Strategies For Delivering Sexual Health Education To Adolescents With Autism Spectrum Disorders: An Integrative Review Of The Literature, Megan Harris
Grace Peterson Nursing Research Colloquium
Autism spectrum disorder (ASD) is a neurobiological condition leading to cognitive and social deficits within individuals on the spectrum. Adolescence is a time of intense physical and psychosocial changes that prove difficult for youth with ASDs. As families work through this transition they try to navigate teaching sexual health to their adolescent with an ASD. Teaching should be done to promote health, healthy relationships, and to prevent victimization. Yet, parents report that they lack the knowledge and support to complete this task. The purpose of this literature review was to synthesize research on strategies for teaching sexual health education to ...
Patient Experience Of Taking Adjuvant Endocrine Therapy For Breast Cancer: A Tough Pill To Swallow, 2017 Fox Chase Cancer Center
Patient Experience Of Taking Adjuvant Endocrine Therapy For Breast Cancer: A Tough Pill To Swallow, Kuang-Yi Wen, Rita Smith, Aruna Padmanabhan, Lori Goldstein
Patient Experience Journal
Adjuvant endocrine therapy (AET) has substantially improved the mortality rate among breast cancer survivors. Despite the proven efficacy, the non-adherence rate to therapy is still high. This study is aimed to examine women’s challenges related to AET adherence and management. Semi-structured interviews were conducted with six Caucasian and six African American breast cancer survivors who were prescribed for AET. The transcripts of audio-taped interviews were qualitatively analyzed. Key themes were: 1) positive beliefs in AET, 2) uncertainty about long-term adherence, 3) experiences with side effects, 4) forgetting and remembering, 5) other concerns and information needs, 6) potential intervention format ...
Doing And Undoing Gender In The Hospital Workplace, 2017 Università Degli Studi Di Milano
Doing And Undoing Gender In The Hospital Workplace, Nayyara Tabassum, Antonio Chiesi
Journal of Interdisciplinary Feminist Thought
In the hospital, both male and female doctors ‘do gender’, but because men and masculinity are associated with greater authority (and by association, competence), masculinised traits are favoured over feminine traits in the hospital workplace. In order to be accepted as competent doctors, female doctors expend a great deal of ‘emotional labour’ and ‘do gender’ by acting out prized masculine traits through appearance and behaviour strategies and thereby gaining legitimacy as respected, competent doctors in their interactions with other co-workers (doctors, nurses) and patients. Our study looks at the varied experiences of both older/senior and younger/junior medical doctors ...
“First, Do No Harm”: Old And New Paradigms In Prehospital Resuscitation In The Aquatic Domain, 2017 Lady Cilento Children's Hospital, Brisbane, Queensland, Australia
“First, Do No Harm”: Old And New Paradigms In Prehospital Resuscitation In The Aquatic Domain, John H. Pearn, Richard Charles Franklin
International Journal of Aquatic Research and Education
The balance between benefit and risk is central to the work of all those involved in aquatic services. The Hippocratic exhortation of Primum non nocere, “First, do no harm,” has a history of over 2000 years. Superficially, all would support this dictum, but harm can result from inaction. The balance between no or little intervention on the one hand and proactive intervention with iatrogenic risk on the other is complex and enduring. Risk implies that one does not have all the information available to know the exact likelihood of an outcome, a common situation involving rescue, first aid, and resuscitation ...
Male And Female Emirati Medical Clerks’ Perceptions Of The Impact Of Gender And Mobility On Their Professional Careers, Michelle Mclean, Susan B. Higgins
Faculty of Health Sciences & Medicine Publications
Background: Medicine has undergone profound changes in terms of the number of women entering the profession with postulated implications of this ‘feminization’ for the profession. The present phenomenological study sought to gain insight into the experiences of final year male and female Emirati medical students (clerks) in terms of the impact of gender on their careers. Methods: Semi-structured interviews were conducted with 24 of the 27 clerks. Interviews were transcribed and analyzed thematically. Findings: There was consensus that the gender profile of medicine in the United Arab Emirates was changing as opportunities emerged for Emirati women to branch into different ...
Disadvantaged Status And Health Matters Networks Among Low-Income African American Women, 2017 Indiana University - Bloomington
Disadvantaged Status And Health Matters Networks Among Low-Income African American Women, Erin Pullen, Carrie B. Oser
Sociology Faculty Publications
A significant gap in current network research relates to understanding the factors that shape the health matters (HM) networks of marginalized, socially disadvantaged populations. This is noteworthy, given that these networks represent a critical resource for mitigating the adverse health effects of both acute and chronic strains associated with marginalized status. Further, research has suggested that the networks of such populations—especially low-income African American women—are unique, and may operate in substantively different ways than those of other groups. Using two waves of data from a sample of low-income African American women, this research identifies the demographic, health status ...
Patient Or Physician Centered Care?: Structural Implications For Clinical Interactions And The Overlooked Patient, Aaron B. Franzen
Patient-centered care is widely supported by physicians, but this wide-spread support potentially obscures the social patterning of clinical interactions. We know that patients often want religious/spiritual conversations in the context of medical care but the provision is infrequent. As there is regional variance in religiosity, a gap in the literature exists regarding whether patient populations’ religiosity is connected to physicians’ self-reported religious/spiritual interactions. Using a national sample of U.S. physicians linked to county-level measures, the author test whether both physicians’ background and patient population characteristics are related to religious/spiritual interactions. Specifically, do physicians in more religious ...
Addressing The Racial Disparity In Birth Outcomes: Implications For Maternal Racial Identity On Birthweight, 2017 University of Alabama - Tuscaloosa
Addressing The Racial Disparity In Birth Outcomes: Implications For Maternal Racial Identity On Birthweight, Wanda M. Burton, Maria Hernandez-Reif, Brad Lian
Journal of Health Disparities Research and Practice
Background: As a widely used marker of health, birthweight has been a persistent racialized disparity with the low birthweight rate of Blacks in Alabama nearly doubling the national average. The purpose of this study was to examine the role of racial identity and acculturation on birthweight in a sample of Black women living in Alabama.
Methods: Black women (n=72) in West Alabama were surveyed about the birthweight of their first born child. Correlation and multiple linear regression analyses were conducted.
Results: Racial identity was the only significant predictor of birthweight. Mothers with a strong racial identity reported having low ...
Risk For Cardiovascular Disease In Blacks With Hiv/Aids In America: A Systematic Review And Meta-Analysis, 2017 University of South Carolina Upstate
Risk For Cardiovascular Disease In Blacks With Hiv/Aids In America: A Systematic Review And Meta-Analysis, Calvin Odhiambo, Jessica Davis, Bernard Omolo
Journal of Health Disparities Research and Practice
Cardiovascular disease (CVD) related to HIV infection is becoming a major public health concern in the United Stated. Epidemiologic studies show that prolonged use of Highly Active Antiretroviral Therapy, HIV/AIDS itself, and a combination of traditional vascular risk factors increase the risk for CVD among people with HIV/AIDS. However, little is known about any racial disparities in the risk for CVD in the HIV/AIDS population. We conducted a systematic review and meta-analysis of literature on HIV/AIDS and CVD (June 1, 2010-July 31, 2014) through MEDLINE to examine whether and how HIV-positive African Americans are disproportionately affected ...
Social Determinants Of Health Associated With Hbv Testing And Access To Care Among Foreign-Born Persons Residing In The United States: 2009 - 2012, 2017 Centers for Disease Control and Prevention
Social Determinants Of Health Associated With Hbv Testing And Access To Care Among Foreign-Born Persons Residing In The United States: 2009 - 2012, Kevin M. Greene, Wayne A. Duffus, Jian Xing, Hope King
Journal of Health Disparities Research and Practice
Objectives: To describe how select Social Determinants of Health (SDH) are associated with the burden of hepatitis B virus (HBV) infection among foreign-born persons residing in the United States.
Methods: Multivariate logistic regression was used to examine the Racial and Ethnic Approaches to Community Health (REACH) 2010 Risk Factor Survey data to investigate the independent relationship between SDH and HBV testing and access to care.
Results: HBV infected persons with insurance were more likely to see a physician than those without. Respondents worried about money to pay rent or mortgage were more likely to report HBV infection than individuals who ...
Racial Disparities In Infant Mortality, 1990 To 2004: Low Birth Weight, Maternal Complications And Other Causes, 2017 Portland State University
Racial Disparities In Infant Mortality, 1990 To 2004: Low Birth Weight, Maternal Complications And Other Causes, Ginny Garcia-Alexander, Hyeyoung Woo
Demographers have long studied the unacceptably high rates of infant mortality in the U.S., relative to other advanced countries. These higher rates are largely attributable to persistent racial gaps in infant health outcomes and are likely a reflection of social inequalities, which manifest as poorer infant health outcomes in certain groups. We extend on previous research in this area by utilizing the restricted 1990 and 2000 cohort linked birth-death files to examine the risk of infant death due to several main causes including: maternal complications, low birth weight, and other causes, and how it has changed over time. We ...
Socioeconomic Determinants Of Health Disparities By Race And Ethnicity: The Mediating Role Of Social, Psychological And Behavioral Factors, Amanuel Zimam Melekin
Dissertations and Theses
Socioeconomic status (SES) is inversely related to health status. Disparities in health status among races and ethnic groups are partly attributable to differences in SES, but the indirect pathways by which SES may influence health status are not widely studied.
Using the Health and Retirement Study (HRS) data, this dissertation examined the pathways by which SES, via social, psychological, and behavioral factors predicted physical impairment and overnight hospitalization, and asked whether these indirect relationships differed by race/ethnicity. The HRS is a nationally representative multistage area probability sample administered biennially to respondents over the age of 51 and their spouses ...
The Role Of Random Allocation In Randomized Controlled Trials: Distinguishing Selection Bias From Baseline Imbalance, 2017 National University of Ireland, Galway
The Role Of Random Allocation In Randomized Controlled Trials: Distinguishing Selection Bias From Baseline Imbalance, Allyn Fives, Daniel W. Rusell, Noreen Kearns, Rena Lyons, Patricia Eaton, John Canavan, Carmel Devaney, Aoife O'Brien
Daniel W. Russell
Background: This paper addresses one threat to the internal validity of a randomized controlled trial (RCT), selection bias. Many authors argue that random allocation is used to ensure baseline equality between study conditions in a given study and that statistically significant differences at pretest mean that randomisation has failed. Purpose: The purpose of this study was to clarify the role of random allocation in an RCT study. Is the role of random allocation to protect against selection bias? And does it have a further role, namely to ensure baseline equality and the absence of statistically significant differences between study conditions ...
Ethical Theories And Perspectives On End-Of-Life Decisions, 2017 Abilene Christian University
Ethical Theories And Perspectives On End-Of-Life Decisions, Lauren Skelton
Dialogue & Nexus
This paper approaches several different ethical theories to see how they interact with the issue of withdrawing and withholding life-sustaining care. After the theories of Utilitarianism, Kantian and Prima Facie Deontology, Virtue Ethics, and Evolutionary Ethics are explored at length, Deontological theories are proven to be the best decision-making guide from the perspective of both patients and those in policy-making positions. When used together, Kantian and Prima Facie Deontology offer the overall best combination of ethical instruction and personal freedom.
The Ethical Considerations Of Physician-Assisted Suicide, 2017 Abilene Christian University
The Ethical Considerations Of Physician-Assisted Suicide, Madeline Jordan
Dialogue & Nexus
With respect to physician-assisted suicide, several approaches to adjudicate an ethical position can be processed from the theories of utilitarianism, Kantian deontology, and virtue ethics. This paper will explore these three positions with respect to physician-assisted suicide and the pros and cons of each. In conclusion, based on my research and Christian beliefs, I will define why I reside with virtue ethics and why it leads me to a position that is against physician-assisted suicide at this particular point in my life.
Christian And Islamic Perspectives On The Ethical Dilemma Of In Vitro Fertilization (Ivf), 2017 Abilene Christian University
Christian And Islamic Perspectives On The Ethical Dilemma Of In Vitro Fertilization (Ivf), Stephanie Sariles
Dialogue & Nexus
After defining IVF procedures and the associated biomedical ethics with each, I will compare and contrast Christian and Islamic perspectives on IVF. Christianity in general does not accept IVF, because it is an unnatural method of reproduction that can affect Christian traditions such as parenthood and marriage. Despite this view, Protestants, in particular, have opened up to IVF as a method for treating infertility. Islam fully accepts IVF provided the married couple follows Islamic law. Sunni Muslims do not accept gamete donation, but Shi’ite Muslims are more flexible with gamete donation and surrogacy.
Gadgets And Grieving: A Chronological Analysis On The Ways In Which Advancements In Medical Technologies Have Altered The Grieving Process, 2017 Abilene Christian University
Gadgets And Grieving: A Chronological Analysis On The Ways In Which Advancements In Medical Technologies Have Altered The Grieving Process, Grace Mcnair
Dialogue & Nexus
Since the 1940s, both end-of-life care and advancements in medical technologies have expanded exponentially. This article explores the advancements in medical technologies and how these have altered the way that Western society grieves death. With the capabilities to prolong life, the family, the patient, and the medical team, all grieve the end of life in different ways. This article provides a chronological analysis of palliative care, hospice care, and various medical advancements. These changes in medicine are then paralleled with alterations in the bereavement process. This article explores historical narratives of Western society’s transformation of grief through the lens ...
An Ethical Evaluation Of The Modern Pharmaceutical Industry, 2017 Abilene Christian University
An Ethical Evaluation Of The Modern Pharmaceutical Industry, Kaitlyn Drennan
Dialogue & Nexus
Lack of transparency, wrongdoings, and unlawful promotion characterize the healthcare industry; these are especially prevalent within the pharmaceutical industry. Consequently, an investigation into the evidence of the corruption and the ethical infringement is needed. In this paper, I will evaluate the pharmaceutical industry’s adherence to the three major branches of ethics. The ever-increasing prices of pharmaceutical products, especially medications used for the combating of anaphylaxis and cancer, coupled with the compensatory-based medication promotion and research points to a major crisis in the realm of social justice. These examples, among many other current issues, lead to difficulties in individuals receiving ...
Up, Down And Reciprocal: The Dynamics Of Intergenerational Transfers, Family Structure And Health In A Low-Income Context, Collin F. Payne, Luca Maria Pesando, Hans-Peter Kohler
Population Center Working Papers (PSC/PARC)
In the absence of well-functioning public transfer systems and safety nets, the family acts as the key provider of income and support through the intergenerational redistribution of resources. In this paper we use micro-level longitudinal data and a mix of methodologies to document the lifecycle patterns of financial transfers in a rural, sub-Saharan African population. Underneath a well-established age-pattern of intergenerational transfers in which transfer patterns change according to broad stages of the economic life cycle, our analyses document significant heterogeneity and fluidity: Intergenerational transfers are variable and reverse their direction, with individuals moving between the provider and recipient states ...
Strategies And Substance Treatment: Perceptions Of Older Adults 60 And Over, 2017 California State University - San Bernardino
Strategies And Substance Treatment: Perceptions Of Older Adults 60 And Over, Kim Malveo Jones
Electronic Theses, Projects, and Dissertations
The purpose of this study was to gather the perceive strategies and substance treatment needs of adults 60 and over. To examine what recovery treatment models and strategies could be most effective for the age-related complex needs of the 60 and over population who are at risk for substance misuse, use or abuse. In the coming years, there will be a substantial increase in the numbers of older adults with substance misuse and abuse problems. Even though one in five individuals who experience substance abuse are older adults many clinicians remain ill equipped to serve older clientele, and particularly those ...