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Search Results: 1 - 10 of 125 matches for " Jenn Leiferman "
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Antenatal physical activity: Investigating the effects on postpartum depression  [PDF]
Jennifer Guida, Swathy Sundaram, Jenn Leiferman
Health (Health) , 2012, DOI: 10.4236/health.2012.412188
Abstract: Engaging in regular moderate-intensity physical activity has been demonstrated as a successful treatment modality for both major and minor depression and as effective as pharmacologic treatments. However, less is known about the use of antenatal physical activity as a preventive modality for depression during the perinatal period. The objective of the present study was to determine if there is an association between antenatal physical activity and PPD. A cross-sectional study using the 2007-2008 Pregnancy Risk Assessment Monitoring System (PRAMS) data from Colorado and North Carolina (N = 6026) was conducted. PRAMS self-reported data are from a large randomized sample collected by the CDC that assesses maternal demographic, socio-economic, and prepregnancy and perinatal behaviors. Multivariable logistic regression was used to examine the relationship between antenatal sedentary behavior and PPD. Upon adjusting for maternal age, education, race, marital status, parity, stress, smoking, drinking, and prenatal care utilization, women who did not engage in antenatal physical activity were 1.34 times more likely to screen positive for PPD than women who exercised 5 or more days per week [OR 1.34; 95% CI: (1.04, 1.74); p = 0.03]. These findings suggest that not engaging in antenatal exercise may be associated with an increase risk of PPD. Further research is warranted to better understand the effects of antenatal sedentary behavior on PPD and the potential use of physical activity as a preventive modality for PPD.
Pregnant Women’s Perceptions of Patient-Provider Communication for Health Behavior Change during Pregnancy  [PDF]
Jenn Leiferman, Elizabeth Sinatra, Jennifer Huberty
Open Journal of Obstetrics and Gynecology (OJOG) , 2014, DOI: 10.4236/ojog.2014.411094

Aim: The primary aim of the project was to conduct focus groups with pregnant women to examine their perceptions on patient and health care provider (HCP) communication during prenatal visits pertaining to health behavioral change. In particular, to determine what types of communication facilitate or prevent patient engagement and adherence to certain health behaviors related to smoking cessation, engagement in physical activity, healthy eating and healthy weight gain, and stress management. Methods: Participants were recruited from the obstetric and midwifery clinics at the University of Colorado Hospital. Twenty-four pregnant, English-speaking women between the ages of 18 and 46 years old, the majority of which had full health insurance coverage, participated in one of three focus groups that were conducted. The transcripts were coded for themes and patterns. Results identified numerous current practices of HCPs, facilitators and barriers in care, and patient recommendations related to effective patient-provider communication. Results: Overall many women received basic information about most health behaviors (i.e. healthy eating, physical activity, and smoking cessation) with the exception of stress management from their HCPs via their introductory information packet. However, typically there was no follow-up beyond receipt of the packet. As a result, women sought information online from numerous sources. Unfortunately, this information often conflicted with HCP provided information, as did the information provided from multiple HCPs in group care settings. A major facilitator of behavioral change pertained to building trust and rapport as it directly enhanced the perceived quality of patient-provider communication on prenatal health behaviors. Across all behaviors, women voiced the need for available resources that were credible and referenced by their HCPs. Conclusions: These findings provide a better understanding of what facilitates and prevents women from engaging in healthy behaviors during their pregnancy, in addition to improving patient and provider communication.

Antenatal physical activity counseling among healthcare providers  [PDF]
Jenn Leiferman, Margaret Gutilla, James Paulson, Jim Pivarnik
Open Journal of Obstetrics and Gynecology (OJOG) , 2012, DOI: 10.4236/ojog.2012.24073
Abstract: Objective: Pregnant women often report a lack of knowledge concerning the safety of exercising during pregnancy. Healthcare providers play an integral role in providing pregnant women with the necessary knowledge to promote antenatal physical activity. Thus, the objective of this study was to assess healthcare providers’ beliefs, attitudes, knowledge and practices related to antenatal physical activity counseling. Study Design: 188 Providers (i.e. obstetricians, midwives, and family medicine physicians) completed a 39 closed-item survey. Characteristics among healthcare providers’ physical activity counseling practices as well as belief, attitudes and knowledge were explored. Results: The majority of all providers agreed that physical activity during pregnancy will result in numerous improved health outcomes for mother and baby. Approximately half of the providers (48%, n = 89) were not familiar with the current national guides recommending that women free of obstetric complications should engage in at least 150 minutes of exercise per week. Only 43% of providers believed their patients followed the advice they are given about physical activity. Over half of the providers reported that they provide in-office physical activity counseling, and FMs provide individualized counseling less often than OBs and CNMs (i.e. 33%, 60%, and 65%, respectively; p = 0.0014). Importantly, 17% (n = 31) of providers reported that they never received professional training in antenatal physical activity counseling and of those that did receive training, 69% (n = 107) claimed their training was “fair” or “poor”. Conclusion: Findings from the pre- sent study demonstrate a need for further continuing education opportunities on the current national guide- lines on antenatal physical activity.
Predictors of Maternal Depression Management among Primary Care Physicians
Jenn A. Leiferman,Sarah E. Dauber,Katie Scott,Kurt Heisler,James F. Paulson
Depression Research and Treatment , 2010, DOI: 10.1155/2010/671279
Abstract: Purpose. The present surveillance study examined predictors of the management of maternal depression in primary care settings. Methods. A total of 217 physicians completed a 60-item survey assessing demographics, physicians' attitudes, beliefs, efficacy, current practices, and perceived barriers regarding the management of maternal depression. Structural equation modeling was used to estimate a model that examined the relationships among physicians' knowledge, beliefs, self-efficacy, perceived barriers, past training toward and current management practices for maternal depression. Results. In a model predicting physician depression management practices, a good overall fit was observed ( , , , ), with physician comfort with, confidence in, and perceived responsibility for managing maternal depression all having prominent positive associations. Conclusions. These findings will guide the development of future multifaceted intervention strategies to enhance physician skills in managing maternal depression in primary care settings. 1. Background Depression is common among women, particularly during their child-bearing years with prevalence rates ranging from 10%–20% [1]. Maternal depression not only negatively impacts the health of the mother but often directly or indirectly influences her children’s well-being resulting in poorer cognitive, social, and emotional child outcomes [2–6]. Depression which alters parenting behavior is one proposed pathway in which depression indirectly impacts child wellbeing. Compared to their nondepressed counterparts, depressed mothers engage in fewer behaviors that have a positive impact on child health and more parenting behaviors that result in poorer child outcomes [7–9]. These detrimental effects appear to extend beyond early childhood such that older children of depressed mothers experience depression, substance abuse, and conduct disorders at rates higher than children of nondepressed mothers [10–14]. Although the adverse consequences of maternal depression have been well-established, maternal depression often goes undetected in primary care settings. For instance, pediatricians in urban settings often miss cases of maternal depression [15, 16]. Moreover, if screening for maternal depression is conducted in a primary care setting, such as in an obstetric clinic, it is often done infrequently [17]. Mothers make frequent visits to primary care providers (PCPs) such as obstetricians, pediatricians, and family medicine physicians, which makes the disconnect between the prevalence of maternal depression and its inadequate
Social Tools: More than Just a Good Time?
Jenn Horwath
Partnership : the Canadian Journal of Library and Information Practice and Research , 2007,
Abstract: Many libraries are integrating Web 2.0 technologies into library service in order to encourage collaboration and improve outreach to users. This article examines the question of whether or not social software (also known as Web 2.0 software) can be utilized to further a library’s strategic goals and objectives. The experiences of the Library at Mohawk College are described. Specifically, the article examines the use of blogging, social bookmarking, wikis, Writely.com, podcasting, chat, Ning.com, and RSS at the Library @ Mohawk. The finding is that social software can indeed further a library’s strategic goals and objectives and can do so in an engaging and creative way.
Social Tools: More than Just a Good Time?
Jenn Horwath
Partnership : the Canadian Journal of Library and Information Practice and Research , 2007,
Abstract: By now, most of us in Libraryland are well aware of the phenomenon called Web 2.0, also known as the Read/Write or Social Web. Web 2.0 has many characteristics but three stand out: 1) the user (as well as the author) can create content, 2) the Web, and not an external software program, is the platform and 3) real-time communication is enabled and encouraged. Indeed, many libraries have enthusiastically embraced Web 2.0, eagerly integrating these technologies into library services.1 Others are just now taking the plunge. But can these social web applications really support a library’s strategic goals and objectives or are all of these libraries merely keeping up with the Techno-Joneses? At the Library @ Mohawk, we believe they can and we’ll explain how we’ve integrated social software into library service in order to support our goals and objectives.
Integrated Movable System of Fuel Cell with Replaceable Fiber Bipolar Plate  [PDF]
Chang Shiuh Ming, Kuo Jenn Kun
Smart Grid and Renewable Energy (SGRE) , 2011, DOI: 10.4236/sgre.2011.24046
Abstract: It is important for the fuel cell integrated movable system to operate voltage and current using safety control technology. In order to work at the convenient condition of the fuel cell system, high performance fuel cell stack with replaceable fiber bipolar plate should be arranged with the integrated subsystem and appropriate working process. The parameters which affect the performance of PEMFC consisting of relative humidity, reaction temperature, gas inlet temperature, gas inlet pressure, and hydrogen and air flow rate. This study is to develop the integrated movable system on distributed power generation and backup power application, such as oxidant supply system, fuel supply system, heat management system, water management system, and power conditioning system. It comprises a novel PLC (Programmable Logic Control) system and human-machine interface. The controller is developed to control fuel cell system and record the operation data by using data acquisition system. The controller can be applied to high performance stack and system to obtain the best performance. The easy-taken high capacity hydrogen barrel embedded into steel plate of this movable system and more convenient than other fuel cell system.
How Do We Manage? Project Management in Libraries: An Investigation
Jenn Anne Horwath
Partnership : the Canadian Journal of Library and Information Practice and Research , 2012,
Abstract: Despite the fact that libraries are undertaking projects to accomplish their goals and objectives, there is little information in the library literature about how libraries, large and small, are managing their projects. While organizations in both the public and private sector have embraced formal project management (PM) methodologies such as those espoused by the Project Management Institute, there is little evidence that libraries are using formal or standardized approaches. This paper seeks to take a first step toward understanding how libraries are managing their projects and to uncover the activities, tools and techniques, best practices, challenges, success criteria and success factors of projects undertaken in libraries, especially those in Ontario. To accomplish this, a literature review, an online survey of Ontario library staff and interviews with library administrators were conducted.
Ng Chirk Jenn
Malaysian Family Physician , 2006,
Ng Chirk Jenn
Malaysian Family Physician , 2006,
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