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Vital Signs, Fall 2006, Boonshoft School Of Medicine

Vital Signs

A twenty-eight page newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, faculty and student profiles, class notes, and more.

An Exploration Of Artists’ Use Of Color, Kate Horn

EVMS School of Health Professions Theses & Dissertations

The use of color creates a varied reaction from person to person within the human experience. Color has been theorized to have many different symbolic meanings. However, no definitive link between color and symbolic meaning has been found. Research about human response to color has been examined in relation to cognitive, psychological, and physiological effects. Within the field of art therapy, color is important for understanding the client’s view. However, the art therapist’s interpretation of client color use may be based on myths perpetrated in the field. In-depth interviews of three professional artists were done in order to explore the …

An Evidence Based Practice Perspective Regarding The Role Of The Nurse Practitioner In Access To Mental Health Care, Alvin Terry Ricks Jr.

MSN Research Projects

Mental health care, persecuted without merit, has long suffered from the prejudice and shame fashioned by a public blinded by ignorance. The real barriers created by the primary health care system hampering access to mental health care are increased by the preconceived ideals that ridicule the patient in crisis confronts. The purpose o f this project is to identify the barriers to access, how access it mental health care can be achieved through primary care and how the nurse practitioner can aid in mental health access as a primary care provider. Research o f literature provides a base o f …

Obesity, Physical Activity, And Mortality In A Prospective Chinese Elderly Cohort, Mary Schooling, Tai Hing Lam, Zhi Bin Li, Sai Yin Ho, Wai Man Chan, Kin Sang Ho, May Ked Tham, Benjamin J. Cowling, Gabriel M. Leung

Publications and Research

Background
In older people, it is unclear whether obesity relates to mortality, which calls into question its etiologic role in disease and its public health relevance. This apparent lack of relationship in older people could be an artifactual result of their diverse health states.

Methods
We used Cox regression analysis to determine whether the effect of body mass index (BMI) (calculated as weight in kilograms divided by the square of height in meters) or physical activity on mortality varied with health status in a prospective cohort study of Chinese people 65 years or older enrolled from 1998 to 2000 at …

Investigating Mediation When Counterfactuals Are Not Metaphysical: Does Sunlight Uvb Exposure Mediate The Effect Of Eyeglasses On Cataracts?, Brian Egleston, Daniel O. Scharfstein, Beatriz Munoz, Sheila West

Johns Hopkins University, Dept. of Biostatistics Working Papers

We investigate the degree to which a reduction in ocular sunlight ultra-violet B (UVB) exposure mediates a relationship between wearing eyeglasses and a decreased risk of cataracts. An estimand is proposed in which causal effects are estimated locally within strata based on potential UVB exposure without glasses and the degree to which glasses use reduces UVB exposure. We take advantage of the structure of the data in which the counterfactual UVB exposures if the participants in the study who wore glasses had not worn glasses are considered observable.

Measuring The Influence Of Built Neighborhood Environments On Walking In Older Adults, Yvonne L. Michael, Tracey Beard, Dongseok Choi, Stephanie Farquhar, Nichole Carlson

Community Health Faculty Publications and Presentations

Examined the degree of association between perceived and objective characteristics of the neighborhood environment and the relation of each type of measurement to neighborhood walking in older adults. Participants included 105 adults aged 65-92 (mean age 75.1) from 10 neighborhoods in Portland, Oregon, participating in Senior Health and Physical Exercise (SHAPE), a randomized walking intervention. Neighborhoods were stratified by a "walking friendliness" ranking variable. This variable was derived for each neighborhood based on available social and environmental data that were hypothesized to correlate with walking and physical activity: high income, high older adult population density, high proportion of white residents, …

Predictors Of Influenza Immunization Among Home Care Clients In Ontario, John P. Hirdes, Dawn M. Dalby, R. Knight Steel, G. Iain Carpenter, Roberto Bernabei, John N. Morris, Brant E. Fries

Kinesiology and Physical Education Faculty Publications

Background: This study examined factors associated with the receipt of influenza vaccination among Ontario home care clients.

Methods: Home care clients were assessed, as part of a routine home visit, during a pilot study of the Resident Assessment Instrument – Home Care (RAI-HC) in 12 Ontario Community Care Access Centres (CCACs). The RAI-HC is a multidimensional assessment that identifies clients’ needs and level of functional ability. Multiple logistic regression was used to identify factors associated with influenza immunization in the two years prior to assessment.

Results: The overall rate of immunization reached about 80% by 2002. Factors …

Heimbach, Susan Interview For The Miami Valley College Of Nursing And Health Oral History Project, Carol Holdcraft, Susan Mcclellan Heimbach, Stacy Baldwin

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Carol Holdcraft interviewed Susan Heimbach about the founding of the Wright State University College of Nursing and Health. In the interview Heimbach discusses her career and her decision to come to Wright State as a student with the College of Nursing and Health.

Movement Patterns Used By The Elderly When Getting Out Of Bed, Julie Mount, Leslie Kresge, Gabrielle Klaus, Lynn Mann, Caitlin Palomba

Department of Physical Therapy Faculty Papers

Background and Purpose. Getting out of bed is difficult for 27.6% of people over 65. The purpose of this study is to describe movement patterns used by older adults for rising from bed.

Subjects. 42 healthy subjects between the ages of 65 and 90.

Methods. Subjects were videotaped performing 5 trials of getting out of bed. Movement patterns were categorized for each body part.

Results. A number of movement patterns occurred that were not reported in younger people. The most frequent movement patterns used were: “roll off” (38.3%) for the trunk, “double push” (34.7%) for the far arm, “multi-push” (36.0%) …

Medical Education Digest, Vol. 8 No. 4 (July/August 2006), Nova Southeastern University

Medical Education Digest

No abstract provided.

Com Outlook Summer 2006, College Of Osteopathic Medicine

COM Outlook

No abstract provided.

Effects Of Daily Oral Care With 0.12% Chlorhexidine Gluconate And A Standard Oral Care Protocol On The Development Of Nosocomial Pneumonia In Intubated Patients: A Pilot Study, Michelle Bopp, Michele Darby, Karin C. Loftin, Sharon Broscious

Dental Hygiene Faculty Publications

Purpose. The purpose of this pilot study was to determine if a difference existed between nosocomial pneumonia rates for intubated critical care unit (CCU) patients who received twice-daily oral hygiene care with 0.12% chlorhexidine gluconate and those who received the standard oral care. Methods. Over seven months (February to August), CCU patients were identified through screening and informed consent procedures, and randomized into 1 of 2 groups. Over the 7 months, due to the critically ill nature of the patients, only 5 subjects were enrolled. While in the study, twice-daily oral hygiene care consisted of brushing the cheeks, teeth, and …

Older Single Women In Transition: Moving To A Supportive Retirement Community, Linda L. Hansen-Kyle Phd

Dissertations

This study explored role changes, resilience, social, and health challenges encountered by older women who transitioned to a retirement community that provided social, health, and safety support structures. The aim of this study was to analyze and describe the transition from the viewpoint of the participants. Although previous research has shown transitions lead to psychosocial, emotional, physical, and health changes, the importance of this study stems from the lack of research on older women moving to supportive communities and their unique challenges. A convenience sample of 39 women, aged 70-94, who had been living alone before moving to a church …

An Examination Of The General Mobility Of Older Adults Based On Late-Life Depression And Its Treatment, Heather Kossick

Masters Theses & Specialist Projects

Older adults experience a variety of cognitive and physical declines as they age. Consequently, these changes can impact mobility and mental health (i.e., depression). Studies have suggested a relationship between driving habits changes (in particular, driving cessation) and depression (Fonda, Wallace & Herzog, 2001; Marottoli et al., 1997). Very little research has been conducted to examine the relationship between depression and other mobility changes in treated and untreated community dwelling older adults. Older drivers who ranged in age from 65 to 91 with a mean age of 73 completed the Center for Epidemiologic Studies Depression Scale (CES-D) (Radloff, 1977), Life …

Exercise Self-Efficacy, Stages Of Exercise Change, Health Promotion Behaviors, And Physical Activity In Postmenopausal Hispanic Women, Pamela Wolfe Kohlbry Phd

Dissertations

The purpose of this correlational research is to understand the relationships among the variables of exercise self-efficacy, stages of exercise change, health promotion behaviors, body mass index (BMI), health problems, and the level of physical activity in postmenopausal Hispanic women. The significance of this study is to contribute research that enhances the understanding of the relationship of psychosocial and health promotion correlates and physical activity in postmenopausal Hispanic women. On a national level, this is important because Hispanic women make up one of the fastest growing minority populations and they experience the second highest level of obesity. This research is …

Factors Affecting Nursing Students' Attitudes Towards Older Adults, Tracy Mccammon

Master's Projects

The purpose of this study was to measure nursing students' attitudes towards older adults and to determine, if possible, factors which affect nursing students' attitudes toward older adults. A convenience sample of 94 senior, pre-licensed, baccalaureate nursing students, at a metropolitan university school of nursing in community and acute settings participated in the study. This non-experimental, descriptive survey focused on nursing students' attitudes towards older adults using the Kogan's Attitude Towards Old People Scale (KOP). A researcher developed questionnaire was also used to collect demographic information, as well as academic and non-academic experiences of students. The findings of this study …

Americans' Attitudes Toward Euthanasia And Physician-Assisted Suicide, 1936-2002, Jen Allen, Sonia Chavez, Sara Desimone, Debbie Howard, Keadron Johnson, Lucinda Lapierr, Darrel Montero, Jerry Sanders

The Journal of Sociology & Social Welfare

Public opinion polls conducted from 1936 to 2002 found that Americans support both euthanasia and physician-assisted suicide. Although public opinion regarding end-oflife decisions appears to have been influenced by the events of the times, Americans have consistently favored the freedom to end one's life when the perceived quality of life has significantly diminished, either by one's own hand or with the assistance of a physician. This paper indicates that existing policy regarding euthanasia and physician-assisted suicide conflicts with the American public's attitudes regarding the matter, as well as examines implications for social workers who serve clients facing end-of-life decisions.

The Creativity And Aging Study: The Impact Of Professionally Conducted Cultural Programs On Older Adults, Gene D. Cohen, The Center On Aging, Health & Humanities, The George Washington University (Gw)

National Collaborative on Aging Faculty Publications

Executive Summary

In 2001, the National Endowment for the Arts developed a cooperative agreement with The George Washington University to conduct a multisite national study with the aim of measuring the impact of professionally conducted community based cultural programs on the general health, mental health, and social activities of older persons, age 65 and older. Referred to as the Creativity and Aging Study, the project’s formal title is “The Impact of Professionally Conducted Cultural Programs on Older Adults”. No previous study of this nature using an experimental design and a control group had been carried out. The study takes place …

Eksploitasi Perempuan Oleh Media Cetak Ditinjau Dari Aspek Hak Asasi Manusia:Kajian Di Sejumlah Tabloid Di Wilayah Dki Jakarta, Dwi Amalia Chandra Sekar

Jurnal Ilmu Kesejahteraan Sosial

In the end of 90’s, the circulation of mass media tend to more and more presenting women as an object of fascination to increase the amount sales. The appearance of women models in some national tabloids seem to be abundant and interrupt the society’s ethics and moral value. In the other hand, the tabloid is easy to get and sold cheaply. There are two opinions that concerning of the understanding of exploitation, First, There is no exploitation to the women in mass media, because women models do not feel exploited. It is undeniable that almost 80% women models in tabloid …

The Entrepreneurial University: Rewards & Risks, Samuel M. Hines Jr.

Center for the Study of Ethics in Society Papers

Published by the Center of the Study of Ethics in Society Western Michigan University.

Pemberdayaan Perempuan Melalui Microfinance :Suatu Telaah Kebijakan Penanggulangan Kemiskinan, Bagus Aryo

Jurnal Ilmu Kesejahteraan Sosial

Woman is an adequate partner to microfinance because not only assisting women but also their families and society. There’re some challenges and constraints faced by women related to microenterprises such as norm, cultural, mobility, lameness gender, work without “payment" in household, high number of illiterate, etc. Some characteristics of microenterprises managed by women: Informal; Home-based business; Concentration on low return sectors; Oriented on conservative growth; Part-Time and depend on season; and Lac of technology. There’re some dimensions of women empowering: women prosperity such food, income and health care also women access to production factors; Conscientisation is understanding to sex and …

Pengelolaan Dana Pinjaman Modal Dalam Rangka Pengembangan Usaha Ekonomii Kecil:Studi Deskriptif Pada Program Pinjaman Modal Usaha Dalam Proyek Pemberdayaan Anak, Keluarga Dan Komunitas Di Rw 03 Kelurahan Kemiri Muka, Depok, Jawa Barat, Yesi Oktavia

Jurnal Ilmu Kesejahteraan Sosial

Economic empowering is the most popular program that applied to alleviate the poverty. Giving a capital to develop a small enterprise is becoming one of the most important issues that is need more attention. This issue concerning how the receivers could manage a number of capitals, because small enterprise management correlates with the outcome of the program that is to develop an entrepreneurship. From this outcome will be get that the receivers who come from the poor community are improving their family income successfully.

Pelecehan Seksual, Kesehatan Mental,Dan Kesejahteraan Sosial, Dini Widinarsih

Jurnal Ilmu Kesejahteraan Sosial

The aim of this article is overspread the information in the subject of sexual harassment. In this article, there are explanations about the understanding of sexual harassment, the classification of variety of sexual harassment, the causes of sexual harassment, the prevention of sexual harassment, and problems of mental health psychology that is caused by sexual harassment. The expectation of this article is to improve the understanding of sexual harassment, there for it can alleviate the violence to women.

Kemiskinan Dan Lingkungan : Kasus Komunitas Lahan Basah Kota Di Depok Dan Jakarta, Rissalwan Habdy Lubis

Jurnal Ilmu Kesejahteraan Sosial

There are relationship between environmental issues and other issues that enclose to the human life. There are two dimensions of Environmental contex, namely: physical spatial context and social context. In fact, anthropogenic activities have serious impacts to the damage of the environment. The relation between environmental issues and poverty is very complex. The World Bank identified three main relations between the degradation of environmental condition and the living condition of poor people, namely: the environmental health, the livelihoods of poor people,and the vulnerability of people living below poverty line.

The Use Of Contract Licensed Nursing Staff In U.S. Nursing Homes., Meg Bourbonniere, Zhanlian Feng, Orna Intrator, Joseph Angelelli, Vincent Mor, Jacqueline S. Zinn

College of Nursing Faculty Papers & Presentations

The extent to which nursing homes rely on the use of contracted licensed staff, factors associated with this staffing practice, and the resultant effect on the quality of resident care has received little public attention. Merging the On-line Survey Certification and Reporting System database with the Area Resource File from 1992 through 2002, the authors regressed organizational and market-level variables on the use of 5 percent or more contract full-time equivalent registered nurses and licensed practical nurses. Since 1997, the proportion of facilities using 5 percent or more contract licensed staff more than tripled. Use of contract nurses was associated …

The Value Of The Awareness Of Near-Death Experiences, David San Filippo Ph.D.

Faculty Publications

A principal value of Near-death experiences may be in the telling of the stories and the effect these stories have for others to reduce their fears of and concerns about death. This E-book explores the impact and value knowing about, not having a near-death experience has on those who have heard, watch, or read reports of this phenomenon.

Elderfriends: Relieving Loneliness Among Elders, Kiersten Seeger Ware, Sarah Coble

Case Studies from Age in Action

Educational Objectives

1. To discuss social isolation among older adults.

2. To promote awareness of the ElderFriends program, an intervention newly established in greater Richmond

3. To seek friendly visitors for the ElderFriends program.

College Of Optometry Program Overview, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Components Of An Oral Program That Can Be Implemented With Culturally And Linguistically Diverse Deaf And Hard Of Hearing Children And Their Families, Marlene J. Lopez

Independent Studies and Capstones

This study examined oral education components that could be successfully implemented with culturally and linguistically diverse deaf and hard of hearing (DHH) children and their families. A literature review of oral program strategies used with culturally diverse families and their children with special needs, and federal guidelines related to programs serving DHH children were conducted. Recent statistics of children in programs for DHH students who are from racially and linguistically diverse backgrounds were discussed. Additional data sources included classroom observations and multidisciplinary interviews. The data obtained was utilized to design a framework for oral programs to support culturally and linguistically …

Las Noticias De Madrid (News From Madrid), Suzanne Elizabeth Wahrle

Open Access Publications

No abstract provided.