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Symptom Clusters And Quality Of Life Trajectories In Breast Cancer Patients Before And After Chemotherapy, Gaurav Kumar 2018 University of Nebraska Medical Center

Symptom Clusters And Quality Of Life Trajectories In Breast Cancer Patients Before And After Chemotherapy, Gaurav Kumar

Service Learning/Capstone Experience

Context. Breast cancer patients experience multiple concurrent symptoms before and after chemotherapy (CTX). Physical and psychological symptoms may persist after treatment and reduce the quality of life (QOL) of survivors.

Objectives. Identify differences in prevalence and severity of symptoms at three times within 1- year of starting CTX; and identify symptom cluster and QOL trajectories over these times in breast cancer patients.

Methods. Symptoms were identified in breast cancer patients (N=219) before the start of CTX (baseline), 30 days after the last CTX, and 1-year after the first CTX. Hospital Anxiety and Depression Scale and Symptom Experience Scale measured ...


Efficacy Of Technology-Based And In-Person Health Education For Behavior Change In College-Aged Women, Madeline Bremel 2018 College of Saint Benedict/Saint John's University

Efficacy Of Technology-Based And In-Person Health Education For Behavior Change In College-Aged Women, Madeline Bremel

All College Thesis Program, 2016-present

Purpose: The purpose of this study was to determine whether an in-person or technology based bone health intervention improved bone health knowledge and behaviors in college-aged women. Methods: 30 college-aged women were randomly divided into three groups: personal intervention (n = 10), technological intervention (n = 10), and control (n = 10). Both intervention groups received identical information regarding the importance of bone health and the appropriate behaviors for maintaining strong bones including weight-bearing exercise, calcium consumption, and vitamin D consumption. The technology group received the information via an online video, and the personal group via a one-on-one health intervention. Changes in bone ...


Care Transitions From Patient And Caregiver Perspectives, Suzanne E. Mitchell, Vivian Laurens, Gabriela M. Weigel, Karen B. Hirschman, Allison M. Scott, Huong Q. Nguyen, Jessica Martin Howard, Lance Laird, Carol Levine, Terry C. Davis, Brianna Gass, Elizabeth Shaid, Jing Li, Mark V. Williams, Brian W. Jack 2018 Boston Medical Center

Care Transitions From Patient And Caregiver Perspectives, Suzanne E. Mitchell, Vivian Laurens, Gabriela M. Weigel, Karen B. Hirschman, Allison M. Scott, Huong Q. Nguyen, Jessica Martin Howard, Lance Laird, Carol Levine, Terry C. Davis, Brianna Gass, Elizabeth Shaid, Jing Li, Mark V. Williams, Brian W. Jack

Communication Faculty Publications

PURPOSE: Despite concerted actions to streamline care transitions, the journey from hospital to home remains hazardous for patients and caregivers. Remarkably little is known about the patient and caregiver experience during care transitions, the services they need, or the outcomes they value. The aims of this study were to (1) describe patient and caregiver experiences during care transitions and (2) characterize patient and caregiver desired outcomes of care transitions and the health services associated with them.

METHODS: We interviewed 138 patients and 110 family caregivers recruited from 6 health networks across the United States. We conducted 34 homogenous focus groups ...


Participation In Cervical Cancer Screening By Low-Income Women During Affordable Care Act Medicaid Expansion In Pennsylvania: A Policy Analysis, Tonya Y. Miller 2018 Indiana University of Pennsylvania

Participation In Cervical Cancer Screening By Low-Income Women During Affordable Care Act Medicaid Expansion In Pennsylvania: A Policy Analysis, Tonya Y. Miller

Theses and Dissertations (All)

With early detection through regular screening, cervical cancer is one of the most preventable diseases. Yet in the United States, thousands of women die from cervical cancer every year. Many barriers to cervical cancer screenings exist, including lack of insurance coverage for preventive health services. Research shows that insurance coverage for preventive services such as cervical cancer screening is linked to higher participation in recommended screenings. Under the Affordable Care Act, coverage for preventive healthcare screenings became available to millions of low-income women in those states that opted to offer expanded Medicaid.

However, Pennsylvania’s approach to this expanded coverage ...


Mindfulness Matters: The Universal Need For A Healthy Mind, Jennifer L. Blalock 2018 Indiana University of Pennsylvania

Mindfulness Matters: The Universal Need For A Healthy Mind, Jennifer L. Blalock

Theses and Dissertations (All)

Mental illness is prevalent in American society, affecting about 1 in 5 individuals (“Learn About Mental Health”). Addressing trauma is one way of preventing mental illness. The Adverse Childhood Experiences Study by Dr. Vincent Felitti of the Kaiser Permanente Foundation and Dr. Robert Anda of the Center for Disease Control and Prevention, looked at the connection between negative childhood experiences, such as substance abuse in the home, to the most common causes of death manifested in adulthood. Mental health affects physical health, and one of the ways to address the effect of lifetime traumas is to develop coping skills such ...


Understanding The New Blood Pressure Guidelines, Susan H. Davide, Anty Lam 2018 CUNY New York City College of Technology

Understanding The New Blood Pressure Guidelines, Susan H. Davide, Anty Lam

Publications and Research

Oral health professionals who are well versed in the new guidelines will be best prepared to handle the implications on patient care.


Sex Education Among Latino Adolescents, Roxana Tapia 2018 California State University, Monterey Bay

Sex Education Among Latino Adolescents, Roxana Tapia

Capstone Projects and Master's Theses

Adolescents often have little knowledge of the risks of sexual activity or lack sufficient sexual education to understand the consequences of engaging in these activity. As a result, . To aid with the lack of sexual education, I have developed a cultural component to the established sexual education curriculum for the students in health education at Everett Alvarez High School. 22 students took part in this research study. Overall, this research showed to have taught freshman students how much of their knowledge is based around other influences and this presentation improved their knowledge about sex education.


Policy Of Current Hospital Translation Services And Recommendations For Future Adjustments For Spanish-Speaking Patients, Isidora Rose Beach 2018 University of Tennessee, Knoxville

Policy Of Current Hospital Translation Services And Recommendations For Future Adjustments For Spanish-Speaking Patients, Isidora Rose Beach

University of Tennessee Honors Thesis Projects

No abstract provided.


Empower: A Community-Based Approach To Improve Care For Women And Newborns Affected By Perinatal Substance Use Disorder, Linda Jablonski, Susan Marie Halpin 2018 Baystate Health

Empower: A Community-Based Approach To Improve Care For Women And Newborns Affected By Perinatal Substance Use Disorder, Linda Jablonski, Susan Marie Halpin

National Network of Libraries of Medicine New England Region (NNLM NER) Repository

New England has the second highest rate of prenatal opioid exposure in the country. This population of women and children is particularly vulnerable and requires a comprehensive, multidisciplinary approach in order to overcome barriers to care and support good outcomes. This webinar will describe how one rural community collaborated to create a screening, referral and support program called EMPOWER (Engaging Mothers for Positive Outcomes with Early Referrals). Learn how this innovative approach helps support women and improve outcomes by identifying and addressing barriers to care for patients, health care providers and their community.

Learning Objectives

Participants will:

  1. Recognize how prenatal ...


Optimism And Compliance: An Examination Of Disempowering Processes Within Online Patient Communities, Wendi F. Coleman 2018 Minnesota State University, Mankato

Optimism And Compliance: An Examination Of Disempowering Processes Within Online Patient Communities, Wendi F. Coleman

Technical Communication Capstone Course

Patients diagnosed with long-term conditions (LTCs) are now being asked of medical practitioners to take an active role in their own health care as “expert patients.” This trend has accelerated the increase in people with LTCs who are using the internet for both information and social support. A valuable resource to these patients, and of interest to researchers, is a new type of online space: online patient communities (OPCs) created for patients suffering from specific illnesses. In order to better understand potential disempowering processes within OLPs, I follow the research and examine the illness narratives, focusing on their various external ...


Associations Between Media Use, Mental Health, And Risky Sexual Behaviors In Adolescence, Renae A. Merrill 2018 University of Arkansas, Fayetteville

Associations Between Media Use, Mental Health, And Risky Sexual Behaviors In Adolescence, Renae A. Merrill

Theses and Dissertations

Guided by the ecological “technosystem,” researchers examined data from 10,930 adolescents completing the CDC’s 2015 Youth Risk Behavior Surveillance System (YRBSS) looking for associations between television, social media, depressive symptoms, suicidality, and sexual risk behaviors. Regression results indicate media use is an important factor in adolescents’ internalizing and externalizing problems. Social media use was associated with significantly poorer mental health, while hours spent watching television was linked with significantly higher sexual risks. Findings from this research are important for multi-systemic prevention and intervention efforts aimed at promoting adolescent resiliency, particularly among vulnerable youth who are most susceptible to ...


Survey Of Hydration Knowledge And Behavior In Youth Mountain Bike Teams, Natasha Brand 2018 University of Arkansas, Fayetteville

Survey Of Hydration Knowledge And Behavior In Youth Mountain Bike Teams, Natasha Brand

Theses and Dissertations

Many youth sports organizations recognize the importance of educating on hydration practices and awareness, although according to recent research current hydration education is not correlating to effective practices. PURPOSE: The purpose of this study was to assess and describe the hydration knowledge and behavior of student-athletes participating in competitive junior high and high school mountain bike teams, in order to substantiate further research. METHODS: A total of 133 male and female participants, ranging from 11-18 years were surveyed on their hydration knowledge and behavior. All participants were apparently healthy and were active members of a National Interscholastic Cycling Association (NICA ...


The Denison Pequotsepos Nature Center Giving Garden At Coogan Farm: A Practitioner Report On Community Gardens For Health And Regional Food Security, Emma Sutphen 2018 Clark University

The Denison Pequotsepos Nature Center Giving Garden At Coogan Farm: A Practitioner Report On Community Gardens For Health And Regional Food Security, Emma Sutphen

International Development, Community and Environment (IDCE)

The Denison Pequotsepos Nature Center (DPNC) is a community organization that, through its various programming, works to perpetuate a vision of humans as part and parcel of the world. In 2013, when the Nature Center acquired the Coogan Farm property, the organization built a community garden called the Giving Garden to serve surrounding communities, expanding services to the foodservice sector educational programming around sustainable agriculture. DPNC’s partnership with the Robert G. Youngs Family Foundation, United Way of Southeastern Connecticut, and Gemma E. Moran mobile food pantry, forged in 2014, has allowed the garden to minimize area food insecurity through ...


A Comparison Of Health Literacy Measurement Tools For A Sample Of College Students, Oyenike Ilaka 2018 University at Albany, State University of New York

A Comparison Of Health Literacy Measurement Tools For A Sample Of College Students, Oyenike Ilaka

Public Health Undergraduate Program

PURPOSE: Different measurement tools can be used to measure the health literacy of college students, and each measure different aspects of health literacy. The purpose of this thesis is to understand how health literacy assessments vary. Identifying strengths and weaknesses of the different tools may lead to improved studies of the predictors and outcomes of health literacy in college students. METHOD: The data were collected from college students attending a public university in the Northeast region of the United States. A total of 249 participants were recruited by class survey administration and flyer recruitments. With the exception of the Single ...


Developing Certification Exam Questions: More Deliberate Than You May Think, Cheryl (Cheri) L. Marcham, Treasa M. Turnbeaugh, Susan Gould, Joel T. Nader 2018 Embry-Riddle Aeronautical University

Developing Certification Exam Questions: More Deliberate Than You May Think, Cheryl (Cheri) L. Marcham, Treasa M. Turnbeaugh, Susan Gould, Joel T. Nader

Publications

For more than 40 years, the multiple-choice examination has been the standardized assessment tool used in the certification process of OSH professionals (Wright, Turnbeaugh, Weldon, et al., 2015). The use of a multiple-choice exam to award a credential, however, has been criticized by many OSH professionals. This may be primarily due to a perception that relates to their previous academic experience with multiple-choice exams and a misunderstanding of the science behind the development of such exams.

The use of standardized tests clearly ensures a consistent and rapid method of scoring, but the use of such tests is legally defensible only ...


The Influence Of Social Determinants Of Health On High School Students’ Health Literacy, Rebecca Welch 2018 University of Arkansas, Fayetteville

The Influence Of Social Determinants Of Health On High School Students’ Health Literacy, Rebecca Welch

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The broad topic of health literacy has been assessed in a variety of studies. The most extensive research has been completed on how a lack of health literacy contributes to specific disease progressions. However, there is a deficit of research on how general health literacy contributes to overall individual health in high school students. The purpose of this study was to evaluate the health literacy scores of Northwest Arkansas high school students and examine the impact that age, gender, and ethnicity have on their health literacy. Health literacy was assessed using the Health Literacy Questionnaire (HLQ). A cross-sectional research design ...


Infections Not Fought: Antibiotic Resistance In Underserved Communities, Derek Lillestolen 2018 Liberty University

Infections Not Fought: Antibiotic Resistance In Underserved Communities, Derek Lillestolen

Senior Honors Theses

In 1928, the profound effects of penicillin were discovered and antibiotic treatments became extremely popular. Broad-spectrum antibiotics, like tetracyclines, have been since branded as cure-all prescriptions and used profusely in the Western World and abroad. Due to ignorance of specific biochemical mechanisms and the misuse of antibiotics these drugs inadvertently allowed the rise in prevalence of antibiotic resistant strains of certain bacteria as the century progressed. Now, the specific genetic causes and mechanisms of antibiotic resistance are being understood, but the fight against antimicrobial resistance is far from over. In the United States, thousands of fatalities are caused annually by ...


Code Help: Can This Unique State Regulatory Intervention Improve Emergency Department Crowding, Sean S. Michael, John Broach, Kevin A. Kotkowski, David Eric Brush, Gregory A. Volturo, Martin A. Reznek 2018 University of Massachusettts Medical School

Code Help: Can This Unique State Regulatory Intervention Improve Emergency Department Crowding, Sean S. Michael, John Broach, Kevin A. Kotkowski, David Eric Brush, Gregory A. Volturo, Martin A. Reznek

Open Access Articles

Introduction: Emergency department (ED) crowding adversely affects multiple facets of high-quality care. The Commonwealth of Massachusetts mandates specific, hospital action plans to reduce ED boarding via a mechanism termed "Code Help." Because implementation appears inconsistent even when hospital conditions should have triggered its activation, we hypothesized that compliance with the Code Help policy would be associated with reduction in ED boarding time and total ED length of stay (LOS) for admitted patients, compared to patients seen when the Code Help policy was not followed.

Methods: This was a retrospective analysis of data collected from electronic, patient-care, timestamp events and from ...


An Exploration Of Barriers To Health Care Access Among Uninsured Patients: Using The Moderating Effect Of Patients’ Enablement, Enedelia Jessup 2018 Abilene Christian University

An Exploration Of Barriers To Health Care Access Among Uninsured Patients: Using The Moderating Effect Of Patients’ Enablement, Enedelia Jessup

Electronic Theses and Dissertations

ABSTRACT On March 23, 2010, Congress passed the Patient Protection and Affordable Care Act (ACA) to increase value of care, improve clinical outcomes, decrease health care costs, and increase affordability in health care access. The purpose of the study attempts to examine the moderating effects of patient enablement impacting barriers, low socio economic status, and unmet basic needs, toward health care access in uninsured populations post ACA. Only certain aspects of patient enablement in self-management of an individual’s health care goals have been conducted with uninsured populations with barriers toward health care access. The research design was a quantitative ...


Harnessing Social Media To Explore Youth Social Withdrawal In Three Major Cities In China: Cross-Sectional Web Survey, Lucia Lin Liu, Tim MH Li, Alan R. Teo, Takahiro A. Kato, Paul W.C. Wong 2018 The University of Hong Kong

Harnessing Social Media To Explore Youth Social Withdrawal In Three Major Cities In China: Cross-Sectional Web Survey, Lucia Lin Liu, Tim Mh Li, Alan R. Teo, Takahiro A. Kato, Paul W.C. Wong

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Socially withdrawn youth belong to an emerging subgroup of youth who are not in employment, education, or training and who have limited social interaction intention and opportunities. The use of the internet and social media is expected to be an alternative and feasible way to reach this group of young people because of their reclusive nature.

Objective: The aim of this study was to explore the possibility of using various social media platforms to investigate the existence of the phenomenon of youth social withdrawal in 3 major cities in China.

Methods: A cross-sectional open Web survey was conducted from ...


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