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Non-Hispanic Black-White Disparities In Pain And Pain Management Among Newly Admitted Nursing Home Residents With Cancer, Deborah Mack, Jacob N. Hunnicutt, William M. Jesdale, Kate L. Lapane 2018 University of Massachusetts Medical School

Non-Hispanic Black-White Disparities In Pain And Pain Management Among Newly Admitted Nursing Home Residents With Cancer, Deborah Mack, Jacob N. Hunnicutt, William M. Jesdale, Kate L. Lapane

UMass Center for Clinical and Translational Science Supported Publications

Background: Racial disparities in pain management persist across health care settings and likely extend into nursing homes. No recent studies have evaluated racial disparities in pain management among residents with cancer in nursing homes at time of admission.

Methods: Using a cross-sectional study design, we compared reported pain and pain management between non-Hispanic White and non-Hispanic Black newly admitted nursing home residents with cancer (n=342,920) using the de-identified Minimum Data Set version 3.0. Pain management strategies included the use of scheduled analgesics, pro re nata analgesics, and non-pharmacological methods. Presence of pain was based on self-report when ...


Film Screening: What Doesn't Kill Me, LeeAnn Bartolini 2018 Dominican University of California

Film Screening: What Doesn't Kill Me, Leeann Bartolini

Community Engagement Theme

No abstract provided.


Inhibition Of Tnf-Alpha Decreases Microglia Activation In Rats Neonatally Treated With Poly I:C, Heath W. Shelton, Russell W. Brown 2018 East Tennessee State University

Inhibition Of Tnf-Alpha Decreases Microglia Activation In Rats Neonatally Treated With Poly I:C, Heath W. Shelton, Russell W. Brown

Appalachian Student Research Forum

Introduction: Current medical treatment for individuals diagnosed with schizophrenia (SCHZ) primarily relies on the inhibition of the dopamine D2 receptor that has been shown to be supersensitive in these patients. Treatment occurs through the use of antipsychotic medication which leads to a number of debilitating dose-dependent side effects, such as weight gain, agranulocytosis, and seizures. Patients diagnosed with SCHZ have also been shown to have increased inflammation in their central nervous system (CNS), particularly within specific brain regions such as the prefrontal cortex and hippocampus. This is in large part due to the interaction between a pro-inflammatory cytokine called ...


Association Between Alzheimer's Disease And Rural Northeast Tennessee Region Between 2013 And 2015, Sylvester Olubolu Orimaye, Jodi Southerland 2018 East Tennessee State University

Association Between Alzheimer's Disease And Rural Northeast Tennessee Region Between 2013 And 2015, Sylvester Olubolu Orimaye, Jodi Southerland

Appalachian Student Research Forum

Background: Alzheimer’s disease (AD) is a type of Dementia and a neurodegenerative disease that is characterized by the gradual degrading of both memory and cognitive functions. According to the World Health Organization (WHO), the prevalence of AD is increasing globally. Currently, AD is the sixth leading cause of mortality in the United States. As the ageing population increases in the United States, it is possible that AD will move up the ladder in the top cause of mortality. Although the prevalence of AD in most urban parts of developed nations such as the United States is widely known, little ...


Behavioral Correlates For Quitting Opioids Among Opioid-Dependent Pregnant And Non-Pregnant Women Of Childbearing Age In Rural Appalachia, Sindura Kompella, Sylvester Olubolu Orimaye, Nigel Dsouza, Karl Goodkin, Steven Kendell, Susan Wallace, Tracy Willson 2018 East Tennessee State University

Behavioral Correlates For Quitting Opioids Among Opioid-Dependent Pregnant And Non-Pregnant Women Of Childbearing Age In Rural Appalachia, Sindura Kompella, Sylvester Olubolu Orimaye, Nigel Dsouza, Karl Goodkin, Steven Kendell, Susan Wallace, Tracy Willson

Appalachian Student Research Forum

Background: The opioid epidemic is particularly worrisome in the pregnant population, wherein concerns are raised about the health of a mother and her child, resulting in an alarming incidence and prevalence of Neonatal Abstinence Syndrome (NAS). The 2016 National Survey on Drug Use and Health (NSDUH) show the rate of illicit psychoactive substance use among the females aged 12 or older was 15.5% in the past year. Among pregnant women aged 15 to 44, 6.3% were illicit psychoactive substance users. In Tennessee, the number of hospital discharged NAS cases from 2002 to 2013 increased from 1.50 to ...


Pasrr: A Unique Gateway To Community Services, Jessica Carpenter 2018 University of Massachusetts Medical School

Pasrr: A Unique Gateway To Community Services, Jessica Carpenter

Commonwealth Medicine Publications

The Omnibus Budget Reconciliation Act of 1987 required state Medicaid programs to implement a Pre-Admission Screening and Resident Review (PASRR) process, which required every person entering or residing in a Medicaid funded or certified long-term care nursing facility be screened for evidence of serious mental illness, and/or intellectual disability, developmental disability or related conditions, such as autism and cerebral palsy. The PASRR review confirms those individuals with a PASRR-related diagnosis and determines the least restrictive environment to meet their needs, and identifies disability focused services to promote the individuals’ highest level of function and independence.


"My Bitterness Is Deeper Than The Ocean": Understanding Internalized Stigma From The Perspectives Of Persons With Schizophrenia And Their Family Caregivers., Yin-Ling Irene Wong, Dexia Kong, Lufei Tu, Rosemary Frasso PhD, MSc, CPH 2018 University of Pennsylvania

"My Bitterness Is Deeper Than The Ocean": Understanding Internalized Stigma From The Perspectives Of Persons With Schizophrenia And Their Family Caregivers., Yin-Ling Irene Wong, Dexia Kong, Lufei Tu, Rosemary Frasso Phd, Msc, Cph

College of Population Health Faculty Papers

Background: It is estimated that 8 million of the Chinese adult population had a diagnosis of schizophrenia. Stigma associated with mental illness, which is pervasive in the Chinese cultural context, impacts both persons with schizophrenia and their family caregivers. However, a review of the literature found a dearth of research that explored internalized stigma from the perspectives of both patients and their caregivers.

Methods: We integrated data from standardized scales and narratives from semi-structured interviews obtained from eight family-dyads. Interview narratives about stigma were analyzed using directed content analysis and compared with responses from Chinese versions of the Internalized Stigma ...


Rhythmic Movements And Feeling States, Melanie Johnson 2018 Lesley University

Rhythmic Movements And Feeling States, Melanie Johnson

Expressive Therapies Dissertations

This study was conducted to test the validity of a theoretical framework in developmental psychology of body movement analysis, the Kestenberg Movement Profile (KMP). Motor patterns associated with needs and foundations for affect expression, the tension flow rhythms (TFRs), were examined. Recent research examined the validity of the TFRs in nonclinical adults and found preliminary support for some of the KMP’s assumptions associating smooth (indulging) rhythms with indulgent affects and sharp (fighting) movements with assertive or aggressive affects. This study aimed to test the TFRs associated with the first two years of development—the sucking, biting, twisting, and strain ...


An Evolving Understanding Of A Spectrum “Disorder”, Samuel C. Eads 2018 DePauw University

An Evolving Understanding Of A Spectrum “Disorder”, Samuel C. Eads

Student research

The 2013 publication of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) affected millions of people. Individuals who had previously received a diagnosis of Asperger’s syndrome (AS), or any other pervasive developmental disorder (PDD) with the exception of Rett syndrome (RTT)1, suddenly found themselves placed on the autism spectrum. While some individuals with PDDs viewed this diagnostic change as beneficial, others felt that they had been stripped of a part of their identity. By merging several disorders, the DSM created the “umbrella diagnosis” of autism spectrum disorder (ASD), which features an incredibly varied etiology and ...


Partidarios De La Vida: Resiliencia En Los Afectados Directos De La Dictadura En Arica, Chile / Supporters Of Life: Resilience In The Direct Victims Of The Dictatorship In Arica, Chile, Danielle Levinson 2018 SIT Study Abroad

Partidarios De La Vida: Resiliencia En Los Afectados Directos De La Dictadura En Arica, Chile / Supporters Of Life: Resilience In The Direct Victims Of The Dictatorship In Arica, Chile, Danielle Levinson

Independent Study Project (ISP) Collection

The present study is a qualitative analysis of resilience mechanisms in inhabitants of the city of Arica, Chile who participated actively in the resistance against the Pinochet dictatorship. Through one-on-one interviews with members of this population and the coordinator/social assistant of the Arican branch of the Chilean government’s reparation program (PRAIS), this project was able to corroborate the existence of the following four categories of resilience mechanisms, which are identified in a technical standard published by the Chilean Under-Secretariat of Health: individual, family, social network, and values and ideology. However, it was revealed that this model should be ...


What Happens After Treatment: Improving Quality Of Life In Adolescents And Young Adults, Nichole Smith 2018 DePauw University

What Happens After Treatment: Improving Quality Of Life In Adolescents And Young Adults, Nichole Smith

Student research

More children and adolescents are surviving a cancer diagnosis now than ever before, but with these encouraging survival rates come the need for improved survivorship care. As a result of treatment, AYA are suffering from physical setbacks such as issues with weight management and fertility (Nightingale, 2011), and psychosocial setbacks such as PTSS, anxiety, and depression (Butler, Rizzi, Hardwerger, 1999). These factors may contributed to the fact that adolescents and young adults (AYA) often report lower QOL than their healthy counterparts (Russell, Hudson, Long, Phipps, 2006), which highlights the need for interventions that address the unmet needs and QOL of ...


Stress Of Infertility: Can The Couple Cope?, Faiza Alam, Taseer Ahmed Khan, Rehana Rehman 2018 Karachi University

Stress Of Infertility: Can The Couple Cope?, Faiza Alam, Taseer Ahmed Khan, Rehana Rehman

Department of Biological & Biomedical Sciences

No abstract provided.


Promoting Critical Thinking Through Service Learning: A Home-Visiting Case Study, Cynthia G. Campbell, Brianna R. Oswald 2018 Boise State University

Promoting Critical Thinking Through Service Learning: A Home-Visiting Case Study, Cynthia G. Campbell, Brianna R. Oswald

Psychological Sciences Faculty Publications and Presentations

As stated in APA Learning Outcomes 2 and 3, two central goals of higher education instruction are promoting students’ critical thinking skills and connecting student learning to real-life applications. To meet these goals, a community-based service-learning experience was designed using task value, interpersonal accountability, cognitive dissonance, and guided reflection, and was implemented to motivate and promote students’ critical thinking skills in a human development psychology course. Students in this course served as home visitors or support-group facilitators to vulnerable families and reflected on their experiences in class assignments. Qualitative evidence from class discussions and journal entries, and quantitative data from ...


Practice Standards For Initial Adhd Assessment: A Review, Lauren Spencer 2018 Western Kentucky University

Practice Standards For Initial Adhd Assessment: A Review, Lauren Spencer

Masters Theses & Specialist Projects

There are many challenges that come with diagnosing attentiondeficit/ hyperactivity disorder (ADHD), including shared symptoms with many similar disorders, high comorbidity of other mental disorders, and subjective bias from informant reports. Three clinical guidelines for diagnosing ADHD currently exist, published by the American Academy of Pediatrics (AAP), the National Institute for Health and Care Excellence (NICE), and the American Academy of Child and Adolescent Psychiatry (AACAP). However, these guidelines are outdated as they are based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) and do not include more recent research. This project was intended to update ...


Mental Health And Resource Utilization Among Underrepresented Students Transitioning To College, Yoojin Kook 2018 College of William and Mary

Mental Health And Resource Utilization Among Underrepresented Students Transitioning To College, Yoojin Kook

Undergraduate Honors Theses

Underrepresented college students – including first-generation college students, students from lower-income backgrounds, and minority students – have lower rates of college completion (Fitzgerald & Delaney, 2002; Engle & Tinto, 2008; Choy, 2001). One set of factors that could play an important role in lower rates of college persistence for these students might involve higher rates of emotional distress, coupled with greater barriers to utilizing mental healthcare resources on campus (Andrews & Wilding, 2004; Eisenberg, Golberstein, & Hunt, 2009). The current study followed 59 underrepresented students (UR; 53 racial/ethnic minority; 12 immigrants; 20 first-generation; 23 low-income) and 62 non-underrepresented students (NR) during their first semester at a medium-sized, public southeastern university to compare rates of mental health problems, as well as stigma ...


Relationship Between Injury And Spirituality In Pilgrims On The Camino De Santiago, Katelyn Rennyson 2018 College of William and Mary

Relationship Between Injury And Spirituality In Pilgrims On The Camino De Santiago, Katelyn Rennyson

Undergraduate Honors Theses

The purpose of this research was to determine whether there is a relationship between spirituality and the likelihood of injury and the impact of that injury on pilgrims walking along the Camino de Santiago. The Camino de Santiago is an ancient, 791 km Christian pilgrimage route along the north of Spain from the French Pyrenees to Santiago de Compostela in Galicia, Spain. A total of 418 participants aged 18-80 were recruited along the Camino, and through social media, from May 15 to August 20, 2017. Participants on the walk completed a ten minute survey with questions pertaining to general demographics ...


The Mind-Body Problem; Three Equations And One Solution Represented By Immaterial-Material Data, Ion G. Motofei, David L. Rowland 2018 Carol Davila University of Medicine and Pharmacy, Faculty of General Medicine

The Mind-Body Problem; Three Equations And One Solution Represented By Immaterial-Material Data, Ion G. Motofei, David L. Rowland

Journal of Mind and Medical Sciences

Human life occurs within a complex bio-psycho-social milieu, a heterogeneous system that is integrated by multiple bidirectional interrelations existing between the abstract-intangible ideas and physical-chemical support of environment. The mind is thus placed between the abstract ideas/ concepts and neurobiological brain that is further connected to environment. In other words, the mind acts as an interface between the immaterial (abstract/ intangible) data and material (biological) support. The science is unable to conceives and explains an interaction between the immaterial and material domains (to understand nature of the mind), this question generating in literature the mind-body problem. We have published in ...


An Intermodal Approach To Identity Formation And Empowerment In The Latina Community, Amanda Bravo 2018 Lesley University

An Intermodal Approach To Identity Formation And Empowerment In The Latina Community, Amanda Bravo

Lesley University Community of Scholars Day

For many in the Latinx community, the question of “Who am I?” depends heavily on your skin color, your gender, your hair texture, your accent, and other factors that distinguish you as non-caucasian, rather than on how many languages you speak, how well you can dance, your passion, or how deeply you love. Identity reflections are at the core of self-esteem and empowerment and can take place in a variety of settings, but unfortunately, many of these settings are tailored to the majority group as well as the individual running the exploration, leaving many Latinx individuals left out.This workshop ...


̶T̶H̶E̶ ̶ A Possibility For Light, Daniel Burmester 2018 Lesley University

̶T̶H̶E̶ ̶ A Possibility For Light, Daniel Burmester

Lesley University Community of Scholars Day

How can an educator help young people feel a reverence for and connection with the world? I asked myself this three years ago as I began thinking about how, as an educator, I could better the world. I believe that harmful action on our world can occur when reverence for and connection with it erodes or has never given a chance to flourish. Researchers in cognitive psychology have suggested that experiencing the emotion awe allows people to feel greater connections with elements of our world. (Keltner, 2016; Shiota, Keltner, & Mossman, 2007) My work at Lesley focuses on the emotion awe ...


Prevalence And Correlates Of Depression And Alcohol Use Disorder Among Adults Attending Primary Health Care Services In Nepal: A Cross Sectional Study., Nagendra P Luitel, Emily C Baron, Brandon A Kohrt, Ivan H Komproe, Mark J D Jordans 2018 George Washington University

Prevalence And Correlates Of Depression And Alcohol Use Disorder Among Adults Attending Primary Health Care Services In Nepal: A Cross Sectional Study., Nagendra P Luitel, Emily C Baron, Brandon A Kohrt, Ivan H Komproe, Mark J D Jordans

Psychiatry and Behavioral Sciences Faculty Publications

BACKGROUND: Although depression and alcohol use disorder (AUD) are expected to be common among patients presenting to primary health care setting, there is limited research on prevalence of depression and AUD among people attending primary health care services in low-income countries. The aim of this study was to assess the prevalence of depression and AUD among adults attending primary care facilities in Nepal and explore factors associated with depression and AUD.

METHODS: We conducted a population-based cross-sectional health facility survey with 1474 adults attending 10 primary healthcare facilities in Chitwan district, Nepal. The prevalence of depression and AUD was assessed ...


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