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Graduate Theses, Dissertations, and Problem Reports

Theses/Dissertations

2005

Public health

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Parents' Perceptions Of The Gluten-Free Casein-Free Diet For Their Children With Autism, Annette Puglisi Dec 2005

Parents' Perceptions Of The Gluten-Free Casein-Free Diet For Their Children With Autism, Annette Puglisi

Graduate Theses, Dissertations, and Problem Reports

This study examined the factors that affected parent's decision for putting their autistic children on a gluten free casein free diet (gfcf diet). Parents completed a fifteen question survey relating to multiple factors affecting their lives while having their children on a gfcf diet. In addition, parents were asked to fill out a three day diet history for their child for a nutrient analysis.;Fifty three surveys (21%) and ten diet histories were returned. The majority of parents first heard of the gfcf diet either on the Internet (28%) or from Parent Magazine (32%). Desperation (25%) was the main reason parents …


Communication Patterns Following The Acquisition Of A Sexually Transmitted Infection, Courtney Vail Fletcher Aug 2005

Communication Patterns Following The Acquisition Of A Sexually Transmitted Infection, Courtney Vail Fletcher

Graduate Theses, Dissertations, and Problem Reports

This study examines the relationship between personality traits and communication patterns following the contraction of a sexually transmitted infection (STI). Participants were 148 college students (46 men, 104 women) attending a large Mid-Atlantic University. Seventy-four of the participants reported having had an STI. Participants completed the Communication Competence Scale (Wiemann, 1977), the Interpersonal Trust Scale (ITS: Rotter, 1967), the Revised Self-Disclosure Scale (Wheeless & Grotz, 1976), the conscientious factor of the NEO Personality Inventory (Costa & McCrae, 1992), the Health Locus of Control Scale (Wallston, Wallston, Kaplan, & Maides, 1976), and the interpersonal anxiety factor of the Personal Report of …


Views Of Health Care Providers On Low-Income Populations In West Virginia With Sexually Transmitted Disease, Genevieve R. Cox Aug 2005

Views Of Health Care Providers On Low-Income Populations In West Virginia With Sexually Transmitted Disease, Genevieve R. Cox

Graduate Theses, Dissertations, and Problem Reports

This thesis focuses on health care providers who consistently diagnose sexually transmitted disease (STDs) in low-income populations. Eighteen providers ranging from registered nurses to physicians were interviewed about their experiences dealing with low-income patients, mainly women, who were diagnosed with incurable and curable STDs for the first time. This qualitative analysis which utilized grounded theory methods reveals several interesting findings. First, that providers who consistently work with low-income populations have a high level of empathy. They believe patients undergo a negative change in self-image second to an incurable STD diagnosis. Providers have concerns about a number of issues related to …


Suicide And Socioeconomic Context In The Appalachian Region, Joel A. Halverson Jan 2005

Suicide And Socioeconomic Context In The Appalachian Region, Joel A. Halverson

Graduate Theses, Dissertations, and Problem Reports

Significant economic changes have occurred over the past thirty years that have altered the geoeconomic landscape of the United States. Although a considerable literature examines economic impacts that have resulted from these changes, there has been less work devoted to understanding the extraeconomic affects of economic change. Many places in the U.S. have experienced large-scale employment and industry losses over the past thirty years. At the same time some places have experienced rapid industrial and employment growth. Together these events represent the continued process of geographic uneven development and provide the context for examining potential affects that economic conditions and …


Economic And Humanistic Impact Of Medication Nonadherence In Patients With Asthma And Chronic Obstructive Pulmonary Disease, Ashish V. Joshi Jan 2005

Economic And Humanistic Impact Of Medication Nonadherence In Patients With Asthma And Chronic Obstructive Pulmonary Disease, Ashish V. Joshi

Graduate Theses, Dissertations, and Problem Reports

Asthma and chronic obstructive pulmonary disease (COPD) significantly impact morbidity and mortality. In spite of the well-known benefits of prophylactic medication use, especially in asthma, the rate of medication nonadherence is more than 50%. In Phase I, this study examined the relationship between refill-based medication nonadherence and healthcare utilization/costs in patients with asthma, COPD, and those with both asthma and COPD from the West Virginia (WV) Public Employees Insurance Agency (PEIA) program. In Phase II, the study measured the relationship between refill-based and self-reported medication nonadherence, health-related quality of life (HRQL), and losses in workplace productivity, all of which were …


Quality Of Life And Clinical Outcomes In Type 2 Diabetes Patients At The Primary Care Clinics Of The West Virginia University Hospital, Murali Sundaram Jan 2005

Quality Of Life And Clinical Outcomes In Type 2 Diabetes Patients At The Primary Care Clinics Of The West Virginia University Hospital, Murali Sundaram

Graduate Theses, Dissertations, and Problem Reports

This study examines relationships between quality of life (QoL) and clinical outcomes, specifically A1C, in Type 2 diabetes patients. Type 2 diabetes patients at the outpatient clinics of a university hospital completed the SF-12 and the Audit of Diabetes Dependent Quality of Life (ADDQoL), and this was merged with a retrospective collection of his/her clinical and utilization data, including A1C. Usable response rate was 44.3% (n = 385). Mean A1C of respondents was 7.2 (+1.4), mean diabetes duration was 10.2 (+9.1), and 62.1% were obese. Only ADDQoL scores showed significant correlation with A1C (r = -0.19, p < 0.000). Hierarchical regression models were used to explain the effect of A1C on QoL controlling for demographics and clinical variables. A1C was not a significant predictor in any regression model, although univariate analyses indicated significantly lower ADDQoL and SF-12 PCS in the group with A1C > 7.0. Obesity was …