Medicine and Health Sciences Commons^™

Exploring The Links Between Drug Use And Sexual Vulnerability Among Young Female Injecting Drug Users In Manipur, Archana Oinam

Reproductive Health

Given the high prevalence of HIV in Manipur, India and the critical role that female injecting drug users play in the transmission of HIV infection, it is becoming increasingly important to understand the sexual behaviors and drug use experiences of this group. This report describes the health status and patterns of treatment-seeking of female injecting drug users aged 15–34 in Manipur, and explores the factors underlying their vulnerability to HIV, including limited in-depth awareness of safe sexual behaviors and drug use practices, and limited self-perception of HIV risk. The report recommends development of IEC materials that address these information gaps …

The Relationship Between Nicotine Dependence And Symptoms Of Anxiety, Depression And Stress In A Therapeutic Community For Alcohol And Other Drug Rehabilitation, Thomas Hopkins

Theses : Honours

Smoking tobacco is the largest single risk factor for premature death in developed countries. It is also associated with the greatest economic cost of all drugs in Australian society. In addition to the health and economic consequences associated with smoking, it has also been associated with mental health problems. Smoking has been associated with anxiety, depression and stress, as well as more pervasive disorders such as panic disorder and agoraphobia. It is not clear whether smoking contributes to mental health problems or individuals with mental health problems smoke to alleviate symptoms. It may be there are genetic factors that contribute …

Obesity, Hypertension, And Mental Health Evaluation In Adolescents: A Comprehensive Approach, Stefan G. Kiessling, Kimberly K. Mcclanahan, Hatim A. Omar

Pediatrics Faculty Publications

The global epidemic of childhood and adolescent obesity in developing and developed countries has become a major public health concern. Given the relation between obesity and hypertension as documented in several landmark studies, it is no surprise that as the prevalence of obesity has increased in the pediatric population, the rates of hypertension have also increased substantially. Hypertension is one of the most important risk factors for cardiovascular diseases and stroke; therefore, evaluation and initiation of appropriate treatment are extremely important in the pediatric population. Evaluation for secondary causes of hypertension, including renovascular, renoparenchymal, and endocrine disease is the approach …

Art Therapy Student Placement : Challenge And Opportunity?, Niamh Kennedy

Theses

The purpose of this research project is to explore the sector of Student Placement as it forms a significant part of the training programme on the MA in Art Therapy in Cork. The study aims to assess the effectiveness of this part of the educational process for trainees and investigate the impact the Clinical Placement experience has on Student Art Therapists.

By reflecting on the advancement of Art Therapy in our neighbouring isle and exploring the growth of Art Therapy as a profession in the Republic of Ireland, this study aims to chronicle a more recent Irish history of Art …

Two Tribes Go To War: An Examination Of Social Interactions At Irish Football Games, Niamh Kirwan

Masters

research is to explore social life and interaction in sporting space. Despite the growing interest in the field of sport consumption, the experiences of supporters have not been adequately theorised. Studies acknowledging the sport supporter tend to focus supporters as lone individuals or as rigid groups of homogenous individuals that fit into a typology. In this study, I examine the distinct ways in which supporters in small groups interact in the sporting space through mutual relationships and interdependent social networks. Maffesoli (1996) is the original proponent in the study of tribal consumption groups. Maffesoli’s (1996) work has not been used …

On Matched Pairs Sign Test Using Bivariate Ranked Set Sampling: An Application To Environmental Issues, Hani M. Samawi, Mohammad F. Al-Saleh, Obaid Al-Saidy

Biostatistics: Faculty Publications

The matched pairs sign test using bivariate ranked set sampling (BVRSS) is introduced and investigated. We show that this test is asymptotically more efficient than its counterpart sign test based on a bivariate simple random sample (BVSRS). The asymptotic null distribution and the efficiency of the test are derived. The Pitman asymptotic relative efficiency is used to compare the asymptotic performance of the matched pairs sign test using BVRSS versus using BVSRS. For small sample sizes, the bootstrap method is used to estimate P-values. Numerical comparisons are used to gain insight about the efficiency of the BVRSS sign test compared …

The Impact Of Traumatic Stress And Alcohol Exposure On Youth: Implications For Lawyers, Judges, And Courts, Frank E. Vandervort

Articles

Since its inception in the late nineteenth century, the juvenile court has been concerned with the legal problems of children and their families. From the court’s earliest days, it has sought to address child abuse and neglect and juvenile delinquency as social problems that result from familial and community breakdown. Over the decades, researchers from various disciplines have provided varying explanations of how and why family systems break down, why some parents fail to nurture their children, why some physically or sexually abuse their children, and why some children become delinquent.

Poverty, Diet And Health Behaviours: A Quantitative And Qualitative Study Among Young Urbanised Women., Daniel Mccartney

Doctoral

Demographic, socio-economic, attitudinal, dietary, health behavioural and anthropometric data were collected from 221 “disadvantaged” and 74 “advantaged” women aged 18-35 years across Dublin, according to the provisions of a novel socio-economic sampling frame. Internal and external validation techniques established the dietary assessment method of choice and identified “valid” dietary reporters (n=216, 153 disadvantaged, 63 advantaged) among this sample. Five qualitative focus groups (n=5-8 per group) were also conducted among disadvantaged women to examine their diet and health behaviour choices. Lower intakes of fruit and vegetables (172g/d vs. 405g/d, p

State Policies Matter: The Case Of Outpatient Drug Treatment Program Practices, Jamie Chriqui, Yvonne Terry-Mcelrath, Duane C. Mcbride, D Eidson

Faculty Publications

This study examined relationships between state policy requirements governing outpatient substance abuse treatment services and reported outpatient treatment program practices. State policies effective as of February 1, 2003, and February 1, 2004, were collected and analyzed via primary legal research; data were validated by state officials (88% response rate; > 90% validation rate). Treatment practice data were obtained from the National Survey of Substance Abuse Treatment Services for the years 2003 and 2004. Multivariate analyses clustered by state were conducted, controlling for state, program, and state-aggregated client admission characteristics. Results indicated that treatment programs located in states with requirements for comprehensive …

The Prevalence Of Delinquency In Depressed And Substance Abusing Adolescent Girls, Susan C. Hunt

Antioch University Dissertations & Theses

Research conducted on the role of depression in delinquency among adolescent girls has found that depression can predict delinquency. It has been indicated that research should be conducted on how substance use and abuse play a role in depression and delinquency. Several studies have been conducted on adolescent girls in juvenile delinquent centres and institutions. Few studies have sampled subjects from community-based resources, i.e., street youth clinics, youth programs, or alternative schools. The central goal of the study was to explore delinquency in a group of depressed and substance-abusing adolescent girls in community-based settings including street clinics, youth programs, and …

Living Past Your Expiration Date: A Phenomenological Study Of Living With Stage Iv Cancer Longer Than Expected, Cynthia Levine

Antioch University Dissertations & Theses

More treatment options exist today for persons diagnosed with terminal cancerextending lives longer than expected though there is little known about the psychosocial needs or resources for these individuals. This study describes the experience of living past the expiration date and still living with Stage IV cancer. A transcendental phenomenological approach was used to elucidate vivid expressions of this experience in a sample population of five Caucasian women. The women survived beyond their prognoses of an earlier expiration are not close to imminent death and are still living with incurable breast cancer metastases. The aim of this phenomenological inquiry is …

Sexual Revictimization, Janyce Vick

Antioch University Dissertations & Theses

Based on interviews with six women, this study describes each participant’s personal experience of childhood sexual victimization, and revictimization while serving in the military. These traumatic experiences in childhood may have increased their risk of developing Post Traumatic Stress Disorder when exposed to sexual trauma in adulthood. Using a grounded theory approach, the interviewer identified common themes among the stories: early sexual abuse, and subsequent revictimization, poor family support, and poor choice of intimate partners as adults. Moreover, they experienced lessened ability to protect self and low self-esteem and denial. The subjects described a personal culture that included abuse as …

Review Of The Social And Emotional Wellbeing Of Indigenous Australian Peoples, Darren Garvey

Research outputs pre 2011

The first case of diabetes among Indigenous people was recorded in Adelaide in 1923. Records prior to this time showed that Indigenous people were fit, lean, and did not suffer from any form of metabolic condition, which were largely believed to be a characteristic of European populations. The earliest detailed studies investigating the development of diabetes in Indigenous populations were not undertaken, however, until the early 1960s. These and subsequent studies found a significant correlation between the development of a ‘westernised’ lifestyle and the levels of type 2 diabetes in the Indigenous population.

Since that time, type 2 diabetes has …

Falls, Depression And Antidepressants In Later Life: A Large Primary Care Appraisal, Ngaire Kerse, Leon Flicker, Jon J. Pfaff, Brian Draper, Nicola T. Lautenschlager, Moira Sim, John Snowdon, Osvaldo P Almeida

Research outputs pre 2011

Background: Depression and falls are common and co-exist for older people. Safe management of each of these conditions is important to quality of life.

Methods: A cross-sectional survey was used to examine medication use associated with injurious and non-injurious falls in 21,900 community-dwelling adults, aged 60 years or over from 383 Australian general practices recruited for the DEPS-GP Project. Falls and injury from falls, medication use, depressive symptoms (Primary Health Questionnaire (PHQ-9)), clinical morbidity, suicidal ideation and intent, health status (SF-12 Health Survey), demographic and lifestyle information was reported in a standardised survey.

Findings: Respondents were 71.8 years (sd 7.7) …

An Examination Of The Role Of Anxiety And Obsessive-Compulsive Features In Muscle Dysmorphia Symptomatology, Christopher Chandler

Masters Theses & Specialist Projects

Although Muscle Dsymorphia (MD) has received more attention in recent years, it still lacks an official classification. The current study incorporates trait anxiety and obsessive-compulsive features into an etiological model of MD in the hopes of establishing them as reliable predictors of such MD symptomatology as drive for muscularity, social physique anxiety, and negative body attitude (self). This model was based upon previous research that has linked trait anxiety and obsessive-compulsive features to eating disorders (ED). In this model, it was predicted that trait anxiety and obsessive-compulsive features would predict overall MD symptomatology, drive for muscularity, social physique anxiety, and …

Relationship Between Premenstrual Symptom Severity And Catastrophic Thinking, Candon Deanne Norton

All-Inclusive List of Electronic Theses and Dissertations

Premenstrual Dysphoric Disorder (PMDD) is proposed as a cluster of severe emotional, physical and behavioral symptoms that affect a small percentage or women during the late luteal phase of their menstrual cycle and cease shortly after the onset or menses. Although some researchers hypothesize there is a difference in the amount or pain actually experienced during the premenstrual phase, others argue that there muy be differences in how women interpret the 'normal' fluctuations and bodily changes of the premenstrual phase. Perhaps women who experience severe premenstrual symptoms anticipate their symptoms and become hypervigilant in monitoring normal bodily sensations, which results …

Neuroadaptive Changes In The Mesocortical Glutamatergic System During Nicotine Self-Administration And After Extinction In Rats, Fan Wang

Theses and Dissertations (ETD)

The mesocorticolimbic pathway is critical in almost all aspects of drug abuse, including nicotine. Though many of the neurochemical and molecular effects of nicotine have been well studied, nicotine’s long-term neuroadaptive effects, specifically within the mesocorticolimbic pathway, are largely undefined. Thus, in current study, we determined the neuroadaptive changes in the mesocortical glutamatergic system during chronic nicotine self-administration (SA), which emulates important aspects of nicotine intake by humans, and after extinction. In the initial study, after 18 days of nicotine SA, in the medial prefrontal cortex (mPFC), NMDA receptor subunit 2A (NR2A) and NR2B were increased by 67% and 83%, …

Efficacy Of Cognitive Therapy And Pharmacotherapy In Depression: A Meta-Analysis, Daniel B. Michel

Loma Linda University Electronic Theses, Dissertations & Projects

A meta-analysis comparing the long-term effectiveness of cognitive behavioral therapy (CBT) and pharmacotherapy in preventing relapse following treatment discontinuation was performed using published studies of depressed participants. Twenty-three articles met inclusionary criteria and were included in the analyses. Weighted effect sizes and moderators, treatment type, were calculated using statistical analysis software. Initially, fixed effects models were applied to the data, but due to significant between-group heterogeneity that could not be fully explained by treatment type, mixed effect models were used to account for the residual heterogeneity. Results indicated that overall, depressed individuals treated to remission with CBT evidence decreased relapse …

Role Of Medial Prefrontal Cortical Group Ii Metabotropic Glutamate Receptor In The Development Of Cocaine Sensitization, Xiaohu Xie

Theses and Dissertations (ETD)

The current studies examined the role of medial prefrontal cortical (mPFC) group II metabotropic glutamate receptors (mGluR_2/3) in the development of cocaine sensitization. Initial studies demonstrated that intra-mPFC injection of the mGluR_2/3 receptor agonist, APDC, dose-dependently reduced acute behavioral response to cocaine (0.015-15 nmol/side with significant effects starting at 1.5nmol/side). The effects of APDC were prevented by intra-mPFC co-injections of an mGluR_2/3 antagonist, LY341495 (1.5 nmol/side). Repeated intra-mPFC APDC (1.5 nmol/side) injections also prevented the initiation of behavioral and neurochemical sensitization, which is defined as enhanced nucleus accumbens (NAc) dopamine response to cocaine. Once sensitization was …

Treatment Of Co-Morbid Methamphetamine Substance Abuse And Borderline Personality Disorder Features Using Modified Dialectical Behavior Therapy, Jessica R. Schultz Fischer

Dissertations

The study investigated the effectiveness of a time-limited, skills-based treatment in a population of female substance abusers. This project implemented a pilot clinical trial to evaluate the effectiveness of a 12-session modified Dialectical Behavior Therapy (DBT) protocol among a small sample of women, with co-morbid borderline personality disorder features, receiving concurrent outpatient treatment for methamphetamine abuse. A non-concurrent multiple baseline design was used. In addition to on-going assessment conducted during baseline and weekly over the course of treatment, a comprehensive assessment battery was administered pre-, and post-treatment as well as at 1 and 3 months following treatment. Findings suggest that …

Inference On Overlapping Coefficients In Two Exponential Populations, Mohammad F. Al-Saleh, Hani M. Samawi

Biostatistics: Faculty Publications

Three measures of overlap, namely Matusita’s measureρ , Morisita’s measure λ and Weitzman’s measure Δ are investigated in this article for two exponential populations with different means. It is well that the estimators of those measures of overlap are biased. The bias is of these estimators depends on the unknown overlap parameters. There are no closed-form, exact formulas, for those estimators variances or their exact sampling distributions. Monte Carlo evaluations are used to study the bias and precision of the proposed overlap measures. Bootstrap method and Taylor series approximation are used to construct confidence intervals for the overlap measures.

Depression In The Elderly: Does Family System Play A Role? A Cross-Sectional Study, Ather M. Taqui, Ahmed Itrat, Waris Qidwai, Zeeshan Qadri

Department of Family Medicine

Background

The most common geriatric psychiatric disorder is depression. The role of family systems in depression among the elderly has not been studied extensively. It has been suggested that urbanization promotes nucleation of family systems and a decrease in care and support for the elderly. We conducted this study in Karachi, a large urban city of Pakistan, to determine the relationship between the type of family system and depression. We also determined the prevalence of depression in the elderly, as well as correlation of depression with other important socio-demographic variables.

Methods

A cross-sectional study was carried out in the premises …

Diagnostic Classifications And Resource Utilization Of Decedents Served By The Department Of Veterans Affairs, Sonia A. Duffy, Laurel Copeland, Faith Hopp, Robert J. Zalenski

Social Work Faculty Publications

Background: Given the volume and cost of inpatient care during the last year of life, there is a critical need to identify patterns of dying as a means of planning end-of-life care services, especially for the growing number of older persons who receive services from the Veterans Health Administration (VHA).

Methods: A retrospective computerized record review was conducted of 20,933 VHA patients who died as inpatients between October 1, 2001 and September 30, 2002. Diagnoses were aggregated into one of five classification patterns of death and analyzed in terms of health care resource utilization (mean number of inpatient days and …

Understanding Mental Health From A Candomblé Perspective, Kerilyn Daniel

Independent Study Project (ISP) Collection

Candomblé is an Afro-Brazilian religion that has a strong presence in Brazil as a religious institution as well as a health center. Many turn to the houses of Candomblé (terreiros) for healing from not only physical ailments but mental illnesses as well. Candomblé has been very effective in healing mental illnesses even when Western medicine has proved ineffective. I have sought to understand how Candomblé perceives mental health and the treatment of mental illness. I have examined how they diagnose mental illnesses, how they understand the nature of the illness, and their healing methods. I have also explored more general …

The State Of Latino Health And Mental Health, Gregory Acevedo, Manny J. González, Victoria Santiago, Carlos Vargas-Ramos

Policy Documents

The Centro de Estudios Puertorriqueños/Hunter College and Fordham University Graduate School of Social Service collaborated on this report to review the health and mental health status of Latinos/as. This analysis integrates national and local statistics from published reports and scholarly articles. Based on the analysis of Hispanic health and mental health, the authors have generated a set of recommendations for policies targeting the health and mental health needs of Latinos/as and promoting their overall well-being. Aside from these specific recommendations, they call for more disaggregated data collection about Hispanic subgroups.

Deliverance As Part Of The Therapeutic Process, David W. Appleby

Faculty Publications and Presentations

Within the last few years there has been an increased interest in spiritual warfare and, along with it, the deliverance ministry. The increased visibility of this ministry has resulted in a plethora of books and tapes on the subject. The following is an outline of a presentation made at the 2007 American Association of Christian Counselor’s World Conference in Nashville, TN. It is entitled Deliverance as a Part of the Therapeutic Process.

Assessment In Crisis, Amresh Srivastava

Psychiatry Presentations

No abstract provided.

Massworks: Quality Employment Services: Where Research And Practice Meet, Rick Kugler, Cindy Thomas

MassWorks Series, Institute for Community Inclusion

Providing quality employment services to people with disabilities requires a substantial commitment of time, energy, and resources. Given this investment and our obligation to individuals with disabilities, we as providers must deliver the most effective services possible.

Adolescents And Marijuana Use: The Affects Of Peer And Parent Relationships And Substance Abuse Education., Samuel Joseph Cosimano

Electronic Theses and Dissertations

The purpose of this study was to analyze gender, race, substance abuse programs such as Drug Abuse Resistance Education (D.A.R.E.), parents, and peers and their ability to influence or predict adolescents and their decisions to use marijuana. All of the variables used for this study came from secondhand data collected by Esbensen and Osgood (1999), Gang Resistance Education and Training (G.R.E.A.T.). The analysis revealed that males are more likely to have ever used marijuana, that mixed race adolescents have a higher rate than other races to have ever used marijuana, that when adolescents complete the substance abuse program, D.A.R.E. have …

Validity Of The Clinical Assessment Of Depression With The Brief Symptom Inventory, Carlie West

Masters Theses & Specialist Projects

Depression is a disorder frequently noted in college students that can affect multiple aspects of one's life, ranging from physical health issues to interpersonal relationship difficulties. Therefore, it is imperative that the depressive symptoms of college students be identified, evaluated, and treated. This investigation explored the validity of a newly published self-report narrow-band measure of depression, the Clinical Assessment of Depression (CAD; Bracken & Howell, 2004) with an existing broad-band measure, the Brief Symptom Inventory (Derogatis, 1993). College students 18 to 52 years of age (n = 280) enrolled in undergraduate courses in psychology at a south central Kentucky university …