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Surviving Cancer In Appalachia: A Qualitative Study Of Family Cancer Communication And Changing Personal Identities Through The Cancer Journey., Kathryn L. Duvall 2010 East Tennessee State University

Surviving Cancer In Appalachia: A Qualitative Study Of Family Cancer Communication And Changing Personal Identities Through The Cancer Journey., Kathryn L. Duvall

Electronic Theses and Dissertations

The Appalachian region is known for its beautiful mountains, close-knit communities, and health care disparities including higher rates of cancer and premature mortality. Being diagnosed with cancer in the region may present a unique experience for survivors in regards to family cancer communication and changing personal identities. In a multiphasic study, the stories of 29 female Appalachian cancer survivors were collected through either a day-long modified story circle event (n=26) or an in-depth interview (n=3). Qualitative content analysis was used to identify emergent themes in the data. The analysis revealed 5 types of family cancer communication and five ...


The Places Of Birth: Navigating Risk, Control, And Choice, Hannah E. Emple 2010 Macalester College

The Places Of Birth: Navigating Risk, Control, And Choice, Hannah E. Emple

Geography Honors Projects

Through qualitative research in the Twin Cities, Minnesota and a literature review grounded in health and feminist geography, this paper analyzes how women, their families, and health care providers view and navigate places of birth. Over four million births occur annually in the United States, making birth the most common reason for hospitalization of women. Although 99% of women in the U.S. give birth in hospitals, a small but vocal minority seek alternative places to birth – primarily at home. Where to give birth is a contested subject infused with social and political significance. I suggest that place is highly ...


Female Condom Knowledge, Attributes And Behavior: Barriers To Use And Potential For Acceptance Among Sexually Active Undergraduate Students, Paige Nuzzolillo 6368479 2010 University of Connecticut

Female Condom Knowledge, Attributes And Behavior: Barriers To Use And Potential For Acceptance Among Sexually Active Undergraduate Students, Paige Nuzzolillo 6368479

Honors Scholar Theses

Minimal research has been conducted on the acceptability of the female condom among college populations despite its existence in the world market since 1992. The FC2, an improved version of FC1, has recently been released in the United States, thus prompting the need for further acceptability studies. Due to increasingly high rates of STDs among those aged 15-24, every method of protection against STDs/HIV and pregnancy must be utilized. This study involved a campus-wide survey which examined University of Connecticut (Uconn) main campus (Storrs) undergraduate students’ knowledge of the female condom, perceptions of and attitudes towards the female condom ...


Impact Belize 2010 Executive Report, Ritchie D. Taylor, Jordan Norris, Molly Calico, Bernie Strenecky, Daniel Carter, Dawn Garrett Wright, Eve Main, Bonny Petty, Molly Kerby, Jill Norris 2010 Western Kentucky University

Impact Belize 2010 Executive Report, Ritchie D. Taylor, Jordan Norris, Molly Calico, Bernie Strenecky, Daniel Carter, Dawn Garrett Wright, Eve Main, Bonny Petty, Molly Kerby, Jill Norris

Impact Belize

No abstract provided.


Impacts Of Medical Error On Members Of The Family. Podium/Regional, Linda Treiber 2010 Kennesaw State University

Impacts Of Medical Error On Members Of The Family. Podium/Regional, Linda Treiber

Linda A. Treiber

No abstract provided.


Wounds That Don’T Heal: An Analysis Of Registered Nurses’ Medication Error Accounts, Linda Treiber, Jackie Jones 2010 Kennesaw State University

Wounds That Don’T Heal: An Analysis Of Registered Nurses’ Medication Error Accounts, Linda Treiber, Jackie Jones

Linda A. Treiber

No abstract provided.


Challenges In Serving Rural American Children Through The Summer Food Service Program, Barbara Wauchope, Nena F. Stracuzzi 2010 University of New Hampshire

Challenges In Serving Rural American Children Through The Summer Food Service Program, Barbara Wauchope, Nena F. Stracuzzi

The Carsey School of Public Policy at the Scholars' Repository

When the school year ends, many low-income children rely on the USDA's Summer Food Service Program (SFSP) to supplement their diet. But less than one-third of SFSP sites are located in rural communities and rural children participate at a lower rate than those in more urban areas.


What's For Dinner? Finding And Affording Healthy Foods In New Hampshire Communities, Nena F. Stracuzzi, Sally Ward 2010 University of New Hampshire

What's For Dinner? Finding And Affording Healthy Foods In New Hampshire Communities, Nena F. Stracuzzi, Sally Ward

The Carsey School of Public Policy at the Scholars' Repository

Access to healthy food is becoming increasingly difficult for some households in the Granite State, as grocery stores relocate or consolidate, leaving some residents to depend on convenience stores for basic groceries. This brief looks at recent data on food deserts in New Hampshire.


Beliefs About Alcohol And The College Experience As Moderators Of The Effects Of Perceived Campus Drinking Norms On Levels Of Alcohol Use Among College Undergraduates, Katherine Novak 2010 Butler University

Beliefs About Alcohol And The College Experience As Moderators Of The Effects Of Perceived Campus Drinking Norms On Levels Of Alcohol Use Among College Undergraduates, Katherine Novak

Katherine B. Novak

Paper presented at the Annual Meeting of the Midwest Sociological Society, Chicago, IL, March 31-April 3, 2010.


Analysis Of Primary Risk Factors For Oral Cancer From Us States With Increasing Rates, Anthony Bunnell, Nathan Pettit, Nicole Reddout, Kanika Sharma, Susan O'Malley, Michelle Chino, Karl Kingsley 2010 University of Nevada, Las Vegas

Analysis Of Primary Risk Factors For Oral Cancer From Us States With Increasing Rates, Anthony Bunnell, Nathan Pettit, Nicole Reddout, Kanika Sharma, Susan O'Malley, Michelle Chino, Karl Kingsley

Community Health Sciences Faculty Publications

Objectives

To examine the primary risk factor for oral cancer in the US, smoking and tobacco use, among the specific US states that experienced short-term increases in oral cancer incidence and mortality.

Methods

Population-based data on oral cancer morbidity and mortality in the US were obtained from the National Cancer Institute's (NCI) Surveillance, Epidemiology, and End Results (SEER) database for analysis of recent trends. Data were also obtained from the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS) to measure current and former trends of tobacco usage. To comprehensive measures of previous state tobacco ...


Attachment-Based Family Therapy For Adolescents With Suicidal Ideation: A Randomized Controlled Trial., Guy S. Diamond, Matthew B. Wintersteen, Gregory K. Brown, Gary M. Diamond, Robert Gallop, Karni Shelef, Suzanne Levy 2010 The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine

Attachment-Based Family Therapy For Adolescents With Suicidal Ideation: A Randomized Controlled Trial., Guy S. Diamond, Matthew B. Wintersteen, Gregory K. Brown, Gary M. Diamond, Robert Gallop, Karni Shelef, Suzanne Levy

Department of Psychiatry and Human Behavior Faculty Papers

OBJECTIVE: To evaluate whether Attachment-Based Family Therapy (ABFT) is more effective than Enhanced Usual Care (EUC) for reducing suicidal ideation and depressive symptoms in adolescents. METHOD: This was a randomized controlled trial of suicidal adolescents between the ages of 12 and 17, identified in primary care and emergency departments. Of 341 adolescents screened, 66 (70% African American) entered the study for 3 months of treatment. Assessment occurred at baseline, 6 weeks, 12 weeks, and 24 weeks. ABFT consisted of individual and family meetings, and EUC consisted of a facilitated referral to other providers. All participants received weekly monitoring and access ...


Uncertain Health Insurance Coverage And Unmet Children’S Health Care Needs, Jennifer E. DeVoe, Moira Ray, Lisa Krois, Matthew J. Carlson 2010 Oregon Health & Science University

Uncertain Health Insurance Coverage And Unmet Children’S Health Care Needs, Jennifer E. Devoe, Moira Ray, Lisa Krois, Matthew J. Carlson

Sociology Faculty Publications and Presentations

BACKGROUND AND OBJECTIVES: The State Children's Health Insurance Program (SCHIP) has improved insurance coverage rates. However, children's enrollment status in SCHIP frequently changes, which can leave families with uncertainty about their children's coverage status. We examined whether insurance uncertainty was associated with unmet health care needs.

METHODS: We compared self-reported survey data from 2,681 low-income Oregon families to state administrative data and identified children with uncertain coverage. We conducted cross-sectional multivariate analyses using a series of logistic regression models to test the association between uncertain coverage and unmet health care needs. RESULTS: The health insurance status ...


Concierge Medicine: The Perfect Storm? Implications For Nurse Practitioners, 2010 Selected Works

Concierge Medicine: The Perfect Storm? Implications For Nurse Practitioners

Linda A. Treiber

This article addresses a recent change in the health care delivery system: the concierge medical practice, where doctors provide an array of special services by limiting practice to a small number of patients willing to pay a membership fee. The purpose of this article is to document this trend and to situate it within the health care system. Although beneficial for patients who can afford it, concierge medicine leads to increasing health care inequalities and disparities in the United States. The implications for nurse practitioners include caring for a larger and sicker population of underserved patients.


Manifest Greatness The Final Original Version By Emmanuel Mario B Santos Aka Marc Guerrero, Emmanuel Mario Santos aka Marc Guerrero 2010 theINSTITUTE of Health & Wellness PHILIPPINES Foundation Inc

Manifest Greatness The Final Original Version By Emmanuel Mario B Santos Aka Marc Guerrero, Emmanuel Mario Santos Aka Marc Guerrero

Emmanuel Mario B Santos aka Marc Guerrero

MANIFEST GREATNESS vf24jan2010 WE COME TOGETHER THERE OUGHT TO BE NO POOR WE TAKE CHARGE.


Family Members' Influence On Family Meal Vegetable Choices, Tionni R. Wenrich, J. Lynne Brown, Michelle Miller-Day, Kevin J. Kelley, Eugene J. Lengerich 2010 Pennsylvania State University

Family Members' Influence On Family Meal Vegetable Choices, Tionni R. Wenrich, J. Lynne Brown, Michelle Miller-Day, Kevin J. Kelley, Eugene J. Lengerich

Communication Faculty Articles and Research

Objective—Characterize the process of family vegetable selection (especially cruciferous, deep orange, and dark green leafy vegetables); demonstrate the usefulness of Exchange Theory (how family norms and past experiences interact with rewards and costs) for interpreting the data.

Design—Eight focus groups, two with each segment (men/women vegetable-likers/dislikers based on a screening form). Participants completed a vegetable intake form.

Setting—Rural Appalachian Pennsylvania.

Participants—61 low-income, married/cohabiting men (n=28) and women (n=33).

Analysis—Thematic analysis within Exchange Theory framework for qualitative data. Descriptive analysis, t-tests and chi-square tests for quantitative data.

Results—Exchange Theory proved ...


Friendship's 3-Tier Healthcare System: An Innovative Approach To Delivering Healthcare To Geographically And Socially Remote Areas, Runa Khan 2010 Singapore Management University

Friendship's 3-Tier Healthcare System: An Innovative Approach To Delivering Healthcare To Geographically And Socially Remote Areas, Runa Khan

Social Space

The hardest communities to reach and treat often live in the most remote, harsh landscapes. On the nomadic islands of the Brahmaputra in Bangladesh, poor migratory communities are so cut off from urban centres that medical treatment is virtually unheard of. Runa Khan, Executive Director of Bangladeshi NGO Friendship, shares the difficult and inspired journey to build a mobile healthcare system using hospital ships, mobile clinics and community medics.


An Examination Of The Relationship Between Family And U.S. Latinos’ Physical Health, Georgiana Bostean 2010 Chapman University

An Examination Of The Relationship Between Family And U.S. Latinos’ Physical Health, Georgiana Bostean

Sociology Faculty Articles and Research

Latinos, especially immigrant Latinos, have lower mortality rates and some better health outcomes than U.S.-born Latinos and whites, a situation called the Latino Paradox. One explanation for the advantage is that Latinos’ family orientation protects health. However, because few large-scale studies examine Latinos’ family relationships by nativity, the extent to which family factors contribute to Latinos’ health outcomes is unclear. Additionally, while a large literature focuses on family cohesion, fewer studies address both cohesion and conflict, which may be particularly important among immigrants, whose migration and adaptation experiences can strain family relations. This study examines the relationship between ...


Va Healthcare Costs Of A Collaborative Intervention For Chronic Pain In Primary Care, Kathryn C. Dickinson, Rajiv Sharma, Jonathan P. Duckart, Kathryn Corson, Martha S. Gerrity, Steven K. Dobscha 2010 Veterans Affairs Portland Health Care System

Va Healthcare Costs Of A Collaborative Intervention For Chronic Pain In Primary Care, Kathryn C. Dickinson, Rajiv Sharma, Jonathan P. Duckart, Kathryn Corson, Martha S. Gerrity, Steven K. Dobscha

Economics Faculty Publications and Presentations

Background: Chronic pain is costly to individuals and the healthcare system, and is often undertreated. Collaborative care models show promise for improving treatment of patients with chronic pain. The objectives of this article are to report the incremental benefit and incremental health services costs of a collaborative intervention for chronic pain from a veterans affairs (VA) healthcare perspective.

Methods: Data on VA treatment costs incurred by participants were obtained from the VA's Decision Support System for all utilization except certain intervention activities which were tracked in a separate database. Outcome data were from a cluster-randomized trial of a collaborative ...


Dementia And Dementia Care: The Contributions Of A Psychosocial Perspective, Phyllis Braudy Harris 2010 John Carroll University

Dementia And Dementia Care: The Contributions Of A Psychosocial Perspective, Phyllis Braudy Harris

Sociology

The social sciences have and continue to play a unique role in the study of dementia and dementia care. For central to the social sciences, particularly the discipline of sociology is a history of critical inquiry that challenges long held societal assumptions, a concern for issues of social justice, social exclusion and the treatment of marginalized populations. All significant areas to consider when caring for a person with dementia. This chapter will trace the development of the study of dementia and dementia care starting with its biomedical roots, examine the contributions of the social sciences in furthering the conceptual development ...


Allowing Patients To Waive The Right To Sue For Medical Malpractice: A Response To Thaler And Sunstein, Tom Baker, Timothy D. Lytton 2010 University of Pennsylvania Law School

Allowing Patients To Waive The Right To Sue For Medical Malpractice: A Response To Thaler And Sunstein, Tom Baker, Timothy D. Lytton

Faculty Scholarship

This essay critically evaluates Richard Thaler and Cass Sunstein’s proposal to allow patients to prospectively waive their rights to bring a malpractice claim, presented in their recent, much acclaimed book, Nudge: Improving Decisions about Health, Wealth and Happiness. We show that the behavioral insights that undergird Nudge do not support the waiver proposal. In addition, we demonstrate that Thaler and Sunstein have not provided a persuasive cost-benefit justification for the proposal. Finally, we argue that their liberty-based defense of waivers rests on misleading analogies and polemical rhetoric that ignore the liberty and other interests served by patients’ tort law ...


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