Medicine and Health Sciences Commons^™

"Integrated Science 3002a: Big Bike Giveaway: Changing London's Environment, Health, And Economy One Bike At A Time", Jermiah Joseph, Katelyn Melo, Devanshi Shukla, Tony Nguyen, Katherine Teeter

Community Engaged Learning Final Projects

There are significant benefits that manifest when an individual chooses to ride a bicycle as their primary mode of transportation. To investigate these benefits, the environmental, health, economic, and social impacts of biking were evaluated through research and data analyses. This revealed that numerous advantages can be obtained at an individual and local scale through citizens choosing to adopt a biking lifestyle. However, it was found that many Londoners are deterred from biking due to poor biking infrastructure. This paper calls into question the current cycling framework in London and it’s limitations on achieving the numerous benefits that biking offers. …

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 participants across the …

Health And Wellness Factors Affecting The Wholistic Lifestyle Of National And International Christian Missionaries, Angela C. Williams

Doctoral Dissertations and Projects

This thesis will focus on the health and wellness of missionaries and will develop a wholistic framework for healthier living. This framework will be used as a guide to help sustain missionaries living in various cultural contexts by connecting and integrating the mind, body, and spirit in harmony for wholistic lifestyle. God intended for His people to live a healthy lifestyle and to take care of their temples. Missionaries are the backbone of cross-cultural evangelism, but they often find themselves living unhealthy lifestyles. These unhealthy lifestyles can have a negative impact on missionaries’ overall health, wellness, and fruitfulness in serving …

Unlv School Of Medicine: Rethinking Governance, Planning, And Economic Impact, The Lincy Institute

Brookings Scholar Lecture Series

The launch of the UNLV School of Medicine presented a unique opportunity for Southern Nevada to address two critical issues: the absence of adequate healthcare services for a region of more than 2.2 million people, and the economic impact of a new medical school resulting in an expanded regional health care economy. A collaborative process that engages local, state, and private sector interests is essential to the development of the UNLV School of Medicine and the expansion of an effective, efficient, and profitable healthcare economy.

In this colloquium The Lincy Institute released new health policy publications prepared with the support …

Effects Of The Affordable Care Act On Health Care Access And Self-Assessed Health After 3 Years, Charles J. Courtemanche, James Marton, Benjamin Ukert, Aaron Yelowitz, Daniela Zapata

Economics Faculty Publications

Using data from the Behavioral Risk Factor Surveillance System, we examine the causal impact of the Affordable Care Act on health-related outcomes after 3 years. We estimate difference-in-difference-in-differences models that exploit variation in treatment intensity from 2 sources: (1) local area prereform uninsured rates from 2013 and (2) state participation in the Medicaid expansion. Including the third postreform year leads to 2 important insights. First, gains in health insurance coverage and access to care from the policy continued to increase in the third year. Second, an improvement in the probability of reporting excellent health emerged in the third year, with …

The Role Of Personality In The Development Of Health Disparities During Late-Mid Life, Juliette Mcclendon Iacovino

Arts & Sciences Electronic Theses and Dissertations

Objectives: The current study examined race/gender disparities in initial levels and trajectories of self-reported physical and mental health, and health care utilization, as well as the impact of personality and stressful life events on race/gender disparities. We hypothesized that health disparities would remain stable or decrease over time; that at-risk personality traits (e.g., high neuroticism) would have a more robust negative impact on health for black participants; that trust would mediate racial disparities in health; and that personality traits would moderate the association between stressful life events and health trajectories differentially across race/gender. Methods: Analyses utilized the first six waves …

Alternative Financial Services And Health Status In U.S. Metropolitan Statistical Areas, Courtney Hundley, Richard W. Wilson 8520196, John Chenault

Journal of Health Disparities Research and Practice

Abstract

Alternative financial services (AFS) such as, payday lenders, pawn brokers, tax refund loans, and check cashers are more prevalent in minority and lower income neighborhoods. These are neighborhoods also found to have disparities in health, compared to more affluent neighborhoods and communities. The focus of this paper is to determine if any relationship exists between use of AFS and health disparities.

Using data from a survey performed by the Federal Deposit Insurance Corporation (FDIC), we compared four banking variables to several measures of health for 85 metropolitan statistical areas (MSA) across the nation. The four banking variables all related …

Rates Of Developmental And Behavioral Screening Of Young Children: Implications For Health Care Policy And Practice, Shirley Berger

Dissertations and Theses

Background: The skills and capacities developed during early childhood are the foundation for a child’s future academic functioning, economic productivity, and lifelong health and mental health. When young children have developmental delays or disabilities, early identification and intervention lead to better outcomes; however, only a minority are identified before school entry. Primary care is an important setting for identification of developmental and behavioral conditions as most young children attend well-child visits regularly and parents expect developmental guidance from pediatricians. Two key pediatric preventive services are recommended: developmental monitoring/surveillance at every well-child visit and developmental screening at 9 months, 18 months, …

Household Financial Assets Inequity And Health Disparities Among Young Adults: Evidence From The National Longitudinal Study Of Adolescent To Adult Health, Shiyou Wu, Xiafei Wang, Qi Wu, Kathleen Mullan Harris

Journal of Health Disparities Research and Practice

Introduction: Research has established a strong relationship between financial resources and health outcomes. Yet, little is known about the effects of assets disparities on health outcomes, especially during the critical period when adolescents transition to adults.

Methods: Using data from the National Longitudinal Study of Adolescent to Adult Health (n = 10,861), this study investigated the relationships between three household total assets value groups (low, moderate, and high assets) and three net worth groups (negative, neutral, and positive) on young adults’ general health, obese, and depression.

Results: Both assets and debts were related to young adults’ health status, …

The National Framework For Health And Wellness: (Re)Framing The Work Of Cooperative Extension For The Next Century, David Buys, Sonja Koukel

Journal of Human Sciences and Extension

Cooperative Extension is at a crossroads and has increasing opportunities to articulate its existing role and future growth in impacting the health and wellness of the individuals and communities it serves. This is important because the health outcomes in the U.S. are poorer than any other developed nation, health expenditures are high, challenges with navigating the health system are immense, and opportunities to intervene and remove barriers to improving the nation’s health and wellness abound. This article provides suggestions as a follow-up to the reports featured in this special issue of the Journal of Human Sciences and Extension from the …

Cooperative Extension And Health Literacy: A National Focus, Sonja Koukel, Cathy Newkirk, Sarah Bercaw, Belinda Letto, Fatemeh Malekian

Journal of Human Sciences and Extension

Health literacy is often defined as the degree to which an individual has the capacity to obtain, communicate, process and understand basic health information and services to make appropriate health decisions. Research shows that 30 million Americans have Below Basic health literacy skills. People with low health literacy skills contribute to higher utilization of health care services. This equates to an excess of $230 billion a year in health care costs linked to low literacy in the United States. The primary responsibility for improving health literacy lies with public health professionals and the health care and public health systems. However, …

Resolving The Water Pollution Crisis In The Philippines: The Implications Of Water Pollution On Public Health And The Economy, Gabriella Andrews

Pepperdine Policy Review

Imagine being told that the water in all your faucets, the water you drink and use to bathe, contains toxins such as mercury and feces. Now imagine that your local government knew about these dangers but actively refused to share them until most of the people you knew and loved had fallen ill.

This hypothetical scenario is the current reality in the Philippines. An eighth of the country’s rivers are considered too toxic for human and animal ingestion or contact and are unable to support most forms of life. Moreover, fewer than half of the total number of rivers in …

A Change Of Heart: Internal Narratives, Forgiveness & Health, Keiko Ehret

Dissertations, Masters Theses, Capstones, and Culminating Projects

In this thesis I investigate the interconnectedness of forgiveness as a narrative, as a philosophical, religious and cultural phenomenon, and the ways in which forgiveness is increasingly being used as a vehicle for improving health and psychological well-being. By threading together how scholars in a variety of fields have approached these areas of study, we can better understand the way the interdisciplinary nature of forgiveness grants access to heal not merely relationships with others, but also our bodies, our minds, and our relationship with ourselves.

Important to my investigation is understanding that the life circumstances that prompt forgiveness consist of …

Functional Mastery Of Health Ownership In Patients With Inflammatory Bowel Disease, Maria Donnelley

Nursing Theses and Dissertations

Inflammatory bowel disease (IBD; Crohn’s and ulcerative colitis) is an incurable autoimmune disease causing overwhelming physical distress and psychological adaptation. The negative disease symptoms effect all aspects of everyday life. The physical and biological burdens of the disease progression can be complicated and long-term. Not all patients have a positive outcome throughout their health journey. This dissertation is an exploration of the associations between an individual’s personal characteristics and life situation and the ability to function fully and achieve mastery of their health within the parameters of their disease burden. The first manuscript, Functional Mastery of Health Ownership: A Model …

Ontology Of Personhood In Ayurveda From The Perspective Of Patients And Physicians In Palampur, Himachal Pradesh: An Independent Study, Denise Defelice

Independent Study Project (ISP) Collection

Scholars in western biomedicine describe the body as a physical entity distinct from mind and soul. However, the human body in Indian systems of medicine integrates the multiple natures of personhood and is both deeply physical and spiritual. This study demonstrates the unique view of personhood, being, health, and illness in Ayurveda through literature research and interviews with practitioners and patients. This study extends past a search for the ontology of personhood in Ayurveda and discusses the implications of this ontology on the way one views oneself and the world around him or her. Through this integrative approach, this study …

Sports Injury And Recovery Analyzed Using Blum's Model Of Health Determinants, Daniella Batarseh

Honors Theses

This study explores the effects of various health determinants on the ability of a college athlete to recover from a sport’s injury. Blum's Model of Health Determinants explains that there are four factors that contribute to the overall health of an individual: lifestyle, environment, medical services and heredity. Blum argued that each factor affects health to a different degree. To understand how each of these determinants affects an athlete’s recovery, different people involved in this process were interviewed, including coaches, trainers, athletes and sports psychologists. These interviews illustrated the need for an expansion within this model of health. While all …

Situating Food Insecurity In A Historic Albuquerque Community: The Whorled Relationship Between Food Insecurity And Place, Janet Page-Reeves, Maurice Moffett, Molly Bleecker, Katharine Linder, Jeannie Romero, Carol Krause

Journal of Health Disparities Research and Practice

This article examines conceptualizations of the relationship between food insecurity and place. We use an ethnographically inspired and community-engaged approach to situate our analysis of fluid dynamics at work in a community with high levels of food insecurity. We propose that the relationship between place and people’s experience of food insecurity is recursive, dialectical, and “whorled.” This relationship reflects complex, interconnected, and multidimensional processes with consequences for the health of residents. Our research demonstrates the key nature of the health-place nexus by exploring how food insecurity articulates with place in unexpected ways that go beyond discussions of food, …

Discovering Perspectives On Health And Well-Being From Parents And Teachers Of Preschool- Aged Children, Divya Sood, Delawnia Comer-Hagans, Dirk Anderson, Diana Basmajian, Ashley Bohlen, Michelle Grome, Irada Imanova, Kimberly Martin

The Open Journal of Occupational Therapy

Background: This study explores the concept of health and well-being as perceived by teachers and parents of preschool-aged children in the specific context of a child day care facility. The study also identifies the barriers parents and teachers encounter and the supports they require in promoting the health and well-being of preschool-aged children.

Method: A qualitative phenomenological research design combined with a projective technique of Photovoice was used for data collection. A total of eight participants, four teachers and four parents of preschool-aged children from a child day care facility, participated in the study.

Results: Several themes were identified related …

Testosterone And The Adult Male, Alex Straftis

Calvert Undergraduate Research Awards

Abstract

In the last 15 years, prescription testosterone sales have increased almost threefold. Testosterone is a powerful hormone, which has both physiological and behavioral effects on the adult male. These effects vary over a man’s life course and social ecology. In a natural setting, testosterone reaches a peak during early adulthood, declines gradually over midlife, and has exponential drops after the age of 70. Increasing testosterone, through testosterone replacement therapy (TRT), past early adulthood, is an evolutionary novel circumstance for an adult male. To gauge these effects, and the motivations that initiated them, this study conducted a preliminary text analysis …

Consumers’ Perspectives Of The Meaning Of Safety In Acute Mental Health Inpatient Services, Natalie A. Cutler, Lorna Moxham, Moira Stephens

Faculty of Science, Medicine and Health - Papers: part A

Background and Aim: Safety is a priority in the acute mental health inpatient setting (ACQSHC 2014). Safety is commonly represented in government policy as the reduction or elimination of risk (AIHW 2018). Defining safety as the reduction or elimination of risk means this is where funding and resources are likely to be directed. This has limitations however, as it can lead to environments and processes considered by mental health services to be safe, but are not aligned with what people with lived experience of mental illness deem to be safe (Cutler, Moxham & Stephens 2015). This PhD study explored the …

Health Behind Bars: Can Exploring The History Of Prison Health Systems Impact Future Policy?, Kathryn M. Weston, Louella R. Mccarthy, Isobelle Barrett Meyering, Stephen Hampton, Tobias Mackinnon

Faculty of Science, Medicine and Health - Papers: part A

The value of history is, indeed, not scientific but moral … it prepares us to live more humanely in the present, and to meet rather than to foretell, the future - Carl Becker. Becker's quote reminds us of the importance of revealing and understanding historical practices in order to influence actions in the future. There are compelling reasons for uncovering this history, in particular to better inform government policy makers and health advocates, and to address the impacts of growing community expectations to 'make the punishment fit the crime'.

Burnout-Depression Overlap: Nomological Network Examination And Factor-Analytic Approach, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Burnout has been defined as a condition in which individuals are left exhausted by a long-term confrontation with unmanageable job stressors. The question of whether burnout reflects anything other than depressive responses to unresolvable stress remains an object of debate. In this 911-participant study (83% female; mean age: 42.36), we further addressed the issue of burnout-depression overlap. Burnout was assessed with the exhaustion subscale of the Maslach Burnout Inventory-General Survey (MBI-GS) and depression with the PHQ-8. The relationships of burnout and depression with three jobrelated variables – illegitimate work tasks, work-nonwork interference, and job satisfaction – and three “context-free” variables …

Examining The Credentials Of Food Bloggers And The Online Environment Of Food Blogs, Jessica Coburn

Master's Theses and Doctoral Dissertations

This study evaluated characteristics of food blogs and food bloggers that potentially affect food choices. It was hypothesized that most food bloggers would not have a nutrition-related degree and food blog environments wouldn’t be supportive of health-conscious food choices. A cross-sectional study was conducted using a novel evaluation tool on 187 blogs, out of which 100 blogs met inclusion criteria. Because some blogs had multiple bloggers, two samples were investigated: 111 bloggers (n1 = 111) and 100 food blogs (n2 = 100). Data were gathered from a randomized list of blogs taken from americanfoodbloggers.com. Results showed that 6% of bloggers …

Holistic Health And Hawaii's Renewable Energy Future, Richard M. Esterle

Walden Dissertations and Doctoral Studies

Collective efficacy, time urgency, and health literacy have been a focus of research since the 1970s. Researchers have demonstrated that these factors influence health and decision making. However, researchers have yet to establish how these factors may be connected to the achievement of policy aims that impact holistic or environmental health. This study utilized the health belief model, social cognitive theory, time urgency theory, health education and promotion theory, Bronfenbrenner's ecological systems theory, and the Meikirch model. The purpose of this quantitative study was to determine if the factors of collective efficacy, perceived time urgency, perceived health literacy, ethnicity, age, …