Medicine and Health Sciences Commons^™

Alcohol Use And Church Attendance Among Seventh Through Twelfth Grade Students, Dominican Republic, 2011, Michael N. Dohn, Santa Altagracia Jimenez Mendez, Maximinia Nolasco Pozo, Elizabet Altagracia Cabrera, Anita L. Dohn

Population and Public Health Sciences Faculty Publications

Excessive alcohol consumption increases the years of life lost to premature death and disability worldwide. Religion is a mitigating factor in alcohol consumption. A survey in the Dominican Republic showed increasing church attendance by middle and high school students (N = 3,478) was associated with a delay in age at first alcoholic drink, fewer students who had consumed alcohol in the past month (current drinkers), lower alcohol consumption levels, fewer episodes of inebriation, and less heavy episodic alcohol consumption (all P < 0.0001). The results suggested that it may be useful to conceive of church-attending youth as a subset of the adolescent social network when planning primary alcohol prevention programs for young people.

Combined Effects Of Mdma And Ethanol On Locomotor Activity And Place Conditioning In Male And Female Adolescent Sprague-Dawley Rats, Keli A. Herr

Masters Theses

MDMA, ("Ecstasy") is commonly abused in combination with ethanol (EtOH). Relatively few preclinical studies have investigated sex differences in animal models of polysubstance use. The current study employed a conditioned place preference (CPP) procedure to assess the behavioral effects of the co-administration ofMDMA /EtOH in 32 male and 32 female adolescent Sprague-Dawley rats. Following a 15 min habituation trial, eight 30-min conditioning trials were conducted in two- compartment chambers with different environmental cues. Before each drug conditioning trials, rats were administered intraperitoneal (i.p.) injections of MDMA(6.6 mg/kg), EtOH (1.5 g/kg), MDMA (6.6 mg/kg) and EtOH (1.5 g/kg), or saline. Prior …

Testing A Model Of Maladaptive Perfectionism And Depression Symptoms: The Roles Of Emotional Disclosure, Emotion Regulation Strategies, Adult Attachment, And Shame, Angela M. Garrison

Dissertations

Previous research has supported a link between maladaptive perfectionism and higher levels of depression symptoms. However, researchers have not yet investigated the ways in which emotion regulation processes may mediate this relationship. Therefore, the primary purpose of this study was to evaluate emotional disclosure, emotional avoidance, and rumination as mediators of the relation between maladaptive perfectionism and depression symptoms. Additionally, this study also investigated the role that insecure attachment orientations play in the relationship between maladaptive perfectionism and use of particular emotion regulation strategies. Further, the role of shame in the emotion regulation processes of individuals with higher levels of …

Humor's Effect On Short-Term Memory In Older Adults: An Innovative Wellness Paradigm, Gurinder Singh Bains

Loma Linda University Electronic Theses, Dissertations & Projects

Context: With ageing, the detrimental effects of stress can impair the ability to learn and sustain memory. Humor and the associated mirthful laughter can reduce stress by decreasing the hormone cortisol. Chronic release of cortisol can damage hippocampal neurons leading to impairment of learning and memory. Objectives: To examine the effect of watching a humor video on short term memory in older adults. Design: A randomized, controlled trial. Setting: Loma Linda University, Loma Linda, CA. Participants: 30 subjects: 20 normal healthy, older adults, 11 males and 9 females; 10 Type 2 Diabetic older adults, 6 males and 4 females. Intervention: …

Co-Constructing Cultural Attunement With Latino Clients In Couple Therapy, Marco Antonio Elias-Juarez

Loma Linda University Electronic Theses, Dissertations & Projects

There is a need for culturally attuned approaches for couple’s therapy with Mexican/ Mexican-American people (Falicov, 2009). However, there have been few theoretical frameworks to conceptualize cultural attunement, and attunement has been primarily understood as a skill or as an attitude rather than as a relationship or as a series of clinical concepts with steps to follow (Hoskins, 1999; Oakes, 2011). From the social constructionist perspective, cultural attunement is related to the cultural context and cultural interactions that shape beliefs and attitudes about what is meaningful in establishing deep relationships for Latino and non-Latino therapists and their Mexican and Mexican-American …

Child Life Specialists’ Facilitation Of Family-Centered Care: The Importance Of Sibling Support, Carissa L. Lane

Psychology and Child Development

Certified Child Life Specialists’ understanding of family-centered care, and their beliefs and practices involving siblings of chronically/critically ill children were examined using an online survey. Participants were Certified Child Life Specialists recruited form the Child Life Council Forum. Relationships between utilization of certain words and support programs offered to siblings, were examined. Findings revealed a relationship in one area of coded language and support program for siblings, but not the other. Findings also revealed that all CCLS believe in the inclusion of siblings during the treatment process, however they are offered less support services than parents. Diverse results regarding multiple …

A Comparison Of Contemporary Filial Piety In Rural And Non-Rural China And Taiwan, Li Ping Su

Theses and Dissertations

There is evidence that industrialization and urbanization has led to an increase of immigration to urban areas for employment and has led to a change of family structure and connection between parents and adult children in Chinese societies. However, little research has compared different Chinese societies, as well as rural and non-rural regions. This study compared the adult children’s current level of filial piety, between non-rural and rural regions, and between males and females using data from an international study of countries in East Asia. Overall, China reported higher level of filial piety as compared to Taiwan. Moreover, for the …

Congestive Heart Failure Self-Management Among Us Veterans: The Role Of Personal And Professional Advocates, Eleni Skaperdas, Anaïs Tuepker, Christina Nicolaidis, Jessica K. Robb, Devan Kansagara, David H. Hickam

School of Social Work Faculty Publications and Presentations

Objective: Understand patients’ experiences with primary care services for congestive heart failure (CHF) and explore the relationship between health services and self-management.

Methods: We conducted semi-structured interviews with thirty-nine patients with CHF receiving care at one Veterans Affairs Medical Center (VA). We analyzed data using thematic content analysis.

Results: Participants acknowledged the importance of ongoing engagement in the plan of care for CHF. They attributed success in this effort to be greatly influenced by personal advocates. The advocates included both members of the healthcare team with whom they had a continuity relationship and friends or family members who assisted on …

Dsm‐5 And Icd‐11 Definitions Of Posttraumatic Stress Disorder: Investigating “Narrow” And “Broad” Approaches, Dan J. Stein, Katie A. Mclaughlin, Karestan C. Koenen, Lukoye Atwoli, Matthew J. Friedman, Eric D. Hill, Andreas Maercker, Maria Petukhova, Victoria Shahly, Mark Van Ommeren

Internal Medicine, East Africa

Background: The development of the Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) and ICD-11 has led to reconsideration of diagnostic criteria for posttraumatic stress disorder (PTSD). The World Mental Health (WMH) Surveys allow investigation of the implications of the changing criteria compared to DSM-IV and ICD-10.

Methods: WMH Surveys in 13 countries asked respondents to enumerate all their lifetime traumatic events (TEs) and randomly selected one TE per respondent for PTSD assessment. DSM-IV and ICD-10 PTSD were assessed for the 23,936 respondents who reported lifetime TEs in these surveys with the fully structured Composite International Diagnostic Interview …

Oceano Community Health Plan, Eugene Phillip Brennan

Master's Theses

ABSTRACT

Oceano Community Health Plan

Phillip Brennan

Recent, mounting research shows that chronic disease, the leading causes of death and primary driver of health care costs, cannot be effectively addressed through education or preventative health alone. A physical environment that promotes health—through access to healthy food, opportunities for physical activity, quality housing, transportation options, and safe schools—is an integral part of making our communities healthier. This research and accompanying Healthy Community Plans will serve as a way for the County to begin looking in-depth at the ways the built environment (our streets, parks, and neighborhoods) contribute or detract from the …

Clinical Implications Of Internet Infidelity: Where Facebook Fits In, Jaclyn D. Cravens, Jason B. Whiting Phd

Faculty Publications

The Internet can enhance existing relationships or facilitate the development of new relationships, including illicit ones. Increased research in this area has predominately been on online sexual addiction and pornography, with few about social networking sites. Facebook, a popular social networking site boasting 1.15 billion active users. This article reviews existing literature on Internet infidelity, comparing online activities and Facebook-specific behaviors. Five areas related to Internet infidelity will be explored, such as definitions and the impact on relationships. Although several similarities exist between general Internet and Facebook-specific infidelity, unique differences exist. Implications for future research and clinical practice are presented.

Basic Human Health And Sustainable Community Development: A Case Study Of A Community In Monte Plata, Dominican Republic, Rachelle H. Arnoux

Capstone Collection

One of my objectives in conducting this research is to enhance my skills in data collection while simultaneously improving my writing skills. More substantively, I wanted to explore how access to healthcare in a developing country like the Dominican Republic can contribute to sustainable development. As good health is fundamental and vital for all human beings, it is important in the context of this study to understand how the healthcare system in a particular country gives the population access to quality healthcare. Referring myself specifically to the situation at Batey Relief Alliance (BRA) Dominicana medical center in the Dominican Republic …

Integrating Addiction Treatment Into Primary Care Using Mobile Health Technology: Protocol For An Implementation Research Study, Andrew R. Quanbeck, David H. Gustafson, Lisa A. Marsch, Fiona Mctavish

Dartmouth Scholarship

Healthcare reform in the United States is encouraging Federally Qualified Health Centers and other primary-care practices to integrate treatment for addiction and other behavioral health conditions into their practices. The potential of mobile health technologies to manage addiction and comorbidities such as HIV in these settings is substantial but largely untested. This paper describes a protocol to evaluate the implementation of an E-Health integrated communication technology delivered via mobile phones, called Seva, into primary-care settings. Seva is an evidence-based system of addiction treatment and recovery support for patients and real-time caseload monitoring for clinicians.

Savor The Memory: A Reminiscence Exercise To Increase Positive Emotions And Reduce Depression Risk In Anxious Individuals, Bethany Morris

USF Tampa Graduate Theses and Dissertations

A growing literature suggests that experiencing positive emotions provides psychological benefits (e.g., Coifman et al. 2007), and interventions increasing positive emotions may reduce depression risk (Geschwind et al., 2011). The present study tested whether reminiscence, a method of positive emotion savoring (Quoidbach et al., 2010), can mitigate depression risk by increasing positive emotions in an unselected sample and a subsample of at-risk anxious individuals. Female participants (n=336) were randomized to a reminiscence or control condition and asked to complete daily mental imagery exercises focusing on a positive memory (reminiscence) or a neutral laboratory memory (control) for one week. As expected, …

Suicide Prevention: Training And Education Of Family Physicians, Amresh Srivastava

Data and Test Instruments

General practitioners training: a strategic response to treatment gaps for suicide behaviour Amresh Shrivastava Suicide is an international public heath problem, which impacts the most vulnerable of the world’s populations. About one million people commit suicide and 10-20 times of these attempt it every year across the glob. More than 90000 adolescents commit suicide every year while rate of attempted suicide every year. .It is also among the top 20 leading causes of death, which is projected to contribute more than 2% to the global burden of disease by the year 2020 globally for all ages. Significantly, these figures fails …

Design, Synthesis And Biological Evaluation Of Novel Compounds With Cns-Activity Targeting Cannabinoid And Biogenic Amine Receptors, Alexander M. Sherwood

LSU New Orleans Theses and Dissertations

This work seeks to contribute to the discipline of neuropharmacology by way of structure activity relationship from the standpoint of an organic chemist. More specifically, we sought to develop robust synthetic methodology able to efficiently produce an array of compounds for the purpose of systematic evaluation of their interaction with specific sights within the central nervous system (CNS) in order to better understand the mind and to develop drugs that may have beneficial effects on neurological function.

The focus of these studies has been toward the development of novel molecules, using a structure-activity relationship approach, that exhibit binding affinity at …

Desire And Fantasy: The Conditions Of Reality Between The Self And The Other, Raleigh M. Gardiner

Graduate School of Art Theses

The human condition is constituted by the fluctuating operations of desire and fantasy, which emerge in response to one's fundamental differentiation between 'Self' and 'Other.' As infants, we exist in an expansive realm of sensational “sameness” with the world around us; but as we develop, we quickly learn to differentiate between our internal and external worlds, and are forced to divide and organize our once primordial experience of unity on the basis of isolated exclusion of difference. As we slip into the structures of our social and cultural reality, we absorb language, and are taught to construct our own identities …

Anxiety In The Classroom Setting: Early Detection Of Signs And Symptoms, Lisa A. Rauch

Doctor of Nursing Practice (DNP) Projects

The Surgeon General (2000) estimates that up to 13% of children experience symptoms of anxiety. Since virtually all children attend school, and this environment challenges children in various modalities that are likely to produce anxiety, schools are an excellent environment to detect early signs and symptoms of anxiety. When available, school nurses are well positioned to provide primary and secondary prevention to students identified with signs and symptoms of anxiety.

The aim of this project is to identify if increasing teacher’s knowledge results in and increased ability to recognize early signs and symptoms of anxiety, and report concerns more rapidly, …

Eating Disorders Remain Undetected In Psychiatric Hospitalization: Study Of Electronic Chart Review Of 8000 Patients, Amresh Srivastava, Miky Kaushal, Megan Johnston, Robbie Campbell

Data and Test Instruments

No abstract provided.

Eating Disorders Remain Undetected In Psychiatric Hospitalization: Study Of Electronic Chart Review Of 8000 Patients, Amresh Srivastava, Miky Kaushal, Megan Johnston, Robbie Campbell

Data and Test Instruments

No abstract provided.

A Naturalistic Study Of Screening For Eating Disorder Amongst Psychiatric Patients, Amresh Srivastava, Miky Kaushal, Megan Johnston, Robbie Campbell

Data and Test Instruments

No abstract provided.

Early Identification Of Eating Disorder, Amresh Srivastava

Data and Test Instruments

Robbie Campbell MD FRCPC, Jill Mustin-Powell RN, Megan Johnston PhD, Miky Kaushal MD, Larry Stitt MSc, Amresh Srivastava MRCPsych FRCPC Purpose: Comorbidity of eating disorders and its behavioral traits are common amongst psychiatric patients. Eating disorders are often missed or misdiagnosed which leads to poorer clinical outcome and low functioning, though it is a treatable condition. Patients with eating disorders also tend to have severe psychopathology, which increases risk of suicide, duration of hospitalization and polypharmacy. The present study examines the presence of comorbid eating disorders and their behavioral symptoms in hospitalized adult psychiatric patients. Methods: The study was carried …

Sense Of Self And Relational Connections Through The Use Of Textile Arts, Lisa Thompson-Gibson

Art Therapy Counseling Final Research Projects

This thesis explores the use of textile arts to inform sense of self and authenticity in developing growth fostering relationships. Through narrative inquiry, 11 textile artists were interviewed to explore the question of how relational cultural theory (RCT) and textile arts can inform a sense of self and authenticity for use in art therapy settings. Themes in the research findings included an understanding of how participants originally became involved in textiles, their approach in the creative process, their development of relational connections with others, and how they repair relational disconnections through textile work. Relational cultural theory provided the theoretical framework …

Screening For Eating Disorder Amongst Psychiatric Patients, Amresh Srivastava, Miky Kaushal, Megan Johnston, Robbie Campbell

Data and Test Instruments

No abstract provided.

The Globalization Of Maternal Healthcare In Western Africa, Maura T. Magistrali

Celebration

Maternal healthcare is one of the most important global issues in today’s world, reflected in its inclusion in the Millennium Development Goals. Globalization, through increased acceleration and movement, has improved maternal healthcare in Western Africa, as observed through the spread of Westernized medicines and treatments and improved technology in prenatal and obstetric care. Another remarkable effect of globalization is the hybridity manifested in both women’s healthcare choices and in the pluralistic training of midwives. However, the same forces of movement and exchange can also bring negative consequences, visible through health-access inequalities, brain drain, and the exploitation West African countries.

A Manual To Improve The Health-Related Quality Of Life And Self-Efficacy For Older Adult Females Engaged In Physical Activity, Kimberly Berry

Graduate Theses

Health related quality of life and self-efficacy are two areas that decrease in older adulthood. Females experience numerous physical and mental changes through later adulthood and exercise can help ease this transition. This manual focuses on the positive effects of exercise on women's health related quality of life and self-efficacy. Older adult women can experience benefits from a regular exercise routine that incorporates cardio, strength training, flexibility and balance training.

Psychometric Evaluation Of A Standardized Set Of Alcohol Cue Photographs To Assess Craving, David Edison Lovett

Graduate Theses and Dissertations

To date, research paradigms using alcohol-related stimuli have been limited in their reliability and generalizability due to a lack of published studies examining the psychometric properties of alcohol cues. The primary aim of the current study was to examine the factor structure of a set of alcohol cues and the associated validity and reliability of examining craving for alcohol in an alcohol cue-reactivity paradigm. Participants (N = 195, 74.4% male, 56.4% Asian, Asian American, or Pacific Islander) completed a web-based survey in which valence, arousal, and craving ratings were obtained following presentation of picture cues. Prior to picture cues, participants …

Conversion Therapy And Free Speech: A Doctrinal And Theoretical First Amendment Analysis, Clay Calvert, Kara Carnley, Brittany Link, Linda Riedmann

William & Mary Journal of Race, Gender, and Social Justice

This Article analyzes, from both a doctrinal and theoretical perspective, the First Amendment speech interests at stake before the U.S. Court of Appeals for the Ninth Circuit in Welch v. Brown and Pickup v. Brown. Those cases pivot on a controversial California law banning mental health providers from performing sexual orientation change efforts (also known as conversion therapy) on minors. Two district court judges reached radically different conclusions about the First Amendment questions. The Article explores how a trio of recent Supreme Court decisions involving seemingly disparate factual scenarios—Brown v. Entertainment Merchants Association, United States v. Alvarez and Gonzales v. …

More Than A Diagnosis: Enabling Medical Students To Understand And Address The Patient’S Psychological Needs, Paige Jarmuz

Renée Crown University Honors Thesis Projects - All

Patient-centered care is a framework for providing medical services in a humanistic, patient-focused manner. Although there are many proposed dimensions, it is simply the perspective of caring for the patient as a person with psychosocial needs, not just a diagnosis. Extensive literature review was completed to gain understanding of the application of patient-centered care in undergraduate medical education, as well as the evidence behind implementing patient-centered methods. Aspects of patient-centered care may be taught in many medical schools but their importance warrants a stronger focus. Incorporating aspects of patient- centered care is not only most ethical, but also is also …

Strategic Planning In The Non Profit Sector: Creating A Strategic Plan For Affinity 2014-2017, Emilee Taplin-Lacey

Muskie School Capstones and Dissertations

The purpose of engaging in the creation of a strategic plan for Affinity is to integrate knowledge acquired through participation in the Public Policy and Nonprofit Management Master’s Degree program at the Muskie School of Public Service. In addition, my facilitation of a strategic planning process for Affinity is meant to meet the requirements of graduation and represents my capstone project in this regard.