Medicine and Health Sciences Commons^™

Night Shifts, Salvator Vicario

Journal of Wellness

No abstract provided.

Metaphors We Think By, Aldis H. Petriceks

Journal of Wellness

N/A

Assessment Of Structural Competency In Baccalaureate Nursing Students: A Descriptive Study, Elle J. Del Gallo

Senior Honors Projects, 2010-2019

Cultural competence has been investigated extensively in nursing education to better prepare nurses to care for individuals of diverse backgrounds. While developing cultural competence is important to address individual care needs, it may not address the social and structural factors that influence health. Structural competency describes the ability to assess not only cultural factors that affect health disparities, but also structural inequalities and stigmas that can alter a patient’s presenting symptoms and risk for certain diseases.

Estimating Body Mass Through Bone Mineral Density Studies Using Dexa (Dual-Energy X-Ray Absorptiometry), Kaitlin Harstine

Master's Theses

Identification of a decedent is one of the primary goals of forensic anthropologists. In order to do this, one must build a biological profile based on the remains that are provided. Sex, age, ancestry, and stature are four of the most common, however a fifth addition piece of information that could be beneficial is body mass. The goal of this research is to explore the relationship between bone mineral density (BMD) and body mass, using data collected from dual x-ray absorptiometry (DEXA) scans of 107 collegiate football athletes. Athletes are a good fit for this study because they have achieved …

Preserving Ancient Cultures Through Medicinal Narratives, Mckenzie Jewel Moss

Honors Projects

“Preserving Ancient Cultures through Medicinal Narratives” is a comprehensive project that takes an interdisciplinary approach to understanding the effects that culture has on health. The project as a whole includes the initial work and readings I performed to better understand differences in healing between the cultures found throughout South America, where Inca culture is still prevalent, and that of the Unites States, as well as an independent documentary. The documentary contains my own personal commentary complemented by video clips of interviews I performed with individuals living in South America.

Picturing Health; Picturing Life: Visual Illness Narratives Of Women With Type 2 Diabetes, Sarah Gurley-Green

Educational Studies Dissertations

The prevalence of diabetes in the U.S. reached 23 million people between 2012 and 2017 and consumed one-quarter of the overall healthcare dollars. Remembering the suffering and pain of individuals behind these numbers becomes difficult and incalculable. Black American women are the most affected by type 2 diabetes (T2D), compared to their white counterparts, as well as twice as likely to be diagnosed with T2D and 2.5 times more likely to die from T2D. Therefore, understanding the problem requires the fundamental consideration of how these women cope daily with this complex illness while often struggling with complex lives. This narrative …

Patient Perspectives: Four Pillars Of Professionalism, Laura Yvonne Bulk, Donna Drynan, Sue Murphy, Patricia Gerber, Roberta Bezati, Sacha Trivett, Tal Jarus

Patient Experience Journal

Professionalism is a core component of healthcare practice and education; however, there is often not a consistent description of professionalism, and current definitions lack a key perspective: that of the patient. This study aimed to deepen understandings of patients’ perspectives on how professionalism should be enacted by healthcare providers. Using a phenomenological approach informed by constructivist theory, the study team conducted semi-structured interviews and focus groups with 21 patients to ascertain their views on professionalism. Data analysis was conducted using a constant comparative approach wherein initial analysis informed subsequent data collection. Participant themes fell into four pillars of professionalism: taking …

Hx Of, Bonni Boles

Akesis

My purpose in creating this comic strip was to tell a story that depicts some of the struggles I have had with the health care system and how a patient's history can go overlooked. I suffered from chronic insomnia for over 10 years before a licensed professional counselor, someone tasked with actually listening to me, helped me to get on medication to help with sleep. My mental health, and general health, problems became much less severe and more manageable after finally sleeping regularly.

Sleep hygiene has been found to not have much success with chronic insomnia. I didn't need someone …

Skull And Cervical Spine Study, Paul J. Mangiafico

Akesis

Anatomical drawings are a really fun way to understand and appreciate the structure and the complexity of the human body. The material used to create this drawing was a #2 mechanical pencil.

Twin, Amy L. Courtney

Akesis

Reflective essay about being an identical twin who no longer looks identical.

Remedy, Michael Cyr

Akesis

In keeping with this issues’ theme this piece is meant to highlight the subtle places terminal illness hides biologically, socially and spiritually and how and where it is expressed, sometimes despite the best efforts of the patient or caregivers. This piece also makes effort to convey the importance of humanity in medicine and highlight loving connection as an important part of the arsenal we use against sickness.

Hexis Habitus, Jessica Rehrig

Akesis

This photograph is one that was taken years ago after gymnastics practice. It was mindlessly taken: poor quality, out of frame, buried amongst memories saved in a rarely viewed album. At the time, it captured nothing more than a habitus, a commonplace that seemed unnecessary to freeze in time.

Years have passed since training, and our hands no longer serve as an outward reflection of diligence and dedication. Today those calluses exist in the internal habitus of our character, and in one mindlessly taken, poor quality, out of frame photograph.

Clay And Stone, Jess W. Rempel

Akesis

Clay handprints on a canyon wall in southern Utah, found after the people who made them had gone. The Navajo sandstone of the canyon wall dates to the Jurassic period, with a record of eons revealed by the water that carved the canyon away. People love to leave their mark on places that make marks on them: some of the earliest recorded graffiti in Pompeii simply read "Gaius was here." I enjoyed stumbling upon the hand prints which allowed me into the hikers' experience, and their joy could add to the lasting impression that place made upon me. Our experiences …

Corporeal Quintessence, Jordan Lamb, Michael Cyr

Akesis

In keeping with the theme of “Historia Habitus” this collection is meant to illustrate how the physical form is a living history, with every movement written into the striations of the human musculature. The old adage “you are what you eat” is easily extended to “you are what you do”. Contemplate the hours and repetitions that have gone into sculpting the highlighted regions of our model/athletes. We hope this collection stimulates reflection on what the body can tell you about your past and what your, or perhaps your patient’s, lifestyle can predict about the future.

The Journey Of Life, Rolene Yousefyan

Akesis

The materials used to create this piece were oil pastels. The inspiration behind this piece was the importance of mental health awareness along with our ability to grow and become who we are today based on our past experiences and history.

Our Histories, Our Horizons: A Letter To Our Readers

Akesis

Volume 5, Issue 1 marks a new chapter in the history of our narrative medicine journal as we realize an important goal of Akesis—establishing a foothold on the Portland campus of UNE. Our hope is that Akesis becomes a familiar name among students, faculty, and staff, and that our call for submissions and issue publications are events everyone anticipates and enjoys. This issue also welcomes six new editors to Akesis, students representing a diverse sampling of UNE’s graduate and professional programs from both campuses. The success of this issue’s call for submissions is due to the efforts of …

The Impact Of Socioeconomic Factors On Food Insecurity Among Syrian Refugees In Florida, Racha Sankar

FIU Electronic Theses and Dissertations

Syrian refugees settled in the United States may experience food insecurity due to different socioeconomic factors that may include nutrition knowledge, language proficiency, women’s education, and perceived stress. The structure and the type of households may also contribute to food insecurity in this population.

The objective of this study was to measure food security among Syrian refugees residing in Florida. It also aimed to determine the socioeconomic factors that may attribute to food insecurity at household level.

A comprehensive 228-item questionnaire was administered to N=80 households (n=43 in rural areas, n=37 in urban areas). Families with and without children were …

Social Isolation Among Families Caring For Children With Disabilities, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

In this issue introduction, the editor-in-chief of Journal of Patient-Centered Research and Reviews comments on the social isolation experienced by families that include children with significant disabilities.

Death Of The Clinic: Trans-Informing The Clinical Gaze To Counter Epistemic Violence, Diana E. Kuhl

Electronic Thesis and Dissertation Repository

This case study research (Patton, 2002, 2014; Flyvberg, 2006) has grown out of an awareness of deep resistance from the psy disciplines to trans-informed epistemologies as a source of legitimate knowledge (Tosh, 2015, 2016; Winters, 2008). It focuses on examining how the closure of The Gender Identity Clinic (GIC) for Children and Youth at the Centre for Addiction and Mental Health (CAMH) in Toronto, Ontario, Canada, signaled a paradigm shift from the ‘treatment model’ to the ‘affirmative model’ with respect to clinical approaches for supporting trans and gender diverse children and youth. As such the case study involved tracing the …

In Search Of Psychiatric Kinds: Natural Kinds And Natural Classification In Psychiatry, Nicholas Slothouber

Electronic Thesis and Dissertation Repository

In recent years both philosophers and scientists have asked whether or not our current kinds of mental disorder—e.g., schizophrenia, depression, bipolar disorder—are natural kinds; and, moreover, whether or not the search for natural kinds of mental disorder is a realistic desideratum for psychiatry. In this dissertation I clarify the sense in which a kind can be said to be “natural” or “real” and argue that, despite a few notable exceptions, kinds of mental disorder cannot be considered natural kinds. Furthermore, I contend that psychopathological phenomena do not cluster together into kinds in the way that paradigmatic natural kinds (e.g., chemical …

Wellness Review 2019, Part 1, Martin Huecker, Brian A. Ferguson

Journal of Wellness

Welcome to the first Journal of Wellness review of recent literature. Wellness leaders are aware that a literature search yields thousands of articles on burnout, less on wellness, and no consistent, reliable source of publication. This validates the mission of JWellness, to collect editorials and research in one location, free for all to read and publish, allowing dissemination to all healthcare professionals.

Incorporating Home Visits In A Primary Care Residency Clinic: The Patient And Physician Experience, Mary Caitlin St. Clair, Jessica J. F. Kram, Glenda Sundberg

Aurora Family Medicine Residents

Purpose: Home visits, once a popular but now uncommon form of health care delivery, are on the rise. Few studies have focused on the value the experience brings to resident physicians and their patients.

Methods: A 6-month pilot was conducted with 11 residents who participated in 32 home visits with 11 patients. Patient and resident experiences were captured through a survey following the home visits.

Results: In all, 100% of patients and a majority of residents were very interested in being a part of and incorporating future home visits, respectively. Every patient in the survey said that the visits resulted …

About That Cow, Robyn Oro

Notes from the Archives

No abstract provided.

Eugenics In The 21st Century, Jessica Linn Chin

Dissertations, Theses, and Capstone Projects

Eugenics is the science of enhancing the human population through the management of breeding and hereditary traits. This thesis explores the history of eugenics and shows how eugenic practices continue in the 21^st century with advancements in technology and positive eugenic goals that can result in adverse effects on the human body and society. When Sir Francis Galton coined the term eugenics in 1883, he intended to improve British society with the use of positive eugenics. Galton used positive eugenics to encourage people with good mental and physical qualities to produce more children. He avoided negative eugenics, which involved …

Occupied, Judy Diamond, Tom Floyd, Rebecca Smith, Ann Downer-Hazell, Martin Powell, Nick Poliwko, Angie Fox, Amy Spiegel, Patricia Wonch Hill, Julia Mcquillan

Zea E-Books Collection

Our bodies are home to more microbes than human cells. The balance of helpful to harmful microbes in our bodies can make us sick or healthy. The Biology of Human project focuses on helping people understand themselves by exploring scientific principles that underlie modern research in human biology. Biology of Human is an alliance of science educators, artists, science writers, and biomedical researchers working to increase public understanding about viruses and infectious disease. In this comic, Daniel and Miguel find themselves in the world of the microbes, where they meet the Roid (Bacteroides), Longo biffi (Bifidobacterium longum), E. …

Incorporating Home Visits In A Primary Care Residency Clinic: The Patient And Physician Experience, Mary Caitlin St. Clair, Jessica J. F. Kram, Glenda Sundberg

Glenda Sundberg, FNP-CS, APNP

Purpose: Home visits, once a popular but now uncommon form of health care delivery, are on the rise. Few studies have focused on the value the experience brings to resident physicians and their patients.

Methods: A 6-month pilot was conducted with 11 residents who participated in 32 home visits with 11 patients. Patient and resident experiences were captured through a survey following the home visits.

Results: In all, 100% of patients and a majority of residents were very interested in being a part of and incorporating future home visits, respectively. Every patient in the survey said that the visits resulted …

Biomedical Ethics And Responsible Conduct Of Research, Katherine Mendis

Open Educational Resources

This course is an introduction to the moral challenges that arise in the design and execution of biomedical research and the development of medical interventions. A historical review segues into detailed examination of key ethical concepts and principles, as well as topics of particular concern. At the culmination of the semester, students apply their knowledge of research ethics to an ethical analysis of their MTM BioDesign projects.

Incorporating Home Visits In A Primary Care Residency Clinic: The Patient And Physician Experience, Mary Caitlin St. Clair, Jessica J. F. Kram, Glenda Sundberg

Jessica Kram, MPH

Purpose: Home visits, once a popular but now uncommon form of health care delivery, are on the rise. Few studies have focused on the value the experience brings to resident physicians and their patients.

Methods: A 6-month pilot was conducted with 11 residents who participated in 32 home visits with 11 patients. Patient and resident experiences were captured through a survey following the home visits.

Results: In all, 100% of patients and a majority of residents were very interested in being a part of and incorporating future home visits, respectively. Every patient in the survey said that the visits resulted …

Incorporating Home Visits In A Primary Care Residency Clinic: The Patient And Physician Experience, Mary Caitlin St. Clair, Jessica J. F. Kram, Glenda Sundberg

Journal of Patient-Centered Research and Reviews

Purpose: Home visits, once a popular but now uncommon form of health care delivery, are on the rise. Few studies have focused on the value the experience brings to resident physicians and their patients.

Methods: A 6-month pilot was conducted with 11 residents who participated in 32 home visits with 11 patients. Patient and resident experiences were captured through a survey following the home visits.

Results: In all, 100% of patients and a majority of residents were very interested in being a part of and incorporating future home visits, respectively. Every patient in the survey said that the visits resulted …

House Calls Are Reaching The Tipping Point — Now We Need The Workforce, Thomas Cornwell

Journal of Patient-Centered Research and Reviews

Home-based primary care (HBPC) improves the lives of high-cost, frail, homebound patients and their caregivers while reducing costs by keeping patients at home and reducing the use of hospitals and nursing homes. Several forces are behind the resurgence of HBPC, including the rapidly aging population, advancements in portable medical technology, evidence showing the value of HBPC, and improved payments for HBPC. There are 2 million to 4 million patients who could benefit from HBPC, but only 12% are receiving it. The number of these patients is expected to double over the next two decades. This requires a larger and better …