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- New models of
population
management for
patients with
diabetes -
using
informatics
tools to
support
primary care.: Diabetes Res
Clin Pract,
Vol. 74 Suppl
2 (December
2006)Diabetes
management
continues to
fall short of
evidence-based
goals of care.
Population
management
represents a
new approach
to diabetes
care for large
numbers of
patients with
diabetes cared
for within a
single
clinical
system. This
method is
information
intensive and
generally
requires an
advanced
informatics
infrastructure
. While
Information
Processing is
a critical
first step in
population
management, to
have a
significant
impact on
disease
control
population-bas
ed
intervention
must also
employ potent
Clinical
Action tools
that lower
barriers to
effective
care. In this
review we
present two
recent
population
management
interventions
within our
health system
that
illustrate the
principles of
Information
Processing and
Clinical
Action in
diabetes care.
Source: Diabetes Res Clin Pract, Vol. 74 Suppl 2 (December 2006) - College-Bound
Sisters.
Exploring One
Pregnancy
Prevention
Program: AWHONN
Lifelines,
Vol. 6, No. 2.
(2002), pp.
146-151.
Source: AWHONN Lifelines, Vol. 6, No. 2. (2002), pp. 146-151. - THE
RELATIONSHIP
BETWEEN
PHYSICAL
ACTIVITY AND
PERIMENOPAUSE: pp.
163-178.Our
purpose in
conducting
this study was
to examine the
relationship
between
physical
activity and
symptoms
associated
with
perimenopause.
A group of 214
perimenopausal
women aged
40-55 years
(mean=47
years)
completed the
Women's Health
Assessment
Scale
(assesses
symptoms
associated
with
perimenopause:
vasomotor,
psychosomatic,
menstrual, and
sexual
symptoms) and
the physical
activity
questionnaire.
These women
were
categorized
into three
groups based
on their
levels of
physical
activity:
inactive,
relatively
active, and
active.
Analyses of
covariance
(ANCOVA)
revealed
significant
differences
between groups
in frequency
and distress
of overall
symp toms
associated
with
(perimenopause
F=8.86, p=.00,
F=6.25, p=.00,
respectively).
Further
analyses
indicated that
relatively
active and
active women
had
significantly
fewer and less
distressful
(psychosomatic
symptoms
F=8.05, p=.00,
F=5.80, p=.00,
respectively),
such as
irritability,
forgetfulness,
and headache
as well as
fewer and less
distressful
sexual
symptoms
(F=3.42,
p=.03, F=3.73,
p=.03,
respectively),
such as
vaginal
dryness and
decreased
sexual desire
than inactive
women. No
significant
differences
were found
among groups
on vasomotor
and menstrual
symptoms. In
conclusion,
physical
activity may
be an
important
alternative/ad
junct to
hormone
therapy
particularly
for
psychosomatic
and sexual
symptom
management at
perimenopause.
Source: pp. 163-178. - PREVENTING
SECONDARY
PREGNANCY IN
ADOLESCENTS: A
MODEL PROGRAM: pp. 5-15.The
Dollar-A-Day
program in
Greensboro,
North
Carolina, was
established in
1990 to
prevent
subsequent
pregnancies in
girls under 16
years of age
who had
already given
birth to one
child.
Conceptualized
by nursing
professors and
using
principles
from theories
of adolescent
development
and social
exchange, the
program was
planned and
implemented in
collaboration
with nurses
from the local
health
department.
Weekly
meetings
featured food,
an informal
program
focused on
needs
identified by
members,
setting of
short-term
goals, and an
award of a
dollar for
each day they
remained
nonpregnant.
After five
years of
operation with
a series of
small grants,
only 15% of
the 65 girls
who had been
enrolled in
the program
experienced
subsequent
pregnancies.
The success of
the program
convinced
health
department
officials to
incorporate
Dollar-A-Day
into their
budget as a
permanent
service to the
population of
adolescents
they serve. It
remains as a
model program
for others to
emulate.
Source: pp. 5-15. - The Politics
of Evolution:
Morphology,
Medicine, and
Reform in
Radical London: (15 April
1989)Looking
for the first
time at the
cut-price
anatomy
schools rather
than genteel
Oxbridge,
Desmond
winkles out
pre-Darwinian
evolutionary
ideas in
reform-minded
and
politically
charged early
nineteenth-cen
tury London.
In the
process, he
reveals the
underside of
London
intellectual
and social
life in the
generation
before Darwin
as it has
never been
seen before.
"The Politics
of Evolution
is
intellectual
dynamite, and
certainly one
of the most
important
books in the
history of
science
published
during the
past
decade."?Jim
Secord, Times
Literary
Supplement
"One of those
rare books
that not only
stakes out new
territory but
demands a
radical
overhaul of
conventional
wisdom."?John
Hedley Brooke,
Times Higher
Education
Supplement
Source: (15 April 1989)
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