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Vital Signs, Fall 1995, Boonshoft School Of Medicine

Vital Signs

A twenty four 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, alumni profiles, class notes, and more.

Views Of Feminist Family Therapy: A Q-Methodological Inquiry, Bronwen Cheek

Psychology Theses & Dissertations

The feminist critique of family therapy has had a growing impact on theory and practice for almost two decades (Hare-Mustin, 1978; Bograd, 1990). Writings on feminist family therapy (FFT) reveal both common and diverse opinions about what FFT is. The present study examined how views of FFT are segmented using Q-methodology (Stephenson, 1953; Brown, 1980; McKeown & Thomas, 1988), a small-sample empirical technique for identifying emergent viewpoints and studying their similarities and differences. A Q-sort instrument of 60 statements was constructed to sample diverse discourse on FFT. Magraw's (1992) interviews with leading experts in FFT served as a primary source …

Impact Of Spinal Cord Injury On The Life Roles Of Women., M Claire Quigley

Department of Occupational Therapy Faculty Papers

This qualitative study was conducted to explore and describe the role experience of five women whose lives were disrupted by a traumatic spinal cord injury and who later returned to their communities after completing intensive rehabilitation programs. In-depth interviews and participant observations were used to examine the experiences of these women. The findings exemplify how the women's use of adaptation and negotiation and the development of a new role as self-advocate facilitated the reestablishment of their life roles. As the women's occupational roles were redefined, the processes of adaptation and negotiation were evident in three aspects of their lives: daily …

The Health Belief Model As A Predictor Of Gynecological Exams: Does Sexual Orientation Matter?, Lynn Elizabeth Kunkel

Dissertations and Theses

Screening and early detection are essential for the management and control of most diseases. It is important for women to practice routine health care that includes both clinical and self examinations. Today, many women go without health care due to barriers which prevent them from obtaining adequate care. The present study was designed to investigate, using the Health Belief Model, whether there is a difference between heterosexual and lesbian women in obtaining gynecological exams. Responses from 238 participants, 70 heterosexuals and 168 lesbians, indicated that the Health Belief Model was a significant predictor of whether women complied with recommended guidelines …

Race, Family, And Obligation, Rodney C. Roberts

Center for the Study of Ethics in Society Papers

The Martin Luther King Jr. Day Lecture Presented to the WMU Center for the Study of Ethics in Society, January 16, 1995.

The Dmpa Service Provider: Profile, Problems And Prospects—Philippines, Maria Carmela Patron, Marilou P. Costello

Reproductive Health

This report presents the results of interviews conducted with 60 trained DMPA service providers from seven of the ten local government units (LGUs) covered by Phase I of the Philippine Department of Health's DMPA Reintroduction Program. DMPA, or Depot-medroxyprogesterone acetate, is an injectable contraceptive commonly known as Depo-Provera. The interviews were undertaken as part of the DMPA Monitoring and Follow-up Studies sponsored by the Population Council under the Asia and Near East Operations Research and Technical Assistance (ANE OR/TA) Project. While the monitoring study and the follow-up survey focused on DMPA users and dropouts, this study centered on the service …

Collection And Utilization Of Child Abuse Statistics In American Indian Communities, Michelle Chino

School of Public Health Faculty Research

Public health research in American Indian communities involves many complex issues that may both help and hinder the development of an effective research methodology and the collection, analysis, and utilization of data. These issues include: 1) the unique strengths and diversity of Indian cultures; 2) the complicated relationships that exist between federal, state, and tribal agencies; 3) the vast distances between communities and services that exist in rural areas; 4) extremely limited human and financial resources; 5) overlapping and often conflicting legal and jurisdictional authorities; and 6) an array of social issues including poverty, substance abuse, modernization, and assimilation. Defining …

Santa Clara Magazine, Volume 37 Number 3, Summer 1995, Santa Clara University

Santa Clara Magazine

6 - GARBAGE IN: GOODS OUT Lee Hornberger ' 69, associate professor of mechanical engineering, has only one word to say to you: plastics. By Maureen Mclnaney '85

10 - SCU 101 More than a hundred (count 'em) things every student shou ld do before graduating from Santa Clara.

16 - CHIAPAS: ROOTS OF A REBELLION Members of the SCU community bear witness to an indigenous struggle. By Trina Kleist '80 Photographs by Charles Barry

22 - PRESENTING PARADISE A modern translation with commentary helps readers scale the heights of Dante's heaven. By James Torrens, S.J.

24 - HAVE BALL, …

The Relationship Between Risk For Drug Abuse And Meaning In Life, Paul Turner

Masters Theses & Specialist Projects

Drug abuse continues to be one of the most significant problems in the United States today. Attempts to understand drug abuse have produced numerous multidimensional prevention and treatment models. These models have resulted in the identification of psychological, social and biological risk factors related to drug abuse. In this study, the risk for drug abuse was assessed in 311 college students. A questionnaire was developed to measure risk. The questionnaire assessed risk for abuse predicted by the following factors: academic performance, coping and psychological health, religiosity, family and peer drug use, and the individual's past and current drug use. Based …

The Flame, Summer 1995, Mennonite College Of Nursing

The Flame (1985-present)

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

The Association Between Perceived Family Support And Psychological Well-Being In Infertile Couples, Linda Marquardt Mintle

Health Services Research Dissertations

A correlational research design utilizing a cross-sectional survey methodology was used to investigate the association between perceived family support and psychological well-being in infertile couples. Family stress theory and the construct of boundary ambiguity were conceptual frameworks applied to the developmental family life cycle. Respondents were 35 married infertile couples with primary infertility recruited from a private For-profit infertility clinic located in Virginia Beach, Virginia. Responses on the Moos and Moos (1984) Family Environment Scale and from the SCL-90-R developed by Derogatis (1977) measured perceived family support and psychological distress respectively. Major findings indicated that infertile couples rated their families …

Ethnic Minorities And Mental Health: Ethical Concerns In Counseling Immigrants And Culturally-Diverse Groups, Gemima M. Remy

Trotter Review

Between 1980 and 1990 nearly 9 million foreign-born individuals migrated to the United States. In 1993, the Immigration and Naturalization Service recorded the entry of over 900,000 immigrants and refugees. This figure is believed to be higher given the estimated 1.5 to 2.5 million people who enter this country illegally each year. Currently, ethnic minority groups make up one-fourth of the United States population. It is estimated that by the year 2000, one-third of the U.S. population will be comprised of ethnic minorities. As the population of the United States becomes increasingly diverse, considerable attention is being directed to a …

Warning: Urban Living May Be Hazardous To Your Health: A Personal Perspective, Frederick G. Adams

Trotter Review

As a result of remarkable scientific and medical achievements of the 20th century, we now know that full and quality health is within reach for all Americans. Yet, despite these achievements, the burdens of inadequate health services too often falls more heavily on some population groups more so than on others. The fact that this "gap" in health status occurs more frequently among people with low income and people belonging to racial/ethnic minority groups, in particular African Americans, has been well documented nationally. Not only does the "gap" in the health status experienced by these groups include consistently higher excess …

Coalition Building: Moving Toward Effective Coalitional Strategies Of Hiv/Aids Prevention In Communities Of Color, Lisa Roland

Trotter Review

Despite the overwhelming burden carried by blacks and Latinos in terms of AIDS, it has become evident that in keeping with the general and historical pattern of discrimination reflected in funding, allocation of resources, policies etc., communities of color have received insufficient support to effectively address the problem at hand. Further compounding this dilemma, communities of color have fought against each other to secure funding for particular community programs. While looking at our individual, immediate, and entirely valid needs, many of us have at times failed to see the impact of our individual actions and attitudes on a broader picture.

Can The Health Needs Of African American Men Be Met Through Public Health Empowerment Strategies?, Deborah Prothrow-Stith, Eric Whitaker

Trotter Review

Health promotion and disease prevention efforts, which use empowerment strategies and emphasize community control, are essential to overcoming the legacy of medical malfeasance and successfully improving the health status of black males. This discussion depicts the legacy of harm and presents the case for empowerment strategies; it also describes one Boston community-based program example of utilizing an empowerment strategy and concludes with a challenge to all health professionals to become enablers of empowerment rather than obstructions to it.

A National Minority Organ/Tissue Transplant Education Program: The First Step In The Evolution Of A National Minority Strategy And Minority Transplant Equity In The Usa, Clive O. Callender, Alvina S. Bey, Patrice V. Miles, Curtis L. Yeager

Trotter Review

In 1978, members of the Southeastern Organ Procurement Foundation approached us concerning the disparity between the large number of African American patients, 50% to 70% of all patients on dialysis (artificial kidney machines), and the small number of African American donors (3%), and asked us why and what could be done about it? From my perspective as an African American transplant surgeon at Howard University, these observations piqued my curiosity and I agreed to investigate them. Our investigation took us into three areas: 1. An evaluation of the data regarding transplantation in patients at the Howard University Hospital Transplant Center …

Programmatic Responses To The Aids Epidemic By Communities Of Color In Massachusetts, Ron E. Armstead

Trotter Review

The Centers for Disease Control found that minorities now account for more than half of all the HIV cases in the United States. For African Americans, the rate was more than 5 times as high as that for whites. Further, the disease has equally affected women and children in the African American community; 84% of the AIDS cases involving children age 12 and under can be found in the African American community. AIDS has now become the second leading cause of death for African American women. This essay describes a research project focusing on the factors involved in developing and …

Executive Summary: Prepared By Institute Of Medicine, Marion Ein Lewin, Barbara Rice

Trotter Review

The underrepresentation of minorities in the health and other professions has long cast a shadow over our nation's efforts to develop a more representative and productive society. Many laudable and durable programs nave been developed over the past 20 years to enlarge the presence of minorities in health careers, but these efforts have been unable to develop the infrastructure and momentum to produce and sustain an adequate number of minority professionals among the ranks of America's clinicians, researchers, and teachers. While there has been an increase in the numbers of African Americans, Hispanics and Native Americans enrolled in professional schools …

Increasing The Number Of Black Health Professionals: A Case Of Commitment And Belief In Students, Harold Horton

Trotter Review

The infant mortality rate is as high as ever in the Black community; dental care is yet nil or almost non-existent for the vast majority of Black children; and hypertension continues to be a major problem in the Black community. Hence, even as we approach the 21st Century, healthcare in the Black community is yet, as the song stated in the movie, Casablanca, "it's still the same old story." There is seldom, if ever, a single solution to a catastrophic problem, but some kinds of solutions do stand out as logical and effective. Training Black physicians, who would be privileged …

Disparities In The Health Care Status Of Women: Implications For Research, Marcia I. Wells-Lawson

Trotter Review

Even a cursory review of data on the health status of women reveals striking differences by race. According to data from the National Center for Health Statistics, death rates among Black women from the three leading causes of death (cardiac disease, cancer and cerebrovascular disease) exceed those of white, Asian, Native American and Latina women for each age category from 45-84. With the exception of Black women, the death rates among white women from these diseases exceed those of other ethnic groups of women. Data on two of the risk factors for cardiac and cerebrovascular diseases (hypertension and obesity), show …

The Multicultural Mental Health Research Center (Mmhrc), Castellano Turner

Trotter Review

African Americans, Asian Americans, Hispanic/Latino Americans, and Native Americans have had relatively less access to the resources of society compared to white Americans. These resources include such things as educational and employment opportunities, political and economic power, and the goods and services that a prosperous society can produce. Health care is an important resource to which access is not equal for all groups. African Americans and other ethnic minority groups are, by most indices of health care access and utilization, underserved. Mental health services, in particular, have been shown to be less available to ethnic minority populations. Jones and Korchin, …

Introduction, James Jennings

Trotter Review

The Summer 1995 issue of the Trotter Review, "Public Health and Communities of Color: Challenges and Strategies," provides a range of essays and two personal commentaries on facets of public health, race, and ethnicity in urban America. The essays are written by scholars and activists familiar with public health and issues of race, access, and diversity. The first article is the Executive Summary of the Institute of Medicine's national report, Balancing the Scales of Opportunity: Ensuring Racial and Ethnic Diversity in Health Professions. This report focuses on the problem of underrepresentation of Blacks, Latinos, and Native Americans in the …

Posttraumatic Stress Disorder In Parents Of Traumatic Brain Injury Patients, Carol Farr

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic Brain Injury (TBI) produces cognitive, behavioral, and affective deficits with resulting problems such as improper social behavior, increased aggression, emotional, personality and characterological changes. The impact upon the survivor, the sibling, as well as the parental subsystem has been well documented in the literature. Post-Traumatic Stress Disorder (PTSD) has been diagnosed in several different types of trauma survivors, although rarely have individual psychological symptoms been studied in parents.

This research examined the possible vulnerability factors that are associated with TBI and their potential influence upon PTSD symptomology. Questionnaires were mailed to 266 parents of TBI patients with a response …

Pathways Through Adolescence: An Overview, Lisa J. Crockett, Ann C. Crouter

Department of Psychology: Faculty Publications

Given the connection between adolescent behavior and future well-being, it is important to understand the choices that adolescents make and how patterns of behavior evolve and are maintained during this period. The premise of this volume is that we can describe the behavior patterns young people develop in adolescence, and piece together the decisions that shape their paths through adolescence and into adulthood. Moreover, we can begin to identify the dynamic processes that affect adolescents7 life choices, the emergence of behavior patterns, and the development of lifestyles. This volume seeks to address three questions. How can developmental pathways in adolescence …

Feminization Of The Aids Epidemic, Mark S. Kaplan

The Journal of Sociology & Social Welfare

Although males still constitute a substantial number of persons with AIDS, it is becoming clear that this is a disease affecting women and minority populations more adversely. Today women, while representing approximately 16 percent of all AIDS cases nationwide that are reported to the Centers for Disease Control, make up the fastest-growing segment of the population with AIDS. This article contends that AIDS is increasingly afflicting women who have little economic, political, or social power. Furthermore, misdirected public policy has been partly responsible for the greater incidence of the disease in certain regions and populations.

Attention Deficit Disorder And Case Management: Infusing Macro Social Work Practice, Dennis D. Long

The Journal of Sociology & Social Welfare

Intervention with children with attention deficit disorders is complex and requires change at multiple system levels using a social work perspective. Case management, macro social work practice, time allocation issues, the structure of a professional self, constraints in expanding a narrow definition of the social worker, and specific macro level intervention areas for social workers are examined in this context.

Developmental Paths In Adolescence: Commentary, Lisa J. Crockett

Department of Psychology: Faculty Publications

Much remains to be done to illuminate the processes shaping adolescents' developmental paths. Influences affecting adolescents' day-to-day behavior, as well as their decisions at specific turning points, need to be elucidated. The reciprocal influences operating between adolescent and environment, and the fact that selection processes (both passive and active) are likely to increase the correlation between individual and environmental characteristics, further complicate the task of disentangling causal processes. Furthermore, understanding adolescents' developmental pathways requires more than identifying the dynamic processes in operation at key turning points and in the settings the person enters subsequently. It requires examining the chain of …

Crisis Of Infertility: Effects Of Length Of Treatment On Emotional And Marital Adjustment, Christie L. Markestad

Graduate Theses

Twenty infertile couples participated in the present study to investigate whether infertile couples receiving medical treatment experience changes in their emotional, marital and sexual adjustment as a result of the length of time they have been in treatment. The couples were divided into three groups based on how long they had been seeking medical attention for infertility. The instruments administered were: SCL-90-R (Symptom Checklist), Dyadic Adjustment Scale (DAS) and Index of Sexual Satisfaction (ISS). It was predicted couples who were in the initial stages of treatment would experience increased levels of emotional, marital and sexual distress, however those levels would …

Update - March 1995, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Cabbages and Condoms: Population Control in a Crowded World
-- On Conundrums, Condoms and Cabbages: "Prior Questions" on the Subject of Population Control
-- LLU offers Masters of Arts in Biomedical and Clinical Ethics

Glenn Petersen's Review Of Vincent Lebot, Mark Merlin, And Lamont Lindstrom's Kava: The Pacific Drug, Glenn Petersen

Pacific Studies

No abstract provided.