Sunday, January 26, 2020

Reproductive Health Among Adolescent Girls Health And Social Care Essay

Reproductive Health Among Adolescent Girls Health And Social Care Essay Review of literature is a systemic search of a published work to gain information about a research topic (Polit and Hungler, 2011). Conducting a review of literature is challenging and an enlightening experience. The review of literature was based on extensive survey of books, journals, and international nursing indicates. A review of literature relevant to the study was under taken which helped the investigator to develop deep into the problem and gain information on what has been in the past. An extensive review of literature was done by the investigator to lay a broad foundation for the study. For the purpose of logical sequence the chapter was divided in two parts. 2.1 PART I: Reviews related to reproductive health among adolescent girls. 2.2 PART II: Reviews related to effectiveness of adolescent to adolescent approach on reproductive health. 2.1 PART I : Reviews related to reproductive health among adolescent girls. Mc Call-hosenfeld JS et al., (2012) conducted an experimental study in Pennsylvania; they investigated the impact of individual on womens are receipt of a comprehensive panel of preventive services in a region that includes both urban and rural communities. Outcome variables were a screening and vaccination index blood pressure , lipid panel, sexually transmitted infections or individual level variables includes predisposing factors, enabling and need based measures. The investigator found that overall use of preventive services, were low individual variability in womens receipt of counseling services is largely explained by psychological factors and seeing an gynecologist. . Fengy et al., (2012) conducted a cross sectional survey of 17,016 adolescent girls and young aged 15-24 yrs old in both rural and urban Asian cites, China, through interview and computer assisted self interview for sensitive questions. To identify the predictors perception of homosexuality. The 40% of adolescent and young adults who hold a positive view of homosexuality for both males and females. Preferred origin of movies, videos, self identified sexual orientation, sexual and reproductive health knowledge, family values, gender role and attitude towards premarital sex. The most common and important predictors for a respondents perception of homosexuality were his/her knowledge of sexual and reproductive health. Shelia G et al., (2012) conducted a experimental study regarding features of physical and sexual development of reproductive behavior among adolescent girls at Russia. In this assessment the adolescent reproductive behavior identification and the factors affecting was made in female adolescents age 14-19yr [randomly formed via continuous selection] information of the state of their health their attitudes towards child bearing and their risky habits have been evaluated. High frequency of menstrual irregularities, 24.7% delayed formation of the bone pelvis, 25.2% the prevalence of chronic external genital diseases were found. Iliyasuz et al., (2012) conducted a qualitative study regarding sexual and reproductive health communication between mothers and their adolescent daughters in North India Assam. The investigator employed structured interviews and groups to investigate reproductive health communication practices among 108 mothers and daughters transcript were analyzed using the grounded theory approach .A total of 136 mother reported discussing reproductive issues with their daughters. The majority of daughters acquire reproductive health education from their mothers; parents were more likely to discuss marriage, menstruation, premarital sex, STI infections and sex education need to be empowered with knowledge and skills to improve the scope and quality of home -based reproductive health education. Palke VD et al., (2011) conducted a study regarding impact of sex education on knowledge and attitude of adolescent school children in Bihar. Reproductive capability is now in earlier age, but the subject of adolescent sexuality in most societies, there is a wide spread ignorance about risks are unprotected sex problems among adolescent girls. Unfortunately need of sex education is not perceived and fulfilled in India especially in rural areas. The present study was conducted to assess the need and demonstrate the impact of sex education among adolescent school children, by analyzing pre and post intervention questionnaire and there was a significant increase in knowledge about sexuality , menstrual hygiene. Sexually transmitted disease, it has significant impact on knowledge of adolescent school children. Ezekwere et al., (2011) conducted a study regarding sex education, sex information, sex practices, among adolescent girls in Nigeria. A total 304 girls selected by multi-stage sampling technique studied primary and subsequent sources of sexuality information, mainly the by the media, peers, families and schools, found that mostly they were not involved in provision of early sexual initiation and un protected sex was common among them. The study highlights the need to create a awareness at earlier stage of adolescent period sexual education of adolescent girls through parents and teachers had to be initiated. Wong LP et al., (2011) conducted a large cross sectional study regarding attitude towards dysmenorrheal impact and treatment seeking, among 1,295 adolescent girls (13-19 yrs) from 16 public secondary schools in rural districts of Malaysia. Dysmenorrhea was reported in 76.0% of the participants multivariate analysis shows that being in upper secondary levels was the strongest predictor for poor concentration, absenteeism and poor school grade due to dysmenorrheal is a normal cycle and only 14.8% sought medical treatment , education should be extended to parents and school peer leaders to address the reproductive health needs of adolescents. Lazarus JV et al., (2011) conducted a quasi experimental study regarding reproductive health awareness programme to assess the knowledge, attitude and behavior. Reproductive health data was collected from the students aged (11 16 yrs) by using a picture and group discussion. In total 313 questionnaire has distributed, and the mean score in the pretest knowledge was 5.9 and 6.8 in post test score was p (0.003), which increased significantly t=4.5, p=0.000. The attitude mean score in pre test was 4.3 in post test was 6.8 which shows the increased significant. The mean behavior pretest score which showed a significant p =0.019. Hence the intervention significantly improved the adolescent reproductive health knowledge attitude. BiscoFreudenthal J et al., (2011) conducted a study regarding creating community awareness of reproductive tract infections including STD infections. The aim of this study was thus to explore people perception treatment seeking behavior and understanding of information about RTI/STD. Qualitative contact analysis was employed for the data analysis. The major findings was that the most common treatment seeking behavior was taking self medication. Shyness of genital examination, negative attitudes towards dirty diseases. The main media sources of RTI/STI information were radio, TV and other access to health information was more difficult. Health education messages should be more accessible in rural areas. Van Rossem et al., (2011) conducted the survey to evaluate the reach and impact of social marketing and reproductive health communication campaigns (selected radio and television programs) regarding family planning and HIV/AIDS in Zambia. The results evidenced that the reproductive health and social marketing Campaigns in Zambia reached a large portion of the population and had a significant impact. The results suggested that future reproductive health communication campaigns that invest in radio programming may be more effective than those investing in television programming and future campaigns should seek to increase their impact among women. Portillo et al., (2011) conducted a cross sectional study regarding sexual and reproductive health among adolescent girls at High school in Spanish. The study focused to determine the extent of information about preventing sexually transmitted diseases, knowledge and use of contraceptive methods. It includes 641 students who agreed to complete the questionnaire by school. 84.5% students know at least one contraceptive method 84%, It is necessary to establish or strengthen information programme on sexual health for adolescent. Fehr KR et al., (2011) conducted a study to assess the knowledge and use of Folic acid in women of reproductive age Folic acid reduces the risk of neural tube defects 50%, women of reproductive age group should be aware of the importance of the folic acid and neural tube defects. They used terms such as Folic acid knowledge and Folic acid awareness to search articles published, women were although knowledge levels were associated with education and health care professionals magazines and news papers, radio, TV, as common sources of information, and this knowledge will allow them to make informed decisions about Folic acid among women. Mc Call JS et al., (2011) conducted a study regarding preventive counseling among reproductive aged women. Preventive health intervention often occur less frequently among rural women compared to urban is an important feature of comprehensive preventive health care provisions .Data were collected by telephone survey during 2004-2005 participants aged 18-45 yrs in the central Pennsylvanias. The study assessed the independent contribution of counseling for smoking ,alcohol, drug use, birth control ,nutrition, physical activity. Most women do not receive recommended preventive counseling, while rural women are less likely than urban women to receive counseling educating rural health care providers about the need for preventive counseling. Jousha et al., (2011) narrated on condom negotiation and experience among sexually active young women in New south wales, Austraila by using feminist narrative approach. Ten womens stories were collected via online interviews. The findings revealed that none of the women initiated or negotiated use of the male condom promotion relies on the r4coginition of the gender factors that impede young womens condom negotiation and use. Strategies that overcome gender dynamics and empower women to negotiate condom use have the ability to promote condom use among this group. Lawan et al., (2010) conducted a study regarding menstruation and menstrual hygiene among adolescent girls in Gujarat .This study examined the knowledge and practices of adolescent school in around menstruation and menstrual hygiene .Data was collected quantitatively and analyzed using pre experimental study, the study findings showed that majority had fair knowledge of menstruation, although deficient in specific knowledge areas, most of them used sanitary pads as absorbent during their last menses, changed menstrual dressings about 1-5 times per day and improving access of the adolescent to reproductive health needs. Sivagami, et al., (2010) conducted a qualitative study on community perception and treatment seeking behaviour regarding reproductive tract infections including sexually transmitted infections in Lao by using fourteen focus group discussion and 20 in depth interviews. It held among 76 women and 56 men. The major finding was that both male and female participants had a variety of misconceptions about the causes and symptoms of RTI/STIs and their cure and a reluctance to seek health care. The main reasons for not going to health facilities were fear of social discrimination or shyness. They suggested strengthening health education and promotion through interventions at the community level to improve the quality of RTI/STI management. Minto et al., (2010) reviewed the efficacy of HIV/STI behavioral intervention and identified factors associated with intervention efficacy for American African females in the United states by using meta- analysis from 37 relevant studies. The results showed that behavioral intervention had a significant impact on reduction in HIV/STI risk sex behavioral. They concluded as behavioral interventions were efficacious in preventing HIV and STIs among African American females. They suggested that conducting more research to examine the potential contribution of prevention strategies that attend to community level and to improve communication between RTI/STI patients and clinicians. Thakor HG et al., (2010) conducted a STIs prevalence study on knowledge and practices related to STIs and HIV among 125 sex workers in an urban area of Gujarat, India. 85-90% were aware about various symptoms / diseases transmitted by unsafe sexual practice in male and female. 23.4% took treatment from health worker for such problems; 87.9% were aware that consistent use of condom could protect them from HIV infections and 2.6% reported for non treatment of STD.58% were not aware about behavoural changes needed to reduce the risk. 2.2 PART II: Review related to effectiveness of adolescent to adolescent approach on reproductive health. Denison JA et al.,(2012) conducted a quasi experimental study on peer education make a difference an evaluation of HIV prevention in youth-led model trained volunteer peer educators age (18-25 yrs) in school, to teach HIV prevention and Reproductive health. This evaluation programme effects on students HIV knowledge, attitude and behaviors of adolescent girls by using a non randomized quasi experimental design among 2133 students had significantly higher levels of knowledge regarding HIV p 0kanlawon FA et al., (2011) conducted a study to assess the effectiveness of peer education in a secondary school regarding reproductive health among adolescent girls in Karnataka. The study employed pre and post test intervention quasi experimental design, The experimental group was the adolescence girls to give peer education programme for 6 months pre and post test data in the experimental and control groups were compared and analyzed. The knowledge of reproductive health issues was p Drummond P et al., (2011) conducted a study by using peer education to increase the sexual health knowledge among West African refugees in Western Australia. Ten bilingual west African peer educators conducted a 3 hours workshop on sexual health for small groups of western African refugees (n = 58) who recently settled in Perth , western Australia .There were significant increases in the participants knowledge on sexually transmitted infections and HIV , their spread and the measures to protect against infection. They Concluded that the peer education approach was successful in assisting new and emerging community to work effectively on sexual health topics generally considered as taboos or too sensitive to discuss. Stephenson. J et al., (2010) assessed the effectiveness of school-based peer-led sex education among 9,000 pupils aged 13-14 years at England. Schools were randomized to either peer-led sex education (intervention) or to continue their usual teacher-led sex education (control). Peer educators, aged 16-17 years, were trained to deliver three 1-hour classroom sessions of sex education to 13- to 14 years old pupils from the same schools. The study findings concluded that compared with conventional school sex education at age 13-14 years, this form of peer-led sex education was very effective associated with change in teenage STDs, it merits consideration within broader teenage STDs prevention strategies.

Saturday, January 18, 2020

Inventory and Alliance Supermarkets

Alliance Supermarkets has been using a point-of-sale (POS) system for some time to track its inventory. The system uses a laser scanner to read the universal product code (UPC) on each item at the checkout container. The UPC is a number that uniquely identifies the product on which it appears. Currently, Alliance is using the UPC information to update inventory records for each item. Although the system has greatly improved the company’s ability to replenish inventory promptly, the company still has some problems.For example, sudden changes in demand for a particular item can catch the company by surprise as it bases inventory replenishment on historical demand patterns. Further, demand patterns and preferences may vary from one store to another depending on the customers served by each, but the inventory system groups all demand information together and treats each store equally. Finally, the manufacturers that make the products stocked by Alliance Supermarkets are always pre ssuring Alliance to help them target appropriate customers for special promotions and sales.The chief information officer (CIO) of Alliance realizes that much more could probably be done with the data collected from its POS system. For example, the company could analyze the relationship between each product’s sales and weather patterns. It is even possible to analyze an individual customer’s buying habits and identify instances when a customer may be persuaded to try a different brand of a certain product. Suppose you have been asked to study this situation and suggest possible new and innovative uses for the information generated by the POS system.Ideally, these ideas should help Alliance better serve its customers by ensuring that adequate quantities of each item are available, that costs are kept low, and that customers are made aware of new products that may interest them. 1. What information may help Alliance reduce costs while providing better service? 2. If purc hase information can be obtained on individual customers, what new approach could be used by Alliance?Your paper should be in paragraph form (avoid the use of bullet points), and supported with the concepts outlined in your text. Do not include the original questions of the assignment in the paper. Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment. Alliance Analysis The CIO for Alliance Supermarkets desires to make better use of the volume of data retrieved with each sale via the Point of Sale (POS) software that documents the sale of each product as it is bar coded.There are three key issues which the CIO wishes to address: 1) be able to respond to sudden, unanticipated inventory demand; 2) identify demand patterns that vary from store to store; 3) assist the manufacturers to better target customers for special promotions and sales. With the use of POS, Alliance Supermarkets have the ability to track sales of products and reorder the m automatically. With this type of information, the manufacturers have ready access to what products have been sold as they are scanned.Scanning the bar code for each product sends a signal to the manufacturers documenting the sale of each item in inventory as the sale occurs. When predetermined levels are reached, an order is placed with the manufacturer to replenish the inventory. The POS information can also help manufacturers â€Å"analyze an individual customer's buying habits and identify instances when a customer may be persuaded to try a different brand of a certain product† (Vonderembse & White, 2013).Alliance Supermarkets can better serve its customers by having adequate supplies of inventory based upon the ways that the store tracks its inventory. Not only will regular order replenishment of inventory improve customer satisfaction, but it will have the added effect of improving efficiencies and making the best use of capital resources. A perpetual inventory system of some merchandise such as perishable foods like meat, dairy products, and vegetables can help lower costs through greater efficiencies in processes.By avoiding Stock Outs, customers will have the ability to purchase their desired products without inventory costs. Adding Safety Stock to the inventory control plan can also aid Alliance in flexing up for sudden surge demand. Taking advantage of volume discounts is another way that costs can be controlled more efficiently. There is not always a cost savings in buying in volume. Therefore, using the formula of OP = dL can be used to determine an optimum point to reorder. OP = order point. d= daily use, and L = lead time.This helps determine how much advance notice is needed in order for the store not to run out of inventory. (Vonderembse & White, 2013 p. 10. 4) Alliance can also make use of demographic and purchasing decisions based upon POS transactions. Sorting the data individually by each store will help Alliance identify purchasin g trends. Orders can be placed specific to each stores demographic. A periodic inventory control system of non perishable items such as dairy products, meat and vegetables could be used to help assess the grocery stores replenishment goals without running out of goods.

Friday, January 10, 2020

Understanding Purpose of Proposal

Understanding Purpose of Proposal The Purpose of Proposal Trap Make an outline of topics that you want to have in your statement of purpose. Information and discussion about initial data might be distinct section. The message could be accompanied by strong evidential materials in the shape of agreements, brochures, etc.. Though the topic of your presentation will be different based on the customers requirements, think about designing your presentation around the theme of trust and client support. Many businesses will use an RFP template to offer prospective suppliers details of what it is that they are searching for in a bid. So you are certain to locate a template that fits with your client brand. Fill-in expert proposal template offers you an outline to follow and make it simpler to organize your information in the right format. How to Choose Purpose of Proposal Intelligent objects are used, and photos are easily changed. Meeting with key decision-makers in advance and asking probing questions to determine exactly what they're searching for is minimum preparation. Present your comprehension of the customers needs, your solution, and the advantages of the solution out of their prospective. Writing a business plan makes it possible for you to genuinely think things through. Another benefit of our website is the quickness. As soon as an organization is proposing an idea to be shown by means of a project director, it's very important to them to have credibility. Always keep in mind that every paragraph ought to be at least seven sentences. In the very first paragraph, the very first sentence identifies the overall topic area. To start with, the goal of proposal writing is to be sure your paper has a crystal clear outline and a program. You'll be surrounded by writing professionals throughout the plan of order placement, and when you choose to purchase essay and pick an allocated writer, things will get even more exciting. Whether you've got to make a paper of special flawlessness, just purchase an essay here and our writers will provide help. Next, the author should explain what things to do with the idea. As our group of writers is pretty big, we always have free writers prepared to bring a manageable and well-paid purchase. A summary could be included here or might be conveyed in the cover letter. In fact, prior to making an order it is possible to secure a price quote on your essay. It's possible to also think of a preliminary collection of chapters. Top Purpose of Proposal Choices Sponsors want to feel that you're serious about helping them with their problems. Proposals are simple and common to have by especially when you're exposed in the area of business. Business proposals have to be distinguished from estimates. Fundraising proposals are simpler than other sort of proposals like sponsorship and company proposals. Dissemination efforts ought to be tailored to certain clients and target audiences. The aim is to offer information regarding your company and the way that it can help your customers. The objective of the checklist is to make sure that contractors submit thorough, accurate, and total proposals. The main aim of the company proposal letter needs to be to earn a formal proposal for delivery (even more supply) of goods with the indication of particular provisions of the transaction. The Purpose of Proposal Trap The previous page of your research proposal ought to be the bibliography. In different situations a proposal can be required, sometimes not. A great thesis proposal hinges on a great idea. Writing a research proposal is as a great deal of critical task since it is doing the survey itself, so be awfully attentive. Benefits function as the decent things that will take place by completing the objectives that are presented. Goals and objectives form the most significant portion of a project proposal and one needs to pay great attention whilst framing them. Setting the purpose is frequently the very first step towards creating a proposal as it lays the foundation for the undertaking. Aim of the research proposal is an extremely important component that should be clearly assessed by the author.

Wednesday, January 1, 2020

Gender and Our Judicial System Essay - 2349 Words

The ambiguous language and aim of the constitution has allowed for numerous interpretations of the law. There have been several instances, where our limited perception and interpretation of the constitution has warranted change due to cases that do not fit the ruling party’s ideology of equality. In those cases, we amended our constitution and included clear diction to award rights to those subjected to subordination, so in going forward a clear distinction would not allow room for interpretations that perpetuated further discrimination. Over the course of history, we have followed this path to incorporate our societies changing paradigm that was dissimilar to our founding fathers’. Interestingly so, the rights they deemed as inalienable†¦show more content†¦No state shall make or enforce any law, which shall abridge the privileges or immunities of citizens of the United State; nor shall any state deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws. (U.S. Const. amend. XIV,  § 1). The Equal Protection Clause (EPC), ratified in 1868 and then added to the 14th amendment, is an assumptive all-inclusive key that offers protection against sex based discrimination. Although a warranted assumption, it is incorrect. Firstly, In The Readers Companion to Woman’s History (Mankiller, Mink, Navarro, Smith, Steinam, 1999) we discover that â€Å"the court has never read the 14th amendment to forbid all sex-based classifications† (p. 326). This elusive detail demonstrates the precarious standing of equality held within the 14th amendment. Additionally, it demonstrates the amendments unconstrained interpretations of sex. Since no precedent has been set against sex-based classification, there is no guarantee that sex discrimination is invalid in all conditions. In view of this major technicality, it is problematic to ensure that women, who suffer from the same bias and stereotypes yet hold dissimilar positions, will receive judicial equality and rectification wi thin our judicial system. This leads me to a practical example of this inequality, foundShow MoreRelatedIn Recent Decades, The Judicial Systems Failures And Shortcomings1409 Words   |  6 PagesIn recent decades, the Judicial Systems failures and shortcomings to proportionally represent minorities and women of our diverse nation has quickly become a controversial issue. â€Å"The United States is more diverse than ever, but its state judges are not. 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