Medicine and Health Sciences Commons^™

Military: Family Of Origins And Life Cycles, Linda C. Osterlund

Annual Faculty Scholars Reception

An in-depth study of military family life cycle including adult development. The impact of transitions such as deployment, career, marriage, divorce, and death at different stages of the family life cycle as guides to therapeutic understanding.

One-Year Postpartum Outcomes Following A Weight Management Intervention In Pregnant Women With Obesity, Kimberly K. Vesco, Michael C. Leo, Njeri Karanja, Matthew W. Gillman, Cindy T. Mcevoy, Janet C. King, Cara L. Eckhardt, K. Sabina Smith, Nancy Perrin, Victor J. Stevens

Community Health Faculty Publications and Presentations

Objective

This analysis was focused on 1-year maternal and infant follow-up of a randomized trial that tested a weight management intervention conducted during pregnancy.

Methods

One hundred fourteen women with obesity (mean BMI 36.7 kg/m²) were randomly assigned at a mean of 15 weeks gestation to a weight management intervention or usual care control condition. The intervention ended at delivery and resulted in less gestational weight gain and a lower proportion of large-for-gestational-age newborns among intervention compared with control participants. The primary outcome at 12 months postpartum was maternal weight. Secondary outcomes included infant weight-for-age and weight-for-length z …

Actually, Let’S Not Talk About Sex: The Value-Laden Sex Education Received By China’S Young Women, Allyson Tsu

Independent Study Project (ISP) Collection

This research explored China’s sex education and the values it imparts to China’s young women. Findings indicate that although young women wish to learn about safe sex and sexuality from both schools and parents, communication is restricted by both parties embarrassment, lack of preparation, and fear that open dialogue on such topics will promote sexual activity.

The study found that while sex education classes were informative on physiological topics, in participants' perceptions, they lacked information on safe sex (i.e. use of contraceptives) by sticking to the abstinence narrative, and assuming—or pretending—that China’s young people are not engaging in sex. Although …

Powerful Words: An Exploration Of Linguistic Hierarchy In Moroccan Hospitals, Ellelan Degife

Independent Study Project (ISP) Collection

Morocco is a country of distinct diversity, which exists as a result of the settling of multiple peoples and European colonization. As a result of this diversity, many languages are employed in different settings and spaces, and of these languages, French represents remnants of colonialism and continual elitism in the country. One of the spheres that French commands in Moroccan society is medicine, which creates a dichotomy between the educated health care providers and the underprivileged patients in public hospitals. The aim of this paper is to explore the effect of French on the doctor-patient relationship in urban, public Moroccan …

Sugar And Spice, Not Everything's Nice: Changing Dietary Habits In Bali, Harry Teplow

Independent Study Project (ISP) Collection

In this paper, I will explore the ways in which locals interact with new food options on the island of Bali. Specifically, I will explore dietary behaviors surrounding pre-­‐ packaged snacks and ‘fast-­‐food’ chains and determine whether the presence of these food options is affecting the Balinese’s relationship with more traditional cuisine. I will use everyday observations and conversations with locals to analyze dietary habits and the various food items that are being consumed while examining the potential dietary differentiation between two age groups. I will also consider health outcomes in Bali and discuss how changing dietary habits may be …

New Measures To Capture End Of Life Concerns In Huntington Disease: Meaning And Purpose And Concern With Death And Dying From Hdqlife (A Patient-Reported Outcomes Measurement System)., N E Carlozzi, N R Downing, M K Mccormack, S G Schilling, J S Perlmutter, E A Hahn, J S Lai, S Frank, K A Quaid, J S Paulsen, D Cella, S M Goodnight, J A Miner, M A Nance

Rowan-Virtua School of Osteopathic Medicine Departmental Research

PURPOSE: Huntington disease (HD) is an incurable terminal disease. Thus, end of life (EOL) concerns are common in these individuals. A quantitative measure of EOL concerns in HD would enable a better understanding of how these concerns impact health-related quality of life. Therefore, we developed new measures of EOL for use in HD.

METHODS: An EOL item pool of 45 items was field tested in 507 individuals with prodromal or manifest HD. Exploratory and confirmatory factor analyses (EFA and CFA, respectively) were conducted to establish unidimensional item pools. Item response theory (IRT) and differential item functioning analyses were applied to …

Hdqlife: Development And Assessment Of Health-Related Quality Of Life In Huntington Disease (Hd), N E Carlozzi, S G Schilling, J-S Lai, J S Paulsen, E A Hahn, J S Perlmutter, C A Ross, N R Downing, A L Kratz, M K Mccormack, M A Nance, K A Quaid, J C Stout, R C Gershon, R E Ready, J A Miner, S K Barton, S L Perlman, S M Rao, S Frank, I Shoulson, H Marin, M D Geschwind, P Dayalu, S M Goodnight, D Cella

Rowan-Virtua School of Osteopathic Medicine Departmental Research

PURPOSE: Huntington disease (HD) is a chronic, debilitating genetic disease that affects physical, emotional, cognitive, and social health. Existing patient-reported outcomes (PROs) of health-related quality of life (HRQOL) used in HD are neither comprehensive, nor do they adequately account for clinically meaningful changes in function. While new PROs examining HRQOL (i.e., Neuro-QoL-Quality of Life in Neurological Disorders and PROMIS-Patient-Reported Outcomes Measurement Information System) offer solutions to many of these shortcomings, they do not include HD-specific content, nor have they been validated in HD. HDQLIFE addresses this by validating 12 PROMIS/Neuro-QoL domains in individuals with HD and by using established PROMIS …

Multi-Sector Analysis Of The Progress And Challenges Of Soil-Transmitted Helminth Eradication In Rural Udaipur, Jessica Ellis

Independent Study Project (ISP) Collection

India is home to 240 million children currently at risk of Soil-Transmitted Helminthiasis, which is spread via unclean water, soil, and food, and causes acute pain and malnutrition. While acknowledging the research debates over WASH and mass drug administration, this study seeks to identify the systemic multidisciplinary issues affecting STH elimination efforts in rural Udaipur. Twenty-three interviews were conducted in villages, government departments, NGOs, and medical sectors to identify the challenges within each approach to deworming, and their experiences with multi-sectoral collaboration. The most recurring issues across disciplines were need for invested local leadership, increase in health literacy of adults, …

A Preliminary Study Of Intergenerational Differences In Masxha Regarding Practice And Attitudes Towards Zulu Traditions During Pregnancy And Birth, Momoko Oyama

Independent Study Project (ISP) Collection

In the Zulu culture, several traditions and rituals are practiced during a woman’s pregnancy and perinatal period. However, as urbanization spreads and western influences strengthen, these rituals risk being lost. This project aims to capture existing knowledge of these traditions and to assess the intergenerational changes in practice and attitudes towards practicing the rituals.

Information on Zulu traditions practiced during a woman’s pregnancy and perinatal period was collected through two interviews and a focus group consisting of three elderly women in Masxha, a Black township in KwaZulu-Natal. Following the interviews and focus group, 32 Masxha residents were recruited to complete …

Consecuencias De La Dictadura: La Salud Mental Transgeneracional En Hijos De Detenidos Desaparecidos / Consequences Of The Dictatorship: Transgenerational Mental Health In Children Of Disappeared Detainees, Catherine Sillari

Independent Study Project (ISP) Collection

Research Question: What are the trends seen in the mental health of the children of the people who were “disappeared” by the Pinochet dictatorship?

Objectives: The general objective of this study is to look for trends in the mental health of children of disappeared people. The specific objectives are to understand the particular stresses that come with disappearances versus other types of deaths, to gage the general opinion of the government’s system of reparation, and to identify common coping methods.

Background: Between the years of 1973-1990, Chile was under the military dictatorship of Augusto Pinochet. During this time, major …

Pengembangan Umkm Olahan Pangan Lokal Dalam Gerakan One Day No Rice (Odnr) Di Kota Depok, Endar Purnawan, Fentiny Nogroho

Jurnal Ilmu Kesejahteraan Sosial

This thesis reveals the development of micro, small and medium local food entreprise. Furthermore, this descriptive research uses a qualitative approach. The result of this research show that ODNR action has encouraged the appearance of UMKM in a culinary sector and it also provided local food – non rice and non wheat. The roles of UMKM in a ODNR action is producing, supplying, distributing, marketing local food, conducting inovation, socializing ODNR action, creating new UMKM and job vacancies. Things supporting the development of UMKM are place, equipment, capital, human resources, skills, raw materials, and ODNR action itself. On the other …

Program Men Care Sebagai Upaya Pencegahan Kekerasan Dalam Rumah Tangga : (Studi Deskriptif Pada Yayasan Pulih, Jakarta), Clara Clara, Fentiny Nugroho

Jurnal Ilmu Kesejahteraan Sosial

Domestic violence is a delicate matter in our society. Many efforts have been made by many institutions to decrease the violence that continues to increase every year. One of them is a prevention effort through a Men Care program that presents the male-engagement. Therefore, this study specifically describes the Men Care program implemented by Yayasan PULIH in Jakarta. This research uses descriptive method with qualitative approach. The results is to describe the forms of male-engagement including advantages and disadvantages faced by Yayasan PULIH in disseminating those issue, as well as strategies undertaken to attract the public participation into the program.

Self-Perceptions Of Disability And Impairment In An Indian Prosthetic Population Using Jaipur Foot Technology, Litany Esguerra

Independent Study Project (ISP) Collection

Twenty-nine first time and repeat prosthetic users were interviewed over a period of three weeks to determine how they perceived their own disability at Bhagwan Mahaveer Viklang Sahayata Samiti, or Jaipur Foot, located in Jaipur, India. The questions delineated different aspects of people’s disabilities and impairment, and asked a multitude of questions regarding social, economic, political, and other contexts, influenced by the conceptual framework of the International Classification of Functioning (ICF). The study analyzed all of the factors as specified by the questionnaire and found that many varying trends over all types of prosthetic users. The study also used the …

Pharmacology Of Cannabis, Mandakini Sadhir

Pediatrics Faculty Publications

Cannabis has been used for recreational purposes around the world. It is derived from the plant cannabis sativa which has various other compounds known as cannabinoids. Most common form of cannabis used for recreational purpose is marijuana, which is prepared from dried flowering tops and leaves. The primary psychoactive component is delta 9-tetrahydrocannabinol (δ-9THC), which exerts its physiological and psychological effects through its interaction with CB1 and CB2 receptors. Smoking is the most commonly used method with onset of effects within minutes after inhalation. Oral ingestion of cannabis has varied absorption with delayed onset but longer duration of action. Urine …

Proses Disclosure Dan Kondisi Psikososial Anak Dengan Hiv/Aids, Arini Dwi Deswanti, Johanna Debora Imelda

Jurnal Ilmu Kesejahteraan Sosial

HIV-infected children have a longer life expectancy after the invention of antiretroviral treatment. Therefore, a well-prepared HIV status disclosure become a significant issue for children living with HIV/AIDS (CLWHA). Previous studies have shown that disclosing a status of children with chronic illness helps them to cope with the illness. However, delayed disclosure for various reasons which often influenced by parents or caregivers consideration affect children’s psychosocial condition. This paper will illustrate the psychosocial condition of CLWHA in relation to the preparation of their disclosure process.This descriptive study used a qualitative approach with observations, in-depth interviews, and Focus Group Discussion on …

Lansia Anggota Kelompok Bina Keluarga Lansia (Bkl) Adalah Sebuah Aset (Potensi) Bagi Pembangunan Di Masyarakat Rw 04 Pancoran, Jakarta Selatan, Juli Yanto, Wisni Bantarti

Jurnal Ilmu Kesejahteraan Sosial

This research depict a new paradigm of elderly. All this time, the elderly have been thouht as an unproductive age group, dependent to the family, consumptive, used up of the health budget, and useless jugment in the community. However, the existing of the BKL IMPALA group in the community indicates that the elderly in the BKL IMPALA group as an asset or potential human resources to participate in the development of RW 04 Pancoran, and they are not family’s or development’s burden. The result of this research that the elderly have been health, and active in every BKL IMPALA’s or …

Upaya Perusahan Pembiayaan Non Bank Dalam Mengembangkan Usaha Mikro, Kecil Dan Menengah : (Studi Deskriptif Pemberian Dan Pengembalian Kredit Oleh Pt "X"), Iman Syahrizal, Sari Viciawati Machdum

Jurnal Ilmu Kesejahteraan Sosial

Entrepreneurship basically is not an easy matter. Despite of the challenges, organizations of both government and non-governmental organizations have developed entrepreneurial development activities. As a non-governmental organization, profit-oriented PT “X” also plays a role in the process of entrepreneurship development by undertaking financing activities to micro enterprises. This article describes the efforts of PT “X” as a Non-Bank Company that implements the implementation of credit loan and return in UMKM. Based on qualitative research, the research result showed that PT “X” as a company has potential because it can give positive contribution to the development of UMKM in Indonesia. However, …

Ptsd, Tbi, And Oth Discharges: A Case Study Of A Young Service Member, Patricia E. Roberts

Faculty Publications

No abstract provided.

“Always A Double-Edged Sword”: How Women And Health Care Providers Navigate Issues Of Contraception In Differing Senegalese Communities, Angelina Strohbach

Independent Study Project (ISP) Collection

This paper examines how women and health care providers in two distinct Senegalese settings—Dakar and Mouit, a village located within the Gandiol region-- navigate contraception as both a social and medical good. Contraception is an invaluable tool in terms of advancing women’s right to reproductive health, but major discrepancies in its usage exist across a variety of social lines in Senegal, including level of education, marital status, occupation, age, and living in a rural versus urban setting. What socially constructed thought processes and lived experiences contribute to these discrepancies? In a cultural context heavily based upon tradition and Islamic faith, …

Dealing With Migratory Trauma: Mental Health Stressors And Coping Mechanisms Among Sub-Saharan Migrants In Rabat, Morocco, Dominique Defreece

Independent Study Project (ISP) Collection

Interviews, surveys, and participant observation was used to study the mental health of Sub-Saharan migrants residing in Rabat, Morocco. These data collection methods were used to explore the various experiences migrants had pre-migration, during their migration journey, and post-migration. The migrants portrayed many negative, traumatic, and painful experiences. These experiences have caused a significant amount of pressure on the mental psyche of the migrants, manifesting itself in many physical and psychological problems. One common problem was a sense of disillusionment or lack of control over their bodies and situations. However, many of them do not seek the help of mental …

For A Public-Private Partnership To Achieve Migrant Health Equality In Morocco: A Cross-Analysis Of Integration Policies And Migrant Peer Educator Programs, Victoria Anders

Independent Study Project (ISP) Collection

Since the Moroccan Ministry in Charge of Moroccans Living Abroad and Migration Affairs (MRE) released its National Strategy on Immigration and Asylum in December 2014, MRE has put forth various policies and action plans to improve migrant integration in Morocco, including the need for their integration into the national healthcare system. Before that, most of the needs of the growing migrant population in Morocco were provided for by civil society and non-governmental organizations, who worked with severely underserved and isolated migrants often fearful and distrusting of the government and authorities. To overcome this resentment, these organizations had to develop community …

Queer Connections: Social Media As A Versatile Tool Of The Marginalized Moroccan Lgbt, Savannah Vickery

Independent Study Project (ISP) Collection

This paper examines the role of social media in the Moroccan LGBT sphere. It draws on personal narratives from LGBT men and women as well as activists in order to establish the various ways that social media is employed in the interests of the individual, the community, and the activist. While social media has been a tool to expand the LGBT community around the world, it is specifically and unusually useful in Morocco where there is considerable censorship of incoming and outgoing media. Additionally, many public displays of resistance are considered to be counter productive to the pro-LGBT movement because …

The Effects Of Job Characteristics On Home Care Workers’ Well-Being And Job Performance: Understanding The Psychosocial Effects Of Relational Care, Emily C. Franzosa

Dissertations, Theses, and Capstone Projects

Home care workers are the lowest-paid and most precarious segment of the health care industry. Although these workers provide critical, non-medical support that allows elderly and disabled individuals to remain in their homes, the workforce is highly unstable, due to low wages, a lack of supportive benefits like health coverage, paid leave and retirement support, poor working conditions and a physically and emotionally demanding workload. But a lack of consensus around the nature and value of home care has made “quality”, in terms of both jobs and care provision, difficult to define, measure or improve. While home care is a …

Research Brief: "Changes In Overall And Firearm Veteran Suicide Rates By Gender, 2001-2010", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about suicide rates and trends among female and male veterans. In policy and practice, veterans who have thoughts about suicide should contact services such as suicide hotlines, medical providers should assess veterans for suicidal risk, and the VHA should continue its impactful suicide prevention program. Suggestions for future research include studies to understand the trend of firearm suicides among female veterans and a study to provide more generalizable results.

Medication Management In Pediatric Chronic Illness: Should Patient Anxiety Be Considered?, Claire J. Hoogendoorn

Dissertations, Theses, and Capstone Projects

Introduction: There is growing support that psychological symptoms can impact various aspects of disease, well-being, and medical treatment for those with a chronic illness like Crohn’s disease (CD). Yet, almost no studies have examined whether psychological symptoms can influence management or efficacy of patient medication regimens. The aims of this project were to examine whether anxiety predicted pediatric patients’ level of medication management, medication prescription changes, and corticosteroid prescription and duration.

Method: A total of 105 pediatric patients ages 8-18 (M=14.5, SD=2.3) completed a validated anxiety questionnaire during a GI office visit (baseline). Prescribed IBD …

Estimation Of P(X > Y) When X And Y Are Dependent Random Variables Using Different Bivariate Sampling Schemes, Hani M. Samawi, Amal Helu, Haresh Rochani, Jingjing Yin, Daniel Linder

Biostatistics: Faculty Publications

The stress-strength models have been intensively investigated in the literature in regards of estimating the reliability θ = P (X > Y) using parametric and nonparametric approaches under different sampling schemes when X and Y are independent random variables. In this paper, we consider the problem of estimating θ when (X, Y) are dependent random variables with a bivariate underlying distribution. The empirical and kernel estimates of θ = P (X > Y), based on bivariate ranked set sampling (BVRSS) are considered, when (X, Y) are paired dependent continuous random variables. The estimators obtained are compared to their counterpart, bivariate simple random …

A Friend In Deed, Laura Meader

Colby Magazine

Children in need of surgery, refugee families, victims of abuse—Jacques Hermant steps up

Implementing An Mhealth System For Substance Use Disorders In Primary Care: A Mixed Methods Study Of Clinicians’ Initial Expectations And First Year Experiences, Marie-Louise Mares, David H. Gustafson, Joseph E. Glass, Andrew Quanbeck, Helene Mcdowell, Fiona Mctavish, Amy Atwood, Lisa Marsch

Dartmouth Scholarship

Millions of Americans need but don’t receive treatment for substance use, and evidence suggests that addiction-focused interventions on smart phones could support their recovery. There is little research on implementation of addiction-related interventions in primary care, particularly in Federally Qualified Health Centers (FQHCs) that provide primary care to underserved populations. We used mixed methods to examine three FQHCs’ implementation of Seva, a smart-phone app that offers patients online support/discussion, health-tracking, and tools for coping with cravings, and offers clinicians information about patients’ health tracking and relapses. We examined (a) clinicians' initial perspectives about implementing Seva, and (b) the first year …

Model Dialog “4d” Untuk Meningkatkan Kesadaran Multi Kultural Siswa Sma Di Kota Malang, Im Hambali

Jurnal Kajian Bimbingan dan Konseling

A counselor will be said to be professional if he is able to master the concepts and practice of assessment to understand students' conditions, needs and problems, master the theoretical and practical framework of Guidance and Counseling (BK), design a BK program, implement a comprehensive BK program, assess the process and results of BK activities , have awareness and commitment to professional ethics and master the concepts and practice of research in BK. This research is development research. The needs analysis stage was carried out using the survey method. However, in reality there are still many counselors who have not …

Hubungan Antara Keterampilan Sosial Dan Penggunaan Gadget Smartphone Terhadap Prestasi Belajar Siswa Sma Negeri 9 Malang, Tania Clara Dewanti, Widada Widada, Triyono Triyono

Jurnal Kajian Bimbingan dan Konseling

This study aims to determine the relationship between Social Skills and Use Gadgets Smartphone with Student Achievement SMA Negeri 9 Malang. This research is descriptive corelational. Total population of this study were 316 students with a total sample of 84 students. The sample selection using questionnaires and Likers scale and documentation in the form of report cards. Test requirements analysis using normality test and test linier. The analytical method used is multiple regression analysis. The results of this study indicate that: (1) There is a significant relationship between social skills and academic achievement obtained count r = 0.442> r table …