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Articles 7651 - 7680 of 12213
Full-Text Articles in Entire DC Network
College Health Clinic Population Health Improvement Plan Project, Kathryn M. Flynn
College Health Clinic Population Health Improvement Plan Project, Kathryn M. Flynn
Walden Dissertations and Doctoral Studies
A college community health improvement plan (CHIP) focusing on the indicators of nutrition and weight status, and physical activity and fitness is designed with the goal of reducing obesity risk, improving health, and preventing chronic disease. The precede proceed model, logic model, innovative care for chronic conditions model, self-care theory, and Bandura's social cognitive learning theory were used as a research design framework for assessing, planning, and managing sustainability through a two-year college health clinic. The research questions were: what are the current health promotion inputs and activities in terms of environment, ecology, education, and policy and what could be …
Barriers And Perceptions Of Black American Men About Prostate Cancer In Georgia, Martins M. Nnoko
Barriers And Perceptions Of Black American Men About Prostate Cancer In Georgia, Martins M. Nnoko
Walden Dissertations and Doctoral Studies
In 2016, prostate cancer was the second leading cause of fatality in the United States. However, the population in this study 'Black American men, ages 40 and older, in selected counties in Fulton, DeKalb, Gwinnett, Clayton and Atlanta metropolitan areas' tended to underutilize prostate cancer care. The purpose of this quantitative, nonexperimental descriptive study was to determine whether socio-economic barriers and perceptions of Black American men about prostate cancer reduce their ability to access quality care in this county in Georgia. The Health Belief Model (HBM) was used to inform the predictive validity of perceptions, attitudes, and belief on individual …
Predictors Of Mastectomy In Male Breast Cancer, Esther Opara
Predictors Of Mastectomy In Male Breast Cancer, Esther Opara
Walden Dissertations and Doctoral Studies
Male breast cancer (MBC) is rare, and research on the predictors of MBC has been limited because of inadequate funding in and outside of the United States. One goal of this study was to eradicate the stereotyping of breast cancer as a female disease. The emergence of medical technology and education to benefit the public will help to ensure greater health awareness at the individual, community, and global levels. The purpose of this study was to understand the influence of the predictors of age; race (Black, White, and Other); and grade of cancer (I, II, or III) on the outcome …
Beyond Breastfeeding: Exploring The Influence Of Maternal Control Over Child Health Behavior Among African American Women Infants And Children Nutritional Supplementation Program Participants, Maria Wilson
Walden Dissertations and Doctoral Studies
The health benefits of breastfeeding exceed well beyond the first few years of an infant's life. Breast milk is often referred to as liquid gold because of its extensive protective properties that promote child growth and development. Unfortunately, African American women have the lowest breastfeeding rates compared to any other racial group. Given that African American children are disproportionately affected by the current obesity epidemic in the United States, there may be a link between a mother's preference to breastfeed her infant and her influence over her child's eating behaviors and physical activity levels. Guided by social cognitive theory, the …
Using An Apn-Led Transitional Care Program To Reduce 30-Day Hospital Readmissions, Miaozhen Li
Using An Apn-Led Transitional Care Program To Reduce 30-Day Hospital Readmissions, Miaozhen Li
Walden Dissertations and Doctoral Studies
Heart failure (HF) is a serious public health problem associated with high mortality rates, hospital readmissions, and health care costs. Transitional care has emerged as a disease management model used to reduce readmissions for hospital-discharged patients with HF. However, the efficacy of an advanced practice nurse (APN)-led transitional care program (TCP) in readmission reduction is under debate. The practice question for this project examined the extent to which an APN-led TCP was effective in reducing 30-day all-cause readmissions for hospital-discharged HF patients. The logic model was the framework guiding this program evaluation. An analysis of quality improvement HF data from …
Assessing For Awareness And Knowledge Regarding Diabetes In Pre-Diabetes Obese Patients, Remona Lysa Brown
Assessing For Awareness And Knowledge Regarding Diabetes In Pre-Diabetes Obese Patients, Remona Lysa Brown
Walden Dissertations and Doctoral Studies
Over the past few decades, there has been an increase in prevalence of diabetes in the United States. Prevention of diabetes and improving patients' knowledge and awareness of diabetes are crucial for healthcare providers. Using the Health Belief Model (HBM) as a theoretical foundation, the student used the National Diabetes Prevention Program (NDPP) from the Centers for Disease Control and Prevention (CDC), to improve awareness and knowledge of diabetes among obese individuals with prediabetes. The key research question of this project was to determine whether the patients' diabetes knowledge and awareness improved after the NDPP program. A convenience sample of …
Culturally Competent Nutrition Counseling And Health Outcomes Of Patients On Emergency Dialysis, Edlyn Geraldine Bustamante
Culturally Competent Nutrition Counseling And Health Outcomes Of Patients On Emergency Dialysis, Edlyn Geraldine Bustamante
Walden Dissertations and Doctoral Studies
Undocumented end stage renal disease (ESRD) patients in the United States only have access to emergency dialysis. To compensate for the lack of regular dialysis these patients must follow strict renal dietary restrictions. However, nutrition counseling by a dietitian is not part of the renal management of patients on emergency dialysis. The purpose of this quantitative quasi-experimental treatment-control study was to assess how the application of nutritional counseling that is both culturally and linguistically competent affects dialysis frequency and biochemical lab values such as serum potassium, phosphorus, and vitamin D of patients in emergency dialysis. The study was grounded on …
Knowledge Of Malaria Infection And Treatment-Seeking Behavior Among Tanzanian Pregnant Women, Emebet T. Derjew
Knowledge Of Malaria Infection And Treatment-Seeking Behavior Among Tanzanian Pregnant Women, Emebet T. Derjew
Walden Dissertations and Doctoral Studies
Despite the availability of effective drugs to prevent malaria during pregnancy using intermittent preventive treatment with Sulfadoxine-Pyrimethamine or Fansidar and insecticide bed net, use of these methods are still little used in Sub-Saharan Africa, including Tanzania. As a result, many pregnant women are at risk of malaria consequences such as maternal anemia and low birth weight babies, which increase the rate of infant mortality. Data from the Demographic Health Survey for Tanzania HIV/AIDs and the Malaria Indicator Survey 2011-2012 were used in a cross-sectional design guided by the health belief model. Logistic regression examined the association between (a) preventive treatment-seeking …
Consequences Of Community Water Fluoridation Cessation For Medicaid Eligible Children And Adolescents, Jennifer Meyer
Consequences Of Community Water Fluoridation Cessation For Medicaid Eligible Children And Adolescents, Jennifer Meyer
Walden Dissertations and Doctoral Studies
Oral health impacts general health and well-being throughout the lifespan. Recent trends in the United States towards cessation of community water fluoridation (CWF) may increase disparities in oral health. The purpose of this quantitative retrospective cohort study was to analyze Medicaid dental claims records for caries related procedures among 0 to18-year-old patients during an optimal CWF year 2003 (n = 854) and compare them to claims records from 2012 (n = 1,053), 5 years after CWF was ceased. The theoretical framework of this study was the diffusion of innovations theory. Statistically significant results included higher mean number of caries related …
The Experiences Of African American Women Participating In Church-Based Weight Loss Programs, Mangle L. Shanks
The Experiences Of African American Women Participating In Church-Based Weight Loss Programs, Mangle L. Shanks
Walden Dissertations and Doctoral Studies
While obesity is a nationwide phenomenon, African Americans - especially women - continue to be more severely affected than any other ethnic group. According to the Centers for Disease Control and Prevention, over 20% of African American women are obese compared to 15.6% of Caucasian women. The church is an important community center for many African Americans, and is often a site for health promotion programs, though little is known of the effectiveness of these programs. The purpose of this qualitative study was to study the experiences and attitudes of African American women who have gone through a church-based weight-loss …
Breaking The Silence: Postpartum Depression Among Reproductive-Aged Women In Akwa Ibom State, Nigeria, Atim Henshaw
Breaking The Silence: Postpartum Depression Among Reproductive-Aged Women In Akwa Ibom State, Nigeria, Atim Henshaw
Walden Dissertations and Doctoral Studies
Postpartum depression (PPD) is internationally recognized as one of the most prevalent and severe but neglected maternal mental health complications of childbirth. Previous studies have indicated that there is a high burden of disease associated with PPD in both developed and developing countries. However, there remain gaps in the current literature regarding the recognition and management of PPD in remote parts of the developing world. Therefore, the purpose of this study was to understand the perceptions, attitudes, and beliefs of health professionals towards PPD and examine the factors that either facilitated or hindered its recognition and management in a remote …
Barriers To Preventive Healthcare For Immigrants In Michigan, Sondos Ghazi Al-Hachim
Barriers To Preventive Healthcare For Immigrants In Michigan, Sondos Ghazi Al-Hachim
Walden Dissertations and Doctoral Studies
The Affordable Care Act expanded insurance coverage to the general population; however, expanding insurance coverage to immigrants might not be sufficient to improve utilization of annual physical preventive exams. This study evaluated adult Michigan immigrants' individual demographics, perceptions, and behaviors, as well as the collective cultural and system characteristics that might act as barriers to the utilization of annual physical preventive exams. Ken Wilber's integral operating system model for medicine conceptual framework was used to create a comprehensive map of factors and bring more clarity and understanding to the barriers to annual physical preventive exam. The quantitative survey was the …
Hassles Of African Americans With Type 2 Diabetes, Sharon H. Murff
Hassles Of African Americans With Type 2 Diabetes, Sharon H. Murff
Walden Dissertations and Doctoral Studies
There has been a steady increase in the incidence of diabetes in the United States. The purpose of this study was to determine whether there was a difference in the daily hassles of African American adults with a self-reported diagnosis of type 2 diabetes compared to those of African American adults without a self-reported diagnosis of type 2 diabetes. The theoretical underpinning for this quantitative, descriptive study was the cognitive appraisal theory (CAT), but the concept of stress and the effects stress has on the body was the broad framework that connected all the variables. The CAT was used to …
The Effect Of Referral Source On Patient Participation In Diabetes Education Programs, Karyn Marie Gallivan
The Effect Of Referral Source On Patient Participation In Diabetes Education Programs, Karyn Marie Gallivan
Walden Dissertations and Doctoral Studies
The goal of diabetes education programs (DEPs) is to improve patients' pattern-management habits for those with type 2 diabetes (T2D), though participation in DEPs is lower than expected due to low physician referral rates. This retrospective study examined secondary data of 162 T2D patients who had been referred to a DEP in a community center in RI to determine whether the source of referral affected patient attendance, participation persistence, and outcomes. Self-referred (n = 62) and physician-referred (n = 100) groups were analyzed for possible associations among the aforementioned variables. Chi-square (p = .04) and logistic regression (p = .04) …
The Association Between Dietary Flavonoid Intake And Chronic Obstructive Pulmonary Disease, Systemic Inflammation, And Comorbidity Burden, Tennador Sanderson
The Association Between Dietary Flavonoid Intake And Chronic Obstructive Pulmonary Disease, Systemic Inflammation, And Comorbidity Burden, Tennador Sanderson
Walden Dissertations and Doctoral Studies
Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality in the United States. Dietary habits may have an impact on COPD through anti-inflammatory mechanisms. For this cross-sectional secondary data analysis study, the advanced model of the epidemiology triangle was used as a guide to assess the association between total daily flavonoid intake and COPD diagnosis, COPD severity, systemic inflammation, and comorbidity burden. Data from over 5,100 male and female participants aged 30 and older were obtained from the 2007-2010 National Health and Nutrition Examination Survey. The prevalence of COPD was 5.2% according to spirometry data. Multiple …
Disparities In Infant Mortality: Are Sociocultural Risk Factors Shaped By Institutionalized Racism?, Madison Grimm
Disparities In Infant Mortality: Are Sociocultural Risk Factors Shaped By Institutionalized Racism?, Madison Grimm
Honors Program Theses
The infant mortality rate (IMR) is an incredibly important indicator of the overall health of a nation. Because the IMR is so closely related with factors such as quality and accessibility of healthcare and socioeconomic conditions, it is helpful in evaluating a nation’s success. The United States (US) has one of the highest infant mortality rates among countries with a similar degree of economic development (those belonging to the OECD). In 2013, the IMR was 5.96 deaths per 1,000 live births, according to the Centers for Disease Control and Prevention, or CDC (Mathews, MacDorman, & Thoma, 2015). Furthermore, this rate …
Evaluation Of A Nutrition Education Program Targeting Home-Based Child Care Centers, Cassandra Nicole Urrutia
Evaluation Of A Nutrition Education Program Targeting Home-Based Child Care Centers, Cassandra Nicole Urrutia
Open Access Theses & Dissertations
Background: The development of a highly obesogenic culture promoting sedentary behavior and the consumption of calorie-dense foods has led to increased levels of overweight and obesity globally. While children and adults are both at increased risk of developing obesity, the risk is even higher in minority and low socioeconomic populations. Changes in familial structure and an increase in mothers of younger children (below the age of 6) entering the workforce have created a new demand for child care services. Although some studies have researched the effectiveness of nutrition programs to increase healthy eating within the child care setting, few have …
Evaluating The Impact Of A High School Garden In El Paso, Texas For Fruit And Vegetable Intake Using A Valid Biomarker, Patrick Vaughn Hopkins
Evaluating The Impact Of A High School Garden In El Paso, Texas For Fruit And Vegetable Intake Using A Valid Biomarker, Patrick Vaughn Hopkins
Open Access Theses & Dissertations
Background: School gardens are an educational tool used to increase children's exposure to, and intake of, fruits and vegetables (F/V). Diets rich in F/V reduce the risk of heart disease, stroke, some cancers, and type 2 diabetes, and can aid in weight management as a strategy to reduce obesity prevalence. Objective data of the impact of school gardens on F/V intake are lacking, as most studies have relied on dietary self-reporting to validate F/V intake. Self-reporting of dietary intake is inherently an unreliable method for assessing F/V intake. Carotenoids, a family of phytochemicals, are a reliable biomarker of dietary intake …
Socially Assigned Race, Reactions To Perceived Racial Discrimination And Type Ii Diabetes Mellitus, Jourdyn A. Lawrence
Socially Assigned Race, Reactions To Perceived Racial Discrimination And Type Ii Diabetes Mellitus, Jourdyn A. Lawrence
Theses and Dissertations
Background: Numerous studies have utilized race to document health inequities. As race is considered a social classification of persons based upon physical traits, studies have begun to consider socially assigned race defined as the race/ethnicity perceived by others. Socially assigned race may serve as the basis for differential or unfair treatment of persons ascribed to historically oppressed groups. Socially assigned race may also provide additional insight into racial health disparities, particularly among Latino populations who are commonly defined by their ethnicity. This study assesses the relationship between self-identified and socially assigned race/ethnicity and tests the moderating effects of emotional and …
Association Between Diabetes And Cancer In Indian And Us Populations Using Longitudinal Study Design, Shraddha S. Vyas
Association Between Diabetes And Cancer In Indian And Us Populations Using Longitudinal Study Design, Shraddha S. Vyas
Theses and Dissertations
Background: There is growing evidence of association between diabetes and cancer. No studies have been conducted in India evaluating this association. With the current epidemiologic, nutritional and economic transition in India, it becomes extremely important to examine this association in an Indian population. Additionally, difference in association exists based on different cancer subtypes. Research has shown that diabetes is associated with an increased risk of colorectal cancer. However most of these studies suggest detection bias to be one of the probable reasons for this association. Additionally, the common risk factors shared by both these conditions are considered to one of …
Effects Of A Mindfulness Based Intervention On Diurnal Cortisol In Cancer Survivors, Susannah Small
Effects Of A Mindfulness Based Intervention On Diurnal Cortisol In Cancer Survivors, Susannah Small
Theses and Dissertations
Background. There are approximately 15.5 million individuals alive today in the U.S. with a personal history of cancer. For this large and growing population, ill effects associated with cancer diagnosis and treatment include both physical and psychosocial symptoms adversely affecting quality of life. One low-risk alternative to conventional pharmaceutical use in treating these symptoms is mindfulness practice. Research on self-reported measures provides strong evidence that this type of intervention improves quality of life for cancer survivors, but evidence of impact on objective measures is limited. Cortisol, the body’s primary stress hormone, is one relatively easy to measure indicator that …
Analysis Of Food Exposures In Foodborne Disease Outbreaks, Alecia T. Alianell
Analysis Of Food Exposures In Foodborne Disease Outbreaks, Alecia T. Alianell
Theses and Dissertations
Foodborne illness remains a serious public health problem in the United States in general as well as South Carolina in particular. Obtaining good food ingestion histories as well as possible risky environmental exposures is one of the earliest, most important tasks to complete in any foodborne outbreak investigations. Because time is of the essence in investigations, we have evaluated a rarely used biostatistical method, Random Forests, to data obtained from DHEC. Random Forests has the potential to facilitate more rapid identification of foods or environmental exposures that may be associated with outbreaks. We also examined previous cases of salmonellosis using …
A Potential Tool For Clinicians; Evaluating A Computer-Led Dietary Assessment Method In Overweight And Obese Women During Weight Loss, Adrianne Widaman, Nancy Keim, Dustin Burnett, Beverly Miller, Megan Witbracht, Keith Widaman, Kevin Laugero
A Potential Tool For Clinicians; Evaluating A Computer-Led Dietary Assessment Method In Overweight And Obese Women During Weight Loss, Adrianne Widaman, Nancy Keim, Dustin Burnett, Beverly Miller, Megan Witbracht, Keith Widaman, Kevin Laugero
Faculty Publications
Many Americans are attempting to lose weight with the help of healthcare professionals. Clinicians can improve weight loss results by using technology. Accurate dietary assessment is crucial to effective weight loss. The aim of this study was to validate a computer-led dietary assessment method in overweight/obese women. Known dietary intake was compared to Automated Self-Administered 24-h recall (ASA24) reported intake in women (n = 45), 19–50 years, with body mass index of 27–39.9 kg/m2. Participants received nutrition education and reduced body weight by 4%–10%. Participants completed one unannounced dietary recall and their responses were compared to actual intake. Accuracy of …
Health Status And Behavior Influences To Sleep Quality Among Community-Dwelling Elderly In Chanthaburi Province, Thailand, Chanisa Siripanich
Health Status And Behavior Influences To Sleep Quality Among Community-Dwelling Elderly In Chanthaburi Province, Thailand, Chanisa Siripanich
Chulalongkorn University Theses and Dissertations (Chula ETD)
Purpose - The trend of sleep disorder is typically more common in aged changes due to health condition changes leading to poor sleep satisfies. Therefore the purpose of this study was to examine the rate and factors associated to sleep quality among Community-Dwelling Elderly in Chanthaburi Province, Thailand. Design/methodology/approach – A cross-sectional was conducted in 208 elderly by multi-stage sampling. All participants were interviewed by the questionnaire. sleep quality was assessed by Pittsburgh sleep quality index (PSQI). Sleep quality score ≥ 5 indicating poor sleep quality. Chi-square tests and Multivariate logistic regression models were performed to find significant associations. Findings …
Assessment Of Alcohol Consumption And Quality Of Life Amongchronic Liver Disease Patients In Mandalay, Myanmar, Chan Hein Tun
Assessment Of Alcohol Consumption And Quality Of Life Amongchronic Liver Disease Patients In Mandalay, Myanmar, Chan Hein Tun
Chulalongkorn University Theses and Dissertations (Chula ETD)
Background: Alcohol drinking is one of the common addictive hazardous behaviours nowadays that would definitely cause consequent health system deteriorations, especially the hepatobiliary system - chronic liver diseases. This study was to find out the patterns of alcohol consumption, levels of alcohol screening, quality of life according to gender and age groups and associations between variables among the chronic liver disease patients in Mandalay, Myanmar. Methodology: A cross-sectional study, data collection was completed by face to face interviews and secondary data from medical records from total 280 chronic liver disease patients. The questionnaires consisted of structured parts, Alcohol Use Disorder …
Effectiveness Of The Family Planning Intervention To Improve Reproductive Health Of Married Female Adolescents In Urban Slums Of Dhaka, Bangladesh : A Quasi-Experimental Study, Fauzia Akhter Huda
Effectiveness Of The Family Planning Intervention To Improve Reproductive Health Of Married Female Adolescents In Urban Slums Of Dhaka, Bangladesh : A Quasi-Experimental Study, Fauzia Akhter Huda
Chulalongkorn University Theses and Dissertations (Chula ETD)
Background: In Bangladesh, early marriage and childbearing has led to an adolescent fertility rate that is among the highest in the Asia pacific. More than half of the pregnancies (53%) among married adolescents in the country's urban slums is being unintended and is largely due to non-use or discontinuation of use of modern contraceptive methods. This study was aimed to assess the effectiveness of a married adolescent girls' club (MAG club) in terms of measuring differences in knowledge, attitude, practices, and unmet need for family planning among the married adolescent girls in urban slums of Dhaka, Bangladesh. Methods: This was …
Knowledge Attitude And Practice (Kap) Of Long Term Care Services For The Elderly Among Trained Caregivers In Sisaket Province Thailand, Kamonthip Doungjan
Knowledge Attitude And Practice (Kap) Of Long Term Care Services For The Elderly Among Trained Caregivers In Sisaket Province Thailand, Kamonthip Doungjan
Chulalongkorn University Theses and Dissertations (Chula ETD)
This study aimed to assess knowledge, attitudes, and practices of long term care for the elderly among caregivers and to identify association between socio-demographic factors, knowledge, attitudes, and practices of long term care for the elderly among caregivers in Sisaket province.
A cross sectional descriptive study with a self-administered questionnaire was conducted among 209 caregivers in Sisaket province from March to July 2018. Analysis of the variables was done using univariate and bivariate at 95% confident interval by SPSS Version 16.
The result founded out of 209 caregivers, majority of them (93.8%) were female, whereas 6.2% were male. Twenty-three percent …
"Knowledge, Attitude, And Preventive Practices Concerning Hiv/Aids Among Men Who Have Sex With Men In Yangon, Myanmar.", Nan Ei Moh Moh Kyi
"Knowledge, Attitude, And Preventive Practices Concerning Hiv/Aids Among Men Who Have Sex With Men In Yangon, Myanmar.", Nan Ei Moh Moh Kyi
Chulalongkorn University Theses and Dissertations (Chula ETD)
This study aimed to provide information for both governmental and non-governmental organizations on knowledge, attitude, and preventive practices concerning HIV/AIDS among Men Who Have Sex with Men (MSM) in Yangon city, Myanmar. A cross-sectional survey with a self-administered questionnaire was applied in this study. Yangon city and Medecins du Monde Organization (MdM) were selected by using purposive sampling method. 422 MSM aged 18 to 59 years from the organization were recruited by using mixed method with convenience and snowball sampling methods. Analysis of the variables was done using univariate, bivariate, and multivariate analysis at 95% confidence level. Out of 422 …
Effectiveness Of A Personally-Tailored Oral Care Program On Improving Periodontal Status Among Thai Persons With Physical Disabilities In Pathum Thani Province, Thailand, Nithimar Sermsuti-Anuwat
Effectiveness Of A Personally-Tailored Oral Care Program On Improving Periodontal Status Among Thai Persons With Physical Disabilities In Pathum Thani Province, Thailand, Nithimar Sermsuti-Anuwat
Chulalongkorn University Theses and Dissertations (Chula ETD)
The purpose of this study was to develop and evaluate the Personally-Tailored Oral Care Program on improving periodontal status among Thai persons with physical disabilities. This quasi-experimental study was conducted at Independent Living Center, a community club for persons with disabilities in Pathum Thani province, Thailand from February to May 2018. Total of 80 members who registered in Ladlumkaeo district (control) and Thanyaburi district (intervention), Pathum Thani Province were included (each group comprising 40 participants). Data were analyzed by using Chi-square test, t-test and repeated measures analysis of variance. The results, there were strongly significant difference in bleeding on probing …
Prevalence Of Healthy Aging And Factors Associated In Thai Urban Elderly Bangkok Thailand, Onsiri Pitisuttithum
Prevalence Of Healthy Aging And Factors Associated In Thai Urban Elderly Bangkok Thailand, Onsiri Pitisuttithum
Chulalongkorn University Theses and Dissertations (Chula ETD)
Population aging is a global phenomenon affecting many countries including Thailand. Many challenges come with aging population such as economical, social and healthcare system challenges, and healthy aging is the key to these problems. Only a few studies have focused on the prevalence and associated factors of healthy aging in Thailand. This study aims to estimate prevalence of healthy aging and identify factors related to healthy aging among Thai urban elderly in Bangkok, Thailand. Data for this cross-sectional study were collected by face-to-face interviews using questionnaires at Lumpini park, Bangkok between April to May 2018. A total of 200 older …