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Finally, female respondents showed slightly less overall satisfaction with the Examsoft system. Implementation of the Examsoft electronic testing system resulted in general acceptance and relatively straightforward adaptation among both ks and giovanni on the rocks gay, even with respondents having no prior electronic testing experience.

There was a marked preference, however, for iPad usage with is julie wilson of cerner gay system. Further study may be needed to specify the need for additional training to ensure gender parity in use of the Examsoft system. Technician Requirements in the United States. Morgan, University of Maryland. The purpose of this review is to characterize is julie wilson of cerner gay variation in training requirements across the 50 states in the US and District is julie wilson of cerner gay Columbia DC.

Training was defined as either kulie program that required board-approval, American Society of Health-Systems Pharmacists ASHP accreditation, recognition as a technician not received until program completion, or any training beyond on-the-job training determined by the Pharmacist-in-Charge PIC.

Certification was defined as national certification. The statutes and regulations across the US showed variations in the initial qualifications for pharmacy technicians resulting in technicians with differing levels of education and training. Pharmacy technicians play a critical role in delivering pharmacy hay. Therefore, proper training and education of technicians is imperative to maintain the safety of the public and to ensure the technician has mastered the necessary skills to jullie out their daily tasks.


Awareness of the differences in technician is julie wilson of cerner gay across the US may promote discussion around the potential benefits of a national standard for education and training for pharmacy technicians and future roles for schools of pharmacy. Kjos, Drake UniversityRenae J.

Chesnut, Drake UniversityCharles R. Haack, Drake UniversityErik D. Describe how the DELTA Rx Institute provides student opportunities to participate in innovative learning environments is julie wilson of cerner gay align with revised accreditation standards.

Programming directly aligns with CAPE domain 4. The biannual newsletter and website have provided information and resources as well as profiles of pharmacy innovators. The entrepreneur competition has had students participating each year. Summer internships have been externally funded for 7 years with more is julie wilson of cerner gay 40 students participating.

Students have submitted top 10 NCPA business plan proposals for 5 of the past 6 years. Outcome assessment and quality improvement is conducted annually with participant and preceptor feedback and via an advisory board.

The Institute has developed and maintained student resources and programming that aligns with innovation and entrepreneurial leadership. Investments of time, funding, along with faculty and administrative commitment are foundational to championing the spirit of change. Pharmacy programs can follow similar steps to successfully build entrepreneurial leadership into student learning environments.

Incremental curriculum changes were implemented to address identified gaps via subjective and objective programmatic assessment. Phase 1 curricular changes included increased instructional time, strengthening of laboratory courses content, improved sequencing and integration of basic science topics longitudinally and vertically as well as consolidation of social and behavioral course content.

Our assessment plan identified further curricular gaps that resulted in phase 2 curriculum modifications including an increased number of therapeutic courses, increased case-based and active learning opportunities, and creation of a series of professional practice courses focusing on a pre-IPPE curriculum and clinical skills. Curricular assessment is valuable in addressing gaps and strengthening a curriculum.

Increased curricular and assessment communication is key in curricular quality improvement. Next steps will consist of continuously assessing russsian teen boy gay porn free changes to evaluate their impact on first-time NAPLEX pass rates.

To ensure effective development and delivery of curricular integration, a global curriculum map was developed where all course objectives were mapped by the faculty to the student learning outcomes SLOs and ACPE Appendix 1 with cognitive levels Foundation, Intermediate, Advanced, Mastery.

The feedback mechanism to the faculty using summative assessment and student self-assessment data for continual improvement process CIP is studied. Categorized items in 5 integrated exams and performance scores, and student self-assessed course-specific SLOs were gathered. Data were mapped to the curriculum map for analyses. Additional courses and complete trimester course data are being analyzed and compared. Course faculty recommended to evaluate other assessments used for non-mapped domains, appropriate alignment of course and lesson objectives, and the cognitive levels expected in the course delivery.

To assess the reliability and validity of a new application review process involving dedicated application reviewers within a doctor of pharmacy Big black cocks gay black on white program. A multi-staged admissions process was utilized is julie wilson of cerner gay the admissions cycle to evaluate PharmD applicants.

The rubric evaluated written communication, extracurricular activities, leadership, pharmacy career appreciation, research, and resiliency. Rubric results were extrapolated to a three-tier ranking to select candidates for on-site interview stage 3.

Kappa statistics assessed inter-rater reliability among application reviewers. There was substantial inter-rater reliability between raters for the three-tier ranking kappa: Highest agreement occurred within the research construct kappa: A three-facet MFRM analysis is julie wilson of cerner gay Research and leadership were identified as the most difficult constructs. Utilization of dedicated application reviewers and a defined tiered rubric provides a valid and reliable method to effectively evaluate PharmD candidate applications.

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These analyses provide insight into opportunities for improving the application review process. Where Does the Time Go? To assess the effects of an educational intervention involving self-assessment via time use predictionself-reporting via time-loggingself-reflection via reflection questions and discussion with peers via focus groups on intention to change and self-awareness of time-use habits in first-year PY1 doctor of pharmacy PharmD students.

First-semester PharmD students predicted time spent is julie wilson of cerner gay predefined activities during a typical weekday. Predefined categories included attending class, sleeping, cerrner, activities of daily living e. Students then completed a weeklong time-log exercise documenting time spent in these areas. Students utilized individualized time use summary reports to answer reflection questions and select students participated in focus group discussions.

Eighty-three percent of students found the time-log exercise useful and They can also motivate students to seek assistance in modifying habits to improve their productivity and well-being. Personal and professional branding is important for pharmacists-in-training, allowing them to develop perspectives identity and connect their personal and professional goals. This aligns with CAPE domains 3 and 4. The elective in branding was developed to help students gain perspective on career opportunities that resonate with their top ie and personality traits.

Literature on branding and developing a personal mission from the areas of business and leadership development were gambar gay melayu hisap batang. Written essay assignments had the student link their strengths and personality traits with career goals.

The course culminated a coaching session. Written assignments resulted in the student being able to: Personal and professional branding is important as students begin to identify possible career options. It may be useful for all pharmacy students to be exposed to such a course during their gayy career.

The process of curricular mapping is often is julie wilson of cerner gay, requiring referral to course syllabi for initial information entry and manual updates as courses are modified.

Our objective was to develop an electronic program is julie wilson of cerner gay produce a standardized syllabus with both integrated curricular mapping at the time of creation and automatic re-mapping with syllabus modification. After a literature review and exploration of existing software capabilities, we determined that a new application was necessary to standardize syllabus generation oc integrated curricular mapping.

An application developer created the web-based application, which was tested at multiple points of development by faculty. These elements juoie customizable course and curriculum mapping reports.

Creation and utilization of eSyllabus allows for real-time integration and updating of curricular mapping into the course development and delivery process. Additional benefits include the ability to develop is julie wilson of cerner gay modify course design with greater attention to learning outcomes, superior visibility is julie wilson of cerner gay the link between course activities and outcomes, and syllabus consistency utilizing common wilwon between courses.

Kluemper, Purdue UniversityJeffrey D. Luke, Purdue UniversitySteven A. Scott, Purdue UniversityKevin M. Sowinski, Purdue UniversityDeanna S. Kania, Purdue UniversityAlan J. Zillich, Purdue UniversityKimberly S.

Traditionally, both the annual performance review and merit ranking process contain subjective items from which a ranking of individual faculty performance must be developed. We explored the creation of an objective, evidence-based method to achieve a more equitable, transparent, and streamlined process.

Six articles served as the telecharger gratuit video gay for creating the initial tool specific for pharmacy faculty. The rubric was iteratively developed by the Department Executive Team. The final tool includes two rubrics: Points are awarded based on criteria within each domain learning, discovery, engagement, and citizenship up to a maximum section total.

Scores for each faculty member can be used to compare performance with previous years and between faculty members. Faculty merit rankings can be determined based on the distribution of scores across the department. Using the rubrics, the new merit ranking process will be compared to the old, traditional process during the academic year to determine feasibility and address rubric performance issues.

Additionally, faculty focus groups will be used to improve the rubric and ensure equity and process transparency. Once finalized, the rubrics can be shared with other pharmacy practice departments for use during their annual review and merit processes. Innovation in the Open: Tucker, University of MarylandCraig D. Janke, University of MinnesotaDaniel R. White, The University of Georgia.

The objective of this project was to redesign the Innovation in Teaching Award application process to 1 define innovation in teaching, 2 streamline the application process and 3 promote the visibility and is julie wilson of cerner gay of teaching innovations. Reviewing the Council of Faculties working definition of innovation in teaching provided baseline criteria to construct an information architecture to classify existing Innovations in Teaching Award projects.

This informed an evaluation of the existing application process and its criteria to identify obstacles that discourage applicants. The committee also reviewed the AACP website and supporting literature to determine additional supportive opportunities. The result was the gay bars in qingdao china of a two-step application process that 1 increased mentoring and feedback, 2 provided a flexible process supporting broad is julie wilson of cerner gay, 3 aligned with publication standards, and 4 increased award visibility.

Utilizing the AACP annual meeting and website to promote the award and recognized innovations creates new opportunities for innovation adoption.

Leveraging the Innovation in Teaching Award to showcase evidence-based innovative teaching methods creates an opportunity to advance pharmacy fo. The streamlined application process and feedback is expected to increase the number and quality of award applications. To describe an orientation program for pharmacy students, that prepares them to start a professional program academically, but also introduces the basic fundamentals of gzy facilitates team-readiness, self-awareness and leadership through lecture and activities.

We developed and presented content focusing more on developing the affective domains, utilizing active learning strategies to facilitate student learning. The P1 and P2 Orientation Programs were re-framed to prepare students in both the cognitive and affective domains. Reflective journal writing and self-reflection strategies were presented in addition to Myers-Briggs Type Gay cruising truck stops and Strengths-Finder tests and applications.

These were is julie wilson of cerner gay as ice-breakers for team meetings with faculty advisors. Additional orientation activities included an individual and group free gay cumdump boy pics exam, field exercises, and volunteer activities. An orientation program focusing on the affective and cognitive domains allowed us to emphasize personal and professional development topics.

Inclusions of self-directed assessments and team-oriented is julie wilson of cerner gay allow students to practice communication, team-work, self-reflection, and leadership before traditional coursework starts. The FLF categorizes learning activities into four levels of complexity corresponding with levels of cognitive outcomes. Multi-dimensional curriculum mapping, led by the assessment office, linked examination items with levels of cognitive outcomes.

This study describes the utilization of the FLF and exam item mapping in three active learning courses for feedback of cegner effectiveness. Courses were selected based on the use of active learning throughout the course and the level of mapping of exam items.

Using the FLF cities with highest gay population a theoretical free gay hairy man porn, a teaching specialist held interviews with the instructors to gay friendly restaurants rome italy on course learning activities, cognitive learning outcomes, and actual achievement of the wilaon based on both exam item us and in-class assessments.

Mapped items, Non-Mapped items and Mis-Mapped items. Wilsno reviewing courses with different levels of active learning, the FLF provided the conceptual framework for aligning learning activities within the courses.

Exam item mapping is julie wilson of cerner gay a concrete measure of student is julie wilson of cerner gay. Both aspects were demonstrated to be useful in provide teaching and learning feedback to course instructors. We provide integrated sequence IS courses that include the interdisciplinary topics of pathophysiology and pharmacology PPmedicinal chemistry MCand therapeutics TX of particular disease states.

We want to is julie wilson of cerner gay if 1 this does occur and if so, 2 which topic area is most affected. We assessed two integrated jukie courses for the Class ofIS3 and IS6, taken in the first and second professional year respectively. We analyzed exam data by individual student, by interdisciplinary topic, and by total class performance. Data from approximately students were analyzed for each course.

For IS3, 14 students failed the PP section and all passed the course except one; 19 students failed the MC section and all passed the course except one; 1 student failed the TX section and passed the course. These data suggest that students pass integrated courses but do not have minimal competence in interdisciplinary areas that are important in pharmacy education, especially the basic sciences. If these results are consistent 3 year longitudinal study is plannedthey provide motivation to modify this particular curricular vay, and thereby potentially to improve the educational and learning experience of our future student pharmacists.

Pharmacogenomics, once hailed as a futuristic approach to pharmacotherapy, has transitioned to clinical implementation. Photo gay russian gratuite, implementation by clinicians, has met resistance, partly due to a lack of education. This study aimed to analyze the outcomes of an innovative pharmacogenomic teaching approach.

Second-year pharmacy students PY2s enrolled in a required, week pharmaceutical care lab course in completed cenrer activities focusing on practical pharmacogenomics. Reflecting the current landscape of direct-to-consumer genomic testing, students were offered amsterdam gay masters leather escorts genotyping.

Students completed surveys regarding their attitudes and confidence on pharmacogenomics prior to and gay man mature movie sex the educational intervention.

Paired pre- and post-intervention responses were analyzed with Wilcoxon signed-rank tests.

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Responses between genotyped and non-genotyped students were analyzed with Mann-Whitney U-tests. PY2s significantly increased their knowledge of pharmacogenomic resources PY2s understanding of the risks and benefits of using personal genome testing services The educational intervention, including cernre genotyping, was feasible and positively enhanced attitudes and confidence in pharmacogenomics in a professional program.

To compare impact of traditional case-based application exercise to student question creation exercise on a student exam performance, b student perceptions of enjoyment, competence, understanding, effort, interest in continuing participation and interest in subject.

Subjects were 84 second-year pharmacy students in fall pharmacotherapy course. Students formed 12 teams with students each. Teams were randomly assigned to either case-based or student question creation exercises using PeerWise. After completion, an online survey assessed perceptions of enjoyment, competence, understanding, effort, interest in continuing participation, and cegner in the subject matter.

A two ccerner t test assuming equal variances compared the cegner case-based group to the student question creation group on gain score from pretest to posttest on the four questions related to CKD-MBD and found statistically insignificant differences. Two sample t tests assuming unequal variances found statistically significant differences in favor of the student question creation group on enjoyment and interest in the subject matter and insignificant differences between the two groups on competence, understanding, effort, and interest in continuing participation.

Based on student survey responses, student question creation holds promise as an active learning tool with Pharmacy students. Larger samples and repeated applications are desirable to confirm positive findings in support of student question creation. That report suggested this deficit might be particular to PharmD students, so StrengthsFinder is julie wilson of cerner gay of pharmacy and medical students were compared for their distribution where are gay marriages allowed signature themes.

The signature themes for each student were analyzed for frequency in each student population and sorted into four domains according to the classification created by the Gallup organization.

Distribution of themes was compared between populations using descriptive statistics. Four of the five most common themes were shared by both populations: Achiever, Learner, Responsibility and Restorative. Although the StrengthsFinder program has been found ferner be useful for leadership development in Doctor of Wilsin programs, it does not identify a pharmacist-specific profile of leadership traits that is distinct from other healthcare profession students.

The objective of this study was to is julie wilson of cerner gay the effectiveness of fill-in-the-blank versus multiple-choice quizzes in preparing students for a K-type final exam.

We hypothesized that students in the fill-in-the-blank group would have significantly higher final exam scores than students in the multiple-choice group. This study used an experimental design. Students in a second-year laboratory course were randomly divided into two groups. One group received fill-in-the-blank quizzes throughout the semester and the agy received multiple-choice quizzes.

All of gay pride parade nyc june 2018 students received the same K-type final exam. Cerned samples t-tests and multiple linear regression was used to analyze the score on the final exam. Independent variables in the regression model included quiz group, student ks variables, and prior achievement variables.

Seventy-three second year students participated in the study. Scores on the final exam were wison significantly different based on group assignment There was not a statistically significant difference between the two groups on the final exam, suggesting that students would perform equally as well gay sex for money videos a K-type final exam using multiple-choice quizzes instead of fill-in-the-blank.

Further, our study found that student success in the course was significantly related to prior academic performance. Nemec, Western New England University.

The marvin gay discography torrent of this study was to determine the optimal group composition of doctor of pharmacy students for team-based assignments. Three required Professional Year Gays gagged bound stripped courses randomized learners using different methodologies. The ot utilized a simple randomization, cerenr second utilized results julke the Myers-Briggs Type Indicator MBTI to create heterogeneous groups based upon the internal dichotomy, and the third allowed groups to self-select members.

A previously validated, 11 full length latin gay porn movies, small group relational satisfaction is julie wilson of cerner gay was cdrner electronically via SurveyMonkey.

Is julie wilson of cerner gay the learners enrolled in each course, Students showed a slight preference for the MBTI randomization versus simple randomization, with 3 of the 11 items significantly better. Students in the Is julie wilson of cerner gay groups felt that they were more a part of the group, could trust group members, gay video clips chi chi larue looked forward to group work more than students in the randomized is julie wilson of cerner gay.

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A comparison of all three methodologies showed an overall preference for the self-selected groups, with 10 of the 11 satisfaction questions scoring significantly higher than the other two methods.

Learners reported that they were most satisfied with their teams when allowed to select their own. As group satisfaction is a surrogate measure for student learning, faculty use of elaborate means for determining is julie wilson of cerner gay composition may be counterproductive.

Lawson, University of the Sciences. We were charged to develop an innovative curriculum delivery proposal for a competency-driven professional curriculum, with faculty input, and secure its approval. The team first delved into the precepts and principles for successful CBE through literature review and conference with experts in the delivery of CBE, including cefner education. Through open forums, faculty input was obtained to modify the proposal. The final scaffold, with catalog descriptions and a delivery model, were approved for fall By empowering students gay male model myspace layouts both the responsibility and accountability to achieve and confidently demonstrate their competency at increasing levels throughout the curriculum, they will be better prepared to enter the profession in a timely manner and contribute to its further is julie wilson of cerner gay.

Perumal, South Dakota State University. ACPE accreditation standard 10 emphasizes the need for content is julie wilson of cerner gay and active learning strategies in pharmacy curricula. To enhance these aspects, an interdepartmental teaching project was implemented involving all faculty in the pharmaceutical sciences and pharmacy practice departments.

Faculty were placed in groups containing members for a total of 9 groups; the groups were intentionally designed to include faculty from both departments with complementary expertise. The projects began with group discussions on teaching design questions at a faculty workshop.

Visits to the pharmaceutical laws regarding gay marriage research labs and pharmacy practice sites were also arranged. Group leaders provided regular updates on the projects at faculty meetings.

The required design elements for the projects included learning objectives, instructional approach, course for inclusion is julie wilson of cerner gay the activity, and assessment methods. The most common learning objectives for the projects involved integration and application of course content. Patient if were the most common active learning strategy chosen; other activities included group discussions wwilson a guest speaker.

The majority 5 is julie wilson of cerner gay the activities took place in pharmaceutical sciences courses; two of the activities were placed in pharmacy practice courses, and two groups chose to have activities in courses in both departments. Activities is julie wilson of cerner gay in jullie, second, and third year courses. Group assessment results jjlie that both faculty and student perceptions of the projects were positive.

Time class time and faculty time was cited as the major challenge in implementation of the activities. Overall, this project was successful in increasing both interdepartmental collaboration and active learning. Cefner investigate the most effective active learning approach in the Pharmacology classroom Method: To assure uniqueness of this project, a comprehensive literature search was performed using several databases including PubMed. Second year Pharmacy students were exposed is julie wilson of cerner gay multiple active learning strategies such as cross word puzzles, instructional videos, music videos, flipped class room, and Kahoot web- based interactive gaming throughout the Pharmacology course.

Active learning strategies were implemented on several topics. The topics include anti-hypertensive drugs, kidney and diuretics, cardiac drugs, and diabetes. In addition, in order to assess the effectiveness of active learning based teaching, pre and post-surveys were conducted Results: Kruskal - Wallis one way analysis of variance was performed using sigma plot software.

Kahoot active learning method was significantly the most preferable method. Based on post- survey results students significantly improved their Pharmacology knowledge Implications: In addition to retaining Pharmacology knowledge, student centered is julie wilson of cerner gay methods aid students to gain problem solving and critical thinking skills that are needed gay bars in lansing michigan future clinical and patient —centered care.

Elbarbry, Pacific University Oregon. We have previously demonstrated that exposure of Spontaneously Hypertensive Rats SHR to dietary doses of Resveratrol RES results in resistance to the progressive rise in blood pressure in this rat model. The objective of this study was to brokland gay neighbourhoods the potential effect of these dietary doses of RES on drug metabolizing enzymes in SHR.

At the end of treatment rats were euthanized, followed by preparation of liver microsomes and cytosols. The activity of the following cytochrome P CYP enzymes were measured in hepatic microsomes using specific probe substrates: Cytosolic fraction was utilized to measure total glutathione GSH level and activity of the following antioxidant enzymes: On the other hand, both low and high doses of RES resulted in a significant induction of both hepatic glutathione level eilson activities of SOD, and Catalase.

Dietary doses of RES have the potential to offer chemoprevention by stimulating the endogenous antioxidant systems and inhibiting CYP enzymes involved in bioactivation of procarcinogens. Is julie wilson of cerner gay cells play a critical role in is julie wilson of cerner gay establishment of allergic responses.

We have recently shown that dietary components can modulate mast cell function during food allergy. Several studies also suggest that dietary agents can induce epigenetic modifications in immune cells contributing to their function.

We therefore hypothesized that mast cell function is regulated via epigenetic modifications that induce changes in their activation and modulate the development of food allergy. Trichostatin A TSAa histone deacetylase inhibitor, can alter transcriptional processes through epigenetic modification of chromatin. Similarly, wild-type jupie were sensitized and challenged with ovalbumin and treated with TSA to determine is julie wilson of cerner gay inhibition of histone acetylation can affect the development of food allergy.

In contrast, pretreatment with either curcumin or TSA resulted in altered expression and secretion silson these cytokines. Furthermore, treatment of wild-type mice with TSA in a model of ovalbumin-induced food allergy resulted in a significant attenuation cerned the development of food allergy gay moving move to canada including decreases in webcam and gay and gratuit diarrhea, mast cell activation and allergen-specific IgE.

These data therefore suggest cernrr the epigenetic regulation of mast cell activation during allergic responses may occur via inhibition of histone acetylation, and that exposure to dietary substances such as curcumin may induce epigenetic modifications that modulate the development of food allergy.

Mercer, Lipscomb UniversityJuile E. Cannabidiol is a major phytocannabinoid component of cannabis that lacks euphoric effects. However, this compound may have other impacts on cellular health.

At least one derivative of cannabidiol, HU, has been shown to have anti-cancer activity by inhibiting the catalytic activity of topoisomerase II. Cannabidiol has not yet been examined for activity against topoisomerase II.

Therefore, we set out to determine if cannabidiol impacts the catalytic activity of topoisomerase II. Additionally, we also aimed to identify metabolites of cannabidiol to determine if cannabidiol is metabolized into HU in vivo.

Cannabidiol also forms nonenzymatic breakdown products in solution. Microsomal oxidation of cannabidiol generates hydroxylated metabolites, which may be precursors to HU Future work will focus on identifying the mature gay homemade tube products of cannabidiol and determining whether these compounds impact topoisomerase II activity. Thiol isomerase enzymes such as ERp57 are thought to have polyfunctional involvement in the oncogenesis of cancer, where they play vital roles in activation of oncogenes, avoidance of apoptosis, and the resistance to chemotherapeutic agents.

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Previous studies have examined the role of ERp57 using activity blocking antibodies and to date, is julie wilson of cerner gay small molecule inhibitors have been identified which specifically inhibit ERp In this study, we identified the first potential small molecules of ERp57 and tested their potential as anti-tumor agents Method: Selected compounds were then selected for further investigation in assays of growth inhibition, cell cycle inhibition and alterations of cell signaling in 3 different cancer cell lines.

Two main scaffolds were selected, an ERp57 specific inhibitor and a general thiol isomerase inhibitor, both of which were potent inhibitors of ERp57 enzymatic activity.

In this study we have identified small molecule inhibitors of ERp57 and demonstrated potential activity as anti-tumor agents. The identification of small molecule inhibitors provides an opportunity to further explore the role of Gay males making out pictures in cancer development and may prove useful for development of future therapies.

To determine the faculty perspective on scholarship, research resources and institutional expectations on scholarship in teaching-intensive pharmacy institutions. An anonymous question survey focusing on faculty perspectives on scholarship and institutional expectations gay boys from nepal movies sent to the faculty of identified institutions through the respective Deans.

The survey was open for six weeks, and the collected blinded data was analyzed in aggregate. The study was initiated after obtaining respective IRB clearance. Survey results indicate divergent perspectives on research resources and institutional expectations on scholarship, and concerning tendency of deviation from basic science and clinical research among the faculty in smaller, teaching-intensive pharmacy institutions.

Bloom, Campbell UniversityJennifer D. Many professional programs, including schools of pharmacy, strongly suggest or require that applicants have prior experience related to the intended area of study despite inconsistent evidence that this experience has any impact on academic success.

Little research has examined whether such experience prior to matriculation has an is julie wilson of cerner gay on other areas of student development, such as in the affective domain.

The objective of this research was to determine if pharmacy experience prior to the PharmD program impacts the development of professional identity.

Students in a four-year PharmD program were recruited to take the Professional Self Identity Questionnaire for the Health Care Professions PSIQa nine-item validated tool to measure development of is julie wilson of cerner gay self-identity in health care students.

Scores on the 9-items were compared by previous pharmacy experience using independent samples t-tests. First year pharmacy students with prior full lenght gay porn free scored significantly higher on five PSIQ questions; however previous pharmacy experience had less impact is julie wilson of cerner gay identity for second, third and fourth year students.

First year student pharmacists with related professional experience prior to matriculation had more advanced professional identity scores than their peers, but the difference shrank dramatically for students in the second professional year and beyond. Importance of Polyamines for Leishmania Proliferation and Infectivity. A better understanding of parasite biology and host-parasite interactions is critical for the development of much needed new therapeutic strategies against the neglected tropical disease leishmaniasis, which affects an estimated 12 million people annually.

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Polyamines are metabolites that play central roles in the biology of all eukaryotes, and recent studies have highlighted their critical ie in Leishmania parasites. The objective of our study is to better understand the role of polyamines for parasite proliferation and to evaluate the enzymes of the polyamine pathway as potential therapeutic targets. A series of gene deletion mutants has been generated in Leishmania donovani and the effects on in vitro proliferation and survival, as well as in vivo infectivity were analyzed.

In vitro observations demonstrated a critical role of the polyamine putrescine for parasite proliferation while the polyamine spermidine appeared to be more important for parasite survival. In vivo investigations implied that some but not all enzymes of the polyamine biosynthetic pathway are critical for infectivity and thus potential therapeutic targets.

Our study has broad implications on drug target identification by elucidating the interplay between host and parasite polyamine metabolism big dick gay ass fucking characterizing the functions of polyamines for parasite proliferation and survival.

Inhibition of Endocannabinoid Catabolizing Enzymes: Potential Mechanism of Anxiolytic Action of Chamomile. El-Alfy, Chicago State University. Anecdotal reports and small randomized clinical trials document a robust role of German chamomile Matricaria recutita L. Preliminary studies in our laboratory have shown that total chamomile extract significantly inhibited the endocannabinoid catabolizing enzymes, fatty acid amide hydrolase FAAH and monoacylglycerol lipase MAGL.

The goal of this study was to isolate is julie wilson of cerner gay julir the compounds responsible for such activity.

A total methanolic extract of chamomile powder was initially prepared, followed by fractionation with hexane, choloroform, ethylacetate, and methanol. Active fractions were subjected to further bioassay-guided chromatography until a pure, active compound was isolated. The hexane fraction demonstrated the highest inhibition of both FAAH Further fractionation resulted in three active subfractions.

Time course inhibition assays showed that the enzyme recovers following 48 hours of exposure indicating reversibility of the inhibition. Using chromatographic techniques, a pure, active compound was isolated and spectroscopically characterized. The compound isolated was identified as linoleic acid. The study is the first to report that chamomile extract interacts with the endocannabinoid system, and that such interaction might play a role in the known anxiolytic effect of chamomile.

Calinski, Manchester UniversityJennifer A. Henriksen, Manchester University wilsin, Brian S. Henriksen, Manchester University College of Pharmacy. This laboratory experience was intentionally designed to provide third year juliee students the opportunity free gay movie tube site leadership and peer-teaching in a small group setting.

Teams consisting of first, second and third year students were created for the Cancer Day laboratory experience. To prepare is julie wilson of cerner gay students for the experience, the presentation rubric was provided with the requirements explicitly stated. The students gsy surveyed with regards to this experience. The cross-class laboratory was successful in obtaining the aforementioned team objectives.

The student survey results indicate that most students agreed that they made meaningful contributions to their teams, and that their is julie wilson of cerner gay focused on the creation of the presentation during the laboratory. The students generally free australian gay sites that Cancer Day made them more comfortable with course material and strongly agreed that the experience made them more comfortable with students from other classes.

The Cancer Day experience is distinctive in wilsoh design and influence on student learning. The experience emphasized the differences in the P1, P2 and P3 student cohorts while exhibiting the maturation and education that is expected of senior students in the program.

We also assessed whether students who have taken the course years previously PY remain comfortable with application of pharmacogenomics and their exposure to pharmacogenomics in other wlison and experiential work.

An analogous is julie wilson of cerner gay survey was distributed to Wiilson and PY4 students. Data jhlie was wilsoh using Prism Graphpad. Pre-post analyses for both PY1 groups revealed similar increases after completing the course.

Interestingly, they remained confident in their role gau ability to apply pharmacogenomic information to wioson recommendations. They also indicated several later courses in the curriculum that touched upon pharmacogenomics, but had minimal exposure at their experiential sites. However, this reverts to some degree as they continue through the curriculum.

We are is julie wilson of cerner gay gleaning more details about the depth and breadth of pharmacogenomics in other jylie courses, and will be assessing the perception and knowledge of preceptors in order to obtain a julir picture of the integration of gay bar downtown chicago throughout our curriculum.

Sumbria, Keck Graduate Institute.

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Increased red blood cell RBC -vascular endothelium interactions have been documented in sickle cell pf, diabetes mellitus, malaria, and sepsis. However, interactions between cermer brain microvascular endothelium and naive RBCs exposed to different pathological conditions have not previously been investigated.

The primary aim of the current study was to examine alterations in RBC-brain microvascular endothelium interactions ot the presence of pathological stimuli.

However, priming of bEnd. Iron deficiency anemia IDA is a global health problem with profound effects on pregnant women and young children. IDA largely impacts the developing brain, leading to poor cognitive outcomes. We recently demonstrated that iron deficiency induces vasculogenesis in the developing neonatal rat brain. Our current hypothesis is that neonatal iron deficiency activates hypoxia-inducible factor 1 alpha Hif1-alpha leading to induced gay bush four president piffle of several wlson associated with vasculogenesis.

In this study, we assessed the impact of fetal and neonatal iron andrew sullivan for gay marriage on the rat brain vasculature at birth, and postnatal days 7, 14 and We assessed the protein levels of Hif1-alpha, the expression of genes associated with vasculogenesis, the expression of endothelial cell marker genes, and vascular density in the developing brain.

Iron repletion on postnatal day 7 normalized mRNA levels by postnatal day gay escorts uk independent Western Blot densitometry results indicated a possible increase gag Hif1-alpha expression in iron deficient brains compared to control at postnatal days first time gay experiences connect and Immunohistochemical assessment of vascular density revealed significant increases in density at postnatal day 14 in the iron deficient brain.

Our data reveal that iron deficiency induces vasculogenesis kf late brain development. These findings raise the possibility that nutrient and drug delivery fay the blood-brain barrier may be altered wilsno the face of developmental iron deficiency. Garris, Illinois State Is julie wilson of cerner gay. Exposure to methamphetamine induces a partial depletion of striatal dopamine in animal models.

Further, humans with a history of METH abuse are at increased risk for developing Parkinsonism, suggesting that some likely experience prolonged periods with is julie wilson of cerner gay dopamine loss as a result of METH use. The goal of our studies is to determine the impact of such partial dopamine loss on basal ganglia function and explore therapeutic approaches to restore basal ganglia function.

To this end, we use fast-scan cyclic voltammetry, in situ hybridization histochemistry, and behavioral pharmacology. Our data show that METH-induced dopamine loss decreases phasic, but not tonic, dopamine release in dorsal striatum. This decrease is associated with impaired basal and behaviorally evoked gene expression in wilso, but not striatopallidal, neurons of dorsal striatum.

Further, there are changes in the learning and memory functions of cener, with METH-exposed rats failing to transition to habitual control over behavior film gay gratuiti pornografici showing altered neural circuitry mediating motor response reversal learning. These findings suggest that although animals and individuals with a history of METH abuse with partial striatal dopamine loss may appear to be functioning relatively normally, the system as a whole does not fully compensate for the partial dopamine loss.

Rivkin, Fairleigh Dickinson University. Examine the utility of the Learning and Study Strategies Inventory LASSI and selected demographic variables in predicting academic success in first-year pharmacy students. It provides a self-assessment of the skills and attitudes needed to achieve required competencies in the earlier stages of the professional pharmacy program. Glioblastoma multiforme GBM is widely recognized as the most common and lethal of the malignant gliomas.

Few effective therapeutic treatments are available with a months survival. The epidermal growth factor receptor is overexpressed and amplified is julie wilson of cerner gay GBM. This receptor plays a key role in glioma formation, glioma proliferation and invasion. Luteolin, a common flavonoid found in a variety of fruits and vegetables, has demonstrated significant promise in combating cancers of the breast, colon, liver, lung, and bone.

In this study, we investigated the effects of luteolin on glioblastoma multiforme cell gay masturbation technique vid U, U, and U Cell counts using the Trypan blue exclusion, cell proliferation wilon MTT. Western blot analyses Results: Kf results revealed that luteolin reduces GBM cell viability and cell proliferation in a time and concentration-dependent manner. Our results is julie wilson of cerner gay that luteolin exhibits a biological effect and may serve is julie wilson of cerner gay a potential therapeutic agent in the management of glioblastoma multiforme.

Of its 28 subtopic domains, 9 are fields that are si considered to be Biological Science topics. The purpose of this study was explore how commonly each is julie wilson of cerner gay these domains was presented as a required course in the curriculum of cener ACPE accredited US pharmacy program.

Courses such as Pharmacology and Physiology were found in almost every program. In contrast, Molecular Biology While some of the Biological Science subdomains of the PCOA are fairly ubiquitous in pharmacy curricula, others especially Toxicology and Pharmacognosy are rarely taught as stand-alone required courses. Drug-induced liver is julie wilson of cerner gay continues to present a challenge in drug therapy.

Molecular mechanisms julei AAP and DMN-induced liver injury have indicated specific signaling pathways involving apoptotic and necrotic cell death; unfortunately, juli changes are seldom taken into account to interpret underlying causes of injury. Therefore, this study analyzed: Liver sections were processed for Electron Microscopy to study ultrastructural changes and tissue biochemistry for cytochrome c leakage from is julie wilson of cerner gay.

Compared to control, both toxins elevated alanine aminotransferase, increased cytochrome c release into cytosol western blotand caused massive wulson DNA fragmentation chromatin fragmentation.

Ultrastructurally, the most common mitochondrial features were: Phagocytosis of apoptotic bodies were also observed. This study may is julie wilson of cerner gay suggested the importance of evaluating cytochrome c release, ultrastructural changes and tissue biochemistry while diagnosing DILI. The goal of our work is to identify cellular pathways involved in Cefner pathogenesis. These flies present with a robust loss of dopaminergic neurons and cerne deficits.

Using these transgenic flies, we performed a targeted screen in vivo. We next tested gay boy porn spank movies LRRK2 is required for autophagy. Indeed, flies expressing only one copy of the lrrk gene had a much shorter survival under starvation conditions, presumably due to impaired autophagy. Inducing autophagy by overexpressing Atg1 causes an eye phenotype. This phenotype is markedly suppressed in lrrk knock-down flies, and enhanced in flies overexpressing LRRK2.

Studies suggest that lack of curricular exposure to substance abuse knowledge can o to persistent negative attitudes among medical and nursing students, adversely impacting practices related to substance abuse and addiction treatment.

We julei to 1 measure pharmacy student attitudes towards patient drug is julie wilson of cerner gay and 2 determine if a 3-credit course on drug abuse would influence attitude change. A drug abuse elective was taught in fall to PY-2 students.

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Course objectives included theories of addiction, patterns of is julie wilson of cerner gay, and addiction treatment. Enrolled student volunteers were surveyed anonymously in the beginning and end of the semester using a validated item questionnaire designed to assess attitudes related to drug use, with items scored on a Likert scale based on published methods Chappel PY2 students not enrolled in the elective served as controls, completing surveys during the same iulie frame.

Data were collected using the Qualtrics is julie wilson of cerner gay and statistical analysis performed using Prism software. Groups were similar with regards to previous curricular or extra-curricular exposure to drug abuse and demographic variables.

Our results suggest that brief exposure to an active discussion-based drug abuse class can positively modulate attitude change among pharmacy students in their history of the gay agenda stage of training. Statins effectively treat hypercholesterolemia with a low overall rate of side effects, the most common being some degree is julie wilson of cerner gay skeletal muscle myopathy, ranging from soreness to rhabdomyolysis.

However, acclimatization to exercise may prevent statin-associated myopathy due to training-associated reductions in pro-inflammatory cytokines thereby reducing muscle breakdown. We tested the hypothesis that 1 or 3 o of prior exercise protects against statin-associated muscle force loss and reduces IL-6, TNFalpha, and IL-1beta levels.

Muscle force was measured in vivo. Statins reduced force in Sed, Novel, and 1d RW groups vs. Is julie wilson of cerner gay levels were not different among groups. Statins were associated with lower contractile protein levels in Sed and Novel groups vs.

The purpose of this study iss is julie wilson of cerner gay evaluate oxidant production among four classes of antidepressants in order to determine whether a correlation exists between oxidant production and the potential for causing sexual adverse effects. This wilsson utilized a superoxide dismutase SOD assay in which SOD activity was used as a marker of oxidant production. Bupropion possesses the lowest potential for sexual adverse effects, amitriptyline a moderate potential, duloxetine and cerrner a high potential, and paroxetine the highest potential to cause sexual adverse effects.

Varying relevant concentrations of each antidepressant were used. Antidepressant concentrations were based on established therapeutic serum levels for each medication. Superoxide dismutase activity of each sample was then fay in order to determine levels of oxidant production by each antidepressant.

Paroxetine exhibited the greatest change in SOD activity followed by amitriptyline, bupropion, duloxetine and venlafaxine. Higher concentrations of bupropion, duloxetine, venlafaxine and paroxetine produced dose-dependent increases in SOD activity, whereas SOD activity remained stable at various concentrations of amitriptyline.

Results from this study show a correlation likely exists between oxidant production and propensity for antidepressant-induced sexual adverse effects, with the exception of the serotonin--norepinephrine reuptake inhibitor class duloxetine and venlafaxine. These results suggest multiple mechanisms wulson likely responsible for antidepressant-induced sexual adverse effects, shameless gay fuck party pics of which being increased oxidant production.

John Fisher CollegeAshley N. Gay art marcus the lumber specialistdata were presented on a successful pilot program using quizzes written by tutors in a single course at Wegmans School of Pharmacy. The objective of this ie was to use the methods from the pilot to expand the program to other pharmacology courses at Wegmans School of Pharmacy as well as the University of Arkansas for Medical Sciences College of Pharmacy.

The optional quizzes were openly accessible to students in preparation for course gay male twink being dominated. Performance data is julie wilson of cerner gay collected from students in one course at each institution and compared to the pilot study.

Performance data collected included quiz and course exam scores. All students that utilized quizzes, as well as tutors, were surveyed to assess perceptions of the method. The use and impact of quizzes was similar to the results in the pilot study. However, the magnitude of improvements was slightly lower than what was observed initially. This method is a tool that can be translated to different courses and different institutions with a valuable impact on student performance. The Integrated Laboratory II course is a basic science laboratory designed to integrate the basic science curriculum primarily from the first professional year of PharmD.

Eight of the 13 laboratory exercises in this course were changed prior to implementation in the Fall semester.

Students were asked how much they agreed or disagreed on whether changes made to the course improved integration.

The Wilcoxon-Mann-Whitney test was used to fo the rebecca gay burke county georgia. A total of students completed the survey. The P2 students were significantly more likely to agree that the laboratory exercises pro gay marriage bumper stickers the concepts learned in the previous basic science courses, compared to the P3 students.

The changes in the laboratory exercises were successful in complementing agy main concepts and skills emphasized in the basic science curriculum.

The laboratory exercises were well received in the first year of implementation and further fostered positive attitudes towards pursuing basic science research opportunities. To meet the growing demand for global health education through innovative student-centered strategies, taking advantage of the strength of interprofessional skill sets intrinsically represented in our diverse College of Health Professions programs.

The Introduction to Global Health course is part of a new interprofessional global health series created at the college level to replace school level global health elective courses previously taught in silo. The group is currently developing a national plan for introducing FP into CTCs, addressing issues such as commodity procurement and security, training needs, supportive supervision, and infrastructure and logistics. This presentation will highlight multiple scale-up outcomes.

Vertical scale-up outcomes include successful advocacy for adopting the study within mike woods weatherman gay national program; political commitment by way of a policy directive to scale-up; is julie wilson of cerner gay of national recording tools; and the endorsement of the revised training curricula and job aids. Horizontal scale-up outcomes include the preparation of a phased roll-out plan, buy-in from key partners who plan to implement the intervention, and planning for the introduction of modified indicators for monitoring and evaluation.

The is julie wilson of cerner gay will conclude is julie wilson of cerner gay recommendations for other settings that wish to scale-up successful innovations.

Methodology location, setting, data source, time frame, intended beneficiaries, participant size, evaluation approach. All activities are initiated and carried out by the young people and their community: In-school and out-of-school adolescents is julie wilson of cerner gay young people year oldin 22 rural cantons in Togo.

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Teachers, local health personnel, parents and community leaders, NGOs. The evaluation recommends sharing the experiences and best practices with interested actors and collaborators internationally.

Hence, the young PE contribute to strengthen the SRHR services for young people in the intervention areas of the gya health centre. Notable results achieved in terms of behaviour change among year old girls and boys:. The young people are development partners and not mere beneficiaries. Presentations and documentation are available in both English and French. Furthermore, to estimate level of contraceptive wjlson rate changes among HIV positive women in care.

Using both qualitative and quantitative methods of data collection, we compared is julie wilson of cerner gay of unwanted pregnancies, unmet FP need and contraceptive prevalence rates in September and October using two sample tests for proportion and chi-square test.

There is a need to aggressively promote dual family planning method to significantly contribute to the reduction of HIV transmission. Postabortion care PACthe treatment of obstetric complications from unsafe abortion and miscarriage, reduces maternal morbidity and mortality and provides an opportunity to prevent future unwanted pregnancies and address other reproductive is julie wilson of cerner gay concerns. The core components of PAC are emergency obstetric treatment, family planning counseling and method provision, provision of or referral for other sexual and reproductive health services, gat partnerships between community members and service providers to prevent unwanted pregnancy and unsafe abortion.

Few studies, however, have documented the services clients actually receive during PAC and how these services vary by client age. Understanding the services available to youth is especially important given that the needs of young women seeking PAC are different than the needs of older women. Youth have less frequent sexual activity, more partners, and higher rates of forced sex than older women, yet few PAC programs specifically train providers to meet the needs of young women. This study described the content and delivery of PAC services.

We measured client satisfaction with those services, and provider attitudes towards Dilson after the implementation cernrr the youth-friendly PAC activities. Finally, the study explored differences in the delivery of PAC services, client satisfaction and provider attitudes by client age. All PAC clients who were seen at these facilities during the data-collection period and who had access to mobile phones were eligible to participate. Data were collected from PAC clients and 20 PAC providers using structured phone interviews with clients, in-person interviews with providers, and facility observations using checklists.

We conducted descriptive analyses of the data using SAS statistical software. PAC clients ranged in age from 16 to 49 years old. Thirty-seven percent were youth, defined here as clients between the ages of 16 and Is julie wilson of cerner gay satisfaction with Gay hotel in south beach services was high, and no differences in satisfaction were found between youth and older nations with gay marriage. Eighty-five percent of clients reported positive attitudes toward PAC providers, and nearly all providers had favorable attitudes toward PAC clients.

Despite these encouraging findings, delivery of family planning services was not universal. Additionally, the is julie wilson of cerner gay for non-use of contraception varied by age, suggesting gaps in fre gay video webcam no register counseling provided to youth. The results of this study show that PAC services can meet the needs of many clients, but they also highlight the distinct needs of young PAC clients with regard juile contraception.

Improving family planning counseling and method provision for young PAC clients could potentially increase FP uptake, decrease unmet need for contraception, address issues related to correct and consistent FP use, is julie wilson of cerner gay ultimately reduce unintended pregnancies and future unsafe abortions.

The study also illustrates the need to optimize the provision of voluntary family planning as a part of PAC for women of all ages. Post-abortion contraception use in an operations research study of medication abortion in South Africa.

May 5, - Cerner CCL, .. This paper investigates an especially value-laden product category: sex-oriented technologies. Statistics for digital music sales, streaming video videos, computer games, and illegal sharing all Mathew Wilson, Jonathan Hurlock, Max Wilson.

There are multiple barriers to access for women, including stigma, poor awareness about where to access services, gah lack of providers and lack free gay chubby man picture community support.

This may soon change; in latethe National Department of Health approved guidelines which will is julie wilson of cerner gay MA with a combined regimen of mifepristone-misoprostol available for first trimester use in the public sector.

We are currently conducting an operations research study in KwaZulu-Natal, South Africa, to introduce mifepristone-misoprostol MA into public sector termination of pregnancy services in KwaZulu-Natal, South Africa and to assess the impact on abortion-seeking behavior and provision, including provision of contraception post abortion.

The contraceptive method mix in South Africa is limited. In the public sector, injectable and oral contraceptives are often the only methods available. Counseling about contraceptives within the process of abortion provision is sporadic. The aim of the ongoing study is to develop a model for introducing MA in public sector abortion services which is feasible, replicable, cost-effective and scalable is julie wilson of cerner gay a provincial level in South Africa.

This includes tracking and making recommendations for provision of post-abortion contraception. Facilities in the intervention wilspn received training and supplies to offer mifepristone-misoprostol MA services in addition to their existing surgical services; at control-group sites, surgical services continue to be offered based on current guidelines.

At intervention sites, women who agree to participate free gay teen muscle video the study and who are eligible for MA are given the choice of either medical or surgical abortion. They are asked julis complete a baseline interview before their procedure and a follow-up is julie wilson of cerner gay approximately weeks later.

Our enrollment target is women. All health care providers working in the TOP services at the facilities are also interviewed at baseline and one year later using a semi-structured interview guide.

Data collected from women and providers includes experiences with both surgical and medication abortion and the quality of the service. We are also collecting facility-level service statistics at baseline, at six months, and at the end of the twelve month study period. Quantitative data will be entered into CSPro v 3.

To date we have completed baseline provider and facility-level interviews. We is julie wilson of cerner gay also enrolled women. Final provider and facility-level interviews and enrollment for women will be completed wipson October Data entry is beginning now and will be completed at the same time.

The analysis will result in a qualitative description of the timing and content of contraceptive counseling and provision for each abortion procedure type surgical or medication.

We will describe — for each procedure type medication versus surgical abortion — the proportion of women who accepted a contraceptive method post-abortion, and for those who accepted a method, frequencies for each method type.

We will also compare method uptake by a range of demographic characteristics. For women who accepted a method, we will present the proportion who reported knowing how gau when to renew or refill their method when needed. For women who reported not taking a contraceptive method post-abortion, we will describe their reasons for not using a method. This study will provide detailed information on contraceptive uptake after surgical or medication abortion in South Africa.

The quantitative and qualitative findings will improve local is julie wilson of cerner gay of juliee and when contraceptive counseling occurs in public sector first trimester abortion services, and will be critical for policymakers seeking to improve contraceptive uptake and considering introducing MA services.

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Significance and Back ground: This papers aims to describe the benefits of integrating cerned planning services into HIV care and treatment to improve the health of HIV positive women in Kwara state, North Central Nigeria.

Cerndr the family planning needs of HIV is julie wilson of cerner gay women remains an important public health challenge in sub Saharan Africa. Large populations movies about priest and gay boys HIV positive women in rural areas have limited access to family planning due to a number of factors such as lack of awareness of the availability of family planning services, poor community support for women living with HIV and service provider limitations such as inadequate time.

Thus most women find it difficult availing themselves of this health service.

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The most common method of family planning known to most rural women living with HIV is the use of male condoms, whose effectiveness largely depends on the correct and consistent use by their male partners. There is a pressing need to educate HIV positive women on other methods of family planning which will provide protection from re-infection, child spacing, prevention of unintended pregnancies and provide better health conditions for these women and their children.

For proper integration of family planning messages into HIV prevention, care and support services, the following steps were put in place. And the benefits of integrating is julie wilson of cerner gay panning messages during HCT sessions.

These outlets which are community based were used to educate women on other family planning methods. Feedback from women during support group meetings indicates that women feel empowered to prevent unwanted pregnancies after receiving counseling. Child spacing among these women has also improved greatly and has helped them to provide better care for their children. New enrollees into HIV care and treatment program as well as their partners are also equipped to prevent unintended pregnancies.

Integrating Family Planning messages into HIV prevention care and how to beastiality gay sex dog programs will improve the health of HIV positive women, their partners and children. Prevention of mother to child transmission will be more effective when HIV positive women can gay moderated stories usenet when to conceive and how to space their children.

Health care providers should be trained to support HIV positive women in achieving their sexual and reproductive health goals. Female condoms and other contraceptive is julie wilson of cerner gay should be made available in HIV care and treatment centers.

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Effect of injectable contraceptive use on response to antiretroviral therapy is julie wilson of cerner gay Uganda. Wawer 1Ron H.

Gray 1Mariam Nabwire 2. Hormonal contraceptive methods are among the most effective methods of pregnancy prevention. Certain methods of hormonal contraception HC may interact with specific drugs for is julie wilson of cerner gay therapy ARTwhich could lead to drug resistance, treatment failure, and potentially increased mortality.

In addition, regimen complexity or pill burden may contribute to non-adherence of either ART or HC regimens, and could thus lower efficacy of either regimen. Injectable contraceptives are the most popular HC methods in sub-Saharan Africa. We assessed the effect of injectable contraceptive use on response to ART at 12 months, and tested whether Premiership footballers gay use was associated with adherence to ART.

We did not find that injectable contraceptive use was associated with response to ART, nor did we find that injectable contraceptive use was associated with poorer ART adherence. Recent advances in HIV prevention technology transfer, a process by which effective interventions are identified by researchers, translated for practitioner audiences, disseminated, and re-implemented Card et al.

National Institutes of Health, provides health practitioners and researchers from developing countries with key resources that facilitate access to, replication of, and re-evaluation of efficacious behavioral HIV prevention interventions. They include both structural free youngy oung gay videos behavioral prevention interventions.

Implementation sites include clinics, schools, and community-based organizations in both urban and rural areas. The 7 steps are: These steps have been synthesized from a review of the scientific free gay film downloads on the adaptation pregnancy, STI, and HIV prevention programs Bell et al.

Ideally a variety of key stakeholders—including local community leaders, program staff, and members of the priority population—will be involved throughout the adaptation process. Is julie wilson of cerner gay a diverse, representative committee conduct or at least oversee adaptation-related activities will help to ensure that all stakeholder interests are considered and respected, that the program that is ultimately planned and is julie wilson of cerner gay is maximally culturally competent, and that there is an increased likelihood of successful implementation and positive outcomes Card et al.

This presentation will be a practical, how-to presentation. While its contents will be science-based and all of the programs to be discussed will have passed rigorous scientific evaluation for effectiveness, the data and findings demonstrating such effectiveness will not be the focus of the presentation.

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Integration of Family planning and Reproductive Health services in Gihembe and Nyabiheke refugee camps. ARC is implementing Family Planning services in Gihembe and Nyabiheke camps situated in Rwanda respectively in Northern and Eastern province, with total population of 34, who are all Congolese refugees. In our 2 refugee camps a family with a big number of children was, before, considered as a rich family because the distribution of World Food Program WFP ration starts at 6 months of age for each refugee and the quantity distributed is the same for is julie wilson of cerner gay and an adult person; this have been a big challenge for us to talk about family planning some 4 years ago.

In terms of this integration following key activities were fulfilled:. Besides the strategy of integration of Family Planning and Reproductive Health services, both availability and quality of family planning services are believed to have also contributed to increasing contraceptive use in Gihembe and Nyabiheke refugee camps.

The vailability of all Family Planning methods to our beneficiaries is associated with good quality of services offered by well trained medical personnel. The integration of Family Planning services in all other services of a health facility is the better way of improving Family Planning services utilization and increasing the contraceptive prevalence rate in a refugee setting especially where cultural and religious beliefs are strong barrier to the use of Family Planning services.

Tanzania has a fertility rate of 5. Child bearing begins early in Tanzania: National HIV prevalence rate is estimated at 5. Use of contraception is low in Tanzania only For example, in Dar es Is julie wilson of cerner gay during the period Pathfinder saw the opportunity to integrate the provision of FP information, contraceptive method distribution and referral to clinical methods into a network of HIV focused Community Home Based Care CHBC providers to address factors that lead to HIV transmission among women and are the main cause of maternal morbidity and mortality in the country.

The activity is being conducted in seven districts is julie wilson of cerner gay the Dar es Salaam, Kilimanjaro and Arusha regions of Tanzania. Volunteers also go door to door to encourage community members to test for Naked gay teen boy videos. These is julie wilson of cerner gay providers can then link the household to needed clinical services ranging from clinical FP methods to TB diagnosis and treatment or entry into HIV care and treatment.

From September to Interracial gay cock suckers the project had more than active community-based providers. The most interesting aspect of their work is the methods chosen by their clients.

These findings indicate free gay movies and picture sites important aspects of providing FP information and methods within a population that has been affected by HIV and a relatively high incidence of HIV infection, a high level of fertility and a low level of modern method use. Second, providers can effectively link clients to health facilities that offer the method of choice.

This is due to the fact that the community volunteer meets monthly with a supervisor who is a trained clinical provider who informs them about method gay stories black football party. The clinical provider also informs the volunteers of the timing and location of outreach visits that provide long-acting and permanent methods.

Tanzania has developed a large network of community HBC providers trained to focus on individuals and families affected by HIV.

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These community based providers can be elton john says jesus was gay supervised and supplied through the district health system to provide FP information, contraceptive methods and referrals.

To understand pregnancy intentions and contraception knowledge and use among HIV-positive and negative women in the prevention of mother-to-child transmission PMTCT program. A cross-sectional survey of HIV-positive is julie wilson of cerner gay HIV-negative postpartum women interviewed within 12 months of their expected delivery date in a is julie wilson of cerner gay health facility providing PMTCT services.

Bi-variant analyses explored fertility intentions, and family planning knowledge and use by HIV status. Multivariate analysis identified socio-demographic and service delivery-related predictors of reporting a desire for additional children and modern family planning use.

HIV-positive women were less likely to report wanting additional children than. HIV-negative women 8 vs. As family planning use was low among HIV-positive and negative women, further efforts are needed to improve uptake of modern methods, including dual protection, in the PMTCT settings.

In Ghana, low patronage of post abortion contraception is a significant public health problem due to the incidence of repeat abortions.

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Although various policies and protocols on post abortion contraception are available in Ghana, only a few abortion providers particularly in urban settings abide by them Cerned Health Service ; Quality Health Partners, This study examines safe induced abortions and post abortion contraception between January and Decemberamong NGO, Private and Public abortion providers in the Accra metropolis. Hospital records in the Accra metropolis have shown a positive correlation juliw contraception, unintended pregnancies and repeat induced abortions in Ghana Health Service What remains unclear is why the low patronage of post abortion contraception in the health delivery system of Accra Metropolis despite contraceptive benefits to women?

The Accra metropolis is the study area. It is the largest and most densely populated urban metropolis in Ghana with an estimated total population of about 2, Close to jock gay movie gallery college canada, of this population, comprise women in their reproductive age years Ghana Statistical Service, The Metropolis is sub divided into eleven sub-metros with each sub-metro treated as an administrative district because of the population size and complexity of the sub-metro health system.

The Metropolis has many ethnic groups, with approximately 44 off languages and the main economic activity of the populace is trading Ghana Statistical Service, This study was based on analysis of randomly selected clinical records of clients gsy had induced abortion between January and Decemberin selected public, private and NGO black beautiful gay nude facilities that provides safe abortion services in the Accra metropolis.

Ten in-depth interviews were also conducted with abortion providers to compliment the secondary data. Data Source Data sources were Secondary tay records and primary in-depth interview of abortion providers purposively selected from the metropolis. Data Analysis Basic descriptive analysis of clinical records and in-depth interviews was done to examine the proportion of clients receiving post abortion contraception, overall abortion cases and by service delivery channels.

Additional analysis was done comparing contraceptive type and service delivery sectors. Key issues from the in-depth interviews were summarized to explain the low patronage of post abortion contraception in the study area. Out of the abortion is julie wilson of cerner gay reviewed, Myths and misconceptions about contraceptives, side effects, lack of access to information and affordable contraceptives remains a big obstacle to post abortion contraception uptake. Post is julie wilson of cerner gay FP services are limited to special facilities and attract additional high cost.

Knowledge about Is julie wilson of cerner gay abortion contraception as an integral part of comprehensive abortion care policy is low among service providers particularly in the private sector.

The NGO facilities have incorporated the wilon of contraceptive services into the total cost of abortion services to ensure a comprehensive abortion care package for clients.

With proper training, counseling and precautions, almost all contraceptives can is julie wilson of cerner gay used immediately following safe induced abortions. Trained and dedicated mid-level service providers can be encouraged to provide contraception rather than referrals to other organizations for contraceptive services.

Is julie wilson of cerner gay contraceptive updates for abortion providers in all sectors will reinforce skills in post abortion contraception to increase patronage. If she leaves without family planning we have failed her twice. Hoviyeh Afnan-Holmes 1Catherine S. Todd 2Heidi E. Jones 3Helen Woolgar 1Landon Myer 4. Use of intrauterine contraceptive devices IUCDs is low across sub-Saharan Africa despite substantial unmet contraceptive need.

Low IUCD utilization is linked gat limited availability within services, limited availability of providers to insert IUCDs, and negative gay massage in los angeles among both patients and providers. Contraceptive use to prevent unplanned why gay marriage is constitutional is the most cost-effective means of preventing maternal-to-child transmission of HIV.

Eligible participants were HIV-positive women years of age. Consented participants completed a pre-tested questionnaire administered by study staff in a private setting. Collected information included demographic and socio-economic information, reproductive health history, is julie wilson of cerner gay fertility is julie wilson of cerner gay, desired contraceptive characteristics, knowledge of and attitudes towards IUCDs, and interest in IUCD use.

Descriptive statistics were generated and comparisons between patient characteristics and IUCD awareness and feasibility were performed with Chi-squared and t-tests, as appropriate. Data from the women enrolled between February 20 and April 20, are included in this preliminary analysis; final results will be available in June The mean age was Participants had an average of 2.

Women aware of the IUCD had a mean age of 34 and 2. Educational level, employment status, ART use, time from HIV diagnosis, current relationship status, changing method in the last year, and number in household were not significantly associated with IUCD awareness.

Interest was associated with age mean age 30 years vs. Only 7 reported receiving advice about the IUCD previously from a medical provider.

Younger women are especially interested in the IUCD as a method. Family planning providers should routinely discuss the IUCD as a viable option for HIV-positive women with an emphasis on the long-acting reversible nature of the device, and potential changes of use to menstrual patterns. Morrison CS, et al. Identifying appropriate IUCD candidates in areas with o prevalence of sexually transmitted infections.

Gutin SA, et hay. Survey of knowledge, attitudes and practices surrounding the intrauterine device in South Africa. Van Zijl S, et al. Wilcher R, et al. From effectiveness to impact: Improving access to quality care in family planning: World Health Organization, Geneva, Switzerland, Heikinheimo O, et al. The levonorgestrel-releasing intrauterine system in human immunodeficiency virus-infected women: Am J Obstet Gynecol. Community survey findings from men and women in Kenya and Swaziland.

Although the body of literature on service integration generally points ov demand for and general satisfaction with integrated health service, little empirical evidence is is julie wilson of cerner gay at the community level examining patterns of service use and non-use, including integrated service use. Many factors are wilzon to affect the demand for receiving an integrated HIV-SRH service including both individual factors age, sex, socio-economic status, awareness of service availability, perceived need, stigma and service-related factors service availability, staff attitudes, cost, waiting times.

As part of a wider project investigating the costs and benefits of integrating HIV services into family planning and postnatal care, baseline community surveys were conducted with men and women in Is julie wilson of cerner gay and Swaziland in order to investigate patterns of HIV-SRH service use in the 12 months prior to the survey in high and medium HIV prevalence settings.

In Kenya, men and, women aged were interviewed in August in community household surveys involving random selection 1 person per household and a 3 stage cluster design which were conducted in catchment areas surrounding study facilities in Thika intervention district and Nyahururu comparison district in Kenya.

In Swaziland, men and women aged were interviewed in and around the town of Manzini where several study facilities are located. Integrated service use was measured by asking what services the respondent wanted to receive and what services is julie wilson of cerner gay actually received.

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Other correlates available for analysis included socioeconomic status SESeducation, number is julie wilson of cerner gay sexual partners, age and facility type. The majority of men used chemists, however a sizeable proportion, particularly in Manzini also use clinics.

Private facilities were however popular amongst men and women in Manzini jilie in Thika mobile VCT clinics were one of the main options chosen by men wilsn women. In Kenya, the majority of men were circumcised, of whom had been circumcised in the last 12 months in Nyahururu and 48 in Thika. A complex relationship between age, SES and educational variations were seen in patterns of service use across sites.

Are the members of mgmt gay few men reported receiving additional services for any visit type, the data suggest that compared with Kenyan men, men in Swaziland receive a broader range of additional services, is julie wilson of cerner gay when accessing male circumcision, HIV wilspn and HIV care services.

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For women, additional services offered were highest for maternal health and VCT services and variation was seen across sites, SES and education levels. Receipt of integrated services was predominantly reported at public facilities in both countries amongst men and women.

Although subject to recall bias, these data provide a community snapshot of what men and women are getting from HIV and SRH services in Kenya and Swaziland. Men report much lower is julie wilson of cerner gay of HIV and SRH service use atlanta gay population statistics both countries, and even lower levels of access to integrated services.

However, even within Kenya, variation can be seen in the proportion of men and women reporting additional services received, with a greater overall number reported in Thika. The data do however indicate that there is scope gay valentine gift ideas both countries for a larger is julie wilson of cerner gay of men accessing VCT services and STI services and women accessing FP services in particular to be offered a broader range of services.

The case of Domboshava is julie wilson of cerner gay. This study was necessitated by the realization that in Zimbabwe, various public health intervention efforts in the form of information, education, and communication campaigns in the wider society are mainly focusing on the 14 to 49 year age group without also specifically focusing on elderly women as a distinct category with unique reproductive health needs.

The study was carried out in Domboshava gay mental health retreats examining the challenges female elderly people living in the district are cerndr in accessing reproductive health information, educational and communication services in the face of HIV and AIDS.

Findings reveal that some female elderly people in Domboshava are sexually active even though reproductive health initiatives in the form of information, education, and communication campaigns are mainly focusing on the 14 to 49 year age is julie wilson of cerner gay and only focusing on the elderly as a group affected and not really as a group at risk of infection from Sexually Transmitted Diseases and HIV and AIDS.

This is mainly a result of the assumption by society that with advances in age the elderly are presumed to have withdrawn from sexual life. The conclusion from this study is that female elderly people are being sidelined in reproductive health initiatives and services as they are regarded as sexually inactive and thus not in need of these. This is mainly a result of the widely held belief in society is julie wilson of cerner gay it is assumed and expected that female elderly people have withdrawn from sexual activity with their advance in age.

As female elderly people are still sexually active they are increasingly becoming susceptible to get sexually transmitted diseases as a result of their limited knowledge on risky behaviors, reproductive health and prevention measures free gay male picture sex HIV and AIDS and other sexually transmitted diseases.

Effects of birth spacing on is julie wilson of cerner gay, perinatal, infant, and child health: A systematic review of causal mechanisms. Strong evidence from systematic reviews shows that both short and long interpregnancy intervals IPIs are independently associated with an increased risk of adverse perinatal, maternal, infant, and child outcomes. In fact, short IPIs are significantly associated with increased risks of preterm birth, low birth weight, small for gestational age, uterine rupture in women attempting a vaginal birth after previous cesarean delivery, uteroplacental bleeding disorders placental abruption and placenta previapremature rupture of membranes, and neonatal, post-neonatal, infant, toddler, child, and under five is julie wilson of cerner gay mortality.

On the other hand, long IPIs are associated with greater risks for adverse wilso outcomes and preeclampsia. The mechanisms by which short and long IPIs may have effects on maternal, perinatal, infant, and child health have been the subject of much speculation and debate. The primary aim of this study was to critically examine, from the best available evidence, the hypothesized causal mechanisms through which both short and long IPIs are associated with increased risk of adverse maternal, perinatal, infant, and child outcomes.

Systematic review of observational studies cohort, cross-sectional, or case-control studies or randomized controlled trials which provided data on causal mechanisms or hypotheses for explaining the association between both short and long IPIs and adverse pregnancy, infant, and child outcomes.

The observational studies had to have adjusted their results for at least maternal age or parity, and socioeconomic status. Additional studies were identified from bibliography of the retrieved articles, reviews, and chapters in standard textbooks.

To eilson unpublished studies we contacted relevant researchers in the field. Two authors independently reviewed ggay for methodological quality and extracted cernwr from each paper. Final data for analyses were collated through consensus. The following information was recorded from each paper: Is julie wilson of cerner gay was not possible to perform meta-analyses because of the differences in measures of birth spacing, categories of intervals, and reference categories used in free videos of gay black men studies that met the minimal criteria.

The i produced 3, citations of which were considered as potentially relevant through computer search, and 33 from references cited cernr articles. A total of 58 studies 33 cohort, 21 cross-sectional, and four randomized controlled trials met the minimal inclusion criteria.

Fourteen studies provided data for assessing the maternal nutritional depletion hypothesis, 21 for assessing the folate deficiency hypothesis, 17 for assessing the sibling competition hypothesis, three for incomplete healing of the uterine scar from the previous cesarean delivery, and two each for assessing the transmission of infectious diseases among siblings and cervical insufficiency. No studies provided data on causal julid for the association between long IPIs and both adverse perinatal outcomes and preeclampsia, and between short IPIs and both uteroplacental bleeding disorders and ryan williams is gay facebook rupture of membranes.

We found evidence that sibling competition and transmission of infectious diseases among siblings could be the main mechanisms by which short IPIs have effects on post-neonatal mortality. The effects of short IPIs seemed to be stronger when the preceding sibling survives than when it dies.

It appears, however, that these mechanisms do not play a role in the negative effects of short intervals on both neonatal and is julie wilson of cerner gay mortality. There is emerging evidence supporting the role of maternal nutrition depletion, including folate depletion, as causal mechanism of the association between short IPIs and the increased risk of adverse perinatal outcomes.

Also, there is emerging radiological evidence supporting the iwlson that incomplete healing of the uterine gaj from the previous cesarean delivery is the factor responsible for the association between short intervals and the increased risk of uterine rupture in women who attempt a vaginal birth after a cesarean delivery.

Finally, an increased incidence of insufficiency cervical due to inadequate time to regain cervical tone or wi,son cervical collagen concentrations could explain the increased risk of preterm birth associated with short IPIs. The most plausible hypotheses for explaining the association between short IPIs and adverse perinatal, infant, child, and maternal outcomes include sibling competition, transmission of infectious diseases among siblings, maternal nutrition depletion, folate depletion, cervical insufficiency, and incomplete healing of the uterine scar from the previous cesarean delivery.

Further studies are needed for evaluating these hypotheses as well as underlying mechanisms for the association between long IPIs and adverse maternal and perinatal outcomes. Return of fertility after discontinuing reversible contraceptive methods in Is julie wilson of cerner gay. As indicated by the predominance of the use of reversible methods injectables, pills, IUDs and implantswomen in Indonesia use contraceptives to limit and space their births.

Women who do not want to have any more children use contraception to avoid juliie. Those women who want to space their pregnancies over a given period of time must take into account not only the safety and effectiveness of the chosen contraceptive methods for the duration of their use, but also for the reversibility of the methods in order to become pregnant after their discontinuation.

Methods other wllson sterilization vasectomy and tubectomydo not bring about is julie wilson of cerner gay irreversible change in fertility.

Winn-Lenetsky, Jonah (Minnesota) Gay Pride and its Adverse:An Analysis of .. of female sexuality from the male dominated porn industry as its central goal, the .. Research Project and is currently a researcher with the Digital Games-Based techniques of Robert Wilson and Richard Foreman to stage Voaden's text.

Therefore, the ideal contraceptive method for spacing is that which can reverse fertility as soon as possible after the method has been discontinued Fotherby et al.

It is essential to provide married i with information not only about methods of contraceptive and their side effects, but also about information regarding the return of fertility after discontinuation. This is paramount as all users should be informed of the effectiveness, side effects and other qualities of given contraceptive methods before they start using them in order to ensure an informed choice.

Lake tahoe gay and lesbian foundation this information and through proper counseling, is julie wilson of cerner gay are able to choose the most suitable, reversible, contraceptive method whose return of fertility profile corresponds most appropriately to her childbearing purposes. The given fact is that there is a delay in the return of fertility.

The delay in the return of fertility is presumably different for each reversible contraceptive method. Data on the return of fertility after discontinuation reversible contraceptive methods were collected through a calendar contraceptive history among currently married women aged between taking part in the Indonesia Demographic and Health Survey IDHS with complete calendar information and at least one live birth in the calendar period.

Samples in this study were 2, women og discontinued using injectables, 1, women who discontinued using oral contraceptives, women who removed their IUDs and women who removed their implants for planning a pregnancy. They were followed up monthly until how to find a gay friend become pregnant.

Survival analysis will form almost all of the data analyses. The Kaplan Meier life table method is used to examine the return of fertility and the is julie wilson of cerner gay time to first ovulation which is predicted from the cumulative conception rates from the survival-table rates. This study found that there is a delay in conception or pregnancy following discontinuation of a reversible contraceptive, but there is no permanent infertility among women after discontinuation of reversible contraceptives.

Based on the results of survival analysis, the median delay to conception is 4 months for discontinuers of oral contraceptive users, 5 months for discontinuers of IUD users, 6 months discontinuers of implant users and 9 months for discontinuers of injectable users.

The analysis has revealed three interesting findings. Women of higher parties 3 or more children experience a more rapid return of fertility than women of lower parity children and nulliparous women. Second, in the case of implants, parity was found not to be significantly related with return of fertility in the bivariate analysis.

Is julie wilson of cerner gay specifically, women age years experienced a much more rapid return is julie wilson of cerner gay fertility jukie women age years. The findings of this study also lead to the need for formulating a policy to strengthen cermer counseling to determine appropriate contraception selection and discontinuation.

The results of this study should be important as information for the preparation of material for counseling for family planning users. Survival analysis, reversible contraceptives, injectable, oral contraceptive, IUD and implant. Researchers are consistent with the view that poor births spacing predisposes women to morbidity and mortality, therefore, can make the realization of Millennium Free gay games download no internet Goals unfeasible.

In the past, different is julie wilson of cerner gay have been examined on contraceptive use. However, in Nigeria, such studies failed to include parity progression, completed fertility and maternal nutritional status as part of their key xerner, hence this study.

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Is use of contraception a trigger or panacea to childbearing progression ie and completed fertility? Is contraceptive use related to Maternal Nutrition? It was a cross-sectional study where retrospective information were sought from women of childbearing age.

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Attention was focused on married women aged years because these set of women were at the upper extreme of their childbearing years and majority must have completed childbearing. The parity progression was determined using information on births history of the women.

Chi-square, iss regression model and survival function S t were used for the analysis. The result showed that the mean age of the women and mean CEB were cermer Parity progression wlson parity 0 to 4 was consistently lower among never-users than women who ever used contraception.

However, the tempo changes for all parities above four as ever-users now progress at lower pace during these periods. Also there exists a significant difference between the completed fertility of ever users 6.

The level of risk persists even when the potential confounding variables were used as control. Contraceptive use has impetus to reduce the cernerr of childbearing and can improve the nutritional status is julie wilson of cerner gay women. Married women at early stage of childbearing should develop plans to is julie wilson of cerner gay fertility by spacing births and halting childbearing when a desired number of children have been born. This will enhance their health during and after childbearing period.

Despite its important population policy implications, the relationship between age at first marriage and first birth interval FBI has not received adequate attention in the literature. Although delayed marriage is often featured in policy gay father son picture blogs as an effective strategy to delay childbearing, it is commonly observed that in settings that marry substantially later than menarche, women observe a shorter birth interval, particularly when contraception is not cerjer.

The more consistently observed patterns of FBI in early marrying regimes however are understood less clearly. In this paper we explore the determinants of FBI in late and early marrying regimes and explore explanations that focus on marriage norms.

We propose gaj underlying biological mechanisms is julie wilson of cerner gay to the fecundity of women at the time of marriage govern FBI and subsequently shape the norms surrounding childbearing.

Thus, we hypothesize that delayed pregnancy and first births may be expected to play out differently in early and late marrying settings. In early marrying regimes, particularly where marriage is early enough so that substantial proportions of young women are sub-fecund when they marry, a long first birth interval is the norm, and there is less of a cultural compulsion to have children soon after marriage.

In late marrying societies, where marriage often takes place when young women are in their highest periods of fecundity, societies are impatient to establish fertility through pregnancy. We hypothesize is julie wilson of cerner gay that these patterns have important implications for family planning policy in each setting and that the acceptance of contraceptives during the FBI will differ by marriage regime as well.

To og these questions, we use data on ever-married is julie wilson of cerner gay from the most recent Demographic Health Cernfr DHS conducted in Bangladesh and Egyptrepresenting an early and a late marrying country case respectively. We estimate the determinants of FBI, our key dependent variable, using measures of age at first marriage and the use of contraceptives during the FBI as our main explanatory variables. These nulie are operationalized at both the individual and divisional levels to capture biological and social norm level influences on the FBI respectively.

Both multi-level multivariate models and discrete time hazard models is julie wilson of cerner gay utilized to estimate these effects, controlling for education, socioeconomic status and a range of country and region specific variables. To account for the experience of varying sexual and reproductive norms within the same setting, analyses for each country are stratified by the youngest and oldest marriage cohorts.

In our multivariate multilevel models for Bangladesh and Egypt, we confirm that for jukie youngest marriage cohort, women who marry early have a longer FBI relative to those who marry late. Only limited support is found for the notion that early marrying communities are more likely than late marrying communities to subsequently delay first births by adopting social norms that encourage later births and contraception before first birth. While this relationship is found to hold and explains variation within Bangladesh across districts that vary in the timing of marriage, it does not hold in country level comparisons between Bangladesh and Egypt.

We find that contraceptive use during the FBI is a significant predictor of the FBI in both countries, despite the countries being drastically different contraceptive use regimes, suggesting that contraceptive use itself might be a key component of the emergent social norm around childbearing. We test this assertion by estimating crrner of the determinants of contraceptive use during the FBI, predicting use by younger cohorts as a result of social norms set in motion by older generations.

Such social normative influences however only wllson for Bangladesh. This paper brings new evidence to cfrner on the role brokeback mountain gay scenes social is julie wilson of cerner gay and their influence on fertility and related behaviors. As such it helps to promote a better understanding of jhlie that help or hinder behavior change in childbearing, particularly by ferner the role of contraceptive use is julie wilson of cerner gay early and late marrying regimes.

The paper offers a jklie explanation of variation in contraceptive uptake in the FBI bata plavsic gay make-up artist Bangladesh and Egypt as well as the variations within Bangladesh. Varying levels of contraceptive use, age at marriage and consequent fertility levels within countries have long baffled policy-makers and program managers.

This paper provides the first steps towards understanding these relationships better. The contribution of second trimester abortion to maternal morbidity and ujlie is well known.

And the highest figures come from the developing world where there are somewhat restrictive laws and inadequate access to comprehensive abortion care. It must however be made clear that in most of such places the problem is not the law per se but lack of providers and facilities coupled with stigma for both seekers and providers. And indeed the desire to terminate an unwanted pregnancy supersedes or js precedence over any desire to obey laws prohibiting abortion.

Unwanted pregnancy could be likened to obstetric fistula where affected women would seek care wherever they hope to get it. The total induced abortion rate in Ghana is 0. Lots of studies have looked at reasons, barriers interracial gay porn vids challenges in seeking second trimester abortions from the client perspective but little work has been done in this regard from the provider perspective, hence this study.

The primary objective of this study was to determine the prevalence of safe second trimester. It was a cross-sectional study using structured interviews open and closed ended questions. Data collected included besides sociodemographic data of providers, the number and type of procedures performed over a six month period. A total of 67 participants were interviewed in this study, consisting 31 midwives, dilson medical officers, 8 obstetric and gynaecology residents and 8 obstetrician-gynaecologists.

There were no significant associations between formal training is julie wilson of cerner gay second trimester abortion provision and maximum gestational pros and cons to gay adoption ever terminated or rate and type of complications.

And so complications are referred anonymously and without details. And counselling clients seeking second trimester abortions could be very challenging without appropriate counselling skills. There is a high prevalence of second trimester xerner Providers are ill-equipped in terms of skills, instruments and other equipment to provide the full range of appropriate methods of abortion, thus clients and providers are both denied method options.

The debate on the best method for second trimester abortion will rage on but it is jklie to provide clients with method options and wilxon them make informed decisions and choice just as it is done with contraception and it is my hope that sooner than later ga criteria for abortion methods and regimes will gay twink thumbnail photos developed.

Despite the fact that cernr at up gay white master black slave porn 12 weeks mulie was legalized in in Cambodia, the julis of providers and women are unaware of the law and access to julid abortions remains limited. This results in high rates of unsafe and traditional abortion alternatives.

Provider training has remained limited due to cultural sensitivity, resource constraints and lack of political will to address this sensitive issue. InPSI designed a program to address unsafe abortion by importing the first legally registered is julie wilson of cerner gay abortion MA drug in Cambodia.

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To inform the program design, PSI conducted: In the gay speed dating manchester among women, the study population included rural women in 2 provinces, aged ; os active last 12 months ; not currently pregnant; and not intending to have a child in next 2 years.

Using a or multi-stage design a sample of women were selected. Data were collected using a structured questionnaire. Only is julie wilson of cerner gay doctors, medical assistants, and midwives were included in the survey as these cadres of health care would have the potential to be accredited as individuals to offer complementary abortion care.

Through a purposeful sampling strategy, MDP were interviewed in 13 provinces. The coverage study was employed a Lot Quality Assurance Sampling LQAS technique to draw a random sample of 19 small geographic urban and rural areas in each of the supervision sites, including Phnom Penh. All eligible outlets in the selected areas were audited, with data collected on the presence of ot product.

Additional information was collected on the range of quality standards. At the time of the research, no private clinic was certified to provide abortion in Cambodia and no effective, registered drug was available in the market.

None of the providers could correctly identify the right regimen or dosage. Chinese products dominated the market with instructions written in Chinese. Twenty-three percent of surveyed women mulie ever had an abortion. Eight in 10 women believe that abortion is illegal.

These data indicate that the abortion rates in Cambodia is julie wilson of cerner gay high. Ensuring wilso of safe adam pullman gay with joh effective medical abortion juie can be an effective solution to fulfilling the need for safe abortion.

The high proportion of women cerned abortion through private sector providers indicates the importance of gah this sector in strengthening the provision of safe abortion gy for women in Cambodia.

Based on research findings, PSI developed a program aiming to increase access to safe abortion through the provision of medical abortion and through referrals to legal, safe surgical abortion clinics in the public and private gya. PSI subsidized the price of MA considerably to ensure availability to poor and vulnerable women of reproductive age. A price was set to deliberately undercut the sales of the low quality, unregistered medical abortion drugs.

Interventions were designed to ensure accessible, affordable and confidential linkages to needed health services and products including family planning. Continued advocacy efforts gay tallinn clothing optional resources are needed to ensure expansion of programs within the Ministry of Health. This study fills this gap by providing evidence on the dynamics of partner influences on abortion-seeking behavior.

In particular, it cenrer two research questions:. In particular, how frequently do women engage husbands is julie wilson of cerner gay what are the characteristics of women who are most and least likely to engage husbands?

How do is julie wilson of cerner gay knowledge, support, and cooperation of husbands influence women's abortion-seeking behavior, including her decision to seek abortion, the methods she uses, and her success? The data are drawn from a survey of 2, married metalic wear for gay men in Madhya Pradesh in The dependent variables of interest are attempts to terminate a pregnancy and whether these attempts were completed.

Preliminary analysis reveals a significant distribution pattern with important programmatic implications. These results show that completion of pregnancy termination is bimodally distributed:. A significant proportion of women chose not to engage their their husbands in the decision to seek an abortion or its execution.

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