The use of a family agency in relocation for urban renewal.

Thesis (M.S.)--Boston Universit

Efficacy of a New Postpartum Transition Protocol for Avoiding Pregnancy

Introduction: The postpartum period is a challenging time for family planning, especially for women who breastfeed. Breastfeeding delays the return of menses (lactational amenorrhea), but ovulation often occurs before first menses. For this reason, a protocol was developed to assist women in identifying their return of fertility postpartum to avoid pregnancy. Methods: In this prospective, 12-month, longitudinal cohort study, 198 postpartum women aged 20 to 45 years (mean age, 30.2 years) were taught a protocol for avoiding pregnancy with either online or in-person instruction. A hand-held fertility monitor was used to identify the fertile period by testing for urinary changes in estrogen and luteinizing hormone, and the results were tracked on a web site. During lactational amenorrhea, urine testing was done in 20-day intervals. When menses returned, the monitor was reset at the onset of each new menstrual cycle. Participants were instructed to avoid intercourse during the identified fertile period. Kaplan-Meier survival analysis was used to calculate unintentional pregnancy rates through the first 12 months postpartum. Results: There were 8 unintended pregnancies per 100 women at 12 months postpartum. With correct use, there were 2 unintended pregnancies per 100 women at 12 months. Conclusion: The online postpartum protocol may effectively assist a select group of women in avoiding pregnancy during the transition to regular menstrual cycles

Selected Readings on Ethnicity, Family and Community

Selected Readings on Ethnicity, Family and Community; compiled by Mary E. Kelly, Central Missouri State University, and Thomas W. Sanchez, University of Nebraska- Lincoln

Effectiveness of an Online Natural Family Planning Program for Breastfeeding Women

Objective To analyze the effectiveness of an online, nurse-managed natural family planning (NFP) program among breastfeeding women and subgroups of these women. Design Longitudinal comparative cohort study. Setting A university-based online NFP education program and menstrual cycle charting system. Participants Women (N = 816) with a mean age of 30.3 years (standard deviation = 4.5) who registered to use the online NFP system and indicated they were breastfeeding. Methods Participants tracked their fertile times with an electronic hormone fertility monitor (EHFM), cervical mucus monitoring, or both. All unintended pregnancies were evaluated by professional nurses. Results The correct use pregnancy rates were 3 per 100 users over 12 cycles of use, and typical rates were 14 per 100 at 12 cycles of use. At 12 cycles of use, total pregnancy rates were 16 per 100 for electronic hormone fertility monitor users (n = 380), 81 per 100 among mucus-only users (n = 45), and 14 per 100 for electronic hormone fertility monitor plus mucus users (n = 391). Conclusion Use of a nurse-managed online NFP program for women can be effective to help women avoid pregnancy while breastfeeding, especially with correct and consistent use

Developing Strategic Marketing Plan

This publication is first in a series targeted for Coordinators and Managers within Benefits Planning, Assistance and Outreach Programs concerned with developing continuous quality improvement approaches. This early publication focuses on understanding strategies for market position, strategic planning and provides a tool for conducting an organizational self-assessment along with a stakeholder analysi

Comparison of Abstinence and Coital Frequency between Two Natural Methods of Family Planning

Problem Statement: The length of periodic abstinence, due to overestimation of the fertile phase of the menstrual cycle is often a reason for dissatisfaction, discontinuation, and user error with natural family planning (NFP) methods. The objective of this research was to compare the length of required abstinence (i.e., estimated fertility) and coital frequency between two NFP methods. Study Design: Analysis of existing data from a 12 month prospective comparison study in which participants were randomized into either an electronic hormonal fertility monitor (EHFM) group or a cervical mucus monitoring (CMM) group, both of which included a fertility algorithm as a double check for the beginning and end of the estimated FW. The current study involved 197 women (mean age 29.7, SD=5.4) who used the EHFM to estimate the FW and 162 women (mean age 30.4, SD=5.3) who used CMM to estimate the FW. They produced 1,669 menstrual cycles of data. Number of days of estimated fertility and coitus was extracted from each cycle and t-tests were used to compare the means of these two variables between the two NFP methods. Results: After six months of use, the EHFM group had statistically fewer days of estimated fertility than the CMM group (13.25 days, SD=2.79 versus 13.65 days, SD=2.99; t=2.07, p = .04) and significantly more coitus (4.22 coital acts, SD=3.16 versus 4.05 acts, SD=2.88, t=1.17, p=.026). Conclusion: The use of the EHFM seems to provide more objectivity and confidence in self-estimating the FW and use of non-fertile days for intercourse when avoiding pregnancy

THE ROLE OF PHYSALIN F IN REVERSING EXPERIMENTAL NEUROPATHIC PAIN

Chronic pain continues to be an insurmountable issue in recent times, particularly due to the lack of adequate knowledge as well as the unavailability of appropriate therapeutics that target it. The increasingly common prescription of opioids as medication to treat chronic pain has ultimately contributed to a national opioid epidemic. In response to this, several strides have been made by the Center for Disease Control and Prevention (CDC) to revise guidelines pertaining to opioid prescription for chronic pain. This project specifically focuses on identifying the mechanism of action of Physalin F, a natural compound isolated from the Physalis acutifolia (family: Solanaceae) herb, and previously demonstrated to exhibit antinociceptive effects in models of inflammatory pain, consistent with earlier reports of its anti-inflammatory and immunomodulatory activities. Through the use of calcium imaging, it was revealed that Physalin F had a significant inhibitory effect on voltage-gated calcium channels in dorsal root ganglion. In order to replicate these findings in-vivo, Physalin F was found to reverse mechanical allodynia in both paclitaxel-induced and spinal nerve ligation-induced neuropathic pain models, further elucidating its antinociceptive behavior. Experimentation results provided a better scope on Physalin F mechanism of action as well as grounds for further investigation

Constructing ‘suspect’ communities and Britishness: mapping British press coverage of Irish and Muslim communities, 1974–2007

There exist many parallels between the experiences of Irish communities in Britain in the past and those of Muslim communities today. However, although they have both been the subject of negative stereotyping, intelligence profiling, wrongful arrest and prejudice, little research has been carried out comparing how these communities are represented in the media. This article addresses this gap by mapping British press coverage of events involving Irish and Muslim communities that occurred between 1974 and 2007. The analysis shows that both sets of communities have been represented as ‘suspect’ to different degrees, which the article attributes to varying perceptions within the press as to the nature of the threat Irish and Muslim communities are thought to pose to Britain. The article concludes that a central concern of the press lies with defending its own constructions of Britishness against perceived extremists, and against abuses of power and authority by the state security apparatus

Thiol-reactive analogues of galanthamine, codeine and morphine as potential probes to interrogate allosteric binding within nAChRs

Alkaloids including galanthamine (1) and codeine (2) are reported to be positive allosteric modulators of nicotinic acetylcholine receptors (nAChRs) but the binding sites responsible for this activity are not known with certainty. Analogues of galanthamine (1), codeine (2) and morphine (3) with reactivity towards cysteine thiols were synthesised including conjugated enone derivatives of the three alkaloids 4-6 and two chloro-alkane derivatives of codeine 7 and 8. The stability of the enones was deemed sufficient for use in buffered aqueous solutions and their reactivity towards thiols was assessed by determining the kinetics of reaction with a cysteine derivative. All three enone derivatives were of sufficient reactivity and stability to be used in covalent trapping, an extension of the substituted cysteine accessibility method (SCAM), to elucidate the allosteric binding sites of galanthamine and codeine at nAChRs