Digital Commons Network^™

The Flame, Winter 2004, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

Facilitating Occupational Performance In At-Risk Rural Middle School Students, Lynn Swanson

Occupational Therapy Capstones

No abstract provided.

Informing The Medical Community In Guatemala About Emergency Contraception, Edgar Kestler, Lilian Ramirez

Reproductive Health

The general purpose of this project was to increase the awareness of and access to emergency contraception (EC) among the medical community in Guatemala. Specific project objectives included: 1) training three physicians as trainers in all aspects of EC; 2) adapting and disseminating scientific literature and informational materials about the method and about EC programs in Latin America and worldwide; and 3) training at least 250 participants about the characteristics of emergency contraception, its mechanisms of action, and counseling techniques. The project concluded with several lessons for improving dissemination and policy, including: the dissemination workshops had a positive effect on …

Duration Data From The National Long-Term Care Survey: Foundation For A Dynamic Multiple-Indicator Model Of Adl Dependency, James N. Laditka, Douglas A. Wolf

Center for Policy Research

This report describes preparation of data from the National Long-Term Care Survey (NLTCS) fur use in a dynamic multiple-indicator model of dependency in Activities of Daily Living (ADLs). The data set described makes use of all functional status information available across four NLTCS waves for six ADLs, including information from screening interviews, detailed interviews in the community, and institutional interviews. Importantly, it also captures all available information elicited from respondents about the *duration* of any impairment in these ADLs. The data was prepared as described in this report to enable the calculation of improved estimates of the probabilities that an …

Socialization And Community Reintegration In The Prison Population, Wendy Kappenman, Melissa Violette

Occupational Therapy Capstones

No abstract provided.

Social Interaction And The Health Insurance Choices Of The Elderly, Eldar Beiseitov, Jeffrey D. Kubik, John R. Moran

Center for Policy Research

Using data from the 1998 wave of the Health and Retirement Study, we examine the effect of social interactions on the health insurance choices of the elderly. We find that having more social interactions, as measured by contacts with friends and neighbors, reduces the likelihood of enrolling in a Medicare managed care plan relative to purchasing a medigap policy or having coverage through Medicare alone. Our estimates indicate that social networks are an important determinant of the health insurance choices of the elderly and provide suggestive evidence that "word-of-mouth" information sharing may have played a role in the preference of …

Client Satisfaction And Goal Achievement: From A Client's View At Cambridge Interfaith Family Counselling Centre, Dawn Diane Yarker

Theses and Dissertations (Comprehensive)

Qualitative interviews were conducted with eleven clients, former and active, at CIFCC (Cambridge Interfaith Family Counseling Centre) to understand how client satisfaction and goal achievement in therapy were related. Content analysis of the interviews revealed that satisfaction with the counsellor, especially rapport building, is the greatest contributory to client satisfaction. This observation is discussed for counselling practice.

The Relationship Between Family Burden Ratings And Follow-Up Psychotic Symptom Levels In Schizophrenia, Alison Golob

Theses and Dissertations (Comprehensive)

Previous research has demonstrated that, in schizophrenia, the two most salient psychosocial variables in the prediction of symptomatic outcome for the patient are Expressed Emotion and Family Burden. In an early study, Family Burden was found to be a better predictor of relapse than Expressed Emotion. Family Burden is a measure of patient behaviours, not symptoms, and the degree to which they bother the relative. In that study, Family Burden is measured by the Perceived Family Burden Scale, (PFBS). In the same study, using a sample of 38 male patients with schizophrenia, two variables were found to be significant predictors …

Insights: An Exploration Of Experiences With Schizophrenia And Schizoaffective Disorder, Leslie D. St. Jacques

Theses and Dissertations (Comprehensive)

This qualitative study explores the experiences of nine people with diagnoses of schizophrenia or schizoaffective disorder, living in the area of Guelph, Ontario. The stigma and poor prognosis traditionally attached to schizophrenia and schizoaffective disorder rage on. The profound disruption caused by the symptoms of schizophrenia and schizoaffective disorder and the social repercussions of receiving these diagnoses, contribute to the individual's disconnection from family and community. Major alterations in the person's social roles and sense of self follow. Stigma and discrimination compound the injury to self-esteem to the extent that a person internalizes them. Yet, however grim the situation appears, …

Detecting Suicide Risk In Adolescents And Adults In An Emergency Department: A Pilot Study, Katie N. Davis

Honors Projects

A pilot study was conducted to detect suicide risk in adolescents and adults presenting to an Emergency Department (ED) in the Midwest, as well as to test the reliability and validity of the 4-item Risk of Suicide Questionnaire (RSQ) developed by Horowitz, et al. (2001). Participants consisted of a convenience sample of 104 ED patients ranging in age from 12 to 82 regardless of chief complaint or psychiatric history. The RSQ was verbally administered to 39 adolescents (age 12 to 24) and 65 adults (over 25). Demographic data, chief complaint, and discharge diagnosis were also obtained. Psychometric analysis demonstrated an …

Acknowledgements, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Full Issue, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Occupational Therapy Job Satisfaction In The Geriatric Setting, Dawn Doctor

Masters Theses

This study examined the level of job satisfaction among occupational therapists working in the geriatric setting in the state of Michigan. The purpose of this study was to determine if burnout exists among occupational therapists working in a geriatric setting. Questionnaires from 29 therapists who work in a·geriatric setting were analyzed. The majority of the respondents reveled they are not burned out, but do report at least one sign of stress within their job. The most common forms of stress were treating difficult diagnoses, excessive paperwork, excessive caseload, increased productivity expectations, the lack of respect for occupational therapy, and the …

Resiliency Factors Related To Substance Use/Resistance: Perceptions Of Native Adolescents Of The Southwest, Margaret A. Waller, Scott K. Okamoto, Bart Miles, Donna E. Hurdle

The Journal of Sociology & Social Welfare

This exploratory, qualitative study examined risk and protective factors influencing drug and alcohol use and/or resistance of Native youth in the Southwest. Thirty-two Native middle school students participated in 10 focus groups that explored their experiences with alcohol and drugs in their school and reservation communities. The findings indicate a complex interaction of both risk and protective factors related to substance use. Respondents' cousins and siblings, in particular, played a key role in their decisions to use or resist drugs. Implications for social work practice are discussed.

Ua61/6 Newsletter, Issue 2, Wku Institute For Rural Health Development & Research

WKU Administration Documents

Newsletter created by and about the Institute for Rural Health Development & Research. This issue contains:

• College of Health & Human Services Has New Dean – John Bonaguro
• Simpson, Staci. Institute Aims to Improve Oral Health of Children
• Whitfield, Beth. WKU Mobile Unit KICS Off Dental Event with Webster County – Kentucky Interdisciplinary Community Screening
• Stone, Glynda. TEACH KY: Teachers Exploring & Advocating Careers in Health in Kentucky
• Institute Sponsors Hispanic Health Fair
• HIV Prevention Counseling & Testing Training Program Initiated at WKU
• New Web-based Course Offered Through Communications Disorders Department at WKU
• Lashley, Donita. Child Passenger Safety Training
• Handy, …

Mobilizing Students And Community Partners To Enhance The Health Of The Rural Elderly, M. Susan Jones, Marilyn M. Gardner, Janelle A. Peeler, Marilyn Lewis

Nursing Faculty Publications

The Health Enhancement of the Rural Elderly (HERE) project is a federally funded grant project designed to empower the rural elderly in Butler and Edmonson counties to maximize their use of the health care system. This project was developed after identifying the needs of approximately 25% of the population in the U.S. that reside in rural areas. Of this population in rural Kentucky, 14-15% is 65 years or older (U.S. Bureau of Census, 2000). A higher incidence of chronic diseases, disabilities, difficulties with daily living activities, and cutbacks in social services have been identified as factors causing this population to …

Inside Unlv, Cate Weeks, Diane Russell, Carol C. Harter, Martin Watson

Inside UNLV

No abstract provided.

What's Happening: September, 2003, Maine Medical Center

What's Happening

No abstract provided.

The Psychological Characteristics Of Obese Children, Thomas Taylor Mitchell

Loma Linda University Electronic Theses, Dissertations & Projects

Several studies along with the surgeon general of the United States have identified obesity as a national health issue. Research indicates that adult obesity treatment has relatively poor long-term effects. Consequently increased attention has been given to addressing obesity in children. This focus is particularly vital due to the fact that children are one of the populations showing the most rapid increase in overweight and obesity. The purpose of this study was to identify the some of the unique psychological characteristics of obese children by analyzing the intake data of children and adolescents attending the Loma Linda University Growing Fit …

The Lived Experience Of Welfare Reform In Drug-Using Welfare-Needy Households In Inner-City New York, Eloise Dunlap, Andrew Golub, Bruce D. Johnson

The Journal of Sociology & Social Welfare

Welfare reform has transformed a needs-based family income support into temporary assistance for persons entering the workforce. This paper uses observations from an ethnographic study covering the period from 1995- 2001 to examine the impact on drug-using welfare-needy households in inner-city New York. The analysis suggests that studies may underestimate the extent to which substance use is associated with welfare problems. Nearly all of these already distressed households lost their AFDC/TANF benefits, had difficulty with work programs, and were having more difficulty covering expenses. The conclusion highlights ways to better study this population and policy initiatives that could help them …

The Social Problem Of Depression: A Multi-Theoretical Analysis, Rich Furman, Kimberly Bender

The Journal of Sociology & Social Welfare

The purpose of this paper is to discuss the social problem of depression from a multi-theoretical perspective. It explores depression through the lens of two psychologically based theories of human behavior, existential theory and cognitive theory, as well as through the vehicle of two sociological theories, Marxist theory and the theory of oppression. By understanding how each of these theories explains depression, social workers may be helped to see the complexity of treating the problem. It is the belief of the authors that social work literature, which is often dominated by reductionist, quantitativelybased research studies, has increasingly ignored theoretical explorations …

Identifying Compliance Issues In The Community Health Care Clinic Environment, Faye K. Beery

Graduate Theses

This study explored the high number of failed appointments and follow-up appointments at a community health care children’s clinic. A thirty-seven item questionnaire was randomly given to 112 participants seeking health care at the clinic on a random basis. Based on literature reviews, five hypothesis were generated to examine reasons for failing to keep appointments for children: 1. Communication difficulties between healthcare personnel and parents regarding patient comprehension of instructions and bottle directions were anticipated. 2. Patient/physician/clinic relationships were expected to influence patient compliance. The need for more reminder calls for appointments was anticipated to be a factor in patient …

What's Happening: August, 2003, Maine Medical Center

What's Happening

No abstract provided.

Adult Survivors Of Childhood Abuse: An Analysis Of Coping Mechanisms Used For Stressful Childhood Memories And Current Stressors, Kristine T. Futa, Cindy L. Nash, David J. Hansen, Calvin P. Garbin

Department of Psychology: Faculty Publications

Coping mechanisms used to deal with stressful childhood memories and current stressors were assessed for 196 women in each of 4 groups: no abuse history, sexual abuse history, physical abuse history, and both sexual and physical abuse history. Current psychological adjustment was also examined. Discriminant function analyses revealed a variety of significant differences between the groups in use of strategies for coping with memories of abuse or another childhood stressor. There was no relationship between childhood history of abuse and the manner in which women coped with a current stressor. Women with an abuse history reported significantly poorer adult adjustment …

Group Therapy For Incarcerated Women Who Experienced Interpersonal Violence: A Pilot Study, Rebekah G. Bradley, Diane R. Follingstad

CRVAW Faculty Journal Articles

This study evaluated effectiveness of group therapy for incarcerated women with histories of childhood sexual and/or physical abuse. The intervention was based on a two-stage model of trauma treatment and included Dialectical Behavior Therapy skills and writing assignments. We randomly assigned 24 participants to group treatment (13 completed) and 25 to a no-contact comparison condition (18 completed). We evaluated treatment effects, using the Beck Depression Inventory, Inventory of Interpersonal Problems, and Trauma Symptom Inventory. The data demonstrate significant reductions in PTSD, mood, and interpersonal symptoms in the treatment group.

Vital Signs, Fall 2003, 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 profiles, and more.

Health Beliefs And Parenting Attitudes Influence Breastfeeding Patterns Among Low-Income African-American Women, Phyllis W. Sharpe, Ayman A.E. El-Mohandes, M. Nabil El-Khorazaty, Michele Kiely, Tessa Walker

Publications and Research

OBJECTIVE: To describe breastfeeding initiation among 210 urban African-American mothers with inadequate prenatal care.

METHODS: This study is a case–control study of postpartum mothers recruited from four large urban hospitals.

RESULTS: Mothers who chose to breastfeed were more educated, employed before birth, married, and using contraception postnatally. Regression model analysis controlling for demographic differences revealed that breastfeeding was significantly associated with a higher perception of severity of illness and higher confidence in the ability of health care to prevent illness. Breastfeeding mothers were less likely to reverse parent– child roles and had a lower perception of hassle from their infant’s …

Inside Unlv, Gian Galassi, Carol C. Harter, Gene Hall

Inside UNLV

No abstract provided.

Oncolog, Volume 48, Number 07/08, July/August 2003, Ann Sutton, Karen Stuyck, Gayle Nesom

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• Researchers Explore Possible Applications of Nanotechnology in Cancer Treatment
• Sharing the Burden: Palliative Care Team Helps Patients, Families Through Difficult Times
• UPDATE: Study of Tamoxifen and Raloxifene (STAR) Nearing Completion Recruitment Efforts Focus on Women in Minority, Medically Underserved Populations
• House Call: Getting the Best Treatment

Telehealth: A Model For Clinical Supervision In Allied Health, Thomas W. Miller, Jean M. Miller, Deborah Burton, Rob Sprang, Jeanine Adams

Internet Journal of Allied Health Sciences and Practice

Telehealth technology and services have gained the attention of both clinicians and researchers examining trends and models of health care for underserved populations. Examined is a model where professional supervision for interns and other professionals may be achieved through an integrated model using onsite and telehealth technology. Examined is a model of telehealth service delivery, the interface of clinical supervision and health care and a model for supervision of allied health interns in rural placements.