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Supporting Medicaid In Virginia, Scott Burns 2018 Tidewater Community College

Supporting Medicaid In Virginia, Scott Burns

Exigence

This report analyzes Medicaid in Virginia, the needs-based social health insurance program providing health coverage to children, pregnant women, working parents, the disabled, and elderly who cannot afford health costs on their own. It supports the value of the Medicaid program to these beneficiaries’ long term health, the healthcare sector, cost control and Virginia’s economy. Additionally, it analyzes healthcare policy looking at what effects the Affordable Care Act has had in improving healthcare access and what effects healthcare reform under president-elect Donald Trump’s administration and the Republican controlled 115th United States Congress might have targeting healthcare cost ...


The Impact Of Beauty, Body Image, And Health Discourses On Eating Disorder Risk In South Asian-Canadian Women, Nazia Bhatti 2018 The University of Western Ontario

The Impact Of Beauty, Body Image, And Health Discourses On Eating Disorder Risk In South Asian-Canadian Women, Nazia Bhatti

Electronic Thesis and Dissertation Repository

This study explores socio-cultural influences that impact South Asian women’s self-perceptions and eating behaviours. The findings revealed that cultural gender ideologies played a substantial role in shaping the way women view themselves and their bodies. The analysis of interviews conducted with seven South Asian-Canadian women between the ages of 19-29 years, demonstrate that women’s perceptions of their own physical appearance is framed within the context of their South Asian cultural identity and cultural norms. This study was approached through the lens of post-colonial feminism by examining cultural factors that contribute to South Asian women’s increased risk for ...


Condom Use For The Prevention Of Stis Among College Students Who Do Not Rely On Condoms As Their Primary Form Of Contraception, Amy K. Rooker 2018 Florida Southern College

Condom Use For The Prevention Of Stis Among College Students Who Do Not Rely On Condoms As Their Primary Form Of Contraception, Amy K. Rooker

Papers & Publications: Interdisciplinary Journal of Undergraduate Research

This research analyzes the likelihood of college students who do not rely on condoms as their primary form of contraception to use a barrier method (e.g., condoms) to protect themselves against sexually transmitted infections (STIs), and determines the best predictors of condom use among the sample. We hypothesized that pregnancy is the main concern among sexually active adolescents, and that when risk of pregnancy is removed students are less likely to use a barrier method. Surveys of 203 students at a small, liberal arts college support what literature agrees are that the best predictors of condom use at last ...


Microclimate Variation Of Urban Heat In A Small Community, Pui Yun, Paulina WONG, Poh Chin LAI, Melissa HART 2018 University of Hong Kong

Microclimate Variation Of Urban Heat In A Small Community, Pui Yun, Paulina Wong, Poh Chin Lai, Melissa Hart

Prof. WONG, Pui Yun, Paulina

Urbanization is known to disrupt the surface energy balance of an urban area. The phenomenon of higher temperatures and thermal discomforts within a local urban setting is broadly known as the urban heat Island (UHI) effect. This research employed roadside temperature measurements to examine microclimate UHI variation in Mongkok, a small urban community of Hong Kong. Results of the spatio-temporal examination indicated diurnal and seasonal variations in the microclimate. A five-level index named the "UHI Threat Rating" was devised to offer easy interpretation of the microclimate UHI variations and facilitate identification of temperature hotspots within a small urban community.


Impact Of The Childhood Vaccine Discussion Format Over Time On Immunization Status, Douglas J. Opel, Chuan Zhou, Jeffrey D. Robinson, Nora Henrikson, Katherine Lepere, Rita Mangione-Smith, James A. Taylor 2018 University of Washington

Impact Of The Childhood Vaccine Discussion Format Over Time On Immunization Status, Douglas J. Opel, Chuan Zhou, Jeffrey D. Robinson, Nora Henrikson, Katherine Lepere, Rita Mangione-Smith, James A. Taylor

Communication Faculty Publications and Presentations

Objective: Presumptive formats to initiate childhood vaccine discussions (e.g. “Well we have to do some shots.”) have been associated with increased vaccine acceptance after one visit compared to participatory formats (e.g. “How do you feel about vaccines?”). We characterize discussion format patterns over time and the impact of their repeated use on vaccine acceptance.

Methods: We conducted a longitudinal prospective cohort study of children of vaccine-hesitant parents enrolled in a Seattle-based integrated health system. After the child’s 2, 4, and 6 month visits, parents reported the format their child’s provider used to begin the vaccine discussion ...


There's No Place Like Home? Understanding The Relationship Between Racial Residential Segregation And Self-Reported Health, Abigail Gramaglia 2018 Skidmore College

There's No Place Like Home? Understanding The Relationship Between Racial Residential Segregation And Self-Reported Health, Abigail Gramaglia

Sociology Senior Seminar Papers

How does context influence health? County racial composition and racial residential segregation shape health outcomes by creating different contexts that influence access to health-related resources. White Americans disproportionately possess these material and intangible resources. Therefore, I propose that the higher the percent of non-Hispanic white residents in U.S. counties, and the higher the racial residential segregation in U.S. counties, the lower the percent of adult residents who report poor or fair health in U.S. counties. To explore these hypotheses, I analyze 2014 demographic and survey data from 2946 U.S. counties. Findings provide mixed support for my ...


So Many Hospitals, So Little Information: How Hospital Value Based Purchasing Is A Game Of Chance, Andrew I. Friedson, William C. Horrace, Allison F. Marier 2018 University of Colorado, Denver

So Many Hospitals, So Little Information: How Hospital Value Based Purchasing Is A Game Of Chance, Andrew I. Friedson, William C. Horrace, Allison F. Marier

Center for Policy Research

As part of the Patient Protection and Affordable Care Act, participating Medicare hospitals have part of their Medicare reimbursements withheld and then redistributed based on quality performance. The Hospital Value Based Purchasing reimbursement plan relies partly on ordinal rankings of hospitals to determine how money is distributed. We analyze the quality metric distributions used for payment and show that there is not enough information to reliably differentiate hospitals from one another near the payment cutoffs; and conclude that a large part of the payment formula is driven by sampling variability rather than true quality information. Alternative reimbursement plans are developed.


Water Scarcity: Sudan, Catherine Priebe 2018 Augustana College, Rock Island Illinois

Water Scarcity: Sudan, Catherine Priebe

Global Issues in Public Health

Water scarcity is an environmental global problem that will only become more pressing as time goes on. It is a public health issue that affects every continent, although certain areas of the world are facing more serious water scarcity than others such as Sudan. Populations that are more vulnerable to the effects of water scarcity are the poor, women, children, and those living in areas of political unrest. For example, South Sudan’s urban water systems have been damaged during recent warfare. Water scarcity is also an issue that disproportionately affects women who are forced from a young age to ...


From Eugenicists To Family Planners: America's Religious Promoters Of Contraception, Melissa J. Wilde, KaJaiyaiu Hopkins 2018 University of Pennsylvania

From Eugenicists To Family Planners: America's Religious Promoters Of Contraception, Melissa J. Wilde, Kajaiyaiu Hopkins

Departmental Papers (Sociology)

Early proponents of contraception among American religious groups were staunch eugenicists who promoted birth control in the hopes of curtailing the "runaway fertility" of poor Catholic and Jewish immigrants. By the early 1930s, their campaign to legalize contraception was largely successful, but eugenicists would soon go from being a sign of progressive politics and enlightened scientific understanding to a dirty word associated with Hitler. By examining the statements of all of the early liberalizers on contraception from 1920 to 1965, this paper demonstrates that although these groups purged their statements on contraception of the word eugenics by the end of ...


The New Chinese Mental Health Laws, Zhiyuan Guo, Floyd Feeney 2018 China University of Political Science and Law

The New Chinese Mental Health Laws, Zhiyuan Guo, Floyd Feeney

Washington University Global Studies Law Review

The United Nations Convention on the Rights of Persons with Disabilities is by far the most important international agreement yet developed concerning the mentally disabled. China adopted this Convention in 2008. In 2012 China went further—making major changes in the way that China deals with mental health issues in both its criminal and its civil law. Coming first was a new Criminal Procedure Code that adds a whole new dimension to the way that China deals with the mentally ill who are charged with crimes. Equally important was the new civil mental disabilities law that China adopted later in ...


The Influence Of Religious Homogeneity Upon Life Expectancy: A Cross-National Comparative Analysis, Donald J. Ebel 2018 Minnesota State University, Mankato

The Influence Of Religious Homogeneity Upon Life Expectancy: A Cross-National Comparative Analysis, Donald J. Ebel

Sociology Faculty Publications

Research upon health and life expectancy has focused primarily upon individual and community level analyses, with extrapolations to national level data. In this study, the unit of analysis is shifted from individual health statistics to the national level. Life expectancy data for every nation and in the world (total n=191, restricted n=138) is explored, controlling for a variety of socio-economic factors. Two hypotheses are tested which offer the explanation homogeneity in both religion (H1) and ethnicity (H2), determines differences in life expectancy between nations. The first hypothesis, that religious homogeneity supports positive health outcomes is supported. The second ...


The Ingredients Of Healthy Brain And Child Development, Pat Levitt, Kathie L. Eagleson 2018 Simms/Mann Chair in Developmental Neurogenetics, Institute for the Developing Mind, Children’s Hospital Los Angeles, Provost Professor of Pediatrics, Keck School of Medicine of University of Southern California, Senior Fellow, Center on the Developing Child at Harvard University and Co-Scientific Director of the National Scientific Council on the Developing Child.

The Ingredients Of Healthy Brain And Child Development, Pat Levitt, Kathie L. Eagleson

Washington University Journal of Law & Policy

This article by Pat Levitt and Kathie L. Eagleson explains critical developmental stages in early childhood and adolescent brain development. Levitt and Eagleson start by dispelling certain misconceptions about early brain development and then examining the interaction between biological events, social and emotional development, and the role played by early childhood experiences in healthy brain development. Finally, the article discusses the importance of intervention programs on healthy brain development and positive child, adolescent, and adult outcomes.


Health As An Individualized Project: Gender Bio-Authenticity And Responsibilization Governance In Functional Medicine, Emma E. Radich 2018 Bard College

Health As An Individualized Project: Gender Bio-Authenticity And Responsibilization Governance In Functional Medicine, Emma E. Radich

Senior Projects Spring 2018

Senior Project submitted to The Division of Social Studies of Bard College.


Values, Justifications, And Perspectives Connected To The Anti-Vaccination Movement, Gigi Garzio 2018 University of Puget Sound

Values, Justifications, And Perspectives Connected To The Anti-Vaccination Movement, Gigi Garzio

Summer Research

The array of reasons for drifting from mainstream medical guidance surpasses a lack of comprehension, but rather stems from the propagation of alternative ideologies and the rationalization of these perspectives through different modes of thought. The people who make up the anti-vaccination movement range in socio-economic status, gender, age, race, and religion, however, they are unified by their ideals and means of justification. I was curious as to what mechanisms allow these individuals to continually rationalize their medical decisions and what contributes to making people so immovable in their beliefs, even in the face of empirical scientific data. Multiple themes ...


Introduction To Special Section On Cannabis, Denise M. Glover 2018 University of Puget Sound

Introduction To Special Section On Cannabis, Denise M. Glover

All Faculty Scholarship

Introduction to Special Section on Cannabis.


How Graduate Experience Changes Beliefs In Working With Culturally And Linguistically Diverse Populations: A Survey Study, Stephanie Bove 2018 Minnesota State University, Mankato

How Graduate Experience Changes Beliefs In Working With Culturally And Linguistically Diverse Populations: A Survey Study, Stephanie Bove

All Theses, Dissertations, and Other Capstone Projects

Speech-language pathologists work in a variety of settings that require savvy transitions between patients from many cultures and backgrounds. Graduate students may get little practice working with culturally and linguistically diverse populations depending upon where they perform their practicum and internships. Researchers at a mid-western university developed a survey to collect student perspectives regarding cultural competence. A single cohort received the survey at three intervals to track a change in responses from the beginning of their first year of graduate school through their clinical fellowship. Students took a Multicultural Issues class between their first and second survey responses. Data collected ...


Addicts Speak: An Exploratory Ethnographic Study Of Opioid Addiction, James A. Hamm 2018 Bucknell University

Addicts Speak: An Exploratory Ethnographic Study Of Opioid Addiction, James A. Hamm

Honors Theses

This thesis explores the experiences of people in recovery from opioid addiction in order to better understand the many process of recovery. Employing both participant observation and focused life history interview, and utilizing a grounded theory approach to data analysis, this research emphasizes data-driven conclusions. The research provides numerous insights into the process of recovery from opioid addiction, as well as factors that help to facilitate and sustain the process, the role that services play, and how services can be developed to better meet the needs of those in recovery.


A Path To 2030: Targeting Women And Girls To End The Hiv/Aids Epidemic In Sub-Saharan Africa, Jacquelyn Saunders 2018 Salem State University

A Path To 2030: Targeting Women And Girls To End The Hiv/Aids Epidemic In Sub-Saharan Africa, Jacquelyn Saunders

Honors Theses

HIV/AIDS remains a significant problem in sub-Saharan Africa, even though international efforts have been working in the region for the last fifteen years. This paper examines HIV/AIDS data from four international health organization, the ONE Campaign, PEPFAR, the WHO, and the UN. Findings suggest UN’s Fast Track goals will not be met by 2020, which will jeopardize eradicating HIV/AIDS by 2030, unless changes to programing are made. First, women and girls who are HIV positive in the sub-Saharan Africa should follow the WHO’s Treat All Approach to prevent HIV transmission and those who are HIV ...


The Summit Ambulatory‑Icu Primary Care Model For Medically And Socially Complex Patients In An Urban Federally Qualified Health Center: Study Design And Rationale, Brian Chan, Samuel T. Edwards, Meg Devoe, Richard Gil, Matthew Mitchell, Honora Englander, Christina Nicolaidis, + 2018 Oregon Health and Science University

The Summit Ambulatory‑Icu Primary Care Model For Medically And Socially Complex Patients In An Urban Federally Qualified Health Center: Study Design And Rationale, Brian Chan, Samuel T. Edwards, Meg Devoe, Richard Gil, Matthew Mitchell, Honora Englander, Christina Nicolaidis, +

Social Work Faculty Publications and Presentations

Background: Medically complex urban patients experiencing homelessness comprise a disproportionate number of high-cost, high-need patients. There are few studies of interventions to improve care for these populations; their social complexity makes them difficult to study and requires clinical and research collaboration. We present a protocol for a trial of the streamlined unified meaningfully managed interdisciplinary team (SUMMIT) team, an ambulatory ICU (A-ICU) intervention to improve utilization and patient experience that uses control populations to address limitations of prior research.

Methods/design: Participants are patients at a Federally Qualified Health Center in Portland, Oregon that serves patients experiencing homelessness or who ...


Understanding The Structure And Processes Of Primary Health Care For Young Indigenous Children, Natalie Strobel, Kimberley McAuley, Veronica Matthews, Alice Richardson, Jason Agostino, Ross Bailie, Karen Edmond, Dan McAullay 2018 Edith Cowan University

Understanding The Structure And Processes Of Primary Health Care For Young Indigenous Children, Natalie Strobel, Kimberley Mcauley, Veronica Matthews, Alice Richardson, Jason Agostino, Ross Bailie, Karen Edmond, Dan Mcaullay

ECU Publications Post 2013

INTRODUCTION: Primary health care organisations need to continuously reform to more effectively address current health challenges, particularly for vulnerable populations. There is growing evidence that optimal health service structures are essential for producing positive outcomes.

AIM: To determine if there is an association between process of care indicators (PoCIs) for important young indigenous child health and social issues and: (i) primary health-care service and child characteristics; and (ii) organisational health service structures.

METHODS: This was a cross-sectional study of 1554 clinical child health audits and associated system assessments from 74 primary care services from 2012 to 2014. Composite PoCIs were ...


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