History and development of the Mental Hygiene Clinic of Louisville, Kentucky.

Interest in the field of Mental Hygiene and psychiatry has been stimulated by tensions of World War II. As in other communities there are mental hygiene and psychiatric facilities in Louisville. Kentucky. Since there is no available history compiled of this development such a study seems especially valuable at this time. How the community has gone about meeting the needs in this area of work in the past may be seen through such a study and may in turn prove a guide for future planning. The purpose of this dissertation is to trace the history and development of the Louisville Mental Hygiene Clinic. Beginning with an over-all survey of the mental hygiene movement from its inception in 1908. it traces the phases through which the concept passed nationally, then locally

Issue 1: “It’s Better Late Than Never”: A Community-Based HIV Research and Training Response to Supporting Mothers Living with HIV Who Have Child Welfare Involvement (Part I)

Grounded in community-based research (CBR) principles and an anti-oppression framework, the Positive Parenting Pilot Project (P4) aimed to develop, implement, and evaluate an HIV education and training module to enhance the provision of support for families affected by HIV and who are at risk of or already involved with child protection services. We set out to strengthen the ability of Children’s Aid Societies (CAS) in Ontario to provide anti-oppressive services to families affected by HIV from diverse communities by increasing the capacity of social workers who support these families. Applying the principles of CBR, we increased communication and forged new collaborative relationships within and between CAS agencies, the HIV service sector, parents living with HIV, and researchers in order to better address family needs at societal and structural levels. The goal of this project was to develop, provide, and evaluate a framework for an anti-oppressive education and training module related to the multiple layers of oppression that are experienced by families living with HIV including HIV-related stigma and discrimination, racism, sexism, violence and poverty. This paper presents the qualitative analysis of pre- and post- focus groups with CAS workers who participated in P4 and the emerging practice implications for working with families living with and affected by HIV

Five-Year Follow Up of a Low Glycaemic Index Dietary Randomised Controlled Trial in Pregnancy—No Long-Term Maternal Effects of a Dietary Intervention

Objective: To determine whether a dietary intervention in pregnancy had a lasting effect on maternal outcomes of diet, HbA1c and weight retention 5 years post-intervention; and to establish whether modifiable maternal behaviours were associated with these outcomes. Design: Randomised control trial of low glycaemic index (GI) diet in pregnancy with longitudinal follow up to 5 years post-intervention. Setting: Dublin, Ireland (2007–2016). Population: In all, 403 women of 759 (53.1%) were followed up at 5 years. A total of 370 (intervention n = 188; control n = 182) were included in this analysis. Methods: Fasting glucose was measured at 13 and 28 weeks’ gestation and HbA1c (mmol/mol) at 5-year follow up. Weight retention (kg) from early pregnancy to 5 years post-intervention was calculated. Dietary intakes, anthropometry, and lifestyle factors were measured in pregnancy and 5 years post-intervention. Multiple linear regression models, controlling for confounders, were used for analysis. Outcome: Maternal diet, HbA1c, and weight retention at 5 years post-intervention. Results: There was no difference between the intervention and control at 5 years post-intervention for any long-term maternal outcomes measured. HbA1c at 5 years post-intervention was associated with early-pregnancy fasting glucose (B 1.70, 95% CI 0.36–3.04) and parity ≥3 (B 1.04, 95% CI 0.09–1.99). Weight retention was associated with change in well-being from pregnancy to 5 years (B −0.06, 95% CI −0.11 to −0.02), gestational weight gain (B 0.19, 95% CI 0.00–0.38), and GI (B 0.26, 95% CI 0.06–0.46) at 5 years. Conclusions: The ROLO low-GI dietary intervention in pregnancy had no impact on maternal dietary intakes, HbA1c or body composition 5 years post-intervention. Maternal factors and lifestyle behaviours in pregnancy have long-term effects on glucose metabolism and weight retention up to 5 years later. Tweetable abstract: Pregnancy factors are associated with maternal glucose metabolism and weight retention 5 years later

Nutrition, Behavior Change and Physical Activity Outcomes From the PEARS RCT—An mHealth-Supported, Lifestyle Intervention Among Pregnant Women With Overweight and Obesity

Background: Diet quality and physical activity positively impact pregnancy outcomes among women with obesity, but successful lifestyle interventions require intense clinician time. We aimed to investigate the impact of a behavioral-lifestyle intervention (PEARS) supported by a smartphone app among pregnant women with overweight and obesity, on nutrient intake, behavioral stage-of-change and physical activity. Methods: Pregnant women (BMI 25–39.9 kg/m2, measured, n = 565) were randomized at 15.6 weeks\u27 gestation to the intervention (n = 278), or a control group (n = 287) (ISRCTN29316280). The intervention was grounded in behavior-change theory. Participants received nutrition (low glycaemic index and healthy eating) and exercise advice, a smartphone app and fortnightly emails. The control group received usual care which does not include dietary advice. At baseline and 28 weeks\u27 gestation, dietary data were obtained through 3-day food diaries (n = 290 matched), and stage-of-change and physical activity data were self-reported. App usage data were collected. Results: There were no differences between the groups at baseline. Compared with the control group, the intervention group had improved dietary intakes post-intervention with; lower glycaemic index (MD −1.75); free sugars (%TE) (MD −0.98); fat (%TE) (MD −1.80); and sodium (mg) (MD −183.49). Physical activity (MET-minutes/week) was higher in the intervention group post-intervention (MD 141.4; 95% CI 62.9, 219.9). The proportion of participants at “maintenance” stage-of-change for physical activity was higher in the intervention group (56.3 vs. 31.2%). App use was associated with lower glycaemic index and less energy from free sugars, but not with physical activity. Conclusion: A behavioral-lifestyle intervention in pregnancy supported by a smartphone app improved dietary intakes, physical activity, and motivation to engage in exercise

Issue 1: “It’s Better Late Than Never”: A Community-Based HIV Research and Training Response to Supporting Mothers Living with HIV Who Have Child Welfare Involvement (Part I)

Grounded in community-based research (CBR) principles and an anti-oppression framework, the Positive Parenting Pilot Project (P4) aimed to develop, implement, and evaluate an HIV education and training module to enhance the provision of support for families affected by HIV and who are at risk of or already involved with child protection services. We set out to strengthen the ability of Children’s Aid Societies (CAS) in Ontario to provide anti-oppressive services to families affected by HIV from diverse communities by increasing the capacity of social workers who support these families. Applying the principles of CBR, we increased communication and forged new collaborative relationships within and between CAS agencies, the HIV service sector, parents living with HIV, and researchers in order to better address family needs at societal and structural levels. The goal of this project was to develop, provide, and evaluate a framework for an anti-oppressive education and training module related to the multiple layers of oppression that are experienced by families living with HIV including HIV-related stigma and discrimination, racism, sexism, violence and poverty. This paper presents the qualitative analysis of pre- and post- focus groups with CAS workers who participated in P4 and the emerging practice implications for working with families living with and affected by HIV

War crimes research symposium: the role of justice in building peace (Tape 1 of 4)

Lecture series 2002-2003 Symposium presented at the Franklin Thomas Backus School of Law, Case Western Reserve University and sponsored by the Frederick K. Cox International Law Center, on February 28, 2003, examining the role of international justice ...in the peace-building efforts in the former Yugoslavia, Somalia, Rwanda, Cambodia, and Sierra Leone --program brochure Speakers and panelists: Jerry Fowler, David Freudberg, Roy Gutman, Henry King, Neil Kritz, Bruce MacKay, Madeline Morris, Major General (Ret.) William Nash, Elizabeth Neuffer, Lt. Col. Michael Newton, James O\u27Brien, Esq., Mary Ellen C\u27Connell, Leila Nadya Sadat, David Scheffer, Hon. Abraham Sofaer, Elizabeth Sullivan, Paul William

War crimes research symposium: the role of justice in building peace (Tape 1 of 4)

Lecture series 2002-2003 Symposium presented at the Franklin Thomas Backus School of Law, Case Western Reserve University and sponsored by the Frederick K. Cox International Law Center, on February 28, 2003, examining the role of international justice ...in the peace-building efforts in the former Yugoslavia, Somalia, Rwanda, Cambodia, and Sierra Leone --program brochure Speakers and panelists: Jerry Fowler, David Freudberg, Roy Gutman, Henry King, Neil Kritz, Bruce MacKay, Madeline Morris, Major General (Ret.) William Nash, Elizabeth Neuffer, Lt. Col. Michael Newton, James O\u27Brien, Esq., Mary Ellen C\u27Connell, Leila Nadya Sadat, David Scheffer, Hon. Abraham Sofaer, Elizabeth Sullivan, Paul William

War crimes research symposium: the role of justice in building peace (Tape 3 of 4)

Lecture series 2002-2003 Symposium presented at the Franklin Thomas Backus School of Law, Case Western Reserve University and sponsored by the Frederick K. Cox International Law Center, on February 28, 2003, examining the role of international justice ...in the peace-building efforts in the former Yugoslavia, Somalia, Rwanda, Cambodia, and Sierra Leone --program brochure Speakers and panelists: Jerry Fowler, David Freudberg, Roy Gutman, Henry King, Neil Kritz, Bruce MacKay, Madeline Morris, Major General (Ret.) William Nash, Elizabeth Neuffer, Lt. Col. Michael Newton, James O\u27Brien, Esq., Mary Ellen C\u27Connell, Leila Nadya Sadat, David Scheffer, Hon. Abraham Sofaer, Elizabeth Sullivan, Paul William