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1.
J Equine Vet Sci ; 137: 105091, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38718969

RESUMEN

Mental health concerns are common among college students and more prevalent during examination periods when stress and anxiety are heightened. While the benefits of equine interaction have been reported, the impact of short-term equine interaction on coping skills valuable for managing test anxiety have yet to be studied. Therefore, the purpose of this preliminary study was to evaluate the impact of short-term equine interaction during the college examination period on development of coping skills and anxiety levels associated with testing, both self-reported and those reflected in physiological measures. Full-time college students engaged in a one-hour equine interaction session held on campus at the onset of final exam week. Participants completed a survey targeting perception of anxiety levels and coping skills. Heart rate and salivary cortisol measurements were collected pre- and post-session. Paired t-tests were performed between pre- and post- session measures and correlations between survey answers and physiological measures determined. Significant reductions were found in all areas of anxiety (Overall Academics P = 0.0003, Final Exam Preparation P = 0.0003, Taking Final Exam P = 0.0003). The reduction in exam-related anxiety was positively correlated to cortisol concentrations (r = 0.69, P = 0.03) with lower concentrations (P = 0.05) and increased heart rate (P = 0.003) post-session. Regarding coping skills, improvements were observed post-session in assertiveness (P = 0.008). Skill development coupled with reduced anxiety supports the potential benefits short-term equine interaction can offer students during the high stress periods, but these findings should be confirmed with more in-depth study.


Asunto(s)
Adaptación Psicológica , Estudiantes , Animales , Humanos , Estudiantes/psicología , Caballos , Femenino , Masculino , Adulto Joven , Ansiedad/psicología , Hidrocortisona/análisis , Hidrocortisona/metabolismo , Universidades , Saliva/química , Saliva/metabolismo , Frecuencia Cardíaca/fisiología , Ansiedad ante los Exámenes/metabolismo , Adulto , Habilidades de Afrontamiento
2.
PLoS Pathog ; 16(5): e1008579, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-32421753

RESUMEN

Anti-helminth responses require robust type 2 cytokine production that simultaneously promotes worm expulsion and initiates the resolution of helminth-induced wounds and hemorrhaging. However, how infection-induced changes in hematopoiesis contribute to these seemingly distinct processes remains unknown. Recent studies have suggested the existence of a hematopoietic progenitor with dual mast cell-erythrocyte potential. Nonetheless, whether and how these progenitors contribute to host protection during an active infection remains to be defined. Here, we employed single cell RNA-sequencing and identified that the metabolic enzyme, carbonic anhydrase (Car) 1 marks a predefined bone marrow-resident hematopoietic progenitor cell (HPC) population. Next, we generated a Car1-reporter mouse model and found that Car1-GFP positive progenitors represent bipotent mast cell/erythrocyte precursors. Finally, we show that Car1-expressing HPCs simultaneously support mast cell and erythrocyte responses during Trichinella spiralis infection. Collectively, these data suggest that mast cell/erythrocyte precursors are mobilized to promote type 2 cytokine responses and alleviate helminth-induced blood loss, developmentally linking these processes. Collectively, these studies reveal unappreciated hematopoietic events initiated by the host to combat helminth parasites and provide insight into the evolutionary pressure that may have shaped the developmental relationship between mast cells and erythrocytes.


Asunto(s)
Células Precursoras Eritroides/inmunología , Eritropoyesis/inmunología , Mastocitos/inmunología , Mastocitosis/inmunología , Trichinella spiralis/inmunología , Triquinelosis/inmunología , Animales , Anhidrasa Carbónica I/genética , Anhidrasa Carbónica I/inmunología , Células Precursoras Eritroides/parasitología , Células Precursoras Eritroides/patología , Femenino , Mastocitos/parasitología , Mastocitos/patología , Mastocitosis/genética , Mastocitosis/patología , Ratones , Ratones Transgénicos , Triquinelosis/genética , Triquinelosis/patología
3.
J Immunol ; 203(5): 1230-1241, 2019 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-31366712

RESUMEN

Basophils are innate immune cells associated with type 2 immunity, allergic reactions, and host defense against parasite infections. In this study, we show that the transcription factor PLZF, which is known for its essential role in the function and development of several innate lymphocyte subsets, is also important for the myeloid-derived basophil lineage. PLZF-deficient mice had decreased numbers of basophil progenitors in the bone marrow and mature basophils in multiple peripheral tissues. Functionally, PLZF-deficient basophils were less responsive to IgE activation and produced reduced amounts of IL-4. The altered function of basophils resulted in a blunted Th2 T cell response to a protein allergen. Additionally, PLZF-deficient basophils had reduced expression of the IL-18 receptor, which impacted migration to lungs. PLZF, therefore, is a major player in controlling type 2 immune responses mediated not only by innate lymphocytes but also by myeloid-derived cells.


Asunto(s)
Basófilos/inmunología , Proteína de la Leucemia Promielocítica con Dedos de Zinc/inmunología , Factores de Transcripción/inmunología , Alérgenos/inmunología , Animales , Inmunidad Innata/inmunología , Inmunoglobulina E/inmunología , Interleucina-4/inmunología , Interleucina-8/inmunología , Subgrupos Linfocitarios/inmunología , Ratones , Ratones Noqueados , Células Mieloides/inmunología , Células Th2/inmunología
4.
Transbound Emerg Dis ; 65(1): 272-277, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-28345224

RESUMEN

Chlamydia suis has been detected in numerous disease conditions of pigs, particularly in eye infections. This study examined recurring conjunctivitis cases in five commercial pig farms in Japan. 40.5% of the cases were identified as Chlamydia positive using impression cytology of ocular smears and a genus-specific direct fluorescent antibody. C. suis was detected in 59.5% of the samples using PCR tests targeting 16S-23S rRNA intergenic spacer region (ISR) and ompA gene. Genetic analysis of PCR amplicons revealed nine sequence variants of 16S-23S rRNA ISR and 20 sequence variants within ompA gene. Among C. suis-positive conjunctivitis cases, 36.4% showed concurrent infection with 2-4 varied ompA sequence types and 9.1% showed multiple 16S-23S rRNA ISR sequence types of C. suis. Multiple genotypes were found circulating in four of five farms. All 20 detected strains and 25 previously reported C. suis strains were grouped into four clusters. Japanese C. suis strains were closely related to American and European strains indicating wide distribution of these genetically variant strains. This study is the first to show multiple and genetically diverse C. suis strain associations in pig conjunctivitis.


Asunto(s)
Infecciones por Chlamydia/veterinaria , Chlamydia/genética , Conjuntivitis/veterinaria , ADN Bacteriano/genética , Genotipo , Enfermedades de los Porcinos/microbiología , Animales , Chlamydia/aislamiento & purificación , Infecciones por Chlamydia/epidemiología , Infecciones por Chlamydia/microbiología , Conjuntivitis/epidemiología , Conjuntivitis/microbiología , Genes de ARNr/genética , Variación Genética , Japón/epidemiología , Reacción en Cadena de la Polimerasa/veterinaria , ARN Ribosómico 16S/genética , ARN Ribosómico 23S/genética , Porcinos , Enfermedades de los Porcinos/epidemiología
5.
Curr Pharmacol Rep ; 3(6): 346-359, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29399438

RESUMEN

PURPOSE OF REVIEW: It is well established that T helper type 2 (TH2) immune responses are necessary to provide protection against helminth parasites but also to promote the detrimental inflammation associated with allergies and asthma. Given the importance of type 2 immunity and inflammation, many studies have focused on better understanding the factors that regulate TH2 cell development and activation. As a result, significant progress has been made in understanding the signaling pathways and molecular events necessary to promote TH2 cell polarization. In addition to the adaptive compartment, emerging studies are better defining the innate immune pathways needed to promote TH2 cell responses. Given the recent and substantial growth of this field, the purpose of this review is to highlight recent studies defining the innate immune events that promote immunity to helminth parasites and allergic inflammation. RECENT FINDINGS: Emerging studies have begun to elucidate the importance of cytokine alarmins such as thymic stromal lymphopoietin (TSLP), IL-25 (IL-17E) and IL-33 in promoting type 2 immunity and inflammation following helminth challenge or exposure to allergens. Specifically, recent reports have begun to define the complex cellular networks these alarmins activate and their contribution to type 2 immunity and inflammation. SUMMARY: Our increased understanding of the pathways that regulate type 2 cytokine-mediated immunity and inflammation have revealed novel therapeutic targets to treat both helminth infections and allergic disease states.

6.
J Exp Med ; 213(9): 1663-73, 2016 08 22.
Artículo en Inglés | MEDLINE | ID: mdl-27526715

RESUMEN

Type 2 cytokine responses are necessary for the development of protective immunity to helminth parasites but also cause the inflammation associated with allergies and asthma. Recent studies have found that peripheral hematopoietic progenitor cells contribute to type 2 cytokine-mediated inflammation through their enhanced ability to develop into mast cells. In this study, we show that carbonic anhydrase (Car) enzymes are up-regulated in type 2-associated progenitor cells and demonstrate that Car enzyme inhibition is sufficient to prevent mouse mast cell responses and inflammation after Trichinella spiralis infection or the induction of food allergy-like disease. Further, we used CRISPR/Cas9 technology and illustrate that genetically editing Car1 is sufficient to selectively reduce mast cell development. Finally, we demonstrate that Car enzymes can be targeted to prevent human mast cell development. Collectively, these experiments identify a previously unrecognized role for Car enzymes in regulating mast cell lineage commitment and suggest that Car enzyme inhibitors may possess therapeutic potential that can be used to treat mast cell-mediated inflammation.


Asunto(s)
Anhidrasas Carbónicas/fisiología , Inflamación/etiología , Mastocitos/fisiología , Animales , Inhibidores de Anhidrasa Carbónica/farmacología , Inmunoglobulina E/sangre , Mastocitosis/prevención & control , Metazolamida/farmacología , Ratones , Ratones Endogámicos C57BL
7.
Astrobiology ; 14(2): 170-81, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24552234

RESUMEN

We report the first observation of indigenous carbonaceous matter in the martian meteorite Yamato 000593. The carbonaceous phases are heterogeneously distributed within secondary iddingsite alteration veins and present in a range of morphologies including areas composed of carbon-rich spheroidal assemblages encased in multiple layers of iddingsite. We also observed microtubular features emanating from iddingsite veins penetrating into the host olivine comparable in shape to those interpreted to have formed by bioerosion in terrestrial basalts.


Asunto(s)
Carbono/análisis , Medio Ambiente Extraterrestre , Marte , Meteoroides , Compuestos de Hierro/química , Compuestos de Magnesio/química , Microscopía Electrónica de Rastreo , Silicatos/química , Espectrometría por Rayos X
9.
Int J Exerc Sci ; 4(2): 113-121, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-27182358

RESUMEN

It is well established that an increased capacity of skeletal muscle to oxidize fatty acids can spare glycogen and delay the onset of fatigue in mild- to moderate-intensity exercise. The purpose of the following study was to examine the effect of LifeWave® energy patches on non-protein substrate utilization in Division-1 cross-country runners. To determine the effect of the patches subjects were pretested to establish baselines and randomly assigned to an experimental (EX) or placebo (PL) group. Twenty-two trained male (n = 11; mean ± SD, age = 21.1 ± 2.6years, height = 179.6 ± 4.2cm, body mass = 71.4 ± 7.4kg, VO2max = 72.6 ± 7.1mL·kg-1·min-1) and female (n = 11; mean ± SD, age = 21.5 ± 2.4years, height = 166.7 ± 5.7cm, body mass = 53.7 ± 3.2kg, VO2max = 63.6 ± 6.9mL·kg-1·min-1) cross-country runners volunteered to participate in the study. Dependent variables included maximal oxygen consumption (VO2max), rating of perceived exertion (RPE), respiratory exchange ratio (RER), maximum heart rate (HRmax), and time to exhaustion (TTE). Results indicated there were no significant differences between the EX and PL groups at posttesting for RPE, TTE, HRmax, or VO2max. RER was found to be significantly higher for the EX group compared to the PL group during stage 1 of the Bruce-protocol graded exercise test (p = 0.02). Based on the limited available research regarding LifeWave® energy patches effect on non-protein substrate utilization during aerobic exercise there appears to be no performance enhancing benefits.

10.
J Strength Cond Res ; 24(9): 2269-73, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20683356

RESUMEN

The purpose of the present study was to examine the differences in upper body power output among lineman and nonlineman division I collegiate football players and to examine the influence of 2 normalization procedures: (a) simple ratio scaling and (b) standardized allometric scaling. Ten lineman (mean +/- SD: age = 19.3 +/- 1.6 years; height = 187.7 +/- 4.7 cm; mass = 127.7 +/- 13.3 kg) and 14 nonlineman (19.6 +/- 1.4 years; 181.8 +/- 5.2 cm; 92.3 +/- 10.6 kg) performed a multiple repetition bench press power test at 50% of their 1 repetition maximum. Peak power (PP) was determined from a Tendo weightlifting analyzer that was attached to the barbell. The PP values were then analyzed under 3 conditions that included: (a) no scaling (absolute values), (b) ratio scaling (PP body mass), and (c) allometric scaling (PP body mass). The results indicated that the larger lineman demonstrated greater absolute PP values (p = 0.02); however, ratio scaling favored the smaller nonlineman group (p = 0.04). There were no differences in PP values between positions after the standardized allometric scaling procedure (p = 0.60). These findings indicated that the standardized allometric scaling procedure may be a more effective method for normalizing PP values among elite division I collegiate football players.


Asunto(s)
Fútbol Americano/fisiología , Resistencia Física/fisiología , Entrenamiento de Fuerza/métodos , Atletas , Estatura/fisiología , Índice de Masa Corporal , Humanos , Masculino , Fuerza Muscular/fisiología , Adulto Joven
11.
Astrobiology ; 10(4): 413-24, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20528196

RESUMEN

The origin of organic microstructures in the approximately 3 Ga Farrel Quartzite is controversial due to their relatively poor state of preservation, the Archean age of the cherts in which they occur, and the unusual spindle-like morphology of some of the forms. To provide more insight into the significance of these microstructures, nano-scale secondary ion mass spectrometry (NanoSIMS) maps of carbon, nitrogen, sulfur, silicon, and oxygen were obtained for spheroidal and spindle-shaped constituents of the Farrel Quartzite assemblage. Results suggest that the structures are all bona fide approximately 3 Ga microfossils. The spindles demonstrate an architecture that is remarkable for 3 Ga organisms. They are relatively large, robust, and morphologically complex. The NanoSIMS element maps corroborate their complexity by demonstrating an intricate, internal network of organic material that fills many of the spindles and extends continuously from the body of these structures into their spearlike appendages. Results from this study combine with previous morphological and chemical analyses to argue that the microstructures in the Farrel Quartzite comprise a diverse assemblage of Archean microfossils. This conclusion adds to a growing body of geochemical, stromatolitic, and morphological evidence that indicates the Archean biosphere was varied and well established by at least approximately 3 Ga. Together, the data paint a picture of Archean evolution that is one of early development of morphological and chemical complexity. The evidence for Archean evolutionary innovation may augur well for the possibility that primitive life on other planets could adapt to adverse conditions by ready development of diversity in form and biochemistry.


Asunto(s)
Biodiversidad , Ecosistema , Fósiles , Nanoestructuras/química , Espectrometría de Masa de Ion Secundario/métodos , Nanotecnología , Factores de Tiempo , Australia Occidental
12.
S Afr Med J ; 95(5): 350-4, 2005 May.
Artículo en Inglés | MEDLINE | ID: mdl-15931451

RESUMEN

OBJECTIVE: To investigate the current smoking cessation practices and attitudes of doctors working in the public antenatal services, as well as their perceived barriers to addressing the issue in the context of routine care. STUDY DESIGN: The study was qualitative, consisting of 14 semistructured, one-to-one interviews with doctors purposefully sampled from 5 public sector hospitals in Cape Town, South Africa. RESULTS: The doctors in this study regarded HIV, poor nutrition, alcohol abuse and psychosocial stress as equal or higher risks to pregnant women than smoking. They tended to underestimate the magnitude of the risk of smoking during pregnancy. Doctors were unaware of the guidelines offering clinicians brief, structured approaches to smoking cessation counselling and were generally pessimistic that they could influence the smoking behaviour of pregnant women, especially poor, disadvantaged women who face multiple barriers to achieving health-enhancing behaviour. However, most doctors were concerned about improving their communication with pregnant women about smoking and open to adopting new approaches or tools that could assist them. Perceived barriers to providing smoking cessation interventions included a lack of counselling skills and educational resources, other pressing priorities, too little time, and the levels of stress currently experienced by doctors and midwives working in public sector hospitals as a result of dramatic staff and budget cuts. CONCLUSION: The study suggests that doctors working in the public sector antenatal services are not routinely addressing the issue of smoking during pregnancy or using effective methods to assist women to give up smoking. Doctors need convincing that smoking cessation interventions can be effective. The promotion and provision of evidence-based guidelines such as the Clinical Practice Guideline for Treating Tobacco Use and Dependence (Fiore, 2000), with minimal training, is a possible strategy for integrating smoking cessation interventions into routine antenatal care in South Africa.


Asunto(s)
Actitud del Personal de Salud , Rol del Médico , Complicaciones del Embarazo/etiología , Cese del Hábito de Fumar , Fumar/efectos adversos , Consejo , Femenino , Humanos , Embarazo
13.
Health Educ Res ; 19(4): 457-68, 2004 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-15155598

RESUMEN

Successful cervical cancer prevention depends on reaching, screening and treating women with pre-invasive disease. We aimed to evaluate the effectiveness of two media interventions-a photo-comic and a radio-drama-in increasing cervical screening uptake. A randomized controlled trial compared a photo-comic on cervical cancer screening with a placebo comic. One month after the comics were distributed a radio-drama paralleling the photo-comic was broadcast on the community radio station and a retrospective evaluation was carried out. The trial was set in Khayelitsha, a peri-urban squatter community near Cape Town, South Africa. A random sample consisted of 658 women between the ages of 35 and 65 years, from a stratified sample of census areas. The main outcome measure was self-reported cervical screening uptake 6 months after distribution of the comics. Seven percent (18 of 269) of women who received the intervention photo-comic reported cervical screening during the 6 months follow-up, compared with 6% (25 of 389) of controls (P = 0.89). Women who recalled hearing the radio-drama were more likely to report attending screening (nine of 53, 17%) than those who did not (19 of 429, 4%; P < 0.001). We conclude that the photo-comic was ineffective in increasing cervical screening uptake in this population. The radio-drama may have had more impact, but only a minority of women recalled being exposed to it. Future research must concentrate not only on achieving high level of exposure to health messages, but also on investigating the links between exposure and action.


Asunto(s)
Medios de Comunicación de Masas , Tamizaje Masivo , Neoplasias del Cuello Uterino/prevención & control , Adulto , Anciano , Distribución de Chi-Cuadrado , Femenino , Grupos Focales , Humanos , Persona de Mediana Edad , Evaluación de Programas y Proyectos de Salud , Sudáfrica , Encuestas y Cuestionarios , Materiales de Enseñanza
14.
Int J Syst Evol Microbiol ; 53(Pt 3): 761-770, 2003 May.
Artículo en Inglés | MEDLINE | ID: mdl-12807198

RESUMEN

Pathological and serological evidence and DNA-DNA reassociation data indicate that Chlamydophila psittaci and Chlamydophila abortus are separate species. C. psittaci causes avian systemic disease and C. abortus causes abortion. Both previously belonged to Chlamydia psittaci are associated with zoonotic and enzootic outbreaks. Genetic studies suggest that they are closely related and because of the recent availability of diverse C. psittaci strains and comparative data for several genes, it was possible to explore this relationship. The parrot C. psittaci strain 84/2334 was found to have DNA sequences that were identical to an extrachromosomal plasmid in duck C. psittaci strain N352, to rnpB in strain R54 from a brown skua and to the rrn intergenic spacer in parakeet strain Prk/Daruma (from Germany, Antarctica and Japan, respectively). Analysis of ompA and the rrn spacer revealed progressive diversification of the strains, with 84/2334 resembling what might have been a recent ancestor of C. abortus. Another C. psittaci strain (VS225) showed evidence of having undergone convergent evolution towards the C. abortus-like genotype, whereas strain R54 diverged independently. For the first time, these studies link C. abortus in an evolutionary context to the C. psittaci lineage. It has been concluded that C. abortus diverged from C. psittaci, and so strain R54 was designated a C. psittaci strain. It is recommended that characterization of C. psittaci and C. abortus strains should utilize more than a single method and more than a single gene.


Asunto(s)
Aborto Veterinario/microbiología , Enfermedades de las Aves/microbiología , Infecciones por Chlamydophila/veterinaria , Chlamydophila psittaci/genética , Chlamydophila/genética , Evolución Molecular , Enfermedades de las Ovejas/microbiología , Animales , Proteínas de la Membrana Bacteriana Externa/genética , Secuencia de Bases , Enfermedades de las Aves/fisiopatología , Chlamydophila/patogenicidad , Infecciones por Chlamydophila/microbiología , Infecciones por Chlamydophila/fisiopatología , Chlamydophila psittaci/patogenicidad , ADN Espaciador Ribosómico/genética , Endorribonucleasas/genética , Femenino , Cobayas , Ratones , Datos de Secuencia Molecular , Filogenia , Plásmidos/genética , Embarazo , ARN Catalítico/genética , Conejos , Ribonucleasa P , Análisis de Secuencia de ADN , Ovinos , Enfermedades de las Ovejas/fisiopatología
18.
Int J Syst Evol Microbiol ; 51(Pt 1): 203-20, 2001 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-11211261

RESUMEN

Phylogenetic analyses of surface antigens and other chlamydial proteins were used to reconstruct the evolution of the Chlamydiaceae. Trees for all five coding genes [the major outer-membrane protein (MOMP), GroEL chaperonin, KDO-transferase, small cysteine-rich lipoprotein and 60 kDa cysteine-rich protein] supported the current organization of the family Chlamydiaceae, which is based on ribosomal, biochemical, serological, ecological and DNA-DNA hybridization data. Genetic distances between some species were quite large, so phylogenies were evaluated for robustness by comparing analyses of both nucleotide and protein sequences using a variety of algorithms (neighbour-joining, maximum-likelihood, maximum-parsimony with bootstrapping, and quartet puzzling). Saturation plots identified areas of the trees in which factors other than relatedness may have determined branch attachments. All nine species were clearly differentiated by distinctness ratios calculated for each gene. The distribution of virulence traits such as host and tissue tropism were mapped onto the consensus phylogeny. Closely related species were no more likely to share virulence characters than were more distantly related species. This phylogenetically disjunct distribution of virulence traits could not be explained by lateral transfer of the genes we studied, since we found no evidence for lateral gene transfer above the species level. One interpretation of this observation is that when chlamydiae gain access to a new niche, such as a new host or tissue, significant adaptation ensues and the virulence phenotype of the new species reflects adaptation to its environment more strongly than it reflects its ancestry.


Asunto(s)
Chlamydiaceae/clasificación , Chlamydiaceae/genética , Evolución Molecular , Animales , Antígenos de Superficie/genética , Proteínas Bacterianas/genética , Gatos , Bovinos , Chlamydiaceae/patogenicidad , Infecciones por Chlamydiaceae/microbiología , Cricetinae , Genes Bacterianos , Cobayas , Humanos , Ratones , Datos de Secuencia Molecular , Operón , Filogenia , Análisis de Secuencia de ADN , Especificidad de la Especie , Virulencia
19.
J Am Board Fam Pract ; 14(1): 1-6, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11206688

RESUMEN

BACKGROUND: Adolescent patterns of contraceptive use might be different in various populations and might have changed in the last 30 years. More appropriate use of contraception could prevent unplanned pregnancy. METHODS: We interviewed 378 women in rural East Tennessee and 396 women in suburban-urban Baltimore, all of whom were aged 18 to 50 years, in a convenience sampling about their memories of sexual experiences and early contraceptive use. RESULTS: First sexual experiences began at a younger age in women from Tennessee than in women from Baltimore. Sexual experiences occurred at an earlier age during the last 15 years in Baltimore women. Contraceptive use at first sexual experience has approximately doubled in both locations, from 7% to 15% in Tennessee and from 42% to 75% in Baltimore during the last 15 years. The primary reason in Baltimore is increased use of condoms. Condom use in Tennessee is very low. CONCLUSIONS: These two populations are using contraception and condoms differently. Although the two populations are diverse, it could help physicians to learn about the particular contraceptive practices of their patient population to help their patients more appropriately with their contraceptive needs.


Asunto(s)
Conducta Anticonceptiva/estadística & datos numéricos , Población Rural , Población Urbana , Adolescente , Adulto , Baltimore , Condones/estadística & datos numéricos , Demografía , Femenino , Humanos , Entrevistas como Asunto , Persona de Mediana Edad , Conducta Sexual , Tennessee
20.
Acad Med ; 75(12): 1222-8, 2000 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11112727

RESUMEN

Responsibility for teaching communication skills often falls to a multidisciplinary group of faculty who lack both a common model for teaching and prior experience teaching communication in small groups. This article describes East Tennessee State University's multifaceted faculty development program in teaching communication skills. The program was developed and implemented in three phases. First, a two-step Delphi approach helped identify core communication skills. Phase two gave faculty the opportunity to practice identifying communication teaching issues and effective strategies for working with small groups. The third phase involved the videotaping of faculty teaching small groups of students. These tapes were reviewed both individually and in faculty groups. The tapes were also reviewed by students, who provided realtime, moment-to-moment feedback to the faculty. Implementation and review of the program has helped to identify new strategies for effectively facilitating small-group teaching of communication skills.


Asunto(s)
Competencia Clínica , Comunicación , Docentes Médicos , Desarrollo de Personal/métodos , Curriculum , Retroalimentación , Humanos , Estudios Longitudinales , Enseñanza/métodos , Tennessee , Administración del Tiempo
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