Medicine and Health Sciences Commons^™

Understanding Turnover Propensity Via Affective Beliefs, Adam Bradshaw

Theses and Dissertations

Three latent variable models examined relationships among neuroticism, situation-specific affective beliefs, and turnover propensity and were evaluated with Structural Equation Modeling to determine model fit. Results provided additional insight into how affective belief systems relate to turnover propensity reinforcing and expanding upon previous research by Binning, Bradshaw, LeBreton, and Scheier (2010) as the Correlated Antecedents and the Mediated Antecedents Models fit the data as proposed. Neuroticism and situation-specific affective beliefs continue to play distinguishable roles in explaining turnover propensity. Research by Binning et al. (2010) and the present study make it increasingly clear that understanding how affective belief systems relate …

Personal Characteristics And Learning Preference In End-Of-Life Decision Making Of Chronically Ill Community Dwelling Elders, Leigh Ann Bonney

Theses and Dissertations

Leigh Ann Bonney, RN, MSN; Susan Kossman, RN, PhD; MyoungJin Kim, PhD; Wendy Woith, PhD, Caroline Mallory, PhD

Illinois State University, Mennonite College of Nursing

Personal Characteristics and Learning Preference in End-of-Life Decision Making of

Chronically Ill Community Dwelling Elders

Purpose and Background: Clear decision-making (DM) about end-of-life [EOL] contributes to a good death This requires knowledge of life-sustaining treatment with lack of knowledge contributing to feelings of decisional conflict Decision aids can increase knowledge, but elders' preferred learning methods are unknown. Identifying characteristics associated with preferred learning method and decisional conflict can help nurses tailor information to assist in …

Parents' Treatment Of Their Children's Pain At Home: Pharmacological And Non-Pharmacological Approaches, Ayala Y. Gorodzinsky

Theses and Dissertations

During childhood, individuals often experience pain on a daily or nearly daily basis (American Academy of Pediatrics and American Pain Society, 2001). Pain can be treated using pharmacological or non-pharmacological techniques. This study will focus on the techniques provided by parents, since parents most often treat children's painful experiences at home (Finley, McGrath, Forward, McNeill & Fitzgerald, 1996). The processes involved in parental decision-making regarding which techniques to use include a combination demographic, availability and perceived need factors (Andersen, 1995). Seven hundred and fifty-six parents of children 6 to 17 years completed a survey regarding use and effectiveness of pharmacological …

Essays In Health Economics And Public Health Policy, Rahi Abouk

Theses and Dissertations

This dissertation consists of three essays. In the first essay I study the effect of texting bans on fatal accidents on roadways. Since 2007, many states passed laws prohibiting text messaging while driving. Using vehicular fatality data from across the United States and standard difference-in-differences techniques, bans appear moderately successful at reducing single vehicle, single occupant accidents if they are universally applied and enforced as a primary offense. Bans enforced as secondary offences, however, have at best no effect on accidents. Any reduction in accidents following texting bans is short-lived, however, with accidents returning to near former levels within a …

Medicina Del Barrio: Shadow Medicine Among Milwaukee's Latino Community, Ramona Chiquita Tenorio

Theses and Dissertations

As a result of exclusionary state and federal policy decisions on immigration and health care, marginalized immigrants often seek health care in the shadows of U.S. cities through practitioners such as curandera/os (healers), huesera/os (bonesetters), parteras (midwives), and sobadora/es (massagers). under the radar of biomedical practice. This research focuses on this phenomenon in the context of globalized social networks and health care practices of marginalized Latino immigrants in Milwaukee, Wisconsin, and within the broader economic and political context in this country. Latino immigrants continue practicing forms of their medicine even after immigrating to this country. People do not just throw …

Immediate Early Gene Expression In Medial Prefrontal Cortex And Hippocampus As A Function Of Aging, Megha Sehgal

Theses and Dissertations

Normal aging is accompanied by cognitive decline that differs from other aging-related pathological states like Alzheimer's disease. With an increasing proportion of the world population falling in an age group of 65 years and above, a preventive gerontological approach would improve the quality of life in the elderly. Especially important in this regard is the early detection of cognitive decline, so that appropriate measures can be taken to prevent development of cognitive deficits. Impairment in cognitive flexibility, the ability to modify a previously learnt behavior, is one such measure of impairment across species in aged animals. Previous work from our …

Relationship Between Hpv Vaccination And Sexual Activity, Sexual Health Care Utilization, And Perceived Risk, Danielle Lee Jirovec

Theses and Dissertations

The relationship between sexual activity, sexual health care utilization, and perceived risk for HPV-related outcomes was examined in sample of college women, to explore recent concerns that HPV vaccination may be related to an increase in risky sexual behaviors. Vaccinated and not vaccinated women completed an anonymous, online survey including age of vaccination, age at each sexual partner, condom use, use and intentions to use sexual health care services, and perceptions of risk. Vaccinated women also reported perceptions of change because of vaccination. Women were matched on age, race, and poverty status. Number of partners since vaccination was calculated among …

Investigation Of Web-Based Motivational Interviewing To Increase Physical Activity Participation Among Adults, Sasha Karnes

Theses and Dissertations

Interventions to enhance physical activity (PA) participation are needed given the high prevalence of under-activity and inactivity (CDC, 2001) and related occurrence of negative health consequences among the general adult population (Kung, Hoyert, Xu, & Murphy, 2008). Preliminary support for a therapeutic technique called Motivational Interviewing (MI) suggests promise for application to enhance PA participation (Burke, Arkowitz, & Menchola, 2003). Given the need for interventions to enhance PA and the preliminary support for MI as an intervention to increase PA, the aims of the current study were to: (a) determine if web-based MI is effective in enhancing PA participation, and …

The Ticking Of The “Biological Clock”: Worry About Future Fertility In Nulliparous Women, Karen E. Kersting

Theses and Dissertations

Abstract

Title: The Ticking of the “Biological Clock”: Worry about Future Fertility in Nulliparous Women

By: Karen Kersting, M.A., M.S.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University.

Virginia Commonwealth University, 2013.

Major Director: Kathleen M. Ingram, J.D., Ph.D.

Associate Professor of Psychology

Department of Psychology

Modern women are waiting until later in their lives to have children than women of previous generations, a trend influenced by a number of factors including financial stability, dating norms, and career goals and responsibilities. As women age, their fertility may decline …

The Relationship Among Maternal Parenting Stress, Coping, And Depressive Symptoms Across Time, Karen Foren Lake

Theses and Dissertations

This study was a secondary analysis in which the relationship among maternal parenting stress, coping, and depressive symptoms over time in 161 low-income mothers who participated in an Early Head Start Pathways Project were examined. Measurements were assessed longitudinally over a 12 year period of time. Direct and indirect relationships were proposed between maternal mastery, pre-existing depressive symptoms, relationship with significant other, child behavior, child temperament, maternal parenting stress, coping, and later depressive symptoms. Results from path analyses showed that when assessed earlier in the childbearing years, mastery, depressive symptoms, relationship with significant other, child temperament, child behavior, and maternal …

An Anaylsis Of Patient-Physician Discourse: Comparing Physician Diagnostic Scripts To Patient Social Script Expectations, Denis Grimes

Theses and Dissertations

This study examines how participants interpret physicians' diagnostic discourse and physician interruptions during the patient's disclosure of problems and concerns. Using medical diagnostic scripts written for upper respiratory infections, participants' reactions to physician attentiveness and physician interruptions were measured. When physicians interrupt patients during the patient's disclosure of problems and concerns, interruptions violate patient's social script expectations and negatively affect patient satisfaction. Physicians' demonstrations of attentiveness and explanations of the purposes for the interruptions do not compensate for interruption's effects, and satisfaction with physician behavior is reduced.

Quality And Coordination Of Care For Persons With Brain Injury In The Community: Developing A Survey, Brian Philip Johnson

Theses and Dissertations

Background: Because of increasing demand on primary care physicians and a complex, fragmented, healthcare "system", people now must coordinate their own healthcare and services. In response, care coordination has become a clinical specialty, typically done by nurses or social workers. People with disabilities (PWD) also must coordinate their care, including health and disability-support services, knowing who to call, advocating for themselves, and scheduling appointments, among other things. Such demands can be particularly problematic after brain injury, which may impair abilities to prioritize, coordinate, manage, and schedule activities. Coordinating services requires participation of the PWD, and supportive significant others (SSO). At …

Cyberspace And Real-World Behavioral Relationships: Towards The Application Of Internet Search Queries To Identify Individuals At-Risk For Suicide, Casey C. Miller

Theses and Dissertations

The Internet has become an integral and pervasive aspect of society. Not surprisingly, the growth of ecommerce has led to focused research on identifying relationships between user behavior in cyberspace and the real world - retailers are tracking items customers are viewing and purchasing in order to recommend additional products and to better direct advertising. As the relationship between online search patterns and real-world behavior becomes more understood, the practice is likely to expand to other applications. Indeed, Google Flu Trends has implemented an algorithm that accurately charts the relationship between the number of people searching for flu-related topics on …

Combating Biological Terrorism From Imported Food, Jeffrey S. Nelson

Theses and Dissertations

There is a threat that a terrorist or terrorist organization will use access to the US food supply to kill or sicken Americans by contaminating imported food products from Mexico. The food that Americans eat is coming more and more often from foreign countries such as Mexico. Foodborne diseases infect nearly fifty million people in the US each year, resulting in over three thousand deaths. There are many terrorist organizations that would like to deliberately contaminate American food. Drug cartels and terrorist organizations currently operate in Mexico, one of the leading food importers into the US. The purpose of this …

Forecasting Mental Health Care Cost For Oif And Oef Veterans, Phil Andrew L. Bernal

Theses and Dissertations

The war in Iraq has been the longest sustained ground combat that the US military has engaged since the Vietnam War. With the ongoing battle against the global war on terrorism, many military personnel will be deployed to hostile areas in support of these operations. The effects of multiple deployment and combat engagement on the mental health of military personnel have been extensively studied. The impacts of mental illnesses, such as PTSD, are tied to longer period in the combat zone. Meeting the psychiatric needs of these veterans will be costly: rehabilitation, retraining, post combat counseling, long-term medical treatment, and …

Implementacion And Strengthening Of Family Orchards For The Diversification Of The Diet And To Improve The Consumption Of Vegetables And Available Fruits In The Communities Of The Rinconada And Cuambo In The Period 2001-2002, Guido Arellano

Theses and Dissertations

The general objective of this investigation was to implement and strengthen family orchards for the diversification of the diet and improvement of the consumption of vegetables and fruits available in the communities of the Rinconada and Cuambo. They collaborated in the implementation and strengthening of the family orchards and by means of focal group techniques determined the readiness, seasonal variance, and alimentary habits of the available vegetables and fruits. They made 10 nutritive preparations in each community in participating shops with the foods that were harvested in the orchards and with the help of consistent educational material as 2 three-page …

Creation Of Three Nutritional Mixes Based On Amaranth (Amaranthus Caudatus) And Other Andean Crops For School-Aged Children (Cochabamba-Bolivia), Sandra Carola Delgadillo Barriga

Theses and Dissertations

In Bolivia we have three very valuable Andean grains: amaranth (Amaranthus caudatus), quinoa (Chenopodium quinua), and canihua (Chenopodium pallidicaule), which combined with cereals and legumes can become a complete and balanced food in order to combat the malnutrition that is so widespread in our region. In this study, various nutritional mixes were formulated, based on amaranth and other Andean crops, and the three best were chosen according to nutrition, palatability, and cost. They were: Andean Baby Food, Mixicereal, and Amaranth Cookie, which have an amino acid complement between 79% and 100% and give satisfactory amounts of protein, energy, and minerals …

Eating, Nutrition And Of Health Diagnostic Of The Elementary Schools Of The Communities Of Guambo And The Rinconada, Province Of Imbabura 2002-2001, Ruth Muriel

Theses and Dissertations

The rural communities of the province of Imbabura present multiple problems of environmental, educational, and economic kind. Previous studies show that the rural communities of the Ecuadorian population present serious problems of health and nutrition, among those that excel are: poliparasitosis, respiratory infections and diarrheal, malnutrition, deficiency of micro nutrients, sanitary deficiency, scarce economic resources and low level of instruction. All these factors have caused a decrease in the productive capacity of the country and affected their level of development. In addition, delay exists in size in the students, which leads to a decrease in the capacity for physical work, …

Relation Between Internal Parasites With Basic Services And The Nutritional Status Of Children Five Years Of Age In The Indigenous, Black And Mestizo Communities Of The Rural Area, Imbabura Province, R. Patricio Paguay Ruiz

Theses and Dissertations

Various studies have been done to determine the prevalence of anemia in our country, but these studies don't reflect the true magnitude of this sickness, considered in Ecuador a problem of public health since these investigations correspond to urban sectors and margins and not to rural places where the care is very deficient and in certain cases useless, mainly because of the difficult access and the lack of economic resources of the government institutions. The current work was realized in coordination with the school of Nutrition and Dietetics and with the help of the Benson Agriculture and Food Institute was …

Family-Of-Origin Distress And Intimacy In Later-Life Couples, Paul James Birch

Theses and Dissertations

Married couples aged 55-98 were surveyed regarding their perceptions of family-of-origin distress, their affective communication and problem solving communication skills, and their emotional intimacy. Two 2-way ANOVAs were performed with husbands' (model 1) and wives' (model 2) emotional intimacy scores as dependent measures and family-of-origin distress scores as the independent measures. Then both models were re-analyzed with affective communication and problem solving communication entered as co-variates. Results suggested that for both husbands and wives, emotional intimacy was affected by family-of-origin distress. Additionally, intimacy was affected by the distress in their spouses' family-of-origin in both models. Post-hoc analyses suggested that as …

Oral Performances As Ritual: Animating The Invisible In Mormon Women's Miscarriage Stories, Kristin Leifson Ballif

Theses and Dissertations

This thesis is comprised of ten Mormon women's miscarriage stories and it is their stories that are used as the text for my analysis. The purpose of the study is to provide a space for these women to share their experiences and to reveal their cultural values and beliefs. Because the women are all Mormon, there are some distinctive cultural and religious values that are shared within their stories and it is these aspects that are analyzed and discussed within the text.

Women need to be able to share their miscarriage stories so as to alleviate feelings of isolation and …

Determination Of The Presence Of Antibiotics And Bacterial Pathogens With Their Susceptibility In Fresh Milk From The San Nicolas Community And The Cities Of Penipe, Guano, And Chambo In The Chimborazo Province, Lupe Marín

Theses and Dissertations

This study is entitled, “determination of the presence of antibiotics and bacterial pathogens with their susceptibility in fresh milk from the San Nicolas community and the cities of Penipe, Guano, and Chambo in the Chimborazo province”. It was funded by the Benson Institute of Brigham Young University and Nestle. The objectives were: 1) to determine the presence of antibiotics in fresh milk from the San Nicolas community and the cities of Penipe, Guano, and Chambo, 2) to determine the presence of bacterial pathogens in milk from the places previously mentioned, and 3) to detect the susceptibility of the isolated bacteria …

Nutritional And Food Situation Of Five Communities Of Canaviri, Colina Blanca, Villa Arriendo, Puente Arriba And Pocohata, Department Of La Paz, Bolivia, Juana F. Moraima Gonzáles Tapia

Theses and Dissertations

The following work seeks to address the necessity that the inhabitants of the impoverished regions in Bolivia experience, as is the case of the highland region of Paceno, which is the understanding of their nutritional and alimentary situation. We studied the communities of Canavari, Pocohata, Colina Blanca, Puente Arriba, and Villa Arriendo de la Provincia Ingavi, in the province of la Paz.
The studied variable was the nutritional sta te, having as parameters: physical and economical availability of the food, food consumption, nutritional habits, biological usage of the food, basic sanitary conditions, and the educationallevel of the heads of family. …

The Effects Of Religious Affiliation And Attendance On Illicit Sexual Behavior And Substance Abuse, Thomas W. Zane

Theses and Dissertations

A sample of 7724 college students in Washington and Utah was selected to study the relationships of religious activity and religious affiliation to illicit sexual behaviors, use of marijuana, and getting drunk. For all religious affiliations (except for the Jews), there were significant correlations between church activity and the measured illicit behaviors. LDS rates of behavior were significantly lower at <.001 for the five illicit behaviors. Two factor analyses were calculated to determine which sexual behaviors would load on a single factor and which substances would load on another factor. Extramarital coitus, heavy petting, and passionate kissing formed the first "sexual" factor. The use of beer, liquor, and marijuana combined with the behavior getting drunk to form the "substance-abuse" factor. A canonical analysis reported a moderate relationship with a canonical coefficient of .534 between the two factors. A discriminant analysis based on each subjects' religious affiliation and activity level yielded a 70-80 percent correct classification percentage.

Mental Health Status Of Vietnamese Refugees In Utah County, Utah, David A. Acree

Theses and Dissertations

This study attempted to measure mental health status of Vietnamese refugees in Utah County, Utah. The test instrument used was the Cornell Medical Index (CMI). Two subproblems were considered: First, to see if refugee complaints on the CMI were predominantly physiological or psychological. Second, to see if there was a relationship between CMI scores and a related list of demographic variables.

Results showed the mean CMI score for the sample under study was well above the suggested score indicative of possible psychological dysfunction. For 80% of participants, psychological complaints were predominant over physical complaints. The only variables showing a relationship …

A First Aid Teaching Unit For The Missionary System Of The Church Of Jesus Christ Of Latter-Day Saints, Glenn R. Schiraldi

Theses and Dissertations

The intent of this study was to develop a sixty minute, mediated practical first aid teaching unit for the missionary system of the Church of Jesus Christ of Latter-day Saints.

Socioeconomic And Medicare Status Differences Between Elderly Church Service And Lds Private Pay Hospital Patients, Edward L. Soper

Theses and Dissertations

The purpose of this study was to determine the kind and degree of differences that existed in the socioeconomic status and access to financial resources of elderly members of the Church of Jesus Christ of Latter-day Saints, and to determine if differences existed between Church Service and private pay elderly hospital patients in economic status, type of housing, housing costs, marital status, sex, number and degree of access to children, savings and other assets.

Certain elderly members of the LDS Church were found to be significantly deficient economically because of inadequate income, low lifetime earnings and high medical expenses. Findings …

Relief Society Grain Storage Program, 1876-1940, Jessie L. Embry

Theses and Dissertations

This thesis will describe and interpret the development of this Relief Society wheat storage program from its inception in 1876 to 1940 when the program was transferred to the General Church Welfare Committee. Emphasis will be placed on the sisters' attempts to store grain and the problems they encountered. The thesis will also discuss the effects of outside forces on the program and the different ways the sisters used the grain. The final chapter will deal with the relationship between the movement and the history of the Relief Society and its parent organization, the Mormon Church.