Medication use in pregnancy: a cross-sectional, multinational web-based study.

OBJECTIVES: Intercountry comparability between studies on medication use in pregnancy is difficult due to dissimilarities in study design and methodology. This study aimed to examine patterns and factors associated with medications use in pregnancy from a multinational perspective, with emphasis on type of medication utilised and indication for use. DESIGN: Cross-sectional, web-based study performed within the period from 1 October 2011 to 29 February 2012. Uniform collection of drug utilisation data was performed via an anonymous online questionnaire. SETTING: Multinational study in Europe (Western, Northern and Eastern), North and South America and Australia. PARTICIPANTS: Pregnant women and new mothers with children less than 1 year of age. PRIMARY AND SECONDARY OUTCOME MEASURES: Prevalence of and factors associated with medication use for acute/short-term illnesses, chronic/long-term disorders and over-the-counter (OTC) medication use. RESULTS: The study population included 9459 women, of which 81.2% reported use of at least one medication (prescribed or OTC) during pregnancy. Overall, OTC medication use occurred in 66.9% of the pregnancies, whereas 68.4% and 17% of women reported use of at least one medication for treatment of acute/short-term illnesses and chronic/long-term disorders, respectively. The extent of self-reported medicated illnesses and types of medication used by indication varied across regions, especially in relation to urinary tract infections, depression or OTC nasal sprays. Women with higher age or lower educational level, housewives or women with an unplanned pregnancy were those most often reporting use of medication for chronic/long-term disorders. Immigrant women in Western (adjusted OR (aOR): 0.55, 95% CI 0.34 to 0.87) and Northern Europe (aOR: 0.50, 95% CI 0.31 to 0.83) were less likely to report use of medication for chronic/long-term disorders during pregnancy than non-immigrants. CONCLUSIONS: In this study, the majority of women in Europe, North America, South America and Australia used at least one medication during pregnancy. There was a substantial inter-region variability in the types of medication used.

Audit report on the Office of Treasurer of State, Iowa Educational Savings Plan Trust for the year ended June 30, 2012

Audit report on the Office of Treasurer of State, Iowa Educational Savings Plan Trust for the year ended June 30, 2012

Educational expansion, intergenerational mobility and over-education

[eng] There is a vast literature on intergenerational mobility in sociology and economics. Similar interest has emerged for the phenomenon of over-education in both disciplines. There are no studies, however, linking these two research lines. We study the relationship between social mobility and over-education in a context of educational expansion. Our framework allows for the evaluation of several policies, including those affecting social segregation, early intervention programs and the power of unions. Results show the evolution of social mobility, over-education, income inequality and equality of opportunity under each scenario.

Educational attainment and timing of fertility decisions

This paper focuses on timing of fertility decisions, conditional on the level of educational attainment of parents. Timing of fertility and educational attainment of parents rationalize the negative relationship observed in the data between hourly wages and childbearing. It is shown how the recent evolution in total fertility rates observed in developed countries could be in part the result of a transition from an early childbearing regime to a late childbearing regime. I develop a general equilibrium overlapping generations model in order to understand the joint determination of timing of childbearing decisions together with other household economic decisions in a life cycle framework. I show how idiosyncratic uncertainty might have asymmetric efects on completed fertility depending on timing of childbearing, generating the diferences in completed fertility observed between households that difer in their level of educational attainment.

Educational Leave/Assistance Report FY 2013

Iowa Code section 70A.25(3)(b) states the department shall report the direct and indirect costs of educational leave and educational assistance granted to its employees during the preceding fiscal year. The report shall include the number of employees granted educational leave and the amount of tuition reimbursement allowed; the number of employees granted leave from work to attend classes and who continued to receive their salary and the number of hours of work which those employees were excused; and the number of employees granted a temporary leave of absence from work to attend the classes without pay and the amount of time missed.

Audit report on the Office of Treasurer of State, Iowa Educational Savings Plan Trust for the year ended June 30, 2013

Audit report on the Office of Treasurer of State, Iowa Educational Savings Plan Trust for the year ended June 30, 2013

Iowa Board of Educational Examiners Licensure Handbook, January 15, 2013

Iowa Board of Educational Examiners Licensure Handbook

Rethinking educational ethnography. Researching online communities and interactions

[eng] Proceedings for the 2nd annual conference: Rethinking Educational Ethnography - Researching on-line communities and interactions. University of Barcelona, 7-8 June 2012.

La participación en sociedades multiculturales, elaboración y evaluación de un programa de participación activa

The article begins with the theoretical bases for developing a training programme to foment the exercise of an active participation. The designed program is applied in a group of women with different cultural backgrounds that live in the city of L'Hospitalet and it is evaluated following the methodological characteristics of an investigation evaluation of participatory character. From the collection and analysis of the information, we present the results obtained that turn around the investigation objectives: the validation of the program design, the investigation on the exercise of active participation, the formation of the work team and the creation of a meeting point for women. El artículo se inicia con las bases teóricas para elaborar un programa de formación para fomentar el ejercicio de una participación activa. El programa diseñado se aplica en un grupo de mujeres con diferentes orígenes culturales que viven en la ciudad de L¿Hospitalet, y se evalúa siguiendo las características metodológicas de una investigación evaluativa de carácter participativo. A partir de la recogida y análisis de la información, se presentan los resultados que giran en torno a los objetivos de la investigación: la validación del programa, la investigación sobre el ejercicio de la participación, la formación del equipo de trabajo y la creación de un espacio de encuentro de mujeres.

La participación en sociedades multiculturales, elaboración y evaluación de un programa de participación activa

The article begins with the theoretical bases for developing a training programme to foment the exercise of an active participation. The designed program is applied in a group of women with different cultural backgrounds that live in the city of L'Hospitalet and it is evaluated following the methodological characteristics of an investigation evaluation of participatory character. From the collection and analysis of the information, we present the results obtained that turn around the investigation objectives: the validation of the program design, the investigation on the exercise of active participation, the formation of the work team and the creation of a meeting point for women. El artículo se inicia con las bases teóricas para elaborar un programa de formación para fomentar el ejercicio de una participación activa. El programa diseñado se aplica en un grupo de mujeres con diferentes orígenes culturales que viven en la ciudad de L¿Hospitalet, y se evalúa siguiendo las características metodológicas de una investigación evaluativa de carácter participativo. A partir de la recogida y análisis de la información, se presentan los resultados que giran en torno a los objetivos de la investigación: la validación del programa, la investigación sobre el ejercicio de la participación, la formación del equipo de trabajo y la creación de un espacio de encuentro de mujeres.

Screening for post-traumatic stress disorder (PTSD) in a psychiatric emergency setting

Background and Objectives: (i) to assess the prevalence of PTSD in a psychiatric emergency setting by means of a diagnostic instrument and to compare it with PTSD-prevalence of a clinically evaluated, historical sample; and (ii) to assess psychiatric residents' perception of the systematic use of this diagnostic instrument. Methods: A consecutive sample of patients (N = 403) evaluated for a psychiatric emergency was assessed with the module J (PTSD) of the MINI, the historical sample (N = 350), assessed by chart review, consisted of consecutive patients of the same setting evaluated one year prior to the study period. Residents' perceptions were assessed by means of a focus group. Results: While in only 0.57% of the historical sample (N = 350) a diagnosis of PTSD was recorded, 20.3% (N = 64) of the patients assessed with the diagnostic instrument (N = 316) qualified for a diagnosis of PTSD. Higher prevalence rates were observed in refugees and those without legal residency status (50%); patients from countries with a recent history of war (47.1%); those with four (44.4%) or three psychiatric co-morbidities (35.3%); migrants (29.8%) and patients without professional income (25%). Residents felt that the systematic use of the tool was not adequate in the psychiatric emergency setting for various reasons (e.g.: not suitable for a first or single consultation, negative impact on the clinical evaluation). Conclusions: The study confirms that PTSD is underdiagnosed in the psychiatric emergency setting. To improve the situation, targeted screening or educational and institutional strategies are needed.

Educational workforce tools : strategic workforce initiatives, 2012

A compilation of sample pages from various employment statistical reports issued by Iowa Workforce Development (IWD), including URLs for locating electronic versions of the reports online at the IWD website

Rethinking educational ethnography. Researching online communities and interactions

[eng] Proceedings for the 2nd annual conference: Rethinking Educational Ethnography - Researching on-line communities and interactions. University of Barcelona, 7-8 June 2012.