O ciclo menstrual e o local de trabalho: Revisão de literatura

Physical and emotional symptoms relating to the menstrual cycle can have different effects for different women. For women who experience extreme symptoms, such as pain, heavy bleeding and mood disruptions, symptoms may have an impact on functioning at work. Health practitioners may need to make special considerations when working with women who experience menstrual disorder symptoms. This article explores relevant articles related to menstrual disorders and the workplace. Various topics are covered with a special focus on occupational health considerations. Menstrual cycle studies have mostly focused on quantitative research and have largely neglected the importance of women’s subjective experiences. This article identifies that most studies have overlooked such issues up to date, and provides an overview of reasons why more mixed methods research should be conducted on menstrual cycle studies. Women’s subjective experiences are often overlooked. Women who experience imposing menstrual cycle symptoms would benefit from person-centred treatment interventions.Os sintomas físicos e emocionais associados ao ciclo menstrual exercem diferentes efeitos sobre cada mulher. Algumas mulheres apresentam sintomas extremos, como, por exemplo, dores, fluxo intenso e alterações de humor, e estes sintomas podem influenciar o seu desempenho no local de trabalho. Os profissionais de saúde poderão ter de tomar em consideração fatores especiais no caso de mulheres que apresentam sintomas de distúrbios menstruais. O presente artigo explora outros artigos relevantes relacionados com distúrbios menstruais e o local de trabalho. São abordados diferentes tópicos com um enfoque especial em considerações sobre saúde ocupacional. Os estudos sobre o ciclo menstrual têm-se focado predominantemente numa investigação quantitativa, negligenciando, em grande medida, a importância das experiências subjetivas de cada mulher. Este artigo evidencia que a maioria dos estudos até ao momento tem descurado esta questão, e fornece uma visão geral sobre as razões pelas quais devem existir métodos de investigação mais variados em estudos sobre o ciclo menstrual. As experiências subjetivas de cada mulher são frequentemente descuradas. As mulheres que apresentam sintomas menstruais difíceis poderiam beneficiar de intervenções de tratamento centradas na pessoa

Improving Medication Adherence for African American Patients with Hypertension

Adherence to antihypertensive medications is essential for positive outcomes in treating hypertension (HTN). But the rate of nonadherence to antihypertensive medications among African Americans (AA) is low. The purpose of this DNP project was to develop a clinical practice guideline (CPG) that would assist in improving hypertensive medication adherence in the AA patient population as well as assess whether the CPG would be recommended by a team of content experts for use in their practice. The Hypertension Medication Adherence CPG incorporated the medication adherence model and the transtheoretical model to generate evidence-based interventions. Grading of Recommendations Assessment, Development, and Evaluation method was used to critically appraised the evidence from the literature. A four-member expert panel evaluated the CPG using the Appraisal of Guidelines for Research and Evaluation II instrument to validate the content and ensure usability. A benchmark of 70% or greater was used to select the quality of each domain. All six-domains scored 96% or above and the overall assessment score was 100%. All four appraisers confirmed they would recommend the use of the CPG in their practice. CPGs can provide nurses with a roadmap to patient care by applying evidence-based interventions that encourage patients to adhere to their medications. The project has potential implications for social change as it could improve nursing practice around strategies for improving medication adherence in all disease modalities

Chemical Analysis of Precipitation and Stormwater Runoff from a Large Green Roof

The growth medium of a green roof is likely to affect the chemistry of the rainwater passing through it, which may impact the receiving waters. Currently only limited data exist on the changes in rain chemistry caused by green roofs. The objectives of this project are to determine the differences in concentration of several contaminants in rain and in runoff from a green roof in downtown Syracuse, NY, and to explore reasons for the observed differences. A few samples were collected in 2014 and 2016, but most of the data are from 2017. Collection of precipitation uses funnels, while collection of runoff takes place using a drainpipe that connects to several roof drains. Both types of samples are analyzed by ion chromatography for chloride, sulfate, and nitrate. Preliminary tests show that chloride concentrations in the green roof runoff are generally greater than or equal to those in precipitation. Sulfate in the runoff is greatly enhanced compared with precipitation. Nitrate concentrations do not show a clear pattern. Engineered soil greatly influences the chemistry of the incoming rain, and additional research is needed to better understand this chemistry

Children’s Strategies for Displaying Anger and Sadness: What Works With Whom?

This study examined the influence of expressive strategies (i.e., verbal, facial, crying, sulking, and aggressive), emotion type (i.e., anger, sadness), social context (i.e., mother, father, best friend), age (i.e., 7, 10 years), and gender on 144 children’s expectancies regarding interpersonal responses to their emotional expression. Participants included 72 boys and 72 girls, with an average age of 8 years and 10 months. Results indicate that children expect others to respond more positively to certain expressive strategies (e.g., verbal, facial) as compared to others (e.g., aggression) and that these expectancies vary as a function of the type of emotion experienced, the social context, age, and gender. Consistent with the functionalist approach to emotion, findings suggest that, through social interaction, children learn culturally appropriate strategies for emotional expression that facilitate their ability to elicit a desired response from social partners

All and only CpG containing sequences are enriched in promoters abundantly bound by RNA polymerase II in multiple tissues

<p>Abstract</p> <p>Background</p> <p>The promoters of housekeeping genes are well-bound by RNA polymerase II (RNAP) in different tissues. Although the promoters of these genes are known to contain CpG islands, the specific DNA sequences that are associated with high RNAP binding to housekeeping promoters has not been described.</p> <p>Results</p> <p>ChIP-chip experiments from three mouse tissues, liver, heart ventricles, and primary keratinocytes, indicate that 94% of promoters have similar RNAP binding, ranging from well-bound to poorly-bound in all tissues. Using all 8-base pair long sequences as a test set, we have identified the DNA sequences that are enriched in promoters of housekeeping genes, focusing on those DNA sequences which are preferentially localized in the proximal promoter. We observe a bimodal distribution. Virtually all sequences enriched in promoters with high RNAP binding values contain a CpG dinucleotide. These results suggest that only transcription factor binding sites (TFBS) that contain the CpG dinucleotide are involved in RNAP binding to housekeeping promoters while TFBS that do not contain a CpG are involved in regulated promoter activity. Abundant 8-mers that are preferentially localized in the proximal promoters and exhibit the best enrichment in RNAP bound promoters are all variants of six known CpG-containing TFBS: ETS, NRF-1, BoxA, SP1, CRE, and E-Box. The frequency of these six DNA motifs can predict housekeeping promoters as accurately as the presence of a CpG island, suggesting that they are the structural elements critical for CpG island function. Experimental EMSA results demonstrate that methylation of the CpG in the ETS, NRF-1, and SP1 motifs prevent DNA binding in nuclear extracts in both keratinocytes and liver.</p> <p>Conclusion</p> <p>In general, TFBS that do not contain a CpG are involved in regulated gene expression while TFBS that contain a CpG are involved in constitutive gene expression with some CpG containing sequences also involved in inducible and tissue specific gene regulation. These TFBS are not bound when the CpG is methylated. Unmethylated CpG dinucleotides in the TFBS in CpG islands allow the transcription factors to find their binding sites which occur only in promoters, in turn localizing RNAP to promoters.</p

Enhanced Recovery after Surgery in a Single High-Volume Surgical Oncology Unit: Details Matter

Benefits of ERAS protocol have been well documented; however, it is unclear whether the improvement stems from the protocol or shifts in expectations. Interdisciplinary educational seminars were conducted for all health professionals. However, one test surgeon adopted the protocol. 394 patients undergoing elective abdominal surgery from June 2013 to April 2015 with a median age of 63 years were included. The implementation of ERAS protocol resulted in a decrease in the length of stay (LOS) and mortality, whereas the difference in cost was found to be insignificant. For the test surgeon, ERAS was associated with decreased LOS, cost, and mortality. For the control providers, the LOS, cost, mortality, readmission rates, and complications remained similar both before and after the implementation of ERAS. An ERAS protocol on the single high-volume surgical unit decreased the cost, LOS, and mortality

The pediatric emergency department care experience: A quality measure

To develop and validate a measure of the quality of the pediatric emergency department care experience from the parent perspective. This was a multiphase study conducted at a tertiary-care pediatric health system using qualitative and quantitative methods. A list of candidate questions was developed to measure each of eight dimensions of family-centered pediatric emergency care described in a published framework. This list was evaluated and refined using the Question Appraisal System (QAS-99) followed by cognitive interviewing methods. Remaining questions were field tested using survey methods via telephone interviews with randomly selected parents. Composite scores to measure each of the eight dimensions of family-centered pediatric emergency care were calculated. Reliability was evaluated using measures of internal consistency. Construct validity was evaluated by measuring the association of each question and composite scores with overall satisfaction. A pool of 77 questions was reduced to 51 using QAS-99 criteria. Cognitive interviews with 19 parents resulted in a final list of 24 questions for field testing. With a response rate of 46%, 404 parents participated in the field test. Each individual question exhibited a significant positive association with overall satisfaction. Measures of internal consistency did not support the composite scores based on the initial eight dimensions. An exploratory factor analysis resulted in alternative composite measures that exhibited acceptable reliability and construct validity. This study has resulted in a measure that can be used to inform quality improvement work aimed at improving the pediatric emergency department care experience

What's Gender Got to Do with It? Incivility in the Federal Courts

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72366/1/j.1747-4469.2002.tb00804.x.pd

Integrating food and language nutrition to reach Georgia’s children in early care and education environments

Background: Educational attainment and health are mutually reinforcing outcomes. Good health supports children in the achievement of academic milestones, such as grade-level reading, and is associated with higher socio-economic status, longer life expectancy, and lower lifelong chronic disease. Improving health outcomes and increasing the potential for high educational attainment is necessary for reducing disparities, improving population health, and reducing morbidity. Early childhood and associated settings present opportunities to address lifelong health. Methods: To guide the development of programs to reach large numbers of children, we reviewed the literature associated with interventions during early childhood to promote healthy food consumption patterns and language development—“food and language nutrition.” Results: Identified in the systematic review were 12 articles. A recurrent theme was the social-ecological model, widely used in the studies identified through the literature review. Conclusions: The findings suggest a theoretical framework and key considerations that could guide the development of integrated interventions to improve food and language nutrition. With these findings, the authors propose a conceptual model and outline a public health program to address food and language nutrition together in early care settings in the state of Georgia, with the potential for application in other geographic areas

The Ursinus Weekly, November 7, 1974

The Great Pumpkin comes to U.C. • Course Directory Catalogue Committee formed by U.S.G.A. • Antigone is ProTheatre\u27s production • Union does it again • Criminal law featured as Forum topic • Letters to the editor: Epitaph on an Ursinus transfer • Pages from Ursinus past: A legend • Perusing Pfahler\u27s pigeons • New Economics head • Equus reviewed • Concerts: Bizarre and sublime • Record review • Nate DuPree: Can a black man find happiness at Ursinus? • Martha Franklin: A half century of service to our students and campus • Readin\u27, ritin\u27 and new math • Introducing campus leaders • Football wrapup: Swarthmore; Widener • Hockey teams win the big games! • Harriers 6-4 on seasonhttps://digitalcommons.ursinus.edu/weekly/1024/thumbnail.jp