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Supporting Lactation: Beyond Nutrition, Desiree' M. Bertilrud

Theses and Graduate Projects

Breastfeeding provides nutritional, health, immunological, psychological, economical and environmental benefits. Despite the abundance of scientific evidence and public health campaigns, the United States fails to meet national goals for breast feeding rates. Numerous barriers to lactation are identified and explored. However, by far, returning to work has the greatest impact on the duration of breastfeeding. Employers and organizations who support breastfeeding are the recipients of a multitude of benefits. The purpose of this project is to identify the strategic steps to establish a lactation room in an outpatient clinic setting for employees to support maternal-child relationships, foster employee satisfaction, and …

Centering Pregnancy And Traditional Prenatal Care: A Comparison Of Health Practices, Kaylynn Shakespear

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Centering Pregnancy is an alternative method of providing prenatal care with increased education and social support with health assessment in a group setting. This study, a cross-sectional, correlational, convenience-sample design, sought to determine the difference between women who receive prenatal care in Centering Pregnancy prenatal care and those in traditional prenatal care in regards to health behaviors. Adult pregnant women (n = 125) were surveyed from at least 28 weeks gestation. The sample comprised primarily White low-income women. Using multiple linear regression, it was determined that women in Centering Pregnancy had significantly lower index health behavior scores compared with …

Application At The Bedside: Moving From Knowing How To Knowing Why In Nursing, Joyel J. Brule

Walden Dissertations and Doctoral Studies

The nursing field is beginning to emerge as a profession with curricula that emphasis nursing as a discipline distinguished from a medically dominated paradigm. This changing focus places emphasis on professional competence upon graduation and entry into practice to foster fitness for purpose within an environment of continuously changing expectations of the nurse by society. Despite a growing body of research on transition into practice, a gap exists as to when this transition occurs and how this finding may influence educational preparation of nurses. This qualitative, exploratory study examined nurses’ perceptions of their transformation from novice to professional practitioner by …

E-Health And The Internet: Factors That Influence Doctors' Mediation Behaviors With Patients, Erin Robinson

Communication Theses

The Internet’s popularity as a health resource (also referred to as e-health) for patients is impacting the doctor-patient relationship and health care overall. Many patients now tend to look on the Internet for the information they seek in order to avoid the hassle of going to the doctor. It is important to investigate how the doctors themselves feel about this impact and see what factors influence their behaviors toward patients with regards to e-health. This study used mediation behavior theory and the theory of reasoned action to assess the relationship between doctors’ beliefs/attitudes and their subjective norms about e-health and …

Program Approach For Childheaded Households In Zambia, Samson Chama

Theses and Dissertations

Using an emergent design, this study developed a program approach for young people in the child headed households of Zambia. Phase I dealt with prior ethnography, Phase II focused on independent living services, and Phase III concerned translation to Zambia. A total of 36 participants from Richmond, consisting of 20 Richmond Department of Social Services workers and youth and 16 Africans, were recruited. Three major themes emerged: feasibility, content, and quality. Lessons learned about translational research highlight the need for uniformity in a cultural screen’s composition. This might enhance the richness of perspectives on young people. Lessons for the Department …

Linking Social Support And Sexual Interest Among Older Adults In Intimate Romantic Relationships, Jennifer Leigh Griffith

Gerontology Theses

This study examines social support and sexual interest among coupled persons aged 57 to 85 in North America. Using quantitative data from the 2006 National, Social Life, Health, and Aging Project (n = 3,005), the dependent variable is sexual interest and the independent variable is social support received from an intimate partner. Using survey and quantitative interview data, I analyze social support older couples receive from their partner, sexual interest, health status, marital status, and gender. In my analysis, I predict that higher levels of social support will positively affect levels of sexual interest, with health, relationship status, and gender …

Health And Nutritional Need Assessment Of Hispanics In South Carolina, America Chavez-Martinez

All Dissertations

From 1990 to 2000, South Carolina's Hispanic population increased 211%. Now, states such as South Carolina have the fastest growing Hispanic population in the U.S. Hispanics have a high incidence of obesity and related chronic diseases such as diabetes, stroke, hypertension and heart disease, these diseases could be avoided through diet. Meanwhile, nutrition education interventions help to reduce weight and to change behaviors, leading to better health. This study used qualitative and quantitative methods to examine Hispanics health and nutritional needs to develop a cultural compatible nutrition program for this audience. The qualitative methods explored predisposing, enabling and reinforcing factors …

Developing A Medically Informative And Socially Supportive Interactive Online Network (Mission), Katherine Adams

All Theses

This thesis discusses virtual communities and social networks and their current and potential uses in health and medicine, proposing a novel virtual health network called a 'Medically Informative and Socially Supportive Interactive Online Network' (MISSION). The purposes of a MISSION are to 1) serve as an information resource for patients, 2) to facilitate conversation between patient and provider, 3) to potentially aid in office tasks (such as scheduling, billing, etc.), and 4) to aid in community-building acts in patients' own local, physical communities. In this thesis, the concept of virtual communities and social networks are explored, the legal and ethical …

Spirituality And Symptom Self Management Of Osteoarthritis, Lois M. Kannan Phd

Dissertations

Healthcare providers need to identify holistic self-care techniques that are endorsed by patients as effective strategies for symptom management of osteoarthritis, which is the single most common cause of disability in older adults. Research in this area may direct the development of interventions to ensure that older adults are afforded every opportunity to remain active and productive, with an improved health related quality of life, despite age related musculoskeletal conditions. The purpose of this study was to describe the relationships among symptom experience, symptom management, and symptom outcome based on spiritual well-being. A quantitative, descriptive, correlational, and noninterventional study design, …

The Effects Of Depressed Mood On Academic Outcomes In Adolescents And Young Adults, Robert Christopher Jones

USF Tampa Graduate Theses and Dissertations

The following dissertation investigates the relationship between depressed mood and academic performance (measured in terms of grade point average) in U.S. middle and high schools.

Utilizing data from AddHealth, the dissertation establishes Ordinary Least Squares, Two-Stage Least Squares (2SLS), and individual and sibling fixed effect regressions that attempt to control for confounding factors, including student motivation, personality characteristics, and parental inputs that are unobserved but may influence both mental health and achievement.

Study findings indicate that students who report feeling depressed do not perform as well academically as non-depressed students. Additionally, the degree of GPA impact increases with the severity …

3d Reconstruction Of A Female Lung Using The Visible Human Data Set To Predict Cigarette Smoke Particle Deposition, Jackie Russo

Theses

A detailed comparison of particle deposition of a female smoker lung compared to a nonsmoker is vital when trying to gain a further understanding of lung cancer. To make this comparison, two airway models were created that consisted of the oral cavity, oropharynx, laryngopharynx, larynx, trachea, and generations up to the 3rd, 4th or 5th generation. The difference between the two models is in the shape of the oral cavity. The smoker model has an oral cavity that represents the mouth during the inhalation of a cigarette and the nonsmoker model represents normal oral breathing. The oral cavity models were …

Sex And The Agricultural Transition: Dental Health Among Early Agricultural Females, Misty Fields

UNLV Retrospective Theses & Dissertations

This project analyzed dentition from a sample (n =142) of Early Agricultural period skeletons (B.C. 1600-200 A.D.) from the site of La Playa (SON F:10:3), Sonora, Mexico. Data was collected on pathology rates for dental caries and antemortem tooth loss (AMTL) to test the hypothesis that hormone-fluctuations associated with pregnancy increase dental pathology in females. Males and females were not found to have significant differences in caries rates. However, statistically significant differences in AMTL were found with females exhibiting more tooth loss than males ( p=.022). When compared across age categories, reproductive-age females had substantial increases in AMTL compared to …

The Development And Evaluation Of A Child Maltreatment Reporting Training Program For Mandated Mental Health Professionals, Krisann Marie Alvarez

UNLV Retrospective Theses & Dissertations

Despite a legal mandate to report suspected child maltreatment, the literature has consistently reported a failure by mandated professionals to report suspected maltreatment. Lack of knowledge regarding child maltreatment, reporting requirements and possible consequences of reporting have been cited as impediments to reporting. Previous research has recommended the development of training programs to address these hindrances. However, empirically validated training programs specific to the reporting of child maltreatment in mental health professionals have yet to be developed. Therefore, this study is the first to examine the efficacy of a child maltreatment reporting training program which addresses knowledge of child maltreatment …

Adolescents' Stress And Health: Parental Influences And Cognitive Mediators, Reesa Donnelly

Electronic Theses and Dissertations

Research to date indicates that parental and cognitive variables play a role in stress responses and health outcomes. Although researchers are beginning to focus on developmental processes in stress/health outcomes, there is little research examining which parental behaviors are most predictive of stress/health and whether cognitive variables mediate this relationship. As a result, the current study examines the self-reports of 160 late adolescents regarding parental behaviors, cognitive variables, and stress/health outcomes. In addition, blood pressure reactivity to a stressful situation was collected as a physiological measure of stress. The results suggest that, among the parental behaviors that are examined, parental …

Effects Of Statin Medications On Health Related Behaviors, Stephen M. Timchack

PCOM Psychology Dissertations

The current study focuses on the psychological effects of statin medications. Specifically, this study examines the health related beliefs and behaviors that may be altered by the consumption of this fast acting class of life saving drugs. Although the statin class of medication generally produces favorable physiological results, as evidenced by reduced levels of serum cholesterol, and in some case increases in high density lipoproteins, the health related belief system and heath related behaviors may actually be altered in a negative fashion by engendering a sense of overconfidence; this in turn may alter beliefs and diminish the importance of adhering …

How Well Does Spirituality Predict Health Status In People Living With Hiv-Disease?, Rachel Kidd Cobb

Theses and Dissertations

Problem: The United States of America has one of the highest number of HIV infections in the world; approximately 1.3 million people in North America were living with HIV in 2007. Factors influencing HIV survival are essential to disease management and care. Research findings suggest religion and spirituality may be essential components to health and well-being in individuals with HIV-Disease. Purpose: This study was designed to determine how well spirituality predicted health status in a convenience sample of 39 adults diagnosed with HIV-Disease. Procedure: A model building approach was used to explore relationships among the five variables of the Neuman …

The Effects Of Yoga And Humor On Stress, Denise Rizzolo

Seton Hall University Dissertations and Theses (ETDs)

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Roman Dietetics, Monika K. Urbanski

Digitized Theses

Various sectors of Roman society ate differently. Wealthy men were virtually unrestrained in making food selections, choosing freely from all of the foods around the Mediterranean. The available array thus enabled the elite to meet and surpass the nutritional guidelines of today's World Health Organization to the extent that they may have even been subject to problems of overnutrition. The lower classes are typically assumed to have been malnourished. On the contrary, the abundance of cereals and legumes they consumed would have provided them with most essential nutrients. Lower classes would also have deliberately sought out meat and fish products …

Assessing Community Perceptions Of The Likely Impact Of A Probiotic Yogurt Project On Community Relations And Health In Mahina District, Mwanza, Tanzania, Melissa A. Whaling

Digitized Theses

This qualitative study explores the perceptions of the impacts of a proposed probiotic yogurt project on community relations in the Mahina community, Mwanza, Tanzania with the following objectives: to identify participants’ perceptions of probiotic yogurt and health; to examine project needs and facilitators; and to explore perceived barriers to project implementation in the context of community relations and gender roles. In-depth interviews (n=26) were conducted with residents and the analysis was informed by the literature on concepts of health, gender and development. The results revealed participants’ conceptions and misconceptions of probiotic yogurt including a misleading popular perceptions that probiotics can …

The Impact Of Head Injury On Neurological Symptoms And Health In Women Who Have Experienced Intimate Partner Violence, Julie Lorenzin

Digitized Theses

Intimate partner violence (IPV) is a well recognized cause of significant health problems for women. Women who experience IPV are at risk of sustaining injuries to the head. The relationship between IPV and head injuries has not been well explored in the literature. This study examines the associations between extent of head injury, the neurological impact of such injury, and general physical and mental health of women who had experienced physical abuse by an intimate partner. This quantitative secondary analysis of a sample of women enrolled in the Women’s Health Effects Study showed high rates of head injury with loss …

Identifying Influences Of Social And Physical Environments On A Child’S Mode Of Travel To And From School, Kristian Larsen

Digitized Theses

This study examined environmental influences on a child’s mode of travel between home and school. Students (n=614) from 21 schools throughout London, Ontario, completed a school-based travel survey. A Geographic Information System was used to link survey respondents to data on environmental characteristics around home and school neighbourhoods, and along the probable route to school. Logistic regression analysis tested the influence of environmental factors on mode of travel to and from school. Over 62 percent of students walked/biked to school and 72 percent home from school. The likelihood of actively commuting was associated with shorter trips, residential density, land use …

A Phenomenological Study Of Reiki Practitioners And Their Perceptions Of Reiki As It Relates To Their Personal Health, Tannis Mardece Hargrove

Graduate Student Theses, Dissertations, & Professional Papers

The purpose of this study was to understand the essence of becoming a Reiki practitioner and Reiki’s relationship to an individual’s personal health. The phenomenological research perspective utilized in this study allowed the data to speak for itself and represented the essence of Reiki and Reiki practitioners in Missoula, Montana. Ten Reiki practitioners were interviewed about their personal experience with Reiki. Interviewees were all volunteers, over the age of 18, who were trained in Reiki II or higher and had more than three years of experience practicing Reiki. Participants had practiced Reiki either on themselves or someone else regularly, which …

Debating Identity: Urban Indians In The Healthcare System, Erin J. Klahn

Graduate Student Theses, Dissertations, & Professional Papers

In recent years, the public health sector has recommended that healthcare practitioners become culturally competent in order to reduce health disparities in minority groups. It was reported later in the Surgeon General's Report (1999) on mental health, that culture shapes the healthcare experience for minority groups and in turn may influence the treatment course. Cultural competence models have been proposed in conjunction with the development of ethnic-specific mental health clinics, where practitioners and patients are ethnically similar, and programs are designed with the groups’ unique cultural needs in mind. This poses a particularly unique dilemma for urban Indians as their …