Digital Commons Network^™

Chhs January 2012 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Alcohol Availability And Neighborhood Poverty And Their Relationship To Binge Drinking And Related Problems Among Drinkers In Committed Relationships, Christy M. Mckinney, Karen G. Chartier, Raul Caetano, T. Robert Harris

Social Work Publications

The authors examined the relationship of alcohol outlet density (AOD) and neighborhood poverty with binge drinking and alcohol-related problems among drinkers in married and cohabitating relationships and assessed whether these associations differed across sex. A U.S. national population couples survey was linked to U.S. Census data on AOD and neighborhood poverty. The 1,784 current drinkers in the survey reported on their binge drinking, alcohol-related problems, and other covariates. AOD was defined as the number of alcohol outlets per 10,000 persons and was obtained at the zip code level. Neighborhood poverty was as having a low (<20%) or high (≥20%) proportion of residents living in poverty at the census tract level. We used logistic regression for survey data to estimate odds ratios and 95% confidence intervals and tested for differences of associations by sex. Associations of neighborhood poverty with binge drinking were stronger for male than for female drinkers. The association of neighborhood poverty with alcohol-related problems was also stronger for men than for women. We observed no relationships between AOD and binge drinking or alcohol-related problems in this couples survey. Efforts to reduce binge drinking or alcohol-related problems among partners in committed relationships may have the greatest impact if targeted to male drinkers living in high-poverty neighborhoods. Binge drinking and alcohol-related problems, as well as residence in an impoverished neighborhood are risk factors for intimate partner violence (IPV) and other relationship conflicts.

Institute Of Clinical And Translational Sciences News, June-July 2012

ICTS Newsletters

No abstract provided.

Significant Race Differences In Factors Related To The Detention Recidivism Of Youthful Offenders, Christopher A. Mallett, Miyuki Fukushima, Patricia A. Stoddard Dare, Linda M. Quinn

Social Work Faculty Publications

A significant number of youthful offenders in the United States are held in juvenile court detention centers. Of broad concern is the disproportionate impact these placements have on minority youth, with African American and Hispanic youth much more frequently detained in these facilities compared to Caucasian youth. This U.S. study of a 2-county youthful offender population in the Midwest (1 urban, 1 rural) investigated racial differences in both extralegal (demographic, educational, mental health, and history of abuse or neglect) and court-related legal variables that predict detention placement upon recidivism—in other words, a second detention placement. Findings from logistic regression analysis …

Goebl-Parker Administers Cure With Art Therapy, Aldemaro Romero Jr.

Publications and Research

No abstract provided.

The Effects Of Adolescent Heavy Drinking On The Timing And Stability Of Cohabitation And Marriage, Lela Rankin Williams, Laura Wray-Lake, Eric Loken, Jennifer L. Maggs

CGU Faculty Publications and Research

Based on prospective British Cohort Study data, adolescent alcohol use predicted the timing and stability of committed partnerships between 16 and 34 years (n = 3278; 59% female). Propensity score methods balanced age 16 heavy drinkers (32.4%) and nonheavy drinkers on a range of relevant risk factors assessed in infancy and childhood. Adolescent heavy drinking predicted having ever cohabited, earlier transitions into cohabiting and marital relationships, more breakups, and an increased likelihood of divorce. Gender and social class moderated these relationships; heavy-drinking working-class males were especially likely to cohabit and to experience early entry into cohabitation and marriage. Implications …

Culture Ontogeny: Lifespan Development Of Religion And The Ethics Of Spiritual Counselling, Glen Milstein, Amy Manierre

Publications and Research

The counsellor has an ethical obligation to treat the whole person. Humans are cultural beings and the foundation of most cultures is religion. Religion and culture are received from our early relation~ ships and modified through later relationships across the lifespan. The paper introduces the term "culture ontogeny" to emphasize that this is a biological process wherein abstract ideas of culture and religion become material in the developing neurophysiology of each brain. A framework and methods are offered to examine the changing roles of religion in clients' emotional self~ structure, inclusive of those who describe themselves as spiritual, not religious. …

It's A Birth Not A Procedure: An Ethnographic Study Of Intrauterine Fetal Death In A Labor And Delivery Unit Of An American Hospital Setting, Catherine Mcleod Griffin

Wayne State University Dissertations

Life transitions such as birth and death constitute a significant area within anthropological studies of ritual. It is important to investigate how individuals, groups, and communities organize around these events. Birth and death can be considered as rites of passage that mark key life transitions (van Gennep 1909/1960). Thus birth and death related rituals need to be investigated within the social and cultural context of American hospital settings to better understand the social organization of life, death, and personhood. In the American hospital setting, a reproductive loss at any gestational age receives the medical diagnostic label of an intrauterine fetal …

Are Marginalized Women Being Left Behind? A Population-Based Study Of Institutional Deliveries In Karnataka, India, Paul C. Adamson, Karl Krupp, Bhavana Niranjankumar, Alexandra H. Freeman, Mudassir Khan, Purnima Madhivanan

Medicine Faculty Publications

Background

While India has made significant progress in reducing maternal mortality, attaining further declines will require increased skilled birth attendance and institutional delivery among marginalized and difficult to reach populations.

Methods

A population-based survey was carried out among 16 randomly selected rural villages in rural Mysore District in Karnataka, India between August and September 2008. All households in selected villages were enumerated and women with children 6 years of age or younger underwent an interviewer-administered questionnaire on antenatal care and institutional delivery.

Results

Institutional deliveries in rural areas of Mysore District increased from 51% to 70% between 2002 and 2008. …

Improving Outpatient Diabetes Care, Susan Kirsh, Michael Hein, Leonard Pogach, Gordon Schectman, Lauren Stevenson, Sharon Watts, Archana Radhakrishnan, John Chardos, David Aron

United States Public Health Resources

More than 20% of patients in the Veterans Health Administration (VHA) have diabetes; therefore, disseminating “best practices” in outpatient diabetes care is paramount. The authors’ goal was to identify such practices and the factors associated with their development. First, a national VHA diabetes registry with 2008 data identified clinical performance based on the percentage of patients with an A1c >9%. Facilities (n = 140) and community-based outpatient clinics (n = 582) were included and stratified into high, mid, and low performers. Semistructured telephone interviews (31) and site visits (5) were conducted. Low performers cited lack of teamwork between physicians and …

Women At War: Understanding How Women Veterans Cope With Combat And Military Sexual Trauma, Kristin M. Mattocks, Sally G. Haskell, Erin E. Krebs, Amy C. Justice, Elizabeth M. Yano, Cynthia Brandt

United States Public Health Resources

The wars in Iraq (Operation Iraqi Freedom, OIF) and Afghanistan (Operation Enduring Freedom, OEF) have engendered a growing population of US female veterans, with women now comprising 15% of active US duty military personnel. Women serving in the military come under direct fire and experience combatrelated injuries and trauma, and are also often subject to in-service sexual assaults and sexual harassment. However, little is known regarding howwomen veterans cope with these combat and military sexual trauma experiences once they return from deployment. To better understand their experiences, we conducted semi-structured interviews with nineteen OEF/OIF women veterans between JanuaryeNovember 2009. Women …

Partnering Associate Degree Nursing Students And Community Health Worker Students In A Collaborative, Culturally Focused, Interprofessional Learning Experience, Jane E. Johnson

Theses and Graduate Projects

The purpose of this project is to provide nursing students in the final semester of their associate degree nursing program and community health worker students with a culturally focused, interactive, collaborative, interprofessional learning experience. Health care reform addresses health disparities in an increasingly diverse population with complex chronic health needs. The needs of this diverse population require health professionals to function as members of interprofessional teams providing culturally competent care. Published professional literature supports interprofessional education for students entering the health care field to prepare them to practice as members of interprofessional teams. Government studies and professional accrediting bodies overseeing …

The Family Experience Of Participating In An Icu Support Group: A Pilot Study, Rebecca Marie Scharpe

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to describe the experience of family members participating in an intensive care unit support group. The family experience of an adult family member's critical illness is filled with emotional distress, suffering, and difficulty coping. Few family nursing interventions to care for family members of ICU patients have been researched. Research is inconsistent regarding the value of a support group in the ICU setting of a hospital. A qualitative design, using hermeneutic phenomenology was chosen. Five interviews were conducted with seven family members. The experience of participating in an ICU support groups was analyzed within …

Social Context Of Disclosing Hiv Test Results In Tanzania, Joe Lugalla, Stanley Yoder, Huruma Sigala, Charles Madihi

Institute for Educational Development, East Africa

This study sought to understand how individuals reveal their HIV test results to others and the ways in which social relations affect the disclosure process. The data were collected through open-ended interviews administered in Swahili to informants who had just been tested for HIV and to those who were living with HIV in Dar es Salaam and Iringa regions. Analysis shows that social relations influence the decisions individuals make about disclosure. Most people preferred to reveal their HIV status to close family members. Most also mentioned the fear of being rejected and discriminated against as major reasons for not disclosing …

The Role Of Local Food In Increasing Access To Healthy Food In Indianapolis, Indiana, Anna Hostetter

Capstone Collection

In the United States today, incidents of obesity are on the rise, currently more than one-third, or 35.7% of U.S. adults are considered obese, up from 30.5% in 2000. These startling numbers are causing news institutions and politicians to refer to it as the “obesity epidemic”.

Obesity is linked to multiple health problems including Type 2 diabetes, coronary heart disease, hypertension, and breast cancer (Aronne, L.J., 2002). There are numerous causes of obesity, including genetics, yet high rates of obesity have also been positively linked with a diet high in processed foods and low in fruits and vegetables (Drewnowski, A. …

Dual Diagnosis Treatment Group Curriculum, Julie M. Wood

All Graduate Theses, Dissertations, and Other Capstone Projects

The social workers at the MSH are treating many patients who have previous placements in chemical dependency treatment in addition to previous hospitalizations for their mental illness. Licensed Drug and Alcohol Counselors (LADC) are employed at the hospital but not on unit 800 which is the crisis and intake unit. The hospital does not have funds available in their budget to add additional LADC staff at the present time.

Having a treatment group focusing on dual diagnosis would enable the patients to receive education and therapy for their addiction issues much earlier in the course of their treatment at MSH. …

The Effects Of Smooth Muscle Cells On Engineered Microvasculatures In Fibrin Hydrogels, Areck A. Ucuzian

Dissertations

Capillaries are comprised of two cell types: the endothelial cells (ECs) which line the lumen of the capillary, and the supporting pericytes which are closely apposed to the abluminal surface of the capillary wall (sometimes called mural cells). These pericytes are phenotypic derivations of mesenchymal organ stromal cells (from smooth muscle cells and fibroblasts in blood vessels, for example), are recruited and incorporate into the neocapillaries, and are known to mediate reciprocal interactions with ECs during angiogenesis. The overall purpose of this project is to determine how smooth muscle cells (SMCs) affect angiogenesis during microvascular development in fibrin hydrogels using …

Eastern Ichigan University Graduate Catalog, 2012-2013, Office Of The Registrar

Graduate Catalogs

No abstract provided.

Perspective On Opportunities For Research And Interventions Provided By Community Based Health Information System Illustrated By The Potential Use Of Motivational Interviewing Intervention, Peter Gisore, F Were, D. Ayuku, D. Kaseje

Paediatrics and Child Health, East Africa

Background: With the growth of Community-Based Health Information (CBHIS) for decision making and service provision in the low income settings, innovative models of addressing Maternal and Newborn Health (MNH) morbidity and mortality are necessary. World Health Organization (WHO) estimates that five hundred thousand mothers and about three million newborns die each year in middle and low income countries.

Objectives: To stimulate interest in utilisation CBHIS for research and interventions, with an illustration of potential using on Motivational Interviewing intervention.

Data Source: Literature searched electronically, discussion with behavioural experts, health system researchers, and maternal and Newborn Health (MNH) experts, and book …

Wisdom And Conflict Resolution: A Possible Framework For Integrated Practice, Rachel Goldberg, Brian Blancke

Cardozo Journal of Conflict Resolution

What would it look like to practice in a way that fully supported not only the cognitive and emotional intelligence of practitioners and parties, but their somatic and spiritual intelligence as well? Good practice is more than strong technique and knowledge. Good work depends on intention, presence, and a connection with parties. The authors argue that for interveners and parties, conflict involves all four dimensions of human understanding. Given the systemic nature of conflict intervention, the authors explore what multi-dimensional practice might look like, and propose a new multi-dimensional framework grounded in current work. The article includes practice examples showing …

A Survey Tool For Measuring Evidence-Based Decision Making Capacity In Public Health Agencies, Julie A. Jacobs, Paula F. Clayton, Cassandra Dove, Tanya Funchess, Ellen Jones, Ghazala Perveen, Brandon Skidmore, Victor Sutton, Sarah Worthington, Elizabeth A. Baker, Anjali D. Deshpande, Ross C. Brownson

Open Access Publications

No abstract provided.

The Gift Of Life: Optimizing Organ Donation Through Collaboration, Jennifer Houp Rn, Cnrn

Patient Care Services / Nursing

No abstract provided.

The Development Of Navigation Tools To Assess Medical And Social Barriers To Care, Laura Beaupre Bsn, Ocn, Cbpn-Ic, Jane Zubia Rn, Ocn, Cbpn I-C, Kathleen A. Leies Rn, Raizalie Roman-Rosado Bsn, Ocn, Cmsrn, Martiza Y. Chicas Rn, Pccn

Patient Care Services / Nursing

No abstract provided.

Research Annual Report 2012, Children's Mercy Hospital

Research Annual Reports

Annual report of the research at Children's Mercy Hospital in Kansas City MO, a pediatric medical center.

Addressing The Physical Health Challenges Impacting Young Individuals With Major Mental Illness, Ryan P. Melton

Regional Research Institute for Human Services

Research has found that individuals who suffer from major mental illness, such as schizophrenia, are dying on average 15-25 years earlier than those who do not suffer from schizophrenia.1 Many causes for this shortened lifespan are suspected. Those causes include: lack of access to health care, suicide, poverty, substance use and side effects from anti-psychotic medications. The Substance Abuse and Mental Health Services Administration (SAMHSA) has challenged mental health providers treating major mental illness to address this disturbing trend by promoting their “10x10” campaign. The goal of the campaign is to increase the lifespan of individuals who suffer from major …

Reflection In Physical Therapy Practice: A Phenomenological Inquiry Into Oral And Written Narratives, Mary S. Knab

Educational Studies Dissertations

In today’s healthcare system, physical therapists treat an increasingly complex and diverse patient population and face rapidly expanding knowledge, technologies, and evidence for the care they provide. They also face demands for increased efficiency and improved outcomes. Reflection, espoused for its ability to help clinicians convert experience into learning and new knowledge, is widely viewed as being critical to sound clinical practice. There is, however, limited research and little consensus regarding what reflection looks like in the day-to-day practice of physical therapists. This phenomenological inquiry aims to identify the essence of reflection as experienced by physical therapists in clinical practice. …

Sew It Seams: Wearing The Symbols Of Distant Neighbors, Tamar Reva Einstein

Expressive Therapies Dissertations

This art-based expressive therapy study investigated opinions and feelings about cultures in the city of Jerusalem and the country of Israel at large. A coat, designed and sewn by the researcher, was covered with symbols that were identified with peoples who have been victims of violence, discrimination, dehumanization, and conflict within and across cultural groups in Jerusalem. The symbols of the cultures in Jerusalem were placed on the coat so that they touched each other at the seams. Following Phase 1 of the study, which included 24 participants, Phase 2 of the study included 4 additional participants who were selected …

Teen Sexuality And Pregnancy In Nevada, Tiffany G. Tyler, Marie A. Wakefield, Sandra D. Owens, Lori Smith

Social Health of Nevada Reports

The proliferation of sexually explicit materials has been the hallmark of North American culture for decades. The arrival of the Internet made access to such materials all the easier, and not only for adults but also for teenagers who learn at ever-early age that romantic relations are exciting and sexual encounters are a welcome part of life. When such exposure to sensual images is not accompanied by appropriate sex education, the consequences could be dire for teenagers and society alike.

"First Impression": Creating An Intake Procedure That Is Welcoming To Clients And Useful To Clinicians, Brandi Embacher

All Graduate Theses, Dissertations, and Other Capstone Projects

Have you ever contacted an agency and felt doubtful about their ability to help you due to the phone interaction or written correspondence you received? The significance of this Capstone project is to create an intake procedure that will leave a positive first impression for individuals seeking services with Mankato Marriage and Family Therapy Center (MMFTC).

Gender And Empowerment In Supported Housing : A Consumer-Oriented Empowerment Model For Adults With Psychiatric Disabilities And Histories Of Homelessness, Eleanor M. Jaffee

Legacy Theses & Dissertations (2009 - 2024)

Using data from an evaluation of a supported housing program for adults with psychiatric disabilities and histories of homelessness (n = 59), the relationships of gender and the presence of children with subjective measures of mental health, personal mastery, personal empowerment, social support, and quality of life were explored, and the results informed the development of a revised consumer-oriented empowerment model. Key findings include a significant relationship between gender and personal mastery and empowerment with women scoring significantly lower than men on measures of this construct, and the role of personal mastery and empowerment as a mediator between psychiatric symptoms …