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These face-to-face meetings provide a venue for sharing pertinent information related to heart attack questions discount perindopril 2mg on line program and policy issues or changes heart attack medication order 2mg perindopril mastercard. In addition ulterior motive meaning discount perindopril 4 mg visa, essential information is presented from the Michigan Department of Health and Human Services management blood pressure medication dizzy spells cheap perindopril 4 mg without a prescription, administrative and clinical consulting staff regarding clinical and management issues pertinent to Title X Family Planning clinics. The Family Planning Coordinators Meetings are also used to assess ongoing and future training needs for the network. The regional meeting format replaced a single webinar format to allow for broader agency coordinator participation and to enhance needed networking among programs. The conference location is rotated geographically to provide access to all areas in Michigan. Expert presenters are invited to address a variety of topics in both general session and workshop formats. This conference also provides an important venue for family planning providers, administrators and staff to network. These trainings are provided through a combination of face to face workshops and webinar offerings. Trends in requests for information, suggestions for improvement and for future trainers, as well as other information obtained through these evaluations are considered in the planning. The nationally funded Title X program is administered by the Office of Family Planning in the Office of Population Affairs within the Department of Health and Human Services. The Family Planning Program is administered through ten Public Health Service Regional Offices throughout the United States. The Title X program, under Section 1003, provides training grants for personnel working in family planning services projects, with the purpose of promoting and improving the delivery of family planning services. Having the skills and resources to plan the timing and size of families improves birth outcomes, protects the health of parents, and reduces the likelihood of that family living in poverty. Towards that end, individuals representing the state government, local health departments, Planned Parenthoods, hospitals, adolescent health centers, advocacy agencies, social workers, and community members have joined together to enhance access to family planning services. History Michigan has received Title X of the Public Health Services Act (Title X) funding since 1972. The Title X Program is the only federal program devoted solely to the provision of family planning and reproductive health care. A requirement of the Title X program is to have community participation in the program by: 1) persons broadly representative of all significant elements of the population served; and 2) persons knowledgeable about the communitys needs for family planning services. At that time, Title X providers were one of the only sources of family planning services for low income men and women in Michigan. Today, federally qualified health centers proliferate in Michigan and provide low-cost health services including family planning. Under this plan, the state provides Medicaid coverage to all newly eligible adults with income up to and including 138% of the federal poverty level. The group decided it would benefit the state to broaden their focus from only Title X programs to include other sources of family planning services in Michigan. The Title X programs remain the cornerstone of family planning services for low-income Michigan men and women and remain a focus. Participants Current membership includes individuals representing the state government, local health departments, Planned Parenthoods, hospitals, adolescent health centers, advocacy agencies, social workers, and community members. Common Presenting Symptoms and Signs Sexually transmitted ailments commonly present as genital ulcers, urethral or vaginal discharges. The final advice would be to have sex with a single faithful partner and have it avoided with high risk groups, who should also refrain from activities that could be dangerous. All this involves a change in cultural pattern attitudes and of vulnerable groups especially the adolescents who are drop-outs or lack moral fibre to face life within a healthy life-style. Mucous Patches genitals, mouth, pharynx, larynx Hair "moth eaten" alopecia Lymphadenitis: generalised, rubbery, discrete, non-tender Diagnosis : S. Clinical signs or symptoms of active syphilis persist or recur as a result of inadequate treatment or re-infection b. May show purulent or mucopurulent discharge from endocervix, which appears yellow or green when viewed on a white cotton tipped swab 3. Direct immuno fluorescent Ab smear (eg Microtrak) Treatment : 1) Doxycycline 100mg oral bd for 7-14 days or 2) Tetracycline 500mg oral 6 hourly for 7-14 days (Avoid dairy products, oral iron and antacids) or 19 3) Erythromycin 500mg oral 6 hourly for 7-14 days Give one week initially and return for check on drug compliance and culture results Advice : No sex until pronounced cure, No alcohol. Erythema, odema, and contact bleeding of cervix Diagnosis : Chlamydia culture or Direct smear fluorescent Ab test (eg. Serology Paired sera, taken 2 weeks apart, fourfold rise in antibody titre or seroconversion useful only during 1st attack 4. Pap smear for multinucleated giant cells or cells with intranuclear inclusions * Dark ground of ulcerated lesion to exclude syphilis * S. Acyclovir 200mg 5 times daily (at 4 hourly interval) for 5 days Start within 1st 3 days of onset of lesions 25 2. Cervical cytology smear for women Histology if indicated Treatment : External Genital/Perianal Warts Podophyllin 10-25% in compound tincture of Benzoin or Cryotherapy with liquid nitrogen or Trichloroacetic acid or Electrocautery Vaginal Warts Cryotherapy with liquid nitrogen or Podophyllin 10% in compound tincture of Benzoin 28 or Electrocautery Cervical Warts Cryotherapy } or Electrocautery refer for colposcopy if } or available laser therapy } Podophyllin is contra indicated Meatal Warts 1. Special Precautions with Podophyllin Use 10-25% Podophyllin in compound tincture of Benzoin (10% Podophyllin in compound tincture of Benzoin for vaginal and anal warts) Apply carefully to the warts while avoiding surrounding normal tissue Allow treated area to dry before contact with normal tissue of mucosa, especially in anal warts for vaginal warts, treated area must be dry before removing speculum Instruct patient to wash it off thoroughly in 4-5 hours Use < 0. Clotrimazole vaginal pesarry 200mg, nocte for 3 nights or Clotrimazole pessary 100mg, one nocte for 6 nights or Clotrimazole pessary 500mg as one single dose or Nystatin pessary one nocte for 2 weeks or Miconazole pessary 100mg one nocte for 7 nights plus 34 B. Usually unilateral, tender, matted, may suppurate to form unilocular abscesses (buboes) -sinus formation an chancroidal ulceration. Diagnosis : Gram stain or giemsa stain Gram negative bacilli arranged in short, parallel chain producing the"school of fish" or "railway track" picture Low sensitivity and specificity culture difficult. Trimethoprim/ Sulfamethoxazole 80/ 400mg (Bactrim) 2 tab orally bd for 7 14 days or Alternative treatment 1. Incubation Period : 8-80 days Presentation : Small painless, usually single, transient ulcer followed 1-4 weeks later by regional adenitis, which is the most common clinical presentation. Vaginal gram stained smear (for candida/"Clue cells") wet film for trichomonas culture for candida pH ] if bacterial Amine test ] vaginosis suspected 2. If the confirmation test for herpes is negative, or if the culture is negative, reevaluate the diagnosis, repeat serological test for syphilis in 3 to 4 weeks, consider fixed drug eruption if there is history of recurrent lesions at the same time and rule out herpes at the next recurrence. A full discussion of how to obtain a sexual history and counsel patients on safer sex techniques is not possible during this lecture. A few general principles should be highlighted at the outset: Nonjudgmental, open-ended questions help elucidate an accurate sexual history. Transmission may occur from infected urethral, cervical, rectal and pharyngeal surfaces. Transmission from male to female after one exposure is 50-70%, whereas transmission from female to male is 20%. Symptomatic patients, male or female, have usually been recently infected by such carriers, who must in turn be traced and treated to prevent reinfection. As many as half of all infected women have mild or asymptomatic infections, whereas most men are initially symptomatic. Pelvic inflammatory disease due to chlamydia and gonorrhea is an enormous public health problem leading to infertility and ectopic pregnancy. It forms oxidase-positive colonies and is differentiated from Neisseria meningitidis (the other pathogenic Neisseria, which causes meningitis) by its ability to ferment glucose but not maltose. They attach to mucosal epithelial cells, penetrate into the cells and multiply, and then pass through the cells into the subepithelial space, where infection is established. Vigorous neutrophil response leads to sloughing of the epithelium, development of submucosal microabscesses, and exudation of pus. Some of the virulence factors are described below: Pili Gonococci have many pili on their surface that extend through the peptidoglycan and outer membrane. Pili are composed of repeating protein subunits (pilins), whose expression is controlled by the pil gene complex. Pili are responsible for tight binding of the bacteria to nonciliated mucosal cells. The tight binding prevents the gonococci from being washed away by vaginal discharge or urine. The protein can interfere with degranulation of neutrophils and phagolysosome fusion, thus protecting the bacteria from the hosts inflammatory response. It also facilitates invasion into epithelial cells and resistance to complement-mediated serum killing. Opacity proteins (Opa) - these cell surface proteins, or adhesins, also mediate tight binding to epithelial cells and are important for cell-to-cell signaling. Immune evasion: Antigenic variation Frequent changes in antigens is one of the most prominent features of N. Antibodies specific for one form of pilin or Opa protein are not effective against another form.
Tubal ligation can also be done right after giving birth baby through a small cut in the navel blood pressure chart normal perindopril 2 mg on-line. Tubal ligation can be very useful for the long run as it is permanent birth control with immediate effect blood pressure elevated purchase 4 mg perindopril mastercard. Women with tubal ligation can still be sexually active but require no daily attention for contraception blood pressure chart during stress test order perindopril now. Breastfeeding heart attack from weed trusted perindopril 4 mg, especially continuous breastfeeding inhibits the release of hormones that activate the release of an egg-ovulation. Since the effectiveness of this method depends on the exclusive breastfeeding, therefore if the mother is separated from the baby more than a few hours, she cannot expect a high level of contraception protection. Withdrawal method (coitus interruptus): Withdrawal method or coitus interruptus or pull out method, is the term used to describe the action of withdrawing the penis from the vagina and away from a womans external genitals before ejaculation to prevent sperm from reaching the vagina. This method requires much self-control and is not even considered as having a reliable effectiveness of birth control. Fertility awareness methods (natural family planning or periodic abstinence: this method is based on monitoring fertile days in menstrual cycle. Couple using this method to prevent pregnancy must avoid unprotected vaginal sex during the most fertile days by abstaining or using condoms. Fertility awareness methods are also for those who want to be pregnant as it requires keeping track of the menstrual cycle consistently. It is also predicted that the number of cases will grow dramatically due to social, demographic and migratory trends. The burden is mostly placed in developing countries, whereas developed nations also face the hard time to control it as a prevalence of non-curable viral infections, trends in sexual behavior and increased travel opportunities hindrance the management of these diseases. It is a common and curable infection in which the bacteria attack the cells of mucous membranes. The most common way of infection of Chlamydia is from an infected person to a partner through certain sexual activities such as anal or vaginal sex. Oral sex is believed to be less likely for Chlamydia to transmit (American Sexual Health Association, 2016 b). Chlamydia can be asymptomatic; in case there are symptoms, it can take weeks to appear. Even though there can be no symptoms of Chlamydia, the reproductive system still can be damaged as it can lead to infertility in women by causing pelvic infection. The most common symptoms of Chlamydia include abnormal vaginal discharge, burning sensation when urinating, discharge from penis, pain and swelling in one or both testicles, bleeding and rectal pains. A pregnant woman can also transmit Chlamydia to the child (Center of Disease Control and Prevention, 2016 a). Gonorrhea: Gonorrhea is caused by bacteria Neisseria gonorrhea that can be spread from person to person via vaginal, oral and anal sex. Like Chlamydia, Gonorrhea can be asymptomatic or only show minor symptoms in the initial phase (U. Women with Gonorrhea might suffer from painful or burning sensation while urinating, increase vaginal discharge and vaginal bleed between periods. Untreated Gonorrhea in women can cause pelvic inflammatory disease, which can later cause complications of infertility, ectopic pregnancy, scar tissues in fallopian tubes and long-term abdominal pain. Among men, symptoms can be yellowish-white discharge from the penis, burning or pain when urinating, urinating more often than usual and pain or swelling of the testicles (American Sexual Health Association, 2016 c). Treatment of Gonorrhea can be difficult due to high antimicrobial resistance (Center of Disease Control and Prevention, 2015 a). Genital warts can be asymptomatic; however, depends on the size and location of warts that can cause pain and pruritus. Some warts are so tiny that people cannot even detect (Center of Disease Control and Prevention, 2011). Warts can be either raised or flat flesh-colored spots or cauliflower-like, appearing on mouth, tongue, throat or lips. In women, they can be inside or outside the vagina or anus and nearby areas, while in men, warts can be found on the penis, scrotum and groin, thighs, in and outside the anus or nearby areas. Condoms (both for female and male) and vaccination are reliable prevention for Condyloma (U. Syphilis is often called as the great imitator since it causes so many symptoms that can be interpreted to other diseases. The disease progresses in different stages: primary, secondary and tertiary in which the most common seen is primary syphilis. Syphilis can either be symptomatic or asymptomatic, making it more difficult to diagnose. People with primary syphilis can have painless syphilis sore, mistaken for ingrown hair, zipper cut or harmless bump while people in the secondary stage may experience non-itchy body rash on palms of hands and soles of feet or over the body, vision change, hair loss, fever, muscle aches, joint pain. In tertiary syphilis, complication to bodys organs can be detected such as tumors of skin, bones or liver, heart damage. Untreated syphilis can lead to permanent blindness (Center of Disease Control and Prevention, 2016 c). Herpes can spread by contacting skin, vagina, penis or mouth of someone who has herpes. People who have herpes may develop symptoms like decreased appetite, fever and malaise, muscle aches in lower back, buttocks, thighs, 22 knees and swollen and tender lymph nodes in the groin in the first stage. Other common symptoms are as pain and burning feeling while urinating and abnormal vaginal discharges in women. After 2-3 weeks, the first outbreak symptoms will vanish and the second outbreak occurs weeks or months later. Genital herpes cannot be completely cured but can only be controlled to reduce pain and discomfort by taking medicine. Pregnant women with genital herpes are often recommended to have C section to prevent the chance of the infant getting infected during the delivery (U. Hepatitis B can spread through blood, semen and other body fluid from an infected person to another one. Besides sexual activities, Hepatitis B can also transmit from person to person by sharing needles, syringes or during the delivery. According to Asia and Pacific Alliance to Eliminate Viral Hepatitis (2013), the total number of Hepatitis B 23 positive in Vietnam accounts for 14% of the population. Even though vaccinations have been introduced in 2003, only less than 60% of the whole population has them. The result of the study was meant for educational institutions to understand the current situation of the students knowledge about the topics thus to plan for extra education and training about it. Research questions: What is the level of knowledge of contraception among 18-24 years old Vietnamese. Compared to other research methods, quantitative research emphasizes on deductive reasoning. It is also an objective and reliable measurement since statistical interpretation of data that can be mathematically manipulated and understood (Patton, 1990). In addition to that, an advantage of quantitative research is that it allows for the study of a large number of cases for certain aspects in a relatively short time frame and its results have a high degree of generalizability (Flick, 2015). And as quantitative research is based on the measurement of quantity or amount thus it is applicable to phenomena that can be expressed in terms of quantity (Kothari, 2004). Flick (2015) also claims that another aim of a quantitative study may 24 be to describe a state or situation when the state of research and the theoretical literature are not sufficiently developed. By conducting this, the author may develop concepts, explore a field and end up by forming hypotheses based on their exploration of the field. The European Public Health recognized the strength of quantitative research in health care field due to its potential to provide results which are objective, to establish causality, high reliability, easiness to reproduce further study, ability to analyze large data sets and involvement of large number of participants as well as possibility to produce substantiated results on hypotheses based on statistic. Since the author wished to gain insights about a certain issue of a particular group, it is more beneficial to use quantitative method to draw generalization on the targeted population. As the study aims to get an overview of the general level of knowledge about a certain social matter as a group, it is more effective to approach the problem through a number of population in the society. Due to geographic reason, the author decided to approach respondents via web-based self-completion questionnaire circulated by using the internet. Brace (2008) claims that web-based questionnaires to have the same strength as paper self-completion questionnaires due to the flexibility to complete it in a free choice of time. In addition, online surveys are more effective with sensitive issues, meaning that data on threatening questions, where respondents feel a need to appear to be socially acceptable, are likely to represent better how the survey population really feels.
The 74 countries included have a total adolescent population aged 10-19 years blood pressure medication cause weight gain buy 8 mg perindopril with amex, of approximately 954 million in year 2015 blood pressure medication name brands 4 mg perindopril. Identified interventions were assumed to blood pressure machine name purchase perindopril 2mg mastercard be implemented in all 74 countries with adjustments made for different epidemiological circumstances arrhythmia nutrition discount 8 mg perindopril with visa. Interventions were assumed to be delivered at three delivery points, including hospital care, health facility care and the community. Contraceptives included oral contraceptives, emergency contraceptives and injectables. Condoms were provided by means of a package of 15 male condoms through a variety of channels including health care facilities and outreach by community health workers. Due to lack of adolescent data, adult prevalence was applied for both sexes (125). Country-specific current coverage levels were estimated using a variety of data sources (131-133). For most interventions, data from Demographic health 2 South Sudan is also a high burden country but since data is scarce, South Sudan was not included in this analysis. For countries for which there was no coverage data available, regional averages were applied (population weighted when possible). Intervention costs refer to direct costs of service delivery and include drugs, laboratory tests, medical supplies and consultation time based on guidelines and recommendation of health care delivery (124, 126, 136-141). To estimate costs for the majority of the interventions, a new costing model was created containing assumptions for all interventions on coverage rates, population in need, and ingredients of health care. For maternity care, an existing model was used with adaptation to adolescent population data and updated prices (142). For programme costs, a new costing model was created containing assumptions for components of programme activities. Compared to individuals aged 26-29 years, risks of self-reported chlamydial infection were doubled and tripled among individuals aged 23-25 years and 26-29 years, respectively. Individuals with secondary school level had an almost twofold increased risk compared to individuals with university level education. Furthermore, compared to students, increased risk of self-reported chlamydial infection was obtained among those being employed (twofold increased risk) and unemployed, on sick leave or pre-retired (threefold increased risk). High alcohol consumption also proved to be associated with a twofold risk of self-reported chlamydial infection. The reported associations remained strong and statistically significant after mutual adjustment of demographic, socioeconomic and lifestyle factors. Figure 4 shows variations in number of reported cases of chlamydia between counties. During the period from year 2006 to 2007, most counties (A, D, E, F & G) experienced an increase, whilst during 2008 to 2009, most counties experienced a decrease (A, C, D, E, F & G). Regarding the whole period (2006-2009), county F had the strongest decrease in reported number of chlamydia cases by 21. In counties C, E and F, the use of condom at last intercourse among youth and young adults were 29%, 26. Two counties (E and F) fulfilled the criteria of successful prevention based on the combined consideration of high proportion of condom use and decreased number of reported chlamydia cases. Identified potential key factors are summarized in Table 2: adequate programme and County council investments, suitable organizational structure, strong leadership, managing regional networks, research connection, multiple local collaboration, high testing coverage and strategic risk approach. In all, strong counties with strengths in preventive measures were E and F, weak counties with weaknesses were A and G, and undifferentiated counties with standard preventive measures were B, C, D. More specifically, high investments in primary and secondary prevention, legitimate and clear leadership and collaboration with multiple cross-sectional regional agents, and scientific foundation for action seemed vital. Furthermore, comprehensive testing with high ratios of tested men versus women, high numbers of tested per positive case and of tested per 100 000 inhabitants were identified as important. Finally, implementing a broad mix of efforts simultaneously was recognised as successful, including targeting risk individuals in testing and counselling, and potentially using innovative approaches like internet-based communication and health care services. Potential key factors of successful prevention: strengths (4, 5) and weaknesses (1, 2) compared to standard (3) in the seven counties (A-G). The point of departure for the calculation of costs, savings, and health gains of the intervention was that a total of 1,480 individuals were tested (864 women and 616 men) of whom 22. As illustrated in Table 3, the total cost of the Chlamydia Monday in 2007 was estimated at 66,787 of which 39,014 related to women and 27,773 related to men. The total savings due to prevented health care costs were 20,598 of which 11,630 related to women and 10,968 related to men (discounted figures). When avoided future production loss was included, the result generated a net saving while, when costs and savings of contact tracing were excluded, the intervention proved to be cost-effective in total and for women, but not for men. The sensitivity analysis illustrated the break-even point (meaning the lowest acceptable level of prevalence and effectiveness based on a willingness to pay 50,000) to be 3. The cost estimates indicate the additional financial resources required to scale up health service interventions to adolescents towards universal coverage levels. Contraceptive services and maternity care are the most costly interventions, accounting for 33. Estimated incremental costs per intervention and per programme activity as percentage of total costs. The results generally confirm previous international studies as well as Swedish findings among adolescents. Further, the results are in line with the notion of investing in human capital for improving general health (Grossman). Firstly, the use of cross-sectional data precludes any causal interpretation regarding the relationships between social and lifestyle factors, and chlamydial infection. Secondly, self-reported data on chlamydia infection are not optimal for measuring outcome and are affected by recall bias as well as by unwillingness or embarrassment to answer the question due to subject sensitivity. However, the internal response rate of the question is very high (over 99%) and relates to diagnosis, not merely symptoms of disease. Respondents who do not report having been diagnosed with a chlamydial infection could either have had a negative test or not have been tested at all. Regarding health care behaviour and access to testing, socio economically deprived groups tend to be less influenced by public awareness campaigns, confronted with more barriers, and less likely to seek health care. If students, individuals with a higher education and those who are not high alcohol consumers are tested more often than others, our results are more likely to be underestimated rather than overestimated. Neither did the data include information on sexual behaviour which could have explained some of the associations between exposures and chlamydia infection. Unfavourable social determinants of health form a hostile environment in which several factors contribute indirectly to infectious disease. Fourthly, in the comparison of subjects with missing data (excluded from the regression analysis) with those with no missing data, we found slight differences in self-reported chlamydia rates. This indicates that some selection bias may be distorting these particular findings, and affecting the risk level of these variables. However, the 37 direction of the differences (age, partnership status and alcohol consumption) confirms our findings. Furthermore, our data did not show any statistically significant differences between the proportions of self-reported chlamydial infection in non-missing versus missing data per category. Taken together, we find it unlikely that selection bias may have substantially distorted our results. Finally, measuring socio-economic position in young adults is complex, as it requires ascribing a class status to adolescents or young adults who have not yet transitioned fully to adult roles. Employment status was used to stratify between students, employed and unemployed, on sick leave or pre-retired, and together with parental educational level (as well as personal educational and income levels), it was judged to be an accurate assessment of social position in the study population. Specifically, high alcohol consumption may be used to identify and target risk groups, and deprived areas should be prioritized in the allocation of resources and preventive programmes. From a human capital approach, especially young people with lower educational or occupational status, with many productive years ahead, would benefit from increased attention. Hence, further analysis of self reporting of reproductive disease to study the association with socioeconomic and lifestyle factors is warranted. For future research, there is great potential in clinical studies linking diagnosis to socio-epidemiological data. Recent trials of chlamydia screening not only provide evidence of the ambiguities regarding the benefits of screening but also illustrate how little we know about how best to deliver prevention activities in general (31,99). Exploring factors potentially associated with successful prevention is hence of considerable scientific interest. Identifying key prevention factors, by linking structure and prevention activities to the reported number of chlamydia cases, was based on the underlying assumption that the outcome is affected by the input and that condom use is the main mediating factor.
This site also provides information click on Contact then Find a Health Center and enter your about womens sexual and reproductive health blood pressure normal lying down order perindopril overnight. Centers for Disease Control and Prevention the Emergency Contraception Website arterial thrombosis 4mg perindopril mastercard. Read up on sex and sexuality pulse pressure 47 discount perindopril 8 mg overnight delivery, relationships blood pressure chart american medical association order 4 mg perindopril overnight delivery, gender, make healthy sexual decisions. World Professional Association Gay and Lesbian Medical Association for Transgender Health. Learn how to talk to your partner or health care provider, understand how desire changes as we age, and educate yourself about safe sex practices. Nelson, Christian Brothers University (2002 Instructional Resource Award Recipient) Overview this 106-page resource offers instructors tools for using films to enhance their instruction. Student evaluations consistently indicate that films help them learn the topics, provide an alternative to traditional lectures, and give them a different point of view. However, students also say they do not like to view films if they do not understand the relevancy of the film to the course material. This resource gives teachers of psychology additional tools for using film, such as tested study guides, sample syllabi, student papers, references, and Internet resources. The film study guides contained in this resource have been used in a variety of psychology classes, and may be applicable to a variety of other courses. Outline of Contents Introduction How to Use the Study Guides List of Study Guides by Topic and Film/s References Filmography Sample Syllabi Sample Paper Author contact information: Elizabeth M. You may reproduce multiple copies of this material for your own personal use, including use in your classes and/or sharing with individual colleagues as long as the authors name and institution and the Office of Teaching Resources in Psychology heading or other identifying information appear on the copied document. No other permission is implied or granted to print, copy reproduce, or distribute additional copies of this material. Anyone who wishes to produce copies for purposes other than those specified above must obtain the permission of the author. Showing a film to a class or having students watch the film on their own is only a prerequisite to using film as an instructional tool. This resource gives teachers additional tools for using film (tested study guides, syllabi, student papers, references, and internet resources). The film study guides in this booklet have been used in a variety of psychology classes. In fact, the fun in using film lies in the creativity of the instructor to incorporate film in a meaningful way in his or her instruction. How to Use the Study Guides the booklet is arranged by topic (in bold at right, top corner of each study guide) in alphabetical order. The choice of topic and film for each topic is based on how I have used the film in the past. I have included syllabi from my classes to give you an idea of how I incorporate film in class. I encourage you to use and modify these study guides to fit any topic you see relevant to the film. In addition to completing the study guides, students are required to complete other assignments, such as papers. If you are unfamiliar with the films, you can look the film up in my filmography, which is arranged alphabetically by film title. This allows me to show, watch, and review the films as often as I want without having to rent or check out the film each time. I have the library purchase the more expensive films that are available through vendors such as Films for the Humanities. List of Study Guides by Topic and Film/s Topic Film/s Aging Grumpy Old Men Anti-Social Personality Disorder A Clockwork Orange Silence of the Lambs Archetypes Batman Returns Alien Power of Myth the Good Son Star Wars Diversity Thats Black Entertainment The Emissary Mr. Loving 2 Documentary Paradise Lost Expressionism/Film Noir Jose Chungs from Outer Space Double Indemnity Anasazi Fear the Shining Carrie The Thaw Copycat Film Making the Art of Illusion Visions of Light Reservoir Dogs Homosexuality the Celluloid Closet the Birdcage Humor Ed Wood, and Plan 9 from Outer Space Law Dead Man Walking (version 1) Dead Man Walking (version 2) Nuts Dancer in the Dark the Thin Blue Line In Cold Blood I Want to Live the Green Mile Learning Sophies Choice Media Media Impact Metaphysics Cause and Effect The Measure of a Man Motivation To Sir, With Love, and Dangerous Minds Obsessive-Compulsive Personality Gorillas in the Mist Perspective A Matter of Perspective Hair Problem Solving Cast Away Psychopathology Rainman Equus Awakenings Snake Pit Sybil the Three Faces of Eve Prince of Tides the Dream Team Psycho Religion Jesus Christ Superstar Reminiscence Fried Green Tomatoes Suspicion John Carpenters the Thing, and the Thing from another World Women Dolores Claiborne Thelma and Louise Waiting to Exhale Up the Sandbox 3 the Searchers 4 Study Guides by Topic and Film Aging Grumpy Old Men 1. Describe and discuss the following media images of the elderly in the movie Grumpy Old Men: a. Describe ways the movie attacks ageismlook for the following, for example: o is the diversity of the elderly addressed. That is to say, is aging portrayed differently for the male characters than for the female characters. Are older people being made fun of through stereotypes of older people or are we laughing at something else. What expectations would people having coming in to see this movie for the first time. Discuss the following factors in understanding the effects of this movie on the older viewer vs. Keep in mind that you are the producer of the movie out to make big bucks, especially from those aging baby boomers that you dont want to offend. Based on our class discussion of what is anti-social personality disorder describe any characteristics Alex has of anti-social personality disorder. Keep in mind that the movie was made in 1971 in Great Britain, whereas the book was written in 1917. Terms you will want to use are operant, positive reinforcement, negative reinforcement, unconditional stimulus, conditional stimulus, unconditional response, conditional response. Give examples in the movie of the following (you are not limited to the behavior modification method): o positive reinforcement o time out o extinction o punishment o negative reinforcement (escape) o avoidance 10. Discuss the ethics of the use of behavior modification in this situationtry to discuss both the pros and cons of the use of this technique. Relate the gangs in the movie to the information in the article you read about gangs (and to anything else you know about gangs). Six characteristics of anti-social personality disorder: o superficial charm o lack of remorse o lack of anxiety o premeditated antisocial acts o lack of learning from experience o physiological responses that indicate low arousal Do these characteristics describe o Hannibal Lector. Would you diagnose each of these characters with anti-social personality disorder. How does the fact that Lector is a psychiatrist affect his characterhis personality and behavior. Describe Buffalo Bills psychological problemsas we see them and as Hannibal Lector describes them. Discuss the archetypes found in the movie: o anima o animus o mandala o hero o shadow o transformation o trickster o spiritual father o great mother 2. Discuss the symbolism of the bat, the cat and the bird, or penguin (a bird that cannot fly). Essay: Write an essay dealing with the following: the archetypal imagery of the collective unconscious manifests itself in dreams, schizophrenia and creativity. Discuss Batman Returns as a process of communication through the archetypal imagery of the collective unconscious. Describe the archetypal images and symbolism, and then synthesize these images and symbols in order to discuss the messages that are communicated to the audience. I am interested in your ideas and your being able to analyze psychologically the movie and the movie audience. From the review of Aliens 3 (McAlister, retrieved 2002) discuss the following in relation to Alien: o uncanny alien bug mother o monster o Ripley as powerful female hero doing her Rambo number o the greedy machinations of the company o the company wants to capture the monster and use it as a biological warfare weapon o Alien as a feminist cult film o rampant misogyny o the visual milieu of the film is grim 2. Use your study guide from the #1 interview Bill Moyers with Joseph Campbell (Hero) to discuss Ripley as the mythological (or archetypal) hero. Use your study guide from the #2 interview Bill Moyers with Joseph Campbell (Meaning of Myth) to discuss the mythology of Alien. Use your study guide from the #3 interview Bill Moyers with Joseph Campbell (The First Storytellers) to discuss Alien as an example of woman is life, man is the servant of life. Discuss Alien in terms of these ideas from the Solomon (1995): o confronting the evil in all of us o symbolism o questions about how we live our lives o aliens rear their ugly heads; the alien as a reaction to your conscience 6. From Nostromo by Joseph Conrad, 1904 o What is the significance of the name Nostromo in Alien. Science Fiction (from Lucas, 1996): o An electronics instructor says the following about science fiction: Science fiction is not reality, but an alternate reality that I enjoy. Using the study guide for Art of Illusion comment (in detail) on the use of special effects in Alien.
It authorizes the Attorney General to arteria 60 cheap generic perindopril canada protect constitutional rights in public facilities and public education blood pressure chart pdf order 8 mg perindopril with mastercard, to hypertension cardiovascular disease buy perindopril on line amex protect civil rights hypertension over the counter medication order perindopril line, to prevent discrimination in federally assisted programs, and to establish a Commission on Equal Employment Opportunity. The Privacy Act prohibits the disclosure of records about an individual without the written consent of the individual, unless the disclosure is required by statuary law. The Act also provides individuals access to and means to seek amendment to their records and sets forth agency record-keeping requirements. The broad purpose of the Privacy Act of 1974 was to balance the governments need to collect and maintain information about individuals with the rights of individuals to be protected against unwarranted invasions of their privacy. The Act aims to protect individuals from illegal surveillance and investigation and from potential abuses presented by increased use electronic storage of personal data by means of a universal identifier such as social security numbers. To grant individuals rights to seek amendment of records upon showing the records to be inaccurate, irrelevant, untimely, or incomplete. To establish fair practices for collection, maintenance, and disclosure of personal records. It applies to each recipient of Federal financial assistance from the Department of Health and Human Services and to the program or activity that receives such assistance, including Title X projects. It is intended to assure that no qualified handicapped person, on the basis of handicap, be excluded from participation in, be denied the benefits of, or otherwise be subjected to discrimination under any program or activity which receives Federal financial assistance. Facilities and services must be available to accommodate persons with disabilities. At the same time, Congress recognized that advances in electronic technology could erode the privacy of health information. This Rule set national standards for the protection of individually identifiable health information by three types of covered entities: health plans, health care clearinghouses, and health care providers who conduct the standard health care transactions electronically. Compliance with the Privacy Rule was required as of April 14, 2003 (April 14, 2004, for small health plans). This Rule sets national standards for protecting the confidentiality, integrity, and availability of electronic protected health information. Compliance with the Security Rule was required as of April 20, 2005 (April 20, 2006 for small health plans). The Rule requires appropriate safeguards to protect the privacy of personal health information and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives the patient rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections. The Security Rule requires appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity, and security of electronic protected health information. Transactions are electronic exchanges involving the transfer of information between two parties for specific purposes. For example, a health care provider will send a claim to a health plan to request payment for medical services. These transactions are: claims and encounter information, payment and remittance advice, claims status, eligibility, enrollment and disenrollment, referrals and authorizations, and premium payment. This means that they must adhere to the content and format requirements of each standard. This means 45 that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. Laws and Legislation on Human Trafficking Federal Anti-Trafficking Laws. The law provides a three-pronged approach: prevention, protection, and prosecution. It established the T visa to protect victims and survivors and provides a path to permanent U. It included provisions to protect victims and their families from deportation and requires the Attorney General to annually report to Congress U. It expanded measures to combat trafficking internationally, including sex tourism and regulating government contracts to prohibit contracts with individuals or organizations that engage in human trafficking. It expanded protections under the T visa and required screening for all unaccompanied alien minors. It enhanced sanctions against traffickers, and expanded definitions of trafficking to facilitate prosecutions. It puts in place emergency response provisions within the State Department to respond quickly to disaster areas and crises where people are more susceptible to trafficking. It strengthened collaboration among state and local law enforcement in charging and prosecuting traffickers. The law puts in place comprehensive health insurance reforms, including patient rights and protections, expanded coverage, and cost savings. The law makes preventive care, including family planning and preventive care, more accessible and affordable for many Americans. The information and resources provided here are intended to assist Title X-funded family planning centers and other safety net providers implement the law. The program guidelines found in this document interpret the law and regulations in the form of standards and provides an orientation to the federal and state perspective on family planning. This manual is written to define minimum standards (requirements) and give recommendations (guidelines) for quality care, utilizing nationally accepted standards of practice. Family Planning, is a preventive health measure which positively impacts on the health and well-being of women, children and families. Effective family planning programs are essential health care delivery interventions that correlate with decreased high risk pregnancy and decreased maternal and infant mortality and morbidity. Services provided through family planning clinics allow women and men to make well-informed reproductive health choices. The publicity shall state that receipt of public health services is not dependent on a request or no request for family planning services. The following links offer information on specific information crucial to Title X program implementation. A drug control license is not necessary if the dispensing occurs in the emergency department, emergency room, or trauma center of a hospital licensed under article 17 or if the dispensing involves only the issuance of complimentary starter dose drugs. Access to the cabinet must be limited to individuals authorized to dispense prescription drugs in compliance with this part and article 7. The information required to be given to the patient under this subsection includes all of the following: (a) the name and strength of the complimentary starter dose drug. A pharmacist described in this subsection may dispense a prescription for complimentary starter dose drugs written or transmitted by facsimile, electronic transmission, or other means of communication by a prescriber. A perpetrator may be in a position of authority over a minor, use a weapon, violence or threat of violence, or may be a member of the minors household. Michigan statutes describing criminal sexual conduct are found at these links: In Michigan, the law regarding sexual assault is called the Criminal Sexual Conduct Act. It is gender neutral and includes marital, stranger, date, acquaintance, and child sexual assault. Victims can ask for all costs suffered as a consequence of their bondage including medical costs. They can also ask for a restitution that recognizes the value of the years they lost due to bondage. The human trafficking law was again overhauled in 2014 with a series of 21 bills that include safe harbor provisions for victims and stronger punishments for traffickers, including lengthening the statute of limitations on these crimes and made the trafficking of a child an offense that must be reported by mandatory reporters. It created a standing Human Trafficking Commission within the Department of Attorney General and a Human Trafficking Health Advisory Board within the Department of Health and Human Services. Force includes, but is not limited to, physical violence, threat of physical violence or actual physical restraint or confinement or threat of actual physical restraint of confinement, without regard to whether injury occurs. Fraud includes, but not limited to, a false or deceptive offer of employment or marriage. Threatening to harm or physically restrain any individual or the creation of a scheme, plan, or pattern to make a person believe that any act would result in psychological, reputational, financial harm, or physical restraint. Abusing or threatening abuse of the legal system, such as threatening arrest or deportation. Knowingly destroying, concealing, removing, confiscating any passport, other immigration documents, or government identification. Regardless of whether the person knows the age of the minor Safe Harbor Safe harbor provisions in the 2014 Michigan human trafficking legislation: 1.
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