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Articles 31 - 60 of 63
Full-Text Articles in Medicine and Health Sciences
Reflect, React, Exchange: A Cultural Competency Co-Curriculum, Derrick Lewis
Reflect, React, Exchange: A Cultural Competency Co-Curriculum, Derrick Lewis
Capstone Collection
Cultural competency serves as key component to medical training and education and increasing interest in international health experiences denotes a recent need to respond to globalized health and populations. Reflect, React, Exchange (RRE) is a co-curriculum aims to provide a revised and integrated framework and foster awareness via experience, exchange, reflection, and dialogue at the Clinica de Familia La Romana in La Romana, Dominican Republic. RRE utilizes theories which are appropriate to the transformative learning aims and integral curricular activities of the CFLR Global Health Experience, an 8-week, global health internship experience for health science. It provides students with the …
Asessing The Implementation Of Hiv/Aids Programs Amongst Youth Fisherfolk: The Case Of Mbita, Kenya, Edward Ham
Asessing The Implementation Of Hiv/Aids Programs Amongst Youth Fisherfolk: The Case Of Mbita, Kenya, Edward Ham
Independent Study Project (ISP) Collection
Homa Bay, Nyanza Province has the highest HIV/AIDS prevalence rate in Kenya (25.7%). Risky sexual behaviors are especially prevalent in fishing communities within this area. This study was conducted in Mbita, a sub-county of Homa Bay. The main objective was to determine which factors influence the implementation of HIV/AIDS programs amongst youth fisherfolk (ages 18-24) within beaches around Mbita. Data was collected through survey administration, key-informant interviews, and in depth interviews. The results highlight some interesting correlations, as well as a disturbing picture of the inequities females face within these fishing communities. Furthermore, a novel microclinic peer education HIV/AIDS program …
Deaf Or [Insert Ethnicity Here]? The Impact Of South African Sign Language And Deaf Community Membership On The Ethnic Identities Of Three Deaf Students In Cape Town, Leanna Quach
Independent Study Project (ISP) Collection
South African Sign Language (SASL) is the language used by most members of the Deaf community in South Africa. SASL, much like other signed languages, has a long history of development, acceptance, and non-acceptance. The history of SASL is undeniably intertwined and affected by the political history of South Africa. This article examines the relationship between ethnicity, language, and identity in the context of South African Sign Language and the Deaf community. It seeks to understand how the use of South African Sign Language as one’s main language affects one’s identity and their identification with their racial group. The article …
Flip Cup: Problems Related To Alcohol Consumption In Modern China, Helen Lamm
Flip Cup: Problems Related To Alcohol Consumption In Modern China, Helen Lamm
Independent Study Project (ISP) Collection
The habits and attitudes surrounding the consumption of alcohol, in any culture, are just another lens through which we can look to better understand social life. The hierarchical social systems in China, which dictate common behavior, are unique. Much work has been written on the topic of guanxiand face: the defining factors for China’s ubiquitous, self-affirming system of relationships. Drinking culture is perhaps more interesting to travel bloggers than academics, but I believe that China’s drinking culture is a direct practice in guanxi production. The darker side of China’s drinking culture is anexercise in preserving face.
The gap in …
Sex And Sexual Education In China: Traditional Values And Social Implications, Isabella Steinhauer
Sex And Sexual Education In China: Traditional Values And Social Implications, Isabella Steinhauer
Independent Study Project (ISP) Collection
In China, the differing views of sex between younger and older generations is the clearest indicator ofthe division of modern and traditional thought in societyand their resulting repercussions. The paper examineswhat specific traditional Chinese norms and values spark many social issues in China, how those traditional values are reflected in the lack of sexual education, and then analyzes how the lack of sexual education impacts those social issues.Formal interviews were conducted in Kunming with seven college students (aged 18-23) from Yunnan Finance and Economics University and other universities, while more casual conversations were held with people of other ages in …
Obstetric Violence Within The Brazilian Healthcare System: A Critical Analysis Of The Childbirth Narratives Of Tupinambá Indigenous Women From The Olivença, Ilhéus Community, Cassandra Fareira
Independent Study Project (ISP) Collection
The objective of this research project is to hear the personal narratives of Tupinambá Indigenous Brazilian women living in the Olivença community in Ilheus, Bahia regarding their experiences giving birth in order to discern the prevalence of various forms of obstetric violence within their experiences. In the context of this study the term "obstetric violence," derived from an extensive literature review, encompasses 1) physical abuse, 2) the unethical imposition of medical interventions, 3) the denial or lack of privacy, 4) undignified care which includes verbal abuse, 5) discrimination, 6) abandonment, neglect or the refusal to grant assistance, 7) detention in …
El Método Anticonceptivo Implante Subdérmico Para Prevenir La Repetición Del Embarazo Adolescente En La Provincia De Tucumán, Madelaine Hack
El Método Anticonceptivo Implante Subdérmico Para Prevenir La Repetición Del Embarazo Adolescente En La Provincia De Tucumán, Madelaine Hack
Independent Study Project (ISP) Collection
Información Contextual: El método anticonceptivo implante subdérmico se utiliza para prevenir la repetición del embarazo adolescente entre mujeres de 14 a 24 años de edad que no tienen cobertura de salud (es decir, sin cobertura de una obra-social o pre-paga) y que han tenido un evento obstétrico (parto o aborto) en los últimos 12 meses. La prevención del segundo embarazo adolescente es una línea estratégica sumamente importante porque la tasa de embarazo adolescente ha mantenido su valor cercano al 15% por los últimos 20 años. En el caso particular de la provincia de Tucumán, está presenta un contexto interesante lo …
Tools And Methods For Zika Prevention In Cachoeira, Bahia, Florence Tesha
Tools And Methods For Zika Prevention In Cachoeira, Bahia, Florence Tesha
Independent Study Project (ISP) Collection
Zika virus, which is mainly transmitted by Aedes aegypti and Aedes albopictus mosquitoes, has become a major health threat in Brazil and other Latin American countries. Brazil is the country that is being most impacted with zika virus in addition to the existing mosquito-borne diseases of dengue and chikungunya. With the increase in zika virus infections, there have also been increasing numbers of infant brain abnormalities such as microcephaly associated to zika. International and local health institutions are working together to control and prevent zika transmission. This project aimed to investigate the various tools and methods employed by the Center …
El Uso De Terapias Psicológicas En Mujeres Jóvenes En La Ciudad Autónoma De Buenos Aires (Caba), Argentina, Batsheva Honig
El Uso De Terapias Psicológicas En Mujeres Jóvenes En La Ciudad Autónoma De Buenos Aires (Caba), Argentina, Batsheva Honig
Independent Study Project (ISP) Collection
Información Contextual: Esta investigación se enfoca en el uso de terapia en mujeres jóvenes en la Ciudad de Buenos Aires (CABA), Argentina. Argentina es el líder mundial de psicólogos por habitantes con una gran concentración de psicólogos en CABA (Alonso y Klinar 2014). El uso de terapia no es exclusivo de personas con trastornos mentales. En el ámbito privado son comunes las consultas por cuestiones generales de la vida. La población de este estudio son mujeres jóvenes entre 22 y 32 años. Este periodo es caracterizado como un tiempo de exploración y auto-reflexión. Además, esta franja etaria constituye un gran …
A Qualitative Investigation On The Effects Of The Uttar Pradesh Population Policy On Women Who Undergo Sterilization In Bahraich, Uttar Pradesh, Anna Wadhwani
Independent Study Project (ISP) Collection
The effectiveness of population policies is widely disputed by the international development community and is under constant scrutiny. While these policies have the potential to positively affect reproductive and child health indicators, they often focus too heavily on macro-demographic family planning goals and fail to acknowledge socioeconomic determinants of fertility indicators, often making for ineffective policy. Furthermore, target-based approaches have the potential to negatively impact women’s family planning choices and the quality of care they receive. This study seeks to analyze how the Uttar Pradesh Population Policy affects the decision-making process and experiences of women who undergo sterilization procedures in …
Women’S Views On The Challenges And Solutions In Preventing The Gendered Spread Of Hiv In Masxha, Cato Manor, Paige Mcmahon
Women’S Views On The Challenges And Solutions In Preventing The Gendered Spread Of Hiv In Masxha, Cato Manor, Paige Mcmahon
Independent Study Project (ISP) Collection
Despite numerous national prevention efforts, South Africa remains at the epicenter of the HIV/AIDS epidemic. The burden of the epidemic is extremely heterogeneous, with province, race, gender, age, and socioeconomic status serving as key variables in determining HIV prevalence rates. Black African women are disproportionately affected by the epidemic, with those between the ages of 20 and 34 having an HIV prevalence rate of 31.6%, the highest in the country (Shisana et al., 2014). The purpose of this study was to engage with black African women about the challenges they believe women face in protecting themselves against HIV, and potential …
Trauma And Recovery In Post-Conflict Northern Uganda: An Analysis Of Trauma And Its Effects On The Family, Shelby Logan
Trauma And Recovery In Post-Conflict Northern Uganda: An Analysis Of Trauma And Its Effects On The Family, Shelby Logan
Independent Study Project (ISP) Collection
Trauma in Northern Uganda stems from the atrocities that occurred during the Lord’s Resistance Army conflict. Because of this, thousands of victims were left traumatized by their experiences with disparities in aid to help them with their trauma. Utilizing the rural and urban areas in Kitgum and Gulu Municipality, this research seeks to understand how trauma presents itself in the Northern Uganda region and how it is defined by the population who treat it. This includes a list of disorders resulting from trauma and their symptoms. In addition, the efforts towards trauma healing and recovery are analyzed, including the different …
Needle Exchange Programs And Hiv/Aids: A Comparison Of The Use Of Harm Reduction Methods In Switzerland And The United States Of America, Margaret House
Needle Exchange Programs And Hiv/Aids: A Comparison Of The Use Of Harm Reduction Methods In Switzerland And The United States Of America, Margaret House
Independent Study Project (ISP) Collection
This paper explores the connections between needle exchange programs and rates of HIV/AIDS in Switzerland and the United States of America. While these two countries are very similar in their general political philosophies, they have some key cultural and historical differences which has shaped their responses to HIV/AIDS and injection drug use. Switzerland’s unique experience with a very open injection drug use scene in the 1980s guided this country to a more pragmatic, harm reduction-based response. By contrast, United States responded to the AIDS epidemic that struck violently in the 1980s with a mix of fear and denial. Though both …
Migrant Access To Healthcare: A Study Of Undocumented Migrant Access To Sexual Healthcare & Family Planning Services In Switzerland In 2016, Emily Egbert
Independent Study Project (ISP) Collection
The Swiss healthcare system has experienced a significant influx of vulnerable migrants over the past few years. This presents a challenge to providers and policy makers to account for and provide aid to these non-‐ Swiss citizens, such as undocumented migrants (UDM), whose status and circumstances may impede their access to healthcare. Along with this, various cultural barriers may present further challenges to access to the health system. This paper explores UDM access to health through the lens of sexual healthcare and family planning. In examining sexual health, the issues of sexually transmitted infections (STIs), HIV/AIDS, and sexual violence were …
A Precarious Paradigm: Seeking Alternatives To Public-Private Partnerships In Health, A Case For The Code, Lena Mininberg
A Precarious Paradigm: Seeking Alternatives To Public-Private Partnerships In Health, A Case For The Code, Lena Mininberg
Independent Study Project (ISP) Collection
Background: Breastfeeding is an unparalleled source of nutrition for infants and young children and is recommended as the best practice universally by the World Health Organization (WHO). The benefits in human health and development that result from exclusive and sustained breastfeeding have enormous economic development potential. Because of the non-legally binding nature of the International Code of Marketing of Breastmilk Substitutes (the Code), and shifting socio-cultural norms, breastfeeding rates are at an alarming low. In order to progress towards the Sustainable Development Goals, breastfeeding practices must be protected, promoted, and supported worldwide.
Objective: This research paper explores implementing strong measures …
Capacity Building Of Health Workforce: Investigation Of Training Process For Community Health Volunteers (Chvs) Serving Refugee Populations In Host Communities, As Perceived By Participants And Trainers, Jerusalem Hadush
Independent Study Project (ISP) Collection
The health system in the Hashemite Kingdom of Jordan, which hosts 1.4 million refugees from the Syrian Arab Republic—more than 636,000 of whom are registered with UNHCR—is over-extended (UNHCR, 2016). Non-governmental organizations fill gaps in service delivery by injecting health personnel to deliver care, however, nationals and refugees must be integrated in the response to ensure sustainable health care delivery (UNHCR Handbook for Emergencies, 2007). Leveraging the capacities of lay citizens and refugees by task shifting and training CHVs can alleviate the increased health burden. Research into training programs is significant because the quality of training is directly related to …
One Year Later: The Politics And Stories Of Post-Earthquake Nepal, Boyer Andrew
One Year Later: The Politics And Stories Of Post-Earthquake Nepal, Boyer Andrew
Independent Study Project (ISP) Collection
A 7.8 magnitude earthquake struck Nepal on April 25th, 2015. This was followed by a second major earthquake of magnitude 7.3 on May 12th , 2015. These disasters took the lives of thousands of Nepali people, destroyed hundreds of thousands of structures, and displaced an estimated two million people. Immediately following the disaster, there was an outpouring of humanitarian aid from around the world. This lead to a conference where $4.1 billion USD of reconstruction funds were pledged to Nepal by international donors. Five months later, a new constitution passed into law and an informal blockade of …
Los Médicos No Creen En La Brujería: El Choque Entre La Psicologia Occidental, El Catolicismo Y Las Creencias Ancestrales En La Salud Mental Boliviana, Olivia Legan
Independent Study Project (ISP) Collection
Este ensayo explora el concepto de salud mental en Bolivia y discute cómo las creencias ancestrales y el catolicismo determinan el entendimiento boliviano sobre la salud. También se toma en cuenta el rol de la salud mental en la migración interna y la tensión entre el estilo de vida rural y urbano. En base a mis experiencias en un centro de terapia alternativa y un hospital psiquiátrico católico, voy a comunicar algunas maneras en que se recibe e implementa la psicología occidental en la sociedad boliviana.
This paper explores mental health in Bolivia and discusses how both ancestral beliefs and …
Why Children, Adults And The Elderly Are Living On The Streets In Moroccan Cities And What Morocco Is Doing About It., Nora Charidah
Why Children, Adults And The Elderly Are Living On The Streets In Moroccan Cities And What Morocco Is Doing About It., Nora Charidah
Independent Study Project (ISP) Collection
The aim of this independent study project is to explore the determinants of homelessness in the cities of Morocco, more specifically in Rabat,Casablanca and Salé, and how Non-Governmental Organizations (NGO’s) are working to eradicate this epidemic. Poverty, Dysfunctional Families, Mental Illness and Addiction can all be causes as well as results of homelessness; all of these factors have the potential of seriously affecting individuals throughout the entirety of their life. Children, Adults and the Elderly are all affected by poverty throughout Morocco yet street children and the rural impoverished are the populations of the homeless where most research predominately focuses. …
Un Análisis Post-Colonial: La Encarnación De La Pérdida Histórica En La Manifestación De Depresión En Personas Mapuche En El Contexto Urbano, Haley Case
Independent Study Project (ISP) Collection
Esta investigación buscaba evaluar las manifestaciones cualitativas y simbólicas de la depresión en la población Mapuche de la región de Santiago a través de la aplicación de teoría que aborda del sufrimiento social y la violencia estructural. Métodos etnográficos se fueron utilizados por la realización de observaciones y entrevistas semi-estructuradas con personas involucradas en la comunidad Mapuche y el sistema de salud biomédico en las comunas de La Pintana y Lampa en la Región Metropolitana. Según la cosmovisión Mapuche, la salud tiene base fundamental en la armonización del cuerpo, alma, espíritu y mente de un ser humano con su familia, …
Los Factores Influyentes En Las Perspectivas De Aborto De Los Estudiantes Universitarios En Santiago, Chile: Desde Lo Conservador A Lo Contrario, Victoria Albert
Los Factores Influyentes En Las Perspectivas De Aborto De Los Estudiantes Universitarios En Santiago, Chile: Desde Lo Conservador A Lo Contrario, Victoria Albert
Independent Study Project (ISP) Collection
Research Question: What factors influence the pro-life and pro-choice perspectives of university students in Santiago, Chile? What are these perspectives? Objectives: The general objective of this study is to describe the pro-life and pro-choice perspectives on abortion held by university students in Santiago, Chile, and to describe how factors such as feminism, religion, and the right to life influence these views today. The specific objectives of this study are to define and analyze the way in which these factors work to influence students’ perspectives, as well as identify what percentage of students currently support various types of abortion.
Background: Chile …
Healthcare Access For Syrian Refugees Lacking Legal Documentation In Jordan, Caroline Flynn
Healthcare Access For Syrian Refugees Lacking Legal Documentation In Jordan, Caroline Flynn
Independent Study Project (ISP) Collection
The purpose of this study is to analyze the access and utilization of health care services by Syrian refugees lacking documentation. This study focuses on the current procedures utilized by healthcare providers for addressing lack of legal documentation in their Syrian refugee patients, as well as broader policies and strategies for addressing the status and protection of these undocumented individuals. This study grapples with the relationship between legal documentation and access to services. The increased costs and barriers to healthcare that come with stateless and refugee status may influence health outcomes and socioeconomic opportunities that impact these individuals for the …
The Feminization Of Hiv/Aids In Yunnan, China, Leah Pinckney
The Feminization Of Hiv/Aids In Yunnan, China, Leah Pinckney
Independent Study Project (ISP) Collection
The feminization of HIV is a global phenomenon in which more women are becoming HIV-positive. This not only has tragic consequences for those women but also signifies how HIV transmission in China is changing. Increased sexual transmission has given HIV the ability to move from at-risk groups, such as intravenous drug users and commercial sex workers, to the general population. Despite China’s improved health policies and programs about HIV, this situation poses a serious public health issue allowed to perpetuate because of societal problems surrounding gender. These problems are compounded by socioeconomic inequality brought upon by economic change. While much …
La Accesibilidad Al Test De Vph Y Al Papanicolaou Para La Prevención Del Cáncer Cervicouterino En Servicios Públicos De Salud En San Miguel De Tucumán Según La Perspectiva De Los Profesionales De Salud, Eve Cleghorn
Independent Study Project (ISP) Collection
Información contextual: El cáncer cervicouterino es causado por el Virus del Papiloma Humano (VPH) y todavía es un problema actual en Argentina, con alrededor de 5.000 casos nuevos y 1.800 muertes cada año. Sin embargo, es muy prevenible debido a que es una enfermedad de crecimiento lento, y con herramientas correctas de tamizaje y diagnóstico. Estas incluyen la vacuna contra diferente tipos de VPH de alto riesgo y el Papanicolaou, un procedimiento en el cual se examinan las células del cuello de útero que podrían ser indicios de lesiones pre-cancerosas o cancerosas, las cuales pueden ser tratadas. Además, en unas …
Exploration Of The State Of Mental Healthcare Services For Youth In Nairobi, Rashiidah Richardson
Exploration Of The State Of Mental Healthcare Services For Youth In Nairobi, Rashiidah Richardson
Independent Study Project (ISP) Collection
This paper is formative research concerning the state of mental health care for youth in Nairobi, Kenya. Using a mixed methods design, the objectives of this study were to identify the most prevalent mental health concerns among youth in Kenya, to explore the availability and acceptability of youth friendly mental health care services, and to explore the quality of and challenges to providing youth friendly mental health care services. Results indicate that substance abuse, conduct disorder, and family conflict may be among the most pressing mental health concerns for young people. Furthermore, while young people may be willing to seek …
The Changing Roles And Reputations Of Dais In Rural Uttarakhand: An Investigation Into The Maternal Health Services Of Villages In Okhalkanda Block In Nainital, Jenna Davis
Independent Study Project (ISP) Collection
The dai, once a prominent figure in Indian maternal health, now faces marginalization as the government of India adopts the goal of universal institutional delivery. Under pressure from international discourse that Skilled Birth Attendants (SBAs) were more effective at lowering Maternal Mortality Rate (MMR) than Traditional Birth Attendants (TBAs) like dais (World Health Organization), dai training was discontinued and left in the hands of NGOs, while concurrently women and ASHAs were monetarily incentivized for every institutional birth (Park, 419). Yet in rural, isolated, or hilly areas like Okhalakanda block in Uttarakhand, institutional delivery is a long way from universal—only …
Paediatric Tuberculosis In Bhopal, Madhya Pradesh, India: Dots, Diagnosis, And Determinants, Emma Klein
Paediatric Tuberculosis In Bhopal, Madhya Pradesh, India: Dots, Diagnosis, And Determinants, Emma Klein
Independent Study Project (ISP) Collection
Tuberculosis (TB) is one of the world’s largest public health challenges, and it has a disproportionate impact on India. In children, TB is a serious but understudied illness due to the complexity of case-notification and relative lack of public health importance. This study took place over the course of one month in Bhopal, Madhya Pradesh, India. In a mixed method study consisting of 53 quantitative patient interviews and qualitative interviews with healthcare providers, social determinants of TB in this setting were investigated as well as challenges faced at all stages of healthcare delivery. Malnutrition and housing were the most severe …
A Comparative Study Of Women’S Health Care: Non-Syrian Refugee Women Living In Amman And Syrian Refugee Women Living In Refugee Camps, Megan Kerstein
A Comparative Study Of Women’S Health Care: Non-Syrian Refugee Women Living In Amman And Syrian Refugee Women Living In Refugee Camps, Megan Kerstein
Independent Study Project (ISP) Collection
The purpose of this study is to compare access and quality of women’s health care in Amman for non-Syrian refugee women and women’s health care in Syrian refugee camps. I also sought to understand how women’s health care could be improved in both Amman and in Syrian refugee camps. I hypothesized that Syrian refugee women in camps will have less access and lower quality women’s health care since refugee camps’ funding is limited, making medical equipment and women’s health care providers short. Since women in Amman often have more stable family situations and jobs, I thought they would have more …
Hypertensive Disorders Of Pregnancy In Rural Maharashtra: A Preventative Approach To Risk Factor Reduction Through Lifestyle Interventions, Jess Wiken
Independent Study Project (ISP) Collection
The primary purpose of this study is to assess the contribution and correlation between lifestyle behaviors and modifiable risk factors (MRF) established in adolescence and during pregnancy with development of hypertensive disorders of pregnancy (HDP) exclusive to preeclampsia (PE), eclampsia, and pregnancy induced hypertension (PIH). MRF include but are not exclusive to diet and nutrition, physical activity, and Mishri use. Associations of HDP with increased premature cardiovascular risk in the affected woman and child indicate the importance of healthy lifestyle modifications that promote cardiovascular health and longevity and reduction of risk factors through prevention. While cardiac conditions are primarily associated …
El Rol De Los Servicios Sociales En El Acompañamiento De Mujeres Durante El Proceso De Interrupción Legal Del Embarazo En Un Hospital Público En La Provincia De Buenos Aires / The Role Of Social Services In The Accompaniment Of Women During The Process Of Legally Terminating A Pregnancy In A Public Hospital In The Province Of Buenos Aires, Judy Rivière
Independent Study Project (ISP) Collection
El acceso a la Interrupción Legal del Embarazo (ILE) sigue siendo limitado para muchas mujeres en Argentina. En la mayoría de los hospitales públicos, no se hace la ILE. Este tema es todavía muy polémico y tiene implicaciones diferentes, no solo en el nivel provincial, sino también en el nivel municipal. En las instituciones donde se hacen interrupciones del embarazo, los profesionales de la salud tienen mirada abierta que incluyen factores biopsicosociales. Por eso, las trabajadoras sociales, que miran la salud desde la perspectiva de determinantes sociales, tienen un rol importante en la facilitación del acceso a la ILE para …