Medicine and Health Sciences Commons^™

Survivorship, Infertility And Parenthood: Experiencing Life After Cancer In Puerto Rico, Karen Elizabeth Dyer

USF Tampa Graduate Theses and Dissertations

While incidence rates are increasing for many cancers in Puerto Rico, mortality rates are declining (Torres-Cintron, et al. 2010), resulting in growing numbers of survivors and creating a situation in which long-term survivorship concerns are beginning to emerge as priorities. The importance of quality-of-life among survivors of cancer is increasingly being recognized among healthcare providers, although there remains a gap in knowledge of how young adult survivors cope with long-term treatment-related physical effects, such as infertility, and of the impact of cancer on survivors' social relationships and future goals.

Because understandings of "cancer survivorship," as well as of reproduction, vary …

The Professionalization And Practice Of Lactation Consulting: Medicalized Knowledge, Humanistic Care, Aimee R. Eden

USF Tampa Graduate Theses and Dissertations

Breastfeeding support for mothers and their babies historically was the informal work of family and community members. In the United States today, breastfeeding support is embedded in the biomedical system, and is provided by a new allied health professional: the International Board Certified Lactation Consultant (IBCLC). This dissertation explores this professionalization of breastfeeding support and the origins of this new profession. It studies how IBCLCs working in the U.S. cultural context perceive and practice the profession and examines the relationship between the profession of lactation consulting and the medicalization of breastfeeding. Oral history interviews with 17 founders of the profession, …

The Effects Of Temporal Preparation On Reaction Time, Glen Robert Forester

USF Tampa Graduate Theses and Dissertations

When responding to external stimuli, preparation reduces Reaction Time (RT). One form of preparation known as temporal preparation results from advance knowledge about when a stimulus will appear. We used Event Related Potentials to investigate how increasing temporal preparation decreases RT during a speeded, choice RT task by manipulating temporal preparation within subjects. In order to determine which cognitive processes are speeded, the latencies of the Lateralized Readiness Potential (LRP) and P300 were examined across two levels of temporal preparation. In line with previous research the stimulus locked LRP, but not the response locked LRP, was speeded when temporal preparation …

Increasing The Relevance Of Research To Underserved Communities: Lessons Learned From A Retreat To Engage Community Health Workers With Researchers, Heather Angier, Noelle Wiggins, Jessica Gregg, Rachel Gold, Jennifer E. Devoe

Community Health Faculty Publications and Presentations

This article presents information on a community retreat developed to seek input from community health workers (CHWs) to increase the relevance of our research to underserved communities in Oregon. Retreats facilitating dialogue between researchers and CHWs could yield important insight to enhance the significance of research for communities.

Strengths And Limitations Of Qualitative Approaches To Research In Occupational Health Psychology, Irvin Sam Schonfeld, Joseph J. Mazzola

Publications and Research

Like all research methods, qualitative methods have strengths and limitations. This chapter describes seven strengths and five limitations. With an understanding of their strengths and limitations and how to minimize and/or balance them, occupational health psychology (OHP) researchers can benefit from qualitative methods. It is important to understand that qualitative findings do not establish generalizable cause-effect relations. However, qualitative methods can help an OHP researcher develop a theory of causality and derive hypotheses related to the theory and, thus, motivate quantitatively organized research designed to test the hypotheses. The challenge for the OHP researcher is to be mindful of what …

The Role Of Connectedness And Religious Factors On Bullying Participation Among Preadolescents In Puerto Rico, Melissa C. Mercado-Crespo

USF Tampa Graduate Theses and Dissertations

Relationships or connections with caring pro-social others (e.g., parents, teachers, school, friends, neighborhood, religion) serve as pro-resilience assets that may enhance children's abilities to cope with bullying. The purpose of this research study was to explore the roles of connectedness and religiosity as potential factors that could enhance resiliency against bullying among preadolescents in Puerto Rico (PR). This doctoral dissertation also addressed several gaps in the children's bullying, resilience and religiosity research literature.

A sample of 426 community-based afterschool program preadolescents (ages 10-12 years old) participated in this exploratory, cross-sectional study, by completing a quantitative questionnaire in paper and pencil …

Ethnic And Gender Differences In Psychosocial Factors In Native Hawaiian, Other Pacific Islanders, And Asian American Adults With Type 2 Diabetes, Jillian Inouye, Dongmei Li, James Davis, Richard Arakaki

Journal of Health Disparities Research and Practice

This study examined the differences between 207 Asians and Native Hawaiian, other Pacific Islanders (NHOPI) with type 2 diabetes among various psychosocial measures. Responses to five multivariable regression models including the Diabetes Quality of Life Questionnaire (DQOL) and Short Form -36® Health Survey (SF-36) were analyzed. Differences were determined by linear contrasts in the multivariate linear regression models after adjusted for multiple demographic and socioeconomic variables. Compared to Asians, NHOPIs perceived a lower impact of diabetes on their quality of life; highlighting differences in perceptions of self-efficacy and self-care activities. Females did better on their diet while males perceived better …

Housing, The Neighborhood Environment, And Physical Activity Among Older African Americans, Lonnie Hannon Iii, Patricia Sawyer, Richard M. Allman

Journal of Health Disparities Research and Practice

Abstract

This study examines the association of neighborhood environment, as measured by housing factors, with physical activity among older African Americans. Context is provided on the effects of structural inequality as an inhibitor of health enhancing neighborhood environments. The study population included African Americans participating in the UAB Study of Aging (n=433). Participants demonstrated the ability to walk during a baseline in-home assessment. The strength and independence of housing factors were assessed using neighborhood walking for exercise as the outcome variable. Sociodemographic data, co-morbid medical conditions, and rural/urban residence were included as independent control factors. Homeownership, occupancy, and length of …

Racial Disparities In Pain Management In Primary Care, Miriam Ezenwa

Journal of Health Disparities Research and Practice

This descriptive, cross-sectional, secondary data analysis was conducted to examine racial disparities in pain management of primary care patients with chronic nonmalignant pain using chronic opioid therapy. Data from 891 patients, including 201 African Americans and 691 Caucasians were used to test an explanatory model for these disparities. We predicted that: (1) African American patients would report worse pain management and poor quality of life (QOL) than Caucasians; (2) the association between race and pain management would be mediated by perceived discrimination relating to hopelessness; and (3) poor pain management would negatively affect QOL. Results revealed significant differences between African …

Successfully Climbing The "Stairs": Surmounting Failed Translation Of Experimental Ischemic Stroke Treatments, Michael Kahle, Gregory J. Bix

Sanders-Brown Center on Aging Faculty Publications

The Stroke Therapy Academic Industry Roundtable (STAIR) provided initial (in 1999) and updated (in 2009) recommendations with the goal of improving preclinical stroke therapy assessment and to increase the translational potential of experimental stroke treatments. It is important for preclinical stroke researchers to frequently consider and revisit these concepts, especially since promising experimental stroke treatments continue to fail in human clinical trials. Therefore, this paper will focus on considerations for several key aspects of preclinical stroke studies including the selection and execution of the animal stroke model, drug/experimental treatment administration, and outcome measures to improve experimental validity and translation potential. …

The 'Art' Of Medicine: Building A Caring Relationship With Clients, Lisa Barkley

UCF Forum

On the first day of school each year at the UCF College of Medicine, Dean Deborah German asks our incoming class of students what they think makes a “good doctor.”

Autonomic And Behavioral Reactivity To An Acute Laboratory Stressor, Jeremy C. Peres

LSU New Orleans Theses and Dissertations

Stress has been widely shown to directly influence people’s emotional and behavioral processing as well as their underlying biological systems. This project examined physiological and behavioral responses as indicators of stress and coping in the context of a psychosocial stressor in a controlled laboratory setting. We examined the association between indicators of behavioral coping and underlying physiological reactivity within participants while experiencing stress. Participants included 68 emerging adults. Physiological measures include autonomic biomarkers (e.g., heart-rate, skin conductance) at rest and during the stressor while behavioral indicators that were coded include acute verbal and non-verbal actions exhibited by participants during the …

Research Brief: "Psychopathology, Iraq And Afghanistan Service, And Suicide Among Veterans Health Administration Patients", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the connections between being a OIF/OEF veteran who receives care from the VHA and suicide mortality. In policy and practice, mental health screenings for OIF/OEF veterans should be implemented in non-VHA healthcare settings and families of OIF/OEF veterans should encourage veterans to seek treatment if they exhibit signs of a mental health condition. The VHA should implement policies that promote its healthcare to veterans in order to decrease suicide risks among veterans and should also offer more mental health screenings for recently returned veterans. Suggestions for future research include looking at risks for suicide after traumatic …

A Practical Scale For Multi-Faceted Organizational Health Climate Assessment, Zandra M. Zweber

Master's Theses

The current study sought to develop a practical scale to measure workplace health climate in a way that has not previously been conceptualized – as a three-faceted approach from the employee perspective serving as an indicator of a healthy organization. The goal was to create a short, useable yet comprehensive scale that could translate into practical use by organizations and occupational health professionals planning workplace interventions. To accomplish this, the proposed multi-faceted organizational health climate scale (MOHCA) assesses three-facets which match up with three organizational levels: 1) organization 2) supervisor and 3) workgroup. Ten items were developed and tested on …

Public Health Return On Investment: Making The Case, Glen P. Mays

Health Management and Policy Presentations

Fiscal pressures and policy imperatives have created a need for rigorous economic analyses of public health programs and policies. ROI analyses can reveal whether the benefits of public health strategies justify their costs, who realizes these benefits and costs, and under what circumstances.

Comparative Effectiveness Research And Patient Centered Outcomes Research In Public Health Settings: Design, Analysis, And Funding Considerations, Glen P. Mays

Health Management and Policy Presentations

The principles and methods of CER and PCOR have developed primarily with therapeutics in mind, but they must also be applied to the study of public health programs, policies, and delivery systems. This session surveys the emerging field, and provides examples of CER/PCOR methods applied in public health settings using practice-based research networks (PBRNs).

Research Brief: "Provider, Veteran, And Family Perspectives On Family Education In Veterans Affairs Community-Based Outpatient Facilities", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This research examines military family perspectives on community- based outpatient clinics (CBOC) and potential barriers to educational initiatives. Findings from this study indicate that although providers strongly support educating families about mental illness and PTSD, few providers are specifically trained to deliver this kind of education to families. Therefore policies should encourage providers to inform veterans and family members of CBOC family services. Further research in this field should include a more nationally representative and diverse sample of veterans.

Towards Integration: An Autoethnography On The Development Of Identity, Kanchana Henrich

Creative Arts Therapies Theses

This thesis is an autoethnography that explores my own experience of identity development. The intention of this research was to try and find an answer as to why I have not yet been able to develop a cohesive sense of self, in which I am able to accept and embody all of my seemingly disparate parts. I have thus far in my life felt scattered, and unable to accept both the cultures into which I was born, as well as the cultures to which I am organically drawn. Through introspection, reflective writing, and interviewing family members, I have been able …

Health & Wellness Page, Ilana A. Mesnard

Blogging the Library

Where is health on your priority list? Good health is crucial for all people, but especially for musicians (or athletes) who need their bodies in top performance shape. Musicians in the conservatory need to be aware of how to stay healthy. The purposes of the Health and Wellness Page are to promote good health, and to create awareness of reliable resources on healthy lifestyle choices as musicians. [excerpt]

Moving Toward Leadership: A Case Study Of Latina Adolescents And Effective Communication, Isela Estrada

Creative Arts Therapies Theses

The problem addressed in this study is the need for Latina adolescents to develop effective communication and leadership skills that will support their success in U.S. culture and society. This thesis is a case study of two Mexican-American adolescents who participated in a twelve-session leadership program at a dance studio. The goal of the study was to test the effectiveness of Rena Kornblum’s (2002) Disarming the Playground curriculum as a social skills program to improve leadership, effective communication skills, and group cohesion. This study included video footage of the adolescents engaging in movement-based role-play scenarios, which was examined using qualitative …

Supervision And Education As A Factor Of Self Efficacy In Novice Therapists, Natalie D. Dewitt

Graduate Theses

The hypothesis of this exploratory study is aimed at examining novice therapist’s self- efficacy towards counseling, observing self efficacy modifications during practicum, and creating implications for future therapists. There were 20 participants surveyed using the Counselor Self Efficacy Scale, as well as questions generated towards the education experience as well as the supervision experience. A Pearson’s correlation was conducted comparing the supervision and education experience, there was a negative correlation, resulting in the education experience decreasing as the supervision experience increased. A r-test was conducted and the difference in means was consistent with the Pearson correlation confirming higher supervision scores.

Lines In The Sand: Social Representations Of Substance Use Boundaries In Life Narratives, K. F. Trocki, L. O. Michalak, Laurie A. Drabble

Faculty Publications

This study identifies social representations in interviews about alcohol and substance use in the discourse of 129 young adults, who were interviewed for 2.5 to 3.5 hr each for their life histories and use or nonuse of alcoholic beverages and drugs. Respondents spontaneously delineated their substance use boundaries, creating a continuum of behaviors with boundary points separating acceptable from unacceptable behaviors. They used signaling expressions to indicate go and stop signs and movement along the substance use continuum and reported negotiating substance use boundaries both internally and with peers. A ubiquitous narrative element was the cautionary tale, in which a …

Progression Magazine, 2012-2013, Coastal Carolina University

Progression Magazine

Magazine of the College of Science at Coastal Carolina University.

Neuropsychological Outcomes In Adults Commencing Highly Active Anti-Retroviral Treatment In South Africa: A Prospective Study, John Joska, John Joska, Jennifer Westgarth-Taylor, Jacqueline Hoare, Kevin Thomas, Robert Paul, Landon Myer, Dan Stein

Psychology Faculty Works

BackgroundInfection with HIV may result in significant neuropsychological impairment, especially in late stage disease. To date, there have been no cohort studies of the impact of highly active anti-retroviral treatment (HAART) in South Africa where clade C HIV is predominant.MethodsParticipants in the current study were recruited from a larger study of HIV-associated neurocognitive disorders (HAND) and included a group of individuals commencing HAART (n = 82). Baseline and one-year neuropsychological function was assessed using a detailed battery, and summary global deficit scores (GDS) obtained. Associations with change in GDS were calculated.ResultsParticipants had a median CD4 cell count of 166 at …

Neuroanatomical Substrates Of The Disruptive Effect Of Olanzapine On Rat Maternal Behavior As Revealed By C-Fos Immunoreactivity, Changjiu Zhao, Ming Li

Department of Psychology: Faculty Publications

Olanzapine is one of the most widely prescribed atypical antipsychotic drugs in the treatment of schizophrenia. Besides its well-known side effect on weight gain, it may also impair human parental behavior. In this study, we took a preclinical approach to examine the behavioral effects of olanzapine on rat maternal behavior and investigated the associated neural basis using the c-Fos immunohistochemistry. On postpartum Days 6–8, Sprague-Dawley mother rats were given a single injection of sterile water or olanzapine (1.0, 3.0 or 5.0 mg/kg, sc). Maternal behavior was tested 2 h later, after which rats were sacrificed and brain tissues were collected. …

Children And Adults With Long Term Services And Support Needs: Mainecare And Medicare Expenditures And Utilization, State Fiscal Year 2010, Stuart Bratesman Mpp, Julie T. Fralich Mba, Tina Gressani, Eileen Griffin Jd

Disability & Aging

This report is one of a series of reports prepared by the USM Muskie School on MaineCare members who are dually eligible for MaineCare and Medicare Services. An earlier report provided a high level overview of the MaineCare and Medicare use and expenditure patterns for all members who were dually eligible in state fiscal years (SFY) 2008 to 2010. Both reports were prepared as part of the Maine State Profile Tool grant funded by the Centers for Medicare & Medicaid Services. This second report analyzes the characteristics, use and expenditure patterns of sub-populations of long term service users including adults …

Message From The Senior Vice Provost And Dean Of Undergraduate Studies, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Notes From The Director, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Acknowledgements, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Transforming The Healthcare Response To Intimate Partner Violence And Taking Best Practices To Scale, Michele R. Decker, Shannon Frattaroli, Brigid Mccaw, Ann L. Coker, Elizabeth Miller, Phyllis Sharps, Wendy G. Lane, Mahua Mandal, Kelli Hirsch, Donna M. Strobino, Wendy L. Bennett, Jacquelyn Campbell, Andrea Gielen

CRVAW Faculty Journal Articles

BACKGROUND: Intimate partner violence (IPV) is prevalent among adolescent and adult women, with significant physical, sexual, and mental health consequences. In 2011, the Institute of Medicine's Clinical Preventive Services for Women consensus report recommended universal screening for violence as a component of women's preventive services; this policy has been adopted by the Health Resources and Services Administration (HRSA). These policy developments require that effective clinic-based interventions be identified, easily implemented, and taken to scale.

METHODS: To foster dialogue about implementing effective interventions, we convened a symposium entitled "Responding to Violence Against Women: Emerging Evidence, Implementation Science, and Innovative Interventions," on …