Social and Behavioral Sciences Commons^™

Drug Use And Harm Reduction: Community Readiness As Pathway To Well-Being And Reintegration, Lauretta Ekanem Omale

Dissertations

Drug abuse negatively impacts the life and well-being of those who use drugs; this harm often extends to their loved ones, communities, and society. One presumptive set of psychological explanations for drug abuse is an addictive personality, a psychological susceptibility resulting from challenging family relationships, inadequate reinforcement, the absence of healthy role models, conflicting parental expectations, and a lack of love and respect. Harm reduction is a public health approach that focuses on minimizing the harmful effects of drugs and reducing judgment. It aims to meet people where they are in life and provide judgment-free, empathetic, supportive, and needed medical …

Chronic Inequities: Environmental & Structural Racism During Covid-19 And Hurricane Laura Disaster Recovery, Tomeka M. Robinson, Sabrina Singh

Critical Disaster Studies

The COVID-19 pandemic has amplified the realities of systemic health inequities within the United States. While the virus has severely impacted the entire country, people of color bear the brunt of this pandemic, from surges of COVID-19 cases in their communities to spikes in unemployment rates. Simultaneously, citizens are dealing with the impacts of natural disasters such as hurricanes along the Gulf Coast. The common denominator concerning these two stressors is that they can be exacerbated by institutional racism. This can be seen in the case of a small city in Southwest Louisiana, namely, Lake Charles, which has become a …

Analyzing Pre-Operative Hospital Stay And Incidence Of Hospital Acquired Infection: A Retrospective Study, Maria Costantino, Ornella Piazza, Enrico Coscioni, Emilia Anna Vozzella, Walter Longanella, Francesco De Caro

Translational Medicine @ UniSa

Background: Healthcare-associated infections (HCAIs) pose a significant challenge, impacting patient safety and treatment effectiveness. This retrospective study investigates the correlation between preoperative hospital stays and HCAIs in ICU cardiac surgery patients. Methods: Medical records of 35 patients who died post-cardiac surgery in the ICU were analyzed, focusing on the duration of preoperative hospitalization. Results: Prolonged preoperative stays strongly correlate (r=0.993) with increased HCAIs, indicating a critical risk factor. Conclusions: The duration of preoperative hospital stays is pivotal in HCAI risk. Prospective multicenter studies are needed for validation, which is crucial for enhancing patient safety and treatment efficacy.

Invasive And Non-Invasive Assessment Of Non-Culprit Coronary Lesions In Patients With St-Segment Elevation Myocardial Infarction, Germano Junior Ferruzzi, Michele Bellino, Angelo Silverio, Marco Di Maio, Mariagiovanna Vassallo, Carmine Vecchione, Gennaro Galasso

Translational Medicine @ UniSa

The angiographic evidence of coronary multivessel disease (MVD) increases significantly the risk of recurrent ischemic events in patients with ST-segment elevation myocardial infarction (STEMI). Recent evidence suggests that a complete revascularization strategy should be considered the standard of care in these patients and performed for significant non-culprit lesions (NCLs) after careful assessment of the individual risk-benefit ratio. However, the optimal timing and the modality for the assessment of NCLs is not fully standardized. This brief review aims to summarise the management of MVD in patients with STEMI and to provide an overview of the principal techniques used to guide revascularisation …

Talking About Weight: Weight Stigma And Information Seeking, Alexandra N. Henrici, Lillian H. Mantel

Student Research Symposium

Guided by the Risk Information Seeking and Processing (RISP) model, this study explores the relationship between fear of discussing weight-related topics, or weight-related communication apprehension and weight bias internalization and tests the inconsistent RISP relationship between risk perception and information insufficiency. It investigates differences in weight-related communication apprehension in those who previously sought weight-related information from interpersonal or mediated sources. Using a survey of 64 undergraduate communication students, the study found that high levels of weight bias internalization correlated with high levels of weight-related communication apprehension. The study did not find a significant difference in weight-related communication apprehension based on …

End-Of-Life Patient Communication: Exploring Comfort, Communication And Education Of Healthcare Professionals For End-Of-Life Care, Madison Gremillion

Undergraduate Honors Theses

Historically, the medical field has viewed death and dying as incurable ‘medical failures,’ and as a result, many healthcare professionals have difficulties when facing a patient who is dying or at the end of their life. These individuals will use avoidant behavior to avoid end-of-life (EOL) patients or can have difficulty providing essential aspects of care including communication, that contribute to building a strong relationship between the healthcare provider and patient. For the healthcare professional (HCP), this can stem from anxiety related to thoughts of death and a lack of educational support or experience. The study of death is where …

Los Intérpretes Médicos Son Un Derecho, No Un Privilegio, Morgan Uesseler

World Languages and Cultures Senior Capstones

This essay explores medical interpretation as a right, not a privilege. It argues that medical interpretation is a vital service that should be required in all healthcare settings, not just in those that are funded by the government. Themes addressed include the difference between interpretation and translation, face-to-face interpretation versus telecommunication, liabilities and risks associated with untrained and uncertified medical interpreters, and the federal law Title VI of the Civil Rights Act of 1964. Challenges experienced during any medical session are underscored, while giving special focus to limited English proficient Hispanic patients whose healthcare literacy is in Spanish, not English.

Investigating The Experiences Of Evangelical Couples Coping With Painful Intercourse During Early Marriage, Arielle L. Leonard Hodges

Communication (PhD) Dissertations

Women who internalize evangelical purity messages face heightened risk for persistent pain or difficulty with penile-vaginal intercourse. Drawing on research in communication, psychology, and sexual medicine, the aim of this multilevel qualitative study is to increase understanding of how evangelical couples communicatively cope with painful intercourse and the memorable messages they believe contribute to their experiences of coping. This study involved conducting qualitative interviews with 20 evangelical married couples (40 total spouses) who currently or recently experienced a wife’s persistent pain during (attempted) penile-vaginal intercourse and 16 female clinicians (pelvic floor physical therapists and mental health professionals) who regularly work …

Beneath The Beauty: A Mixed Method Approach To Examining Identity Negotiation Among Asian Transracial Adoptees, Noel H. Mcguire

Communication (PhD) Dissertations

Making sense of one’s identity is an integral part of the human experience. This study examines identity negotiation and sense-making processes among individuals who have particularly complex identities: Asian transracial adoptees. In the past six decades, more than 280,000 infants and children in Asian countries were abandoned or surrendered to social welfare institutes and were subsequently adopted by American families, making Asian transracial adoptees (ATRAs) a substantial, if frequently overlooked, proportion of the Asian American community. Prior research indicates that identity negotiation is a particularly daunting task for this demographic due to ever-present paradoxical feelings toward their identity, as they …

An Examination Of Missing Person Social Media Engagement Through Data Mining And Experimentation: An Application Of The Crisis And Emergency Risk Communication Model, Cailin M. Kuchenbecker

Communication (PhD) Dissertations

According to the Federal Bureau of Investigation (FBI), approximately 600,000 individuals are reported missing each year in the United States (2022). When missing person cases do not meet alert (e.g., AMBER) criteria, law enforcement often utilize social media to crowdsource information to ultimately return the missing home. Therefore, guided by the crisis and emergency risk communication model (CERC; Reynolds & Seeger, 2005) and its recently clarified propositions (Miller et al., 2021), the purpose of this dissertation was to (a) identify strategies law enforcement use to crowdsource missing person information and (b) experimentally test message characteristics that facilitate prosocial sharing of …

“Vacation, All I Ever Wanted?” A Qualitative Analysis Of Travel Narratives From Interabled Families, Mary Heather Johnson

Electronic Theses and Dissertations

The present study researched and investigated the travel narratives of 13 interabled families through qualitative research methods of thematic and contrapuntal analysis. Participants were parents who have at least one dependent with a disability in their family unit. Theories used to guide this study include narrative theory, family systems theory, and relational dialectics theory. Narrative theory laid the groundwork for understanding how stories function to communicate and construct identity. Family systems theory provided definitions and terms for how to understand dynamics within families. Relational dialectics theory guided the understanding for what tensions are at play for interabled families and how …

The Legitimacy Of The Patient Story: The Unofficial Autoethnography, Kathy Saldana

Patient Experience Journal

While communication is the foundation of patient experience, survey data and comments are the primary source of results. The focus on data, though meaningful, reduces humans to text on reports. With a focus of autoethnography in both her baccalaureate and post-graduate studies, the author, (a fulltime patient experience professional) shares her professional focus on the value of the data and comments, esteeming it all as valuable research given by the only people who can report patient experience – patients. She compares her stance regarding patient experience before and after receiving a diagnosis of breast cancer. The author shares how the …

Grief In The Basic Course, Carly Densmore, Jessica Cherry

Basic Communication Course Annual

In a broad search of the Basic Communication Course Annual, there is little discussion regarding student or instructor grief in the basic course. However, in our own experiences teaching the basic course, student expressions of grief are common. Grief is expected to be hidden or silenced, and is often not welcomed in the classroom (Hurst, 2009). Grief is unique to each individual; we can feel grief over a variety of losses, and there is no one way to cope with grief. Grief is not only an emotional but a physical experience, and it is not “a relinquishing of ties to …

The Emotional Impact Of Sensitive Topics: An Autoethnographic Account Of An Ovarian Cancer Research, Dinah A. Tetteh

The Qualitative Report

Growing evidence suggests that qualitative research about sensitive topics is emotional work with varied unanticipated risks for researchers. This autoethnographic essay adds to the extant literature by discussing the complexities added when the research topic is sensitive, and the researcher has not personally experienced the topic under study. I reflect on and analyze epiphanies in my research with 28 ovarian cancer survivors in northwest Ohio and southern Michigan in the United States, including how I processed the death of some participants. I suggest that practicing active listening, reflexivity, and flexibility can help manage limitations of a research project of this …

The Use Of Figurative Suicidal Language By College Students And Its Impact On Mental Health And Suicide Stigma, Makayla Hooker

Senior Theses

Using suicidal language as a hyperbole in everyday conversation has become common for college students experiencing stress. Previous research analyzed use of suicidal language on social media with the intention of finding the best way to provide help to the individuals expressing true suicidal ideation on social media but found that many people do not literally mean what they are saying when they use suicidal language. It was hypothesized that the frequency with which individuals use suicidal statements figuratively as well as the frequency with which they hear others use these statements would negatively correlate with the level of seriousness …

Telerehabilitation: A Solution For Patients After Hip Fracture?, Alessia Bramanti, Rossella Ciurleo, Carmine Vecchione, Andrea Turolla, Noemi Piramide, Michele Ciccarelli, Erica Piramide, Marina Garofano

Translational Medicine @ UniSa

Hip fracture is the most common cause of hospitalization in frail geriatric subjects due to osteoporosis and recurrent falls. The clinical practice guidelines for rehabilitation after surgery in patients with hip fractures recommend to start treatment early. However, the outbreak of SARS-CoV-2 pandemic between December 2019 and January 2020 forced to lockdown. Thus, telerehabilitation seemed the best solution to remote assistance. In this scenario, the aim of our study is to assess the effects of telerehabilitation and to clarify and rearrange the knowledge about its usability and feasibility in patients after hip fracture in emergency conditions, such as the pandemic …

Promoting Cultural Humility As A Core Value Into Healthcare Professional Practice: Focusing On The Journey And Not The Destination, Archana Vatwani

Internet Journal of Allied Health Sciences and Practice

There is an increase in diversity in our nation, and as such, health care professionals need to have the tools to maximize patient outcomes, considering the breadth of these needs. It is important to improve effectiveness, as health care providers, by increasing cultural awareness and knowledge of cultural humility. The three factors that guide cultural humility include lifelong commitment to self-evaluation, fixing power imbalances, and developing partnerships with people and groups who advocate for others. These aspects may enhance future health care providers’ ability to minimize health care disparities and optimize health care for all patients. In addition, discussions related …

Electronic Nicotine Product (Enp) Graphic Warnings: Association Between Exposure And Changes In Perceived Susceptibility And Severity Of Explosion And Lung Injuries, Erica Harp, Matthew E. Rossheim, Xiaoquan Zhao, Christian Seiter, Ogechikamma C. Emechebe, Eric Soule

Health Behavior Research

Electronic nicotine products (ENPs) are the most prevalent form of tobacco use among U.S. young adults. Research is needed to investigate how to communicate new risks from ENPs to the public. In this study, we tested the comparative persuasiveness of ENP explosion and lung injury graphic warnings. We recruited a sample of 343 young adults (18 to 28 years; 146 male, 197 female), including both ENP users and nonusers, via Amazon Mechanical Turk in October 2020. We randomly assigned participants to one of six exposure conditions: two images of lung injuries with prevalence statistics, two images of battery explosion injuries …

Just Pin It: Understanding The Dynamics Of Pinterest Use, Motivation, Self-Efficacy, And Health Behaviors, Kathryn E. Dolphin, Rachel Char, Summer Rogers

Health Behavior Research

Image-based social media platforms, such as Pinterest, have revolutionized how individuals seek, share, and interpret health information. Previous research suggests a link between consuming social media content and intentions to engage in health behaviors; however, it is unclear if individuals who actively seek health-related information on social media engage in healthier behaviors. This mixed-methods study explored the relationships among Pinterest use, motivations, self-efficacy, and health behaviors. Women participants (n = 227) completed surveys that included sociodemographic characteristics, motivation, self-efficacy, Pinterest use, and diet and exercise behaviors. Independent samples t-tests assessed differences in exercise behaviors, and multivariate analyses of variance …

La Voz Del Autor En El Discurso Médico Y Sus Implicaciones En Ele, David Sanchez-Jimenez

Publications and Research

La demanda de profesionales de la salud que pueden prestar atención lingüísticamente concordante al paciente en contextos multilingües explica el aumento de los cursos de español médico en el currículo de pregrado y posgrado en instituciones universitarias de Estados Unidos en las últimas décadas. El aprendizaje de los estudiantes matriculados en estos cursos requiere el conocimiento de las características retórico-discursivas propias de los principales géneros discursivos que estudian durante su carrera para fines específicos en el campo de la salud los alumnos universitarios de español, cuyo fin último será el de replicarlos eficazmente en su práctica profesional. Por ello, en …

Use Of Mobile Technology To Identify Behavioral Mechanisms Linked To Mental Health Outcomes In Kenya: Protocol For Development And Validation Of A Predictive Model., Willie Njoroge, Rachel Maina, Lukoye Atwoli, Elena Frank, Zhenke Wu, Anthony Ngugi, Srijan Sen, Linda Khakali, Andrew Aballa, James Orwa, Zul Merali

Brain and Mind Institute

Objective: This study proposes to identify and validate weighted sensor stream signatures that predict near-term risk of a major depressive episode and future mood among healthcare workers in Kenya.

Approach: The study will deploy a mobile application (app) platform and use novel data science analytic approaches (Artificial Intelligence and Machine Learning) to identifying predictors of mental health disorders among 500 randomly sampled healthcare workers from five healthcare facilities in Nairobi, Kenya.

Expectation: This study will lay the basis for creating agile and scalable systems for rapid diagnostics that could inform precise interventions for mitigating depression and ensure a healthy, resilient …

The Link Between People's Social Perceptions Of Cultivated Meat Eaters And Their Acceptance Of Cultivated Meat, Xiaoyu Dai, Angela K. Y. Leung, Mark Chong

Research Collection School of Social Sciences

Low consumer acceptance emerges as one important barrier to the introduction of cultivated meat, a novel food which offers an opportunity for more sustainable and ethical meat production. Due to the motives for impression management and self-esteem, one factor that could contribute to people's acceptance of cultivated meat is their perceptions of other individuals who consume cultivated meat. In the current research, two online survey studies with 393 Singaporean undergraduate students and 401 American adults were conducted to explore the perceptions of cultivated meat eaters. In both studies, participants were randomly assigned to read one of three profiles that described …

Sex And Gender In Ageing And Longevity: Highlights From An International Course, Giuseppina Candore, Giulia Accardi, Anna Aiello, Giovannella Baggio, Tiziana Bellini, Vittorio Calabrese, Anna Paola Carreca, Ignazio Carreca, Anna Masucci, Monica Cattaneo, Serena Dato, Danilo Di Bona, Luca Fabris, Caterina Gambino, Gabriele Di Lorenzo, Claudio Franceschi, Mattia Emanuela Ligotti, Maria Cristina Manfrinato, Annibale Alessandro Puca, Martina Tamburello, Roberta Vassallo, Calogero Caruso

Translational Medicine @ UniSa

Gender medicine is a multidisciplinary science and represents an important perspective for pathophysiological and clinical studies in the third millennium. Here, it is provided an overview of the topics discussed in a recent course on the Role of Sex and Gender in Ageing and Longevity. The paper highlights three themes discussed in the course, i.e., the interaction of gender/sex with, i) the pathophysiology of age-related diseases; ii), the role of genetics and epigenetics in ageing and longevity and, iii) the immune responses of older people to pathogens, vaccines, autoantigens, and allergens. Although largely unexplored, sex and gender are modulators …

Two-Year Opioid Prescription Trends In Local Sanitary Agency Naples 3 South, Campania Region, Italy. Descriptive Analyses And Ai-Based Translational Perspectives, Marco Cascella, Maurizio Capuozzo, Francesco Ferrara, Alessandro Ottaiano, Francesco Perri, Francesco Sabbatino, Valeria Conti, Vittorio Santoriello, Alfonso Maria Ponsiglione, Maria Romano, Francesco Amato, Ornella Piazza

Translational Medicine @ UniSa

Aims: This study delves into the two-year opioid prescription trends in the Local Sanitary Agency Naples 3 South, Campania Region, Italy. The research aims to elucidate prescribing patterns, demographics, and dosage categories within a population representing 1.7% of the national total. Perspectives on artificial intelligence research are discussed.

Methods: From the original dataset, spanning from January 2022 to October 2023, we processed multiple variables including demographic data, medications, dosages, drug consumption, and administration routes.

Results: The analysis reveals a conservative approach to opioid therapy. In subjects under the age of 20, prescriptions accounted for 2.1% in 2022 and declined to …

Empowering Spanish Heritage Learners Through A Community Informed, Online Medical Spanish Curriculum, Bonnie C. Holmes Ph.D., Kenneth Rhee Md

11th National Symposium on Spanish as a Heritage Language

The lack of standardized medical Spanish curriculum leads to variable content and quality, often neglecting heritage language learners. Also, community engagement efforts seldom extend to curriculum development. Learn about a collaboration between Spanish faculty and a physician to create an innovative, virtual Spanish for healthcare curriculum that addresses these challenges.

Effectiveness Of Antibiotic Stewardship For Healthcare Providers At Urgent Care Clinics, Helen T. Adewole

Electronic Theses and Dissertations

Antibiotics have revolutionized modern medicine; however, the overuse in urgent care and primary care significantly contributes to the global burden of infections resistant to available antimicrobial medicines. Approximately 30% of the antimicrobials prescribed in acute care settings are unnecessary. Patient demand for antibiotics has seemingly skyrocketed following the recent COVID-19 pandemic. Practitioners must be knowledgeable about antibiotic stewardship initiatives, such as the wait-and-see approach, to reduce antibiotic overuse and improve the trajectory of antibiotic resistance and patient health outcomes. The gap in practice was the limited awareness of scientific evidence-based tools to partner with patients and improve antibiotic prescription patterns. …

Overcoming Communication Challenges: Training Family Medicine Interns Amidst Covid-19, Ny'nika T. Mcfadden, Connie C. Leeper, Catanya G. Stager, Amanda H. Wilkerson

Marshall Journal of Medicine

Introduction

Assessing and addressing possible deficiencies in medical school training is important for residency programs. Due to virtual rotations and low patient volumes, the COVID-19 pandemic disrupted medical students’ opportunities to practice patient communication. Communication skills are essential for medical students and residents. Continuous participation in communication training can increase the self-efficacy of healthcare professionals. Due to the likely impact of COVID-19, we designed and implemented a tailored workshop that focused on increasing 16 incoming family medicine interns’ level of comfort communicating with patients and their families.

Methods

Sixteen incoming family medicine interns participated in the workshop during orientation in …

Allergic Diseases In The Elderly, Gabriele Di Lorenzo, Marcello Melluso, Alessandro Rodolico, Aurelio Seidita

Translational Medicine @ UniSa

Recent increases in allergic diseases are thought to be caused by better hygiene, Westernized diets, air pollution, climate change, and other factors that influence host microbiota, a key player in the induction and maintenance of immunoregulatory circuits and tolerance. The increase of allergic diseases in the elderly is also related to additional factors, such as various comorbidities that may interfere with the development and the type of allergic reactions. Immunosenescence plays a central role in these reactions, altering microbiota responses and triggering inflammageing. In addition, in the elderly, there is a shift from Th1 to Th2 immunity, thus favoring allergic …

Redoxomics In Ageing And Neurodegenerative Disorders: From Bench To Clinics, Vittorio Calabrese, Ursula M. Jacob, Tilman Fritsch, Noemi Osakabe

Translational Medicine @ UniSa

There is no abstract for this article type.

Scale Of Assessment Of Caregiver Care Burden Of People With Dementia: A Systematic Review Of Literature, Veronica Strini, Angela Prendin, Valentina Cerrone, Roberta Schiavolin, Ilaria De Barbieri, Vincenzo Andretta, Luigi Fortino, Biagio Santella, Gianluigi Franci, Mario Capunzo, Giovanni Boccia

Translational Medicine @ UniSa

Cases of dementia have increased significantly in recent years. The family represents the main cornerstone of assistance to the elderly suffering from dementia, in particular the caregiver. Family members who take on the role of caregiver are subjected to physical, psychological, emotional, social and financial stress, which can be conceptualised with the term “burden”. The aim of this study was to investigate which tools are best suited to measure the type of burden based on the type of dementia for each caregiver. A literature search was undertaken in MEDLINE, CINHAL and The Cochrane Database in September 2022, including articles from …