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Full-Text Articles in Medicine and Health Sciences

Referral Patterns And Service Provision In Child Protective Services: Child, Caregiver, And Case Predictors, Hannah Mead Holbrook Jan 2019

Referral Patterns And Service Provision In Child Protective Services: Child, Caregiver, And Case Predictors, Hannah Mead Holbrook

Graduate College Dissertations and Theses

Child maltreatment, and recurrent maltreatment in particular, occurs at an alarmingly high rate. Frequency of reports to Child Protective Services (CPS) is associated with negative psychological outcomes, and children whose reports are unsubstantiated experience similar risk of behavioral, emotional, and substance use disorders as those whose reports are substantiated. Prior research has demonstrated that children with no CPS reports and children with one CPS report showed no significant differences in rates of maltreatment perpetration or substance use in adulthood, suggesting that prevention efforts after one report may have strong merit in reducing negative outcomes in adulthood. However, patterns and risk ...


Developing A Real-Time Translator From Neural Signals To Text: An Articulatory Phonetics Approach, Lindy Comstock, Ariel Tankus, Michelle Tran, Nader Pouratian, Itzhak Fried, William Speier Jan 2019

Developing A Real-Time Translator From Neural Signals To Text: An Articulatory Phonetics Approach, Lindy Comstock, Ariel Tankus, Michelle Tran, Nader Pouratian, Itzhak Fried, William Speier

Proceedings of the Society for Computation in Linguistics

New developments in brain-computer interfaces (BCI) harness machine learning to decode spoken language from electrocorticographic (ECoG) and local field potential (LFP) signals. Orienting to signals associated with motor movements that produce articulatory features improves phoneme detection quality: individual phonemes share features, but possess a unique feature set; classification by feature set allows for a finer distinction between neural signals. Data indicates vowels are more detectable, consonants have greater detection accuracy, place of articulation informs precision, and manner of articulation affects recall. Findings have implications for the multisensory integration of speech and the role of motor imagery in phonemic neural representations.


Physician-Assisted Death: A Selected Annotated Bibliography, Alyssa Thurston Dec 2018

Physician-Assisted Death: A Selected Annotated Bibliography, Alyssa Thurston

Alyssa Thurston

This bibliography compiles selected secondary and primary materials on physician-assisted death. Secondary sources include books, book chapters, law review and law journal articles, bibliographies, websites, and current awareness materials, and are mostly limited to publication dates of 2007-2018. Most of the included materials focus on the United States, but a number of sources also discuss other countries and one section is devoted to international experiences with physician-assisted death.


Body Battlegrounds: Transgressions, Tensions And Transformations, Chris Bobel, Samantha Kwan Dec 2018

Body Battlegrounds: Transgressions, Tensions And Transformations, Chris Bobel, Samantha Kwan

Chris Bobel

Body Battlegrounds explores the rich and complex lives of society’s body outlaws—individuals from myriad social locations who oppose hegemonic norms, customs, and conventions about the body in context. Original research chapters (based on textual analysis, qualitative interviews, and participant observation), along with personal narratives, provide a window into the everyday lives of people rewriting the norms of embodiment in sites like schools, sporting events, and the doctor’s office. Each accessibly-written, pedagogically-oriented chapter and narrative is at once theoretically and methodologically transparent and alive with the voices of the actors at the center of inquiry.
 
Body Battlegrounds is ...


Food Access And Dignity Among University Of Wyoming Students, Alanna Elder Dec 2018

Food Access And Dignity Among University Of Wyoming Students, Alanna Elder

Honors Theses AY 17/18

Because Albany County is the home of the state’s only four-year university, there is a question as to how the student population affects the proportion of county residents considered food insecure. Until now, it has been unclear how many students are struggling to access food. In 2017, a group of University of Wyoming faculty and administrators from the Department of Agricultural Economics, Financial Services, and the Office of Academic Affairs signed up for The Ohio State University’s College Study on Financial Wellness, which included a food security module (Alexander). Surveying 722 undergraduates and using USDA metrics, the researchers ...


Environmental Factors That Influence Physical Activity Participation In Children And Youth: A Synthesis Of The Literature, Jarrod Nash Dec 2018

Environmental Factors That Influence Physical Activity Participation In Children And Youth: A Synthesis Of The Literature, Jarrod Nash

Kinesiology, Sport Studies, and Physical Education Synthesis Projects

Physical activity participation in children and youth is widely regarded as important to ensure proper health. There are many environmental factors that contribute to children and youth being able to participate in physical activity on a daily basis. This synthesis reviewed literature regarding environmental factors that influence physical activity participation in children and youth. Data was collected using the EBSCOHOST search engine, found on The College at Brockport’s Drake Memorial Library online research website. Key words in SPORTDiscus and Academic Search Complete databases were combined to obtain 10 studies that focused on this synthesis’s purpose and research questions ...


An Examination Of The Death Penalty, Alexandra N. Kremer Dec 2018

An Examination Of The Death Penalty, Alexandra N. Kremer

The Downtown Review

The death penalty, or capital punishment, is the use of execution through hanging, beheading, drowning, gas chambers, lethal injection, and electrocution among others in response to a crime. This has spurred much debate on whether it should be used for reasons such as ethics, revenge, economics, effectiveness as a deterrent, and constitutionality. Capital punishment has roots that date back to the 18th century B.C., but, as of 2016, has been abolished in law or practice by more than two thirds of the world’s countries and several states within the United States. Here, the arguments for and against ...


“A New Way Of Thinking”: Frantz Fanon’S True Opinion On Violence, Caroline D. Renko Dec 2018

“A New Way Of Thinking”: Frantz Fanon’S True Opinion On Violence, Caroline D. Renko

The Downtown Review

In an attempt to clear Frantz Fanon’s name, on account of his opinion on the role of violence in decolonizing a nation, this paper focuses on two important chapters in his last book, The Wretched of the Earth. By closely reading his articulation of the Algerian war and the wounds brought on by mental illness at such a time, Fanon’s true opinion concerning violence becomes clear. For too long, he has been seen and used as a proponent for inciting violence, but this is a misconception that has been perpetuated by devaluing the importance of his descriptions of ...


Root Cause Analysis To Improve Incident Reporting In An Ambulatory Care Setting, Lisa Ann Duncan Dec 2018

Root Cause Analysis To Improve Incident Reporting In An Ambulatory Care Setting, Lisa Ann Duncan

Doctor of Nursing Practice (DNP) Projects

Problem: The subject organization (SO) is a Federally Qualified Health Center (FQHC) with an internally developed incident reporting system. The SO wanted to improve patient and employee safety using data from incident reports, but the incident reporting system did not give enough information to recognize patterns and develop countermeasures.

Context: Supervisors welcomed the opportunity to learn more about incident report follow-up and conducting root cause analysis (RCA). Members of the Safety Committee were eager for data to use to develop countermeasures to improve patient and employee safety. Decreases in employee injuries can save the SO from increases in the cost ...


Frontline Focus: A Nurse Manager's Employee Engagement Toolkit, Christen Straw Dec 2018

Frontline Focus: A Nurse Manager's Employee Engagement Toolkit, Christen Straw

Doctor of Nursing Practice (DNP) Projects

Abstract

Average hospital turnover rates in the US reached 18.2% in 2017. Turnover rates for registered nurses (RNs) were also at an all-time high of 16.8%. RN turnover can cost up to $61,100 per nurse resulting in the average hospital loss of $5.7 million per year (NSI, 2018). Employee engagement and job satisfaction levels are predictors of nursing turnover and patient outcomes and should be a top priority for nurse leaders. A disengaged workforce not only affects team morale and organizational spending, but it also impacts the quality of patient care. Multiple studies suggest that employee ...


Using Picture-Story Books To Help Families Understand Turbulent Parental Emotions In Families With Small Children, Anne Sved Williams, Marie Jonsson-Harrison Dec 2018

Using Picture-Story Books To Help Families Understand Turbulent Parental Emotions In Families With Small Children, Anne Sved Williams, Marie Jonsson-Harrison

Journal of Parent and Family Mental Health

A parent’s struggle to manage their emotions may have significant impact on small children. Helping a child understand in the here and now about what is going on for the parent, without blaming that parent or the child, may be useful for the child. It may also lead the child to seek different models of managing emotions and self-concepts. Reading books with children, or bibliotherapy, could be useful for parents who experience stress-related “meltdowns” or perhaps live with mental health conditions such as borderline personality disorder, and for those working with small children in educational, child care or child ...


One-Sentence, One-Word: An Innovative Data Collection Method To Enhance Exploration Of The Lived Experiences, Shannon L. Sibbald, Dylan Brennan, Aleksandra Zecevic Dec 2018

One-Sentence, One-Word: An Innovative Data Collection Method To Enhance Exploration Of The Lived Experiences, Shannon L. Sibbald, Dylan Brennan, Aleksandra Zecevic

The Qualitative Report

Experienced-based methods are growing in popularity and are increasingly being utilized in a variety of research programs and investigations. They enable researchers and participants to co-design research strategies and outcomes and subsequently propose solutions to potential problems in the partnership. By applying an experience-based methods lens, we sought to augment traditional qualitative interviewing methodologies by using a novel method we named “one-sentence, one-word” (1S1W). To apply our 1S1W method, we used a phenomenological study that examined the relationship between the risk of falling and the desire of master athletes to engage in competitive sports. Participants reflected and recorded their subjective ...


A Public Health Argument Against Arming Teachers, David I. Swedler Dec 2018

A Public Health Argument Against Arming Teachers, David I. Swedler

Health Behavior Research

The peer-reviewed scientific literature does not support the idea that arming teachers will prevent school shootings. In this commentary, I draw on the criminal justice, injury prevention, and firearm safety literature to demonstrate how arming teachers will do more harm than good.


Elaia 2018, Stephen Case Dec 2018

Elaia 2018, Stephen Case

ELAIA

Over the years, the Program has continued to grow and flourish, and the depth of its research continues to increase. This inaugural journal represents the fruits of that development, containing capstone research projects from the 2018 Honors Program senior class and their faculty mentors. The Table of Contents is diverse, and in that way it is a crystal clear reflection of our program’s community of scholars.

I, along with the members of the Honors Council, am gratified by the work of each student and faculty mentor printed within these pages. Congratulations, everyone!

- Stephen Lowe, Honors Program Director


A Multicase Study Exploring Women’S Narratives Of Infertility: Implications For Counselors, Staci L. Born, Christin L. Carotta, Kristine Ramsay-Seaner Dec 2018

A Multicase Study Exploring Women’S Narratives Of Infertility: Implications For Counselors, Staci L. Born, Christin L. Carotta, Kristine Ramsay-Seaner

The Qualitative Report

Infertility affects 6.7 million women in the United States (Chandra, Copen, & Stephen, 2013). Women’s experiences with infertility are not only influenced by biological health factors, but also by social, cultural, and personal variables. Given the prevalence and complexity of infertility, additional research is needed to further examine the nuances of women’s experiences. The purpose of this multicase study, as informed by four individual cases, was to explore how women construct their infertility narratives. Review of reflective journals found five common elements: (1) Emotional Rollercoaster, (2) Mind-Body (Dis)Connection, (3) Secret Identity, (4) Supportive vs. Constrained Communication Patterns ...


Conflict Management And Team Building As Competencies For Nurse Managers To Improve Retention, Jeanette Black Dec 2018

Conflict Management And Team Building As Competencies For Nurse Managers To Improve Retention, Jeanette Black

DNP Qualifying Manuscripts

Abstract

Aim(s): To critically review and summarize evidence related to coaching and training nurse managers in conflict management and team building skills and to determine the relationship of these skills to retention.

Background: Retention of nurse managers is a significant challenge to healthcare organizations.

Evaluation: The databases searched were CINAHL, PubMed, evidence-based journals, JANE, Cochrane, SCOPUS and Joanna Briggs. The keywords searched were conflict management, team building, nurse manager retention, retention, teamwork, healthy work environment, conflict management theory, organizational culture, coaching nurse managers, and nursing. Articles with the strongest evidence were critically appraised using the Johns Hopkins Research and ...


Project Renew Worcester, Danni Yue, Amy Zhang, Jing Han, Omid Ashrafi, Yiming Xu Dec 2018

Project Renew Worcester, Danni Yue, Amy Zhang, Jing Han, Omid Ashrafi, Yiming Xu

School of Professional Studies

n The client for this capstone project is RENEW Worcester which is a fledgling solar power project whose main goals are to bring renewable energy in the form of solar power into local, primarily low-income communities and are committed to the mission of making the transition off of fossil fuels to clean, renewable power. Based in Worcester, Massachusetts, they are a local chapter of Co-op Power which is a consumer-owned sustainable energy cooperative (co-op) made up of numerous different local chapters all over the New England area as well as the state of New York. The problem that we will ...


A Support Program For College Students With Autism Spectrum Disorder: The Functioning Of Participants Versus Non-Participants And The Role Of Program-Sponsored Mentoring, Ayla Raven Mapes Dec 2018

A Support Program For College Students With Autism Spectrum Disorder: The Functioning Of Participants Versus Non-Participants And The Role Of Program-Sponsored Mentoring, Ayla Raven Mapes

Theses and Dissertations

Increasingly more students with autism spectrum disorder (ASD) are attending college. In response, many colleges are now offering these students the extra support of an Autism Support Program (ASP), many of which include a mentoring component. This study is one of only a handful of attempts to examine these programs empirically. Using a small sample of college students who identified as having ASD, I compared participants and non-participants of a university ASP. An online survey was used to assess demographic characteristics and pre-college academic performance, as well as students’ functioning across the following domains: social, adaptive, academic, emotional, and having ...


Dreadd Targeting Projections From The Nucleus Accumbens To The Ventral Pallidum With Nicotine Self-Administration, Amanda Smith Dec 2018

Dreadd Targeting Projections From The Nucleus Accumbens To The Ventral Pallidum With Nicotine Self-Administration, Amanda Smith

Electronic Theses and Dissertations

Projections from the Nucleus Accumbens (NAc) to the Ventral Pallidum (VP) play a critical role in motivation and reward. Rewards and reward-associated cues are thought to alter this pathway by suppressing GABA release to the VP, however, the role of the NAc to VP pathway has never been investigated with regard to nicotine self-administration. We hypothesized that increasing GABAergic signaling from the NAc to the VP would decrease the reinforcing effects of nicotine. To increase GABA release, CRE dependent DREADD was expressed in the NAc of male rats. Administration of low dose clozapine activated the DREADD receptor and showed a ...


Compassion Fatigue Among Mental Healthcare Providers And The Impact On Overall Wellbeing, Ruchi Patel Dec 2018

Compassion Fatigue Among Mental Healthcare Providers And The Impact On Overall Wellbeing, Ruchi Patel

Doctoral Dissertations

Compassion, a virtue of the helping profession, can be jeopardized by a provider’s continuous exposure to the trauma experiences of others. The impact of burnout, secondary stress and compassion fatigue on a mental healthcare provider’s work and personal life has been increasingly studied due to negative ramifications on our community healers. The present study used a cross-sectional design to survey mental healthcare providers across specialty and discipline in efforts to gain a better understanding of the relationship between a provider’s degree of compassion fatigue and specific demographic variables, physical health and their spirituality. One hundred and thirty-seven ...


Developing Cultural Competency In Anesthesia Through Student Registered Nurse Anesthetists, Emma To Dec 2018

Developing Cultural Competency In Anesthesia Through Student Registered Nurse Anesthetists, Emma To

Doctoral Projects

Certified Registered Nurse Anesthetists (CRNAs) are the main anesthesia providers in over 70% of rural hospitals providing anesthesia. Each year, over 2,000 student registered nurse anesthetists (SRNAs) graduate and continue as licensed CRNAs. This Doctor of Nurse Practice (DNP) project emphasizes the importance of developing culturally competent providers in anesthesia by promoting early outreach in cultural competence education of SRNAs. Cultural competence is described as possessing characteristics of congruent attitudes, awareness, and conduct that provides and enables effective skills in cross-cultural encounters. Encompassing cultural competency education early in the SRNAs profession may provide valuable lifelong cultural skills that will ...


Stress Management In The Kitchen, Haley Rosano Dec 2018

Stress Management In The Kitchen, Haley Rosano

Capstone Projects and Master's Theses

Catholic Charities - Diocese of Monterey has implemented Stress Management in the Kitchen though the Family Support Services department of the Seaside office. Stress Management in the Kitchen was implemented to address the knowledge gap between nutrition and healthy living.The purpose of the workshop series was to give clients a fun and digestible way to increase their knowledge on how their health and nutritional habits can or should be applied to how they deal with stress. These workshops were implemented through presentation and a series of activities.The measurement of these workshops will be obtained through an exit survey from ...


An Evaluation Of Implementing Trauma-Informed Care Training In Healthcare Settings, Amanda Kis Dec 2018

An Evaluation Of Implementing Trauma-Informed Care Training In Healthcare Settings, Amanda Kis

Service Learning/Capstone Experience

Background: Trauma-informed care (TIC) has recently become a popular topic in medical science. Many patients’ health conditions have been diagnosed and treated purely as medical issues, yet emerging research indicates that trauma is sometimes the source of many physical and mental conditions. Implementing TIC education in healthcare systems may lead to preventing the onset of symptomology related to undiagnosed, chronic trauma experience.

Objectives: The primary goal of this Capstone project was to implement TIC training developed by Trauma Matters Omaha Coalition and assess preliminary evidence for changes in participants’ confidence, clinical knowledge, professional knowledge, self-awareness, and assumptions and biases regarding ...


To Be Known-Publication.Docx, Alexa Ashworth Nov 2018

To Be Known-Publication.Docx, Alexa Ashworth

Alexa Ashworth

No abstract provided.


Effects Of Naltrexone On Alcohol And Nicotine Use In Female P Rats, Usman Z. Hamid, Michael T. Bardo Ph.D. Nov 2018

Effects Of Naltrexone On Alcohol And Nicotine Use In Female P Rats, Usman Z. Hamid, Michael T. Bardo Ph.D.

Posters-at-the-Capitol

Title: Effects of Naltrexone on Alcohol and Nicotine Use in Female P Rats

Author: Usman Z. Hamid, Department of Psychology, University of Kentucky

Faculty Mentor: Michael T. Bardo, Ph.D., Department of Psychology, University of Kentucky

Alcohol is the most commonly abused substance worldwide. It is often co-abused with nicotine, which increases the difficulty of cessation of both alcohol and nicotine. Despite having similar mechanisms of action, there is no single medication to treat the co-abuse. The objective of the current study is to analyze the effects of the opiate antagonist naltrexone on alcohol consumption and the co-use of alcohol ...


Scientific Proceedings Of The Texas Children’S Hospital’S 17th Session Of The Advanced Quality Improvement And Patient Safety Program, Arjun M. Dangre Bds Mph, Kelly Wallin Ms Rn Chse, Gertrude A. Leidich Mba, Rn, Angelo P. Giardino Md, Phd Nov 2018

Scientific Proceedings Of The Texas Children’S Hospital’S 17th Session Of The Advanced Quality Improvement And Patient Safety Program, Arjun M. Dangre Bds Mph, Kelly Wallin Ms Rn Chse, Gertrude A. Leidich Mba, Rn, Angelo P. Giardino Md, Phd

Journal of Nursing & Interprofessional Leadership in Quality & Safety

The Texas Children’s Hospital’s Advanced Quality Improvement and Patient Safety (AQI) Program is a six month mixed didactic and experiential learning experience designed to improve patient care, lower costs, change the culture, and develop quality leaders. As a part of AQI program participants are grouped into teams and each team completes a healthcare related Quality Improvement (QI) project. Each project demonstrates use of various QI tools including process maps, fishbone diagrams, and key driver diagrams. The projects use ‘Model for Improvement’ as the primary QI methodology to achieve their aim. Three or more Plan-do-study-act (PDSA) cycles are required ...


Scientific Proceedings Of The Texas Children’S Hospital’S 16th Session Of The Advanced Quality Improvement And Patient Safety Program, Arjun M. Dangre Bds, Mph, Kelly Wallin Ms, Rn, Chse, Gertrude A. Leidich Mba, Rn, Angelo P. Giardino Md, Phd Nov 2018

Scientific Proceedings Of The Texas Children’S Hospital’S 16th Session Of The Advanced Quality Improvement And Patient Safety Program, Arjun M. Dangre Bds, Mph, Kelly Wallin Ms, Rn, Chse, Gertrude A. Leidich Mba, Rn, Angelo P. Giardino Md, Phd

Journal of Nursing & Interprofessional Leadership in Quality & Safety

The Texas Children’s Hospital’s Advanced Quality Improvement and Patient Safety (AQI) Program is a six month mixed didactic and experiential learning experience designed to improve patient care, lower costs, change the culture, and develop quality leaders. As a part of AQI program participants are grouped into teams and each team completes a healthcare related Quality Improvement (QI) project. Each project demonstrates use of various QI tools including process maps, fishbone diagrams, and key driver diagrams. The projects use the IHI ‘Model for Improvement’ as the primary QI methodology to achieve their aim. Three or more Plan-do-study-act (PDSA) cycles ...


Nudging With The Health Security Index: Behavioral Economics In Coalition Development, Glen P. Mays Nov 2018

Nudging With The Health Security Index: Behavioral Economics In Coalition Development, Glen P. Mays

Glen Mays

Healthcare coalitions can use comparative data from the National Health Security Preparedness Index, combined with insights from behavioral economics, to strengthen community engagement and investment in coalition activities. Using Index results, we demonstrate how organizational preparedness and individual behavior interact at the systems-level to produce unique strengths and vulnerabilities in health security for individual states and communities. Strategic use of comparative data can nudge stakeholders toward greater cooperative behavior and stronger coalition engagement. This session illustrates specific tools and approaches for data-driven coalition nudging.


An Academia-Industry Partnership For Planning And Executing A Community-Based Feeding Study, Cara B. Ebbeling, Gloria L. Klein, Julia M W Wong, Lisa Bielek, Patricia K. Louto, David S. Ludwig, Ralph G. Eddy, Lauren Stone, Paul R. Lakin, Megan Sandman, Courtenay Devlin, Linda Seger-Shippee, Dina Wiroll Nov 2018

An Academia-Industry Partnership For Planning And Executing A Community-Based Feeding Study, Cara B. Ebbeling, Gloria L. Klein, Julia M W Wong, Lisa Bielek, Patricia K. Louto, David S. Ludwig, Ralph G. Eddy, Lauren Stone, Paul R. Lakin, Megan Sandman, Courtenay Devlin, Linda Seger-Shippee, Dina Wiroll

(FS)2 Scholarly Publications

A research team from Boston Children’s Hospital and Harvard Medical School conducted a community-based feeding study in collaboration with Framingham State University (FSU) and Sodexo, the food service contractor at FSU. The study was a randomized controlled trial, implemented on the FSU campus. For the final year of the study, a satellite feeding site was established at Assabet Valley Regional Technical High School. The purpose of the study was to assess the biological effects of different macronutrient diets. An academia-industry partnership was developed to overcome common challenges associated with hospital-based feeding studies. Benefits included the following: a study site ...


A Population-Based Investigation Of Health-Care Needs And Preferences In American Adults With Multiple Sclerosis, Chungyi Chiu, Malachy Bishop, Bradley Mcdaniels, Byung-Jin Kim, Lebogang Tiro Nov 2018

A Population-Based Investigation Of Health-Care Needs And Preferences In American Adults With Multiple Sclerosis, Chungyi Chiu, Malachy Bishop, Bradley Mcdaniels, Byung-Jin Kim, Lebogang Tiro

Early Childhood, Special Education, and Rehabilitation Counseling Faculty Publications

Background: Comprehensive and effective multiple sclerosis (MS) health care requires understanding of patients’ needs, preferences, and priorities. Objective: To evaluate priorities of patients with MS for their MS care. Methods: Participants included 3003 Americans with MS recruited through the National MS Society and the North American Research Committee on Multiple Sclerosis patient registry. Participants completed a comprehensive questionnaire on aspects of their health-care experiences. Results: Participants identified the top 3 health-care priorities as (1) the affordability of MS health care, (2) ensuring that non-MS health-care providers have more education about MS and how it can interact with other conditions, and ...