Digital Commons Network^™

Living As A Dying Child: A Gadamerian Analysis Of The Poetry Of Mattie J. T. Stepanek, Corinne Ann Settecase-Wu

Dissertations, Theses, and Capstone Projects

Yearly, approximately 500,000 children live with life-limiting conditions in the United States; 50,000 die. Yet, details regarding children’s days of living as dying are unknown. The aim of this qualitative hermeneutic study is to gain understanding of the phenomenon of living as a dying child. A Gadamerian-inspired approach was implemented to underpin the study, and to analyze poetic text to address the research question: What is it to be living as a dying child? The text sample included 499 poems written by Mattie J. T. Stepanek, a dying child. The Settecase-Wu Conceptual Guide was developed and implemented to ensure accuracy …

Is Easier, Better? A Reevaluation Of The Use Of Non-Remodeled Bone As A Histological Predictor Of Age-At-Death From The Femoral Midshaft Using Gis Software, Mariah Elaine Moe

UNLV Theses, Dissertations, Professional Papers, and Capstones

Traditional macroscopic methods for estimating age-at-death from human skeletal remains have been highly successful in practice but are notoriously inadequate when aging individuals over the age of 50 years. Skeletal histology has the potential to overcome these challenges to narrow the gap in age estimation and more accurately address older individuals.

Primary bone is produced during normal growth and development. Once fully matured, individuals undergo the lifelong process of remodeling wherein primary bone is replaced with microstructures called secondary osteons. As individuals age, the amount of primary bone tends to decrease. This study reexamined the use of percentage of primary …

Modelling Appropriate Use Of Trypanocides To Restrict Wide-Spread Multi-Drug Resistance During Chemotherapy Of Animal African Trypanosomiasis, Ibrahim I. Wangwe, Sarah A. Wamwenje, Caroline Mirieri, Nicodemus M. Masila, Lillian Wambua, Benard W. Kulohoma

All Peer-Reviewed Publications

Trypanocide resistance remains a huge challenge in the management of animal African trypanosomiasis. Paucity of data on the prevalence of multi-drug resistant trypanosomes has greatly hindered optimal veterinary management practices. We use mathematical model predictions to highlight appropriate drug regimens that impede trypanocide resistance development in cattle. We demonstrate that using drugs in decreasing resistance order results in a negligible increase in number of cattle with resistant infection, in contrast to a more pronounced increase from trypanocide use in increasing resistance order. We demonstrate that the lowest levels of trypanocide resistance are achieved with combination therapy. We also show that …

The Concept Of Mania In Traditional Andean Culture, Marucela Juana Uscamayta-Ayvar, Rodolfo Sanchez Garrafa, Javier I. Escobar, Gabriel A. De Erausquin

School of Medicine Publications

No abstract provided.

Review Of Au.D. Program Curriculums And The Current State Of Audiology Roles And Responsibilities In The United States, Kerri L. Heesemann

Dissertations, Theses, and Capstone Projects

Audiology, a health profession concerned with all auditory impairments and their effect on communication, has rapidly and dramatically changed over the last 70 years of its existence (American Academy of Audiology [AAA], 2004). What began as a field dedicated to helping address veterans with hearing difficulties sustained while in the service, has now become a medical profession with a wide and varied Scope of Practice that requires an entry level a doctoral degree. With the evolution of technology, and knowledge about hearing loss, there has been an increase in the information and knowledge required for best practice. While education standards …

Art Therapists' Work With Textiles, Sarah Potter

LMU Theses and Dissertations

This research project aims to explore how art therapists use textiles in clinical practice and personal artmaking and to learn about the perceived benefits and challenges of this type of work. The study utilizes a Qualtrics survey, with 70 participants, and a focus group methodology, with 4 art therapists. Through the analysis of the participants’ conversations, artwork, and survey information, emergent themes were identified related to examining biases of gender identity, challenges related to considerations of time, the repetitive and slow nature that are particular mindful qualities of textile making, potentially heightened benefits of textile work with children and adolescents, …

Physical Exercise – The Friend Or The Enemy Of The Patient With Pulmonary Tuberculosis?, Victoria Maria Ruta, Teodora Gabriela Alexescu, Simina Tarmure, Vasile Negrean, Monica Carmen Pop, Nicoleta Motoc, Iulia Olimpia Pfingstgraf, Mirela Georgiana Perne, Lorena Ciumarnean, Simona Valeria Clichici, Adina Milena Man

Journal of Mind and Medical Sciences

Introduction. Tuberculosis, a major cause of morbidity and mortality, is the second cause of death from an infectious disease, after HIV/AIDS. Each second, a new infection occurs around the globe. Pulmonary tuberculosis can equally affect a performance athlete as well as an aspiring athlete. Physical exercise must be individualized and customized. Pulmonary rehabilitation guides 3 recommend types of exercises for patients with obstructive pathology: stretching, cardiovascular exercise or aerobics. Exercises must be started under medical supervision and must be interrupted if: the ventricular altitude increases above the maximum estimated level for the age, oxygen saturation (SaO2). Aim. The current review …

Childhood Obesity: A Childhood Nightmare, Sarah S. Teemul

Undergraduate Research Symposium

There is an alarming increase in the rates of childhood obesity. The social issues that obese children face begin with the society’s behavior towards them. Obesity is viewed by the public as a lifestyle disease therefore, victim blaming is involved. Society created how a “perfect” body should be and this has led to bullying. People are taken advantage of due to low-economics status, resulting in the purchase of unhealthy food. The challenges that overweight children face from society are important to acknowledge because understanding the social issues can prevent this epidemic. Although, society has come to terms with the epidemic, …

My Husband Will Love Me More If I Give Birth To More Children: Rural Women’S Perceptions And Beliefs On Family Planning Services Utilization In A Low Resource Setting, Agnes Msoka, Eunice Pallangyo, Sharon Brownie, Eleanor Holroyd

School of Nursing & Midwifery, East Africa

Introduction: Responsibility for family planning in low resource settings is almost solely delegated to women, with very low male involvement. This study investigated rural Tanzanian women’s perceptions and cultural beliefs of the barriers to family planning services utilization.

Methods: This study used a qualitative descriptive approach drawing on four group discussions with 20 purposively selected married women with two or more children. The study followed COREQ guidelines for reporting qualitative studies. Data were collected from participants at four health facilities in Bagamoyo and Kisarawe districts in Pwani, Tanzania.

Results: Participants’ occupations included housewives, small-scale farmers, and entrepreneurs. Most women were …

An Arm And A Leg: Medtech Perspectives On Human-Centered Design, Evan D. Poff

Marriott Student Review

The art of human-centered design accounts for both technological and emotional specifications in order to deliver meaningful products that meet the specific needs of the individual customer. Every business professional can deepen his or her understanding of human-centered design – regardless of our industry of choice – by looking to perspectives that the business of medical technology offers. To that end, this article draws upon interviews with three figures in this remarkable field, distilling their insights on how to cultivate businesses that produce human-centered solutions.

Cross-Cultural Evidence Does Not Support Universal Acceleration Of Puberty In Father-Absent Households, Rebecca Sear, Paula Sheppard, David A. Coall

Research outputs 2014 to 2021

Father absence in early life has been shown to be associated with accelerated reproductive development in girls. Evolutionary social scientists have proposed several adaptive hypotheses for this finding. Though there is variation in the detail of these hypotheses, they all assume that family environment in early life influences the development of life-history strategy, and, broadly, that early reproductive development is an adaptive response to father absence. Empirical evidence to support these hypotheses, however, has been derived from WEIRD (Western, Educated, Industrialized, Rich and Democratic) populations. Data from a much broader range of human societies are necessary in order to properly …

Program And Proceedings: Nebraska Academy Of Sciences 1880–2019, 139th Anniversary Year, One Hundred-Twenty-Ninth Annual Meeting, April 12, 2019

Nebraska Academy of Sciences: Programs and Proceedings

Program

Aeronautics and Space Science

Collegiate Academy: Biology

Biological and Medical Sciences

Chemistry and Physics

Teaching and Learning the Dynamics of Cellular Respiration Using Interactive Computer Simulations Workshop

Life After College: Building Your Resume for the Future Workshop

Collegiate Academy: Chemistry and Physics

Aeronautics and Space Science, Poster Session

Maiben Memorial Lecture: David Swanson

Anthropology

Applied Science and Technology

Earth Science

Environmental Sciences

Teaching of Science and Math

Gray, Timothy L. (Fa 1280), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archives Project 1280. Student paper titled “Superstition or Belief on Coach and Athlete” in which Timothy Gray examines the relationships between sports players and their coaches through a folkloric lens. In his paper, Gray describes a brief history of how belief has impacted the ways in which sports are played and the effects, whether positive or negative, of enacting certain superstitious practices before games. The paper also includes a small collection of superstitions and beliefs gathered from close friends and professional coaches.

The Santa Clara, 2019-04-04, Santa Clara University

The Santa Clara

No abstract provided.

A Data Collection Program For Reducing Ipv In Lgbtq+ Communities, Alexandra Michel, Nicholas Cheke, Lourdes Gonzalez, Rachel Greim

OHSU-PSU School of Public Health Annual Conference

Sexual and gender minority populations are not currently being accurately tracked or counted in most domestic violence (DV) and intimate partner violence (IPV) surveillance programs in Oregon. However, research indicates that LGBTQ+ populations experience IPV at rates comparable or even higher than heterosexual populations. Additionally, distrust of law enforcement and services designed around heterosexual experiences of IPV further reduce the ability of LGBTQ+ populations, particularly transgender women, to access IPV services. We propose that through the use of a PRECEED-PROCEED model, a program could be developed to more accurately collect sexual orientation and gender identity data by IPV service providers …

Santa Clara Magazine, Volume 60 Number 2, Spring 2019 [Print Issue V. 60:1], Santa Clara University

Santa Clara Magazine

28 - TECHNOLOGY, WONDER & US We’re at the epicenter of the biggest ecosystem of information exchange in history. How do we ensure tech fosters human flourishing? By Dorian Llywelyn, S.J. Illustrations by Derek Brahney.

36 - QUERY RESULTS What questions should we be asking about ethics and AI? Here are six. By Irina Raicu J.D. ’09. Illustrations by Paul Blow.

40 - A CURIOUS CASE If you want to innovate for the world, you need the room to do it. Sanjiv Das and a tale of machine learning, mortgages, and mistaken identity. By Deborah Lohse. Illustrations by Ellen Weinstein. …

Dual Therapy Treatment Of Pediatric Acute Lymphoblastic Leukemia With Blinotumomab And A Standard Chemotherapy Regimen, Tori I. Scheffler

Selected Honors Theses

Leukemia is the number one cancer affecting children in the nation, with acute lymphoblastic leukemia being the most prevalent classification.1 While new and innovative treatment protocols have greatly increased the success rate of primary cancer patients, those who face relapse receive a much more dismal prognosis. Recent studies have shown that patients who relapse quite frequently have developed drug-resistant clones of the original cancer cells, leading to a need for various secondary treatment options. The drug-resistance is due to clonal mutations that take place within the cancer cell, most often because of an outside pressure or stress within the environment …

Evolution, Health, Medicine, And The Gap In Between, Mi Jedar 19

Honor Scholar Theses

No abstract provided.

Internamente Solo: Escuchando Y Resistiendo La Soledad De Adultos Mayores En La Araucanía, Chile / Internally Alone: Hearing And Resisting The Loneliness Of Seniors In La Araucanía, Chile, Grace Ellrodt

Independent Study Project (ISP) Collection

Research Question: Which current patterns drive or diminish loneliness among seniors of the Region of the Araucanía in the city of Temuco and surrounding rural communes?

Objectives: Understand and interpret the roots and the antidotes of the loneliness phenomenon experienced by seniors in Temuco and surrounding communes in the present moment.

Identify and analyze the drivers of pathological elder loneliness in structural, intermediary, and proximal factors.

Highlight the perspectives and narratives of seniors, community leaders, and health resources with respect to strategies to reduce the crisis.

Background: Currently, the population of seniors has risen and will continue to rise in …

When Crayons Meet Tibetan Living Room Walls: Early Childhood In Exile, Emma Hart

Independent Study Project (ISP) Collection

This study aims to understand early childhood caregiving among Tibetan refugees living in Nepal. Due to the brain’s enormous developmental plasticity from ages zero to three, children’s experiences during this period are extremely important to explaining their future learnings in school, interactions with people, and engagements with their surroundings. Through interviews and observations, Tibetan parents shared their conceptions of early childhood, parent-child interaction norms, dreams for their children, and how their status as refugees in Nepal affects these. Research was conducted in two Pokhara district Tibetan settlements and one settlement in Mustang. Connected by the flow of children and adults …

Voices Unheard: Women And Their Children In Nepal’S Incarceration System, Aune Nuyttens, Mikayla Rose

Independent Study Project (ISP) Collection

This research project focused on women in Nepal’s incarceration system. Our goal was to hear and share their stories with the hopes of humanize and de-stigmatize perceptions of female prisoners in and outside of Nepal. A central component to these stories, as we learned, was also the story of prisoner’s children and the NGOs who provide assistance to this vulnerable group of women and their children. The researchers travelled to the east and west of Kathmandu to visit rural and urban prisons in Nepal, and visited various children homes, however the research was based out of Kathmandu, where many of …

Mind Over (What Doesn’T) Matter: De-Stigmatizing Mental Health From Senegalese Women’S Perspectives, Jenna Marks

Independent Study Project (ISP) Collection

As a matrilocal and collectivist society, Dakar is an urban space where the woman is at the center. With this in mind, it is possible to understand all the pressures women in urban Senegalese society face. Women are the center of the household, thus being responsible for the family, finances, and the social aspect of welcoming visitors. In addition to these factors, women in Senegal also deal with community expectations and responsibilities since there is larger emphasis on the community, rather than the nuclear family in Senegalese society. This paper examines how these two aspects of Senegalese society (matrilocality and …

Images Of Nursing From West Michigan: A Photo Essay, Aldina Mahmutovic

Honors Projects

The image of nursing is diverse and complex, with public perceptions influenced by traditional imagery and negative stereotypes. Few recent studies consider how nurses view their professional image. My study aimed to uncover how West Michigan nurses perceive the image of nursing. Approval was given by the local Sigma chapter (Kappa Epsilon at Large), to recruit participants from members, and by Grand Valley's IRB. Via an online REDCap survey, participants submitted an original photo and written narrative. Submissions were searched for underlying patterns using thematic analysis. Themes identified were: (1) nurses establish relationships with unique and vulnerable clients, using their …

Glycated Serum Protein Genetics And Pleiotropy With Cardiometabolic Risk Factors, Matthew P. Johnson, Ryan Keyho, Nicholas B. Blackburn, Sandra Laston, Satish Kumar, Juan M. Peralta, Suman S. Thapa, Bradford Towne, Janardan Subedi, John Blangero, Sarah Williams-Blangero

School of Medicine Publications

Measurements of fasting glucose (FG) or glycated hemoglobin A1c (HbA1c) are two clinically approved approaches commonly used to determine glycemia, both of which are influenced by genetic factors. Obtaining accurate measurements of FG or HbA1c is not without its challenges, though. Measuring glycated serum protein (GSP) offers an alternative approach for assessing glycemia. The aim of this study was to estimate the heritability of GSP and GSP expressed as a percentage of total serum albumin (%GA) using a variance component approach and localize genomic regions (QTLs) that harbor genes likely to influence GSP and %GA trait variation in a large …

Sometimes A Crucible: Mindfulness Art Therapy Experientials In A Dbt-Oriented Residential Partial Hospitalization Program For Dually-Diagnosed Adults, Joan Mancuso

Expressive Therapies Capstone Theses

My thesis concerns observations made while incorporating mindfulness-oriented art therapy experientials into hour-long, didactic DBT skills-training groups at a residential partial program serving dually-diagnosed adults. For the thesis, I adapted two exercises from Clark’s DBT-Informed Art Therapy. My research method was arts-based grounded theory, referencing Corbin’s grounded theory and Wadeson and Allen’s thinking on the use of art for professional processing. My data took the form of a journal, word clouds, poems, and small artworks I iteratively created to deepen my learnings. My experientials highlighted areas of confusion regarding mindfulness that I attempted to address. Through the process, I …

A Comparison Of The United States And Costa Rican Health Care Systems And Their Influence On Immigrant Women's Maternal And Child Health Outcomes, Tamera R. Sullivan

Senior Theses

Health is a fundamental right for all humans, and every nation has a unique system for health care delivery. While the United States and Costa Rica follow two different welfare state models, there is still value in comparing the two countries. This project was inspired by my public health-based study abroad experience in Costa Rica in May 2018, which sparked a desire to learn more about the structures that form the health care system of each country. The United States has a more privatized and fragmented health care system, while Costa Rica has a public, universal health care system. Although …

Technology For Behavioral Change In Rural Older Adults With Obesity, John A. Batsis, John A. Naslund, Alexandra B. Zagaria, David Kotz, Rachel Dokko, Stephen J. Bartels, Elizabeth Carpenter-Song

Dartmouth Scholarship

Background: Mobile health (mHealth) technologies comprise a multidisciplinary treatment strategy providing potential solutions for overcoming challenges of successfully delivering health promotion interventions in rural areas. We evaluated the potential of using technology in a high-risk population.

Methods: We conducted a convergent, parallel mixed-methods study using semi-structured interviews, focus groups, and self-reported questionnaires, using purposive sampling of 29 older adults, 4 community leaders and 7 clinicians in a rural setting. We developed codes informed by thematic analysis and assessed the quantitative data using descriptive statistics.

Results: All groups expressed that mHealth could improve health behaviors. Older adults were optimistic that mHealth …

Where Do We Go From Here?: Two Key Informants' Perspectives On How To Address Conscientious Objection In Top Provision In South Africa, Talia Parker

Independent Study Project (ISP) Collection

This perspectives research endeavor examines the barriers to TOP access that arise from conscientious objection through the conflicting network of rights and legislation in South Africa. While previous research has evidenced the demonstrable barriers to accessing TOP care in South Africa, this project aims to push the existing literature and the field as a whole one step further to interrogate how to move forward within the realities of conscientious objection.

To do so, I conducted interviews with key informants in the field of reproductive healthcare provision, research, and activism in Cape Town on their perspectives about the practice of conscientious …

Z4, A Slow Puncture: An Autoethnographic Exploration Of Language, Embodiment, And Meaning-Making, Charlotte Rose Samuels

Independent Study Project (ISP) Collection

In my ISP, I explored language as it relates to the ways in which people living in Cato Manor make sense of HIV/AIDS in their community. With 7.1-7.2 million people living with HIV (PLWHIV) in South Africa, individuals across the country are either infected or affected by illness. KwaZulu-Natal (KZN), the province with the highest rate of HIV, is also the province that was surveyed with the disproportionately highest internal stigma rates for PLWHIV. High prevalence of HIV, particularly in KZN, calls for a constant contextualization of life in the presence of illness.

Throughout the world, metaphor and symbolism is …

From The American People: An Autoethnographic Exploration Of South African Ngos' Perceptions Of Pepfar, Antonia Asher

Independent Study Project (ISP) Collection

The aim of this research was to understand what the ideal partnership would be between United States (US) governmental aid agencies and South African non-governmental organizations (NGOs), specifically concerning HIV/AIDS programs funded by the US President’s Emergency Plan for AIDS Relief (PEPFAR), from the perspective of NGOs. PEPFAR is the largest relief fund for a single disease; thus, I additionally sought to deeply reflect upon myself as a US citizen in South Africa, a country that has received trillions of dollars from taxpayers such as myself.

To accomplish this, I interviewed NGO staff about the nature of current partnerships, outcomes …