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Is medical abortion acceptable to all American women: the impact of sociodemographic characteristics on the acceptability of mifepristone-misoprostol abortion.

OBJECTIVE: To determine whether mifepristone-misoprostol medical abortion is more acceptable to some American women than to others. METHODS: Using previously reported acceptability data from a large US multicenter study (n = 2121), we conducted a more detailed analysis to test whether characteristics such as race/ethnicity, education, age, gestational age, and geographic location affect acceptability. RESULTS: In the United States, Asian women were more than twice as likely as other women to choose this method because they believed it was safer, while white women were twice as likely to select it because they considered it more natural. More educated women were likely to select this method to show support for greater choice and were more pleased about being able to avoid surgery. Particular features of the protocol also appealed to different women. White and African-American women as well as women with more education would feel significantly more comfortable taking one or both of the drugs at home than they would in the clinic. Nearly all groups of women were equally satisfied with this method and found it highly acceptable. The data showed surprisingly few differences among women's overall satisfaction level, their willingness to choose the method again, or to recommend it to others. CONCLUSION: Mifepristone-misoprostol medical abortion has widespread appeal to a broad range of women, but different women choose and prefer this method for different reasons.

Abortifacient Agents, Nonsteroidal↗

Theory development in health care informatics: Information and communication technology acceptance model (ICTAM) improves the explanatory and predictive power of technology acceptance models.

The purpose of this web-based study was to explain and predict consumers' acceptance and usage behavior of Internet health information and services. Toward this goal, the Information and Communication Technology Acceptance Model (ICTAM) was developed and tested. Individuals who received a flyer through the LISTSERV of HealthGuide were eligible to participate. The study population was eighteen years old and older who had used Internet health information and services for a minimum of 6 months. For the analyses, SPSS (version 13.0) and AMOS (version 5.0) were employed. More than half of the respondents were women (n = 110, 55%). The average age of the respondents was 35.16 years (S.D. = 10.07). A majority reported at least some college education (n = 126, 63%). All of the observed factors accounted for 75.53% of the total variance explained. The fit indices of the structural model were within an acceptable range: chi2/df = 2.38 (chi2 = 1786.31, df = 752); GFI = .71; RMSEA = .08; CFI = .86; NFI = .78. The results of this study provide empirical support for the continued development of ICTAM in the area of health consumers' information and communication technology acceptance.

Adult↗

[Simultaneous analyses of the Freiburg Personality Inventory short form, the Eysenck Personality Inventory, the Giessen Test and Berger Scales--a contribution to the diagnostic value of the scales in assessing self acceptance and acceptance of others].

To verify the diagnostical value of the German version of the Berger scales for assessing self acceptance and acceptance of others, the scales and the short form of the "Freiburger Persönlichkeits Inventar" (FPI-K), the German version of the EPI, and the Giessen-Test were presented to a sample of 107 subjects. The data were evaluated by item analysis, correlational analysis, factor analysis, and NMDS. The results--in some degree a replication of earlier studies--prove the practicability of both constructs: The self acceptance scale assesses a positive self-image with a strong extraverted component, the acceptance of others scale shows negative relations to the aggression scales of the FPI-K. Besides this the NMDS can demonstrate a component of social desirability. The integration of both constructs into traditional concepts of personality is discussed in connection with the NMDS.

Humans↗

Assessing treatment acceptance: the Abbreviated Acceptability Rating Profile.

As part of a broad focus on service accountability, increased attention has been devoted to the assessment of consumer judgments of treatment acceptability. Current treatment acceptability measures are limited by item complexity and time-intensiveness. These limitations were addressed with the modification of an existing instrument (Intervention Rating Profile; Witt & Elliott, Journal of Abnormal Child Psychology, 13, 59-67, 1985). Psychometric support was found for the revised measure (Abbreviated Acceptability Rating Profile; AARP) in an initial sample of parents (N = 60) who rated child treatments. Results were replicated in a cross-validation study of a second independent sample of parents (N = 80). A third sample of subjects was used to assess the time-intensiveness and readability of the AARP. The usefulness of the modified instrument is discussed.

Adolescent↗

How well do perimenopausal patients accept outpatient hysteroscopy? Visual analogue scoring of acceptability and pain in 100 women.

There is growing interest in performing hysteroscopic examination of the uterine cavity as an outpatient procedure. Its sensitivity and specificity in detecting uterine abnormalities are well recognised. This study assessed how outpatient hysteroscopy was tolerated and accepted by 100 women attending a hospital-based menopause clinic. Patients were asked to complete a questionnaire following an outpatient hysteroscopy. Using visual analogue scoring (0 = no pain/completely acceptable, 10 = worst pain imaginable/completely unacceptable), the mean maximum pain experienced during the procedure was 3.25 (S.D. 2.08) and the degree of acceptability was 3.02 (S.D. 1.96). Three percent (N = 3) of patients stated they would prefer a repeat hysteroscopy to be performed under general anaesthetic and 3% (N = 3) of patients stated they would prefer an inpatient stay following a repeat hysteroscopy. These findings demonstrate that outpatient hysteroscopy is well tolerated by perimenopause patients. The advantages of outpatient hysteroscopy to the perimenopausal woman are discussed.

Adult↗

Advances in the safety evaluation of food additives. A conceptual and historical overview of the Acceptable Daily Intake (ADI) and Acceptable Daily Intake 'not specified'.

The Acceptable Daily Intake (ADI) is an internationally recognized quantified expression of the acceptability of food additives. It embraces both a concept and a numerical expression. This paper describes the conceptual origin and progression of this instrument of risk assessment and management in the framework of its history which encompasses three sequential stages: developmental, consolidation and contemporary periods. The review narrates in retrospect how the ADI originated, how it developed, and delineates in prospective its future evolution in the light of advances in the safety evaluation of food additives.

Animals↗

[Iron concentration and acceptation of yoghurt prepared in casting iron pots (iron migration and acceptation of yogurt)].

Food fortification is an interesting strategy to treat and prevent iron anemia. This study aims to quantify the iron in yoghurt, with gelatin and sugar and without, prepared in iron and glass containers. Sensorial test was use to evaluate the acceptance and preference of the both products. The yoghurt was prepared in containers of iron and glass with UHT milk, powder milk and natural industrialized yoghurt. After fermentation, half of the product received addition of sugar and strawberry flavor gelatin. The collected samples get the total iron quantified by ICP OES. Sensorial analysis involving 105 consumers was use to determine the acceptance and preference of the products. 0,018 and 0,882mg of iron per 100g added in the natural yoghurt prepared in the glass and in the iron pots, respectively. The yoghurt with gelatin presented 0,037 and 1,302mg of iron per 100g when prepared in the glass and in the iron pots, respectively. The preference was low for the yoghurt prepared in the iron pot (29,5%), but when added strawberry gelatin it was about 51,5%. The yoghurt prepared in iron pots, is easily home made and adds important amount of iron. Add gelatin and sugar can favored its consumption.

Carbohydrates↗

Electron acceptance at photosystem II in an oxygen-evolving photosystem II preparation: clear discrimination of two sites of electron acceptance for quinones and quinonediimines associated with a photosystem II preparation.

Oxygen-producing electron transport reactions of a photosystem II preparation are described. The preparation has six major peptides with apparent molecular weights of 36,000, 31,000, 28,000, 27,000, 25,000, and 21,000. Sucrose density gradient centrifugation indicates that the preparation is more homogeneous and more dense than control thylakoid membranes. The preparation photoreduces a number of known photosystem II oxidants including the Class I acceptor, ferricyanide; the Class II acceptor, 2,6-dichloroindophenol; and the Class III acceptor, 2,6-dichlorobenzoquinone. However, quinonediimines such as phenylenediimine are not reduced, suggesting that these substances are reduced at sites in the thylakoid membrane which are not found in the photosystem II preparation. All the oxygen-producing reactions are sensitive to inhibition by 3-(3,4-dichlorophenyl)-1,1-dimethylurea.

Binding Sites↗

Increasing acceptance of hepatitis B vaccine by dental personnel but reluctance to accept hepatitis B carrier patients.

Dental personnel in London were surveyed for their uptake of hepatitis B vaccine and willingness to provide dental care to carriers of hepatitis B virus (HBV). Most respondents were aware of current recommendations about vaccination, and three fourths of dentists had been vaccinated against HBV. However, only half of dental ancillary staff members had been vaccinated against HBV. Three fourths of the London dentists surveyed, despite their immunity against HBV, were unwilling to treat HBV carriers.

Attitude of Health Personnel↗

Transaxillary angiography: an acceptable approach when perfemoral angiography is not acceptable.

Transaxillary angiography has been performed in a consecutive series wherever patients were unsuitable for perfemoral angiography. Between 1984 and 1986, transaxillary angiography was performed for 103 patients (81 males and 22 females with a mean age of 64 years). Major complications occurred in 2 patients (1.9%) who required surgical embolectomy with no long term sequelae. Three (2.9%) had a transient neurological deficit which lasted less than 1 week. In our hands transaxillary angiography is the best alternative when perfemoral angiography is not possible.

Adult↗