Digital Commons Network^™

It’S All About Trust And Respect: Cultural Competence And Cultural Humility In Mobile Health Clinic Services For Underserved Minority Populations, Arelis Moore De Peralta, Melinda Gillispie, Catherine Mobley, Lynette M. Gibson

Publications

To explore participants' perceptions of cultural competence and cultural humility in mobile health clinic (MHC) service delivery, using the Cultural Competence Model (CCM) as an organizing framework. Methods. We conducted five focus groups with an ethnically diverse group of English-and Spanish-speaking men and women, ages 20–67, residing in five underserved neighborhoods in a Southeastern U.S. city. Data analysis followed a thematic approach and iterative qualitative content analysis. Results. Participants expressed a desire for well-trained and caring staff who practice cultural humility. Conclusions. By applying the CCM's five-pronged constellation of cultural abilities, health care personnel could ultimately be more responsive to …

Hepatitis C Infection In Men Who Have Sex With Men, Jing Zhao

Dissertations and Theses (Open Access)

Hepatitis C virus (HCV) infection is the leading cause of cirrhosis, hepatocellular carcinoma, and liver transplantation. Current treatment rates and efficacy are inadequate to manage the disease burden caused by HCV; thus, efforts are needed to control HCV transmission. Besides the well-known transmission routes, which are health-care-associated transmission and transmission through injecting drugs, HCV could also be transmitted by sexual contact, especially among men having sex with men (MSM). MSM also have higher drug use prevalence than the general population, which may contribute to HCV infection by sexual disinhibition and other risky behavior. Since 2000, there have been emerging reports …

Children Shouldn't Play With Dead Things, Sarah Adcock

Graduate School of Art Theses

I view my creative process as alchemy, the transformation of materials through experimentation. I use wax as a material that transcends its historical use as a sculptural process for casting and instead, use it for its transmutable qualities to inform content. Because of its plasticity and duality as fragile and resilient, wax is symbolically submissive and assertive. By applying heat, wax can be molded and formed into new shapes. Once it cools, wax reverts back to its natural state; solid and impermeable. I use objects to explore desires of origin and life. Transitional objects, the first “me not me” possession …

Por Ahí Dicen: Sexual Health Promotion Campaign In A Puerto Rican Community, Isabella M. Antenucci, Yessica Guzman, Phillip Granberry, Maria Idali Torres

Gastón Institute Publications

The purpose of this study was to assess Puerto Rican mother’s levels of exposure to the Spanish media campaign launched by Por Ahi Dicen, and to assess the identification mothers had with these stories. The methodology consisted of in-person survey interviews of 210 Puerto Rican mothers residing in the city of Springfield, Massachusetts. The study used a sub-set of data taken from these interviews and analyzed using Microsoft Excel and Stata15. The major finding of this study showed that the mothers who regularly watched television in the 90-day campaign time frame were more exposed to the campaign than they were …

Measuring Racial Microaggression In Medical Practice, Amanda Lee Almond

Publications and Research

The purpose of the present study was to validate the already existing Racial Microaggression in Counseling Scale (RMCS) when the term “therapist” was replaced with “physician”, thus constituting the modification as the Racial Microaggression in Medical Practice Scale (RMMPS). Racial microaggressions work at reinforcing inferior social status on a cognitive level. Unlike overt racism, messages behind microaggression are subtler and more every day. A lack of acceptance, respect, and regard emerges from interactions in medical contexts as there are layers of in-group and out-group statuses at play (e.g., physician-patient, Black-White, expert-lay, and Westernized-alternative). The layer focused on in the present …

An Exploration Of Attitudes Toward Dogs Among College Students In Bangalore, India, Shelly Volsche, Miriam Mohan, Peter B. Gray, Madhavi Rangaswamy

Anthropology Faculty Research

Conversations in the field of anthrozoology include treatment and distinction of food animals, animals as workers versus pests, and most recently, emerging pet trends including the practice of pet parenting. This paper explores attitudes toward pet dogs in the shared social space of urban India. The data include 375 pen-and-paper surveys from students at CHRIST (Deemed to be University) in Bangalore, India. Reflecting upon Serpell’s biaxial concept of dogs as a relationship of affect and utility, the paper considers the growing trend of pet dog keeping in urban spaces and the increased use of affiliative words to describe these relationships. …

Plasticity In The Human Gut Microbiome Defies Evolutionary Constraints, Andres Gomez, Ashok Kumar Sharma, Elizabeth K. Mallott, Klara J. Petrzelkova, Carolyn A. Jost Robinson, Carl J. Yeoman, Franck Carbonero, Barbora Pafco, Jessica M. Rothman, Alexander Ulanov, Klara Vickova, Katherine R. Amato, Stephanie L. Schnorr, Nathaniel J. Dominy, David Modry, Angelique Todd, Manolito Torralba, Karen E. Nelson, Michael B. Burns, Ran Blekhman, Melissa Remis, Rebecca M. Stumpf, Brenda A. Wilson, H. Rex Gaskins, Paul A. Garber, Bryan A. White, Steven R. Leigh

Anthropology Faculty Research

The gut microbiome of primates, including humans, is reported to closely follow host evolutionary history, with gut microbiome composition being specific to the genetic background of its primate host. However, the comparative models used to date have mainly included a limited set of closely related primates. To further understand the forces that shape the primate gut microbiome, with reference to human populations, we expanded the comparative analysis of variation among gut microbiome compositions and their primate hosts, including 9 different primate species and 4 human groups characterized by a diverse set of subsistence patterns (n = 448 samples). The results …

Black Women’S Wellbeing: The Intersections Of Race, Immigrant Status, And Mental Health Among African Diasporan Women In Houston, Texas, Sianneh Vesslee

African American and Africana Studies Summer Fellows

My central research question is: how has white supremacy impacted African Diaspora women’s mental health, access to mental healthcare, and identities as mental health patients in the United States as discernible in advertisements and state policies for psychological wellness? More specifically, I will investigate whether and/or how white supremacy shapes the ways in which advertising and state policies for mental healthcare address the particular needs of black women who immigrate to Houston, Texas from Lagos, Nigeria and Coahuila, Mexico. I choose those geographies because Houston is a U.S. city with one of the highest populations of black immigrants from Nigeria …

“I Don’T Want To Look Sick Skinny”: Perceptions Of Body Image And Weight Loss In Hispanics Living With Hiv In South Texas, Jordan W. Abel, Omar Allen, Delia Bullock, Erin Finley, Elizabeth Walter, Phillip Schnarrs, Barbara S. Taylor

Journal of Health Disparities Research and Practice

Objective: Obesity is rising in people with HIV (PLWH) and Hispanics. Both HIV and obesity are associated with cardiovascular disease morbidity and mortality. Our goal is to understand perceptions of body image and lifestyle in Hispanics with HIV to adapt interventions appropriately.

Methods: We conducted semi-structured interviews with 22 Hispanic PLWH and 6 providers. Purposive sampling selected patient participants across weights and genders. Interviews were coded and analyzed using grounded theory, comparing perspectives between patients with and without obesity, and patients and providers.

Results: Participants felt obesity and diabetes were “normal” in the community. Patients exhibited understanding of healthy diet …

Disrupting The Intergenerational Transmission Of Trauma Among Alaska Native People: A Conceptual Model For The Family Wellness Warriors Initiative, Lily Ray, Bobbi Outten, Polly Andrews, Katherine Gottlieb

Journal of Health Disparities Research and Practice

Background: Increasing evidence demonstrates the life-long physical, emotional, and social effects of traumatic experiences. In recognition that many health disparities are driven by high rates of traumatic experiences, Alaska Native and American Indian people have created wellness programs that build health by first healing historical and lifetime trauma. Yet, many of these promising community-based interventions are not described in the health sciences literature. Southcentral Foundation’s Family Wellness Warriors Initiative (FWWI) was created by Alaska Native people, addresses traumatic experiences as the root cause of family violence, and builds on cultural strengths. The goal of this study was to build a …

The Tampa Gym Study: An Ethnographic Exploration Of Gyms, Female Gym-Goers And The Quest For Fitness In Tampa, Fl, Danielle Reneé Rosen

USF Tampa Graduate Theses and Dissertations

The Tampa Gym Study was an ethnographic examination of veteran women exercisers, their workout routines, and their attitudes towards the workouts that they undertake in two Tampa area gyms. The study’s principle objective was to study “fitness culture” in these facilities and the manner in which that culture is embodied in the language women use to describe themselves and their exercise behaviors.

The obesity crisis in the United States has been significantly responsible for an increase in membership in gyms and fitness facilities nationwide. The “culture of fitness” as it is embodied in these facilities has impacted women and their …

Stonehill Alumni Magazine Summer/Fall 2019, Stonehill College Office Of Communications And Media Relations

Stonehill Alumni Magazine

This issue of the magazine includes the following features:

• Addressing Mental Health Head On Established by two alumni, the Wellness Initiatives Fund provides further opportunity for mental health programming on campus. BY MAURA KING SCULLY
• Must Love Dogs From veterinary care and grooming to dog walking and canine therapy, seven alumni share how they work with mans best friend. BY LAUREN DALEY '05
• A Pleasure Doing Business Enhancing Stonehill s strong business programs and further energizing the main quad, the new Leo J. Meehan School of Business building is open and ready for business.

Santa Clara Magazine, Volume 60 Number 4, Summer 2019, Santa Clara University

Santa Clara Magazine

16 - PROTECTING THE HEART To grow the campus, we must care for the thing unchanging at its center—its Mission. Take a journey through the restoration of Mission Santa Clara de Asís. By Lander Eicholzer ’19.

22 - A LOBBY FOR JUSTICE What do you do when it is impossible for the innocent to prove their innocence? Change the law. The Northern California Innocence Project teamed up with state lawmakers and others to do just that. By Deborah Lohse.

26 - FINDING CENTER Outgoing Frank Sinatra Chair in the Performing Arts Taye Diggs reflects on celebrating who are you, where …

Santa Clara Magazine, Volume 60 Number 3, Summer 2019, Santa Clara University

Santa Clara Magazine

16 - PROTECTING THE HEART To grow the campus, we must care for the thing unchanging at its center—its Mission. Take a journey through the restoration of Mission Santa Clara de Asís. By Lander Eicholzer ’19.

22 - A LOBBY FOR JUSTICE What do you do when it is impossible for the innocent to prove their innocence? Change the law. The Northern California Innocence Project teamed up with state lawmakers and others to do just that. By Deborah Lohse.

26 - FINDING CENTER Outgoing Frank Sinatra Chair in the Performing Arts Taye Diggs reflects on celebrating who are you, where …

Dissociation Between The Growing Opioid Demands And Drug Policy Directions Among The U.S. Older Adults With Degenerative Joint Diseases, Pearl Kim Phd, Takashi Yamashita Phd, Mph, Ma, Jay J. Shen Phd, Seong-Min Park Phd, Sung-Youn Chun Phd, Sun Jung Kim Phd, Mhsa, Jinwook Hwang Md, Phd, Se Won Lee Md, Georgia Dounis Dds, Ms, Hee-Taik Kang Md, Phd, Yong-Jae Lee Md, Phd, Dong-Hun Han Dds, Phd, Ji Eun Kim Phd, Hyeyoung Yeom Md, David Byun Do, Tsigab Bahta Md, Ji Won Yoo Md

School of Public Health Faculty Research

We aim to examine temporal trends of orthopedic operations and opioid-related hospital stays among seniors in the nation and states of Oregon and Washington where marijuana legalization was accepted earlier than any others. As aging society advances in the United States (U.S.), orthopedic operations and opioid-related hospital stays among seniors increase in the nation. A serial cross-sectional cohort study using the healthcare cost and utilization project fast stats from 2006 through 2015 measured annual rate per 100,000 populations of orthopedic operations by age groups (45–64 vs 65 and older) as well as annual rate per 100,000 populations of opioid-related hospital …

Natural Medicines, Neyda V. Gilman

Library Scholarship

Natural Medicines is a robust and authoritative resource for information related to complementary and alternative medicines, natural therapies, natural ingredients, and natural products. The content is evidence-based with the aim of being as objective and unbiased as possible, and monographs in the database include references for the information provided (Natural Medicines 2019a). It is a fee-based subscription product, but pricing is generally fair and it can be bundled with other resources of interest. There are some inconveniences, such as not working with discovery services or allowing Boolean or quotation searching, but overall the database is easy to use, reliable, and …

Intersectional Identities And Microaggressions: The Experience Of Transgender Females, Cory Daniel Gerwe

Counseling & Human Services Theses & Dissertations

Historically, attention given to privileged LGBT minorities such as white LGBT individuals, renders those who experience multiple minority identities as unacknowledged. There is a scarcity of research exploring the intersectional experiences of transgender individuals and how these experiences impact their mental health and well-being. For that reason, the intent of this study was to learn more about transgender females who hold additional minority statuses, their transition experiences, their circumstances, and the nature of their social environment. Specifically, I investigated trans female experiences of transitioning with a specific focus on the intersection of gender identity, race, socioeconomic status (SES), and age. …

Spousal Factors Associated With Antenatal Psychosocial Stress: A Case Control Study, Asha K. V Ms

Manipal Journal of Nursing and Health Sciences

Stress during pregnancy affects both mother and foetus resulting in unfavourable pregnancy outcomes. Studies regarding the factors linked with increased stress during pregnancy aids to improve the mental status of the mother during gestation and can lead to a reduction in negative pregnancy outcomes. The objective of the study was to identify spousal factors associated with antenatal psychosocial stress among pregnant women seeking prenatal care from a teaching hospital at the Thiruvananthapuram district of Kerala. Methods: Case control design was used for the study. The tools used for data collection were the Antenatal Psychosocial Stress scale (APSS) and a semi-structured …

Engineering Mankind: The Sociopolitical Impact Of Eugenics In America, Megan Lee

Voces Novae

During the early twentieth century, the American eugenics movement prospered, spreading its influence within the sociopolitical framework of the United States. The notion of eugenics – the control of human breeding to increase desirable traits, was extensively propagated through the creation of sterilization laws and public programs. Eventually, the public came to view eugenics as a necessity in order to preserve and improve the quality of mankind for the future.

Collaborative Healthcare: Interprofessional Practice, Education And Evaluation (Jcipe), Volume 10, Number 1, Spring 2019

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In this Issue

1 - From the Editors

2 - Advancing Senior Care and Aging in Place through Collaborative, In-Home Visits

3 - Meet an IPE Faculty Champion from Thomas Jefferson University

4 - Collaborative Learning of Diabetes with Graphic Design Communication Students and Student Pharmacists

5 -Letter to the Editors

6 - Effectiveness of the Sloppy Mountain Medical Center Computer-Based Escape Room Game

8 - Team Care Planning: Reflections of a Graduate Assistant

8 - 2019 James B. Erdmann, PhD Award Recipients

9 - Meet an IPE Student Champion from Thomas Jefferson University

Advancing Senior Care And Aging In Place Through Collaborative In-Home Visits: A Novel Community-University Partnership, Michael J. Oldani, Phd, Ms, Sharon Chappy, Phd, Rn, Cnor, Lois Harrison, Pt, Dpt, Ms, Stacey L. Kukor, Mot, Otr/L, Travis Suss, Pharmd, Bcgp, Nancy A. Stoehr, Pharmd, Faca, Fiacp

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

"Aging in place" (i.e., living independently in one's home) has become part of the national conversation as the U.S. demographically shifts towards an older population. What is interesting about aging in place is how seniors may end up in this particular situation. For some seniors, it may be their choice to age safely in their home with or without a partner and possibly other family members. For others, aging in place can occur out of necessity as a result of financial burden, lack of family support, or even isolation due to mental health or cognitive issues like dementia (see Brody, …

The Impact Of Epigallocatechin-3-Gallate (Egcg) On Ts65dn Down Syndrome Mouse Models, Nicole Santana

The Pegasus Review: UCF Undergraduate Research Journal

Down syndrome (DS) is caused by the trisomy 21 genetic disorder, which produces a unique craniofacial phenotype. The purpose of this research is to better understand how Epigallocatechin-3-gallate (ECGC) influences the development of DS craniofacial phenotypes. Ts65Dn DS mouse models have been genetically modified to have 3 copies of numerous genes found on human chromosome 21, including DYRK1A, which plays a role in bone and brain development. EGCG is a known inhibitor of Dyrk1a activity. For this study, pregnant Ts65Dn mice were treated with 200 mg/kg of ECGC twice daily on days 7 and 8 of pregnancy. It was …

Partnering With A Different Faith: Muslim American Women’S Experiences, Beyza Sinan

Seton Hall University Dissertations and Theses (ETDs)

The events of September 11, 2001 critically impacted the identity of Muslim Americans in the United States and spurred attention to their experiences within the psychological literature. Prior literature has rarely explored these individuals’ within-group differences, defined Muslim American identity as bicultural, or explored experiences of being in a romantic relationship. This study was intended to address the gaps in the literature by focusing on the bicultural identity and the experience of interfaith relationships among Muslim American women. The following research questions guided this study: 1) How do Muslim American women experience their romantic relationship with a non-Muslim partner? 2) …

Postoperative Pain: Factors And Tools To Improve Pain Management In Children, Mai M. Makhlouf, Eric Robles Garibay, Brooke N. Jenkins, Zeev N. Kain, Michelle Fortier

Psychology Faculty Articles and Research

Outpatient surgery has made it increasingly common for parents to manage pain in the home setting. Studies have shown that parents often under treat pain, leaving children vulnerable to the negative side effects of suboptimal pain management. Multiple factors affect pain management like child’s age and developmental stage, language, cultural values like stoicism, parental beliefs about medication, biological differences among groups, etc. Understanding all the factors involved can help healthcare providers and parents better understand pain and contribute to optimal pain management. Multiple tools and technological interventions have been created to help create a better understanding of pain and a …

Extreme Events Reveal An Alimentary Limit On Sustained Maximal Human Energy Expenditure, Caitlin Thurber, Lara R. Dugas, Cara Ocobock, Bryce Carlson, John R. Speakman, Herman Pontzer

Publications and Research

The limits on maximum sustained energy expenditure are unclear but are of interest because they constrain reproduction, thermoregulation, and physical activity. Here, we show that sustained expenditure in humans, measured as maximum sustained metabolic scope (SusMS), is a function of event duration. We compiled measurements of total energy expenditure (TEE) and basal metabolic rate (BMR) from human endurance events and added new data from adults running ~250 km/week for 20 weeks in a transcontinental race. For events lasting 0.5 to 250+ days, SusMS decreases curvilinearly with event duration, plateauing below 3× BMR. This relationship differs from that of shorter events …

Impactful Care: Addressing Social Determinants Of Health Across Health Systems, Nicole Lisa Friedman

Dissertations and Theses

There is emerging evidence that addressing health-related social needs through enhanced clinical-community linkages can improve health outcomes and reduce costs. Unmet health-related social needs, such as food insecurity, inadequate or unstable housing, and lack of access to transportation may increase the risk of developing chronic conditions, reduce an individual's ability to manage these conditions, increase health care costs, and lead to avoidable health care utilization. In response, work on social needs is happening across large health systems in the United States, but the pace of progress is slow and accountability is diffuse.

The goal of this applied research project is …

Berst Academy Poster - 2019, Angela T. Sweeney, Rebecca Blanchard Phd

Research and Education Posters

BERST Academy (Baystate Education Research and Scholarship of Teaching) Poster 2019

Youth-Sized Lab Coats: When Children Become Doctors Through Adolescent Healthcare Brokering, Lindsey Russell

Social Sciences

Child language brokering refers to the practice of children acting as linguistic and cultural mediators in general settings like school, stores, banks and other personal uses. The primary focus of this paper is “adolescent healthcare brokering,” a term coined in 2016 by researchers Jennifer R. Banas, James W. Ball, Lisa C. Wallis and Sarah Gershon, to refer to the use of children as interpreters for family and community members, specifically in the healthcare setting; these cross-lingual communications may occur during regular physician appointments, trips to the emergency department or at specialized visits in fields such as obstetrics or oncology.

This …

The Real Period Stain: Menstrual Stigma And Its Pressures In South Asia, Ila Mostafa

Celebration of Learning

This research project looks to answer the question: How does menstrual stigma in rural and urban Bangladesh affect women’s access to menstrual health care?

The research question was borne from personal experiences with menstrual stigma and seeing it firsthand in many areas of Bangladesh. These firsthand experiences come from women whom I interviewed in urban and village locations in Bangladesh in 2017. The research question looks to explore how women feel about seeking help for or talking about their menstrual issues. In asking this question, I want to explore what is at stake for women due to the powerful presence …

An Overview Of American Ginseng Through The Lens Of Healing, Conservation And Trade, Margaret Wulfsberg

Lawrence University Honors Projects

American ginseng (Panax quinquefolius) is an herbaceous plant found in the eastern United States and Canada. Due to the high demand for ginseng roots on the Chinese market, it has been harvested at unsustainable rates. If this continues, overharvest along with other environmental factors will lead it to become extinct in the wild. American ginseng became popular due to its similarities with Asian ginseng, (Panax ginseng), a related plant that has been used in Chinese medicine for hundreds of years. Since there is so little Asian ginseng left in the wild, American ginseng now helps satisfy …