Social and Behavioral Sciences Commons^™

Employer Perceptions Of Addiction Recovery And Hiring Decisions, Haley Henderson, Valerie Hoots, Joseph Barnet, Andrea D. Clements

ETSU Faculty Works

Abstract Addiction to drugs and alcohol is a widespread, and ever-growing problem in American society today. Individuals who undergo treatment for their addiction often find it difficult to gain employment due to employers' negative perceptions of addiction. Previous research has found that many employers have a stigma of those in addiction recovery. However, little research has been done to determine if these stigmas affect hiring decisions. Drug and alcohol misuse are prominent in the Appalachian area, which presents an issue for employers in the area who maintain a drug-free work place or who have a stigma of those in addiction …

Identifying Intimate Partner Violence: A Review Of Three Measures For Implementation In Primary Care Settings, Matthew W. Henninger, Andrea D. Clements

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No abstract provided.

Psychosocial Well-Being And Efforts To Quit Smoking In Pregnant Women Of South-Central Appalachia, Brittney Stubbs, Valerie Hoots, Andrea D. Clements, Beth Bailey

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Introduction: Psychosocial well-being variables from the Tennessee Intervention for Pregnant Smokers (TIPS) study, a longitudinal smoking cessation study in South-Central Appalachia, were investigated as potential predictors of smoking status.

Methods: A sample of 1031 pregnant women participated in an expanded 5A's (Ask, Advise, Assess, Assist, Arrange) program, from 2008 to 2011. Measures of stress, self-esteem, depressive symptoms, and disordered eating collected by interview during the first trimester, or during the third trimester in a combined interview if participants began prenatal care late, were hypothesized to differ among three groups of participants: pregnant women who never smoked, pregnant women who smoked …

Lovie: The Story Of A Southern Midwife And An Unlikely Friendship By Lisa Yarger (Review), Rebecca Adkins Fletcher

ETSU Faculty Works

No abstract provided.

Addressing Intimate Partner Violence: Development Of A Trauma Informed Workforce, Andrea D. Clements, Becky Haas, Randi G. Bastian, Natalie Cyphers

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Abstract available through the Annals of Behavioral Medicine.

The Relationship Between Breastfeeding Practices And Postpartum Depressive Symptoms In Appalachian Women, Rose Stephens, Andrea D. Clements, Valerie M. Hoots, Beth A. Bailey

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

The Surrender To God Scale: Psychometric Validation And Psychological Correlates, Kelley Pugh, Andrea D. Clements, Jameson K. Hirsch

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(1) Surrender to God (STG), is a construct which quantifies the extent to which an individual willingly relinquishes control to God. (2) An STG scale has been developed, yet remains unvalidated, as it relates to psychological constructs. (3) Utilizing undergraduate participants (N=249), we conducted a psychometric validation of the STG scale, and examined its potential relation with depression, anxiety, stress, and suicide risk

Fronto-Temporal Dementia, Diabetes Mellitus And Excessive Eating, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen

ETSU Faculty Works

Diabetes mellitus is common among older people. Hypoglycemia is a sign of poorly controlled diabetes mellitus and may lead to irritability, agitation, anxiety, hunger, and an excessive food intake, which in turn may make the control of diabetes more difficult. Excessive, inappropriate food intake is also a sign of Fronto-Temporal Dementia (behavioral variant: bvFTD). In this case study, we describe the events leading to an altercation that developed between an older diabetic patient with bvFTD and the staff in an Assisted Living Facility. His first dose of insulin was given early that morning while he was still asleep. He, subsequently, …

Visual Hallucinations And Paranoid Delusions, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen, J. Culp

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Visual well-formed hallucinations, fluctuations in the level of cognition, and alertness and extrapyramidal signs are core features of dementia with Lewy bodies. Some patients realize that what they are seeing or hearing are just hallucinations and learn to accept them. Others, however experience these hallucinations as quite real and cannot be dissuaded from the firm belief that they are. In fact, efforts to dissuade them often serve only to confirm the often associated paranoid delusions and this may lead to a catastrophic ending. Hence, it is best not to contradict the patient. Instead, attempts should be made to distract the …

Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

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Insomnia is a common problem in older people, especially in patients with mild cognitive impairment (MCI) whose circadian rhythm is often compromised. Insomnia exerts such a toll on caregivers that it is frequently the primary reason for seeking to institutionalize their loved ones. Three different types of insomnia are recognized: sleep-onset or initial insomnia, sleep maintenance or middle insomnia, and early morning awakening or late insomnia. Nocturnal hypoglycemia, as a cause of middle insomnia, is the main focus of this case study. Other types of insomnia are also briefly reviewed. The management of insomnia is then discussed including sleep hygiene, …

Impulsive, Disinhibited Behavior—Dining In A Restaurant, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen

ETSU Faculty Works

Dining in a restaurant with a loved one who has dementia can be an ordeal, especially if the expectations of the caregiver do not match those of the patient and the restaurant environment is not suitable for patients with dementia. The size of the dining area, lighting, background music or noise, décor of the room, number of customers, variety of the items on the menu, number of plates and cutlery on the table, in addition to flowers, candles, and other decorations on the table are all potent distractors. There are so many stimuli; the patient can be overwhelmed with information …

Repetitive Questioning Ii, Ronald C. Hamdy, Amber Kinser, A. Depelteau, J. V. Lewis, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

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Repetitive questioning is a major problem for caregivers, particularly taxing if they are unable to recognize and understand the reasons why their loved one keeps asking the same question over and over again. Caregivers may be tempted to believe that the patient does not even try to remember the answer given or is just getting obnoxious. This is incorrect. Repetitive questioning is due to the underlying disease: The patient’s short term memory is impaired and he is unable to register, encode, retain and retrieve the answer. If he is concerned about a particular topic, he will keep asking the same …

Agnosia Interferes With Daily Hygiene In Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Jennifer E. Culp, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

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Patients with dementia, particularly Alzheimer’s disease, may not recognize that their clothes are dirty. They may see the food stains and discoloration of the clothes and yet because of their agnosia are unable to integrate these observations and deduce that their clothes are dirty and need to be changed. They will, therefore, resist attempts to get them to change clothes, especially if these clothes happen to be their favorite ones. This often causes caregivers to become frustrated, especially, if it represents a change in the patient’s previous habits of only wearing clean clothes. In this case study, we present a …

Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp

ETSU Faculty Works

Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the …

Repetitive Questioning Exasperates Caregivers, Ronald C. Hamdy, J. V. Lewis, Rebecca Copeland, Audrey Depelteau, Amber Kinser, Tracey Kendall-Wilson, Kathleen Whalen

ETSU Faculty Works

Repetitive questioning is due to an impaired episodic memory and is a frequent, often presenting, problem in patients with Alzheimer’s disease (amnestic type). It is due to the patients’ difficulties learning new information, retaining it, and recalling it, and is often aggravated by a poor attention span and easy distractibility. A number of factors may trigger and maintain repetitive questioning. Caregivers should try to identify and address these triggers. In the case discussion presented, it is due to the patient’s concerns about her and her family’s safety triggered by watching a particularly violent movie aired on TV. What went wrong …

Big Mama And The Uncertain Leap, Kelly A. Dorgan

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Excerpt:I live in a place that evokes fear, a place deformed by layers and layers of pulse-racing images, of intoxicating whiskey-dark stories.

Taking Care, Kelly A. Dorgan

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Excerpt: It’s July 26, 2010, late. I’ve sunk onto the edge of the bed in my childhood home. The bedroom reminds me of one of those cozy, pretty Valentine’s Day shoeboxes I made back in elementary school: small, pink, white, flowery.

The Truth About The Surrender Of My Foster Child, Kelly A. Dorgan

ETSU Faculty Works

Excerpt: My best efforts at parenting weren’t enough to make him stay. My son no longer wanted to call me “Mom.”

Physician Role In Physical Activity For African-American Males Undergoing Radical Prostatectomy For Prostate Cancer, Faustine Williams, Kellie R. Imm, Graham A. Colditz, Ashley J. Housten, Lin Yang, Keon L. Gilbert, Bettina F. Drake

ETSU Faculty Works

Purpose

Physical activity is recognized as a complementary therapy to improve physical and physiological functions among prostate cancer survivors. Little is known about communication between health providers and African-American prostate cancer patients, a high risk population, regarding the health benefits of regular physical activity on their prognosis and recovery. This study explores African-American prostate cancer survivors’ experiences with physical activity prescription from their physicians.

Methods

Three focus group interviews were conducted with 12 African-American prostate cancer survivors in May 2014 in St. Louis, MO. Participants’ ages ranged from 49 to 79 years, had completed radical prostatectomy, and their time out …

Patients With Dementia Are Easily Distracted, Ronald C. Hamdy, Amber Kinser, Audrey Depelteau, Tracey Kendall-Wilson, J. V. Lewis, Kathleen Whalen

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Mild cognitive impairment (MCI) is the middle ground between normal, age-appropriate memory impairment, and dementia. Whereas patients with MCI are able to cope with the memory deficit, those with dementia are not: Their memory impairment and other cognitive deficits are of sufficient magnitude to interfere with the patients’ ability to cope independently with daily activities. In both MCI and dementia, there is evidence of declining cognitive functions from a previously higher level of functioning. In both the conditions, there is also an evidence of dysfunction in one or more cognitive domains. There are two subtypes of MCI depending on whether …

Too Many Choices Confuse Patients With Dementia, Ronald C. Hamdy, J. V. Lewis, Amber Kinser, Audrey Depelteau, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

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Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.

The Relationship Between Religiosity And Health-Promoting Behaviors In Pregnant Women, Natalie A. Cyphers, Andrea D. Clements, Glenda Lindseth

ETSU Faculty Works

Pender’s health promotion model guided this descriptive/correlational study exploring the relationship between religiosity and health-promoting behaviors of pregnant women at Pregnancy Resource Centers (PRCs). A consecutive sample included women who knew they were pregnant at least 2 months, could read/write English, and visited PRCs in eastern Pennsylvania. Participants completed self-report surveys that examined religiosity, demographics, pregnancy-related variables, services received at PRCs, and health-promoting behaviors. Women reported they “sometimes” or “often” engaged in health-promoting behaviors, Hispanic women reported fewer health-promoting behaviors than non-Hispanic women, and women who attended classes at the centers reported more frequent health-promoting behaviors than those who did …

Geographical Location And Stage Of Breast Cancer Diagnosis: A Systematic Review Of The Literature, Faustine Williams, Aimee S. James, Stephen Jeanetta

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Objective: To examine systematically the literature on the effect of geographical location variation on breast cancer stage at diagnosis, race/ethnicity, and socioeconomic status.

Methods. Eight electronic databases were searched using combination of key words. Of the 312 articles retrieved from the search, 36 studies from 12 countries were considered eligible for inclusion.

Results. This review identified 17 (47%) of 36 studies in which breast cancer patients residing in geographically remote/rural areas had more late-stage diagnosis than urban women. Ten (28%) studies reported higher proportions of women diagnosed with breast cancer resided in urban than rural counties. Nine …

Abu Muhammad Al-Adnani’S May 21, 2016 Speech: More Evidence For Extreme Marginalization, Implosion, And The Islamic State Organization’S Certain Future As A Hunted Underground Ultra-Takfiri Terrorist Criminal Entity, Paul Kamolnick

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Excerpt: On May 21, 2016 a 31-minute audio file by Islamic State Organization (ISO) chief spokesman Abu Muhammad al-Adnani (real name: Taha Sobhi Falaha) was uploaded by the ISO’s Al Furqan Media outlet onto the internet.

Church Attendance And Intrinsic Religiosity Predict A Lower Likelihood Of Hypertension In 18 To 60 Year Olds, Andrea D. Clements, Natalie Cyphers

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

The Relationship Between Religiosity And Health-Promoting Behaviors In Pregnant Women At Pregnancy Resource Centers, Natalie Cyphers, Andrea D. Clements, Jody L. Ralph

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

The Mysterious Case Of The Islamic State Organization (Iso) Smiling Martyr--Solved, Paul Kamolnick

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Excerpt: For a mere Muslim mortal, Allah’s granting of martyrdom (Shahada) is the pinnacle of spiritual achievement. The martyr (Shahid) is granted unique privileges among which are the right to bypass the moral interrogation meted out to determine after death whether one is spiritually fit; the complete freedom from all anguish, pain, and suffering caused by one’s wounds as one immediately traverses into the highest of seven heavens; the right to intercede and request divine favors on behalf of seventy of one’s loved one’s; the enjoyment of exclusive sexual privileges with seventy-two virgins; and finally, …

On Self-Declared Caliph Ibrahim’S December 2015 Speech: Further Evidence For Critical Vulnerabilities In The Crumbling Caliphate, Paul Kamolnick

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Excerpt: On December 26, 2015 a 24-minute audio message was released by the Islamic State Organization’s (ISO) official media arm al-Furqan.

Addressing Racial Disparities In Breast Cancer Treatment Delays: An Application Of Group Model Building (Gmb), Faustine Williams, Nancy Zoellner, Maisha Flannel, L. Noel, J. Habif, P. Hovmand, Sarah Gehlert

ETSU Faculty Works

No abstract provided.

Baghdadi’S Bunker: Five Essential Tasks For Which The World Should Now Prepare, Paul Kamolnick

ETSU Faculty Works

Excerpt: The Islamic State Organization (ISO) will be defeated. That defeat will occur sooner rather than later. The nature of this terrorist organization suggests that preparations should now be made to minimize the carnage, loss of irreplaceable life, and cultural treasures that may without sufficient preparation accompany the final days and aftermath of ISO.