Digital Commons Network^™

A Paradox In Development: Exploring The Obesity Pandemic In Latin America, Laila G. Heid

CMC Senior Theses

The purpose of this paper is to explain the obesity pandemic in Latin America and identify the factors of development contributing to the pandemic. The paper uses the framework of the nutrition transition as presented by Barry Popkin to trace consumption patterns and changes in dietary habits in the region. The paper looks at three case studies: Mexico and Chile, two countries with high obesity rates, and Peru, the country with the lowest obesity rate in South America. This comparative framework is intended to determine which conditions are necessary for obesity, which conditions are sufficient for obesity, and any conditions …

Post Exposure Prophylaxis Among Ugandan Nurses Accidents Do Happen, J. Mill, Esther Nderitu, S. Richter

School of Nursing & Midwifery, East Africa

Purpose: In 2009 we conducted a study to explore Ugandan nurses’ practice of universal precautions while caring for persons living with HIV. During our interviews about universal precautions, nurses’ also shared their experience with post-exposure prophylaxis (PEP) following needle-stick injuries. We present findings related to nurses’ understanding of PEP and their experience with, and reporting of, needle stick injuries.

Background: Nurses have high rates of exposure to blood-borne pathogens. Although there is minimal risk of the transmission of blood-borne pathogens from health care workers (HCWs) to patients and vice versa, post-exposure prophylaxis, has become routine following the occupational exposure of …

Present Futures: Possibilities For Selfhood At A Community Mental Health Center In Detroit, Michigan, Talia Gordon

Wayne State University Theses

Since the 1990s, recovery-oriented approaches to mental illness have become the dominant paradigm in contemporary U.S. non-clinical institutional settings. Central to the recovery paradigm is a discourse of self-determination that separates psychiatric pathology from personhood and expects those diagnosed to enact and manage themselves as autonomous subjects - as empowered, responsible, independent, and transformable. For many individuals, however, everyday experiences of illness are at odds with expectations for recovery, defined as a "process of change" through which the self is continuously worked upon and improved (SAMHSA 2011). One particularly popular non-clinical recovery modality is the Clubhouse model of psychosocial rehabilitation …

Rwandan Young People’S Perceptions On Sexuality And Relationships: Results From A Qualitative Study Using The ‘Mailbox Technique’, Kristien Michielsen, Pieter Remes, John Rugabo, Ronan Van Rossem, Marleen Temmerman

Obstetrics and Gynaecology, East Africa

This study aimed to gain more insight into young Rwandans’ perceptions on sex and relationships, which is essential for formulating effective sexual and reproductive health (SRH) promotion interventions. Using a ‘mailbox technique’, this paper studies the spontaneous thoughts of Rwandan young people on sexuality. Mailboxes were installed in five secondary schools in the Bugesera district and students were invited to write about their ideas, secrets, wishes, desires and fears on sexuality and relationships. Of the 186 letters collected, 154 addressed SRH topics. The letters were analysed in NVivo 9 using a theoretical model on vulnerability. Two stereotypical sexual interactions co-exist: …

Shots, Everybody? : British Anti-Smallpox Vaccination And The Development Of Multifaceted Anti-Vaccine Rhetoric On Internet Parenting Forums, Marta B. Bean

Scripps Senior Theses

Vaccination is an important public health measure that can help reduce disease at the population level. Substantial evidence exists that vaccines are safe and effective at reducing the incidence of diseases like pertussis, measles and cervical cancer. However, on Internet parenting forums, parents discuss whether or not vaccination is the right choice for their children. In this thesis, I highlight the historical context of the anti-vaccine movement in mid 19^th century to early 20^th century Victorian Britain in the era of compulsory smallpox vaccination. Vaccination in this time was a very different and more overtly dangerous process, and …

Let’S Play: Understanding The Role And Significance Of Digital Gaming In Old Age, Julie A. Skalsky Brown

Theses and Dissertations--Gerontology

Despite a marked increase in the use of digital games among older persons, there is insufficient research that provides insight into the gaming experiences of this population. A major demographic shift within the senior gaming market has ushered in a new perspective on the use of digital games as a tool for physical and cognitive health, and improved socialization. It is proposed that individual notions of play, which are developed over the life course, influence digital game play engagement and interaction preferences, and contribute to well-being. This study explored how self-perceptions of play over the course of the senior gamer’s …

Spirits And Syringes: Malaria As An Epidemic, A Spiritual Punishment, And An Act Of War, Kelly Blair 14

Honor Scholar Theses

None.

Eastern Michigan University Undergraduate Catalog, 2014-2015, Office Of The Registrar

Undergraduate Catalogs

No abstract provided.

Exploring Jungian Archetypes As Potential Predictors Of Infidelity In Committed Relationships, Kattrina Miller Roach

Electronic Theses and Dissertations

No abstract provided.

Transgenerational Transmission Of Trauma In Second Generation Latino Children And Adolescents, Ricardo Phipps

Electronic Theses and Dissertations

This study explored the impact that immigration-related trauma has upon families, particularly second-generation immigrant children in the Latino-American community in the United States, and the possibility that second-generation immigrant Latinos are vulnerable to transgenerational trauma. Transgenerational trauma involves the exhibition of posttraumatic stress disorder (PTSD) symptoms in subsequent generations in families with histories of trauma exposure. Multiple linear regression was conducted to explore the existence of a correlation between PTSD and depression in second-generation Latino immigrant children and adolescents with a myriad of potentially predicting factors. Enhanced understanding of how trauma can affect the children of traumatized immigrants will add …

An Evolutionary Perspective On Infectious And Chronic Disease, John Eberth

Theses and Dissertations

The integration of evolutionary biology with traditional medicine can elucidate novel mechanisms of contemporary disease. Whereas the goal of traditional medicine is to treat and cure the proximate causes, evolutionary biology aims to understand the driving forces behind why humans are susceptible to disease. To form the basis of this hypothesis we postulate that modern man's current genetic information was programmed at a time, and in an environment, that is not relevant to today's human populations. The discordance between these genes of our ancestors and the environment of contemporary humans is thought to be a major reason for the increase …

An Analysis Of Interpreter-Mediated Healthcare Interactions, Robin Dawson Estrada

Theses and Dissertations

The content and quality of communication between nurse practitioners and patients in primary care encounters contributes to diagnostic decision making, the provision of culturally appropriate interventions, and ultimately may impact health outcomes. In caring for patients with limited English proficiency, the addition of language discordance increases the complexity of the interaction and communication processes and the potential for disparate health outcomes. Most prior research on interpreter-mediated healthcare interactions has focused on accuracy, cost, satisfaction, and role enactment, but there is a lack of systematic research examining the actual interaction processes within the context of primary care clinic visits.

The aim …

Factors That Relate To Registered Nurses' Readiness For Interprofessional Learning In The Context Of Continuing Professional Development, Collette Williams

Dissertations

Today’s health-care professionals practice in a highly technological, multidisciplinary environment. In order to provide safe, effective, and high-quality patient care, collaboration is required among all professionals. Traditionally each profession has operated independently in regard to continued professional development. The purpose of this study was to assess practicing registered nurses’ readiness toward interprofessional learning in order to align learning with current practice.

Method. An ex post facto study design was used to gather data to examine if there is a relationship between variables of demographics and readiness for interprofessional learning. The Readiness for Interprofessional Learning Scale (RIPLS) assesses the readiness for …

A Mother's Paradox: Choosing A Birthing Method In The 21st Century, Jenae Franklin

Pitzer Senior Theses

Investigating childbirth, one of the biggest moments of a woman’s life, this thesis examines the reasons behind women’s preferred birthing methods. This research explores the fundamental decisions women make during the birthing process: the amount of prenatal care mothers will receive, the type of health care provider they will use, picking the place of delivery, views on technological and medical interventions, and outlooks on natural childbirth. In addition to an extensive literature review, in-depth interviews with mothers, midwives, and obstetricians are used to examine the various controversies of childbirth. This thesis begins with a review of the transition from midwives …

Employee Wellness, Health Risk Assessment, Modifiable Health Risk, Pen-3 Model, Worksite Culture, Worksite Envirmonent, Stephanie R. Keteyian-Stacy

Master's Theses and Doctoral Dissertations

This study used an online Health Risk Appraisal (HRA) to assess individual employee health and eight additional statements to assess the worksite health "culture" of Eastern Michigan University. It was hypothesized there will be a relationship between EMU employees’ levels of self-reported health risk and their perceptions of supportiveness of the worksite environment and health culture. The results indicated the relationship between health risks of participants and perception of supportiveness of the worksite culture was not significant (p >.05). Of the employees that participated, the top three risk factors identified were body weight (20%), stress (14%), and blood pressure (10%). …

Rare Books And Social Science, Donald J. Polzella

Psychology Faculty Publications

An essay on the impact of the works in the Imprints and Impressions: Milestones in Human Progress, an exhibition of rare books from the collection of Stuart Rose. Exhibition was held Sept. 29-Nov. 9, 2014, at the University of Dayton.

Barriers To Obstetric Fistula Treatment In Low-Income Countries: A Systematic Review, Benjamin Bellows, Rachel Bach, Zoe Baker, Charlotte E. Warren

Reproductive Health

Obstetric fistula is a maternal morbidity condition that occurs in some low-income countries and is caused by prolonged obstructed labor that results in a hole between the vagina and the bladder or rectum through which urine or feces leak. Unrepaired fistula can lead to lifelong ostracism, stigma, and shame. Obstetric fistula is preventable and treatable, but women in these countries experience delays in seeking repair due to a number of factors including awareness of their condition as well as the potential for treatment, resources necessary for seeking care, lack of skilled fistula surgeons, and long hospital waiting times. UNFPA estimates …

Postpartum Family Planning In Burkina Faso, Marina Daniele

Reproductive Health

This is a formative study aiming to identify the main barriers to the provision and uptake of quality postpartum family planning (PPFP) services at the supply, access, demand, and policy levels in Burkina Faso. This study reveals that there are substantial shortfalls in the availability of quality PPFP at all these levels. Most of the difficulties observed in the provision of PPFP services are due to the failure to translate largely sound policies and guidelines into practice. This study contributes to identifying priority areas and makes recommendations for improvement in order to respond to unmet need for family planning in …

Efficacy Of Bydureon In Adults With Type 2 Diabetes, Katie L. Fetter

UNF Graduate Theses and Dissertations

Type 2 diabetes is still rapidly on the rise today, affecting 10.5% of individuals in the United States between the ages 45 to 64 and 18.4% of those between the ages of 65 to 74. In the past two decades, type 2 diabetes has doubled in all age groups. Many adults with type 2 diabetes experience difficulty managing their blood sugars, which can result in a range of further complications. One of the newest treatment options on the market today is a glucagon-like peptide-1 (GLP-1) receptor agonist, Bydureon. Similar to Byetta, Bydureon has a main ingredient of exenatide. It offers …

Internal Medicine Prescribers' Knowledge Of Medications And Effects Of Lack Of Access To Pharmaceutical Representatives, Patricia J. Brink

Master's Theses and Doctoral Dissertations

In the past decade there have been several policy changes within the health care community limiting access of pharmaceutical representatives to prescribers. This study examined the impact of lack of access to pharmaceutical representatives on internal medicine prescribers’ knowledge of medications. A web-based survey targeting prescribers’ current practice of obtaining information about new medications, their knowledge of two recently approved medications, and helpfulness of educational in-services by pharmaceutical representatives was conducted. Results showed the most common methods used to gain information of medications are conferences, journals, and word of mouth. Of the two new medications, 90% of prescribers were not …

The Art Of Collaboration In Academic And Clinical Partnerships, Kelsey Spencer Bennett

Online Theses and Dissertations

Occupational therapists in various settings share a professional identity valuing occupation. Their socialization into a practice setting is context-dependent, in terms of the skills needed and roles to be enacted. Collaboration between occupational therapists in clinical and academic settings benefits each participant, along with presenting challenges given the systems where they work. The purpose of this project was to delve into understanding the culture of the settings (academic and clinical) influencing a community-based research partnership. Through a mini-ethnographic approach, similarities and differences of culture emerged describing the depth of components for the collaboration between research group members. This description may …

Positional Plagiocephaly Among Tribal Societies And Contemporary Western Societies: A Comparison Of Treatments, Results, And Effects, Jacinda Rose Ruggles

Honors Program Theses

This study explores the two causes of positional plagiocephaly, or abnormal head shape in infants as well as effects and treatments. To do so, two groups were chosen for comparison: contemporary western societies and tribal Native American societies. In the first group, the medical condition known as positional plagiocephaly is considered before, during and after the Safe to Sleep campaign of the 1990’s. In the second group infant head flattening is discussed as a result of cradling practices and carrying techniques. The importance of this study is to contribute new insight into positional plagiocephaly and its treatments. The study combines …

Cultural Factors Associated With Utilization Of Antenatal Care Services In Rural India, Anjali Om

UROP Posters

Despite vast economic growth in developing countries in the past few years, infant mortality continues to plague underdeveloped regions, particularly rural regions of India. Many of these deaths are caused by a lack of education and motivation in regard to utilization of antenatal and neonatal care services to prevent and treat consequences of unhygienic umbilical cord care.

For years, high incidences of neonatal tetanus have plagued rural areas of India as a result of cultural practices that encourage topical applications of cow dung to cut umbilical stumps either directly or by using ghee heated with cow dung to warm umbilical …

Heterogeneous Immunological Landscapes And Medieval Plague : An Invitation To A New Dialogue Between Historians And Immunologists., Fabian Crespo, Matthew B. Lawrenz

Faculty and Staff Scholarship

Efforts to understand the differential mortality caused by plague must account for many factors, including human immune responses. In this essay we are particularly interested in those people who were exposed to the Yersinia pestis pathogen during the Black Death, but who had differing fates—survival or death—that could depend on which individuals (once infected) were able to mount an appropriate immune response as a result of biological, environmental, and social factors. The proposed model suggests that historians of the medieval world could make a significant contribution to the study of human health, and especially the role of human immunology in …

The Sociocultural Basis Of Epidemiology Of Hypertension Among Residents Of Ogun State, Vernon E. Norman

Walden Dissertations and Doctoral Studies

There is a high prevalence of hypertension in Nigeria. Limited knowledge of hypertension, how to prevent it, its outcomes, rapid urbanization, and the adoption of Western eating habits are implicated. Hypertension is an important issue because chronic disease places economic, social, and disease burdens on society. The purpose of this mixed-methods study was to investigate lifestyle practices, knowledge, and attitudes on risks and prevention of hypertension among residents of Ogun State, Nigeria (N = 79). The conceptual framework for this study focused on how knowledge, attitudes, and practices influence the dietary habits, behaviors, and ultimately blood pressure . The PEN-3 …

Urbanization And Land-Use Change In Puerto Maldonado, Peru: Categorizing The Landscape Using High-Resolution Satellite Imagery For Potential Use In Public Health Research, Laura Brianna Gast

All ETDs from UAB

Environmental change, especially rapid urbanization, has measurable effects on human health. Over 70 percent of the global population is expected to live in urban areas by 2025, and at least 1 in 3 of these individuals will live in extreme poverty. Living in a slum or shantytown exposes individuals to health and safety risks including inadequate sanitation, lack of access to clean water, air pollution, violence, over-crowding and risk of infectious disease. Remote sensing technologies are an effective tool for detection and prediction of areas with significant land use change, which enables identification of populations with the highest risk of …

Coaching Relationships With Walk-On Athletes, Cortland Blake Dubose

Open Access Theses & Dissertations

The purpose of this study was to discover what communication practices coaches used on walk-on athletes and to determine whether the coach was successful or unsuccessful from the athletes' perspective. 15 present and former walk-on athletes who played for The University of Texas at El Paso football team served as the participants for the present study. In order to obtain data, the researcher interviewed the walk-on athletes using the phenomenological approach (Sparks, 1993) which utilizes open-ended questions to find out what kind of experience(s) the walk-on athletes shared in relationship to their coach. Results suggested that six major themes surfaced …

The Talk Of Unwed Adolescent Fathers Of Mexican Origin: A Discourse Analysis, Jose Arturo Jaime

Open Access Theses & Dissertations

Since the 1970s, changing family and marriage trends in the United States have led to a dramatic 41% increase in the rate of unwed parents also known as fragile families, i.e., those at high risk of living in poverty and/or disintegrating (McLanahan, Garfinkel, Mincy, & Donahue, 2013, p.3). By 2011, more than 20 million children (28%) lived in biological father-absent homes and one-fourth, or five million, of these children were Hispanic of any race (U.S. Census Bureau, 2012). Recent studies suggest a clear disparity in cognitive, behavioral and health outcomes for children who live with single or cohabiting parents when …

Making Space For Dying: Portraits Of Living With Dying, Elise Lark

Antioch University Dissertations & Theses

In Making Space for Dying: Portraits of Living with Dying, I describe the everyday lived experience of dying and the care culture within freestanding, community-based, end-of-life residences (CBEOLR) utilizing portraiture and arts-based research. I craft four case studies into “portraits,” based on interviews, on-site visits, up-close observation, and field notes. In the person-centered portraits, I reveal the inner landscape of two terminally ill women, with data represented in poetry. In the place-centered portraits, I “map” the social topography of two CBEOLRs to illustrate how lives and care of the dying are emplaced, from the perspectives of community leaders, …

Childhood Sexual Behavior: An Integrated Developmental Ecological Assessment Approach, Kelley Simmons Jones

Antioch University Dissertations & Theses

This qualitative, theoretical review and analysis of extant literature explored the sociocultural influences effecting conceptualization of childhood sexual behavior problems. Themes emerged from analysis of peer-reviewed journals that illustrated the complex, multidimensional, and ecological factors influencing child sexual development and problematic sexual behavior. These included major themes of Child Sexuality: Ecological Context, Developmental Context, Complex Trauma, and Ecological Interventions. Specific factors associated with childhood sexual behavior problems included trauma, domestic violence, sexual and physical abuse, psychological and emotional distress, impaired attachment, and the effects of diverse ecological systems such as the family, parents, and sociocultural influences of the greater community. …