Impact of a Culturally Appropriate Nutrition Intervention on Latinos in Central Ohio

Human Ecology Undergraduate Honors Research ScholarshipThis study evaluates the effectiveness of a community based nutrition intervention for low-income Latinos in central Ohio. The Healthy Latino Families Program (HLFP) included healthy cooking and nutrition classes, and aerobic workouts for 20 weeks. In order to measure dietary intake improvements, a 22-item Spanish version food behavior checklist was administered to 53 Latino families before and after participation. Bi-variate analyses indicated a significant improvement for most items. Consumption of fruit per day increased for adults (p<0.001) and both adults and children reported eating more varieties of fruits (p<0.01). Three times as many adults began using food labels to select foods (p=0.0001) and the number of adults and children choosing low-fat food increased (p<0.01). The number of adults and children consuming soft drinks was cut in half (p<0.01). Our findings show that the intervention improved self reported food behavior in adults and children of this population. Future research should evaluate similar intervention programs for effectiveness, and incorporate more incentives to attend weekly classes. Funded by: the Ohio Commission on Minorities Health, the Department of Human Nutrition, and Centro Esperanza Latina.Ohio Commission on Minorities HealthOSU Department of Human NutritionCentro Esperanza LatinaNo embarg

Impact of a general practice based group parenting programme on the mental health of children and parents 12 months post intervention : quantitative and qualitative results from a controlled trial

Objective To test the effectiveness at one year of the Webster Stratton Parents and Children Series group parenting programme in a population sample of parents Design multicentre block randomised controlled trial Setting 3 urban General Practices in Oxford. Participants Parents of children aged 2-8 years in 116 families who scored in the upper 50% on a behaviour inventory. Intervention Webster-Stratton’s 10-week parenting programme led by health visitors. Outcome measures. Eyberg Child Behaviour Inventory, Goodman Strengths and Difficulties Questionnaire, General Health Questionnaire, Parenting Stress Index, Rosenberg Self Esteem Scale. Qualitative interviews with volunteer parents from both intervention and control groups immediately post intervention. Results The intervention significantly reduced child behaviour problems and improved mental health at immediate and 6-month follow-ups. One-year differences between control and intervention groups were not significant. Possible methodological reasons for this are: Hawthorne effects and contamination of control group. At interview parents spoke of a need for further sessions and a desire for attendance by both parents. They also described how, as a result of the programme, they had gained in confidence, felt less stressed, shouted less and achieved more cooperation from their children. Conclusions Parenting programmes have the potential to promote mental health and reduce social inequalities, but further work is needed to improve long-term effectiveness

Linkage of four administrative datasets to examine blood transfusion in pregnancy

Currently collected hospital data records fact of transfusion, but lacks detail on quantity of blood transfused, and timing of transfusions. A number of administrative datasets collect information on blood transfusion including quantity and timing. Linkage of multiple datasources has the potential to give increase the depth of information available for researchers. This study aims to describe the linkage of four administrative datasets to identify transfusions among women giving birth in NSW and to describe the population represented by this linked data. Hospital, birth, blood issue and blood pack databases were linked to identify women receiving red blood cell transfusions in NSW between July 2006 and December 2010. Characteristics of the linked data population are compared with the population of all women giving birth, and births in public hospitals. Between July 2006-December 2010 there were 425,036 births in NSW hospitals, including 235,796 in a population with additional blood issue data available, of which, 4642(2%) received a transfusion. Hospitals supplying blood issue data were more likely to be larger urban or tertiary hospitals, and had a higher risk population than the state overall and public hospitals generally. Linkage of multiple data sources provides additional detail compared with hospital data alone, providing a wealth of data for researchers. The population identified through linkage differs from the overall birthing population, and to a lesser extent from women birthing in public hospitals. In some cases this may affect generalisability of research findings, but in other cases may be beneficial

Romans and Work

Introduction to Romans The Gospel of Salvation—Paul’s Vocation (Romans 1:1-17) Our need for salvation in life and work (Romans 1:18-1:32) All have sinned (Romans 2-3) Judgment, justice and faith (Romans 3) Judgment, the source of broken relationships (Romans 3:1-20) God’s justice, the solution to our false judgments (Romans 3:21-26) Faith/Faithfulness, the entry to God’s justice (Romans 3:27-31) An exemplary faith: Abraham trusted God’s promises (Romans 4) Grace reigns for eternal life through Jesus Christ (Romans 5) Grace transforms suffering in our life in Christ (Romans 5:1-11) Grace and righteousness lead to eternal life through Christ (Romans 5:12-21) Walking in Newness of Life (Romans 6) Walking in newness of life in the workplace (Romans 6) The invasive power of “sin” (Romans 7) Living according to the Spirit (Romans 8) Living according to the Spirit leads to a new quality of life (Romans 8:1-14) Suffering with Christ in order to be glorified with Christ (Romans 8:15-17) Eagerly awaiting bodily redemption for ourselves and God’s creation (Romans 8:18-30) Nothing can come between us and the love of God (Romans 8:31-39) God’s character is to have mercy on everyone (Romans 9-11) The Community of Grace at Work (Romans 12) Be transformed by the renewing of your minds (Romans 12:1-3) Sacrificing for the sake of the community (Romans 12:1-3) Involving the community in your decisions (Romans 12:1-3) Work as Members of One Another (Romans 12:4-8) Specific behavioral principles to guide moral discernment (Romans 12:9-21) Living under the power of God (Romans 13) Welcoming—Living Peacefully with Different Values and Opinions (Romans 14:1-15:33) Welcoming overcomes quarrels over differing opinions (Romans 14) Welcoming builds up the community (Romans 14:19-15:33) A Community of Leaders (Romans 16:1-16, 22-23) Conclusions (Romans) Selected Bibliography (Romans

The cooperative principle in copyediting

In this study, the first study made of the editing practices of professional editors, 51 editors on the Iowa State University campus were asked to edit a problematical one-page journalistic newsletter article. The changes they indicated in their samples were analyzed according to the operations of addition, substitution, deletion, transferring, paragraphing, and zero markings per line. These operations corresponded to the maxims of Grice\u27s Cooperative Principle of the Speech Act Theory (Grice, 1975, pp. 41-59). The motivations for the various editorial changes were hypothesized. The copyeditors\u27 overall patterns were categorized by type according to Buehler\u27s editing schemata (Carosso, 1986, p. 20). It was noted that, unlike student writers, professional editors tend to use all the operations and value quantity, quality, manner, and relation almost equally. In addition, they tend to look at writing holistically, editing substantively and changing order or format to fit the conventions of the piece

Growth plan for the Meeting School, Rindge, New Hampshire.

Massachusetts Institute of Technology. Dept. of Architecture. Thesis. 1970. B.Arch.B.Arch

Haemoglobin changes during pregnancy: a retrospective cohort study of consecutive pregnancies

NHMR

Trends and outcomes of postpartum haemorrhage, 2003-2011

Background: While rates of postpartum haemorrhage (PPH) have continued to rise, it is not clear if the association with other morbidity and transfusion has changed over time. This study explores the recent trend in postpartum haemorrhage and risk factors for transfusion and other severe adverse maternal outcomes following postpartum haemorrhage, stratified by mode of delivery. Methods: Linked birth and hospital data were used to examine ICD-10AM coded PPH and outcomes in maternal birth admission records, 2003-2011 in hospitals in New South Wales (NSW), Australia (N= 818,965 singleton pregnancies). Trends were calculated on the whole population, and among subgroups, and tested using the Cochran Armitage test for trend. Logistic regression models were developed separately for vaginal and caesarean births, and for a maternal morbidity composite indicator (excluding transfusion) and red cell transfusion. Adjusted odds ratios (aOR) for yearly change and 95% confidence intervals (CI) are presented. Adjustment included maternal (eg. age, country of birth) and pregnancy factors (eg. parity, interventions, pregnancy complications). Results: Overall, there was a significant increase in the PPH rate, from 6.1% in 2003 to 8.3% in 2011 (p<0.0001). Having accounted for maternal and pregnancy factors, there was no significant increase in morbidity among women delivering vaginally with a PPH (aOR for yearly change 0.97 (0.94-1.00); p=0.36), and a slight decrease among women delivered by caesarean section (aOR 0.96 (0.92-0.99); p<0.01). There was a slight increase in transfusions for vaginal births (aOR 1.02 (1.00-1.03); p<0.01), however there was no significant trend amongst caesarean births (aOR 0.99 (0.97-1.01); p=0.30). Conclusions: PPH has become more frequent, however this has not been associated with increased maternal morbidity. This suggests that the increase in PPH may represent fewer severe haemorrhages, well-managed haemorrhage or better recording of PPH.NHMRC, AR