national institutes of health clinical center program pathology residency

... school year. Bruce A. Fuchs, Ph.D. Director Office of Science Education National Institutes of Health 1 The National Academy of Sciences released the National Science Education Standards in December ... You may also send your suggestions to Curriculum Supplement Series Office of Science Education National Institutes of Health 6100 Executive Boulevard, Suite 5H01 Bethesda, MD 20892 I hope ... discoveries being made at the National Institutes of Health (NIH) and their effects on pub lic health. This set is being distributed to teachers around the country free of charge by the NIH to improve...

... other studies of the prevalence of health conditions among Hispanic children. 3,4,5 Prevalence of Children with Special Health Care Needs The National Survey of Children with Special Health Care ... 37 percent of CSHCN in poverty receive services compared to 22 percent of children with family incomes of 400 percent of poverty or more. Health Insurance Coverage The National Survey of Children ... percent of CSHCN received care that lacked one or more of the essential components of family-centered care. Among the general population of CSHCN, the most commonly lacking component of family-centered...

... thepopulation.Thenumberofwomen sherepresentsinthepopulationiscalled hersamplingweight.Sampling weightsmayvaryconsiderablyfromthis averagevaluedependingonthe respondentsrace,theresponseratefor similarwomen,andotherfactors.As withanysamplesurvey,theestimatesin thisreportaresubjecttosampling variability.SignicancetestsonNSFG datashouldbedonetakingthesampling designintoaccount. Nonsamplingerrorswereminimized bystringentquality-controlprocedures thatincludedthoroughinterviewer training,checkingtheconsistencyof answersduringandaftertheinterview, imputingmissingdata,andadjustingthe samplingweightsfornonresponseand undercoveragetomatchnationaltotals. Estimatesofsamplingerrorsandother statisticalaspectsofthesurveyare describedinmoredetailinanother separatereport(13). Thisreportshowsndingsby characteristicsofthewomaninterviewed, includingherage,maritalstatus, education,parity,householdincome dividedbythepovertylevel,andraceand Hispanicorigin.Ithasbeenshownthat blackandHispanicwomenhavemarkedly lowerlevelsofincome,education,and accesstohealthcareandhealthinsurance, thanwhitewomen(14).Theseandother factors,ratherthanraceororiginperse, probablyaccountfordifferencesinthe behaviorsandoutcomesstudiedinthis reportamongwhite,black,andHispanic women(15). TableBshowsafactorthatshould beconsideredininterpretingtrendsin pregnancy-relatedbehaviorintheUnited States:thechangingagecompositionof thereproductive-agepopulation.In 1982,therewere54.1millionwomenof reproductiveageintheUnitedStates;in 1988,57.9million;andin1995,60.2 million(16).Thelargebabyboom cohort,bornbetween1946and1964, was1834yearsofagein1982,2442 yearsofagein1988,and3149years ofagein1995.Theselargebirthcohorts werepreceded(upto1945)and followed(196580)bysmallercohorts. Whiletheoverallnumberofwomen 1544yearsofageroseby6million,or 11percentbetween1982and1995,the numberofteenagewomendroppedby about6percent,thenumberofwomen 2024yearsofagedroppedby 15percent,andthenumberofwomen 2529droppedby6percent(tableB).In contrast,thenumberofwomen3044 yearsofageincreasedsharplyfor example,thenumberofwomen4044 yearsofageincreasedby59percent between1982and1995.Also,women 3044yearsofageaccountedfor 54percentofwomen1544yearsofage in1995comparedwith44percentin 1982.Thesedifferencesinage compositionmayberelevantwhenever timetrendsamongwomen1544years ofagearebeingdiscussed. Publicuselesbasedonthe1995 NSFGareavailableoncomputertape. TheywillalsobeavailableonCompact DiscRead-OnlyMemory(CD-ROM). Questionsaboutthecostandavailability ofthecomputertapesshouldbedirected totheNationalTechnicalInformation Service(NTIS),5285PortRoyalRoad, Springeld,VA22161,703487-4650, or1800-553-NTIS.Questionsregarding theCD-ROMlesshouldbedirectedto NCHSDataDisseminationBranchat 301436-8500. Results T ables117containmeasuresof pregnancyandbirthintheUnited States. ChildrenEverBornandTotal BirthsExpected In1995,women1544yearsof ageintheUnitedStateshadhadan averageof1.2birthsperwoman (table1).Thiscompareswith1.2in 1988and1.3in1982(17).In1995, women1544yearsofageexpectedto nishtheirchildbearingwithan averageof2.2childrenperwoman (table1)comparedwith2.2in1988 and2.4in1982(17). Theproportionwhoreportthatthey haveneverbeenpregnantwasmarkedly higherforcollegegraduatesthanfor thosewhodidnotcompletehighschool (table3).Thissamepatternbyeducation isalsoseenwhendataforlivebirthsare examined(tables45):about49percent ofwomen2244yearsofagewhohad graduatedfromcollegehadhadnolive birthsasofthedateofinterview comparedwithjust8percentofwomen 2244yearsofagewithoutahigh schooldiploma(table4).Withinrace andHispanicorigingroups,thepattern wasthesame:collegegraduateshad markedlyhigherpercentschildlessthan womenwithlesseducation(table5). Table6showsacomparison betweenlivebirthsreportedinthe NSFGandlivebirthsregisteredonbirth certicatesintheyears199194.In eachindividualcalendaryearandfor thesumoftheyears199194,the NSFGestimateofthenumberofbirths isveryclosetothebirthcerticatetotal anddiffersfromitbylessthanthe NSFGssamplingerror.TheNSFG estimateisalsoverycloseforwhite women.TheNSFGestimateforblack womenisslightlylower,andthe estimateforotherracessomewhat higherthanthebirthcerticatedata.A discussionofthisdifferenceisgivenin thedenitionofRaceandHispanic originintheDenitionsofTerms. Overall,andbycharacteristicsother thanrace,however,table6showsthat TableB.Numberofwomen,byage:UnitedStates,1982,1988,and1995 Ageơ ... thepopulation.Thenumberofwomen sherepresentsinthepopulationiscalled hersamplingweight.Sampling weightsmayvaryconsiderablyfromthis averagevaluedependingonthe respondentsrace,theresponseratefor similarwomen,andotherfactors.As withanysamplesurvey,theestimatesin thisreportaresubjecttosampling variability.SignicancetestsonNSFG datashouldbedonetakingthesampling designintoaccount. Nonsamplingerrorswereminimized bystringentquality-controlprocedures thatincludedthoroughinterviewer training,checkingtheconsistencyof answersduringandaftertheinterview, imputingmissingdata,andadjustingthe samplingweightsfornonresponseand undercoveragetomatchnationaltotals. Estimatesofsamplingerrorsandother statisticalaspectsofthesurveyare describedinmoredetailinanother separatereport(13). Thisreportshowsndingsby characteristicsofthewomaninterviewed, includingherage,maritalstatus, education,parity,householdincome dividedbythepovertylevel,andraceand Hispanicorigin.Ithasbeenshownthat blackandHispanicwomenhavemarkedly lowerlevelsofincome,education,and accesstohealthcareandhealthinsurance, thanwhitewomen(14).Theseandother factors,ratherthanraceororiginperse, probablyaccountfordifferencesinthe behaviorsandoutcomesstudiedinthis reportamongwhite,black,andHispanic women(15). TableBshowsafactorthatshould beconsideredininterpretingtrendsin pregnancy-relatedbehaviorintheUnited States:thechangingagecompositionof thereproductive-agepopulation.In 1982,therewere54.1millionwomenof reproductiveageintheUnitedStates;in 1988,57.9million;andin1995,60.2 million(16).Thelargebabyboom cohort,bornbetween1946and1964, was1834yearsofagein1982,2442 yearsofagein1988,and3149years ofagein1995.Theselargebirthcohorts werepreceded(upto1945)and followed(196580)bysmallercohorts. Whiletheoverallnumberofwomen 1544yearsofageroseby6million,or 11percentbetween1982and1995,the numberofteenagewomendroppedby about6percent,thenumberofwomen 2024yearsofagedroppedby 15percent,andthenumberofwomen 2529droppedby6percent(tableB).In contrast,thenumberofwomen3044 yearsofageincreasedsharplyfor example,thenumberofwomen4044 yearsofageincreasedby59percent between1982and1995.Also,women 3044yearsofageaccountedfor 54percentofwomen1544yearsofage in1995comparedwith44percentin 1982.Thesedifferencesinage compositionmayberelevantwhenever timetrendsamongwomen1544years ofagearebeingdiscussed. Publicuselesbasedonthe1995 NSFGareavailableoncomputertape. TheywillalsobeavailableonCompact DiscRead-OnlyMemory(CD-ROM). Questionsaboutthecostandavailability ofthecomputertapesshouldbedirected totheNationalTechnicalInformation Service(NTIS),5285PortRoyalRoad, Springeld,VA22161,703487-4650, or1800-553-NTIS.Questionsregarding theCD-ROMlesshouldbedirectedto NCHSDataDisseminationBranchat 301436-8500. Results T ables117containmeasuresof pregnancyandbirthintheUnited States. ChildrenEverBornandTotal BirthsExpected In1995,women1544yearsof ageintheUnitedStateshadhadan averageof1.2birthsperwoman (table1).Thiscompareswith1.2in 1988and1.3in1982(17).In1995, women1544yearsofageexpectedto nishtheirchildbearingwithan averageof2.2childrenperwoman (table1)comparedwith2.2in1988 and2.4in1982(17). Theproportionwhoreportthatthey haveneverbeenpregnantwasmarkedly higherforcollegegraduatesthanfor thosewhodidnotcompletehighschool (table3).Thissamepatternbyeducation isalsoseenwhendataforlivebirthsare examined(tables45):about49percent ofwomen2244yearsofagewhohad graduatedfromcollegehadhadnolive birthsasofthedateofinterview comparedwithjust8percentofwomen 2244yearsofagewithoutahigh schooldiploma(table4).Withinrace andHispanicorigingroups,thepattern wasthesame:collegegraduateshad markedlyhigherpercentschildlessthan womenwithlesseducation(table5). Table6showsacomparison betweenlivebirthsreportedinthe NSFGandlivebirthsregisteredonbirth certicatesintheyears199194.In eachindividualcalendaryearandfor thesumoftheyears199194,the NSFGestimateofthenumberofbirths isveryclosetothebirthcerticatetotal anddiffersfromitbylessthanthe NSFGssamplingerror.TheNSFG estimateisalsoverycloseforwhite women.TheNSFGestimateforblack womenisslightlylower,andthe estimateforotherracessomewhat higherthanthebirthcerticatedata.A discussionofthisdifferenceisgivenin thedenitionofRaceandHispanic originintheDenitionsofTerms. Overall,andbycharacteristicsother thanrace,however,table6showsthat TableB.Numberofwomen,byage:UnitedStates,1982,1988,and1995 Ageơ ... 1995 National Survey of Family Growth. Vital Health Stat Series 2 (in preparation). 14. U.S. Bureau of the Census. Statistical abstract of the United States, 1996. Washington: U.S. Department of Commerce....

... and women’s health outcomes: Contextual data. National Center for Health Statistics. Vital Health Stat 23(23). 2003. statistics; no 238. Hyattsville, MD: National Center for Health Statistics. ... reproductive health of U.S. women 15–44 years of age, based on Cycle 6 of the National Survey of Family Growth (NSFG), conducted in 2002. The Centers for Disease Control and Prevention (CDC), National ... DC: National Academy Press. 1995. population aged 15–44: Results of the 2002 National Survey of Family Growth. Advance data from vital and health statistics. Hyattsville, MD: National Center...

... Organization NHMIS National Health Management Information System NPHCDA National Primary Health Care Development Agency NPI National Programme on Immunization NMCP National Malaria Control Programme NMEF National ... spraying program ã Information, education and mobilization of authorities and communities ã Preparation of supervision programs and development of supervision checklists ã Preparation of reporting ... are indeed on the threshold of a new health system improvements through the Health System reform. The increased levels of partnerships in the area of malaria control programme provide a solid...

... Clinical investigation of medicinal products in the pediatric population 54 Ministry of Health Canada 7 2008 The Royal Australasian College of Physicians’ Paediatric policy on ethics of ... children in clinical investigation of FDA-regulated products 13 FDA US 22 2004 Textbook of clinical trials, chapter: clinical trials in pediatrics 8 Karlberg UK Survey of current guidance ... monitor the level of risk of a study and to give advice about early stopping of clinical trials. 23;51 Practical issues Only three guidelines addressed practical issues of clinical trials...

... years of schooling, yet 71% of females and 73% of males aged 15–19 had completed no more than seven. Only 23% of females and 22% of males aged 15–19 had attended secondary school at the time of ... Reproductive Health in Malawi 14 not withstanding, as a national survey on aspects of sexual and reproductive health, the 2004 MNSA pro- vides detailed information on sexual and reproductive health of ... than 90% of the respondents reported having heard about HIV/AIDS. Adolescents were aware of ways of reducing HIV transmission with 88% of fe- males and 91% of males citing abstinence, 68% of fe- males...

... addressing each ES National Public Health Performance Standards Program Orientation to the Essential Public Health Services Monitor Health to Identify and Solve Community Health Problems ... assessment of the community’s health status, including:  Identification of health risks  Attention to vital statistics and disparities  Identifications of assets and resources  Utilization of ... Assessment of the public health and personal health workforce  Maintaining public health workforce standards  Efficient processes for licensing / credentialing requirements  Use of public health...

... people with depression. 19 Women and Depression U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES National Institutes of Health NIH Publication No. 09 4779 Revised 2009 How does depression ... ã Mental health specialists, such as psychiatrists, psychologists, social workers, or mental health counselors. Health maintenance organizations (HMOs). Community mental health centers. Hospital ... encourage you to reproduce it and use it in your efforts to improve public health. Citation of the National Institute of Mental Health as a source is ap- preciated. However, using government materials...

... component of TB control; it is the ongoing collection, analysis, interpretation and dissemination of health data essential to the development and evaluation of public health programs. The objectives of ... York City Department of Health and Mental Hygiene NYPHL New York City Bureau of Public Health Laboratories PCR polymerase chain reaction PHA public health advisor PHI protected health information PIs ... degree of accuracy. The use of genetic fingerprinting has increased our understanding of the epidemiology of TB transmission, rates of laboratory contamina- tion (see below) and the role of reinfection...