Medicine and Health Sciences Commons^™

Family Sources Of Educational Gender Inequality In Rural China: A Critical Assessment, Emily C. Hannum, Peggy A. Kong, Yuping Zhang

Emily C. Hannum

In this paper, we investigate the gender gap in education in rural northwest China. We first discuss parental perceptions of abilities and appropriate roles for girls and boys; parental concerns about old-age support; and parental perceptions of different labor market outcomes for girls' and boys' education. We then investigate gender disparities in investments in children, children's performance at school, and children's subsequent attainment. We analyze a survey of nine to twelve year-old children and their families conducted in rural Gansu Province in the year 2000, along with follow-up information about subsequent educational attainment collected seven years later. We complement our …

12. Disclosure Of Child Sexual Abuse., Thomas D. Lyon, Elizabeth C. Ahern

Thomas D. Lyon

Crisis 911: Toward A Comprehensive Intervention Model, John C. Thomas

John C. Thomas

Suffering softens calloused hearts; but it can also embitter them. The prudent helper seeks to seize critical moments for Kingdom purposes through service to those affected. Being armed with a multi-functional crisis intervention model provides guidance and allows versatility so this end may be achieved. To even approximate the ambitious goal of creating a comprehensive model requires an understanding of crises and crisis intervention.

Multiple Lacerations Of The Heart: When Grief Accumulates, John C. Thomas, Teresa Sours

John C. Thomas

The idea of multiple lacerations of the heart is both personally and professionally a topic of great interest to us. Experience has taught us that far too many counselors fail to account for the aggravated condition of the heart as a result of multiple losses. The lure of the immediate loss or trauma from childhood can hinder one’s ability to consider the amassed emotional cholesterol. As system thinkers advocate, the whole is greater than the sum of its parts. Subsequently, counselors need to be aware of how multiple losses accumulate and how such build-up manifests itself in a client’s life. …

Panic Attacks: Can They Really Be Stopped?, John C. Thomas

John C. Thomas

Published in Christian Counseling Today magazine, this article addresses the nature and impact of panic attacks and how they can be addressed.

Why Me?: The Bedrock Of Suffering, John C. Thomas

John C. Thomas

The world is unnerved but captivated by the wave of massive, indiscriminate destruction that befell Asia. In the protection of our society where pat answers are the drug, we meet face-to-face with the fragility of life, feel compassion, and return to business as usual. The reality is that we too are in the path of life’s devastations. It is suffering to even consider the tragedies that could befall us. Yet, suffering comes to all without prejudice… on the just and unjust.1 When faced with the heartache of rejection, emptiness of loss, the bite of physical pain, the brokenness of regret, …

Under The Yellow Tape: Working Within The Medical, Legal, And Judicial Systems, John C. Thomas

John C. Thomas

The types of problems addressed in an office differ dramatically from those that happen in the context of violent crimes, horrific accidents, and hostage scenes. The first contact with victims might be in homes, streets, emergency rooms, shelters, jails, and law enforcement offices. Arriving at a scene that is marked by yellow tape is daunting. Counselors must develop a frame of mind that allows them to get into the trenches. Additionally, they must work collaboratively with other crisis response systems to ensure that victims receive timely holistic care. Following are some principles to guide counselors in working with multiple systems.

Complexity And Limitations Of Stress-Endocrine Research In Mental Health, Amresh Srivastava

Amresh Srivastava

No abstract provided.

Interface Of Cannabis And Early Psychosis--Priorities In Research And Service Development, Amresh Srivastava

Amresh Srivastava

Introduction: cannabis continues to affect mental health. Its abuse is on rise globally. In Canada a rise by 30% in last ten years has been observed in high school students. Interrelationship of cannabis with psychosis and schizophrenia is a complex one. Cannabis is highly comorbid with psychosis, & related to functional disability and outcome. It poses several challenges in understanding causal relationship for comorbidity, underlying neurochemical basis and specifics of service development. Prevalence of Cannabis varies from 20 to 50% early psychosis. Objective of this paper is to review available literature to identify challenges for newer targets of research and …

Assessment In Crisis, Amresh Srivastava

Amresh Srivastava

No abstract provided.

Switching And Selecting Atypical Antipsychotic Drugs: Quetiapine, Amresh Srivastava

Amresh Srivastava

No abstract provided.

Improving The Health Of Diabetic Patients Through Resident-Initiated Group Visits, Chris Wheelock, Judith A. Savageau, Hugh Silk, Scott Lee

Judith A. Savageau

BACKGROUND AND OBJECTIVES: Group visits have the potential to benefit patients with chronic illnesses. Our objective was to implement resident-run diabetic group visits that would improve patient education and help patients become more involved in their care. METHODS: We developed systems to promote, coordinate, and lead the visits. Residents' responsibilities were delegated through a preparation checklist. A standardized progress note was developed to encourage patient goal setting and to track relevant laboratory test results. To evaluate our program, we conducted surveys to determine patients' behavioral changes and satisfaction levels and assessed the effect on group visit participants' glycated hemoglobin (HbA1c) …

Symptoms Of Diminished Autonomy Over Cigarettes With Non-Daily Use, Judith A. Savageau, Paul D. Mowery, Joseph R. Difranza

Judith A. Savageau

Data from a nationally representative sample of smokers (ages 12-22 years, n=2,091) was examined to investigate the prevalence of symptoms of diminished autonomy over cigarettes. Six symptoms were assessed: failed cessation, smoking despite a desire to quit, and a need or urge to smoke, irritability, restlessness, or disrupted concentration attributed to nicotine withdrawal. One or more of the six symptoms were present in 18.9% of subjects who smoked less often than once per week. Among subjects who had not smoked 20 cigarettes in their lifetime, 12.6% had symptoms of nicotine withdrawal, and 25% had made an unsuccessful quit attempt.

Community Dimensions And Hpsa Practice Location: 30 Years Of Family Medicine Training, Suzanne B. Cashman, Judith A. Savageau, Warren J. Ferguson, Daniel H. Lasser

Judith A. Savageau

BACKGROUND AND OBJECTIVES: Our objective was to assess practicing family physicians' confidence and participation in a range of community-related activities. Additionally, we assessed the strength of the relationship between the physicians' reported medical school and residency training in community-related activities and their current community activities, as well as whether they were practicing in an underserved location. METHODS: All 347 graduates of the University of Massachusetts Family Medicine Residency were surveyed about practice location and type, involvement and training in community work, confidence in community-related skills, and sociodemographic characteristics. Analyses were conducted by residency graduation decade (1976-1985, 1986-1995, and 1996-2005). RESULTS: …

Family Medicine Residency Characteristics Associated With Practice In A Health Professions Shortage Area, Warren J. Ferguson, Suzanne B. Cashman, Judith A. Savageau, Daniel H. Lasser

Judith A. Savageau

BACKGROUND AND OBJECTIVES: While some family medicine residency programs are designed to train residents in community health centers (CHCs) for future careers serving underserved populations, there are few outcome studies on such programs. Our residency program provides three options for ambulatory health center training, but otherwise residents participate in the same curriculum. We analyzed relationships between ambulatory training site and likelihood of practice in health professions shortage areas (HPSAs).

METHODS: We sent a mail survey to all graduates of one family medicine residency about practice locations, types, and populations; influences on practice choice; and sociodemographic characteristics.

RESULTS: Training in a …

Lesson In A Pill Box: Teaching About The Challenges Of Medication Adherence, Darlene M. O'Connor, Judith A. Savageau, David B. Centerbar, Kimberly N. Wamback, Jennifer S. Ingle, Nicole J. Lomerson

Judith A. Savageau

BACKGROUND AND OBJECTIVES: Medication mismanagement is a serious health issue affecting elders and people with disabilities, who often manage multiple medications. This project's goal was to educate medical and nursing students about the challenges patients face when managing complex medication regimens.

METHODS: A total of 104 first-year medical students and 40 second-year nursing students were randomly assigned to participate in a 1-week regimen of mock prescriptions or to read a description of the regimen and make predictions about what the experience would be like had they participated.

RESULTS: Quantitative results in combination with qualitative information suggest that the students taking …

Enforcement Of Underage Sales Laws As A Predictor Of Daily Smoking Among Adolescents: A National Study, Joseph R. Difranza, Judith A. Savageau, Kenneth E. Fletcher

Judith A. Savageau

BACKGROUND: With a goal to reduce youth smoking rates, the U.S. federal government mandated that states enforce laws prohibiting underage tobacco sales. Our objective was to determine if state compliance with tobacco sales laws is associated with a decreased risk of current daily smoking among adolescents.

METHODS: Data on tobacco use were obtained from a nationally representative sample of 16,244 adolescents from the 2003 Monitoring the Future survey. The association between merchant compliance with the law from 1997-2003 and current daily smoking was examined using logistic regression while controlling for cigarette prices, state restaurant smoking policies, anti-tobacco media, and demographic …

‘You Can Fly!’: Reimagining Peter Pan And Snowboarding’S Olympic Neverland, M. Popovic, Don Morrow

Donald Morrow

No abstract provided.

Table For Four, Fenelon And Balthasar, Megan Levy

Megan Levy

No abstract provided.

Narratives With Perspectives: Stories And Re-Membrances Of The Miracle Mile, Don Morrow

Donald Morrow

No abstract provided.

Factors Associated With Relapse Among Clients In Australian Substance Disorder Treatment Facilities, Melissa Hammerbacher, Michael Lyvers

Mike Lyvers

Factors associated with relapse to problematic alcohol or illicit drug use were examined in 104 clients enrolled in treatment programs for substance disorders. Participants were assessed by retrospective self-report questionnaires to explore the roles of family dysfunction, mood states, primary drug of dependence, demographic variables and various other factors in relation to relapse episodes. Consistent with previous studies, the most commonly cited reason for relapse was negative mood states, followed by external pressure to use, desire for positive mood states, and social/family problems. Reasons for relapse did not differ between clients whose primary drug of dependence was heroin, methamphetamine or …

Dr. Samuel B. Woodward: A 19th Century Pioneer In American Psychiatric Care, Janet L. Dadoly, Len Levin, Lisa A. Palmer

Lisa A. Palmer

Objective: Showcase the life and work of Dr. Samuel B. Woodward, the medical superintendent of one of the first public hospitals for the mentally ill in the U.S., the Worcester State Hospital in Worcester, Mass. Dr. Woodward overcame then-popular views of mental illness to champion compassionate, optimistic, and individualized treatment for patients.

Methods: Dr. Samuel B. Woodward brought a significant paradigm shift to the dark world of mentally ill indigent citizens of Massachusetts in the early 19th century. When Dr. Woodward became the first superintendent of Worcester State Hospital in 1833, mentally ill patients were viewed with suspicion and fear …

Book Review 19 The Third Chapter By Sara Lawrence Lightfoot, William C. Mcpeck

William C. McPeck

This is my personal review of the book The Third Chapter by Sara Lawrence Lighfoot which was published in 2009 by Farrar, Strauss and Giroux.

20. Maltreated And Non-Maltreated Children’S Evaluations Of Emotional Fantasy., Nathalie Carrick, Thomas D. Lyon, Jodi A. Quas

Thomas D. Lyon

Worksite Wellness Best Practices, William C. Mcpeck

William C. McPeck

This presentation explored the issues of best practice as they relate to worksite wellness. Best practice resources were also identified.

The Birth Of Evidence-Based Psychiatry: The Real Legacy Of Philippe Pinel (1745-1826), Louis Charland

Louis C. Charland

No abstract provided.

Technological Reason And The Regulation Of Emotion, Louis Charland

Louis C. Charland

No abstract provided.

Ethics In The Affective Sciences, Louis Charland

Louis C. Charland

No abstract provided.

Qualia, Louis Charland

Louis C. Charland

No abstract provided.

Working Words: Representation And Reflection Of Two Former Sex Trade Workers Covering The Pickton Trial In Vancouver, British Columbia, D. Baldwin, Treena Orchard

Dr. Treena Orchard

No abstract provided.