scholarly journals Eliciting culturally and medically informative family health histories from Marshallese patients living in the United States

2020 ◽  
Vol 29 (3) ◽  
pp. 440-450
Author(s):  
Karli Blocker ◽  
Henry Gene Hallford ◽  
Pearl McElfish ◽  
Noelle R. Danylchuk ◽  
Lori Williamson Dean
Keyword(s):  
United States ◽  
Family Health ◽  
The United States ◽  
Informative Family

Behavioral and Developmental Components of Child Health Promotion: How Can They Be Accomplished?

1986 ◽  
Vol 8 (5) ◽  
pp. 133-141
Author(s):  
Morris Green
Keyword(s):  
United States ◽  
Health Promotion ◽  
Child Health ◽  
Rapid Change ◽  
Family Health ◽  
The United States ◽  
Parents And Children ◽  
Child Health Promotion ◽  
One Parent Families ◽  
In The Beginning

Child health supervision has been a service highly valued both by the consumer and by pediatricians. In addition to improved public health practices, nutrition, housing, and other environmental factors, pediatric health promotion has made a major contribution to the improved health status of children which has occurred in recent decades in the United States. Although the current preoccupation with cost containment might suggest otherwise, the present question is not how we can do less in health promotion but how we can do more, and with better effectiveness, especially in relation to behavior and development. The potential for child and family health promotion in these areas remains largely unrealized. We live in a society characterized by rapid change. By 1 990, one fourth of the children in the United States will spend part or all of their lives in one-parent families. Today, most mothers work outside the home. Parental divorce, separation, and remarriage are events now frequently experienced by children. Many upwardly mobile families are postponing parenthood and having few children or none. In our highly migratory society, grandparents and other relatives are less available to provide emotional and other support, especially for young parents and children. NEED FOR NEW MODELS In view of all this, the model of pediatric practice that has gradually envolved over the decades to provide care, in the beginning for infants with nutritional and acute infectious disorders, requires constant reevaluation and renewal if it is to remain responsive to emerging health promotion needs, particularly in relation to behaviour and development.

scholarly journals Cultural and Dietary Factors Influencing Traditional Latino Meal Patterns

2014 ◽  
Vol 12 (2) ◽  
pp. 42-54 ◽  
Author(s):  
Charlotte Kerber ◽  
Lisa A. Kessler ◽  
Sharonda P. Wallace ◽  
Bonny Burns-Whitmore
Keyword(s):  
United States ◽  
Health Disparities ◽  
Community Sample ◽  
Food Preferences ◽  
Family Health ◽  
The United States ◽  
Dietary Factors ◽  
Nutrition Intervention ◽  
Nutrition Interventions ◽  
High Prevalence

Background: Despite a high prevalence of nutrition-related health disparities experienced by Latinos in the United States, there is limited recent information that can be used by health professionals to develop effective nutrition interventions for this diverse population. Purpose: The purpose of this study was to obtain qualitative information regarding usual dietary patterns of Latinos from Pomona, California, and utilize this data in the development of a tailored nutrition intervention. Methods: Latina women ages 30- 70, from a low socio-economic community sample, participated in one of three focus groups, and discussed eating patterns, recipes, and dietary concerns. Participants self-identified as the primary household food purchaser and preparer. Demographics and acculturation were assessed using validated surveys. Results: All participants (n=17) were considered less acculturated to the United States. Participants reported that traditional recipes and family preferences have the greatest influence on foods prepared, however they tend to be less healthy items. Motivators for eating healthy included maintaining family health and preventing weight gain. Barriers included conflicting meal schedules among family members and individual food preferences. Conclusion: To reduce health disparities for Latinos, cultural and dietary factors of communities, along with perceived motivators and barriers to making healthy choices, should be considered when developing tailored nutrition interventions.

scholarly journals Using a Chatbot to Assess Hereditary Cancer Risk

2020 ◽  
pp. 787-793
Author(s):  
Brandon M. Welch ◽  
Caitlin G. Allen ◽  
Jordon B. Ritchie ◽  
Heath Morrison ◽  
Chanita Hughes-Halbert ◽  
...  
Keyword(s):  
United States ◽  
Hereditary Cancer ◽  
Family Health ◽  
Population Level ◽  
The United States ◽  
Family Health History ◽  
Online Marketing ◽  
Web Based ◽  
Hereditary Cancers ◽  
Health History

PURPOSE We developed a Web-based chatbot (ItRunsInMyFamily.com) to help individuals collect their family health history (FHx) and determine their risk for hereditary cancer. The purpose of the current study was to assess the characteristics of users and identify opportunities to improve the FHx collection tool. METHODS During Family Health History Month (November 2019) we launched an FHx campaign using social media advertisements to raise awareness about hereditary cancers and encourage individuals in the general population to use ItRunsInMyFamily to collect their FHx. Through this campaign, we were able to gather information about users and identify opportunities to improve the tool. RESULTS We reached 14,140 users in November 2019 through online marketing campaigns—Facebook, Google, previous ItRuns users, and Web site marketing. Of those, 3,204 completed the full FHx assessment and received risk recommendations. The campaign targeted women between age 40 and 60 years. Users came from 3,783 counties around the United States, 48 unique cancers were reported among probands, and 79 unique cancers were reported among family members, an average of two and a half cancers per family. CONCLUSION Our results demonstrate that it is possible to gather FHx information at the population level, with high levels of engagement and interest in the topic. There is room for future enhancements and improvements to ItRunsInMyFamily to broaden its reach and encourage individuals to learn about and record their health information.

Abstract 12994: Impact of the 2017 ACC/AHA Guidelines on the Prevalence of Hypertension in Women: A Comparative Study From India and the United States Using Data From Nationally Representative Surveys

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Kartik Gupta ◽  
Tanya Singh Kakar ◽  
Vikram Jeet S Gill ◽  
vardhmaan jain ◽  
Prakash Gupta ◽  
...  
Keyword(s):  
United States ◽  
National Health ◽  
Age Groups ◽  
Family Health ◽  
Heart Association ◽  
The United States ◽  
Categorical Variables ◽  
Middle Income ◽  
New Guidelines ◽  
Women In India

Introduction: In 2017, the American Heart Association (AHA)/ American College of Cardiology (ACC) revised guidelines for diagnosis of hypertension. The differential impact on prevalence of hypertension among women across high- (United States) and middle-income countries (India) is not known. Hypothesis: There are regional differences in the change in prevalence of hypertension with the new 2017 ACC/AHA guidelines among women. Methods: We used data from National Family Health Survey (NFHS)-4, and the National Health and Nutrition Examination Survey (NHANES) 2015-16 to estimate prevalence of hypertension among non-pregnant women aged 18-49 years in India and the United States, respectively. Both surveys are conducted by respective federal governments to estimate national health status. Hypertension was defined as an average systolic BP (SBP) ≥130 or diastolic BP (DBP) ≥90 mmHg or on treatment in new and SBP/DBP ≥140/≥90 mmHg or on treatment in JNC-7 (old) guidelines. The Chi-Square test was used to compare the association between categorical variables. Results: There were 565,813 and 1,607 eligible participants in NFHS-4 (India) and NHANES (the United States), respectively. Mean age was comparable (31.9±9.0 vs. 33.5±9.4 years, p<0.001). Prevalence of hypertension per old guidelines was higher in USA as compared to India (Figure Panel A) . The new guidelines flipped the prevalence of hypertension such that it was significantly higher among women in India as compared to US overall and across all age groups (p<0.001 for all). The overall increase in prevalence among women in India and the United States was 153% (19% to 44%) and 39% (23% to 32%), respectively (Figure Panel B) . Conclusions: There is a higher impact of new guidelines on the prevalence of hypertension among women in India, across all age groups as compared to the United States. Future studies will help understand the mechanisms, risk factors and impact of this change on treatment and health economics in India.

High-Risk Youth and Health: The Case of Excessive School Absence

PEDIATRICS ◽  
1986 ◽  
Vol 78 (2) ◽  
pp. 313-322
Author(s):  
Michael Weitzman ◽  
Joel J. Alpert ◽  
Lorraine V. Klerman ◽  
Herbert Kayne ◽  
George A. Lamb ◽  
...  
Keyword(s):  
United States ◽  
Health Status ◽  
Intervention Program ◽  
Family Health ◽  
The United States ◽  
Health Habits ◽  
School Absence ◽  
Utilization Patterns ◽  
The One ◽  
Oriented Approach

Excessive school absence is a major educational and social problem in the United States, yet very little is known about its etiology or how to prevent or ameliorate it. This paper reports results from a series of related studies conducted in seven Boston middle schools (grades 6, 7, and 8) to test the hypotheses that (1) health problems and unmet health needs are major characteristics distinguishing excessively absent students from regular attenders and (2) that a health-oriented approach using medically mediated interventions is effective in reducing absences among excessively absent students. There were no significant differences between regular attenders and excessively absent students on multiple measures of student and family health status, health habits, and health service utilization patterns in a casecontrol study. The intervention program was not associated with a significant decrease in absence school-wide or for participating students. We conclude that demographic and educational characteristics of students exert a greater effect on their behavior in regard to absence from school than do health status or receipt of health services and that a health-oriented approach, such as the one used here, will not have a major impact on what remains one of the most profound educational and social problems involving children in the United States today.

Correlative microscopy in distrubuted (client/server) computing environments: tools for catalyzing the rapid dissemination of information about the cell biology of the human prostate

1995 ◽  
Vol 53 ◽  
pp. 682-683
Author(s):  
A. Hakam ◽  
J.T. Gau ◽  
M.L. Grove ◽  
B.A. Evans ◽  
M. Shuman ◽  
...  
Keyword(s):  
United States ◽  
Cell Biology ◽  
Tissue Bank ◽  
The United States ◽  
Prostate Adenocarcinoma ◽  
Correlative Microscopy ◽  
Client Server ◽  
Critical Elements ◽  
Transplant Organ

Prostate adenocarcinoma is the most common malignant tumor of men in the United States and is the third leading cause of death in men. Despite attempts at early detection, there will be 244,000 new cases and 44,000 deaths from the disease in the United States in 1995. Therapeutic progress against this disease is hindered by an incomplete understanding of prostate epithelial cell biology, the availability of human tissues for in vitro experimentation, slow dissemination of information between prostate cancer research teams and the increasing pressure to “ stretch” research dollars at the same time staff reductions are occurring.To meet these challenges, we have used the correlative microscopy (CM) and client/server (C/S) computing to increase productivity while decreasing costs. Critical elements of our program are as follows:1) Establishing the Western Pennsylvania Genitourinary (GU) Tissue Bank which includes >100 prostates from patients with prostate adenocarcinoma as well as >20 normal prostates from transplant organ donors.

Digital image acquisition, processing, and analysis in a polymer microscopy laboratory

1994 ◽  
Vol 52 ◽  
pp. 454-455
Author(s):  
Vinod K. Berry ◽  
Xiao Zhang
Keyword(s):  
United States ◽  
Image Analysis ◽  
Digital Image ◽  
Image Acquisition ◽  
Image Transmission ◽  
The United States ◽  
Quantitative Image Analysis ◽  
Quantitative Image

In recent years it became apparent that we needed to improve productivity and efficiency in the Microscopy Laboratories in GE Plastics. It was realized that digital image acquisition, archiving, processing, analysis, and transmission over a network would be the best way to achieve this goal. Also, the capabilities of quantitative image analysis, image transmission etc. available with this approach would help us to increase our efficiency. Although the advantages of digital image acquisition, processing, archiving, etc. have been described and are being practiced in many SEM, laboratories, they have not been generally applied in microscopy laboratories (TEM, Optical, SEM and others) and impact on increased productivity has not been yet exploited as well.In order to attain our objective we have acquired a SEMICAPS imaging workstation for each of the GE Plastic sites in the United States. We have integrated the workstation with the microscopes and their peripherals as shown in Figure 1.

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