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Full-Text Articles in Medicine and Health Sciences

New Hopes, New Dreams, Bhavik Upadhyay Jan 2017

New Hopes, New Dreams, Bhavik Upadhyay

be Still

Anteneh Fisseha's old car with more than 200,000 miles finally gave up. Here is a picture of him with his new and reliable ride to get him through medical school.


An Aspiring Radiologist, Bhavik Upadhyay Jan 2017

An Aspiring Radiologist, Bhavik Upadhyay

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Vincent Alexander, a second year medical and an anatomy fellow learning and teaching allied health care students during.


Serving The Community, Bhavik Upadhyay Jan 2017

Serving The Community, Bhavik Upadhyay

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Second year osteopathic medical student Hytham Rashid participating in community health fair taking vitals for his patients.


Upside Down, Bhavik Upadhyay Jan 2017

Upside Down, Bhavik Upadhyay

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Third-year osteopathic medical student and Guinness world record participant AshwinKalandurgdemonstrating his handstand walking skills in the NSU GOT TALENTprogram.


Inner Voice, Bhavik Upadhyay Jan 2017

Inner Voice, Bhavik Upadhyay

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Third year osteopathic medicine student Michael Stan participating in NSU Got Talentproviding the vocals for the band, “The Heartbeats.”


Play The Moments, Bhavik Upadhyay Jan 2017

Play The Moments, Bhavik Upadhyay

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Second year osteopathic medical student Michael Hellman playing his guitar for the band, “The Heartbeats “ during NSU Got Talent.


Colorful Life, Bhavik Upadhyay Jan 2017

Colorful Life, Bhavik Upadhyay

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Undergraduate student AhjayBhatia celebrates the festival of Holi along with members of the Indian Student Association.


Development Of A Guideline For Hospice Staff, Patients, And Families On Appropriate Opioid Use, Trenika Alexander-Goreá Jan 2017

Development Of A Guideline For Hospice Staff, Patients, And Families On Appropriate Opioid Use, Trenika Alexander-Goreá

Walden Dissertations and Doctoral Studies

There is an identified problem with patients receiving suboptimal pain management at a hospice agency in the northwestern United States. At this agency, undertreatment of pain is prevalent. Evidence indicates that this may be a result of a lack of guidelines, education, and knowledge of appropriate prescribing. Known barriers to the correct prescription and administration of potent opioids in the hospice setting include prevailing beliefs, knowledge, skills, and attitudes, all of which can impact care negatively. Contextually, hospice principles mandate patient comfort and caregiver involvement in continuous quality improvement, which includes adequate and informed pain management. Moreover, hospice metrics demand …


Brachytherapy And External Beam Radiation And Survival Of Jamaicans With Prostate Cancer, Salome Elizabeth Brown-Williams Jan 2017

Brachytherapy And External Beam Radiation And Survival Of Jamaicans With Prostate Cancer, Salome Elizabeth Brown-Williams

Walden Dissertations and Doctoral Studies

Jamaican males are a high-risk population for aggressive prostate cancer (PrCa) due to genetic influences, and identifying empirical data on treatments, which provide survival benefits is a prime challenge for clinicians who manage Jamaican PrCa patients. Thus, the purpose of this investigation was to elucidate treatment effects of brachytherapy and ERBT in the survival of a Jamaican PrCa cohort. Differences in survival outcomes of brachytherapy and ERBT treated Jamaican, and White U.S.-born PrCa patients with localized PrCa were compared. The mechanism of radiation programmed cell death in PrCa carcinogenesis explained in the oxidative stress theory, was the theoretical base for …


Designing And Evaluating An Educational Initiative Promoting Condom Use Among Hiv+ Hispanic Men, Gilberto Andino Jan 2017

Designing And Evaluating An Educational Initiative Promoting Condom Use Among Hiv+ Hispanic Men, Gilberto Andino

Walden Dissertations and Doctoral Studies

In 2013, the Centers for Disease Control and Prevention estimated that between 252,000 and 312,000 Hispanic men and women in the United States were unaware of their risk for transmitting HV/AIDS. Guided by the logic model and Leininger's theory, the purpose of this project was to design a culturally sensitive HIV/AIDS educational program for HIV+ Hispanic males and to evaluate the program content with the staff at a medical center in South Florida, with the goal of implementing the program at that center. The educational program content focused on increasing the knowledge of Hispanic HIV+ men on the effectiveness of …


Health System Predictors Of Access To Maternal Health Medicines In Low And Middle Income Countries, Chinonso Esther Nnorom Jan 2017

Health System Predictors Of Access To Maternal Health Medicines In Low And Middle Income Countries, Chinonso Esther Nnorom

Walden Dissertations and Doctoral Studies

The strength of health systems predict access to medicines that prevent death from pregnancy related complications (essential maternal health medicines). But little is known about the relative impact of each health system building block on access. This quantitative cross-sectional study applied Ishikawa model to examine the relative effect of health systems governance, facilities, service delivery, financing and medicine procurement and distribution (independent variables), on availability, affordability and accessibility (dependent variables) of maternal health medicines in resource poor settings. Data analyzed was pulled from 37 WHO pharmaceutical country profiles and USAID MCHIP survey that assessed national programs for the prevention and …


Risk Perception Of Hiv Infection Among The Nigerian African- Immigrant Population In Houston, Texas, Esther Titilayo Ogunjimi Jan 2017

Risk Perception Of Hiv Infection Among The Nigerian African- Immigrant Population In Houston, Texas, Esther Titilayo Ogunjimi

Walden Dissertations and Doctoral Studies

HIV/AIDS studies mostly lack distinction between the US-born Blacks and non-US-born Blacks while African Americans (AAs) continues to represent the group with the heaviest burden of AIDS deaths and new diagnosis of HIV. A review of studies on HIV infection in the US, Europe, and other Western countries revealed a knowledge gap on HIV infection with non-refugee African immigrants (NRAIs), especially the Nigerian African Immigrants (NAIs) who are non-US-born Blacks. The purpose of this descriptive phenomenological study is to address this gap by exploring the expressed views of NAIs, a sub-group of the NRAIs living in Houston, Texas, on the …


Gender Differences In Health Service Utilization Among Veterans With Acute Kidney Injury, Freneka Fronsha Minter Jan 2017

Gender Differences In Health Service Utilization Among Veterans With Acute Kidney Injury, Freneka Fronsha Minter

Walden Dissertations and Doctoral Studies

The U.S. Department of Veterans Affairs (VA) studies on acute kidney injury (AKI) have focused on defined procedures and outcomes but not on gender differences. The purpose of this study was to investigate differences in health services utilization by gender and other predisposing factors (age and race) among hospitalized veterans with AKI during a 5-year period from 2008 to 2013. The study included a retrospective cohort design and the behavioral model of health services utilization as the underlying theoretical framework. Secondary data were collected from an existing VA cohort. Data from 1,636 hospitalized AKI veterans were subjected to t tests …


The Lived Experience Of In-Center Hemodialysis Patients Receiving Treatment In Dekalb County, Georgia, Stacey Deniese Cooper Jan 2017

The Lived Experience Of In-Center Hemodialysis Patients Receiving Treatment In Dekalb County, Georgia, Stacey Deniese Cooper

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD) is preventable and reversible in the early stages with upstream strategies; however, the number of individuals diagnosed with end-stage renal disease (ESRD) is increasing annually. Although researchers have documented the physiological and psychological stressors associated with hemodialysis (HD), little is known about the effects of in-center HD on the recipients in DeKalb County, Georgia. This study described the experiences of 10 African American HD patients who dialyze in DeKalb County. Using a phenomenological approach, the interviews were transcribed and then analyzed for significant quotes and recurrent themes relevant to receiving HD in DeKalb County. The health …


The Chance Of Complications From Type 2 Diabetes As Perceived By Some Black Seventh-Day Adventists Who Follow A Plant-Based Diet., Charles Misori Jan 2017

The Chance Of Complications From Type 2 Diabetes As Perceived By Some Black Seventh-Day Adventists Who Follow A Plant-Based Diet., Charles Misori

Walden Dissertations and Doctoral Studies

Type 2 diabetes has more than doubled in the past decade among Black Americans. Researchers have suggested that Black Seventh-day Adventists, who follow a plant-based diet, are concerned about preventing the complications from this disease. The purpose of this qualitative ethnographic study was to explore the chance and perceptions of complications from type 2 diabetes among 10 purposefully sampled Black Seventh-day Adventists. The health belief model (HBM) served as the conceptual framework. Two constructs, education and income, were chosen for this study. Education was chosen to increase understanding about the chronic nature of the disease, and income was chosen because …


Spirituality Among African American Christian Women Who Have Contemplated, Marilyn Wiley Jan 2017

Spirituality Among African American Christian Women Who Have Contemplated, Marilyn Wiley

Walden Dissertations and Doctoral Studies

The Centers for Disease Control and Prevention reported that African American women had the lowest recorded number of suicide completions among all ethnic and gender groups in the United States. In addition, the number of suicides among African American women continued to soar without a clear reason or understanding of their lowest completion rates. Further research in the area of spirituality among African American women may be critical in understanding why African American women's rates of completed suicides are statistically lower than other ethnic groups and how to prevent future rate increases. A phenomenological framework was used to examine the …


Influence Of Media Messages On Obesity And Health Perceptions Among African American Women, Carolyn Grant Jan 2017

Influence Of Media Messages On Obesity And Health Perceptions Among African American Women, Carolyn Grant

Walden Dissertations and Doctoral Studies

African American women have the highest prevalence of overweight and obesity in the United States, thus increasing their risks for chronic diseases. Their understanding of their health status and response to it could be triggered by messages in the media, yet few researchers have examined this topic with African American women. The purpose of this phenomenological study was to explore how advertisement and editorial content in media contributed to perceptions African American women have about overweight and obesity. Following the theoretical foundation of the social cognitive theory, the research questions explored what messages study participants encountered and which messages prompted …


Perceptions, Beliefs, And Behaviors Toward Breast Cancer Screening Of Filipino Women In Saudi Arabia, Cherry Rose Aguilar Fronda Jan 2017

Perceptions, Beliefs, And Behaviors Toward Breast Cancer Screening Of Filipino Women In Saudi Arabia, Cherry Rose Aguilar Fronda

Walden Dissertations and Doctoral Studies

Despite the existence of breast cancer screening that could promote early diagnosis and survival of breast cancer, high mortality rates of breast cancer persist among Filipino women. The purpose of the qualitative study was to describe the perceptions, beliefs, and behaviors of Filipino women working as Overseas Filipino Workers (OFWs) in Saudi Arabia. Face-to-face interviews were conducted with 20 Filipino women between the ages of 40 to 60 years who were recruited voluntarily using purposeful sampling technique. Guided by the structures of health belief model (HBM), the study used an inductive coding technique to elicit common themes from the raw …


Perceived Barriers To Lifestyle Change In Obese, Low-Income Hispanic Women, Mariana Daniela Torchia Jan 2017

Perceived Barriers To Lifestyle Change In Obese, Low-Income Hispanic Women, Mariana Daniela Torchia

Walden Dissertations and Doctoral Studies

Low-income Hispanic women are the fastest growing minority population in the United States, and they have increased risks of obesity and secondary health issues, such as diabetes, related to their obesity. The purpose of this phenomenological study was to explore the barriers to lifestyle change among obese, low-income Hispanic women (OLHW). A health belief model lens was used. The study sample consisted of 15 OLHW who were clinic patients and ranged in age from 20-59. Recruitment occurred in a low-income, Southern California, outpatient clinic setting through volunteer participation from recruitment flyers. Fifteen women took part in 1-hour, in-depth interviews, which …


Singing Portuguese Nasal Vowels: Practical Strategies For Managing Nasality In Brazilian Art Songs, André Campelo Jan 2017

Singing Portuguese Nasal Vowels: Practical Strategies For Managing Nasality In Brazilian Art Songs, André Campelo

Theses and Dissertations--Music

The articulation of Portuguese nasalized vowels poses some articulatory problems accompanied by negative acoustic effects for the performance of Brazilian art songs. The main objective was to find strategies that permit the singer to conciliate an idiomatic pronunciation of these vowels with a well-balanced resonance, a desirable quality in classical singing. In order to devise these strategies, the author examined sources dealing with nasalized vowels from varied perspectives: acoustic properties of vowel nasalization, phonetic and phonological aspects ofBrazilian Portuguese (BP), historical views on nasality in singing, and recent vocal pedagogy research. In addition to the overall loss of sonority, the …


The Challenge Of Enhancement & Adaptability In Healthcare: An Ethical Framework For Organizations, Gary Edwards Jan 2017

The Challenge Of Enhancement & Adaptability In Healthcare: An Ethical Framework For Organizations, Gary Edwards

Electronic Theses and Dissertations

This work defends enhancements that aim at promoting adaptability and formulates a framework for how healthcare organizations can cope with these sorts of enhancements. It begins by defending explicit approaches to defining enhancements and sketches a tripartite conception of enhancements dependent on well-being, social, and perception approaches. After assessing several major arguments for and against enhancement, it defends an adaptability justification for enhancements. In light of this justification, the remaining sections explore the adaptability argument’s implications for healthcare, justify an organizational approach for dealing with these implications, and finally formulate an organizational ethics framework for coping with the adaptability argument’s …


Analyzing Songs Used For Lyric Analysis With Mental Health Consumers Using Linguistic Inquiry And Word Count (Liwc) Software, Ashley M. Miller Jan 2017

Analyzing Songs Used For Lyric Analysis With Mental Health Consumers Using Linguistic Inquiry And Word Count (Liwc) Software, Ashley M. Miller

Theses and Dissertations--Music

Lyric analysis is one of the most commonly used music therapy interventions with the mental health population, yet there is a gap in the research literature regarding song selection. The primary purpose of this study was to determine distinguishing linguistic characteristics of song lyrics most commonly used for lyric analysis with mental health consumers, as measured by LIWC2015 software. A secondary purpose was to provide an updated song list resource for music therapists and music therapy students working with the mental health population. The researcher emailed a survey to 6,757 board-certified music therapists, 316 of whom completed the survey. Respondents …


This Is Us Saying Who We Are: Speaking The Rhetoric Of Mental Disability, Renuka Uthappa Jan 2017

This Is Us Saying Who We Are: Speaking The Rhetoric Of Mental Disability, Renuka Uthappa

Wayne State University Dissertations

People with mental disabilities, or what are sometimes referred to as “mental illnesses,” face stigma when they interact with the public. To fight this stigma, the members of a small, grassroots, advocacy organization known as the Speakers Bureau travel to high school and college classrooms narrating their experiences with mental disability. They do so to replace culturally circulating stereotypes regarding such disability with more accurate and positive images. This dissertation is an auto-ethnographic exploration of the rhetoric of the Speakers Bureau. Through rhetorical analysis of members’ classroom speeches, of interviews with each speaker, and of the speaker’s self- assessment of …


Income, Education, Age, And Physical Activity Among Physically Disabled African American Women, Sherèè Johnson Johnson Jan 2017

Income, Education, Age, And Physical Activity Among Physically Disabled African American Women, Sherèè Johnson Johnson

Walden Dissertations and Doctoral Studies

This study was designed to identify possible risk factors about physical activity in middle-aged disabled African American women (AAW) aged 45 to 64 years. Disabled middle-aged AAW has a disproportionate prevalence of obesity and chronic illness than nondisabled women. Most disabled middle-aged AAW leads a sedentary lifestyle, and they do not meet the recommended physical activity (PA) guidelines. Little is known about this group, and a social ecological model was used to explain PA patterns. Data were extracted from the 2009 Behavioral Risk Factor Surveillance System (N = 1,599) for women who responded yes to indicate that they needed specialized …


The Perceptions And Experiences Of African American Parents In The Management And Care Of Obese Children, Priscilla Ann Huggins Jan 2017

The Perceptions And Experiences Of African American Parents In The Management And Care Of Obese Children, Priscilla Ann Huggins

Walden Dissertations and Doctoral Studies

Childhood obesity is a global concern among all ethnic groups. Childhood obesity is a problem that continues into adulthood, exacerbating the incidence of diseases such as diabetes or heart disease. The purpose of this phenomenological study was to explore, understand, and describe the perceptions and experiences of African American parents in the management and care of their obese or overweight children. This study used the health-belief model (HBM) as its theoretical foundation, focusing on the constructs of perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. This research study used an interview tool and an 8-item …


Diabetes Self Care Behaviors And Social Support Among African Americans In San Francisco, Liseli Inonge Mulala Jan 2017

Diabetes Self Care Behaviors And Social Support Among African Americans In San Francisco, Liseli Inonge Mulala

Walden Dissertations and Doctoral Studies

Both Type 1 and Type 2 diabetes are significant public health issues that affect people of all races; Type 2 diabetes disproportionately affects African Americans with higher diagnosis, morbidity, and mortality than it affects Caucasians, and Type 1 has been increasing in incidence. Diabetes self-care activities (DSCAs) and social support have been shown to help in managing both types, which can reduce morbidity and mortality. African Americans with diabetes in San Francisco have higher rates of complications, hospitalizations, and emergency room visits secondary to diabetes. This study assessed whether a relationship exists between emotional support, practical support, affirmational support, informational …


Defining The Scope Of Practice For Nurse Practitioners In Miam, Samantha Lucero Jan 2017

Defining The Scope Of Practice For Nurse Practitioners In Miam, Samantha Lucero

Walden Dissertations and Doctoral Studies

Minimally invasive aesthetic medicine (MIAM) is a relatively new field, which lacks a clearly defined scope of practice. The purpose of this project was to clarify the scope of practice for nurse practitioners in MIAM in California. Without a clearly defined scope of practice, nurse practitioners are unable to practice to the full extent of their license which causes them to be underutilized and face liability issues. This project sought to answer the question: What is the scope of practice of the nurse practitioner in MIAM in the state of California? The model of professional nursing practice regulation was the …


Identifying Communication Barriers And Trust Issues Of Black Women Seeking Preventive Health Services In Houston, Texas, Melissa E. Shelton Jan 2017

Identifying Communication Barriers And Trust Issues Of Black Women Seeking Preventive Health Services In Houston, Texas, Melissa E. Shelton

Walden Dissertations and Doctoral Studies

Black women mortality rates are perceived to be impacted by communication barriers, trust issues, and the lack of quality preventive health services. The purpose of this phenomenological study was to explore communication barriers and trust issues perceived by Black women when seeking preventive health services. HMB was used to identify public attitudes around receiving preventive health services and to construct each question based on perceived susceptibility and perceived severity of communication barriers and trust issues. An ecological model of the communication process was used as a framework to identify fundamental relationships between the Black female patients and health care providers. …


Exploration Of The Use Of Sensory Diets In Occupational Therapy, Allison Hunt, Morganne Peterson, Emily White Jan 2017

Exploration Of The Use Of Sensory Diets In Occupational Therapy, Allison Hunt, Morganne Peterson, Emily White

Student Research Posters

The purpose of this study was to fill the gap in literature and further examine the use of sensory diets in the field of occupational therapy. This study investigated the use of sensory diets among California occupational therapy practitioners. A mixed-methods design was used to collect data through a SurveyMonkey survey. The survey was sent out to members of the Occupational Therapy Association of California (OTAC) and received 98 respondents within one month. Participants worked among various clinical settings and implemented sensory diets with various client populations. Practitioners reported using terms such as “sensory strategies,” “sensory tools,” and “sensory supports” …


The 1939 Dickinson-Belskie Birth Series Sculptures: The Rise Of Modern Visions Of Pregnancy, The Roots Of Modern Pro-Life Imagery, And Dr. Dickinson’S Religious Case For Abortion, Rose Holz Jan 2017

The 1939 Dickinson-Belskie Birth Series Sculptures: The Rise Of Modern Visions Of Pregnancy, The Roots Of Modern Pro-Life Imagery, And Dr. Dickinson’S Religious Case For Abortion, Rose Holz

Women's and Gender Studies Program: Faculty Publications

This multidisciplinary essay examines the hugely influential—yet surprisingly overlooked—Birth Series sculptures. Created in 1939 by Dr. Robert L. Dickinson (obstetrician-gynecologist and leader of the Planned Parenthood Federation of America) and sculptor Abram Belskie, they illustrate the process of human development from fertilization through delivery. First displayed at the 1939–1940 World’s Fair in New York City, they were reproduced in a variety of forms and sent out across the United States and overseas. Hardly a brief fad, their popularity persisted into the 1980s. This essay has four purposes. First, it tells the stories of Dickinson and Belskie to appreciate their contributions …