Social and Behavioral Sciences Commons^™

Optimizing Dietary Fat In A Weight-Loss Trial Requires Advice Based On A Structured "Whole-Of-Diet" Model, Lynda J. Ross, Linda C. Tapsell, Yasmine Probst

Faculty of Health and Behavioural Sciences - Papers (Archive)

Dietary trials may link macronutrient intakes to health outcomes, but adherence to dietary targets requires advice based on an understanding of food composition and consumption patterns. Using data from a weight loss trial, we hypothesized that structured advice would be required for significant fat modification to occur. We compared participants' food choice patterns in response to advice based on a structured “whole-of-diet” model vs a general approach to healthy eating. Overweight participants (n = 122) were randomized to 2 advice arms (saturated fat [SFA] < 10% energy [E]): (1) general low fat (LF) control—(a) isoenergy, (b) −2000 kJ; and (2) structured LF high polyunsaturated fat (PUFA) (∼10% energy PUFA; PUFA to SFA ratio ≥1) (LF-PUFA)—(a) isoenergy, (b) −2000 kJ. Intakes of E and fat and fat from food groups (percentage of total fat intake) were compared at baseline, 3 months, P < .05. Baseline diets were similar, with most fat from high-SFA foods (59%): meat and milk-based staple meals and high-fat snacks. By 3 months, all groups reduced E and met the SFA target. Polyunsaturated fat targets were met by the LF-PUFA groups only (P < .001), enabling targeted between-group differences. In response to general advice, LF groups simply switched to LF alternatives of the same foods (P < .05). In comparison, LF-PUFA groups shifted fat intake to high-PUFA choices (54%), consuming more fat than controls from nuts (P < .001), whole grains (P < .001), and oils and spreads (P < .05). Significant reductions in E were achieved regardless of advice, but significant shifts in dietary fat profile relied on structured whole-of-diet advice on a range of meal and snack food sources of fat subtypes.

Epidemiology Of Influenza-Like Illness During Pandemic (H1n1) 2009, New South Wales, Australia, David Muscatello, Margo Barr, Sarah Thackway, C. Raina Maclntyre

Faculty of Health and Behavioural Sciences - Papers (Archive)

To rapidly describe the epidemiology of infl uenza-like illness (ILI) during the 2009 winter epidemic of pandemic (H1N1) 2009 virus in New South Wales, Australia, we used results of a continuous population health survey. During July–September 2009, ILI was experienced by 23% of the population. Among these persons, 51% were unable to undertake normal duties for <3 days, 55% sought care at a general practice, and 5% went to a hospital. Factors independently associated with ILI were younger age, daily smoking, and obesity. Effectiveness of prepandemic seasonal vaccine was ≈20%. The high prevalence of risk factors associated with a substantially increased risk for ILI deserves greater recognition.

Overexpression Of Glyoxalase-I Reduces Hyperglycemiainduced Levels Of Advanced Glycation End Products And Oxidative Stress In Diabetic Rats, Olaf Brouwers, Petra Niessen, Isabel Ferreira, Toshio Miyata, Peter Scheffer, Tom Teerlink, Patrick Schrauwen, Michael Brownlee, Coen D. Stehouwer, Casper Schalkwijk

Faculty of Science, Medicine and Health - Papers: part A

The reactive advanced glycation end product (AGE) precursor methylglyoxal (MGO) and MGO-derived AGEs are associated with diabetic vascular complications and also with an increase in oxidative stress. Glyoxalase-I (GLO-I) transgenic rats were used to explore whether overexpression of this MGO detoxifying enzyme reduces levels of AGEs and oxidative stress in a rat model of diabetes. Rats were made diabetic with streptozotocin, and after 12 weeks, plasma and multiple tissues were isolated for analysis of AGEs, carbonyl stress, and oxidative stress. GLO-I activity was significantly elevated in multiple tissues of all transge nic rats compared with wild-type (WT) littermates. Streptozotocin treatment …

Development Of An Hiv Prevention And Life Skills Program For Spanish Speaking Gay And Bisexual Newcomers, Barry D. Adam, Gerardo Betancourt, Angel A. Serrano Sanchez

Sociology, Anthropology, and Criminology Publications

This paper reports on the creation, implementation, and evaluation of a life skills and HIV prevention program for Spanish-speaking gay, bisexual, and other men who have sex with men (MSM) who are within three years of arrival in Canada. The Mano en Mano program consists of an initial day-long session followed by four two-hour evening sessions addressing HIV prevention, social isolation, social service, and migration issues. Evaluation showed a significant shift toward safer sex practice and decreased sense of social isolation as expressed in exit interviews. The Mano en Mano intervention shows movement in the right direction in HIV prevention …

Epistemic Fault Lines In Biomedical And Social Approaches To Hiv Prevention, Barry D. Adam

Barry D Adam

This paper raises the question of how knowledge creation is organized in the area of HIV prevention and how this concatenation of expertise, resources, at-risk people and viruses shapes the knowledge used to impede the epidemic. It also seeks to trouble the discourses of biomedical pre-eminence in the fi eld of HIV prevention by examining the claim for treatment as prevention, looking at evidence constructed through the biomedical frame and through the lens of the sociology of science. These questions lie within a larger socio-historical context of lagging worldwide attention and funding to prevention in the HIV area and, in …

A P4p Model For Increased Utilization Of Maternal, Newborn And Child Health Services In Bangladesh, Md. Noorunnabi Talukder, Ubaidur Rob, Laila Rahman, Ismat Ara Hena, A.K.M. Zafar Ullah Khan

Reproductive Health

In Bangladesh, maternal health programs are not yet reaching the desired level of facility-based obstetric care service. Most deliveries are conducted by untrained persons at home, demonstrating inequity in access to recommended maternal health care services and underutilization of existing obstetric and newborn care services. Suboptimal performance by providers is a key barrier to improving availability and quality of maternal, newborn, and child health (MNCH) services. To increase use of facility-based services, an operations research study of “pay-for-performance” (P4P) incentives for providers and subsidization of consumer costs was initiated in 2010. The study, part of the Government of Bangladesh–United Nations …

Addressing Sexual Violence And Hiv Risk Among Married Adolescent Girls In Rural Nyanza, Kenya, Chi-Chi Undie

Poverty, Gender, and Youth

Married adolescent girls form a large segment of Kenyan youth, yet they are largely overlooked by researchers and program managers concerned with the lives of adolescents. In settings such as Nyanza Province, Kenya, rates of HIV infection are extremely high, and evidence is increasing in some settings that girls who are married are much more likely to be infected, compared with their unmarried sexually active counterparts. Research indicates that the risk of HIV infection following forced sex is likely higher than following consensual sex. Finding ways to tackle sexual violence and HIV infection simultaneously has therefore become a major public …

Education During Humanitarian Emergencies: The Situation Of Displaced Children And Youth In Darfur, Sudan, Safaa El-Kogali

Poverty, Gender, and Youth

More than 39 million children and youth who live in conflict-affected fragile states do not have access to education. With an increase in the average duration of refugee displacement from 9 years in the early 1990s to 17 years today, whole generations of children have little chance to recoup the potential educational investment lost during their years living in the midst of a humanitarian emergency. The Population Council and the Women’s Refugee Commission launched a research project to identify the link between education and children’s protection and well-being in Darfur, Sudan. The objective was to document the educational environment in …

Investigating School Quality And Learning Outcomes Among Adolescents In Malawi, Christine A. Kelly

Poverty, Gender, and Youth

Education, particularly at the primary level, has long been regarded as an essential input of social and economic development. In addition to its role in increasing the cognitive abilities of students, schooling is recognized as a facilitator of labor force participation, female empowerment, improved health outcomes, and greater civic engagement. As one of the early pioneers in sub-Saharan Africa of free primary education, Malawi’s enrollment figures compare favorably with those of its neighbors in southern Africa. However, as noted in Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 34, primary school completion rates stand at just 35 percent, …

Addressing Sexual And Gender-Based Violence (Sgbv) Against Adolescent Girls, Sajeda Amin, Althea D. Anderson

Poverty, Gender, and Youth

The Population Council’s extensive work on adolescent safe spaces and livelihoods programs has demonstrated the pathways of empowering adolescent girls and the substantial benefits for society. Monitoring and evaluation data from these initiatives have produced empirical evidence about threats to girls’ health and well-being that relate to both longstanding and emergent social forces. In developing countries, where the risk of adverse sexual and reproductive health outcomes is high and young girls are at high risk, it is important to address issues related to sexual and gender-based violence (SGBV) and gender norms that relate to these risks. The Council’s work with …

Les Programmes De Lutte Contre Le Mariage Des Enfants : Cerner Le Problème, Sajeda Amin

Poverty, Gender, and Youth

L'élimination du mariage des enfants est à l'ordre du jour des Nations unies et des pays individuels depuis fort longtemps. En effet, tous les pays où le mariage des enfants se produit sont signataires de chartes et pactes internationaux qui en découragent la pratique. Malgré ces accords, le mariage avant l’âge de 18 ans persiste et souvent sans le consentement de la jeune mariée. Les chercheurs du Population Council ont pour objectif d’empêcher le mariage des enfants et de soutenir les filles mariées dans plusieurs pays, dont le Bangladesh, le Burkina Faso, l’Égypte, l’Éthiopie, le Guatemala, l’Inde, le Kenya, le …

Pilotage D'Un Programme Visant À Sécuriser L'Espace Et À Renforcer Les Ressources Des Adolescentes Vivant Dans Les Zones Urbaines Du Ghana, Sarah Engebretsen, Selina F. Esantsi

Poverty, Gender, and Youth

La population du Ghana compte 24 millions d’habitants et devrait atteindre 31,8 millions d’habitants en 2025. Cette croissance démographique va de pair avec l’urbanisation rapide. Les adolescentes qui vivent en milieu urbain connaissent rapidement une diminution du taux de scolarisation, souvent parce qu'elles doivent apporter un soutien économique à leur familles. Les filles qui vivent à l’écart de leur famille et qui ne sont pas scolarisées sont souvent dépourvues de réseaux sociaux et ont peu d'occasions d’adquérir des compétences nécessaires à la vie adulte. Le Population Council dispose d’un portefeuille mondial d’activités consacrées aux adolescentes vulnérables avec des programmes qui …

Provider-Related Barriers To Accessing Emergency Contraception In Developing Countries: A Literature Review, Katherine Williams

Reproductive Health

This systematic literature review aims to identify and describe existing provider-related barriers to accessing emergency contraception (EC) in developing countries, as well as the prevalence of these barriers and documented research programs to address them. Findings from this review will contribute to specific recommendations on provider attitudes and behaviors related to emergency contraception and inform the development of a global advocacy strategy to increase access to the method.

Qualities And Characteristics Appropriate For Teaching Clinical Skills, Leeanne Heaton

Faculty of Science, Medicine and Health - Papers: part A

Abstract of a poster.

Clinical Skills Or Simulation?, Leeanne Heaton

Faculty of Science, Medicine and Health - Papers: part A

Abstract of a presentation that was presented at 4th International Clinical Skills Conference: Showcasing Innovation and Evidenced Based Clinical Skills Education and Practice, 22-25 May, 2011, Prato, Tuscany.

Potential Control Of Risperidone-Related Cognitive Deficits By Adjunctive Aripiprazole Treatment, Chang-Hua Hu, Nagesh Pai, Xu-Feng Huang, Chao Deng

Faculty of Science, Medicine and Health - Papers: part A

We have read with great interest Uchida and colleagues’ paper in your journal (2009; 29: 571–576), which reported that a high dosage of risperidone had a negative impact on cognition in older patients with schizophrenia. This finding is consistent with that of a previous study of a younger patient group showing that schizophrenia patients under high antipsychotic dosage have poor cognitive function performance....

Evaluation Of A Practice Development Programme: The Emergence Of The Teamwork, Learning And Change Model, Valerie J. Wilson

Faculty of Science, Medicine and Health - Papers: part A

Aim: The purpose of this paper is to present a model developed from the evaluation outcomes of a practice development programme in a special care nursery.

Background: A family-centred philosophy of care, where parents are viewed as integral partners in their care of their child, is central to paediatric nursing practice. Whilst nurses understand and subscribe to the notion of family-centred care they seem unable to achieve the principles in practice. It was thought that the implementation of a practice development programme with a focus on family-centred care might enable staff in the special care nursery to overcome …

The Relationship Between Depression And Cognitive Deterioration In Older Adults, Rakesh Chand

Walden Dissertations and Doctoral Studies

The population structure of the United States is changing; the older age group is increasing in size relative to the younger generation. The trend is expected to continue, especially starting in 2020, when the baby boomer population---estimated at 80 million---will be reaching their 65 th birthday, a time associated with increasing health complications, including depression and dementia. The study employed a holistic paradigm as the conceptual framework to examine the association between depression and dementia in older adults, and generated a grounded theory to illuminate the relationship between depression and dementia. This theory was then used to assess the efficacy …

A Case Study Of Primary Healthcare Services In Isu, Nigeria, Raymond Ogu. Chimezie

Walden Dissertations and Doctoral Studies

Access to primary medical care and prevention services in Nigeria is limited, especially in rural areas, despite national and international efforts to improve health service delivery. Using a conceptual framework developed by Penchansky and Thomas, this case study explored the perceptions of community residents and healthcare providers regarding residents' access to primary healthcare services in the rural area of Isu. Using a community-based research approach, semistructured interviews and focus groups were conducted with 27 participants, including government healthcare administrators, nurses and midwives, traditional healers, and residents. Data were analyzed using Colaizzi's 7-step method for qualitative data analysis. Key findings included …

The Relationship Between Emotional Intelligence And Literacy Achievement Of Secondary Students, David P. Jones

Walden Dissertations and Doctoral Studies

Proficiency in language arts and communication skills is essential to success in the global workforce. Most states assess students in language arts literacy (LAL) through standardized tests that assess a student's ability to read, interpret literature, and write expressively. Although educational reformers strive to improve the foundations that prepare students in literacy, reforms have not fully incorporated the theory of emotional intelligence (EI), which explains a student's ability to use, understand, perceive, and manage their emotions in order to think critically, make decisions, and solve problems. Although it is not known whether EI directly correlates to literacy, emotional skills are …

Spirituality And Depression In Parents With Children In Oncology Or Hematology Treatment, Kurt D. Soell

Walden Dissertations and Doctoral Studies

The psychological burden of cancer treatment affects not only child patients but also their parents. There is extensive literature on the positive influence of spirituality on the cancer patient. But there is a gap in the literature on the potential healing influence of spirituality on the parent of the cancer or hematology patient. The purpose of this study was to examine the relationship between spirituality and parents' levels of depression and anxiety during their child's hematological or oncology treatment. Using the transtheoretical model of change, a purposive sample of 48 parents of children undergoing cancer or hematology treatment completed a …

The Effects Of An Integrated Health And Physical Education Program On Student Achievement, Myralynn B. Catchings

Walden Dissertations and Doctoral Studies

In recent years, several schools have addressed the No Child Left Behind (NCLB) Act of 2001 by focusing on promoting skill acquisition in reading and math, often overlooking physical education (PE) as a significant part of a child's education. The purpose of this causal-comparative study was to evaluate the effectiveness of an integrated health and physical education (HPE) program on student achievement. This study was grounded in action-based learning theories. The research question examined differences in posttest scores, adjusted for pretest differences, from 204 freshman students enrolled in a Biology-1 class at an urban high school. Students in Group A …

Resilience As A Protective Factor Against Compassion Fatigue In Trauma Therapists, Daniel P. David

Walden Dissertations and Doctoral Studies

Many adults in the United States experience posttraumatic stress disorder (PTSD) within their lifetimes. Researchers have identified compassion fatigue (CF), which debilitates mental health providers as a result of being exposed to their clients' traumatic experiences, as an occupational hazard. The purpose of this study was to examine whether a correlation exists between the presence of CF and the level of resilience. A confidential survey using the Connors-Davidson Resilience Scale, the Professional Quality of Life Scale Version 5, and a demographic questionnaire were given to graduate-level mental health clinicians who self-identified as routinely working with and/or treating trauma victims in …

Memory And Language: Evidence Of Relationships From Three Studies Of School-Age Children, Michele A. Anderson

Dissertations

The purpose of this three-paper dissertation was to explore the relationship between performance on verbal memory and language assessment tasks in school-age children. Study one used data from whole-class administration of three language assessment tasks to 2nd, 4th, 6th, and 9th graders (N= 187). Studies two and three used data from individualized administration of language assessment and verbal memory tasks to comparable samples of children between the ages of 6 and 18 years with typical language (TL) and language impairment (LI) (n = 37 per group).

The first study addressed practical and theoretical questions regarding memory and language demands of …

Evaluation Of Verbal Behavior In Older Adults, Amy Gross

Dissertations

Older adults make up a large and increasing portion of the population (U.S. apply those assessments to the evaluation of verbal behavior in older adults with and without dementia. The research addressed two questions. First, in what way do verbal behavior problems differ between older adults with and without dementia? Second, does language deteriorate in a pattern compatible with Skinner's analysis of functionally independent verbal operants? Thirty-one participants were categorized into Control (n=15) and Dementia (n=16) Groups based on their score on the Dementia Rating Scale-2. Verbal behavior assessments were administered to participants on two occasions, separated by one week. …

Exploring The Well-Being Of Foster Children Of Parents With Substance Abuse Problems In Family Dependency Treatment Courts, Barbara M. Howes

Dissertations

The aim of this three-paper format dissertation is to explore how the well-being of foster children of parents with substance abuse problems is defined and promoted through Family Dependency Treatment Courts (FDTC) within the context of the Adoption and Safe Families Act (ASFA). The benefit to the author of the three-paper method is the task of submitting the findings of the study for publication is eased as the dissertation contains three stand-alone articles. A drawback for the reader of the three paper method is that there is redundancy in reading the same sections in each paper. The reader is encouraged …

The Picture Exchange Communication System: Digital Photographs Versus Picture Symbols, Carmen Jonaitis

Dissertations

The Picture Exchange Communication System (PECS) is an augmentative and alternative system (AAC) used to improve and increase communication for children with Autism Spectrum Disorder (ASD) and other developmental disorders. Research addressing the efficacy of this system is increasing; however, there is limited information published that evaluates the picture type used for PECS instruction. A single-subject alternating treatments design was used to examine the role of iconicity, or how closely a symbol resembles its referent, in the acquisition of picture discrimination in the third phase of PECS. The purpose of this study was to compare how well children were able …

Sector-Switching In Transition Economies: A Case Study Of Kazakhstan's Health Care Sector, Dariga Chukmaitova

CGU Theses & Dissertations

The dissertation examines the economic and behavioral factors influencing 'sector-switching' in Kazakhstan's health care industry. Sector-switching involves doctors moving from the national to the private system, which is not well established, thereby raising questions about why the switch occurs. It addresses the question: why health care professionals in Kazakhstan switch from the public sector to similar jobs in the private or nonprofit sectors? This study addresses a key issue in public management (sector switching) and also offers insights into the dynamics of the transition from a centralized economy to a market economy. As such, its findings have `real-world' applications beyond …

Work-Family Boundary Management Strategies: Examining Outcomes, And The Role Of Fit, Madhura Chakrabarti

Wayne State University Dissertations

As more and more people attempt to effectively manage the simultaneous demands of work and family, researchers are now trying to investigate the various ways by which people choose to do so. The present study investigated the concept of boundary management strategies that describes the work-family interface in terms of cognitive, physical, and behavioral boundaries between work and family domains that individuals actively try to manage in order to balance the two worlds. Research in boundary management strategies has been minimal due to the the novelty of the construct. In this study, specific individual and organizational outcomes like work-family conflict, …

Graduate Online Bulletin, 2011-2012 (2011), Minnesota State University Moorhead

Graduate Bulletins (Catalogs)

No abstract provided.