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A Case Study Of Factors That Influence The Implementation Of Full Spectrum Contraceptive Care In A University Student Health Center, CECILE DAHLQUIST 2020 California State University, San Bernardino

A Case Study Of Factors That Influence The Implementation Of Full Spectrum Contraceptive Care In A University Student Health Center, Cecile Dahlquist

Electronic Theses, Projects, and Dissertations

Large, prospective cohort studies such as The Contraceptive Choice Project have been conducted regarding safety, efficacy, satisfaction, and usage of Long-Acting Reversible Contraception (LARC) such as the Contraceptive Implant (Nexplanon) and Intrauterine Contraception (Winner, Peipert, Zhao, Buckel, Madden, Allsworth & Secura (2012). Despite these findings, access and financial barriers remain for many women, and less than 7 percent of women utilize the most effective methods of contraception in the United States (Winner et al., 2012). Barriers to effective LARC methods exist at a higher rate with our young, poor, and non-white marginalized populations (Finer & Zolna, 2016).

Unplanned pregnancies have a significant ...


Black Women Survive Breast Cancer With Community-Based Care, Shelley I. White-Means, Jill Dapremont, Barbara D. Davis, Tronlyn Thompson 2020 University of Tennessee Health Science Center

Black Women Survive Breast Cancer With Community-Based Care, Shelley I. White-Means, Jill Dapremont, Barbara D. Davis, Tronlyn Thompson

Faculty Presentations

PURPOSE Community-based breast cancer support agencies who address non-medical, social determinants of health needs that serve as barriers to maximizing breast health outcomes may play a vital role in mitigating breast cancer mortality. They share a common emphasis on addressing social, economic, and psychological needs of breast cancer survivors and those at risk of breast cancer. This paper is third in a series of papers exploring why the rate of breast cancer mortality is two times higher for African American women than white women in Memphis. We sought insights from community-based breast cancer support agencies because they have a close-up ...


La Maestra’S Circle Of Care: Studying The Impact Of An Integrated Service Model On The Health And Well-Being Of Vulnerable Populations, Zara Marselian 2020 University of San Diego

La Maestra’S Circle Of Care: Studying The Impact Of An Integrated Service Model On The Health And Well-Being Of Vulnerable Populations, Zara Marselian

Dissertations

ABSTRACT

There is an urgent need to reform the health care delivery system in the United States, as recognized through current bipartisan efforts. Society’s vulnerable populations especially need health care reform as health care outcomes are the poorest among disadvantaged populations. Moreover, vulnerable populations are twice as likely to develop chronic diseases than the general population and they remain ill due to other contextual, societal factors affecting their ability to achieve health and well-being. This population is subjected to adverse life events that suggest a more comprehensive approach to health and well-being is called for.

The Circle of Care ...


Black Pregnancy Matters: Racial Reproductive Bias In African American Maternal Mortality, Juhi Khemani 2020 The University of San Francisco

Black Pregnancy Matters: Racial Reproductive Bias In African American Maternal Mortality, Juhi Khemani

Master's Projects and Capstones

This semester-long research project uncovers how racial biases demonstrated in the reproductive health field, and specifically before, during, and after childbirth, affect the rate of maternal mortality and morbidity for African American mothers in the United States. The rate of maternal mortality for this specific racial group is four times greater as compared to Caucasian women and this discrepancy will be investigated and analyzed throughout this capstone thesis. Interviews were conducted with key figures in the obstetric and gynecological field as well as with Black mothers themselves in an effort to uncover what factors, aside from medical anomalies, are leading ...


Socioeconomic Status And Symptoms Of Anxiety And Depression In Pregnant Women, Meagan Mandabach 2020 University of Mississippi

Socioeconomic Status And Symptoms Of Anxiety And Depression In Pregnant Women, Meagan Mandabach

Honors Theses

Pregnancy is a period of great change in a woman’s body as her baby develops. During this period, women commonly experience symptoms of anxiety (Dennis et al., 2017) and depression (Shidhaye & Giri, 2014). Literature has suggested that socioeconomic status (SES) can contribute to the severity at which pregnant women experience anxiety and depression (Arora & Aeri, 2019; Field et al., 2008; Shagufta & Shams, 2019), and women of low socioeconomic status may be more likely to experience symptoms of anxiety and depression during pregnancy (Field et al., 2008). The present study aimed to assess the relationships between household income and experience of anxiety and depression symptoms, in pregnant women in Mississippi. Specifically, it was hypothesized that lower SES would be associated with increased experience of anxiety and depressive symptoms. Participants included 557 pregnant women (77.4% white; Mage = 28.42) recruited at an OBGYN clinic in north Mississippi. Demographics questionnaire and several self-report measures including the Depression Anxiety Stress Scale-21 (DASS-21; Lovibond & Lovibond, 1995) and the Edinburgh Postnatal Depression Scale (EPDS; Cox, Holden, Sagovsky, 1987) were completed. Results demonstrated that symptoms of anxiety measured by the DASS-21 were significantly higher in pregnant women earning less than $10,000 per year than all other income brackets (with the exception ...


An Examination Of The Association Between State Medicaid Perinatal Services And Birth Outcomes, Joy Morgan Myers 2020 University of Mississippi

An Examination Of The Association Between State Medicaid Perinatal Services And Birth Outcomes, Joy Morgan Myers

Honors Theses

This thesis investigated the connection between socioeconomic status, healthcare coverage, and birth outcomes. The research question that was posed specifically looked at twenty perinatal services that states covered under Medicaid to varying degrees to see their association, if any, with premature birth rates and low birthweight rates. State-level and Mississippi county-level data were compiled regarding preterm birth rates, low birthweight rates, presumptive eligibility adoption, and coverage of twenty different perinatal services. Using these data, the correlation between state Medicaid expansion status and birth outcomes was first calculated in order to determine if variation in birth outcomes was associated with expanded ...


“Disbelieving Black Women To Death”; The “Double Jeopardy”: Racism And Sexism Affects Black Women’S Access To And Quality Of Care During Pregnancy, Birth, And Postpartum, Madeline St. Clair 2020 University of Nebraska at Omaha

“Disbelieving Black Women To Death”; The “Double Jeopardy”: Racism And Sexism Affects Black Women’S Access To And Quality Of Care During Pregnancy, Birth, And Postpartum, Madeline St. Clair

Theses/Capstones/Creative Projects

This paper explores possible reasons why Black women in the United States experience a higher maternal mortality rate than their white counterparts. Using books, articles, journals, documentaries, personal experiences and stories of Black women and mothers, I argue that barriers from the societal to the individual level create health and medical disparities for Black mothers in pregnancy, during delivery, and the postpartum period. The paper concludes with a multifaceted solution and call to action.


You're Not Forgotten: Effects Of Screening For Postpartum Depression Within A Pediatric Setting, Marrisa S. Culver 2020 Valparaiso University

You're Not Forgotten: Effects Of Screening For Postpartum Depression Within A Pediatric Setting, Marrisa S. Culver

Evidence-Based Practice Project Reports

Postpartum depression (PPD) is depression that occurs in women following childbirth occurring during the postpartum period and affects 1 in 7 women (The United States Preventive Services Task Force, 2019). The American Academy of Pediatrics [AAP] (2019), recommends that pediatric healthcare providers utilize their position to screen for PPD. The purpose of this evidence-based practice (EBP) project was to implement a PPD screening intervention within a pediatric healthcare setting using the Edinburgh Postnatal Depression Scale (EPDS). The Academic Center for Evidence-Based (ACE) Practice Star Model guided this EBP project with evidence-based interventions developed after a comprehensive literature search. Implementation of ...


Reflection And Literature Review On Loving Choices Pregnancy Center Internship, Madison Stave 2020 University of Arkansas, Fayetteville

Reflection And Literature Review On Loving Choices Pregnancy Center Internship, Madison Stave

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This honors thesis involves a personal reflection and literature review of a nurse internship at Loving Choices Pregnancy Center in Fayetteville, AR. The purpose of this internship was to provide a learning experience in women’s and obstetrical health. Responsibilities included completing community resource projects and assisting staff and nurses in the Care Center and Pregnancy Clinic. To satisfy honors requirements, five learning objectives were created during the internship. These objectives were all met and reflected upon in the first part of this thesis. The second portion of this thesis involves a literature review of the socioeconomic and health-related risks ...


Comparing Hpv Vaccination Rates Between Rural And Urban Female Undergraduate Students At The University Of Tennessee, Knoxville, Brynn J. Seaton 2020 The University of Tennessee, Knoxville

Comparing Hpv Vaccination Rates Between Rural And Urban Female Undergraduate Students At The University Of Tennessee, Knoxville, Brynn J. Seaton

Chancellor’s Honors Program Projects

No abstract provided.


Mass Matters: Increasing Mammography Rates To Underserved Women, Ingrid N. Cooper 2020 Valparaiso University

Mass Matters: Increasing Mammography Rates To Underserved Women, Ingrid N. Cooper

Evidence-Based Practice Project Reports

Breast cancer is the most frequently diagnosed cancer among women in Indiana and the United States (Indiana Cancer Organization, 2019). An estimated 268,000 new cases of invasive breast cancer were diagnosed and 41,760 women died due to breast cancer in 2019 (ACS, 2019). Substantial breast cancer-related morbidity and mortality disparities persist among the underserved. Disparities in breast cancer outcomes are due to lower mammography screening rates, lack of timely follow-up of abnormal results, and lack of timely treatment initiation among women with breast cancer (Highfield et al., 2015). The purpose of this evidence-based practice project was to address ...


Bmi And Post-Operative Quality Of Life Outcomes In Women Receiving Tension-Free Vaginal Tape (Tvt) Slings For Isolated Stress Urinary Incontinence, Margaret Wilkes, Mary Brandes, Caroline Foust-Wright 2020 Maine Medical Center

Bmi And Post-Operative Quality Of Life Outcomes In Women Receiving Tension-Free Vaginal Tape (Tvt) Slings For Isolated Stress Urinary Incontinence, Margaret Wilkes, Mary Brandes, Caroline Foust-Wright

Costas T. Lambrew Research Retreat 2020

Objective: Stress urinary incontinence (SUI) is a prevalent subtype of urinary incontinence among women, reported by as many as 44-57% of middle-aged and postmenopausal women. Obesity is a known risk factor for SUI; however, literature investigating the impact of mid-urethral sling placement on quality of life (QoL) among women of varying BMI is limited and inconsistent. Validated questionnaires, including the abbreviated Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7) are widely used in practice and research to assess symptoms, with high scores in both questionnaires indicating a greater symptom burden. This study analyzes pre- and post-operative QoL scores stratified ...


Current Practice Of Trauma Informed Care In Pregnancy Among Obstetric Providers, Morgan R. Abbey, Rebecca Hunt 2020 Maine Medical Center

Current Practice Of Trauma Informed Care In Pregnancy Among Obstetric Providers, Morgan R. Abbey, Rebecca Hunt

Costas T. Lambrew Research Retreat 2020

Purpose: In women with a history of trauma routine events of pregnancy, labor, and delivery can be re-traumatizing. This study will explore how obstetric providers screening for and manage a history of trauma in patients during pregnancy.

Background: A traumatic event can be directly experienced or indirectly. Post traumatic stress disorder (PTSD) is characterized by exposure to a traumatic event and symptoms of re-experiencing, avoidance behavior, negative mood/cognition, alterations in arousal, and dissociation relating to the trauma. Trauma-informed care recognizes the prevalence of trauma, and acknowledges the role trauma may have played in an individual’s life. Trauma and ...


Can Magnetic Resonance Imaging Predict Pathologic Findings For Endometrioid Endometrial Cancer?, Elizabeth L. Dickson Michelson, Jessica J. F. Kram, Kayla Heslin, David Baugh, Vikram Bamra, Jiahao Hu, Abhishek Shukla, Scott A. Kamelle 2020 Oncology, Aurora West Allis Medical Center

Can Magnetic Resonance Imaging Predict Pathologic Findings For Endometrioid Endometrial Cancer?, Elizabeth L. Dickson Michelson, Jessica J. F. Kram, Kayla Heslin, David Baugh, Vikram Bamra, Jiahao Hu, Abhishek Shukla, Scott A. Kamelle

Journal of Patient-Centered Research and Reviews

This pilot study aimed to assess the feasibility of precisely measuring tumor diameter and myometrial invasion in patients with endometrioid endometrial cancer (EEC) using preoperative contrast-enhanced magnetic resonance imaging (MRI). Adult patients with confirmed diagnosis of complex hyperplasia with atypia or EEC were included. Three radiologists separately measured tumor diameter and myometrial invasion. Basic descriptive statistics were used to describe patient characteristics and to compare radiology- and pathology-measured tumor diameter and myometrial invasion. Using the pathology results for tumor diameter as the gold standard for comparison, at least 1 radiologist was able to predict largest tumor diameter within 5 mm ...


Supporting The Role And Transition To Motherhood Through The Occupation Of Feeding, BethAnne N. Vidmar 2020 University of St. Augustine for Health Sciences

Supporting The Role And Transition To Motherhood Through The Occupation Of Feeding, Bethanne N. Vidmar

Student Capstone Projects

The purpose of this capstone was to assess and explore the occupational needs of mothers who are feeding their infants in a variety of ways to then identify psychosocial and occupational barriers effecting women’s choices in feeding options for their infant through survey and interviews and opportunities for occupational therapists to become more involved in the occupation of breastfeeding.

Data analysis for this capstone project consisted of running a needs assessment in Santa Barbara County. The needs assessment consisted of written or online surveys and semi-structured in-depth interviews. Of the 95 women who filled out the hard-copy or online ...


Knowledge, Motivations And Concerns About Participation In Breast Cancer Clinical Trials In Puerto Rico, Marinilda Rivera-Díaz, Angélica N. García-Romero, Alelí M. Ayala-Marín, Camille Vélez-Alamo, Adrianna I. Acevedo-Fontánez, Mariana Arévalo, Vivian Colón-López 2020 University of Puerto Rico, Rio Piedras

Knowledge, Motivations And Concerns About Participation In Breast Cancer Clinical Trials In Puerto Rico, Marinilda Rivera-Díaz, Angélica N. García-Romero, Alelí M. Ayala-Marín, Camille Vélez-Alamo, Adrianna I. Acevedo-Fontánez, Mariana Arévalo, Vivian Colón-López

Journal of Health Disparities Research and Practice

Clinical trials (CT) in breast cancer have been crucial for new treatment discoveries. While participation in cancer CT is low, minorities are particularly underrepresented.This study aimed toidentify factors influencing the participation in CTs based on the experiences of Latina breast cancer survivors in Puerto Rico (PR), especially their CT knowledge, motivations, and concerns.Method:Focus groups (FG) were conducted by two social workers and the University of Puerto Rico/MD Anderson Community Health Educator. Participants were stratified into two subgroups: a) women with CT experience and b) those without CT experience. Seven FG were completed among breast cancer survivors ...


Traditional Chinese Medicine And Its Role In Women’S Health, Ezekiel Smith 2020 Liberty University

Traditional Chinese Medicine And Its Role In Women’S Health, Ezekiel Smith

Senior Honors Theses

This paper is a literature review of traditional Chinese medicine and its role in women’s health. A search was performed and a group of 208 articles were initially found using the Liberty Summons search engine. Out of those 208 articles, only 16 were included based on various criteria. The articles were then read and analyzed and compiled into two main themes: maternal health and an “other” category. The findings resulted in strong evidence for some herbal treatments and acupuncture in a select few areas, with inconclusive evidence for other acupuncture treatments and a mixed review of the traditional “Doing ...


Role Of Ultrasound In The Evaluation Of First-Trimester Pregnancies In The Acute Setting, Venkatesh A. Murugan, Bryan O'Sullivan Murphy, Carolyn S. Dupuis, Alan J. Goldstein, Young H. Kim 2020 University of Massachusetts Medical School

Role Of Ultrasound In The Evaluation Of First-Trimester Pregnancies In The Acute Setting, Venkatesh A. Murugan, Bryan O'Sullivan Murphy, Carolyn S. Dupuis, Alan J. Goldstein, Young H. Kim

Radiology Publications

In patients presenting for an evaluation of pregnancy in the first trimester, transvaginal ultrasound is the modality of choice for establishing the presence of an intrauterine pregnancy; evaluating pregnancy viability, gestational age, and multiplicity; detecting pregnancy-related complications; and diagnosing ectopic pregnancy. In this pictorial review article, the sonographic appearance of a normal intrauterine gestation and the most common complications of pregnancy in the first trimester in the acute setting are discussed.


Relation Of Flt-1 And Endothelial Function In Women Soon After Delivery: Effect Of Physical Activity And Sedentary Behavior, Chloe W. Caudell 2020 University of South Carolina - Columbia

Relation Of Flt-1 And Endothelial Function In Women Soon After Delivery: Effect Of Physical Activity And Sedentary Behavior, Chloe W. Caudell

Senior Theses

Adverse pregnancy outcomes (APOs) are believed to be caused by poor placental formation. APOs can be characterized by elevated levels of a circulating Fms-like tyrosine kinase biomarker called Flt-1, produced by the placenta when its blood vessels are shallow or inadequately formed. Flt-1 acts directly on the maternal endothelium to impair vascular function during pregnancy and contributes to maternal features of APOs. This study aimed to evaluate the relation of Flt-1 and endothelial function in women soon after delivery. This study also aimed to evaluate the relation of Flt-1 and physical activity and sedentary behavior in women during and soon ...


The Victimization Of Native American Women In The United States: The Impact And Potential Underlying Factors, Kaci A. Clement 2020 University of South Dakota

The Victimization Of Native American Women In The United States: The Impact And Potential Underlying Factors, Kaci A. Clement

Honors Thesis

In recent decades, a topic of concern that has gained attention in the United States and throughout the world is violence against women. Surveys conducted nationally have found that there is a correlation between which racial group a woman identifies as and her likelihood to be victimized at some point in her life. American Indian/Alaskan Native women, in particular, are impacted by violence at disproportionate rates. However, definitive reasoning for the high rates of violence in these groups has not been fully investigated. There is a lack of surveillance and dissemination regarding this specific topic as well as other ...


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