies. The study provides culturally appropriate recruitment strategies useful for practice-based settings recruiting Hispanic research participation. PMID:20003350

2009-01-01

309

Lesbian women's experiences with health care: A qualitative study  

PubMed Central

Background Although the social situation for gay, lesbian, and bisexual people has improved over the last decades, lesbian women still face unique challenges when seeking healthcare services. Objectives To explore lesbian women's healthcare experiences specifically related to sexual orientation to achieve knowledge which can contribute to increased quality of healthcare for lesbian women. Methods Qualitative study based on written stories, with recruitment, information, and data sampling over the internet. Data consisted of 128 anonymously written answers to a web-based, open-ended questionnaire from a convenience sample of self-identified lesbian women. Data were analysed with systematic text condensation. Interpretation of findings was supported by theories of heteronormativity. Main outcome measures Patients’ histories of experiences where a lesbian orientation was significant, when seeing a doctor or another healthcare professional. Results Analysis presented three different aspects of healthcare professionals’ abilities, regarded as essential by our lesbian participants. First, the perspective of awareness was addressed – is the healthcare professional able to think of and facilitate the disclosure of a lesbian orientation? Second, histories pointed to the attitudes towards homosexuality – does the healthcare professional acknowledge and respect the lesbian orientation? Third, the impact of specific and adequate medical knowledge was emphasized – does the healthcare professional know enough about the specific health concerns of lesbian women? Conclusion To obtain quality care for lesbian women, the healthcare professional needs a persistent awareness that not all patients are heterosexual, an open attitude towards a lesbian orientation, and specific knowledge of lesbian health issues. The dimensions of awareness, attitude, and knowledge are interconnected, and a positive direction on all three dimensions appears to be a necessary prerequisite. PMID:19958064

Bjorkman, Mari; Malterud, Kirsti

2009-01-01

310

Do Online Mental Health Services Improve Help-Seeking for Young People? A Systematic Review  

PubMed Central

Background Young people regularly use online services to seek help and look for information about mental health problems. Yet little is known about the effects that online services have on mental health and whether these services facilitate help-seeking in young people. Objective This systematic review investigates the effectiveness of online services in facilitating mental health help-seeking in young people. Methods Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, literature searches were conducted in PubMed, PsycINFO, and the Cochrane library. Out of 608 publications identified, 18 studies fulfilled the inclusion criteria of investigating online mental health services and help-seeking in young people aged 14-25 years. Results Two qualitative, 12 cross-sectional, one quasi-experimental, and three randomized controlled trials (RCTs) were reviewed. There was no change in help-seeking behavior found in the RCTs, while the quasi-experimental study found a slight but significant increase in help-seeking. The cross-sectional studies reported that online services facilitated seeking help from a professional source for an average of 35% of users. The majority of the studies included small sample sizes and a high proportion of young women. Help-seeking was often a secondary outcome, with only 22% (4/18) of studies using adequate measures of help-seeking. The majority of studies identified in this review were of low quality and likely to be biased. Across all studies, young people regularly used and were generally satisfied with online mental health resources. Facilitators and barriers to help-seeking were also identified. Conclusions Few studies examine the effects of online services on mental health help-seeking. Further research is needed to determine whether online mental health services effectively facilitate help-seeking for young people. PMID:24594922

Mangan, Cheryl; Sanci, Lena

2014-01-01

311

Social Workers as Patient Navigators for Breast Cancer Survivors: What Do African-American Medically Underserved Women Think of This Idea?  

Microsoft Academic Search

Patient navigation (PN) is a new initiative in health care aimed at reducing disparities by assisting patients in overcoming barriers within the health care system. As PN programs grow around the country, it is important to consult the key stakeholders in the development of these programs. The purpose of this qualitative study was to discuss the needs of medically underserved

Cindy Davis; Kathleen Darby; Wendy Likes; John Bell

2009-01-01

312

Assessment of reproductive health and violence against women among displaced Syrians in Lebanon  

PubMed Central

Background The current conflict in Syria continues to displace thousands to neighboring countries, including Lebanon. Information is needed to provide adequate health and related services particularly to women in this displaced population. Methods We conducted a needs assessment in Lebanon (June-August 2012), administering a cross-sectional survey in six health clinics. Information was collected on reproductive and general health status, conflict violence, stress, and help-seeking behaviors of displaced Syrian women. Bivariate and multivariate analyses were conducted to examine associations between exposure to conflict violence, stress, and reproductive health outcomes. Results We interviewed 452 Syrian refugee women ages 18–45 who had been in Lebanon for an average of 5.1 (± 3.7) months. Reported gynecologic conditions were common, including: menstrual irregularity, 53.5%; severe pelvic pain, 51.6%; and reproductive tract infections, 53.3%. Among the pregnancy subset (n?=?74), 39.5% of currently pregnant women experienced complications and 36.8% of those who completed pregnancies experienced delivery/abortion complications. Adverse birth outcomes included: low birthweight, 10.5%; preterm delivery, 26.5%; and infant mortality, 2.9%. Of women who experienced conflict-related violence (30.8%) and non-partner sexual violence (3.1%), the majority did not seek medical care (64.6%). Conflict violence and stress score was significantly associated with reported gynecologic conditions, and stress score was found to mediate the relationship between exposure to conflict violence and self-rated health. Conclusions This study contributes to the understanding of experience of conflict violence among women, stress, and reproductive health needs. Findings demonstrate the need for better targeting of reproductive health services in refugee settings, as well as referral to psychosocial services for survivors of violence. PMID:24552142

2014-01-01

313

Maternal medication, drug use, and breastfeeding.  

PubMed

This article reviews the necessary skills required for clinicians to make informed decisions about the use of medications in breastfeeding women. Even without specific data on certain medications, this review of kinetic principles, mechanisms of medication entry into breast milk, and important infant factors can aid in clinical decision making. In addition, the article reviews common medical conditions (eg, depression, hypertension, infections) in breastfeeding women and their appropriate treatment. PMID:25455573

Rowe, Hilary; Baker, Teresa; Hale, Thomas W

2015-01-01

314

Women, The Built Environment and The Professional Perspective, In Relation to Women Chartered Surveyors in Britain  

Microsoft Academic Search

Summary The growing amount of literature written on women and the built environment from a feminist perspective has fallen into two main categories: firstly, academic material seeking to study the evidence of the reproduction of social relations over space; and secondly, practical material, from women architects and town planners, pre- senting alternative ways of creating and designing housing, neighbourhoods, facilities,

Clara H. Greed

315

Use of complementary and alternative medicines by a sample of Turkish women for infertility enhancement: a descriptive study  

PubMed Central

Background Infertility patients are a vulnerable group that often seeks a non-medical solution for their failure to conceive. World-wide, women use CAM for productive health, but only a limited number of studies report on CAM use to enhance fertility. Little is known about traditional and religious forms of therapies that are used in relation to conventional medicine in Turkey. We investigated the prevalence and types of complementary and alternative medicine (CAM) used by infertile Turkish women for fertility enhancement. Methods A face-to-face questionnaire inquiring demographic information and types of CAM used for fertility enhancement were completed by hundred infertility patients admitted to a primary care family planning centre in Van, Turkey between January and July 2009. Results The vast majority of infertile women had used CAM at least once for infertility. CAM use included religious interventions, herbal products and recommendations of traditional "hodja's" (faith healers). Of these women, 87.8% were abused in the last 12 months, 36.6% felt not being supported by her partner and 80.5% had never spoken with a physician about CAM. Conclusions Infertile Turkish women use complementary medicine frequently for fertility enhancement and are in need of information about CAM. Religious and traditional therapies are used as an adjunct to, rather than a substitute for, conventional medical therapy. Physicians need to approach fertility patients with sensitivity and should be able to council their patients about CAM accordingly. PMID:20307291

2010-01-01

316

The Role of Intimate Partner Violence, Race, and Ethnicity in Help-Seeking Behaviors  

Microsoft Academic Search

Objective. Women experiencing intimate partner violence (IPV) have multiple health and social service needs but many, especially Hispanic, women may not access these resources. This research sought to examine the relationship between IPV and health and social services utilization (help-seeking behaviors), with a focus on racial and ethnic disparities.Design. Case-control study from an urban US emergency department population in which

Sherry Lipsky; Raul Caetano; Craig A. Field; Gregory L. Larkin

2006-01-01

317

Seeking Protection: Addressing Sexual and Domestic Violence in Tanzania's Refugee Camps  

NSDL National Science Digital Library

In September, Human Rights Watch posted five new reports on their Website. The first, Seeking Protection: Addressing Sexual and Domestic Violence in Tanzania's Refugee Camps, is a 151-page indictment of the United Nation's High Commission for Refugees and the Tanzanian host government's failure to address violence against Burundi women refugees in Tanzanian camps in a "timely and effective manner, despite ample evidence that women's lives were in danger in their homes and in the general camp community."

318

Health care seeking among pulmonary tuberculosis suspects and patients in rural Ethiopia: a community-based study  

PubMed Central

Background Health care seeking is a dynamic process that is influenced by socio-demographic, cultural and other factors. In Ethiopia, there are limited studies regarding the health seeking behaviour of tuberculosis (TB) suspects and TB patients. However, a thorough understanding of patients' motivation and actions is crucial to understanding TB and the treatment of disease. Such insights would conceivably help to reduce delay in diagnosis, improve treatment adherence and thereby reduce transmission of TB in the community. The objective of this study was to describe and analyze health care seeking among TB suspects and pulmonary TB (PTB) cases in a rural district of the Amhara Region in Ethiopia. Methods Study kebeles were randomly selected in a cross-sectional study design. House-to-house visits were conducted in which individuals aged 15 years and above in all households of the kebeles were included. Subjects with symptoms suggestive of TB were interviewed about their health seeking behaviour, socio-demographic and clinical factors using a semi-structured questionnaire. Logistics regression analysis was employed to assess associations between the independent and outcome variables. Results The majority, 787 (78%), TB suspects and 33 (82.5%) PTB cases had taken health care actions for symptoms from sources outside their homes. The median delay before the first action was 30 days. In logistics regression, women (AOR 0.8, 95% CI 0.6, 0.9) were found to be less likely to visit a medical health provider than men. Those with a long duration of cough (AOR 1.5, 95% CI 1.03, 2.1) and those with a previous history of TB (AOR 1.5, 95% CI 1.03, 2.3) were more likely to visit a medical health provider compared to those with a shorter duration of cough and with no history of TB. Conclusion The majority of TB suspects and PTB cases had already taken health care actions for their symptoms at the time of the survey. The availability of a simple and rapid diagnostic TB test for use at the lowest level of health care and the involvement of all health providers in case finding activities are imperative for early TB case detection. PMID:20003219

2009-01-01

319

Women's health.  

PubMed

Although women live longer than men, new evidence indicates women bear a disproportionately heavy burden of disease. The effect of disease on economic productivity of women in developing countries has been largely ignored. Infections are often causes of disease in women, including those that affect reproductive health. Although men and women usually experience similar rates of many diseases, rates of exposure and treatment vary between men and women. If untreated, factors adversely affecting women's health in one stage compound women's ill health in succeeding stages. PMID:7673671

Curlin, P; Tinker, A

1995-06-01

320

Understanding Together: Sensemaking in Collaborative Information Seeking  

ERIC Educational Resources Information Center

In recent years researchers have found that people often collaborate during information seeking activities. Collaborative information seeking (CIS) is composed of multiple different activities like seeking, sharing, understanding, and using information together. However, most studies of CIS have focused on how people find and retrieve information…

Paul, Sharoda A.

2010-01-01

321

Women's Health Information Center  

NSDL National Science Digital Library

The Women's Health Information Center, offered by editors of JAMA: the Journal of the American Medical Association (AMA), provides the latest research and clinical information on women's health issues for physicians and other health professionals. A Newsline section features current stories from Reuters Health Information and special reports from Morbidity, Mortality and Weekly Reports (MMWR) which may be read in HTML or downloaded as .pdf files. The Library section features full text of selected articles on women's health issues and abstracts of articles recently published in medical journals. For the latest information on sexually transmitted diseases or contraceptive issues, visit the STD Information Center or the Contraception Information Center, each of which features the latest news, patient education materials, clinical guidelines for treatment, recommended Internet resources, and abstracts and full-text reports on the latest research.

1998-01-01

322

Increasing Women's Leadership in Academic Medicine.  

ERIC Educational Resources Information Center

This position paper of the Association of American Medical Colleges gives an overview of the current situation regarding women's careers in academic medicine; looks at some reasons for disparities between men and women; and makes recommendations concerning development and mentoring of women faculty, administrators, residents, and students as well…

Academic Medicine, 1996

1996-01-01

323

Treatment of Depression in Disadvantaged Women  

Microsoft Academic Search

Low-income minority women are underrepresented in mental health service settings, yet they are clearly at risk for psychiatric disorders. We staff a clinic specialized in the treatment of depression in economically disadvantaged medical patients. We will share our experience treating disadvantaged and ethnic minority women and will discuss the ingredients necessary to provide quality therapy for these women. We will

Francisca Azocar; Jeanne Miranda; Eleanor Valdes Dwyer

1996-01-01

324

Sex in America online: an exploration of sex, marital status, and sexual identity in internet sex seeking and its impacts.  

PubMed

This was an exploratory study of sex and relationship seeking on the Internet, based on a survey of 15,246 respondents in the United States Seventy-five percent of men and 41% of women had intentionally viewed or downloaded porn. Men and gays/lesbians were more likely to access porn or engage in other sex-seeking behaviors online compared with straights or women. A symmetrical relationship was revealed between men and women as a result of viewing pornography, with women reporting more negative consequences, including lowered body image, partner critical of their body, increased pressure to perform acts seen in pornographic films, and less actual sex, while men reported being more critical of their partners' body and less interested in actual sex. Married and divorced were more likely than singles to go online seeking a serious relationship. Only 2% of users met the threshold of compulsive use established by previous studies. PMID:18569538

Albright, Julie M

2008-01-01

325

Women's songs, women's lives. A view from Kangra.  

PubMed

This article describes the role of song in uniting singers, in performance of rituals, and in explaining married life and emotions among the population in Kangra, India. This region is known for wide views, terraced fields, scattered villages, and Goddess temples. Out-migration for men seeking employment has had a long tradition spanning hundreds of years. Women's songs are associated with rituals, such as birth, marriage, bridal farewells, and married life ("Pakharu"). The Pakharu is sung after other ritual songs. Songs in the life of women are both deeply personal and public property. Women in Kangra largely are in the service of their husbands. One such devotional song that honors the husband as a living God and instructed the wife to serve him was recorded by the author and is presented in its entirely in Punjabi and English. The song uses heroines from Hindu mythology. The songs in Kangra are a cultural mix. At another household members urged the author to report that women were experts in all kinds of work. A respected seamstress and songster in the community, who had availed herself of her land inheritance rights, sang a song about men not always appreciating or acknowledging her service. The women discussed various interpretations of the song, which is presented in English. The author taped variants on this song, which held a common theme of suicide and spouse abuse. The women were very interested in the different versions. The women spoke of painful moments in their lives and the lack of options, except possibly through a direct relationship with Bhagavan. Folk songs appeared to be a symbolic resource for some women, but not all women knew songs or were interested in songs. Women who tended to live away from family tended to know few songs. The women revealed that more songs were known by women who had experienced a lot of pain. Even happy songs had a sad depiction of women's fate. PMID:12320227

Narayan, K

1994-01-01

326

The Long-Term Impact of Medical and Socio-Demographic Factors on the Quality of Life of Breast Cancer Survivors Among Chinese Women  

Microsoft Academic Search

Quality of life (QOL) has become an integral part of the modern assessment of cancer treatment in Western society. However, little is known about the QOL of Chinese breast cancer survivors. To evaluate the long-term impact of medical and socio-demographic factors on survivors' QOL, we conducted a population-based study of 1065 breast cancer survivors in Shanghai, China. The mean age

Yong Cui; Xiao-Ou Shu; Yutang Gao; Hui Cai; Wanqing Wen; Zhi-Xian Ruan; Fan Jin; Wei Zheng

2004-01-01

327

Childhood molestation: Variables related to differential impacts on psychosexual functioning in adult women  

Microsoft Academic Search

To examine factor contributing to the differential adjustment of women sexually molested as children, 3 groups of 30 women aged 18–65 yrs each were recruited to participate in this study: (a) a clinical group consisting of women seeking therapy for problems associated with childhood molestation, (b) a nonclinical group of women molested as children who had never sought therapy and

Mavis Tsai; Shirley Feldman-Summers; Margaret Edgar

1979-01-01

328

"An effect that is deeper than beating": family violence in Jordanian women.  

PubMed

This study informs health care approaches to gender-based family violence through focus groups with Jordanian women. The authors conducted a thematic qualitative analysis of 12 focus groups among 70 married, divorced, or widowed women about their experiences and beliefs regarding family violence. Five themes relevant to health care providers were identified. Three of the themes addressed participant-perceived causes of gender-based family violence: (1) unmet gender role expectations; (2) stigma and social norms; and (3) extended family roles. The fourth theme reflected effects on victims. The fifth theme reflected protective qualities and help-seeking behaviors. The themes identified in the analysis revealed multiple ways that gender-based family violence can contribute to health problems and that it can be kept secret by Jordanian women as patients. Potential clues are described for the violence which may not be typically explored in a medical encounter. Additional ways that Jordanian families may seek help from other family or clergy instead of police and family violence agencies are described. Implications of these results for health care providers who care both for Jordanians and Arab immigrants in Western cultures are discussed. PMID:22329396

Morse, Diane S; Paldi, Yael; Egbarya, Samah Salaime; Clark, Cari Jo

2012-03-01

329

“An Effect That is Deeper Than Beating” Family Violence in Jordanian Women  

PubMed Central

This study informs healthcare approaches to gender-based family violence through focus groups with Jordanian women. The authors conducted a thematic qualitative analysis of 12 focus groups among 70 married, divorced, or widowed women about their experiences and beliefs regarding family violence. Five themes relevant to healthcare providers were identified. Three of the themes addressed participant-perceived causes of gender-based family violence: 1) unmet gender role expectations, 2) stigma and social norms, and 3) extended family roles. The fourth theme reflects effects on victims. The fifth theme reflects protective qualities and help seeking behaviors. The themes identified in the analysis reveal multiple ways that gender-based family violence can contribute to health problems and that it can be kept secret by Jordanian women as patients. Potential clues are described for the violence which may not be typically explored in a medical encounter. Additional ways that Jordanian families may seek help from other family or clergy instead of police and family violence agencies are described. Implications of these results for healthcare providers who care both for Jordanians and Arab immigrants in Western cultures are discussed. PMID:22329396

Morse, Diane S; Paldi, Yael; Egbarya, Samah Salaime; Clark, Cari Jo

2012-01-01

330

Paging “Dr. Google”: Does Technology Fill the Gap Created by the Prenatal Care Visit Structure? Qualitative Focus Group Study With Pregnant Women  

PubMed Central

Background The prenatal care visit structure has changed little over the past century despite the rapid evolution of technology including Internet and mobile phones. Little is known about how pregnant women engage with technologies and the interface between these tools and medical care, especially for women of lower socioeconomic status. Objective We sought to understand how women use technology during pregnancy through a qualitative study with women enrolled in the Women, Infants, and Children (WIC) program. Methods We recruited pregnant women ages 18 and older who owned a smartphone, at a WIC clinic in central Pennsylvania. The focus group guide included questions about women’s current pregnancy, their sources of information, and whether they used technology for pregnancy-related information. Sessions were audiotaped and transcribed. Three members of the research team independently analyzed each transcript, using a thematic analysis approach. Themes related to the topics discussed were identified, for which there was full agreement. Results Four focus groups were conducted with a total of 17 women. Three major themes emerged as follows. First, the prenatal visit structure is not patient-centered, with the first visit perceived as occurring too late and with too few visits early in pregnancy when women have the most questions for their prenatal care providers. Unfortunately, the educational materials women received during prenatal care were viewed as unhelpful. Second, women turn to technology (eg, Google, smartphone applications) to fill their knowledge gaps. Turning to technology was viewed to be a generational approach. Finally, women reported that technology, although frequently used, has limitations. Conclusions The results of this qualitative research suggest that the current prenatal care visit structure is not patient-centered in that it does not allow women to seek advice when they want it most. A generational shift seems to have occurred, resulting in pregnant women in our study turning to the Internet and smartphones to fill this gap, which requires significant skills to navigate for useful information. Future steps may include developing interventions to help health care providers assist patients early in pregnancy to seek the information they want and to become better consumers of Internet-based pregnancy resources. PMID:24892583

Chuang, Cynthia H; Poole, Erika S; Peyton, Tamara; Blubaugh, Ian; Pauli, Jaimey; Feher, Alyssa; Reddy, Madhu

2014-01-01

331

Poverty and maternal mortality in Nigeria: towards a more viable ethics of modern medical practice  

PubMed Central

Poverty is often identified as a major barrier to human development. It is also a powerful brake on accelerated progress toward the Millennium Development Goals. Poverty is also a major cause of maternal mortality, as it prevents many women from getting proper and adequate medical attention due to their inability to afford good antenatal care. This Paper thus examines poverty as a threat to human existence, particularly women's health. It highlights the causes of maternal deaths in Nigeria by questioning the practice of medicine in this country, which falls short of the ethical principle of showing care. Since high levels of poverty limit access to quality health care and consequently human development, this paper suggests ways of reducing maternal mortality in Nigeria. It emphasizes the importance of care ethics, an ethical orientation that seeks to rectify the deficiencies of medical practice in Nigeria, notably the problem of poor reproductive health services. Care ethics as an ethical orientation, attends to the important aspects of our shared lives. It portrays the moral agent (in this context the physician) as a self who is embedded in webs of relations with others (pregnant women). Also central to this ethical orientation is responsiveness in an interconnected network of needs, care and prevention of harm. This review concludes by stressing that many human relationships involve persons who are vulnerable, including pregnant women, dependent, ill and or frail, noting that the desirable moral response is that prescribed by care ethics, which thus has implications for the practice of medicine in Nigeria. PMID:18447920

Lanre-Abass, Bolatito A

2008-01-01

332

Medical student attitudes toward video games and related new media technologies in medical education  

Microsoft Academic Search

BACKGROUND: Studies in K-12 and college students show that their learning preferences have been strongly shaped by new media technologies like video games, virtual reality environments, the Internet, and social networks. However, there is no known research on medical students' game experiences or attitudes towards new media technologies in medical education. This investigation seeks to elucidate medical student experiences and

Frederick W Kron; Craig L Gjerde; Ananda Sen; Michael D Fetters

2010-01-01

333

JOURNAL OF WOMEN'S HEALTH Volume 17, Number 7, 2008  

E-print Network

JOURNAL OF WOMEN'S HEALTH Volume 17, Number 7, 2008 © Mary Ann Liebert, Inc. DOI: 10.1089/jwh.2007.0582 Why Do Faculty Leave? Reasons for Attrition of Women and Minority Faculty from a Medical School: Four on the Status of Women and Minorities, Virginia Commonwealth University School of Medicine, Medical College

Lee, Daeyeol

334

Women Winners.  

ERIC Educational Resources Information Center

Guidelines are presented to help institutions ensure women's full participation in campus-based and sponsored merit awards and prizes programs. Over 100 recommendations are designed to: explain why such awards and prizes can be particularly important for women students and women faculty; identify overt and inadvertent barriers to women's full…

Hall, Roberta M.; Sandler, Bernice Resnick

335

The Role of Help-Seeking in Preventing Suicide Attempts among Lesbians, Gay Men, and Bisexuals.  

PubMed

One possible approach to prevention of suicide attempts is to encourage help-seeking among individuals at risk. We assessed whether different forms of treatment were associated with lower odds of a suicide attempt in a diverse group of 388 lesbian, gay, and bisexual (LGB) adults aged 18-59, sampled from New York City venues. Of individuals who attempted suicide, 23% sought mental health or medical treatment and 14% sought religious or spiritual treatment prior to the suicide attempt. Black and Latino LGBs were underrepresented in mental health or medical treatment and Black LGBs were overrepresented in religious or spiritual treatment. Seeking mental health or medical treatment was not associated with lower odds of a suicide attempt; seeking religious or spiritual treatment was associated with higher odds of a suicide attempt. We discuss these results and posit hypotheses for further research of this understudied topic. PMID:24825437

Meyer, Ilan H; Teylan, Merilee; Schwartz, Sharon

2014-05-14

336

Information-Seeking Behaviour and PsychoSocial Interactions during the Genetic Testing Process  

Microsoft Academic Search

Objectives: The first aim of this study was to investigate the information-seeking behaviour (ISB) of women attending cancer genetic consultations at which the possibility of BRCA testing is considered. We focused here specifically on ISB apart from the cancer genetic consultation, i.e. on what complementary sources of information about genetic testing were consulted and what factors were involved in this

C. Cypowyj; F. Eisinger; M. Morin; A. Mogoutov; H. Sobol; C. Julian-Reynier

2003-01-01

337

Factors influencing attitudes towards seeking professional psychological help among South Asian students in Britain  

Microsoft Academic Search

The present study examined the associations between attitudes towards seeking professional psychological help (ATSPPH), adherence to Asian values, cultural mistrust, and salience of ethnic identity in a sample of South Asian university students in Britain. A total of 148 participants completed a survey consisting of measures of the afore-mentioned variables, and provided their demographic details. Preliminary analyses showed that women

Rajiv Soorkia; Rosemary Snelgar; Viren Swami

2011-01-01

338

Career choices for cardiology: cohort studies of UK medical graduates  

PubMed Central

Background Cardiology is one of the most popular of the hospital medical specialties in the UK. It is also a highly competitive specialty in respect of the availability of higher specialty training posts. Our aims are to describe doctors’ early intentions about seeking careers in cardiology, to report on when decisions about seeking a career in cardiology are made, to compare differences between men and women doctors in the choice of cardiology, and to compare early career choices with later specialty destinations. Methods Questionnaire surveys were sent to all UK medical graduates in selected qualification years from 1974–2009, at 1, 3, 5, 7 and 10 years after graduation. Results One year after graduation, the percentage of doctors specifying cardiology as their first choice of long-term career rose from the mid-1990s from 2.4% (1993 cohort) to 4.2% (2005 cohort) but then fell back to 2.7% (2009 cohort). Men were more likely to give cardiology as their first choice than women (eg 4.1% of men and 1.9% of women in the 2009 cohort). The percentage of doctors who gave cardiology as their first choice of career declined between years one and five after qualification: the fall was more marked for women. 34% of respondents who specified cardiology as their sole first choice of career one year post-graduation were later working in cardiology. 24% of doctors practising as cardiologists several years after qualification had given cardiology as their sole first choice in year one. The doctors’ ‘domestic circumstances’ were a relatively unimportant influence on specialty choice for aspiring cardiologists, while ‘enthusiasm/commitment’, ‘financial prospects’, ‘experiences of the job so far’ and ‘a particular teacher/department’ were important. Conclusions Cardiology grew as a first preference one year after graduation to 2005 but is now falling. It consistently attracts a higher percentage of men than women doctors. The correspondence between early choice and later destination was not particularly strong for cardiology, and was less strong than that for several other specialties. PMID:23351301

2013-01-01

339

Women and development in Latin America and the Caribbean. Lessons from the seventies and hopes for the future.  

PubMed

The early implicit assumptions that industrialization or, generally, modernization should automatically improve the condition of women have been challenged more and more by research and statistical data. In Latin America and the Caribbean, the theory which held that the cultural assimilation of ethnic groups of Indian and African descent into the national Hispanic or Portuguese cultures implied an improvement in the condition of women has been challenged through ethnographic and historical research. Women in closed corporate communities may have higher status, greater participation in authority, and more support from their children than those in open mestizo communities, where excessive alcohol consumption and abusive sexual relations form an integral part of the psychosocial complex of "machismo." New research has dealt with the forced integration of black women and Indian women, as concubines of the dominant white men, as a mechanism of "mestizaje," i.e., mixing of the population, against which women had no legal or "de facto" defense. Such abuse of women, masked by racial and cultural prejudice, continues in many backward rural areas in Latin America. In discussions of the peasantry and of rural development in Latin America and the Caribbean, women had been largely ignored because agriculture was conceptualized as an exclusively male activity. This androcentric view is reflected in census categories that make the component of women's labor in agriculture invisible or unimportant. Consequently, the statistical percentages have always been unrealistically low in most countries. Detailed observations and surveys conducted during the last decade have shown, to the contrary, that peasant women work longer hours than men and are more liable to increase their time and work load to offset pauperization. The research of Deere and Leon (Colombia) as well as that of other women in different countries of the region confirms that women's subordination precedes capitalism and is further used by this system of production for its only ends. Priorities in the Western feminist movements in the 1970s have been equal pay for equal work and sexual and psychological autonomy. In the 3rd world the priorities have been the right to adequate employment and to primary services such as schools, drinking water, housing, and medical services. The main strategy for women in Latin America and the Caribbean has been to participate alongside men in political movements seeking to attain national sovereignty or to challenge economic inequalities, both internally and internationally, as a precondition to the setting up of women's demands as a gender group. The research makes it clear that dependent capitalist development brings an added burden of poverty and subordination to women. Strategies to advance women must be assessed within their particular context. PMID:12279573

Arizpe, L

1982-01-01

340

The Automated Medical Office  

PubMed Central

With shock and surprise many physicians learned in the 1980s that they must change the way they do business. Competition for patients, increasing government regulation, and the rapidly escalating risk of litigation forces physicians to seek modern remedies in office management. The author describes a medical clinic that strives to be paperless using electronic innovation to solve the problems of medical practice management. A computer software program to automate information management in a clinic shows that practical thinking linked to advanced technology can greatly improve office efficiency. PMID:21233899

Petreman, Mel

1990-01-01

341

Medical muddle.  

PubMed

Nanette Gartrell, MD, is a psychiatrist and researcher whose investigations have documented the mental health and psychological well-being of lesbian, gay, bisexual, and transgender (LGBT) people over the past four decades. Nanette is the principal investigator of an ongoing longitudinal study of lesbian families in which the children were conceived by donor insemination. Now in its 27th year, this project has been cited internationally in the debates over equality in marriage, foster care, and adoption. Previously on the faculty at Harvard Medical School and the University of California, San Francisco, Nanette is currently a Visiting Distinguished Scholar at the Williams Institute, UCLA School of Law. In 2013, Nanette received the Association of Women Psychiatrists Presidential Commendation Award for "selfless and enduring vision, leadership, wisdom, and mentorship in the fields of women's mental health, ethics, and gender research." At the age of 63, Nanette experienced a 3 ½ month period of intractable, incapacitating dizziness for which there was never a clear diagnosis. PMID:24400630

Gartrell, Nanette

2014-01-01

342

MEDICAL TREATMENT OF MINOR STUDENTS MSU Student Health Services provides medical care for students during their enrollment at Michigan State  

E-print Network

MEDICAL TREATMENT OF MINOR STUDENTS MSU Student Health Services provides medical care for students refers students for specialty services with other physicians within the MSU HealthTeam (medical school generally seek parental consent prior to providing that treatment. (In certain circumstances, like medical

343

Young breast cancer patients with poorer financial status may experience delays in seeking care  

Cancer.gov

Researchers who sought to determine why breast cancers are more deadly in young women found that only a minority of young women experience long delays between the time they detect a breast abnormality and the time they receive a diagnosis, but delays in seeking care are more common in women with fewer financial resources. Findings of the study, conducted at the Dana-Farber Cancer Institute in Boston, are published early online in CANCER, a peer-reviewed journal of the American Cancer Society.

344

Symposium: Teaching Medical Geography.  

ERIC Educational Resources Information Center

Presents seven brief papers reflecting workshops given at the 1994 Meeting of the Association of American Geographers. Each workshop presented a teaching module concerning issues in medical geography. Methodological issues included interpretations of vital statistics and epidemiological diffusion. Theoretical issues included womens' health data…

Matthews, Stephen A.; And Others

1995-01-01

345

Factors Predicting Adherence to Risk Management Behaviors of Women at Increased Risk for Developing Lymphedema  

PubMed Central

Purpose Lymphedema affects 20-30% of women following breast cancer treatment. However, even when women are informed, they do not necessarily adhere to recommended lymphedema self-management regimens. Utilizing the Cognitive-Social Health Information Processing framework, we assessed cognitive and emotional factors influencing adherence to lymphedema risk management. Methods Women with breast cancer who had undergone breast and lymph node surgery were recruited through the Fox Chase Cancer Centre breast clinic. Participants (N=103) completed measures of lymphedema-related perceived risk, beliefs and expectancies, distress, self-regulatory ability to manage distress, knowledge, and adherence to risk management behaviors. They then received the American Cancer Society publication “Lymphedema: What Every Woman with Breast Cancer Should Know”. Cognitive and affective variables were reassessed at 6- and 12-months post-baseline. Results Maximum likelihood multilevel model analyses indicated that overall adherence increased over time, with significant differences between baseline and 6- and 12- month assessments. Adherence to wearing gloves was significantly lower than that for all other behaviors except electric razor use. Distress significantly decreased, and knowledge significantly increased, over time. Greater knowledge, higher self-efficacy to enact behaviors, lower distress, and higher self-regulatory ability to manage distress were associated with increased adherence. Conclusions Women who understand lymphedema risk management and feel confident in managing this risk are more likely to adhere to recommended strategies. These factors should be rigorously assessed as part of routine care to ensure that women have the self-efficacy to seek treatment and the self-regulatory skills to manage distress, which may undermine attempts to seek medical assistance. PMID:24970542

Sherman, Kerry A.; Miller, Suzanne M.; Roussi, Pagona; Taylor, Alan

2014-01-01

346

Coping with uncertainty during healthcare-seeking in Lao PDR  

PubMed Central

Background Uncertainty is regarded as a central dimension in the experience of illness and in the processes of alleviating it. Few studies from resource-poor settings have investigated this and how it interacts with other factors. This study aims to shed light on how healthcare-seeking develops in the context of multiple medical alternatives and to understand what bearing uncertainty has on this process. Methods The study was conducted in six purposively selected rural communities in Lao PDR. In each community, two focus group discussions were held: first with mothers and then with fathers of children younger than five years old. Eleven in-depth interviews with caregivers of severely sick children were conducted. Subsequently, traditional healers, drug vendors, community health workers, nurses and medical doctors were recruited for interviews or group discussions. The data were transcribed and key themes and similarities were identified. Additional readings were conducted to better understand the interactions of factors during which uncertainty was identified as one of several factors mentioned during interviews and focus group discussions. Results Care-seekers expressed a strong preference for initially seeking local providers. Subsequently, multiple providers were consulted to increase the chances of recovery. This resulted in patients leaving the health facilities before recovery and in ending the recommended treatment regime prematurely. These healthcare-seeking decisions reflect the social significance of being a responsible caregiver and of showing respect for household norms. In general, healthcare-seeking was shrouded in uncertainty when it came to selecting the right provider, the likelihood of finding the real cause of the illness, spending savings on treatments and ultimately the likelihood of recovery. Conclusions Care-seekers’ initial strong preference for local providers irrespective of the providers’ legitimacy indicates the need for a robust primary healthcare system. Care-seekers’ subsequent consultations must be understood in the light of their uncertainty regarding the skills of the available providers. The social connotations of seeking healthcare including the vulnerability of poor households in public health facilities were taken into account to only a limited extent by health workers. Health workers should have greater awareness of the social and cultural aspects of seeking care. PMID:23777408

2013-01-01

347

Full partnership for women in development.  

PubMed

The mission of CEDPA (Center for Development and Population Activities) is to empower women to be full partners in development. Empowerment starts with the development of women as leaders and managers through leadership training. There are now 4000 CEDPA alumnae worldwide who have participated in training programs. USAID-funded integrated service programs are geared toward women-managed health services seeking out nongovernmental organizations (NGOs) based in the community that have women as part of their services. Another approach is building the capacity of institutions to broaden their programs to fully utilize external funding and also establish a foundation for sustainability. Another strategy is advocacy and policy. Recently a group of women leaders attended all the preparatory meetings for the International Conference on Population and Development (ICPD) to be sure that input into the Cairo Document came from women who were representatives of family planning programs in their communities. The ICPD document itself is favorable to women's development, women leaders, and training for women, but the challenge is to find financial resources to make the commitment to women's programs on a large scale. The test of the Program of Action is how it is implemented. NGOs do not have enough resources, but women's NGOs have even less resources than other NGOs. The Global Issues Initiative is a significant commitment on the part of the Japanese government. CEDPA's mission is to ensure that women participate in these programs that will be developed and managed by women and NGOs. PMID:12288955

Luke, M

1995-01-01

348

Rediscovery of the Need for a Feminist Medical Education.  

ERIC Educational Resources Information Center

Contemporary efforts to empower women as physicians is analyzed. The early history of women and medical education is surveyed, especially the problems of admission into medical schools. Federal antibias legislation directed at curriculum and textbooks is also reviewed, along with the development of a "women in medicine" course. (CT)

Walsh, Mary Roth

1979-01-01

349

Victim Help Seeking: Differences between Intimate Terrorism and Situational Couple Violence  

ERIC Educational Resources Information Center

Research indicates that two major forms of partner violence exist, intimate terrorism (IT) and situational couple violence (SCV). The current study (N=389) used a subgroup of women who responded to the Chicago Women's Health Risk Study to examine whether type of violence experienced is differentially related to formal (e.g., police, medical

Leone, Janel M.; Johnson, Michael P.; Cohan, Catherine L.

2007-01-01

350

Women's employment and fertility control.  

PubMed

In India today, there is greater aspiration among women for improved social status within the family and the community and an equal socioeconomic role in society. Between 1964 and 1968, the number of women seeking employment rose 81% as compared to an increase of only 14% among men. Much of the increase in female job-seekers was among women with higher education. Modern economic conditions and rapid urbanization have speeded this trend toward increased female employment. Studies from various countries are cited to show that female employment is associated with smaller family norms. However, only those types of employment which involve work outside the home (i.e., not agricultural or physical labor jobs) will have an impact on family sizes. As women work, they gain a sense of their importance and they have a role other than motherhood. PMID:12309144

Grewal, S

1978-09-01

351

Group B streptococcus serotype prevalence in reproductive-age women at a tertiary care military medical center relative to global serotype distribution  

PubMed Central

Background Group B Streptococcus (GBS) serotype (Ia, Ib, II-IX) correlates with pathogen virulence and clinical prognosis. Epidemiological studies of seroprevalence are an important metric for determining the proportion of serotypes in a given population. The purpose of this study was to evaluate the prevalence of individual GBS serotypes at Madigan Healthcare System (Madigan), the largest military tertiary healthcare facility in the Pacific Northwestern United States, and to compare seroprevalences with international locations. Methods To determine serotype distribution at Madigan, we obtained GBS isolates from standard-of-care anogenital swabs from 207 women of indeterminate gravidity between ages 18-40 during a five month interval. Serotype was determined using a recently described molecular method of polymerase chain reaction by capsular polysaccharide synthesis (cps) genes associated with pathogen virulence. Results Serotypes Ia, III, and V were the most prevalent (28%, 27%, and 17%, respectively). A systematic review of global GBS seroprevalence, meta-analysis, and statistical comparison revealed strikingly similar serodistibution at Madigan relative to civilian-sector populations in Canada and the United States. Serotype Ia was the only serotype consistently higher in North American populations relative to other geographic regions (p < 0.005). The number of non-typeable isolates was significantly lower in the study (p < 0.005). Conclusion This study establishes PCR-based serotyping as a viable strategy for GBS epidemiological surveillance. Our results suggest that GBS seroprevalence remains stable in North America over the past two decades. PMID:21106080

2010-01-01

352

Men’s Use of Controlling Behaviors: A Comparison of Reports by Women in a Domestic Violence Shelter and Women in a Domestic Violence Offender Program  

Microsoft Academic Search

The current descriptive study seeks to broaden empirical understanding about family violence by comparing women’s reports\\u000a of their male partner’s controlling behaviors in samples of women in a domestic violence offender’s program (N?=?77) and women in a domestic violence shelter (N?=?77). Three interesting findings were noted. First, the majority of women in the IPV offender’s program reported their male\\u000a partner

Catherine A. Simmons; Peter Lehmann; Shannon Collier-Tenison

2008-01-01

353

Pathways to service receipt: modeling parent help-seeking for childhood mental health problems.  

PubMed

Understanding parent appraisals of child behavior problems and parental help-seeking can reduce unmet mental health needs. Research has examined individual contributors to help-seeking and service receipt, but use of structural equation modeling (SEM) is rare. SEM was used to examine parents' appraisal of child behavior, thoughts about seeking help, and receipt of professional services in a diverse, urban sample (N = 189) recruited from women infant and children offices. Parents of children 11-60 months completed questionnaires about child behavior and development, parent well-being, help-seeking experiences, and service receipt. Child internalizing, externalizing, and dysregulation problems, language delay, and parent worry about child behavior loaded onto parent appraisal of child behavior. Parent stress and depression were positively associated with parent appraisal (and help-seeking). Parent appraisal and help-seeking were similar across child sex and age. In a final model, parent appraisals were significantly associated with parent thoughts about seeking help, which was significantly associated with service receipt. PMID:23504296

Godoy, Leandra; Mian, Nicholas D; Eisenhower, Abbey S; Carter, Alice S

2014-07-01

354

Birth rights and rituals in rural south India: care seeking in the intrapartum period.  

PubMed

Maternal morbidity and mortality are high in the Indian context, but the majority of maternal deaths could be avoided by prompt and effective access to intrapartum care (WHO, 1999). Understanding the care seeking responses to intrapartum morbidities is crucial if maternal health is to be effectively improved, and maternal mortality reduced. This paper presents the results of a prospective study of 388 women followed through delivery and traditional postpartum in rural Karnataka in southern India. In this setting, few women use the existing health facilities and most deliveries occur at home. The analysis uses quantitative data, collected via questionnaires administered to women both during pregnancy and immediately after delivery. By virtue of its prospective design, the study gives a unique insight into intentions for intrapartum care during pregnancy as well as events following morbidities during labour. Routine care in the intrapartum period, both within institutions and at home, and impediments to appropriate care are also examined. The study was designed to collect information about health seeking decisions made by women and their families as pregnancies unfolded, rather than trying to capture women's experience from a retrospective instrument. The data set is therefore a rich source of quantitative information, which incorporates details of event sequences and health service utilization not previously collected in a Safe Motherhood study. Additional qualitative information was also available from concurrent in-depth interviews with pregnant women, their families, health care providers and other key informants in the area. The level of unplanned institutional care seeking during the intrapartum period within the study area was very high, increasing from 11% planning deliveries at a facility to an eventual 35% actually delivering in hospitals. In addition there was a significant move away from planned deliveries with the auxiliary nurse midwive (ANM), to births with a lay attendant or dai. The proportion of women who planned for an ANM to assist was 49%, as compared with the actual occurrence, which was less than half of this proportion. Perceived quality of care was found to be an important factor in health seeking behaviour, as was wealth, caste, education and experience of previous problems in pregnancy. Actual care given by a range of practitioners was found to contain both beneficial and undesirable elements. As a response to serious morbidities experienced within the study period, many women were able to seek care although sometimes after a long delay. Those women who experienced inadequate progression of labour pains were most likely to proceed unexpectedly to a hospital delivery. PMID:16082853

Matthews, Zoë; Ramakrishna, Jayashree; Mahendra, Shanti; Kilaru, Asha; Ganapathy, Saraswathy

2005-07-01

355

Office for Women in Medicine: A Model for Social Change  

ERIC Educational Resources Information Center

An innovative program, the Office for Women in Medicine, (OWM), at Yale University School of Medicine, aids professional women in overcoming some of the barriers that they face in the traditionally male-dominated medical profession. (Author/LBH)

Finseth, Katherine Alden

1977-01-01

356

Latino parental help seeking for childhood ADHD.  

PubMed

To better understand the help seeking process that occurs within Latino families when a child is exhibiting behaviors consistent with attention-deficit/hyperactivity disorder (ADHD), qualitative and quantitative data from 73 Latino parents were examined. Findings suggest that most Latino parents in the current sample recognized ADHD symptoms as concerning and in need of professional help and reported being motivated to seek help. Unfortunately, they also appeared to lack knowledge about the etiology of and effective treatment for ADHD, and many identified barriers to seeking help. Future research must involve community collaborations aimed at increasing awareness and knowledge of ADHD and decreasing barriers to seeking help in targeted Latino communities. PMID:23539223

Gerdes, Alyson C; Lawton, Kathryn E; Haack, Lauren M; Schneider, Brian W

2014-07-01

357

Women's Liberation Research Network (WLRN)  

NSDL National Science Digital Library

The WLRN, provided by Ginny Daley, Women's Archivist of Duke University Libraries, is a group of "students, teachers, activists, librarians, and archivists who have an interest in some aspect of the U.S. Women's Liberation Movement." Their website features a member directory, information on special library and archival collections, research and documentation projects, and publishers seeking manuscripts. In general, the site is envisioned as a point of departure for professional contacts, publication projects, or ideas for dissertation topics. Membership information is also provided.

358

Debt and Foregone Medical Care  

ERIC Educational Resources Information Center

Most American households carry debt, yet we have little understanding of how debt influences health behavior, especially health care seeking. We examined associations between foregone medical care and debt using a population-based sample of 914 southeastern Michigan residents surveyed in the wake of the late-2000s recession. Overall debt and…

Kalousova, Lucie; Burgard, Sarah A.

2013-01-01

359

The ecology of gynecological care for women.  

PubMed

Gynecological care is vital to women's health but utilization of gynecological care has been seldom addressed. We applied the population-based "ecology model" to demonstrate the utilization of gynecological care of women, with examples from Taiwan. We analyzed the claims data from the cohort datasets within the National Health Insurance Research Database in Taiwan. Women's utilization of gynecological care in 2009 was computed. Of 1000 women, 319 utilized gynecological care at least once, 277 visited Western medicine clinics, 193 visited physician clinics, 118 visited hospital-based outpatient clinics, 73 visited traditional Chinese medicine clinics, eight were hospitalized, four were hospitalized in an academic medical center, and four visited emergency departments. More than 90% of young and middle-aged women who sought gynecological care visited gynecologist clinics. Elderly women were less likely to utilize gynecological care in all settings of medical care, but were more likely to be attended by non-gynecologists. Young women tended to visit emergency departments. The ecology model highlighted age disparities in women's utilization of gynecological care in various settings of medical care. Since gynecological conditions were common among women, more attention should be paid on the availability of gynecologists and continuing medical education in gynecological care for non-gynecologists to guarantee women's health. PMID:25089773

Chang, Chia-Pei; Chou, Chia-Lin; Chou, Yueh-Ching; Shao, Chun-Chih; Su, H Irene; Chen, Tzeng-Ji; Chou, Li-Fang; Yu, Hann-Chin

2014-08-01

360

I I W r t t BRIGHAM AND WOMEN S HOSPITAL, AND HARVARD MEDICAL SCHOOL Cockroach Allergy and Asthma in a 30-Year-Old Man  

E-print Network

A growing body of evidence has implicated allergens derived from cockroaches as an important environmtlfai r that mayar asthma in tized persons. We present the case of a 30-year-m a wit ah a al Aler skin td hypersi-tct a denc o ion adte pm-tiMvit ence of g ema k alergen in uumed dust As is of patents wi a cockroaha and asthm, m ipe factors in addition to cockroah dallergen appeared to agravate the patient's astma. A multimodality therapeutic regimen, which induded medications as wl a ceaning of thse home, integrated pst anament, an d sional application Of t resutd in sutantal dical provement. Teaophysiology, epide_niology,and clinical featuref cockroach-allergicasthma are rviewe&and an ap to diagnosisandmanagementissuesd Key alley,ast, indoor a. Enwrtm 107: (1999). ( n 10 February 1999 hap://en nbs.nil.gov/do sIl999/107p243-247c oner/abstrbhtml Case Presentation

E Irvl; Ie Boston; Medical Center; S Aci; George T. O' connorl; Diane R. Gold

361

Occupational Chage in Immigrant Women  

Microsoft Academic Search

The aims of this presentation are to share a) the overall objectives of a program of research on immigrant women, b) the methods and results of a qualitative research study, and c)other ongoing and future studies.\\u000aOur program of research seeks to identify similarities and differences in occupations, habits and routines and their links to roles, identity and adjustment across

Catherine Sullivan; Jyothi Gupta; Jennifer Spiegel

2002-01-01

362

iSeek: STEM Careers  

NSDL National Science Digital Library

Minnesota's iSeek website "works with the state's workforce development and education authorities to develop and inform policy and to strategize services for career planning, education and e-learning, and workforce development." But the resources on the STEM Careers and Skills section of the site aren't just for those people living in Minnesota; this section provides all visitors the opportunity to explore STEM career skills that can be helpful no matter what state they live in. Visitors interested in learning what STEM skills are, should check out the link "Understanding STEM Skills". Here key STEM skills are outlined, such as analytical skills, science skills, technical, and math skills. The site also goes on to outline some of the soft skills that those in STEM careers should have, such as leadership, organization, communication, and creative skills. Visitors can take a free 5-10 minute "Skills Assessment" to determine which of their interests and skills match up with STEM careers. The "STEM Careers" link has a list of high-demand STEM careers, average hourly wage, and typical education requirements.

363

An Overview of Help Seeking by Problem Gamblers and their Families Including Barriers to and Relevance of Services  

Microsoft Academic Search

Research demonstrates that gambling support services often do not meet the needs of people seeking help for their gambling\\u000a problems. In particular, the needs of cultural groups, and gender-specific needs of men and women are neglected. Understanding\\u000a differences in help seeking behaviour can assist in developing early interventions to address gambling related problems and\\u000a in developing effective strategies. This paper

Dave Clarke; Max Abbott; Ruth DeSouza; Maria Bellringer

2007-01-01

364

Between a rock and a hard place? Locus of control, religious problem-solving and psychological help-seeking  

Microsoft Academic Search

Drawing on a college and community sample, this study utilised hierarchical multiple regression to examine the relative contributions of demographic variables, psychological treatment experience, religious service attendance, locus of control, and religious problem-solving style in predicting attitudes towards psychological help-seeking. Women, those holding a graduate degree, and those with treatment experience held more positive attitudes towards psychological help-seeking. While neither

Shiquina L. Andrews; James Tres Stefurak; Sheila Mehta

2011-01-01

365

Women's Issues.  

ERIC Educational Resources Information Center

Regardless of their marital status earlier in life, most women can expect to be single for some of their old age. In addition, older single women often have reduced resources. Many women now face situations unlike their expectations when they chose their life courses. Such a situation is shared by a unique community of Catholic sisters. Changes in…

Mercier, Joyce McDonough; And Others

366

Gender comparisons in non-acute cardiac symptom recognition and subsequent help-seeking decisions: a mixed methods study protocol  

PubMed Central

Introduction Coronary heart disease (CHD) is one of the leading causes of death in both men and women worldwide. Despite the common misconception that CHD is a ‘man's disease’, it is now well accepted that women endure worse clinical outcomes than men following CHD-related events. A number of studies have explored whether or not gender differences exist in patients presenting with CHD, and specifically whether women delay seeking help for cardiac conditions. UK and overseas studies on help-seeking for emergency cardiac events are contradictory, yet suggest that women often delay help-seeking. In addition, no studies have looked at presumed cardiac symptoms outside an emergency situation. Given the lack of understanding in this area, an explorative qualitative study on the gender differences in help-seeking for a non-emergency cardiac events is needed. Methods and analysis A purposive sample of 20–30 participants of different ethnic backgrounds and ages attending a rapid access chest pain clinic will be recruited to achieve saturation. Semistructured interviews focusing on help-seeking decision-making for apparent cardiac symptoms will be undertaken. Interview data will be analysed thematically using qualitative software (NVivo) to understand any similarities and differences between the way men and women construct help-seeking. Findings will also be used to inform the preliminary development of a cardiac help-seeking intentions questionnaire. Ethics and dissemination Ethical approvals were sought and granted. Namely, the University of Westminster (sponsor) and St Georges NHS Trust REC, and the Trust Research and Development Office granted approval to host the study on the Queen Mary's Roehampton site. The study is low risk, with interviews being conducted on hospital premises during working hours. Investigators will disseminate findings via presentations and publications. Participants will receive a written summary of the key findings. PMID:25361835

Stain, Nolan; Ridge, Damien; Cheshire, Anna

2014-01-01

367

Effect of an in-clinic IPV advocate intervention to increase help seeking, reduce violence, and improve well-being.  

PubMed

This quasi-experimental study investigated the efficacy of clinic-based advocacy for intimate partner violence (IPV) to increase help seeking, reduce violence, and improve women's well-being. Eligible and consenting women attending one of six selected clinics in the rural Southern United States were assessed for IPV. Consenting women disclosing IPV were offered either an in-clinic advocate intervention or usual care, depending on the clinic they attended and were followed for up to 24 months. Over follow-up time both IPV scores and depressive symptoms trended toward greater decline among women in the advocate intervention clinics relative to the usual care (business card referral only). PMID:22411302

Coker, Ann L; Smith, Paige H; Whitaker, Daniel J; Le, Brenda; Crawford, Timothy N; Flerx, Vicki C

2012-01-01

368

Students' Help Seeking during Physical Education  

ERIC Educational Resources Information Center

Seeking help with academic tasks has been regarded as an important strategy to enhance student learning (Newman, 1994; Ryan, Gheen, & Midgley, 1998; Zimmerman & Martinez-Pons, 1986). Seeking help is conceptualized as student-initiated efforts to secure task information or solicit advice when a deficiency in their understanding of the content…

Nye, Susan B.

2008-01-01

369

Women composing selves, seeking authenticity: a study of women's development in the workplace  

Microsoft Academic Search

The workplace has received increasing attention in the past decade as an important site of adult learning and development. Responses in the form of educational programmes, organizational structures and leadership to promote ‘continuous learning’, and a new focus on workplace teaching have proliferated. But our understanding of the activities and processes of workplace learning remain vague, particularly in the case

Tara Fenwick

1998-01-01

370

US Department of Labor Women's Bureau  

NSDL National Science Digital Library

Created by Congress on June 5, 1920, to "promote the welfare of wage earning women," the US Department of Labor Women's Bureau (DOLWB) seeks to inform the public of women's work rights and employment issues. Bureau publications include Fact Sheets on Women in the Workplace, the legally informative Know Your Rights Series, survey results, and special reports on the history of the Equal Pay Act, child care, and financial success stories, among others (.pdf format). A Statistics and Data Library will be of particular use to educators, offering current and historical employment totals and earnings estimates in graphical, presentation formats. Male to Female wage and employment comparisons are also included on site, and some DOLWB studies delineate employment totals by occupation. Links to relevant DOL agencies and reports, as well as other women's labor organizations are also useful in researching the long history of women's labor struggles in the US.

371

Preventing Depression: Culturally Relevant Group Work with Black Women  

ERIC Educational Resources Information Center

Recent estimates indicate that 10% to 25% of women in the United States report clinically significant depressive symptoms and that Black women are less likely to obtain care for depression and to receive appropriate treatment when they do seek care. Current mental and social health services necessitate a search for strength-based treatment models…

Jones, Lani V.

2008-01-01

372

Women Technology Leaders: Gender Issues in Higher Education Information Technology  

ERIC Educational Resources Information Center

Women working in higher education information technology (IT) organizations and those seeking leadership positions in these organizations face a double challenge in overcoming the traditionally male-dominated environments of higher education and IT. Three women higher education chief information officers (CIOs) provided their perspectives,…

Drury, Marilyn

2011-01-01

373

Tools for Tomorrow: Women in the Trades. Trainer's Guide.  

ERIC Educational Resources Information Center

This guide is intended for use by trainers presenting the Tools for Tomorrow program, a technical college program to train women for employment in 13 skilled trades. Discussed in the first two sections are these topics: the program's purposes, barriers encountered by women seeking to enter trades, and various aspects of implementing the Tools for…

Madison Area Technical Coll., WI.

374

Use of Traditional Medicine among Pregnant Women in Lusaka, Zambia  

Microsoft Academic Search

Objective: We studied the prevalence of and predictors for traditional medicine use among pregnant women seeking care in the Lusaka, Zambia public health system. Subjects: We surveyed 1128 pregnant women enrolled in a clinical trial of perinatal human immunodefi- ciency virus (HIV) prevention strategies at two district delivery centers. Outcome measures: Postpartum questionnaires were administered to determine demographic characteris- tics,

Yolan Banda; Victoria Chapman; Robert L. Goldenberg; Jeffrey S. A. Stringer; Jennifer F. Culhane; Moses Sinkala; Sten H. Vermund; Benjamin H. Chi

2007-01-01

375

The Women Embracing Life and Living (WELL) Project  

Microsoft Academic Search

Based on the relational model of women's development, WELL Project interventions include Integrated Care Facilitators providing resource coordination and advocacy services, Seeking Safety trauma groups, Nurturing Families Affected by Substance Abuse, Mental Illness and Trauma parenting groups, and WELL Recovery, a self\\/mutual help group for women with co-occurring disorders and trauma. Interventions were delivered at three agencies licensed to provide

Norma Finkelstein; Laurie S. Markoff

2005-01-01

376

Women and environments: a useful resource for teaching  

Microsoft Academic Search

Women and Environments is an excellent resource for geography teachers seeking to integrate women's perspectives and issues into their courses or for those who are attempting to create innovative courses which examine geographic questions from a gendered perspective. The short feature articles, most of them no more than four pages in length, are useful pedagogical tools for generating classroom discussions

Sallie A. Marston; Patricia Seavey

1990-01-01

377

Dyspepsia and Health Care Seeking in a Community (How Important Are Psychological Factors?)  

Microsoft Academic Search

The factors that drive subjects with dyspepsiain the community to seek medical care are uncertain. Weaimed to identify whether psychological factors explainhealth care utilization among subjects with dyspepsia. A sample of residents of westernSydney selected randomly from the electoral rolls wasmailed a validated self-report questionnaire. Dyspepsiawas defined as pain or discomfort centered in the upper abdomen. Potential predictors ofphysician visits

Nicholas J. Talley; Philip Boyce; Michael Jones

1998-01-01

378

Collaborative information seeking: A field study of a multidisciplinary patient care team  

Microsoft Academic Search

Multidisciplinary teams are an essential aspect of modern organizational work. These teams often work in information-rich environments but little is known about their collaborative information seeking (CIS) behavior. We have been studying the CIS behavior of teams in the context of medical care. We conducted an ethnographic field study of a multidisciplinary patient care team in an emergency department to

Madhu C. Reddy; Patricia Ruma Spence

2008-01-01

379

Disabled women?s maternal and newborn health care in rural Nepal: A qualitative study  

PubMed Central

Objective there is little evidence about disabled women?s access to maternal and newborn health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and care seeking. Our study explores disabled women?s experiences of maternal and newborn care in rural Nepal. Design we used a qualitative methodology, using semi-structured interviews. Setting rural Makwanpur District of central Nepal. Participants we purposively sampled married women with different impairments who had delivered a baby in the past 10 years from different topographical areas of the district. We also interviewed maternal health workers. We compared our findings with a recent qualitative study of non-disabled women in the same district to explore the differences between disabled and non-disabled women. Findings married disabled women considered pregnancy and childbirth to be normal and preferred to deliver at home. Issues of quality, cost and lack of family support were as pertinent for disabled women as they were for their non-disabled peers. Health workers felt unprepared to meet the maternal health needs of disabled women. Key conclusions and implications for practice integration of disability into existing Skilled Birth Attendant training curricula may improve maternal health care for disabled women. There is a need to monitor progress of interventions that encourage institutional delivery through the use of disaggregated data, to check that disabled women are benefiting equally in efforts to improve access to maternal health care. PMID:24768318

Morrison, Joanna; Basnet, Machhindra; Budhathoki, Bharat; Adhikari, Dhruba; Tumbahangphe, Kirti; Manandhar, Dharma; Costello, Anthony; Groce, Nora

2014-01-01

380

Ruptured tubal pregnancy: predictors of delays in seeking and obtaining care in a Nigerian population  

PubMed Central

Purpose Morbidity and mortality from ruptured tubal pregnancies (RTPs) have been linked with delays in seeking and receiving care. Evaluation of the reasons for these delays and their contributions to maternal deaths is rarely done for women with RTPs in resource-constrained settings. Patients and methods This was a 3-year retrospective review of the case records of women with tubal pregnancies managed at the Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria. Clinical and sociodemographic parameters were obtained, including information on onset of symptoms and intervals between the symptoms and when help was sought and obtained at the hospital. Results There were 92 cases of tubal pregnancies, giving an incidence of 18 per 1,000 births. Most of the patients were married (74.7%), parous (64.9%), and urban dwellers (76.9%), and 11% were severely anemic on arrival. The case-fatality rate was 1.1% and 74.7% had delay in seeking care, while 82.4% of the women spent more than 2 hours after admission before surgical intervention. Rural dwellers (adjusted odds ratio 2.96, 95% confidence interval 1.08–8.36) and those without formal education (adjusted odds ratio 6.39, 95% confidence interval 1.06–67.30) had delays in seeking help, while problems with funds (?2=7.354, P=0.005) and initial misdiagnosis (?2=5.824, P=0.018) predicted delay in obtaining help at the hospital. Conclusion RTPs are common gynecological emergencies in our environment that are often associated with delayed decisions to seek help and obtain care. Efforts should be geared toward women’s education and financial independence, improved hospital accessibility, and better diagnostic skills. PMID:25657600

Awoleke, Jacob O; Adanikin, Abiodun I; Awoleke, Adeola O

2015-01-01

381

"Why Don't I Know about These Women?": The Integration of Early Women Sociologists in Classical Theory Courses  

ERIC Educational Resources Information Center

In recent years, early women sociologists such as Harriet Martineau, Ida B. Wells, and Jane Addams have begun to appear in some introductory textbooks and theory books. Usually, they appear in a box, as a sidebar, or as selected "others." So why do we not know more about these women? Our research seeks to answer this question. Given the…

Thomas, Jan E.; Kukulan, Annis

2004-01-01

382

Becoming the best mom that I can: women's experiences of managing depression during pregnancy – a qualitative study  

PubMed Central

Background The purpose of this constructivist grounded theory study was to develop a theoretical model that explains women's processes of managing diagnosed depression when pregnant. Methods We explored the experiences of 19 women in Ontario who were diagnosed with depression during their pregnancy. Results The model that emerged from the analysis was becoming the best mom that I can. Becoming the best mom that I can explains the complex process of the women's journey as they travel from the depths of despair, where the depression is perceived to threaten their pregnancy and their ability to care for the coming baby, to arrive at knowing the self and being in a better place. In order to reground the self and regain control of their lives, the women had to recognize the problem, overcome shame and embarrassment, identify an understanding healthcare provider, and consider the consequences of the depression and its management. When confronting and confining the threat of depression, the women employed strategies of overcoming barriers, gaining knowledge, and taking control. As a result of counseling, medication, or a combination of both, women felt that they had arrived at a better place. Conclusion For many women, the idea that depression could occur during pregnancy was antithetical to their vision of the pregnant self. The challenge for a pregnant woman who is diagnosed with depression, is that effective care for her may jeopardize her baby's future health. This provides a dilemma for about-to-be parents and their healthcare providers. Improved awareness of depression during pregnancy on the part of healthcare professionals is needed to improve the women's understanding of this disorder and their ability to recognize and seek help with depression should it occur during the prenatal period. Further qualitative research is needed to determine the specific aspects that need to be addressed in such classes. PMID:17848199

Bennett, Heather A; Boon, Heather S; Romans, Sarah E; Grootendorst, Paul

2007-01-01

383

Please understand when I cry out in pain: women's accounts of maternity services during labour and delivery in Ghana  

PubMed Central

Background This study was undertaken to investigate women's accounts of interactions with health care providers during labour and delivery and to assess the implications for acceptability and utilisation of maternity services in Ghana. Methods Twenty-one individual in-depth interviews and two focus group discussions were conducted with women of reproductive age who had delivered in the past five years in the Greater Accra Region. The study investigated women's perceptions and experiences of care in terms of factors that influenced place of delivery, satisfaction with services, expectations of care and whether they would recommend services. Results One component of care which appeared to be of great importance to women was staff attitudes. This factor had considerable influence on acceptability and utilisation of services. Otherwise, a successful labour outcome and non-medical factors such as cost, perceived quality of care and proximity of services were important. Our findings indicate that women expect humane, professional and courteous treatment from health professionals and a reasonable standard of physical environment. Women will consciously change their place of delivery and recommendations to others if they experience degrading and unacceptable behaviour. Conclusion The findings suggest that inter-personal aspects of care are key to women's expectations, which in turn govern satisfaction. Service improvements which address this aspect of care are likely to have an impact on health seeking behaviour and utilisation. Our findings suggest that user-views are important and warrant further investigation. The views of providers should also be investigated to identify channels by which service improvements, taking into account women's views, could be operationalised. We also recommend that interventions to improve delivery care should not only be directed to the health professional, but also to general health system improvements. PMID:16372911

D'Ambruoso, Lucia; Abbey, Mercy; Hussein, Julia

2005-01-01

384

Infertility and Life Satisfaction among Women  

ERIC Educational Resources Information Center

Using data from a random sample of 580 midwestern women, the authors explore the association between lifetime infertility and life satisfaction. Past research shows lower life satisfaction among those seeking help for infertility. The authors find no direct effects of lifetime infertility, regardless of perception of a problem, on life…

McQuillan, Julia; Stone, Rosalie A. Torres; Greil, Arthur L.

2007-01-01

385

Support Systems and Women of the Diaspora  

ERIC Educational Resources Information Center

Humans are social beings endowed with intrinsic and extrinsic capabilities and a desire to seek and receive social support from one another. The extent to which this action takes place varies as people move farther away from their familiar environment to new locations. Many immigrant women have traveled far and wide in search of "better…

Ojo, Elizabeth D.

2009-01-01

386

Women in Management Challenges and Opportunities  

Microsoft Academic Search

Women roles and so also men roles exist in the context of a society and culture, which allocates and defines roles for both. Society and culture provide myths and epics depicting the journey of a hero as he unfolds his life to seek the answers to the questions of who am I and what is the purpose of life. However,

Parikh Indira J

387

Lessons in Spiritual Leadership from Kenyan Women  

ERIC Educational Resources Information Center

Purpose: The purpose of this paper is to explicate spiritual leadership lessons of beneficence, courage, hope and ubuntu/humanness that are derived from the experiences of women leaders in Kenya. The paper seeks to connect African data with existing literature on spiritual leadership, to demonstrate where African spiritual leadership is similar…

Ngunjiri, Faith Wambura

2010-01-01

388

Going green: women entrepreneurs and the environment  

Microsoft Academic Search

Purpose – The paper seeks to explore whether women entrepreneurs may be more engaged with green issues than their male counterparts. The study was undertaken to add to our understanding of gendered attitudes and behaviours around green entrepreneurship. Design\\/methodology\\/approach – The paper opted for a mixed method exploratory study consisting of quantitative datasets from two regional studies on environmental attitudes

Patrice Braun

2010-01-01

389

Nevisian Womens Gender Consciousness: Content and Sources  

Microsoft Academic Search

: This article identifies the gender-related concerns of contemporary Nevisian women and the factors that have informed those concerns. Through an exploration of the major trends in Nevisian history and through an examination of the ideas and life experiences of forty interviewees, this research seeks to understand how gender inequalities evolved, how contemporary Nevisians perceive those inequalities, and what those

Judith Rollins

2009-01-01

390

Tier 2 Canada Research Chair Medical Health Informatics  

E-print Network

Tier 2 Canada Research Chair in Medical Health Informatics Schulich School of Medicine intensive universities, seeks applicants for a Tier 2 Canada Research Chair in Medical Health Informatics, and the potential to achieve international recognition in the field of medical health informatics within the next

Sinnamon, Gordon J.

391

Resources for Teaching about Women's Health.  

ERIC Educational Resources Information Center

Reviews 19 teaching tools about women's health, ranging from general curricula to books, videos, and CD-ROMs that can be used by educators and learners throughout the continuum of medical education. (Author/SLD)

Krasnoff, Margo J.

2000-01-01

392

Prioritizing Medical Resources for Exploration Missions  

NASA Technical Reports Server (NTRS)

Long duration missions beyond low Earth orbit introduce new constraints to the medical system. Factors such as the inability to evacuate to Earth in a timely manner, communication delay, limitations in available medical equipment, and the clinical background of the crew will all have an impact on the assessment and treatment of medical conditions. The Exploration Medical Capability (ExMC) Element of NASAs Human Research Program seeks to improve the way the element derives its mitigation strategies for the risk of "Unacceptable Health and Mission Outcomes Due to Limitation of In-flight Medical Capabilities."

Shah, R. V.; Kerstman, E. L.

2015-01-01

393

The Collaborative Educational Programs of the National Association of Bank Women: Mechanisms for Career Change.  

ERIC Educational Resources Information Center

This case description portrays the educational programs of the National Association of Bank Women designed to meet the special needs of women seeking advancement or career changes in the banking industry. After sketching several shorter programs, the case elaborates upon the collaborative Baccalaureate Degree Program in Management for Women, which…

Thomas, Kirk R.; Parker, L. Allen

394

Managing careers: experiences of successful women in the Chinese IT industry  

Microsoft Academic Search

Purpose – This paper seeks to examine the career experiences of seven women who have developed successful careers in the Chinese information technology (IT) industry, focusing on the way they managed their careers and the implications this has for women's career theory in China. Design\\/methodology\\/approach – Personal narrative method is used to explore the women's cumulated experiences of career management

Huiping Xian; Carol Woodhams

2008-01-01

395

Characteristics of Middle-Aged Women in Inpatient Treatment for Eating Disorders  

Microsoft Academic Search

The current study examined descriptive characteristics of women 35 years and older seeking inpatient treatment for an eating disorder. A second purpose was to compare characteristics and treatment experiences of midlife patients to young adult patients. Participants were 193 women admitted for treatment to a residential eating disorders facility. All of the women received the standard inpatient treatment package offered

Maryelizabeth forman; William N. Davis

2005-01-01

396

Slow Path to the Superintendency: Women's Social Networks and Negotiation Skills  

ERIC Educational Resources Information Center

Women superintendents in one Midwestern state participated in this study of their personal demographics, professional qualifications and career paths, and demographics of districts and boards of education that hired them. Participants identified characteristics, skills, and barriers to women seeking superintendencies. Thirty-one of 36 women

Montz, Carol B.; Wanat, Carolyn L.

2008-01-01

397

Childhood sexual abuse and substance abuse treatment utilization among substance-dependent incarcerated women  

Microsoft Academic Search

Incarcerated women have high rates of substance abuse problems and trauma. A variety of variables may influence whether these women seek help or are referred for substance abuse problems. This study reports an exploratory project on service utilization among incarcerated substance-dependent women (N = 40) in southeastern Idaho. Using self-report and interview tools, most participants reported some substance abuse treatment

Jessica R. Peltan; Tony Cellucci

2011-01-01

398

Elderly care recipients’ perceptions of treatment helpfulness for depression and the relationship with help-seeking  

PubMed Central

Objective This study aims to examine perceptions of the helpfulness of treatments/interventions for depression held by elderly care recipients, to examine whether these beliefs are related to help-seeking and whether the experience of depression affects beliefs about treatment seeking, and to identify the characteristics of help-seekers. Method One hundred eighteen aged care recipients were surveyed on their beliefs about the helpfulness of a variety of treatments/interventions for depression, on their actual help-seeking behaviors, and on their experience of depression (current and past). Results From the sample, 32.4% of the participants screened positive for depression on the Geriatric Depression Scale, and of these, 24.2% reported receiving treatment. Respondents believed the most helpful treatments for depression were increasing physical activity, counseling, and antidepressant medication. Help-seeking from both professional and informal sources appeared to be related to belief in the helpfulness of counseling and antidepressants; in addition, help-seeking from informal sources was also related to belief in the helpfulness of sleeping tablets and reading self-help books. In univariate analyses, lower levels of cognitive impairment and being in the two lower age tertiles predicted a greater likelihood of help-seeking from professional sources, and female sex and being in the lower two age tertiles predicted greater likelihood of help-seeking from informal sources. In multivariate analyses, only lower levels of cognitive impairment remained a significant predictor of help-seeking from professional sources, whereas both lower age and female sex continued to predict a greater likelihood of help-seeking from informal sources. Conclusion Beliefs in the helpfulness of certain treatments were related to the use of both professional and informal sources of help, indicating the possibility that campaigns or educational programs aimed at changing beliefs about treatments may be useful in older adults. PMID:25653512

Atkins, Joanna; Naismith, Sharon L; Luscombe, Georgina M; Hickie, Ian B

2015-01-01

399

Abortion - medical  

MedlinePLUS

Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion ... A medical, or nonsurgical, abortion can be done within 7 weeks from the first day of the woman's last ...

400

Medication Errors  

MedlinePLUS

... for Healthcare Research and Quality: Medical Errors and Patient Safety Centers for Disease Control and Prevention: Medication Safety Department of Veterans Affairs National Center for Patient Safety Institute for Safe Medication Practices To Err is ...

401

PID Tuning Using Extremum Seeking  

SciTech Connect

Although proportional-integral-derivative (PID) controllers are widely used in the process industry, their effectiveness is often limited due to poor tuning. Manual tuning of PID controllers, which requires optimization of three parameters, is a time-consuming task. To remedy this difficulty, much effort has been invested in developing systematic tuning methods. Many of these methods rely on knowledge of the plant model or require special experiments to identify a suitable plant model. Reviews of these methods are given in [1] and the survey paper [2]. However, in many situations a plant model is not known, and it is not desirable to open the process loop for system identification. Thus a method for tuning PID parameters within a closed-loop setting is advantageous. In relay feedback tuning [3]-[5], the feedback controller is temporarily replaced by a relay. Relay feedback causes most systems to oscillate, thus determining one point on the Nyquist diagram. Based on the location of this point, PID parameters can be chosen to give the closed-loop system a desired phase and gain margin. An alternative tuning method, which does not require either a modification of the system or a system model, is unfalsified control [6], [7]. This method uses input-output data to determine whether a set of PID parameters meets performance specifications. An adaptive algorithm is used to update the PID controller based on whether or not the controller falsifies a given criterion. The method requires a finite set of candidate PID controllers that must be initially specified [6]. Unfalsified control for an infinite set of PID controllers has been developed in [7]; this approach requires a carefully chosen input signal [8]. Yet another model-free PID tuning method that does not require opening of the loop is iterative feedback tuning (IFT). IFT iteratively optimizes the controller parameters with respect to a cost function derived from the output signal of the closed-loop system, see [9]. This method is based on the performance of the closed-loop system during a step response experiment [10], [11]. In this article we present a method for optimizing the step response of a closed-loop system consisting of a PID controller and an unknown plant with a discrete version of extremum seeking (ES). Specifically, ES is used to minimize a cost function similar to that used in [10], [11], which quantifies the performance of the PID controller. ES, a non-model-based method, iteratively modifies the arguments (in this application the PID parameters) of a cost function so that the output of the cost function reaches a local minimum or local maximum. In the next section we apply ES to PID controller tuning. We illustrate this technique through simulations comparing the effectiveness of ES to other PID tuning methods. Next, we address the importance of the choice of cost function and consider the effect of controller saturation. Furthermore, we discuss the choice of ES tuning parameters. Finally, we offer some conclusions.

Killingsworth, N; Krstic, M

2005-11-15

402

Anatomy Education in a Changing Medical Curriculum in India: Medical Student Feedback on Duration and Emphasis of Gross Anatomy Teaching  

ERIC Educational Resources Information Center

Authors report here a survey of medical student feedback on the effectiveness of two different anatomy curricula at Christian Medical College, Vellore, India. Undergraduate medical students seeking the Bachelor in Medicine and Bachelor in Surgery (M.B.B.S.) degrees were divided into two groups by the duration of their respective anatomy…

Holla, Sunil Jonathan; Ramachandran, Kalpana; Isaac, Bina; Koshy, Shajan

2009-01-01

403

‘This isn't what mine looked like’: a qualitative study of symptom appraisal and help seeking in people recently diagnosed with melanoma  

PubMed Central

Objective To explore symptom appraisal and help-seeking decisions among patients recently diagnosed with melanomas, and to compare experiences of people with ‘thinner’ (<1?mm) and ‘thicker’ (>2?mm) melanomas, as thickness at diagnosis is an important prognostic feature. Methods In-depth interviews with patients within 10?weeks of melanoma diagnosis explored the factors impacting on their pathways to diagnosis. Framework analysis, underpinned by the Model of Pathways to Treatment, was used to explore the data with particular focus on patients’ beliefs and experiences, disease factors, and healthcare professional (HCP) influences. Results 63 patients were interviewed (29–93?years, 31 women, 30 thicker melanomas). All described their skin changes using rich lay vocabulary. Many included unassuming features such as ‘just a little spot’ as well as common features of changes in size, colour and shape. There appeared to be subtly different patterns of symptoms: descriptions of vertical growth, bleeding, oozing and itch were features of thicker melanomas irrespective of pathological type. Appraisal was influenced by explanations such as normal life changes, prior beliefs and whether skin changes matched known melanoma descriptions. Most decisions to seek help were triggered by common factors such as advice from family and friends. 11 patients reported previous reassurance about their skin changes by a HCP, with little guidance on monitoring change or when it would be appropriate to re-consult. Conclusions Patients diagnosed with both thinner and thicker melanomas often did not initially recognise or interpret their skin changes as warning signs or prompts to seek timely medical attention. The findings provide guidance for melanoma awareness campaigns on more appropriate images, helpful descriptive language and the need to stress the often apparently innocuous nature of potentially serious skin changes. The importance of appropriate advice, monitoring and safety-netting procedures by HCPs for people presenting with skin changes is also highlighted. PMID:25052174

Walter, Fiona M; Birt, Linda; Cavers, Debbie; Scott, Suzanne; Emery, Jon; Burrows, Nigel; Cavanagh, Gina; MacKie, Rona; Weller, David; Campbell, Christine

2014-01-01

404

Posttraumatic Growth in Treatment-seeking Female Assault Victims  

PubMed Central

The importance of measuring growth outcomes following a traumatic event has been highlighted in recent literature. Although reports of growth are abundant, the relationship between growth outcomes and post-trauma distress remains unclear, with studies yielding conflicting results regarding this relationship. The purpose of the present study was to explore the interrelationships among growth outcomes and measures of depression and posttraumatic stress disorder (PTSD) among 100 female treatment-seeking physical and sexual assault victims. Although the majority of women reported some degree of growth in this study, and growth scores were comparable to those from other samples, measures of depression and PTSD were not significantly related to growth scores. The implication of these findings and future direction for research are discussed. PMID:17380387

Grubaugh, Anouk L.; Resick, Patricia A.

2010-01-01

405

Contraceptive options for women living with HIV.  

PubMed

Women living with HIV are often of reproductive age, and many desire effective contraceptive options to delay or prevent pregnancy. We review the safety of various hormonal and non-hormonal contraceptive methods for women living with human immunodeficiency virus (HIV). Additionally, we discuss drug interactions between contraceptive methods and antiretrovirals and the safety of methods with respect to onward transmission to HIV-negative partners for women in sero-discordant partnerships. In general, most methods are safe for most women living with HIV. An understanding of the reproductive goals of each individual patient, as well as her medical condition and medication, should be taken into account when counselling women on their contraceptive options. Further research is needed to understand drug interactions between contraceptives and antiretrovirals better and how to fulfil the contraceptive needs of HIV-positive women. PMID:24947597

Phillips, Sharon; Steyn, Petrus; Temmerman, Marleen

2014-08-01

406

Corporate Venture Capital (CVC) Seeking Innovation and  

E-print Network

Corporate Venture Capital (CVC) Seeking Innovation and Strategic Growth Recent patterns in CVC-916 #12;Corporate Venture Capital About This Report This report on corporate venture capital, Technology Innovation Program, National Institute of Standards and Technology #12;Corporate Venture Capital

407

Information-Seeking Behaviors of Business Faculty  

E-print Network

? institution. The results led to discussions on topics including resource preferences, library usage, and institutional repositories. Keywords: business faculty, research methods, library resources, faculty preference, information-seeking behaviors...

Hoppenfeld, Jared; Smith, Michael M.

2014-01-01

408

Effects of mating mindsets on variety seeking  

E-print Network

This research shows that mating mindsets, which consumers commonly experience, can have a crucial impact on consumers' variety seeking tendencies. In two studies, we find that male consumers in a long-term mating mindset ...

Hu, Yu-Wei

2014-01-01

409

Teacher asthma management and information seeking scale.  

PubMed

This article presents the design and evaluation of the Teacher Asthma Management and Information Seeking Scale. Based on a sample of 593 kindergarten to eighth grade teachers, the scale yielded two factors: the Asthma Management (= 0.90) and the Information Seeking Factor (= 0.71). This scale fills a needed gap in the literature regarding assessment tools for school-based asthma management that focus on teacher behavior. PMID:17885850

Getch, Yvette Q; Neuharth-Pritchett, Stacey

2007-09-01

410

Women's Oral Health: The Evolving Science  

Microsoft Academic Search

The evidence base for women's oral health is emerging from legislative action, clinical research, and survey documenta- tion. The Women's Health in the Dental School Curriculum study (1999) followed a similar study (1996) of medical school cur- ricula. Both of these major efforts resulted from statutory mandates in the National Institutes of Health Revitalization Act of 1993 (updated October 2000).

Jeanne C. Sinkford; Richard W. Valachovic; Sonja G. Harrison

411

Preconceptional counseling for women with heart disease  

Microsoft Academic Search

Preconceptional counseling is of paramount importance for the woman with heart disease. Although the majority of women with significant heart disease can undergo pregnancy with relative safety, some cardiac lesions such as pulmonary hypertension are associated with a maternal mortality of up to 50%. Moreover, women with heart disease may be on medications that are either teratogenic or potentially harmful

Susan M. Ramin; Larry C. Gilstrap

1996-01-01

412

Affinity-seeking, social loneliness, and social avoidance among Facebook users.  

PubMed

This study explored the relations between use of the social networking site Facebook and scores on affinity-seeking, social loneliness, and social avoidance by 313 college students. Social loneliness and social avoidance, but not affinity-seeking, were positively and statistically significantly related to time spent using Facebook. The number of close Facebook friends was negatively and statistically significantly related to social loneliness and social avoidance. Women perceived Facebook as a more integral part of daily interactions than did men. 38% of the 283 Facebook members indicated their accounts contained information and/or a picture that could embarrass them, with men having significantly more embarrassing content than women. The findings are discussed within the context of social compensation. PMID:23833882

Lemieux, Robert; Lajoie, Sean; Trainor, Nathan E

2013-04-01

413

Centrality of control-seeking in men's intimate partner violence perpetration.  

PubMed

Two million women and one million men experience rape, stalking, or physical assault by a current or former romantic partner each year in the U.S. Not only do women report twice the incidents, but intimate partner violence (IPV) that women experience is typically more severe. Explanations for IPV gender asymmetry include male dominance attitudes, hostile sexism, and men's control-seeking. There are gaps in our knowledge of how attitudes and control-seeking co-relate to influence IPV. This study demonstrates a mediation analysis to investigate these relationships. Data were from a cross-sectional online survey of male undergraduate students from a public Southeastern university. The survey measured attitudes of male dominance and hostile sexism, desire for control, and IPV perpetration. After including age and academic level in the model, male dominance remained a significant predictor of likelihood of physical IPV (OR?=?1.16, p?=?.004) but not psychological IPV. The addition of control-seeking (physical OR?=?1.65, p?seeking (psychological IPV OR?=?1.27, p?seeking mediates the relationship between male dominance and physical IPV and partially mediates the relationship between hostile sexism and IPV. Practical implications for IPV prevention programs and theoretical implications are discussed. PMID:23400847

Whitaker, M Pippin

2013-10-01

414

Assessment of malawian mothers' malaria knowledge, healthcare preferences and timeliness of seeking Fever treatments for children under five.  

PubMed

Malaria is one of the major public health problems in Malawi, contributing to the majority of morbidity and mortality among children under five. Ignorance of malaria symptoms results in delayed treatment, which often degenerates into fatal emergencies. This study analyzed the impact of maternal malaria knowledge on healthcare preferences and timeliness of treating children with reported fever. The Malaria Indicator Survey data for 2012, which were adequately weighted, were analyzed using multinomial logit and Poisson regression models. The results showed low maternal average years of formal education (3.52) and average mothers' age was 27.97 years. Majority of the women (84.98%) associated fever with malaria, while 44.17% associated it with chilling. Also, 54.42% and 32.43% of the children were treated for fever on the same day and the following day that fever started, respectively. About 9.70% paid for fever treatment from their regular incomes, while 51.38% sought treatment from either public or private health centers. Multinomial Logit regression results showed that relative to using of other treatments, probabilities of selecting private hospitals and public health centers increased with age of the household heads, resident in urban areas, mothers' years of education, number of days taken off for treatment, paying medical bills from regular, occasional and borrowed incomes, and knowledge of diarrhea and shivering as symptoms of malaria. In the Poisson regression results, timeliness of seeking treatment was significantly enhanced by knowledge of fever as malaria symptom, residence in northern and central regions of Malawi and use of income from sale of assets to pay medical bills (p < 0.10).However, delays in treating children was motivated by age of the household heads, number of days taken off to care for sick child and usage of regular, borrowed and other incomes to pay medical bills. (p < 0.05). It was concluded that efficiency of public sector in treating malaria holds significant prospects for fighting malaria in Malawi. However, adequate efforts should be channeled in enhancing the knowledge of women on malaria symptoms, among others. PMID:25584420

Oyekale, Abayomi Samuel

2015-01-01

415

Assessment of Malawian Mothers’ Malaria Knowledge, Healthcare Preferences and Timeliness of Seeking Fever Treatments for Children Under Five  

PubMed Central

Malaria is one of the major public health problems in Malawi, contributing to the majority of morbidity and mortality among children under five. Ignorance of malaria symptoms results in delayed treatment, which often degenerates into fatal emergencies. This study analyzed the impact of maternal malaria knowledge on healthcare preferences and timeliness of treating children with reported fever. The Malaria Indicator Survey data for 2012, which were adequately weighted, were analyzed using multinomial logit and Poisson regression models. The results showed low maternal average years of formal education (3.52) and average mothers’ age was 27.97 years. Majority of the women (84.98%) associated fever with malaria, while 44.17% associated it with chilling. Also, 54.42% and 32.43% of the children were treated for fever on the same day and the following day that fever started, respectively. About 9.70% paid for fever treatment from their regular incomes, while 51.38% sought treatment from either public or private health centers. Multinomial Logit regression results showed that relative to using of other treatments, probabilities of selecting private hospitals and public health centers increased with age of the household heads, resident in urban areas, mothers’ years of education, number of days taken off for treatment, paying medical bills from regular, occasional and borrowed incomes, and knowledge of diarrhea and shivering as symptoms of malaria. In the Poisson regression results, timeliness of seeking treatment was significantly enhanced by knowledge of fever as malaria symptom, residence in northern and central regions of Malawi and use of income from sale of assets to pay medical bills (p < 0.10).However, delays in treating children was motivated by age of the household heads, number of days taken off to care for sick child and usage of regular, borrowed and other incomes to pay medical bills. (p < 0.05). It was concluded that efficiency of public sector in treating malaria holds significant prospects for fighting malaria in Malawi. However, adequate efforts should be channeled in enhancing the knowledge of women on malaria symptoms, among others. PMID:25584420

Oyekale, Abayomi Samuel

2015-01-01

416

Medical education in Japan.  

PubMed

There are 79 medical schools in Japan--42 national, 8 prefectural (i.e., founded by a local government), and 29 private--representing approximately one school for every 1.6 million people. Undergraduate medical education is six years long, typically consisting of four years of preclinical education and then two years of clinical education. High school graduates are eligible to enter medical school. In 36 schools, college graduates are offered admission, but they account for fewer than 10% of the available positions. There were 46,800 medical students in 2006; 32.8% were women. Since 1990, Japanese medical education has undergone significant changes, with some medical schools implementing integrated curricula, problem-based learning tutorials, and clinical clerkships. A model core curriculum was proposed by the government in 2001 that outlined a core structure for undergraduate medical education, with 1,218 specific behavioral objectives. A nationwide common achievement test was instituted in 2005; students must pass this test to qualify for preclinical medical education. It is similar to the United States Medical Licensing Examination step 1, although the Japanese test is not a licensing examination. The National Examination for Physicians is a 500-item examination that is administered once a year. In 2006, 8,602 applicants took the examination, and 7,742 of them (90.0%) passed. A new law requires postgraduate training for two years after graduation. Residents are paid reasonably, and the work hours are limited to 40 hours a week. In 2004, a matching system was started; the match rate was 95.6% (46.2% for the university hospitals and 49.4% for other teaching hospitals). Sustained and meaningful change in Japanese medical education is continuing. PMID:17122471

Kozu, Tadahiko

2006-12-01

417

Sea Women  

E-print Network

Broadcast Transcript: Here on tiny Mara Island just south of Korea, women are the breadwinners and men take care of the children, do the shopping and, feed the pigs. The women are pretty successful, too: typically earning upwards of $30,000 a year...

Hacker, Randi; Tsutsui, William

2006-02-08

418

Medicine Women.  

ERIC Educational Resources Information Center

Described as a survival manual for Indian women in medicine, this collected work contains diverse pieces offering inspiration and practical advice for Indian women pursuing or considering careers in medicine. Introductory material includes two legends symbolizing the Medicine or Spirit Woman's role in Indian culture and an overview of Indians Into…

Beiswenger, James N., Ed.; Jeanotte, Holly, Ed.

419

Women's studies  

NASA Astrophysics Data System (ADS)

On March 31, 1997, the Association for Women Geoscientists will award two Chrysalis Scholarships to women who have returned to school after an interruption in their education for a year or longer. The $750 awards will be given to geoscience master's or Ph.D. candidates to cover expenses in finishing their theses.The application deadline is February 28, 1997.

Carlowicz, Michael

420

Empowering Women  

ERIC Educational Resources Information Center

Empowering Women is a traveling exhibition of folk art that focuses on ten cooperatives from four continents and ten countries. The exhibition is a window into the ways that cooperatives empower women to: (1) preserve and reinvigorate their country's traditional arts; (2) generate steady livelihoods for their families; (3) send their children to…

Gomez, Aurelia

2012-01-01

421

Egg harvesting for stem cell research: medical risks and ethical problems  

Microsoft Academic Search

Increasingly, researchers are seeking eggs from young women to be used for embryo cloning procedures. The harvesting of multiple eggs often involves the administration of drugs that have not been approved for this purpose. Also these drugs have not been adequately studied for their long-term effects on women despite research providing some evidence of significant harm to women in both

Diane Beeson; Abby Lippman

2006-01-01

422

Treatment-seeking behavior for sexually transmitted infections in a high-risk population.  

PubMed

The World Health Organization estimates that 340 million new cases of curable sexually transmitted infections (STIs) occur every year, while 33 million individuals are estimated to be living with HIV. The AIDS and STI epidemics are not independent with untreated STIs increasing HIV acquisition and transmission. Female sex workers have increased prevalence of untreated STIs and have been hypothesized to affect the health and HIV incidence of the general population. This paper aims to investigate why some female sex workers who experience symptoms of vaginal discharge or genital ulcers seek treatment while others do not. Data were collected from a cohort study conducted between 2002 and 2005 among female bar and hotel workers in Moshi, Tanzania. Study subjects were recruited from 7 out of 15 administrative wards in Moshi as part of the Moshi's Women's Health Project. Data were restricted to women self-reporting symptoms of vaginal discharge or genital ulcers (n=459) within the past year. Logistic regression was performed with SAS 9.1. Qualitative analysis was performed using in-depth interviews and focus group discussions among a convenience sample (n=42) of women already enrolled in the study. All interviews and focus group discussions were tape-recorded and transcribed, and data were analyzed thematically. Sixty-four percent of the sample sought treatment for either ailment. Multivariate analysis identified relationship to man of last sexual intercourse, ever experiencing a pregnancy, and age as significant predictors to seeking treatment. Four salient themes of threats to fertility, stigma correlated with prostitution, discomfort with the physical exam, and perceived views of clients were revealed as predictors to why women seek or intentionally ignore symptoms. Understanding the motivations and barriers for seeking treatment of STIs has far ranging public health implications that could help curtail the unnecessary associated morbidity and mortality and curtail the transmission of HIV. PMID:20635239

Rosenheck, Rachel; Ngilangwa, David; Manongi, Rachael; Kapiga, Saidi

2010-11-01

423

Care Seeking for Neonatal Illness in Low- and Middle-Income Countries: A Systematic Review  

PubMed Central

Background Despite recent achievements to reduce child mortality, neonatal deaths continue to remain high, accounting for 41% of all deaths in children under five years of age worldwide, of which over 90% occur in low- and middle-income countries (LMICs). Infections are a leading cause of death and limitations in care seeking for ill neonates contribute to high mortality rates. As estimates for care-seeking behaviors in LMICs have not been studied, this review describes care seeking for neonatal illnesses in LMICs, with particular attention to type of care sought. Methods and Findings We conducted a systematic literature review of studies that reported the proportion of caregivers that sought care for ill or suspected ill neonates in LMICs. The initial search yielded 784 studies, of which 22 studies described relevant data from community household surveys, facility-based surveys, and intervention trials. The majority of studies were from South Asia (n?=?17/22), set in rural areas (n?=?17/22), and published within the last 4 years (n?=?18/22). Of the 9,098 neonates who were ill or suspected to be ill, 4,320 caregivers sought some type of care, including care from a health facility (n?=?370) or provider (n?=?1,813). Care seeking ranged between 10% and 100% among caregivers with a median of 59%. Care seeking from a health care provider yielded a similar range and median, while care seeking at a health care facility ranged between 1% and 100%, with a median of 20%. Care-seeking estimates were limited by the few studies conducted in urban settings and regions other than South Asia. There was a lack of consistency regarding illness, care-seeking, and care provider definitions. Conclusions There is a paucity of data regarding newborn care-seeking behaviors; in South Asia, care seeking is low for newborn illness, especially in terms of care sought from health care facilities and medically trained providers. There is a need for representative data to describe care-seeking patterns in different geographic regions and better understand mechanisms to enhance care seeking during this vulnerable time period. Please see later in the article for the Editors' Summary PMID:22412355

Herbert, Hadley K.; Lee, Anne CC; Chandran, Aruna; Rudan, Igor; Baqui, Abdullah H.

2012-01-01

424

Online Medicine for Pregnant Women  

PubMed Central

Objective. To assess the use of cell phones and email as means of communication between pregnant women and their gynecologists and family physicians. Study Design. A cross-sectional study of pregnant women at routine followup. One hundred and twenty women participated in the study. Results. The mean age was 27.4 ± 3.4 years. One hundred nineteen women owned a cell phone and 114 (95%) had an email address. Seventy-two women (60%) had their gynecologist's cell phone number and 50 women (42%) had their family physician's cell phone number. More women contacted their gynecologist via cell phone or email during pregnancy compared to their family physician (P = 0.005 and 0.009, resp.). Most preferred to communicate with their physician via cell phone at predetermined times, but by email at any time during the day (P < 0.0001). They would use cell phones for emergencies or unusual problems but preferred email for other matters (P < 0.0001). Conclusions. Pregnant women in the Negev region do not have a preference between the use of cell phones or email for medical consultation with their gynecologist or family physician. The provision of the physician's cell phone numbers or email address together with the provision of guidelines and resources could improve healthcare services. PMID:25132848

Davidesko, Sharon; Segal, David

2014-01-01

425

Medical Matrix  

NSDL National Science Digital Library

Medical Matrix is a Web resource that offers a database of Internet clinical medicine resources. Medical Matrix categorizes resources by disease, specialty, and other interest areas. It is designed as a "home page" for a physician's or healthworker's computer. Medical Matrix is a project of the Internet Working Group of the American Medical Informatics Association.

426

MEDICAL "DEPRIVATION."  

ERIC Educational Resources Information Center

THE SOCIAL AND MEDICAL PROBLEM TODAY HAS SHIFTED FROM PROVIDING FOR THE EMERGENCY MEDICAL NEEDS OF THE INDIGENT SICK TO RAISING THE LEVEL OF LOWER CLASS PARTICIPATION IN THE BENEFITS OF MODERN MEDICINE. GREATER ATTENTION IS BEING FOCUSED ON MEDICAL DEPRIVATION SUFFERED BY LARGE SEGMENTS OF THE POPULATION WHO DO NOT SHARE EQUALLY IN MEDICAL

SUCHMAN, EDWARD A.

427

Registries Help Moms Measure Medication Risks  

MedlinePLUS

... Products Vaccines, Blood & Biologics Articulos en Espanol Registries Help Inform Medication Use in Pregnancy Search the Consumer ... as well as vaccines. Yao says these data help prescribers and pregnant women make informed choices. “Often, ...

428

Help seeking behavior and the Internet: a national survey.  

PubMed

Health-related websites have the potential to powerfully influence the attitudes and behavior of consumers. Access to reliable disease information online has been linked to reduced anxiety, increased feelings of self-efficacy, and decreases in utilization of ambulatory care. Studies report that Internet health information seekers are more likely to have health concerns; adult seekers are more likely to rate themselves as having poor health status and adolescent seekers are more likely to demonstrate clinical impairment or depressive symptomatology compared to non-seekers. Although more and more Americans are using the Internet for healthcare information, little is known about how this information affects their health behaviors. The current study extends the literature by examining characteristics associated with help seeking, either from a healthcare provider or from peers, as a direct result of health information found online. Medical care seekers appear to be using the Internet to enhance their medical care; they report using the information online to diagnose a problem and feel more comfortable about their health provider's advice given the information found on the Internet. Support seekers tend to be of slightly lower income compared to non-support seekers. They are also significantly more likely to have searched for information about a loved one's medical or health condition, signaling that many of these consumers may be caretakers. PMID:16129659

Ybarra, Michele L; Suman, Michael

2006-01-01

429

Psychiatric medication refill practices of juvenile detainees.  

PubMed

To examine the psychiatric medication fill rates of adolescents after release from juvenile detention. The team reviewed 177 charts. A fill was defined as a psychiatric medication charge to Medicaid 30- or 90-days after release. Differences in demographic characteristics were compared among individuals with fills at 30- or 90-days and those with no medication fills. Forty-five percent of patients were on at least one psychiatric medication. Among detainees on a psychiatric medication, 62 % had a fill by 30 days after release, and 78 % by 90 days. At least 50 % of the adolescents on a psychiatric medication were on an atypical antipsychotic. There was no significant relationship between medication fill and race, age, or sex. Despite the known associations between mental health diagnosis and treatment-seeking with age, sex, and race, it appears that psychiatric medication fill patterns after release from detention are not associated with these factors. PMID:23381007

Neff, Mallery R; Aalsma, Matthew C; Rosenman, Marc B; Wiehe, Sarah E

2013-12-01

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