Expanding Women’S Healthcare Access In The United States: The Patchwork “Universalism” Of The Affordable Care Act, 2016 University of Massachusetts Boston
Expanding Women’S Healthcare Access In The United States: The Patchwork “Universalism” Of The Affordable Care Act, Randy Albelda, Diana Salas Coronado
This paper explores the promise of the Patient Protection and Affordable Care Act, commonly called “Obamacare” (referred to here as the ACA), with attention to the ways gender matter by tracing the development and implementation of key US social protection systems, an examination of the current health system with particular attention to women’s coverage, and the potential impacts of the ACA, including how it conforms to international human rights norms for health care. The ACA promises to vastly improve the key dimensions of health coverage in the US, but it conforms with other US social policy by relying on ...
Beyond The Three Delays: A Case Study Of Haiti's Maternal Health Sector, 2016 SIT Graduation Institute
Beyond The Three Delays: A Case Study Of Haiti's Maternal Health Sector, Stephanie Rapp
This research seeks to understand how the maternal health sector in Haiti can be understood and perhaps improved through the framework of the Three Delays, developed by Thaddeus and Maine (1994). These delays are (1) the delay in the decision to seek care, (2) the delay in reaching a health facility, and (3) the delay in receiving adequate care at a health facility. The findings of this capstone strongly demonstrated that global health practitioners in Haiti often opt for technical solutions, but in fact there are numerous shadow delays preventing these solutions from taking hold and ameliorating maternal mortality. Tensions ...
Pilot Study Of A Resource-Appropriate Strategy For Downstaging Breast Cancer In Rural Uganda, 2016 Mubende Regional Referral Hospital
Pilot Study Of A Resource-Appropriate Strategy For Downstaging Breast Cancer In Rural Uganda, Alphonsus Matovu, John R. Scheel, Picho Alli Shadrack, Renny Ssembatya, Angela Njeri, Moses Galukande, Kristen K. Destigter
The Journal of Global Radiology
Breast cancer incidence and mortality are rapidly increasing in low- and middle-income countries like Uganda. Shifting the proportion of women presenting with late-stage breast cancer to early-stage breast cancer (downstaging) at the time of diagnosis would substantially improve survival and efficient use of available resources. Imaging The World (ITW) conducted a pilot study in Uganda where trained village health teams (VHTs) promoted breast cancer awareness in the Kamuli District (Uganda). As a result, 212 women with self-detected lumps presented to the community health center level III (Nawanyago HCIII) for a clinical breast examination (CBE). Patients with masses on CBE were ...
Lean Body Mass And Risk Of Incident Atrial Fibrillation In Post-Menopausal Women, 2016 Stanford University
Lean Body Mass And Risk Of Incident Atrial Fibrillation In Post-Menopausal Women, Farnaz Azarbal, Marcia L. Stefanick, Themistocles L. Assimes, Joann E. Manson, Jennifer W. Bea, Wenjun Li, Mark A. Hlatky, Joseph C. Larson, Erin S. Leblanc, Christine M. Albert, Rami Nassir, Lisa W. Martin, Marco V. Perez
AIMS: High body mass index (BMI) is a risk factor for atrial fibrillation (AF). The aim of this study was to determine whether lean body mass (LBM) predicts AF.
METHODS AND RESULTS: The Women's Health Initiative is a study of post-menopausal women aged 50-79 enrolled at 40 US centres from 1994 to 1998. A subset of 11 393 participants at three centres underwent dual-energy X-ray absorptiometry. Baseline demographics and clinical histories were recorded. Incident AF was identified using hospitalization records and diagnostic codes from Medicare claims. A multivariable Cox hazard regression model adjusted for demographic and clinical risk factors ...
Psychological And Sociocultural Influences Of Current And Historical Intimate Partner Violence In Pregnancy, 2016 East Tennessee State Universtiy
Psychological And Sociocultural Influences Of Current And Historical Intimate Partner Violence In Pregnancy, Cindy D. Phillips
Electronic Theses and Dissertations
The Centers for Disease Control and Prevention (CDC) estimates that 1.5 million women are victims of intimate partner violence (IPV) each year, and 324,000 of these women are pregnant (2013). Research on the predictability of certain factors and their relationship to current and historical IPV is limited. In order to better understand IPV as it related to a sample of 1,016 Appalachian pregnant women selected for the Tennessee Interventions for Pregnant Smokers (TIPS), it was important to evaluate various influences that may predict the prevalence of IPV in this population when compared to the State of Tennessee ...
Women And Healthcare In Appalachia: Impeding Circumstance And The Role Of Technology, 2016 East Tennessee State Universtiy
Women And Healthcare In Appalachia: Impeding Circumstance And The Role Of Technology, Ashley Cano
Electronic Theses and Dissertations
For decades, healthcare access and quality in central and southern Appalachia have trailed the rest of the country. Entrenched poverty and low educational attainment compound healthcare problems. This study examines the healthcare obstacles women encounter in southern and central Appalachia and analyzes how technology use, such as Internet searching and social media affect women’s healthcare decisions. Data were analyzed from four focus groups conducted with women from the region. Results indicate that seeing a physician or not did not influence women’s propensity to search the Internet for health-related information or to seek support through social media sites. Additionally ...
Re-Traumatization Of Sexual Trauma In Women's Reproductive Health Care, 2016 University of Tennessee, Knoxville
Re-Traumatization Of Sexual Trauma In Women's Reproductive Health Care, Victoria S. Watson
University of Tennessee Honors Thesis Projects
No abstract provided.
Association Between First Trimester Pregnancy Associated Plasma Protein–A (Papp-A) And Gestational Diabetes Mellitus Development, 2016 University of Massachusetts Medical School
Association Between First Trimester Pregnancy Associated Plasma Protein–A (Papp-A) And Gestational Diabetes Mellitus Development, Aylin Sert, Katherine Leung, Molly E. Waring, Raziel Rojas-Rodriguez, Silvia Corvera, Tiffany A. Moore Simas
Senior Scholars Program
Background: Gestational diabetes (GDM) is a common pregnancy complication with significant cardiometabolic consequences for mothers and offspring. Previous research from our group suggests that adipose tissue IGFBP-5 and its unique metalloprotease PAPP-A (Pregnancy Associated Plasma Protein-A) may play mechanistic roles in GDM development by regulating functional IGF-1 levels and lipid storage and metabolism.
Aim: To examine the relationship between circulating PAPP-A levels and GDM development. We hypothesized that high first trimester PAPP-A levels would be associated with decreased GDM risk.
Methods: A retrospective cohort of women delivering singleton gestations at UMass Memorial Healthcare (2009, 2010, 2014 ...
The Incidence Of Malignancy And The Preoperative Assessment Of Women Undergoing Hysterectomy With Morcellation For Benign Indications, 2016 University of Massachusetts Medical School
The Incidence Of Malignancy And The Preoperative Assessment Of Women Undergoing Hysterectomy With Morcellation For Benign Indications, Gianna L. Wilkie, Emily Reus, Katherine G. Leung, Leslie Bradford, Mark Manning, Tiffany A. Moore Simas
Senior Scholars Program
Background: The use of power morcellation in gynecologic surgery has come under scrutiny secondary to concerns for occult malignancy dissemination. The incidence of undiagnosed gynecologic malignancy when hysterectomy performed for benign indications is not definitive but has been quoted as high as 2.7% (1:37). There is not a standard recommended preoperative evaluation, and variation is anticipated by preoperative complaint or diagnosis.
Objectives: To quantify the malignancy incidence in women undergoing hysterectomy for benign indications and to compare the preoperative evaluation of patients undergoing hysterectomy with and without morcellation.
Methods: Retrospective cohort of women undergoing hysterectomies between October 2007 ...
The Future Of Teratology Research Is In Vitro, 2016 University of Newcastle-upon-Tyne
The Future Of Teratology Research Is In Vitro, Jarrod Bailey, Andrew Knight, Jonathan Balcombe
Andrew Knight, BSc (Vet Biol), BVMS, MANZCVS, DipECAWBM (AWSEL), DACAW, PhD, MRCVS, SFHEA
Birth defects induced by maternal exposure to exogenous agents during pregnancy are preventable, if the agents themselves can be identified and avoided. Billions of dollars and manhours have been dedicated to animal-based discovery and characterisation methods over decades. We show here, via a comprehensive systematic review and analysis of this data, that these methods constitute questionable science and pose a hazard to humans. Mean positive and negative predictivities barely exceed 50%; discordance among the species used is substantial; reliable extrapolation from animal data to humans is impossible, and virtually all known human teratogens have so far been identified in spite ...
Effects Of Olfactory Sense On Chocolate Craving, 2016 Cedarville University
Effects Of Olfactory Sense On Chocolate Craving, Michael W. Firmin, Aubrey Gillette, Taylor E. Hobbs
The Research and Scholarship Symposium
Chocolate has been referred to as one of the most socially acceptable addictions. It is one of America’s most craved foods, and women tend to crave it more frequently than men. Kemps and Tiggemann (2013) conducted an innovative experiment to reconcile the ideas of mental imagery, scent, and craving. After presenting images of sweet foods and having female undergraduate students smell a neutral scent, the researchers found that the neutral smell decreased craving for sweet foods.
In the present study, researchers sought to replicate many aspects of Kemps and Tiggemann’s design. This new study went one step further ...
The Presence Of Stem Cells In Human Breast Milk And Research Implications, 2016 Liberty University
The Presence Of Stem Cells In Human Breast Milk And Research Implications, Melody (Brooke) Peterson
Senior Honors Theses
Stem cell therapy research is an expanding area of study as stem cell therapy is believed to have the potential to provide treatment options for numerous disease processes. Currently, embryonic stem cell research is the method of choice to evaluate the potential for stem cell therapy. The use of human embryos for stem cell research raises moral and ethical controversies. Stem cells are found in a variety of mediums, but until the recent discovery of stem cells in human breast milk, the most versatile stem cells have been those found in the human embryo. Human breast milk stem cells could ...
The Construct And Predictive Validity Of Psychosocial Correlates Of Television Viewing, 2016 University of North Texas Health Science Center
The Construct And Predictive Validity Of Psychosocial Correlates Of Television Viewing, Raheem Paxton, Pascal Jean-Pierre, Saehwan Park, Yong Gao Dr., Stephen Herrmann, G J. Norman
Journal of Health Disparities Research and Practice
Background: Many studies have examined the consequences of prolonged television viewing, but few studies have examined the psychological states that contribute to this behavior. In this study, we evaluated the construct and predictive validity of psychosocial correlates of television viewing in a population of African American (AA) breast cancer survivors (BCS).
Methods: AA BCS (N = 342, Mean age = 54 years) completed measures of decisional balance, self-efficacy, family support, and time spent watching television online. Exploratory structural equation modeling (ESEM) was used to examine the construct and predictive validity as well as the differential item functioning of the instruments among population ...
Conservative Surgery Of Breast Cancer In Women; Psychological Benefits, 2016 Colțea Clinical Hospital, Department of Surgery
Conservative Surgery Of Breast Cancer In Women; Psychological Benefits, Razvan V. Scaunasu Md, Traean Burcoș, Ștefan Voiculescu, Bogdan A. Popescu, Șerban V. Bertesteanu, Oana-Denisa Bălălău, Nicolae Bacalbasa, Cristian Bălălău
Journal of Mind and Medical Sciences
Breast surgery was one of the most dynamic fields of medicine which benefited from significant progress during the last decades. The transition from aggressive and mutilating amputations to conservative, oncoplastic and reconstructive techniques has been constant, offering improved and rewarding results, viewed from both, oncological and aesthetical perspectives.
Conservative techniques, especially those which preserve the nipple areola complex, are followed by improved patient’s perception of their body image, confidence and sexuality, with the only drawback of increased anxiety linked to recurrence risk.
Functional Impairment And Changes In Depression Subtypes For Women In Star*D: A Latent Transition Analysis, 2016 University of Massachusetts Medical School
Functional Impairment And Changes In Depression Subtypes For Women In Star*D: A Latent Transition Analysis, Christine Ulbricht, Anthony Rothschild, Kate Lapane
Anthony J. Rothschild
OBJECTIVE: To characterize the association between functional impairment and major depression subtypes at baseline and to characterize changes in subtypes by functional impairment level in women receiving citalopram in level 1 of the Sequenced Treatment Alternatives to Relieve Depression trial.
METHOD: Women who completed baseline and week 12 study visits were included. Items from the self-reported Quick Inventory of Depressive Symptomatology were used to define the latent depression subtypes. The Work and Social Adjustment Scale was used to classify baseline functional impairment. A latent transition analysis model provided estimates of the prevalence of subtype membership and transition probabilities by functional ...
Women Veterans' Pathways To And Perspectives On Veterans Affairs Health Care, 2016 Philadelphia VA Medical Center
Women Veterans' Pathways To And Perspectives On Veterans Affairs Health Care, Clara Wagner, Melissa Dichter, Kristin Mattocks
Kristin M. Mattocks
BACKGROUND: We examined Veterans Affairs (VA) health care experiences among contemporary women veteran patients receiving care at a VA medical center. Specifically, we examined women veteran patients' satisfaction with VA care along dimensions in line with patient-centered medical home (patient-aligned care teams [PACT] in VA) priorities, and pathways through which women initially accessed VA care.
METHODS: We used a mixed methods research design. First, 249 racially diverse women (ages 22-64) who were past-year users of primary care at a VA medical center completed interviewer-administered surveys in 2012 assessing ratings of satisfaction with care in the past year. We then conducted ...
Receipt Of Prescription Opioids In A National Sample Of Pregnant Veterans Receiving Veterans Health Administration Care, 2016 University of Massachusetts Medical School
Receipt Of Prescription Opioids In A National Sample Of Pregnant Veterans Receiving Veterans Health Administration Care, Aimee Kroll-Desrosiers, Melissa Skanderson, Lori Bastian, Cynthia Brandt, Sally Haskell, Robert Kerns, Kristin Mattocks
Kristin M. Mattocks
BACKGROUND: A growing number of reproductive-age women veterans are returning from Operations Enduring Freedom, Iraqi Freedom, and New Dawn (OEF/OIF/OND). In 2010, 42% of women veterans receiving Veterans Health Administration (VHA) services were aged 18 to 45. Prescription opioid use has increased among all veterans over the past decade; however, exposure among pregnant veterans has not been examined.
METHODS: We identified 2,331 women who delivered babies within the VHA system between 2001 and 2010. Delivery, opioid prescribing history, and demographic and health-related variables were obtained from a national database of veterans receiving VHA services. Receipt of an ...
Prenatal Triptan Exposure And Parent-Reported Early Childhood Neurodevelopmental Outcomes: An Application Of Propensity Score Calibration To Adjust For Unmeasured Confounding By Migraine Severity, 2016 University of Massachusetts Medical School
Prenatal Triptan Exposure And Parent-Reported Early Childhood Neurodevelopmental Outcomes: An Application Of Propensity Score Calibration To Adjust For Unmeasured Confounding By Migraine Severity, Mollie Wood, Jean Frazier, Hedvig Nordeng, Kate Lapane
Jean A. Frazier
PURPOSE: Triptan medications are serotonin agonists used to treat migraine, a chronic pain condition highly prevalent in women of reproductive age. Data on the safety of triptans during pregnancy are scant. We sought to quantify the association of prenatal triptan exposure on neurodevelopment in 3-year-old children. METHODS: Using data from the Norwegian Mother and Child Cohort Study, we used propensity score matching to examine associations between prenatal triptan exposure and psychomotor function, communication, and temperament. We used an external validation study to perform propensity calibration to adjust effect estimates for confounders unmeasured in the main study (migraine severity, type, and ...
Local Contraceptive Practice In Sub-Saharan Africa, 2016 Department of Obstetrics and Gynecology, Nyala Sudan-Turkish Training and Research Hospital, West Alessa District, Nyala, Sudan
Local Contraceptive Practice In Sub-Saharan Africa, Ozer Birge, Ertugrul Gazi Ozbey, Utku Akgor, Mehmet Adiyeke, Ilkan Kayar, Fevzi Demir
Proceedings in Obstetrics and Gynecology
Although modern contraceptive options are becoming more widely available, even in the developing world, women still use traditional contraceptive methods. Other reports of the use of non-medical devices for contraception and abortion are available. With this report, we discuss a patient seeking treatment for the removal of a traditional contraceptive intrauterine device.
Smoking Characteristics And Psychiatric Comorbidities Of Pregnant Smokers: An Analysis Of Quit4baby Randomized Controlled Trial, 2016 George Washington University
Smoking Characteristics And Psychiatric Comorbidities Of Pregnant Smokers: An Analysis Of Quit4baby Randomized Controlled Trial, Shawn Chiang, Lorien C. Abroms, Jennifer M. Schindler-Ruwisch, Leah E. Leavitt
GW Research Days 2016 - Present
Background: Text messaging or short message service (SMS) programs have been shown to be effective in helping adult smokers quit smoking (Abroms et al., 2014). However, to our knowledge, no prior research has examined psychiatric comorbidities associated with smoking in the text messaging context. The risk of smoking has been shown to increase as a function of the number of psychiatric illnesses with which a person is diagnosed (Aubin, Rollema, Svensson, & Winterer, 2012). The current study examined this association and other correlates of smoking-psychiatric comorbidity in a sample of U.S. pregnant smokers enrolled in Quit4Baby, a smoking cessation text ...