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"I'M Not Much One To Be Invisible": End-Of-Life Spiritual Care For Lgbtq Elders, Tyler Fair 2018 University of Colorado, Boulder

"I'M Not Much One To Be Invisible": End-Of-Life Spiritual Care For Lgbtq Elders, Tyler Fair

Undergraduate Honors Theses

People that experience the “intersectionality” of multiple forms of oppression feel the collective results of these discriminations in distinct ways. One perfect example of this is Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) elders: LGBTQ elders experience ageism differently than other elders and trans/homophobia in ways distinct from younger LGBTQ people.

The literature by and for end-of-life chaplains have not explored the experiences of LGBTQ elders. This gap in knowledge is particularly precarious given the large population of LGBTQ Baby Boomers entering and soon to enter into elder-oriented care like end-of-life (EOL) care. In order to better understand the ...


Book Review: Surrogacy: A Human Rights Violation By Renate Klein, Kate Rose 2018 Dare To Tell

Book Review: Surrogacy: A Human Rights Violation By Renate Klein, Kate Rose

Dignity: A Journal on Sexual Exploitation and Violence

No abstract provided.


An Assessment Of The Effects Of Medical Marijuana On The Quality Of Patient Life, Kori L. Bullard 2018 Ouachita Baptist University

An Assessment Of The Effects Of Medical Marijuana On The Quality Of Patient Life, Kori L. Bullard

Honors Theses

America is known as the land of opportunity. People attempting to better their lives tend to see America as an opportunity to do so. This statement remains true for the American medical field. Americans are known as advanced in treatment options for various diseases. With this being said, there are few diseases that still bring forth complete fear in the minds of the people of America. In spite of this, "You have been diagnosed with cancer" is a statement that generates this fear. Cancer is one of the leading causes of death worldwide. Current treatments for cancer are invasive, expensive ...


Relationship Satisfaction Among Infertile Couples: Implications Of Gender And Self-Identification, Arthur L. Greil, Kathleen S. Slauson-Blevins, Julia McQuillan, Michele H. Lowry, Andrea R. Burch, Karina M. Shreffler 2018 Alfred University

Relationship Satisfaction Among Infertile Couples: Implications Of Gender And Self-Identification, Arthur L. Greil, Kathleen S. Slauson-Blevins, Julia Mcquillan, Michele H. Lowry, Andrea R. Burch, Karina M. Shreffler

Sociology Department, Faculty Publications

We use path analysis to analyze heterosexual couples from the U.S. National Survey of Fertility Barriers, a probability-based sample of women and their male partners. We restrict the sample to couples in which the women are infertile. We estimate a path model of each partner’s relationship satisfaction on indicators of self-identifying as having a fertility problem or not at the individual and couple levels. We find a gender effect: for women, but not men, relationship satisfaction was significantly higher when neither partner self-identified as having a fertility problem. Women’s relationship satisfaction exerted a strong influence on their ...


View Of Death And Dying, And Other Medical Issues Through The Eyes Of People In Different Religions, Kaylie Roberts 2018 Ouachita Baptist University

View Of Death And Dying, And Other Medical Issues Through The Eyes Of People In Different Religions, Kaylie Roberts

Honors Theses

The process of dying, and death itself, is viewed quite differently among different religions. Other medical issues, including abortion and suicide, are also topics of debate and interest among the major religions of the world. In this thesis, five major religions are discussed: Christianity, Judaism, Islam, Hinduism, and Buddhism. For the purpose ofthis thesis, Christianity was divided into two categories: Southern Baptist Convention and Roman Catholicism. Each religion has a vast amount of denominations or subgroups. However, for the information covered here, there is not a huge amount of variation among the subgroups of each religion. That is not to ...


Life Expectancies With Depression By Age Of Migration And Gender Among Older Mexican Americans, Catherine García, Marc A. Garcia, Chi-Tsun Chiu, Fernando I. Rivera, Mukaila Raji 2018 University of Southern California

Life Expectancies With Depression By Age Of Migration And Gender Among Older Mexican Americans, Catherine García, Marc A. Garcia, Chi-Tsun Chiu, Fernando I. Rivera, Mukaila Raji

Sociology Department, Faculty Publications

Background and Objectives: Prior studies examining depression among older Mexican Americans suggest both women and immigrants are at higher risk of depressive symptomatology than males and U.S.-born Mexican Americans. We use data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to examine whether life expectancy with depression and without depression varies by nativity, age of migration, and gender.

Research Design and Methods: Sullivan-based life tables were used to estimate depression life expectancies among Mexican Americans aged 65 years and older residing in the Southwestern United States. Depression is based on the 20-item Center for ...


Review Of A Medical Pre-Clinical Curriculum For Competencies In Caring For Patients Who Are Lgbt, Gender Nonconforming, Or Born With Dsd, Nina Abon, Mandi L. Pratt-Chapman 2018 George Washington University

Review Of A Medical Pre-Clinical Curriculum For Competencies In Caring For Patients Who Are Lgbt, Gender Nonconforming, Or Born With Dsd, Nina Abon, Mandi L. Pratt-Chapman

GW Research Days 2016 - Present

This review aimed to assess whether the George Washington University medical, pre-clinical curriculum met any of the Association of American Medical College’s (AAMC) 30 professional competencies to improve health care for people who are lesbian, gay, bisexual, transgender (LGBT), gender nonconforming, or born with disorders of sex development (DSD).

Methods:

Relevant sessions were reviewed based on instructors’ PowerPoint slides, audio recording of sessions (when available), assigned pre-session material, and notes taken by a student. Content and objectives from each session were mapped to corresponding AAMC competencies, and each competency was qualitatively graded as completely met, partially met, or unmet ...


Evaluation Of Patient-Centered Tool For Measuring Opioid Addiction Recovery, Laura A. Till 2018 University of Vermont

Evaluation Of Patient-Centered Tool For Measuring Opioid Addiction Recovery, Laura A. Till

Family Medicine Clerkship Student Projects

Vermont has expanded access to medication assisted treatment (MAT) since the onset of the opiate epidemic. This has included the use of family medicine clinicians as waivered prescribers of buprenorphine. In the absence of clear expectations or knowledge of discontinuation and detox, patients and providers must now reframe the traditional understanding of addiction recovery success as simply abstinence, maintenance medication detox, and survivorship. A 20-question, interactive “POWERS Form” has been developed by Stowe’s MAT team as part of routine counseling and clinical visits. Tracking score changes with patients allows reflection on the broader life changes during recovery process. This ...


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 ...


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 ...


Dynamics Of Household Role Performance And The Culture Of Child Health Production In Igbo-Ora, Southwestern Nigeria, Kabiru K. Salami, Ayodele S. Jegede, Frederick O. Oshiname 2017 University of Ibadan, Ibadan Nigeria

Dynamics Of Household Role Performance And The Culture Of Child Health Production In Igbo-Ora, Southwestern Nigeria, Kabiru K. Salami, Ayodele S. Jegede, Frederick O. Oshiname

Journal of Social, Behavioral, and Health Sciences

Studies about production of health for children have mainly concentrated on the behavior of one or two key household members compared to the dynamics in households involving three or more members. Health production refers to the process of directing available knowledge, skills, and resources towards ensuring, maintaining, and sustaining the health of the members. This cross-sectional design study explored how the dynamics of household structure and members’ roles influence the process of health production in a rural Nigerian community. An interviewer-moderated questionnaire was administered through a panel survey approach in 576 households. Twelve in-depth interviews and eight group discussion sessions ...


Postmodern Social Control: Dividuals And Surveillance, Ernest M. Oleksy 2017 Cleveland State University

Postmodern Social Control: Dividuals And Surveillance, Ernest M. Oleksy

The Downtown Review

As a society's foundational philosophy changes, so, too, will its forms of social control. By using the works of thinkers like Deleuze and Foucault as pivot points, the dynamic nature of social interactions and the agents to mediate those actions shall be investigated. This article includes findings from archival analysis written in a journalistic prose for simplicity of consumption.


Hiv In The Heartland: Experiences Of Living With Hiv In Urban And Rural Areas Of The Midwest, Sarah B. Donley, C. Patrice Lockett 2017 Jacksonville State University

Hiv In The Heartland: Experiences Of Living With Hiv In Urban And Rural Areas Of The Midwest, Sarah B. Donley, C. Patrice Lockett

The Qualitative Report

Scholarly research on HIV/AIDS and stigma has largely demonstrated a different experience for people living with HIV and AIDS (PLWHA) who inhabit urban and rural areas. Largely missing from this scholarship are experiences in low prevalence areas. Low prevalence areas typically have fewer resources, social networks, and HIV infection and prevalence is less common. In this paper, we examine the challenges PLWHAs in rural and urban areas of the Midwest face and how these individuals manage, respond, and combat HIV/AIDS related stigmas in their communities. This paper utilizes interview data to understand the lived experiences of 18 persons ...


The U.S. Heath Care Experience, Cristian Montes 2017 UNC

The U.S. Heath Care Experience, Cristian Montes

Ursidae: The Undergraduate Research Journal at the University of Northern Colorado

This research project intends to look in depth into the U.S. health care system specifically the Affordable Care Act (ACA). The overview of the ACA will be evaluated to see if it has reached all its objectives it was pursuing prior to being signed into law in 2010. The questions we seek to answer is if the ACA is working or not. Additionally the project will also overview health care systems in other countries and understand how other private insurance functions along with how countries with universal health care and how its people are able to benefit from these ...


Moving Mountains : A Study Examining Long-Term Impacts Of Mountaintop Removal Coal Mining On Mortality In The Appalachian Region Using Geographic Information Sciences Techniques., James Howard Kent Pugh 2017 University of Louisville

Moving Mountains : A Study Examining Long-Term Impacts Of Mountaintop Removal Coal Mining On Mortality In The Appalachian Region Using Geographic Information Sciences Techniques., James Howard Kent Pugh

Electronic Theses and Dissertations

Over the last hundred years, the Appalachian region has been dominated by the coal industry. It has also been and currently is one of the unhealthiest regions in the United States. Recent scholarship has examined the relationship between coal mining and health and mortality rates in the Appalachian region. The first study incorporates air quality and pollution data to examine if coal mining counties have higher levels of pollution and if this pollution contributes to mortality disadvantage. In the second study, I construct a population-based coal-exposure measure to better evaluate the relationship between coal mining and health I find that ...


Strategies For Delivering Sexual Health Education To Adolescents With Autism Spectrum Disorders: An Integrative Review Of The Literature, Megan Harris 2017 DePaul University

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, Kuang-Yi Wen, Rita Smith, Aruna Padmanabhan, Lori Goldstein 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, Nayyara Tabassum, Antonio Chiesi 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 ...


Rethinking The Design Of Low-Cost Point-Of-Care Diagnostic Devices, Faith W. Kimani, Samuel M. Mwangi, Benjamin J. Kwasa, Abdi M. Kusow, Benjamin K. Ngugi, Jiahao Chen, Xinyu Liu, Rebecca Cademartiri, Martin M. Thuo 2017 Kiambu District Hospital

Rethinking The Design Of Low-Cost Point-Of-Care Diagnostic Devices, Faith W. Kimani, Samuel M. Mwangi, Benjamin J. Kwasa, Abdi M. Kusow, Benjamin K. Ngugi, Jiahao Chen, Xinyu Liu, Rebecca Cademartiri, Martin M. Thuo

Materials Science and Engineering Publications

Reducing the global diseases burden requires effective diagnosis and treatment. In the developing world, accurate diagnosis can be the most expensive and time-consuming aspect of health care. Healthcare cost can, however, be reduced by use of affordable rapid diagnostic tests (RDTs). In the developed world, low-cost RDTs are being developed in many research laboratories; however, they are not being equally adopted in the developing countries. This disconnect points to a gap in the design philosophy, where parameterization of design variables ignores the most critical component of the system, the point-of-use stakeholders (e.g., doctors, nurses and patients). Herein, we demonstrated ...


“First, Do No Harm”: Old And New Paradigms In Prehospital Resuscitation In The Aquatic Domain, John H. Pearn, Richard Charles Franklin 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 ...


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