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Discrimination Against First Nations Children With Special Healthcare Needs In Manitoba: The Case Of Pinaymootang First Nation, Luna Vives, Vandna Sinha 2019 Département de Géographie, Université de Montréal

Discrimination Against First Nations Children With Special Healthcare Needs In Manitoba: The Case Of Pinaymootang First Nation, Luna Vives, Vandna Sinha

The International Indigenous Policy Journal

First Nations children face systemic barriers in their access to health, education, and social services ordinarily available to other Canadian children. This article summarizes the findings of a research project initiated by, and carried out in partnership with, Pinaymootang First Nation, Manitoba between 2015 and 2017. Through this partnership, we were able to document the routine delays, denials, and disruptions of services that Pinaymootang children with special healthcare needs experienced. We further described the impact that this discrimination had on children and their caregivers. Here, we consider three specific service areas: medical services (primary and specialized), allied health services (e ...


The Economic Impact Of The Health Sector On The Economy Of Appanoose County, Iowa, Daniel Otto, Georgeanne Artz 2019 Iowa State University

The Economic Impact Of The Health Sector On The Economy Of Appanoose County, Iowa, Daniel Otto, Georgeanne Artz

Economics Working Papers

The importance of medical and health facilities as community service providers is well

established, yet their role in generating significant economic impacts for the community is less often acknowledged. Health care facilities, such as hospitals and nursing homes, not only employ many people with a sizeable payroll, but also draw a large number of people from rural areas into the community for medical services. In this study, we attempt to identify and measure the economic importance of the health sector for the economy of Appanoose County, Iowa. The specific objectives of this report are to:

1. summarize the direct economic ...


Mlk Book Read 2019 (Research Materials), Holy Cross Libraries 2019 College of the Holy Cross

Mlk Book Read 2019 (Research Materials), Holy Cross Libraries

Library Resources for Campus Events

A bibliography of resources available through the Holy Cross Libraries which provide additional information related to the MLK Winter Book Read, based on the best-seller “Brother, I'm Dying" by Edwidge Danticat.


Prehypertensive Risk Among African-American Undergraduates: Do The Extra Pounds Really Matter?, Cecile N. Yancu, Amber DeBono, Anna K. Lee, Correll McRae, Daphne Witherspoon 2019 Winston-Salem State University

Prehypertensive Risk Among African-American Undergraduates: Do The Extra Pounds Really Matter?, Cecile N. Yancu, Amber Debono, Anna K. Lee, Correll Mcrae, Daphne Witherspoon

Journal of Health Disparities Research and Practice

The objective of this study is to examine prehypertension among young African American adults and evaluate the predictive value of easily obtained standard measures of adiposity. Data for this study of 155 primarily African-American undergraduates was collected between April 2010-11. Participants provided family health history and anthropometric measures, including body weight, body mass index (BMI), and waist to hip (WHR) ratio. Percentages were calculated for demographics. The average systolic blood pressure measured over two time periods within a single semester generated prehypertension rates. Univariate and multivariate logistic regression examined the impact of BMI, WHR, weight, and family medical history on ...


Reducing The Waiting List For New Referrals To The Ent Outpatient Department, Jana Crowley 2019 Royal College of Surgeons in Ireland

Reducing The Waiting List For New Referrals To The Ent Outpatient Department, Jana Crowley

Jana Crowley


Introduction: Lengthy outpatient waiting lists are a global healthcare concern affecting most hospital specialities in Ireland. The result is a delay in treatment and suboptimal outcomes for newly referred patients[1]. Simultaneously, patients requiring long-term follow-up care exist amid this overburdened system.
 
Aims & Objectives: This quality improvement project plan was created in part fulfilment of the MSc in Physician Associate Studies. It concentrates on improving waiting times for new ENT patients by the creation of a non-physician-led ‘microsuction clinic’, which aims to streamline patients requiring regular care. The objectives were to Investigate the volume of new patients awaiting an appointment ...


Hepatitis C And The Social Hierarchy: How Stigma Is Built In Rural Communities, Charley D. Henderson, Atsuko Kawakami 2018 Texas State University - San Marcos

Hepatitis C And The Social Hierarchy: How Stigma Is Built In Rural Communities, Charley D. Henderson, Atsuko Kawakami

The Qualitative Report

Although Hepatitis C has profound impacts on individuals living in communities, most research has been conducted in a hospital or laboratory setting. Additionally, there is a lack of research exploring the social effects of Hepatitis C in rural communities. In this qualitative study, we focus on perceptions on Hepatitis C within a rural community, describe how the local residents perceive social hierarchy within their community, and explore the process of stigma building. Informed by a grounded theory approach, we employed a snowball sampling strategy in a southern rural area to conduct in-depth, open-ended interviews. In our findings we describe how ...


The Role Of Retail Pharmacy In The Treatment Of Mental Illness, Melissa Sturgill 2018 Marian University - Indianapolis

The Role Of Retail Pharmacy In The Treatment Of Mental Illness, Melissa Sturgill

Undergraduate Research Symposium (URS)

Mental illness treatment in the United States has developed and changed drastically in the past century. Where in the early 1900s,one with a severe mental illness would be institutionalized, today, the same person could be treated with psychotherapy and medications.

Pharmacists are the modern bridge to aid those with mental illness to live on their own and contribute to society.


Anderson's "The Sense Of Humor: Let Humor Fast Track You To Healthier, Happier Living" (Book Review), Cynthia Hammell 2018 George Fox University

Anderson's "The Sense Of Humor: Let Humor Fast Track You To Healthier, Happier Living" (Book Review), Cynthia Hammell

The Christian Librarian

No abstract provided.


La Comunicación Lingüística En Español Y Sus Barreras En El Sistema De Salud De Los Estados Unidos, David Sánchez-Jiménez 2018 CUNY New York City College of Technology

La Comunicación Lingüística En Español Y Sus Barreras En El Sistema De Salud De Los Estados Unidos, David Sánchez-Jiménez

Publications and Research

La enseñanza del español con fines médicos en los Estados Unidos ha experimentado un crecimiento exponencial en las dos últimas décadas. Sin embargo, los pacientes de origen hispano se encuentran desprotegidos ante las barreras lingüísticas que impone el sistema de salud estadounidense en muchos contextos monolingües y bilingües. Esta investigación descriptiva muestra como, por un lado, los malentendidos producidos por la comunicación ineficiente desarrollada por intérpretes e intermediarios (familiares, enfermeras con conocimientos de español, facultativos con una preparación lingüística deficiente, etc.) tienen serias repercusiones para la salud en el tratamiento de los casos. Por otro lado, el estudio da cuenta ...


A Population-Based Investigation Of Health-Care Needs And Preferences In American Adults With Multiple Sclerosis, Chungyi Chiu, Malachy Bishop, Bradley McDaniels, Byung-Jin Kim, Lebogang Tiro 2018 University of Illinois at Urbana-Champaign

A Population-Based Investigation Of Health-Care Needs And Preferences In American Adults With Multiple Sclerosis, Chungyi Chiu, Malachy Bishop, Bradley Mcdaniels, Byung-Jin Kim, Lebogang Tiro

Early Childhood, Special Education, and Rehabilitation Counseling Faculty Publications

Background: Comprehensive and effective multiple sclerosis (MS) health care requires understanding of patients’ needs, preferences, and priorities. Objective: To evaluate priorities of patients with MS for their MS care. Methods: Participants included 3003 Americans with MS recruited through the National MS Society and the North American Research Committee on Multiple Sclerosis patient registry. Participants completed a comprehensive questionnaire on aspects of their health-care experiences. Results: Participants identified the top 3 health-care priorities as (1) the affordability of MS health care, (2) ensuring that non-MS health-care providers have more education about MS and how it can interact with other conditions, and ...


Informing Care: Mapping The Social Organization Of Families’ Information Work In An Aging In Place Climate, Nicole K. Dalmer 2018 The University of Western Ontario

Informing Care: Mapping The Social Organization Of Families’ Information Work In An Aging In Place Climate, Nicole K. Dalmer

Electronic Thesis and Dissertation Repository

Within an institutional ethnography method of inquiry, this dissertation makes visible the information work that permeates the care work of families of people living with dementia who are also aging at home. An institutional ethnography privileges people’s everyday work and acknowledges that local contexts are influenced by translocal, ruling relations. To map out the social organization of family caregivers’ information work, this dissertation details four separate, yet interrelated studies. The first study comprises two sets of interviews: one with 13 family caregivers of older adults to understand their experiences of the information work they do and a second with ...


Accessibility And Health: An International Analysis Of Government Expenditure, Socioeconomic Development And Infant Mortality, Isaac Zvi Christiansen, Robert Mazur 2018 Midwestern State University

Accessibility And Health: An International Analysis Of Government Expenditure, Socioeconomic Development And Infant Mortality, Isaac Zvi Christiansen, Robert Mazur

Journal of Critical Thought and Praxis

This research examines the relationship between government’s share of health expenditures and infant mortality (IMR). Public healthcare funding is a critical component of ensuring access to care for the poor. Financial barriers may lead to postponement of care, thereby exacerbating health outcomes. We find a moderate association between the government’s share of health expenditures and IMR and strong support for a multifaceted approach to accessibility that includes doctor density, vaccination coverage, improved water and sanitation, and female literacy in reducing IMR. Findings suggest that the effect of government’s share of health spending on IMR is stronger in ...


Health Behavior Among Men Occupying Multiple Family Roles And The Moderating Effects Of Perceived Partner Relationship Quality, Nicole DePasquale, Courtney A. Polenick, Jesse Hinde, Jeremy Bray, Steven H. Zarit, Phyllis Moen, Leslie B. Hammer, David M. Almeida 2018 Pennsylvania State University

Health Behavior Among Men Occupying Multiple Family Roles And The Moderating Effects Of Perceived Partner Relationship Quality, Nicole Depasquale, Courtney A. Polenick, Jesse Hinde, Jeremy Bray, Steven H. Zarit, Phyllis Moen, Leslie B. Hammer, David M. Almeida

Psychology Faculty Publications and Presentations

Men in the U.S. are increasingly involved in their children’s lives and currently represent 40% of informal caregivers to dependent relatives or friends aged 18 years or older. Yet, much more is known about the health effects of varying family role occupancies for women relative to men. The present research sought to fill this empirical gap by first comparing the health behavior (sleep duration, cigarette smoking, alcohol consumption, exercise, fast food consumption) of men who only occupy partner roles and partnered men who also fill father, informal caregiver, or both father and informal caregiver (i.e., sandwiched) roles ...


Racial Disparities In Breast Cancer Survival: The Mediating Effects Of Macro-Social Context And Social Network Factors, Ganga Vijayasiri, Yamile Molina, Ifeanyi B. Chukwudozie, Silvia Tejeda, Heather Pauls, Garth Rauscher, Richard T. Campbell, Richard B. Warnecke 2018 University of Illinois at Chicago

Racial Disparities In Breast Cancer Survival: The Mediating Effects Of Macro-Social Context And Social Network Factors, Ganga Vijayasiri, Yamile Molina, Ifeanyi B. Chukwudozie, Silvia Tejeda, Heather Pauls, Garth Rauscher, Richard T. Campbell, Richard B. Warnecke

Journal of Health Disparities Research and Practice

ABSTRACT

This study attempts to clarify the associations between macro-social and social network factors and continuing racial disparities in breast cancer survival. The study improves on prior methodologies by using a neighborhood disadvantage measure that assesses both economic and social disadvantage and an ego-network measurement tool that assesses key social network characteristics. Our population-based sample included 786 breast cancer patients (nHWhite=388; nHBlack=398) diagnosed during 2005-2008 in Chicago, IL. The data included census-derived macro-social context, self-reported social network, self-reported demographic and medically abstracted health measures. Mortality data from the National Death Index (NDI) were used to determine 5-year survival ...


Disentangling The Effects Of Acculturation And Duration In The United States On Latina Immigrant Maternal Overweight And Macrosomia, Miguel Ceballos, Andrea Cantarero, Shanell Sanchez 2018 West Chester University of Pennsylvania

Disentangling The Effects Of Acculturation And Duration In The United States On Latina Immigrant Maternal Overweight And Macrosomia, Miguel Ceballos, Andrea Cantarero, Shanell Sanchez

Journal of Health Disparities Research and Practice

A significant body of research on minority health shows that while Latina immigrants experience unexpectedly favorable outcomes in maternal and infant health in the United States, this advantage deteriorates with increased duration of residency. This study assesses the relationship between excessively high birth weight (macrosomia), maternal weight, and length of residency in the United States. A sample of Mexican immigrant women living in two Midwestern communities in the United States is used to analyze the effects of duration in the United States, acculturation on birth outcomes, and maternal overweight once controlling for social, behavioral, and environmental mediators of health status ...


Allostatic Load Biomarker Associations With Depressive Symptoms Vary Among Us Black And White Women And Men, Ganga Bey, William M. Jesdale, Christine M. Ulbricht, Eric O. Mick, Sharina D. Person 2018 University of Massachusetts Medical School

Allostatic Load Biomarker Associations With Depressive Symptoms Vary Among Us Black And White Women And Men, Ganga Bey, William M. Jesdale, Christine M. Ulbricht, Eric O. Mick, Sharina D. Person

Open Access Articles

The prevalence and severity of depression differ in women and men and across racial groups. Psychosocial factors such as chronic stress have been proposed as contributors, but causes of this variation are not fully understood. Allostatic load, a measure of the physiological burden of chronic stress, is known to be associated with depression. Using data from the National Health and Nutrition Examination Survey 2005(-)2010, we examined the associations of nine allostatic load biomarkers with depression among US black and white adults aged 18(-)64 years (n = 6431). Depressive symptoms were assessed using the Patient Health Questionaire-9; logistic models estimated ...


The Micro-Politics Of A New Mental Condition: Legitimization In Maladaptive Daydreamers' Discourse, Orit Bershtling Ph.D., Eli Somer Ph.D. 2018 Tel Aviv University

The Micro-Politics Of A New Mental Condition: Legitimization In Maladaptive Daydreamers' Discourse, Orit Bershtling Ph.D., Eli Somer Ph.D.

The Qualitative Report

This study illuminates legitimization efforts in the discourse of individuals who suffer from excessive, uncontrolled daydreaming: a contested mental condition that has not yet been recognized by the medical establishment. It aims to explore the rhetorical maneuvers employed by these “Maladaptive Daydreamers” in 35 email exchanges with the second author and two petitions, submitted to the American Psychiatric Association and to the UK Parliament, with a demand for recognition. Our analysis, anchored theoretically and methodologically in Critical Discourse Analysis, identified several verbal strategies employed by the participants to persuade their interlocutors about the realness of their suffering. The main strategies ...


Cumulative Childhood Adversity And Disparities In Adult Psychological Distress And Educational Attainment, Loanna Heidinger 2018 The University of Western Ontario

Cumulative Childhood Adversity And Disparities In Adult Psychological Distress And Educational Attainment, Loanna Heidinger

Electronic Thesis and Dissertation Repository

Exposure to childhood adversity often does not occur as an isolated experience; rather, adverse childhood circumstances tend to co-occur, resulting in a climate of disadvantage that has detrimental consequences, and contributes to disparities in adult outcomes. Although the enduring impacts of cumulative childhood adversity on adult mental health and attainment outcomes are well documented in the literature, studies have not accounted for the long-term impact of cumulative childhood adversity on trajectories of adult psychological distress. Furthermore, measures of adversity used to predict selection into higher education consistently focus on childhood economic hardship as the sole indicator of adversity and overlook ...


The Role Of Primary Care Nurses In Addressing Unmet Social Needs, Susan Natale 2018 University of Massachusetts Medical School

The Role Of Primary Care Nurses In Addressing Unmet Social Needs, Susan Natale

Graduate School of Nursing Dissertations

PURPOSE

The purpose of this study was to explore how primary care registered nurses address unmet social needs in patients.

SPECIFIC AIMS

  • Explore how RNs in a safety-net, primary care setting develop an awareness of and address patient's unmet social needs.
  • Describe how information about unmet social needs are integrated into nursing assessment and intervention activities, and are shared with other members of the health care team.
  • Describe the challenges primary care RNs face when addressing unmet social needs.

FRAMEWORK

Critical caring theory provided the framework for this study.

DESIGN

This study used a descriptive, qualitative design. Semi-structured interviews ...


Higher Quality At Lower Cost: Community Health Worker Interventions In The Health Care Innovation Awards, Caitlin Cross-Barnet, Sarah Ruiz, Megan Skillman, Rina Dhopeshwarkar, Rachel Singer, Rachel Carpenter, Suzanne Campanella, Maysoun Freij, Lynne Snyder, Erin Colligan 2018 NIDILRR

Higher Quality At Lower Cost: Community Health Worker Interventions In The Health Care Innovation Awards, Caitlin Cross-Barnet, Sarah Ruiz, Megan Skillman, Rina Dhopeshwarkar, Rachel Singer, Rachel Carpenter, Suzanne Campanella, Maysoun Freij, Lynne Snyder, Erin Colligan

Journal of Health Disparities Research and Practice

Background: Published evidence regarding cost savings, reduced utilization, and improved quality associated with employing community health workers (CHWs) is largely lacking. This paper presents findings from the Centers for Medicare & Medicaid Services Health Care Innovation Awards (HCIA), with a focus on six diverse programs that employ CHWs. We examine outcomes associated with programs incorporating CHWs into care teams for a broad age range of patients with various health issues such as cancer, asthma, and complex conditions.

Methods: This mixed-methods study used data from claims and site visits to assess the effectiveness of CHW programs. In difference-in-differences analyses of Medicare fee-for-service ...


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