Medicine and Health Sciences Commons^™

A Dyadic Examination Of Daily Health Symptoms And Emotional Well-Being In Late-Life Couples, Jeremy B. Yorgason, David Almeida, Shevaun D. Neupert, Avron Spiro Iii, Lesa Hoffman

Department of Psychology: Faculty Publications

This study investigated the link between daily health symptoms and spousal emotional well-being in a sample of 96 older dyads. Higher negative mood and lower positive mood were associated with spousal symptoms in couples wherein husbands or wives reported higher average levels of symptoms. For wives, partner effects were moderated by husbands’ marital satisfaction and illness severity. Specifically, higher husband marital satisfaction and illness severity were associated with higher negative mood and lower positive mood for wives on days where husbands reported higher symptom levels. In their work with later-life families, practitioners and educators should address long-term and daily health-related …

The Development Of Weaning Practices Among Women Of The Mombasa District, Its Effects On Children’S Public Health Issues, And The Proposition Of Intervention Plans, Rachael Bryan

Independent Study Project (ISP) Collection

Breastfeeding is an unparalleled way of providing nourishment for the infant child in the first few years of life. A large body of literature supports that exclusive breastfeeding is optimal for the first 6 months of life, while complementary foods should be introduced in the diet 6 months and beyond. Mothers who inadequately wean their children are defined as having introduced complementary foods prior to 6 months post-natal age. The inclusive purpose of this study was to gain an understanding of inadequate weaning practices among patients and mothers of patients of the Muslim Education and Welfare Association Medical Centre (MMC) …

The Missing Piece: Understanding Nairobi’S Traditional Medical Practitioners, Mufaddal Dahodwala

Independent Study Project (ISP) Collection

Currently, there is a problem of access to biomedical health services to large portions of Nairobi’s population. Traditional herbal medicine has long been practiced in Kenya, and though studies have shown that traditional medicine has been effective against certain acute and chronic illnesses, it has been marginalized in the health service sector. By integrating traditional medicine into mainstream healthcare, a larger proportion of the Kenyan population will be able achieve access to adequate health services. However, there has not been enough discussion about traditional medicine from a holistic point of view. Without adequate discussion, traditional medicine will remain in the …

Girls' Perception Of Physical Environmental Factors And Transportation: Reliability And Association With Physical Activity And Active Transport To School, Kelly R. Evenson, Amanda Birnbaum, Ariane L. Bedimo-Rung, James Sallis, Carolyn C. Voorhees, Kimberly Ring, John P. Elder

Department of Public Health Scholarship and Creative Works

Background

Preliminary evidence suggests that the physical environment and transportation are associated with youth physical activity levels. Only a few studies have examined the association of physical environmental factors on walking and bicycling to school. Therefore, the purpose of this study was (1) to examine the test-retest reliability of a survey designed for youth to assess perceptions of physical environmental factors (e.g. safety, aesthetics, facilities near the home) and transportation, and (2) to describe the associations of these perceptions with both physical activity and active transport to school.

Methods

Test and retest surveys, administered a median of 12 days later, …

Human Development And Resources Use In The Coastal Zone: Influences On Human Health, Robert E. Bowen, Anamarija Frankic, Mary E. Davis

Environmental, Earth, and Ocean Sciences Faculty Publication Series

Coastal watersheds and nearshore marine areas are the most valuable and dynamic places on Earth. Human population growth is great in these regions, which are home to some of the most sensitive habitats in the world. Coastal areas provide more than half of the overall service value derived from the global environment (Costanza et al., 1997). Natural (e.g., hurricanes and tsunamis) and human pressures on this environment require it to constantly adjust. More than any other area, the global coast has defined the progress of human culture and continues to be a singular influence in how humans connect to the …

Food Insecurity And Hunger In America, Elizabeth Zufelt

Undergraduate Honors Capstone Projects

Studies have shown that about twelve percent (13.5 million) of American households experience at least some form of food insecurity in one year. Causes for food insecurity include disability, low income if employed, unemployment within the past six months, and retirement. Hunger and obesity are often seen in the same person at the same time, including children. The effects of hunger and food insecurity seen among children include: anemia, higher levels of anxiety, poorer performance on mathematical tests, depression, aggression, tardiness, a poorer sense of well-being, lower physical abilities, and lower psychosocial abilities. Food insecurity also affects the elderly population. …

How To Bridge The Gap: An Analysis Of The Coverage And Efficacy Of Volunteer Counseling And Testing Centers In Suba District, Kenya, Joseph Lippi

Independent Study Project (ISP) Collection

The Suba District of western Kenya is one of the areas most affected by the HIV/AIDS epidemic. According to Kenyan Ministry of Health publications, at the end of 2005, Suba District had an HIV/AIDS prevalence of 30%. This paper focuses on the numerous volunteer counseling and testing centers (VCTs) in Suba District that test and educate members of the community in effort to curb the spread of HIV/AIDS. Great efforts have been made to attack the problem of HIV/AIDS in Suba district. This paper seeks to illuminate the numerous factors that keep people in the community from seeking VCT center …

Loaning Health: The Effectiveness Of Microfinance As An Hiv/Aids Intervention Method In Kibera Slums, Lara Berlin

Independent Study Project (ISP) Collection

Three of the major societal issues facing Kenya are poverty, gender inequalities, and HIV/AIDS, each of which acts as a catalyst for the others. In the last twenty years, microfinance has been used as an intervention method combating poverty and women’s disempowerment. As such, this study examines the effectiveness of using microfinance as an HIV/AIDS intervention method in the Kibera slums of Nairobi, Kenya. The research is primarily based upon interviews with Kibera residents and members of microfinance organizations. The findings indicate that most Kibera residents believe microfinance is the best method of reducing the spread of AIDS, especially when …

Enhancing Human Security: U.S. Policies And Their Health Impact On Women In Sub-Saharan Africa, Tamera Fillinger

University of Maryland Law Journal of Race, Religion, Gender and Class

No abstract provided.

Immunotoxicological Evaluation Of Critical Windows Of Development Following Exposure To 1,2:5,6 Dibenzanthracene In B6c3f1 Mice, Denise Marie Hernandez

Theses and Dissertations

Numerous findings have suggested that the increased prevalence of childhood illnesses such as cancer, infection, and allergy may be due to environmental exposures. One such cause may be maternal smoking or passive smoke exposure. Known immunotoxicants in cigarette smoke and environmental pollution include polycyclic aromatic hydrocarbons such as 1,2:5,6 Dibenzanthracene (DBA). The objective of these studies was to evaluate the immunosuppressive effects of DBA on various stages of immune system development. Adult mice were administered DBA daily in corn oil at dose levels of 158, 500, 1580, and 5000 µglkg S.C. for 28 days. Immunosuppression was not observed at levels …

Clinician Optimism: Development And Psychometric Analysis Of A Scale For Mental Health Clinicians, Mitchell K. Byrne, Nichole L. Sullivan, Stephen J. Elsom

Faculty of Health and Behavioural Sciences - Papers (Archive)

Clinician optimism is an important factor in achieving treatment outcomes in psychotherapy. Currently there are no measures of mental health clinician optimism which report substantial psychometric validation. This study sought to assesses the validity and reliability of the Therapeutic Optimism Scale (TOS). 223 mental health clinicians working in a range of clinical settings were administered the TOS and convergent and discriminate validity were established. Test-retest reliability was established over a period of one month. The Therapeutic Optimism Scale was found to achieve acceptable reliability (Chronbach's alpha = .68) and yielded consistent scores over a one month period (r = .68, …

The Adverse Health And Psychological Consequences Of Cannabis Dependence, Wayne Hall, Nadia Solowij

Faculty of Health and Behavioural Sciences - Papers (Archive)

People who become dependent on cannabis are more likely than infrequent users to experience any of the adverse health effects that are caused by chronic cannabis use. Dependent cannabis use is rare in comparison with the more prevalent pattern of experimental and intermittent use (Bachman et al., 1997), but it may nonetheless affect as many as 1% of adults in the USA and Australia in any 1 year (Anthony et al., 1994; Hall et al., 1999a). Dependent cannabis users typically smoke two or more cannabis cigarettes a day over periods of years or decades in a minority …

Do We Encourage Health Or Illness? A Survey Of Exercise Rehabilitation Practices For Patients In Australian Renal Units, Y. White, B. Grenyer

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: People with end stage renal disease (ESRD) have been reported as having low levels of physical activity. Sedentary behaviours increase illness risks which may lead to burdens on the public health system which include costs of medical care. Research has established that exercise is reported to improve general health and wellbeing. Benefits include better aerobic tolerance, maintenance and improvement in physical function and capacity, and improvement in self-concept and well-being. These same improvements also occur in an exercising ESRD population, even though the improvements might be of less magnitude. Renal unit staff can have a major impact on patients …

Evolution And Sustainability Of The Helping Hands Volunteer Program: Consumer Recovery And Mental Health Comparisoins Six Years On, Frank P. Deane, Retta Andresen

Faculty of Health and Behavioural Sciences - Papers (Archive)

The Helping Hands program commenced in 1999 and partners volunteers with mental health consumers for support and to increase social contact, recreational and friendship opportunities. The aim of the present study is to describe the evolution and sustainability of the program over the first 6 years. A description of consumers accessing the program using recovery-oriented measures and traditional measures of behavioural functioning is also provided. Service data was collected on the development of the program, service utilisation, volunteer participation and funding patterns. Cross-sectional measures of recovery and baseline and follow-up Health of the Nation Outcome Scales (HoNOS) were collected on …

Setting Directions For Research Capacity Building In Primary Health Care: A Survey Of A Research Network, Karin Ried, Elizabeth Farmer, Kathryn M. Weston

Graduate School of Medicine - Papers (Archive)

Background

The South Australian Research Network 'SARNet' aims to build research capacity in primary health care, as part of a national government-funded strategy to integrate research into clinical practice. Internationally, research networks have been a fundamental part of research culture change, and a variety of network models exist. The 'SARNet' model uses a whole system, multidisciplinary approach to capacity building and supports individuals and groups. We undertook a descriptive baseline survey in order to understand the background and needs of SARNet members and to tailor network activities towards those needs.

Methods

A questionnaire survey, assessing members' professional background, research experience, …

Knowledge And Perceived Ambiguity Of Physical Activity Recommendations And Physical Activity In Men And Women In The United States, Laura G. Kiken

Theses and Dissertations

Background: The majority of Americans - especially women - do not meet physical activity recommendations. Having physical activity goals has been associated with physical activity participation, and physical activity recommendations set by public health experts can be viewed as externally set goals. However, past research has shown that goals that are specific rather than ambiguous are more likely to be achieved, and variations in recommendations over time and across sources may have created perceived goal ambiguity.Objectives: This study aimed to (1) examine the extent of physical activity recommendation knowledge among adults in the United States, (2) quantify perceptions of the …

Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: Homework refers to between-session activities that are tied to therapeutic goals. Homework has been suggested as being an important clinical adjunct to case management practices, however, to date, research has not examined case managers’ use of homework. Aims: To identify the degree that case managers use homework within their clinical practice and explore the way it is administered with people diagnosed with a persistent and recurring psychiatric illness. Method: A survey was completed by 122 case managers (63% of those approached) comprising nurses, psychologists, social workers, occupational therapists and welfare/support workers. Results: Ninety-three percent of case managers implement homework, …

Enhanced Disease Surveillance Through Private Health Care Sector Cooperation In Karachi, Pakistan: Experience From A Vaccine Trial, M. Imran Khan, Shah Muhammad Sahito, Mohammad Javed Khan, Shafi Mohammad Wassan, Abdul Wahab Shaikh, Ashok Kumari Maheshwari, Camilo J. Acosta, Claudia M. Galindo, Rion Leon Ochia, Shahid Rasool, Sheeraz Peerwan, Mahesh K. Puri, Mohammad Ali, Afia Zafar, Rumina Hasan, Lorenz Von Seidlein, John D. Clemens, Shaikh Qamaruddin Nizami, Zulfiqar Ahmed Bhutta

Centre of Excellence in Women and Child Health

INTRODUCTION: In research projects such as vaccine trials, accurate and complete surveillance of all outcomes of interest is critical. In less developed countries where the private sector is the major health-care provider, the private sector must be included in surveillance systems in order to capture all disease of interest. This, however, poses enormous challenges in practice. The process and outcome of recruiting private practice clinics for surveillance in a vaccine trial are described.
METHODS: The project started in January 2002 in two urban squatter settlements of Karachi, Pakistan. At the suggestion of private practitioners, a phlebotomy team was …

Constructing Whiteness In Health Disparities Research, Jessie Daniels, Amy J. Schulz

Publications and Research

There is a long tradition within the United States of constructing whiteness (the racial subject) against racialized others (the racial object) and in the process displacing the focus of critical analysis. Here we turn our lens to the often invisible--or at least underinterrogated--concept of whiteness within the context of the literature on racial disparities in health. Specifically, we examine how whiteness is constructed in the active literature documenting and interpreting racial disparities in health and the implications of these constructions for efforts to eradicate inequalities in health. We draw on the concepts of racial formation and "racial projects" that emphasize …