Medicine and Health Sciences Commons^™

Pregnancy-Related Delusional Beliefs In Midlife And Late-Life Women: A Case Series, Dyuksha Arora, Ashita Adarsh, Kishor M. Manohar Rao, Anand R, Soumya Rajshekar Patil, Akshatha Cj

Digital Journal of Clinical Medicine

Pseudocyesis and delusional pregnancy represent rare but clinically significant presentations across psychiatric practice. While pseudocyesis involves a false belief of pregnancy accompanied by physical manifestations, delusion of pregnancy refers to a fixed belief of being pregnant despite clear contrary evidence. Both conditions pose considerable challenges as they involve close consultation and liaison between Obstetrics & Gynaecology and Psychiatry. There are a few studies from tertiary care general hospitals in India. Here we report two case series.

Case 1: A 43-year-old married woman from a rural background with an 8-year history of recurrent depressive disorder and dysthymia, presented with 3 months …

One Airway, One Disease In Pregnancy: A Prospective Observational Study On The Correlation Between Upper And Lower Airway Inflammation In Pregnant Women, Durga K, Yuvarajan S

Digital Journal of Clinical Medicine

Background: The well-established "One Airway, One Disease" concept recognizes the deep physiological and pathological connections between conditions affecting both the upper and lower respiratory tracts, most notably allergic rhinitis and asthma. During pregnancy, a woman's body undergoes significant immunological, hormonal, and physiological changes, which can profoundly influence and modulate existing or emerging airway inflammation.

Objective: This prospective observational study was designed with the primary objective of meticulously evaluating the correlation between upper and lower airway inflammation in pregnant women. We aimed to achieve this by assessing a range of clinical symptoms, objective functional parameters, and specific inflammatory markers.

Methods: We …

Comparision Of Buprenorphine Versus Butorphanol As An Adjuvant To Intrathecal Hyperbaric Bupivacaine For Elective Infraumbilical Surgeries : A Randomised Control Study At A Tertiary Care Hospital, Mandya, Surabhi C A, Dr. Kiran A V. Associate Professor, Dr. Shivakumar G Pofessor And Hod, Umesh N P

Digital Journal of Clinical Medicine

Introduction: Spinal anaesthesia is the most popularly performed procedure in the field of anaesthesiology. Hyperbaric bupivacaine, the local anaesthetic most commonly used, has limitation as its effect lasts only for 1.5-2 hours. Hence a lot of adjuvants have been tried to enhance the analgesic effect of bupivacaine.^[2] Opioids remain the mainstay among the various adjuvants to local anesthetics in spinal anaesthesia primarily by virtue of its various properties such as reducing the dose of local anaesthetic, minimizing side effects, and prolonging the duration of anaesthesia.^[3]

Aim: This study aims to compare the sensory and motor characteristics …

The Emotional Landscape Of Aviation Pilots: Analysis Of Online Professional Forums Using Natural Language Processing, Adrienne S. Renwick, Leo Gonzalez, Charles L. Silber, Alyson Mullen, Cass Dykeman, Adam Stewart, Jennifer C. Ross, James Geisler

Journal of Aviation/Aerospace Education & Research

This study investigated burnout related to emotions in three categories of pilots: commercial passenger, commercial cargo, and military. While pilot burnout has been previously studied, challenges in self-reporting limit understanding. This study extends previous research by analyzing pilots' anonymous online forum posts to gain insight into burnout-related emotions. Natural Language Processing was conducted with the RoBERTa-base-go_emotions model, which analyzed 1,130,530 online forum posts from commercial passengers, commercial cargo, and military pilots for 27 emotion categories and one absence of emotion category (i.e., neutral). An exploratory composite score reflecting burnout-related emotional expression omnibus burnout score was calculated using seven burnout-related emotions …

How To Create A Self-Sustaining Meditation Garden, Heather Salazar, Lydia Barrett-Miller, Kaitlyn Parisan

Honors in Practice Online Archive

This essay presents the creation and maintenance of a campus meditation garden as an outgrowth of four successive philosophy classes in honors. The authors describe the garden’s inception, execution, curricular advantages, and administration, with specific examples of the impact on student health and well-being. The authors observe the ways in which honors students attained skills in transformational leadership by collaborating to develop projects and lead events, suggesting that a meditation garden may be appropriate for any learning environment emphasizing cooperation, creativity, mindfulness, and well-being.

Barriers And Facilitators To Accessing Mental And Physical Health Care Among Sexual Minority Women: A Qualitative Exploration, Charlotte A. Dawson, A. Moulder, Kristin E. Heron

Department Psychiatry & Behavioral Science Faculty Publications

Cisgender sexual minority women (SMW, e.g., lesbian, queer) are at greater risk for poor mental and physical health compared to heterosexual women and face challenges when accessing health care. Previous research has largely focused on general sexual and gender minority barriers to health care, but more research is needed on the experiences of specific subgroups, including cisgender SMW. The current study qualitatively explored barriers and facilitators for cisgender SMW seeking health care. Twenty cisgender SMW aged 18-40 recruited using Meta advertisements and past participant lists completed 45 min semi-structured interviews and a brief survey. Thematic analysis conducted by two coders …

Resilience And Reality: Exploring The Lived Experiences Of People Living With Hiv In Texas During The Covid-19 Pandemic – A Qualitative Study., Ahmed F. Alanazi

Social Work Dissertations - Archive

This study investigated the lived experiences of individuals living with HIV (PLWH) in the Dallas-Fort Worth (DFW) area of Texas during the COVID-19 pandemic, using an Interpretative Phenomenological Analysis (IPA) framework. The research examined the intersection of health, social dynamics, and psychological resilience among PLWH, who faced compounded vulnerabilities due to systemic inequities and the dual public health crises of HIV and COVID-19. Through semi-structured interviews with ten participants from diverse backgrounds, the study captured the profound impacts of disrupted healthcare systems, heightened stigma, and social isolation on this marginalized population. The findings reveal that the pandemic exacerbated existing inequities …

Developing Staff Training Modules To Enhance Neurodiversity-Affirming Care In An Inpatient Psychiatric Setting, Haley Morris

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Introduction: Individuals with autism spectrum disorder (ASD) are admitted to psychiatric hospitals at higher rates and for longer durations compared to neurotypical individuals (Kuriakose et al., 2018). Externalizing behaviors, such as aggression and self-injury, significantly increase hospitalization risk, yet standard psychiatric interventions (e.g., traditional process groups) are often ineffective for this population. A key barrier is the lack of ASD-specific training among hospital staff (Siegel & Gabriels, 2012). This capstone project aimed to address this gap by developing and implementing an educational training program to improve patient-centered, neurodiversity-affirming care across all inpatient psychiatric units. The primary aims were to: …

Changing The Narrative For University Students With A History Of Aces: Campus Assets And Student Well-Being, Hailey Ellingson

West Chester University Doctoral Projects

College students often report high levels of adverse childhood experiences (ACEs), which are linked to poor mental and physical health and lower academic success. While some positive experiences in childhood can lessen the risk outcomes associated with ACEs, limited research has explored how this applies to college students. This study examined how assets – specifically, college climate and resources – relate to student well-being and whether these assets buffer the impact of cumulative ACEs, which refers to adverse experiences within the home (e.g., abuse, neglect, and witnessing domestic violence) and community (e.g., bullying and neighborhood violence). Undergraduate students (n …

Injection-Related Infections And Self-Treatment Practices Among People Who Inject Drugs In Rural Appalachia, Laura C. Fanucchi, Jennifer R. Havens, Matthew Fahmy, April M. Young

Center on Drug and Alcohol Research Faculty Publications

In this study of self-reported serious injection-related infections among people who inject drugs in rural Appalachia (n = 463), 50% reported reusing syringes/needles, 70.6% ever had an injection-site abscess, and 44.4% of those with a recent abscess took nonprescribed antibiotics. The study identifies opportunities to improve harm reduction services.

Students Obtaining Tools To Achieve Regulation (Soar), Lacey D. Sanguinito

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Students Obtaining Tools to Achieve Regulation (SOAR) is a doctoral capstone project that addressed the need for integrated social emotional learning (SEL) in elementary education. SEL is an evidence-based approach shown to improve academic outcomes, behavior, and long-term life success, yet implementation barriers remain in school settings. This project aimed to enhance student regulation, classroom engagement, and teacher confidence in SEL techniques through a multi-tiered approach. A scoping review of SEL literature identified the implementation methods and barriers to SEL curricula in elementary education, which informed the development of SOAR. SOAR consisted of (a) a 20-session, movement-based SEL curriculum targeting …

Recognizing Adult Male Mental Health Needs: An Intervention Looking At Education In Rural Communities, Eugene W. Winans Jr

Doctor of Nursing Practice Projects

This DNP Project examined the role of student nurses and their confidence levels when assisting adult male patients experiencing a mental health crisis. The majority of suicide acts are attributed to men. Thus, this subject requires specific insight and instructions when it comes to proper ways to assist these patients. Incorporating evidence from a pre-test and post-test survey, this project demonstrates that student nurses lack confidence in how to deal with men who are experiencing a mental health crisis. The analysis gained from this project demonstrates the important role nurses play in recognizing, speaking to, and assisting in the treatment …

Mistrust Among Injured Immigrant Workers: A Conceptual Framework, Maude Arsenault, Daniel Côté, Jessica Dubé

Revues de littérature, synthèses de connaissances

Background

In Quebec, injured workers have access to medical assistance, wage replacement indemnities, and rehabilitation measures, with most injuries resolved easily. However, a small percentage of cases require a lengthy rehabilitation process, which is particularly complex when involving immigrants. The therapeutic alliance is at the heart of the process, involving mutual trust and confidence and a degree of consensus about the therapeutic interventions to be used and, ultimately, the return to work.

Objective

This article delves into the concept of mistrust as more than the absence of trust, and sheds light on its role in the rehabilitation process of immigrant …

Addressing Deaths Of Despair: The Impact Of Loneliness On Excessive Alcohol Use And Alcohol-Involved Driving Deaths In Ohio, Juliana Zacher, Akshey Suresh, Dylan Timperman

Scholarship in Medicine - All Papers

Alcohol-related driving deaths and excessive alcohol consumption continue to rise across the United States. These trends have had a large impact on historically disadvantaged populations, such as Appalachia, being disproportionately affected. Previous literature suggests factors such as loneliness, mental distress, segregation, and immigration status amongst others may contribute to this increase in drinking. Although delineating a clear role of the nature of the impact at a community level still remains unclear. Our objective was to explore these very factors as well as to identify social and economic predictors to explain alcohol-related driving deaths and excessive drinking in Ohio between 2016 …

“I Learned To Bottle Up My Feelings From A Young Age”: A Narrative Analysis Of Latina Young People’S Family Mental Health Socialization, Jenn M. Lilly

Social Service Faculty Publications

Latina young people report high levels of mental health problems and low levels of helpseeking

compared with their white peers, but little research has examined factors influencing

their mental health views. Inductive analysis of 25 participants’ narratives revealed that Latina

young people described three stages in the development of their mental health-related beliefs,

attitudes, and behaviors: undergoing a process of family mental health socialization, suffering

in silence, and attaining a new perspective. Within each of these phases, participants shared

stories that attest to their agency and resilience. This research uncovers a novel theoretical

construct, “family mental health socialization,” which elucidates …

Digital Zines As Mental And Sexual Health Communication Tools For Latina Teens: Format And Content Acceptability And Initial Findings, Jenn M. Lilly, D'Andrah Almanzar, Susan R. Pace, Dante D. Bryant

Social Service Faculty Publications

Recognizing the potential of digital zines (defined as selfpublished,

online publications combining artwork and

text) as culturally tailored health communication tools,

this article examines the acceptability and impacts of two

digital zines about mental and sexual health created by

Latina young people for Latina teens as a health communication

strategy. We conducted an anonymous online

survey completed by Latina teens who read the zines (32

for sexual health and 33 for mental health). Data analysis

aimed to explore, summarize, and interpret the collected

data using an artificial intelligence (AI)-enhanced

approach. Survey participants found the zine format and

content acceptable and …

Effect Of Problematic Smartphone Usage On Reaction Time And Critical Flicker Fusion Frequency Among Medical Undergraduate Students In Chennai, South India - A Cross-Sectional Study, Saisubramanian Abeetha, Angappan Suba, Mourali Chitra, Chirag D Jain, Saisubramanian Sadhana

Health Professions Education

Purpose: Smartphones are vital for communication and learning, especially among medical students, but excessive use can cause physical, psychological, and cognitive issues. Problematic Smartphone Usage (PSU), marked by compulsive use, is linked to attention deficits and reduced cognitive function. Reaction Time (RT) reflects sensory-motor speed, while Critical Flicker Fusion Frequency (CFFF) indicates sensory processing and neural fatigue. Prolonged smartphone use may impair these parameters. Despite growing concern, data on PSU’s impact on RT and CFFF in medical students is limited. This study explores their association among undergraduates in Chennai.

Methods: This cross-sectional study was conducted among 402 medical undergraduate students …

A Study Of Differences In Enjoyment, Exercise Commitment, And Intention To Continue Participation Among Age Groups Of Adult Amateur Golfers, Hye Jin Yang, Ji-Hye Yang, Chulhwan Choi, Chul-Ho Bum

Human Movement Studies & Special Education Faculty Publications

Golf is one of the leisure sports that offers various benefits and has become a popular public sport with participation from people of various age groups. A total of 262 questionnaires were distributed online, with 240 valid responses collected after excluding 22 with non-responses or partial answers. The results showed statistically significant differences in enjoyment by age group, except for recognition from others. Regarding physical health, those in their 60s and above had higher mean scores than other age groups, and those in their 50s scored higher than those in their 30s. Stress relief was greater among those in their …

From Hallways To Healing: Reconceptualizing Schools As Access Points For Adolescent Mental Health By Fostering Student Agency And Supportive Spaces, Jordyn Nattrass

West Chester University Master’s Theses

Adolescents across the United States are struggling with their mental health in record numbers, often without access to adequate support. This paper examines the role of schools as critical access points for all students to receive mental health interventions. I propose the implementation of a school-wide, student-led mental health program that every student participates in during homeroom, with the additional support of a dedicated mental health space. Grounded in the principles of Youth Participatory Action Research (YPAR), the program is designed by students, for students, with the goal of fostering student leadership skills. Unlike existing programs that will be explored …

Autism And The Delay Of Diagnosis In African American Communities, Kiara Loud

Theses and Dissertations

Autism Spectrum Disorder (ASD) is a developmental disability accompanied by a wide range of neurodevelopmental disorders. ASD can affect anyone regardless of race, socioeconomic status, or ethnicity (CDC, 2025). Individuals with ASD tend to have issues with various challenges and strengths regarding how they learn, think, and solve problems. Some children with ASD have repetitive patterns of behavior, restricted interest in activities, and difficulty in communication and social interaction.

According to the World Health Organization, the global prevalence of ASD 1 in 100 children diagnosed with Autism. Additional data supplied by the CDC states that the number of children with …

Mental Health Trends Among African American High School Students, Alexis Heard

Theses and Dissertations

Adolescent mental health is a major public health issue in the U.S., with African American high school students facing a rapidly worsening crisis. While all youth show increasing rates of depression, anxiety, and suicidality, African American adolescents are at greater risk due to systemic racism, socioeconomic inequality, community violence, and limited access to culturally responsive care. Few national studies have examined mental health trends among this group. This study (1) examines 2011–2021 trends in persistent sadness/hopelessness, suicidal ideation, suicide planning, and suicide attempts among African American high school students; (2) explores gender differences; and (3) compares these patterns to national …

Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood

Masters Theses

Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …

Examining Multiple Stakeholder Perspectives On The Acceptability Of Pain-Mitigation As A Tool To Manage Needle Fear, Sarah C M Morton

Theses and Dissertations

Needle fear affects up to 63% of the global adult population and is associated with significant fear-based medical care avoidance (e.g., blood donation refusal, vaccine hesitancy, insulin injection adherence). Current behavioral treatments have low acceptance in this population, and often fail to address the experience of pain associated with needle procedures. Despite the existence of evidence-based pain-mitigation for needle procedures, these interventions are not commonly used in clinical settings. The current study used qualitative methods to examine patient and provider perceptions of: 1) current methods of needle fear management, and 2) the acceptability of pain-mitigation as an effective tool to …

Adaptation For Whom? Understanding The Impacts Of Dyke Policies On Small-Scale Farmers In Ca Mau Province Of Vietnam, Nguyen Minh Quang, Nguyen Van Minh, Nguyen Vo Chau Ngan, Martha B. Lerski

Publications and Research

Low-lying deltas worldwide are extremely vulnerable to sea-level rise. As the risks of climate-induced flooding become increasingly clear, the thirst for infrastructure-driven adaptation increases. This highlights a patent need to understand the impacts of engineering adaptation solutions, especially those targeting built structures such as dykes and sluices, on farmers from a bottom-up, farmer-centred perspective. The study addresses this call by examining cases where dyke policies, while successful in some dimensions, have undermined small-scale farmer livelihoods in Ca Mau ― Vietnam’s southernmost rural province. It identifies areas in need of attention and adds empirical data related to this group of farmers. …

Racial Health Disparities Among Pregnant Women Of Color In New York City: Biological And Systemic Impacts, Kaylin Peña

Pitzer Senior Theses

Racial Health Disparities Among Pregnant Women of Color in New York City: Biological and Systemic Impacts

Abstract

This thesis aims to explore how racial health disparities, underrepresentation in gynecology, and socioeconomic barriers contribute to adverse pregnancy outcomes among women of color in New York City. Through an interdisciplinary approach that combines resources from medical anthropology and human biology, this research will examine the biological implications of chronic stress, specifically HPA axis dysregulation, and its role in maternal health outcomes. With the idea of intersectionality, as conceptualized by Kimberlé Crenshaw, the study analyzes the various effects of systemic inequities and social …

Nh State Parks Outdoor Recreation And Wellbeing, Muriel C. Bennett

Honors Theses and Capstones

This evaluation strives to analyze NH residents’ usage of outdoor spaces (adults 18+) and NH State Park lands. The general purpose of this evaluation is to gain evidence and develop an understanding of participant use of outdoor spaces and whether participant’s mental well-being is a driving factor in outdoor recreation. As children and adults are spending increasingly more time indoors and on phones and computers, it is necessary for further research and advocacy efforts to be developed on the importance of time outdoors. It has be found that “urban lifestyles impose increasing demands on our cognitive resources” (Ohily, 2010) which …

Leadership In Behavioral Health, Rebecca Mccoy

School of Business Student Theses and Dissertations

Abstract

Leadership in healthcare is difficult when dealing with human contact in its most raw and vulnerable way. Leadership in behavioral health is just as challenging as direct practice practitioners tend to be the ones who move up into these roles. This study will exam “Identifying factors that promote successful leadership and challenges that cause barriers to having successful leadership in behavioral health.” This includes soft and hard skill knowledge, growth opportunities and the strengths and struggles in moving into leadership roles in this industry.

The study is based on phenomenological research to gain an understanding of the individual experience …

The Chemical Straightjacket: Institutional Over-Use Of Psychotropic Drugs On Children In Lieu Of Therapeutic Community Mental Health Services, Marisa Leib-Neri

Indiana Journal of Law and Social Equality

This Article argues that the abysmal state of children’s mental health in America is in part due to an overreliance on and over prescription of psychotropic drugs inside psychiatric residential institutions in lieu of community based mental health services. This overreliance on residential institutions and psychotropic drugs has allowed a new form of chemical restraint to flourish—the chemical straitjacket. This Article uses the medication lists of twelve children in seven different North Carolina psychiatric residential treatment facilities to demonstrate how the chemical straitjacket operates: the prescription of drugs not approved for pediatric populations, counter to evidence-based practices for particular diagnoses, …

Ministry Organization Response To The Mental Health Crisis, Bryn L. Wood

Senior Honors Theses

The mental health crisis has been negatively affecting individuals across the globe for about half a century, only growing in its impact each year. However, following the Covid-19 pandemic, mental health crises skyrocketed. This is especially true for youth and young adults as physical isolation has altered many facets of their lives. This thesis will explore the mental health crisis, as well as the way it has impacted youth and young adult organizations. Specifically, it will discuss research on recommended ways for these organizations to respond to the mental health crisis through unique programming and how these practices have been …

The Association Between Obstetric Violence And Postpartum Depression Among Latina Women In The United States: An Integrative Review, Natalia Alameda

Scripps Senior Theses

Obstetric violence, a structural form of gender-based violence, involves abuse, mistreatment, or neglect by healthcare providers during obstetric care. It is often associated with childbirth trauma and may result in physical and psychological harm to mothers and children, including postpartum depression. Postpartum depression is a major depressive episode occurring during pregnancy or within four weeks following delivery. While these concepts are often studied independently, few studies examine their intersection, particularly among Latina women in the United States. To address this gap, an integrative literature review was conducted to explore the association between obstetric violence and postpartum depression among Latina women. …