Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 39
Filtrar
Más filtros

Bases de datos
Tipo del documento
Intervalo de año de publicación
1.
Brief Bioinform ; 24(1)2023 01 19.
Artículo en Inglés | MEDLINE | ID: mdl-36403184

RESUMEN

The prediction of peptide and protein function is important for research and industrial applications, and many machine learning methods have been developed for this purpose. The existing models have encountered many challenges, including the lack of effective and comprehensive features and the limited applicability of each model. Here, we introduce an Integrated Peptide and Protein function prediction Framework based on Fused features and Ensemble models (IPPF-FE), which can accurately capture the relationship between features and labels. The results indicated that IPPF-FE outperformed existing state-of-the-art (SOTA) models on more than 8 different categories of peptide and protein tasks. In addition, t-distributed Stochastic Neighbour Embedding demonstrated the advantages of IPPF-FE. We anticipate that our method will become a versatile tool for peptide and protein prediction tasks and shed light on the future development of related models. The model is open source and available in the GitHub repository https://github.com/Luo-SynBioLab/IPPF-FE.


Asunto(s)
Federación Internacional para la Paternidad Responsable , Proteínas , Péptidos , Aprendizaje Automático
3.
N Engl J Med ; 374(9): 853-60, 2016 Mar 03.
Artículo en Inglés | MEDLINE | ID: mdl-26836435

RESUMEN

BACKGROUND: Texas is one of several states that have barred Planned Parenthood affiliates from providing health care services with the use of public funds. After the federal government refused to allow (and courts blocked) the exclusion of Planned Parenthood affiliates from the Texas Medicaid fee-for-service family-planning program, Texas excluded them from a state-funded replacement program, effective January 1, 2013. We assessed rates of contraceptive-method provision, method continuation through the program, and childbirth covered by Medicaid before and after the Planned Parenthood exclusion. METHODS: We used all program claims from 2011 through 2014 to examine changes in the number of claims for contraceptives according to method for 2 years before and 2 years after the exclusion. Among women using injectable contraceptives at baseline, we observed rates of contraceptive continuation through the program and of childbirth covered by Medicaid. We used the difference-in-differences method to compare outcomes in counties with Planned Parenthood affiliates with outcomes in those without such affiliates. RESULTS: After the Planned Parenthood exclusion, there were estimated reductions in the number of claims from 1042 to 672 (relative reduction, 35.5%) for long-acting, reversible contraceptives and from 6832 to 4708 (relative reduction, 31.1%) for injectable contraceptives (P<0.001 for both comparisons). There was no significant change in the number of claims for short-acting hormonal contraceptive methods during this period. Among women using injectable contraceptives, the percentage of women who returned for a subsequent on-time contraceptive injection decreased from 56.9% among those whose subsequent injections were due before the exclusion to 37.7% among those whose subsequent injections were due after the exclusion in the counties with Planned Parenthood affiliates but increased from 54.9% to 58.5% in the counties without such affiliates (estimated difference in differences in counties with affiliates as compared with those without affiliates, -22.9 percentage points; P<0.001). During this period in counties with Planned Parenthood affiliates, the rate of childbirth covered by Medicaid increased by 1.9 percentage points (a relative increase of 27.1% from baseline) within 18 months after the claim (P=0.01). CONCLUSIONS: The exclusion of Planned Parenthood affiliates from a state-funded replacement for a Medicaid fee-for-service program in Texas was associated with adverse changes in the provision of contraception. For women using injectable contraceptives, there was a reduction in the rate of contraceptive continuation and an increase in the rate of childbirth covered by Medicaid. (Funded by the Susan T. Buffett Foundation.).


Asunto(s)
Anticonceptivos Femeninos , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Federación Internacional para la Paternidad Responsable/legislación & jurisprudencia , Medicaid/estadística & datos numéricos , Tasa de Natalidad/tendencias , Centros Comunitarios de Salud/estadística & datos numéricos , Preparaciones de Acción Retardada , Planes de Aranceles por Servicios , Femenino , Humanos , Inyecciones , Reembolso de Seguro de Salud/tendencias , Embarazo , Gobierno Estatal , Texas , Estados Unidos
4.
Am J Community Psychol ; 63(1-2): 46-60, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30768728

RESUMEN

In addition to social action campaigns, some youth organizing groups provide formative learning experiences which engage youth in relevant sociopolitical issues through critical approaches. These groups support sociopolitical development (SPD), a self and socially-oriented process which influences youth personally, politically, and professionally into adulthood. This study explored how youth organizing experiences influenced SPD in the professional domain, applying an empowerment lens. Phenomenologically-based interviews were conducted with former sexual health education youth organizers and adult program staff. Former youth participants chose socially-oriented career paths influenced by the group's empowering approach to sexual health education and advocacy. They related meaningful sociopolitical learning experiences (e.g., interpersonal, educational, and civic engagement) to empowerment outcomes (e.g., political efficacy, critical awareness, and participatory behaviors) which informed career decisions. Professionally, participants sought to empower others as the group empowered them, drawing upon youth organizing social and human capital as they worked toward this aim. Combining sociopolitical and empowerment theorizing, the study adds to what is known about how purposefully designed youth organizing experiences support long-term development outcomes for individuals. Viewed as socially-oriented career development sites, youth organizing groups build capacity for social change beyond the groups themselves. Implications for youth organizing scholars and practitioners are provided.


Asunto(s)
Conducta del Adolescente/psicología , Participación de la Comunidad , Política , Poder Psicológico , Educación Sexual , Cambio Social , Adolescente , Anciano , Creación de Capacidad , Femenino , Accesibilidad a los Servicios de Salud , Humanos , Federación Internacional para la Paternidad Responsable , Relaciones Interpersonales , Entrevistas como Asunto , Masculino , Missouri , Organizaciones
5.
Nursing ; 49(1): 58-60, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30586052

RESUMEN

This article examines how one patient and the recent political climate surrounding Planned Parenthood influenced a college graduate with career aspirations in criminology to pursue nursing instead.


Asunto(s)
Selección de Profesión , Enfermería , Femenino , Accesibilidad a los Servicios de Salud , Humanos , Federación Internacional para la Paternidad Responsable , Política , Estados Unidos
6.
Technol Cult ; 60(3): 816-832, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31422967

RESUMEN

In 1990, Planned Parenthood Federation of America launched a nationwide public relations drive called the Campaign for New Birth Control in reaction to reports that Americans were being deprived of contraceptives available in other parts of the world. This article will use Planned Parenthood's Campaign for New Birth Control as a case study of how reproductive rights activists organized around emerging contraceptive technologies in the late twentieth century. It will discuss how Planned Parenthood tried to rally a diverse range of constituencies around the notion of a "contraception gap." This construct was based on the presumption that developing new contraceptive technologies was unmistakably feminist because it gave women more options to control their fertility. However, other actors involved in the New Birth Control campaign believed the "contraception gap" was an inappropriate strategy for mobilizing broad support for birth control innovation.


Asunto(s)
Anticoncepción/historia , Dispositivos Anticonceptivos/historia , Servicios de Planificación Familiar/historia , Feminismo/historia , Federación Internacional para la Paternidad Responsable/historia , Anticoncepción/instrumentación , Femenino , Historia del Siglo XX , Humanos , Estados Unidos
7.
Am J Obstet Gynecol ; 218(6): 597.e1-597.e7, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29577915

RESUMEN

BACKGROUND: US unintended pregnancy rates remain high, and contraceptive providers are not universally trained to offer intrauterine devices and implants to women who wish to use these methods. OBJECTIVE: We sought to measure the impact of a provider training intervention on integration of intrauterine devices and implants into contraceptive care. STUDY DESIGN: We measured the impact of a continuing medical education-accredited provider training intervention on provider attitudes, knowledge, and practices in a cluster randomized trial in 40 US health centers from 2011 through 2013. Twenty clinics were randomly assigned to the intervention arm; 20 offered routine care. Clinic staff participated in baseline and 1-year surveys assessing intrauterine device and implant knowledge, attitudes, and practices. We used a difference-in-differences approach to compare changes that occurred in the intervention sites to changes in the control sites 1 year later. Prespecified outcome measures included: knowledge of patient eligibility for intrauterine devices and implants; attitudes about method safety; and counseling practices. We used multivariable regression with generalized estimating equations to account for clustering by clinic to examine intervention effects on provider outcomes 1 year later. RESULTS: Overall, we surveyed 576 clinic staff (314 intervention, 262 control) at baseline and/or 1-year follow-up. The change in proportion of providers who believed that the intrauterine device was safe was greater in intervention (60% at baseline to 76% at follow-up) than control sites (66% at both times) (adjusted odds ratio, 2.48; 95% confidence interval, 1.13-5.4). Likewise, for the implant, the proportion increased from 57-77% in intervention, compared to 61-65% in control sites (adjusted odds ratio, 2.57; 95% confidence interval, 1.44-4.59). The proportion of providers who believed they were experienced to counsel on intrauterine devices also increased in intervention (53-67%) and remained the same in control sites (60%) (adjusted odds ratio, 1.89; 95% confidence interval, 1.04-3.44), and for the implant increased more in intervention (41-62%) compared to control sites (48-50%) (adjusted odds ratio, 2.30; 95% confidence interval, 1.28-4.12). Knowledge scores of patient eligibility for intrauterine devices increased at intervention sites (from 0.77-0.86) 6% more over time compared to control sites (from 0.78-0.80) (adjusted coefficient, 0.058; 95% confidence interval, 0.003-0.113). Knowledge scores of eligibility for intrauterine device and implant use with common medical conditions increased 15% more in intervention (0.65-0.79) compared to control sites (0.67-0.66) (adjusted coefficient, 0.15; 95% confidence interval, 0.09-0.21). Routine discussion of intrauterine devices and implants by providers in intervention sites increased significantly, 71-87%, compared to in control sites, 76-82% (adjusted odds ratio, 1.97; 95% confidence interval, 1.02-3.80). CONCLUSION: Professional guidelines encourage intrauterine device and implant competency for all contraceptive care providers. Integrating these methods into routine care is important for access. This replicable training intervention translating evidence into care had a sustained impact on provider attitudes, knowledge, and counseling practices, demonstrating significant changes in clinical care a full year after the training intervention.


Asunto(s)
Actitud del Personal de Salud , Competencia Clínica , Anticonceptivos Femeninos/administración & dosificación , Educación Continua/métodos , Educadores en Salud/educación , Dispositivos Intrauterinos , Anticoncepción Reversible de Larga Duración , Obstetricia/educación , Adulto , Implantes de Medicamentos , Educación Médica Continua/métodos , Educación Continua en Enfermería/métodos , Femenino , Humanos , Federación Internacional para la Paternidad Responsable , Masculino , Persona de Mediana Edad , Análisis Multivariante , Enfermeras Obstetrices/educación , Enfermeras Practicantes/educación , Oportunidad Relativa , Asistentes Médicos/educación , Análisis de Regresión , Adulto Joven
8.
Manag Care ; 26(2): 17-18, 2017 02.
Artículo en Inglés | MEDLINE | ID: mdl-28271983

RESUMEN

Use of long-acting, reversible contraceptives dipped while Medicaid-covered births went up when Texas stopped state funding of Planned Parenthood.


Asunto(s)
Financiación Gubernamental/legislación & jurisprudencia , Federación Internacional para la Paternidad Responsable/economía , Formulación de Políticas , Texas
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA