...q The Authors 2006 DOI: 10.1017/BJN20061865 Nuts and coronary heart disease: an epidemiological perspective ´ John H. Kelly Jr and Joan Sabate* Department of Nutrition, School of Public Health, Loma Linda University, Loma Linda, CA 92350, USA The epidemiological evidence for the cardio-protective effect of nut consumption is presented and reviewed. Four large prospective epidemiological studies of primary prevention of coronary heart disease are reviewed and discussed (Adventist Health Study, Iowa Women’s Health Study, Nurses’ Health Study and the Physicians’ Health Study). Other studies of nuts and coronary heart disease risk are addressed. The combined evidence for a cardio-protective effect from nut consumption is summarized and presented graphically. The risk of coronary heart disease is 37 % lower for those consuming nuts more than four times per week compared to those who never or seldom consume nuts, with an average reduction of 8·3 % for each weekly serving of nuts. The evidence for a causal relationship between nut consumption and reduced risk of coronary heart disease is outlined using Hill’s criteria for causality and is found to support a causal cardio-protective relationship. Nuts: Cardiovascular: Coronary heart disease: Diabetes: Cohort studies: Causality: Hill’s criteria Nuts have constituted a part of mankind’s diet since pre-agricultural times (Eaton & Konner, 1985), providing a complex food rich in macronutrients and micronutrients and fibre, as well...
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...classified on the type of alcohol beverage: 12oz of beer, 8oz of malt liquor, 5oz of wine, and 1.5oz of distilled spirits or liquor (HHS & USDA, 2015). The U.S. drink standard includes three components of excessive consumption of alcohol: binge drinking (4+ drinks for women and 5+ for men, in a 2-hour span), heavy drinking (8+ drinks for women and 15+ drinks for men, in a 1-week span), and any consumption of alcohol by women who know they are pregnant or any person 20 years old or younger (detriment to growth and development). These components focus not only on the patterns of consumption, more so the volume of alcohol consumption in a time frame. The volume and patterns of alcohol consumption indicate health-risk behaviors,...
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...and risk assessment. It will aim to consider interventions identified in the initial assessment and discuss some benefits. It will look at Christine’s diagnosis strategies and treatment which can be used. It will look at the types of service which might be consulted about helping her. The K10 tool was chosen because the use of the self-report measure is a desirable method of the assessment as it is a genuine attempt on the part of the clinician to collect information on the patient’s current...
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...have higher suicidal ideations and suicide attempt rates compared to heterosexual youth. Furthermore, a study conducted by Stephen Russell and Kara Joyner showed that sexual minority females were likely to have more frequent suicidal ideations and attempts than sexual minority males (13). Additionally, this study found a strong correlation between sexual orientation and alcohol abuse and depression. This study established that suicidal thoughts and attempts were significantly greater for sexual minority youth who were facing depression or had a substance abuse problem, stating, “suggesting that for gay and lesbian youths who are concealing their sexual identities, alcohol may be used to...
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...FACTORS AFFECTING DRUG RELAPSE AMONG DRUG DEPENDENTS: BASIS FOR IMPROVED REHABILITATION SERVICES A Research Paper Presented to The Faculty of Lourdes College Cagayan de Oro City In Partial Requirement for the Degree Bachelor of Science in Social Work Batuampar, Haya Bueno, Ma. Margarita Pates Kris CHAPTER I THE PROBLEM Introduction Drug abuse is a rampant social problem. Drug abusers are placed in rehabilitation centers that help the residents recover from abusing drugs. As stated in R.A 9165 Art. II Sec 15 “ A person apprehended or arrested, who is found to be positive for use of any dangerous drug, after a confirmatory test, shall be imposed a penalty of a minimum of six (6) months rehabilitation in a government center”, these residents are then reintegrated into the society after their rehabilitation. But sometimes, these residents turn back to using drugs and undergo relapse. Out of all drug users, 14.72% are readmitted into centers because they undergo relapse. (Dangerous Drug Board, 2012) Marlatt and other studies have shown that people who receive treatment for problematic drug and alcohol use are likely to return or ‘relapse’ to problematic use. In fact Marlatt and Denovan (2005) contend that many will have multiple episodes of abstinence and relapse. According to Marlatt in order for a person to undergo relapse he/she must first experience any high risk situations. The result whether he/she will relapse is able to cope and increase self-efficacy...
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...Several hypotheses regarding the effects of social network properties on the peer influence process are developed. Multivariate logistic regression analyses show that higher concentrations of homeless peers in networks at recruitment were associated with increased likelihood of amphetamine and cocaine use at 3-month follow-up. Higher concentrations of injecting peers were associated with increased risk of injection drug use 3 months later. Change in network structure over time toward increased concentrations of homeless peers was associated with increased risk of cocaine use and injecting. Higher density networks at baseline were positively associated with increased likelihood of cocaine and amphetamine use at 3...
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...destroys lives. There are ways in which risk factors can be identified and addressed before someone slips further and begins to misuse substances. The following paragraphs will identify the risk and protective factors, describe the steps to conduct an evaluation, and identify the DSM-5 criteria that Marcella meets in relation to the given scenario. Risk Factors There are many reasons why people succumb to addiction. There are some developmental and personality risk factors. Some of these risk factors are a difficult temperament, childhood trauma or conflict, and a lack of coping skills to help a person overcome stressful situations (Miller, Forcehimes & Zweben, 2011). Marcella has been raised by her grandparents for most of her life due to her mother’s inability to provide a stable home. She reported that she never knew her father and hasn’t had a real mother for several years. Her step-grandfather, with whom she lives, uses cannabis and alcohol. She reported that she had two close friends and feels that is plenty. Marcella has also been struggling academically (Case Study Scenario, 2015). Marcella’s risk factors include an unstable environment for her first twelve years of life, an inattentive mother, a family history of substance use, few positive acquaintances, academic struggles, and her recent suicide attempt indicates she may be suffering from depression or other mental disorder. Protective Factors Even though risk factors can increase the likelihood of a potential...
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...SUICIDE RISK ASSESSMENT GUIDE REFERENCE MANUAL INTRODUCTION The Suicide Risk Assessment Pocket Card was developed to assist clinicians in all areas but especially in primary care and the emergency room/triage area to make an assessment and care decisions regarding patients who present with suicidal ideation or provide reason to believe that there is cause for concern. This reference guide provides more specific information and the rationale for the sections on the pocket card. The sections of the guide correspond with the sections of the card. The Reference Guide may also be used as a teaching aid for new providers, residents and students at all levels and disciplines as well as other caregivers. This introduction provides general information regarding the nature and prevalence of suicidal behaviors and factors associated with increased risk for suicide and suicide attempts. Suicidal thoughts and behaviors (including suicide attempts and death by suicide) are commonly found at increased rates among individuals with psychiatric disorders, especially major depressive disorder, bipolar disorders, schizophrenia, PTSD, anxiety, chemical dependency, and personality disorders (e.g., antisocial and borderline). A history of a suicide attempt is the strongest predictor of future suicide attempts, as well as death by suicide. Intentional self-harm (i.e., intentional self-injury without the expressed intent to die) is also associated with long-term risk for repeated attempts...
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...purpose of the this research is to try and identify and asses the high-risk factors in youth population as well as protective circumstances, also prevention for gang related violence and to inform primary prevention strategies. The article mentioned that little research has been done on mental health such as suicidal ideation and depression since this factor might be crucial since they are common amongst youth that are involved in delinquency activity has been increasing in many urban areas it is observed to be at an “epidemic level”. Members of a gang are more incline to be involved in criminal activity and violence than peers who are not affiliated with any gangs. Based on the research article about five percent of the population in the U.S. has ever affiliated with a gang and gang membership in many urban area has reached a percentage of about fourteen to thirty one percent. Memberships of gangs has a high impact on a youth’s health, prevention efforts can be done when youth are in they’re early adolescent age and discouragement of being in a gang or the desire to be in a gang might compellingly decreased the number of youth being recruited and also the number of gang related violence or activities. The study that was done showed an approach by public health to understand the factors that rise the risk and also the protection against, affiliation of gang on youth who lives in communities that are high risk on gang activities such as high level of crime that are serious, unemployment...
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...struggle of substance abuse. • Amy met the very controversial and troubled Blake Fielder-Civil in 2005, two years later would marry and would be divorced 2 years after that. ( there was a 2 year gap b/t her divorce and death. • Partner: Blake fielder-Civil (18 may 2007-16 july 2009) (divorced) • Her "Back To Black" album was inspired by her relationship with Blake Civil-Fielder prior to their marriage. • Died at age 27, making her a member of the "27 Club". The "27 Club" is a group of prominent musicians who have died at the age of 27. Other members include: The Rolling Stones co-founder Brian Jones, guitarist Jimi Hendrix, singer Janis Joplin, The Doors frontman Jim Morrison andNirvana frontman Kurt Cobain. • Died from ‘accidental alcohol poisioning. • Trade Mark • Long black hair styled into a '60s-inspired beehive • Extreme black eyeliner • Jangly, eccentric dancing while on stage • Deep soulful contralto vocals...
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...decision to use drugs because of pressure from their peers? 2. Are Secondary school students using drugs because someone in their household is also using it? 3. Are students abusing drugs because it is easily accessible and affordable? According to the 2007 Guyana School Survey on Drug Prevalence in Secondary Schools, statistics indicated that the response of the majority of the students’ feedback was positive for the above three questions. How can we prevent drug use and abuse? What can treatment centers do to deal with abusers? Drug use (substance abuse) is a serious cry for help and making your child feel ashamed or embarrassed can make the problem worse. Some common behavior in changes you may notice is your child is abusing drugs and alcohol is: violent outbursts, rage, disrespectful behavior, poor or dropping grades, unexplained weight loss or gain, skin abrasions/track marks, missing curfew, running away, truancy, bloodshot eyes, distinct “skunky” odor on clothing and skin just to name a few. To prevent drug use and abuse communication is the key. Whenever opportunity arises parents should have conversations with their children and develop a friendship with them so that they know what is going on in their child’s life so that they will be able to pick up whether they taking the wrong path. Also the Ministry of Education should have programmes...
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...6. Student and School Data Data collected from and about students, including school-level data, are an important part of the assessment. These data are useful in the identification of the proportion of youth in the community who claim gang membership or who are at high risk for gang membership. School-level data and information from school staff are vital to rounding out the picture of gang activity in the community. This chapter provides guidance on collecting data on the following: Student characteristics and disciplinary actions School-aged youths’ perceptions of gangs and gang activity (student survey) School staff perspectives on gang activity on campus Prevalence of Gangs in Schools In the mid-1990s, 28 percent of the national sample of students reported that gangs were present in their schools (Chandler, Chapman, Rand, and Taylor, 1998). This number dropped to 17 percent in 1999 and then increased to 24 percent in 2005, almost the level reported a decade earlier (Dinkes, Cataldi, Kena et al., 2006). Thus respondents to the national survey of students reported a decrease in gang activity in the late 1990s and an increase in the opening years of this century. Impact of Gangs in Schools Where they have a substantial community presence, youth gangs are linked with serious delinquency problems in elementary and secondary schools across the United States (Chandler, Chapman, Rand, and Taylor, 1998). This study of data gathered in the School Crime Supplement to the 1995...
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...the main immune factor. This substance guards against invading germs by forming a protective layer on the mucous membranes in your baby’s intestines, nose and throat (Baby, 1997). Second, it is usually more easily digested than formula. Babies that are breast fed are usually less constipated and gassy. I work with infants, and the bowel movements of the breast...
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...When we fail to invest early, children suffer from a range of problems—they are at higher risk for being abused, becoming teen mothers, dropping out of high school and misusing alcohol and illegal drugs. They are less likely to be healthy and more likely to be criminals Child Abuse $30K – $200K Teen Pregnancy $120K – $138K High School Dropout $250K – $450K Illegal Drug Abuse $250K – $740K Alcohol Abuse $230K – $690K NOTES: The low-end present value figures reflect only tangible costs; the high-end figures add intangible costs. Because each bar includes individual and societal costs that may overlap with others, they cannot be tallied to produce a total. FIGURE 1 The researchers divide the societal costs of each outcome into two categories: tangible, which covers items such as prison beds that are easier to measure and calcuate in dollars; and intangible, which includes consequences like a crime victim’s pain and suffering that clearly have costs but must be estimated using more complex methods. The average per-person tangible costs, as described below, are substantial: Child Abuse: Societal costs for medical and mental health care and services such as foster care total more than $30,000 for a child who is abused. Teen Parenthood: When a teenager has a child, the nation pays $120,000 for expenses including medical care, social assistance programs and efforts to deal with higher rates of abuse and neglect among these young parents. High School Dropout:...
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...American College of Obstetrics and Gynecology, expectant women should not drink any form of alcohol. Pregnant women who think they have consumed any type of alcohol should be aware of the serious and negative effects of alcohol on the development of the baby (fetus). In the United States, prenatal exposure to alcohol is the most common cause of birth defects. Exposure to alcohol during pregnancy causes damage to the brain and affects the child's behavior; these effects can completely be prevented (Hawkins, Catallano, & Miller, 2011). When an expectant mother drinks alcohol, it goes through the placenta to the fetus via the bloodstream. The fetus’ liver is not yet fully formed, so it cannot metabolize the alcohol quickly enough. At this stage, the baby (fetus) has a high blood alcohol concentration. It therefore is deficient of oxygen and the nutrients needed for its brain and organs to grow properly. White matter in the brain, which is responsible for speeding up the processing of information, is sensitive to alcohol affecting it when the mother drinks while pregnant. Timing is one more medical factor in the development of fetal alcohol syndrome. A baby’s facial features are formed during weeks six to nine of pregnancy. Scientific evidence shows that mothers who drink during this three-week window are more likely to have babies with the facial deformities associated with fetal alcohol syndrome. Damage to the baby’s organs through drinking is most likely to happen in the first...
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