Digital Commons Network^™

Gender Inequalities And Childbearing: A Qualitative Study Of Two Maternity Units In Nepal, Lesley Milne, Jillian C M Ireland Ms, Edwin Van Teijlingen, Vanora Hundley, Padam P. Simkhada

Journal of Asian Midwives (JAM)

The role and status of women in South Asian countries like Nepal are widely recognised to be lower than that of men. This gender inequality can be found throughout all levels of society. Our study is about the influence of gender on pregnancy and childbirth, which are very much in the female domain in South Asia, both at home and in health facilities.
A mixed-method, qualitative research study was undertaken in two birthing facilities in Kathmandu Valley to examine barriers to women accessing these services from the perspective of hospital staff. Thematic analysis identified seven subthemes related to gender, namely: …

Patient Demographics And Reported Outcomes In Funded Versus Non-Funded Studies Assessing Thromboprophylaxis After Total Joint Arthroplasty: A Systematic Review, Hannah Groff, Ibrahim Azboy, Javad Parvizi

Research Day

Background: There are numerous studies discussing thromboprophylaxis after total joint arthroplasty (TJA), which have varying conclusions. The purpose of this study was to investigate if industry funding of the study impacted patient demographics and overall reported outcomes of studies evaluating venous thromboembolism (VTE) prophylaxis after TJA.

Methods: Electronic searches were completed for Ovid, PubMed, and Embase. Studies were included if: (1) published in the English language between 2000 and 2016 (2) including patients undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA) (3) evaluating prevention and control of VTE with at least one thromboprophylactic agent.

Results: There were 57 …

Fear Of The Future: A Sociological Profile Of Anxiety In College, Lauren Hannah

Renée Crown University Honors Thesis Projects - All

College students are currently experiencing what psychologists and media outlets refer to as an "anxiety epidemic." Undergraduates are self-reporting and seeking counseling for anxiety in record numbers. Fear of the Future: A Profile of Anxiety in College is an exploratory sociology project whose aim is to understand the experience, manifestations, and root causes of anxiety in late Millennial college students. The core research involves a survey of over 400 Syracuse University undergraduates and three interviews with some of Syracuse University's professional counselors. The demographic findings of the survey and the common threads among statements from counselors are synthesized to …

An Analysis Of The Factors That Contribute To High Hiv Rates In The Southern United States, Sabrina Williams

Honors Projects

A thirty three page research examining how factors such as poverty, homophobia, religion, and stigma play a role in the South’s high HIV diagnosis rates.

Pregnancy Outcomes Among Women With An Unintended Pregnancy: Findings From A Prospective Registry In Rural Pakistan, Sumera Aziz Ali, Shiyam Sunder Tikmani, Margo S. Harrison, Sarah Saleem, Robert L. Goldenberg, Elizabeth M. Mcclure, Omrana Pasha

Community Health Sciences

Background: Unintended pregnancies are an important public health issue in both developed and developing countries. An unintended pregnancy may affect maternal health seeking behavior during the antenatal and postpartum periods, which can adversely affect perinatal outcomes. Aim: The specific aim of our study was to measure antepartum, intrapartum, and postpartum pregnancy outcomes among women with unintended pregnancies in a rural Pakistani population.
Methods: Using a prospective maternal and newborn health registry in Thatta Pakistan, we evaluated temporal associations between unintended pregnancy and several dimensions of health seeking behavior including: antenatal care, preference for private versus government facility for antenatal care, …

Prospective Longitudinal Study Of The Pregnancy Dna Methylome: The Us Pregnancy, Race, Environment, Genes (Preg) Study, Dana M. Lapato, Sara Moyer, Emily Olivares, Ananda B. Amstadter, Patricia A. Kinser, Shawn J. Latendresse, Colleen Jackson-Cook, Roxann Roberson-Nay, Jerome F. Strauss, Timothy P. York

Human and Molecular Genetics Publications

Purpose The goal of the Pregnancy, Race, Environment, Genes study was to understand how social and environmental determinants of health (SEDH), pregnancy-specific environments (PSE) and biological processes influence the timing of birth and account for the racial disparity in preterm birth. The study followed a racially diverse longitudinal cohort throughout pregnancy and included repeated measures of PSE and DNA methylation (DNAm) over the course of gestation and up to 1 year into the postpartum period.

Participants All women were between 18 and 40 years of age with singleton pregnancies and no diagnosis of diabetes or indication of assisted reproductive technology. …

Improving Evidence-Based Practice Skills Of Practicing Registered Nurses, Lora K. Moore

Doctor of Nursing Practice Technical Reports

This study evaluated the effect of an educational intervention on improving evidence-based nursing practice (EBP) skills of practicing nurses. In addition, the effects of educational preparation and years of nursing experienced were examined. Using a quasi-experimental pretest-posttest design, the Evidence Based Practice Questionnaire (EBPQ) was administered to a convenience sample of registered nurses from a large regional hospital. The experimental group completed an online EBP educational intervention, the first control group completed an alternate unrelated educational intervention, and the second control group was not provided any type of educational intervention. No significant differences were noted in EBPQ subscale scores of …

Predictors Of Nutritional Counseling Among Adolescents By Physicians In California, Jean Kigozi

Walden Dissertations and Doctoral Studies

The prevalence of obesity in the United States was stable at 17% from 2011-2014 among approximately 13 million children and adolescents 12-19 years of age, according to the Centers for Disease Control and Prevention. Nutritional counseling has been recommended, and while most physicians agree that it is necessary, it is not happening consistently. The purpose of this study was to examine the association between dietary intake, physical activity, and body mass index (BMI) characteristics of youth 12-17 years old in California and the receipt of nutritional counseling. Social cognitive theory guided this quantitative cross-sectional analysis of archived data from 814 …

Minimal Hearing Loss In School-Age Children: Prevalence And Relationship To Reading Impairment, Laura Peek

Theses and Dissertations

Purpose: The two-fold purpose of this study was to determine if a) students with reading impairments fail hearing screenings at higher rates than students without reading impairments and b) if the pattern of simple view of reading classification differs across hearing screening results.

Method: This project included 19 students with reading impairments and 17 students with typically reading skills in grades 2 through 11. Each participant completed a hearing screening and a complete battery of language and literacy tests to determine their hearing screen status and simple view classification.

Results: Results of a chi square test comparing reading status and …

Refractive Error And Visual Impairment In Ireland Schoolchildren, Siofra Harrington, Kathryn J Saunders, Veronica O'Dwyer, Jim Stack

Articles

To report refractive error prevalence and visual impairment in Republic of Ireland (henceforth 'Ireland') schoolchildren.

Assessment Of Ems Workforce In Nebraska With Future Strategies, Matt Holt

Capstone Experience: Master of Public Health

Well-trained and fully staffed Emergency Medical Services (EMS) play a key role in improving the health of the surrounding community through rapid response, on scene care, and transportation to an appropriate facility. EMS is an integral part of the community, vital to limiting the severity of injuries, preventing morbidity, and improving the health of their populations. In order to ensure Emergency Medical Services in Nebraska are able to meet the needs of their populations and continue providing high-level care, an assessment of the State’s EMS workforce was conducted. By completing a workforce assessment, we gained a better understanding of the …

The Influence Of Social Isolation And Medical Comorbidities On Geriatric Congestive Heart Failure Hospital Readmissions, Daniel Keyes, Greg Sheremeta, Jerrit Yang, Naomi Davis, Shiling Zhang, Kevin Boehm

School of Medicine Publications

CONTEXT

Social isolation and comorbidities are likely to have a significant level of influence on the healthcare use patterns of geriatric patients with ongoing congestive heart failure (CHF)-related needs.

METHODS

A retrospective study was conducted in a specialized emergency department (ED) with a sample of 286 geriatric CHF patients who initially received CHF-related care over a six-month period. Social isolation levels were assessed using a pre-existing four-point screening tool used in the study setting and composite comorbidity was gauged using the Charlson Comorbidity Index method. Subjects were categorized into either “less than 30-day readmission” or “greater than 30-day readmission/non-readmitted” sample …

Utilization Of Care By Infants With Neonatal Abstinence Syndrome In Delaware, Michele K. Savin, Msn, Nnp-Bc

College of Nursing Faculty Papers & Presentations

From 1999-2013, the nationwide incidence of neonatal abstinence syndrome (NAS) due to maternal drug use rose from 1.5/1000 to 6/1000 hospital births. There is a dearth of information regarding what happens to these children when they are discharged. The purpose of this Practice Inquiry Project is to utilize existing Delaware Medicaid data to retrospectively explore the utilization of services and gaps in care for the infant with NAS in the first year of life. Key findings include less than expected well child visits and immunizations along with higher hospital re-admission rates. This represents missed opportunities for care, also demonstrating the …

The Supervision Of School Nurses In New Jersey: Parallel Needs, Actions, And Impacts On Student Care, Lee-Ann Halbert

Theses and Dissertations

New Jersey Certified School Nurses (NJ-CSNs) practice in an environment of parallel needs and actions where the primary goal is the education of the students in the building, yet the health and safety of each student are paramount. The research presented here evaluates how the supervision provided to the NJ-CSNs affects their clinical practice and other areas of decision-making in the school setting. This mixed methods research study of 557 NJ-CSNs reveals that school nurses who are supervised by an educator whose background includes being a registered nurse are better able to provide the optimal support for the nurses, and …

Effects Of Submaximal Downhill Running On Cytokine Expression In Young, Endurance Trained Men And Women, J. Macko, R. Sapp, R. Landers-Ramos, J. Skelton, J. Hagberg

International Journal of Exercise Science: Conference Proceedings

Please see the pdf version of the abstract.

Cranberry Juice Vs. Placebo As Prophylaxis For Recurrent Urinary Tract Infection In Adult Women: A Systematic Review, Donald S. Trawick, Hinda Mezaache

Physician Assistant Capstones, 2016 to 2019

Objective: To determine the effectiveness of cranberry juice consumption as prophylaxis for urinary tract infection (UTI) in women with a history of recurrent UTI. Methods: Systematic literature review using Google Scholar with search terms “cranberry juice prophylaxis.” Results: Our search resulted in three randomized-control trials (RCTs), two of which demonstrated no benefit of cranberry juice in preventing recurrent UTI. Conclusion: Because of the significant heterogeneity among published studies, there is no definitive proof that cranberry juice is effective or useless as UTI prophylaxis.

Factors Impacting A Community Based Poverty Project: An Analysis Of The Effectiveness Of Communication Through A Case Study Approach, Miranda Kay Wickam

Graduate Theses/Dissertations

Parental involvement has been related to higher student achievement. While the professional literature provides exemplars of effective communication strategies between home and school, the impact of factors such as cultural and economic diversity and the efficacy of specific approaches remains an important area of inquiry. The purpose of this study was to investigate the various communication strategies used within a community driven development (CDD) project in an economically depressed zone in a metropolitan city in the Midwest. Focus groups, interviews, and a project report were the data points. An a priori coding system of two present themes, opportunities and barriers, …

No Puffs: Penguins Go Smoke-Free, Monica Sciamanna

Scholarly and Creative Works Conference (2015 - 2021)

In partnership with the Department of Student Life, this project examines campus smoking behaviors among students, faculty, and staff. It will gather information regarding awareness and perceptions of current smoking policies at Dominican. Data may be used in the development of a new campus smoking policy.

Effects Of Moderate Pressure Massage On Self-Regulation And Play In Preterm Babies, Helene Chaya Hendel

Occupational Therapy Program Student Theses, Dissertations and Capstones

The purpose of this study was to examine whether mother-administered moderate pressure massage intervention could improve self-regulation, which would result in improvements in play outcomes. It was posited that a child who is self-regulated may be more successful in his/her play and that moderate pressure massage could be an effective tool to improve self-regulation in preterm infants with decreased self-regulation. Participants in the study were five preterm children ranging from 12 to 18 months corrected age and their mothers. The study utilized an A-B nonconcurrent multiple baselines across subjects design in which each participant acted as his/her own control as …

Enhancing Childrens Social-Emotional Learning Skills Through Mindfulness Practices, Shun Yi Wan, Stephanie Chang, Jordan Fenlon, Amrith Shettigar, Mckenzie Johnson, Sam Lealofi

Research Day

Background: The Kalamazoo Eastside neighborhood has been subject to a great deal of economic and functional instability, particularly impacting the youth. Local demographic studies indicate that 90% of children are eligible for free or reduced lunch due to low income, 58% of households are single-female households, and 29% of parents do not have a high school diploma. Eastside Youth Strong (EYS) is a local organization focused on improving the lives of these children. This study will be investigating the EYS afterschool program’s mindfulness initiative. Purpose: Social and emotional learning were chosen to be studied because these skills are critical for …

Evaluation Of A Childhood Community-Based Comprehensive Asthma Management Program, Stephanie E. Welsh

Master of Public Health Program Student Publications

Background: The Dayton Children’s Hospital Comprehensive Asthma Management Program incorporates Community Health Worker (CHW) interventions to improve child asthma control and reduce urgent health resource utilization.

Methods: Children in grades two to five with parent- or physician-identified asthma received one of three levels of intervention, based on self-selection by caregivers: (1) child asthma education; (2) child and caregiver asthma education; (3) child and caregiver asthma education, plus home assessments. Child Asthma Risk Assessment Tool (CARAT) scores were collected before intervention to assess risk. Childhood Asthma Control Test (C-ACT) scores and urgent health visit numbers were collected before and after intervention. …

Prevention Of Ovarian And Endometrial Cancer By Combined Oral Contraceptives: A Demographics Study, Joanna S. Heywood

CMC Senior Theses

Endometrial cancer is the most common gynecologic cancer with 54,870 cases occurring in the United States in 2015 and causing 10,170 deaths, an 18.5% mortality rate (Elit and Reade, 2015). Ovarian cancer, while less common, is much more fatal. In 2015 in the United States, 21,290 cases occurred and resulted in 14,180 deaths, a 66.6% mortality rate. This mortality rate makes ovarian cancer the fifth most deadly cancer for women in the United States, which is largely explained by ineffective screening strategies and limited treatment possibilities (Cramer, 2012). Thus, developing effective prevention strategies is especially important to saving the lives …

Do Submental Deoxycholic Acid Injections Reduce Submental Fat In Adult Patients Enough To Create A Significant Increase In Patient Satisfaction?, Alec W. Curry

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not “Submental deoxycholic acid injections reduce submental fat in adult patients enough to create a significant increase in patient satisfaction”

Study Design: Review of 3 double blind, randomized control trials that were selected based on their relevance to the clinical question.

Data Sources: All three peer-reviewed articles were found using PubMed and Cochrane Database. The keywords “ATX-101”, “submental fat”, and “deoxycholic acid” were used.

Outcomes Measured: Satisfaction with appearance in association with face and chin evaluated by a patient reported subject self-rating scale …

Exploring Barriers To Primary Care In The Lgbt Community, Desiree R. Price

DNP Projects

Purpose: The specific aim of this study was to identify the LGBT patient’s perspective of what factors could contribute to a more responsive primary care environment.

Methods: The study was a non-experimental, descriptive study utilizing an anonymous, internet based electronic survey. A survey/questionnaire tool, developed for the study, was disseminated among a social media site and a listserv for two organizations with strong connections to the LGBT community.

Results: Eighty-one responses were received. Participants: 60% identified as female, 95% were Caucasian, with 84% never having a Pap smear, and only 6.6% having recommended breast cancer screenings. The incidence of …

Prevalence And Molacular Genetic Analysis Of Human Respiratory Syncytial Virus And Enterovirus 68 Among Children With Acute Lower Respiratory Tract Infection In Thailand, I-Lada Thongpan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Respiratory syncytial virus (RSV) causes acute lower respiratory tract infection in infants and young children worldwide. A clear description of local RSV molecular epidemiology, evolution, and transmission requires detailed sequence data and can inform new strategies for virus control and vaccine development. To investigate the RSV burden in Thailand over six consecutive years (January 2012 to December 2017). There were two different methods to detect RSV in the present study. First, we screened 3306 samples obtained from children ≤5 years old with acute respiratory tract infection using semi-nested reverse-transcription polymerase chain reaction (RT-PCR) during January 2012 to December 2015. Second, …

Dental Practice Success Vol. 3 No. 3, American Dental Association, Publishing Division

Dental Practice Success

No abstract provided.

Interprofessional Collaboration: Aac, Michelle Bird, Anna Kusior

Theses and Dissertations

No abstract provided.

Factors Influencing Healthy Eating And Physical Activity Behaviors Of Adolescents In Appalachia, Natalie Walker

Electronic Theses and Dissertations

This study examined the TPB constructs of attitude, perceived behavioral control, and subjective norms and their ability to predict healthy eating and physical activity behaviors among adolescents living in Southern Appalachia. The study also considered the relative utility of subjective norms and social support in predicting these behaviors. Data for this research were derived from a larger study, Team Up for Healthy Living, conducted September 2011 through November 2014 with high school students in the Appalachian region (Study ID: R01MD006200 from the National Institute on Minority Health and Health Disparities). Participants (n=963) completed a three-part paper survey collecting data about …

Anesthetic Implications For Patients With Von Willebrand Disease, Jordan Idso

Nursing Capstones

No abstract provided.

Prep Advocacy Project: Increasing The Adoption Of Pre-­Exposure Prophylaxis (Prep) In San Luis Obispo County, Leona Rajaee

Journalism

The following study investigates the need for Pre­exposure Prophylaxis (PrEP) in San Luis Obispo (SLO) County in order to develop an effective health outreach and advocacy program that could increase the adoption of PrEP treatment and in turn decrease new HIV transmissions in the community studied. The sponsor of this study is the Access Support Network (ASN), a non­profit organization that provides supportive services for individuals living with HIV/AIDS. ASN launched this study after observing the effectiveness of PrEP in metropolitan cities. At the same time, ASN also noticed a rise in new HIV transmissions, particularly among injecting drug users …