Medicine and Health Sciences Commons^™

Women’S Health Disparities And Midwifery Care: Spotlight On New Hampshire, Dorothy Hiersteiner

Publications from the Center for Women in Politics and Public Policy

New Hampshire faces significant obstacles to serving the nearly 6% of the population living in medically underserved areas. In addition, many residents of New Hampshire are uninsured, limiting their access to vital medical care. According to 2007-8 data, the racial/ethnic breakdown of New Hampshire residents is: 1% African American/black, 2% Hispanic, 94% non-Hispanic white and 3% Other. In 2005, 5.9% of the total New Hampshire population was foreign born.1 Since 1996, New Hampshire has seen increases in low birth weight births, cesarean births2, and infant mortality with racial/ethnic disparities reflected in most maternal and infant indicators.

Women’S Health Disparities And Midwifery Care: Spotlight On Maine, Dorothy Hiersteiner

Publications from the Center for Women in Politics and Public Policy

With a large percentage of its population living in rural areas, Maine faces obstacles to providing adequate prenatal and maternity care to many women. The vast majority (96.2%) of Maine residents are non-Hispanic white, 1.2% are African American/black, 1.4% are Hispanic and 1.2% have other racial/ethnic backgrounds.

Women’S Health Disparities And Midwifery Care: Spotlight On Vermont, Dorothy Hiersteiner

Publications from the Center for Women in Politics and Public Policy

In Vermont, racial and ethnic dispariti es in low birth weight and preterm birth rates exist alongside racial and ethnic disparities in health insurance coverage and use of preventative care. As of 2005, the percentage of racial and ethnic minorities in Vermont was approximately 3.3%, compared to 25% for the nation as a whole. In 2005, 3.4% of the Vermont population was foreign born.

Women’S Health Disparities And Midwifery Care: Spotlight On Rhode Island, Dorothy Hiersteiner

Publications from the Center for Women in Politics and Public Policy

Rhode Islanders face unique health disparities based on race, ethnicity and location. Just over six percent (6.3%) of the Rhode Island population is living in Primary Care Health Professional Shortage Areas (HPSAs), according to 2008 data. Native American and African American/black communities face particular health disparities, specifically in the areas of reproductive and infant health. In 2008, 79% of the Rhode Island population was non-Hispanic white, while 5% was African-American/black, 11% was Hispanic and 5% had other racial/ethnic backgrounds. In 2005, 12.4% of the total Rhode Island population was foreign born.

Body Image Satisfaction In Infant And Pediatric Cardiac Transplant Recipients As Adolescents, Danusia Nedilskyj

Loma Linda University Electronic Theses, Dissertations & Projects

With the long-term survival rate of infant and pediatric heart transplant recipients reaching as high as 85%, there is now a significant number of these youths entering adolescence. Although psychological factors thought to be associated with pediatric heart transplant have reached clearer delineation in the literature, few studies have been conducted. Given the emphasis on development typically seen in adolescence combined with the unique experience of receiving a heart transplant, factors such as body image, self-perception, stress and mood have emerged from the literature. As such, this study assessed psychosocial variables of body image satisfaction, self-concept, depression, and social stress …

Comparison Of Non-Surgical And Surgical Endodontic Retreatment: A Systematic Review, Robert Corr

Loma Linda University Electronic Theses, Dissertations & Projects

Primary root canal therapy has been shown to be a predictable procedure with a high degree of success ^1-4, however failures can occur after treatment. Treatment options for the preservation of teeth that have had previous endodontic treatment but demonstrate persistent disease include non-surgical (orthograde) or surgical (retrograde) endodontic retreatment, assuming the tooth is restorable, periodontally sound, and the patient desires to retain the tooth. The purpose of this study was to conduct a systematic review of the current available evidence to compare the clinical and radiographic outcomes of nonsurgical with those of surgical endodontic retreatment. Methodology began with …

Development Of A Lung Cancer-Specific Model For Support Group Interest, Laura Testerman

Loma Linda University Electronic Theses, Dissertations & Projects

Despite high levels of both emotional and physical distress and desire for utilization of support group services, lung cancer patients rarely participate in these supportive services. Lung cancer survivors’ interest in and use of supportive psychosocial services remains poorly understood, and Internet-based services may be of particular benefit to this population. The Behavioral Model for Vulnerable Populations, which emphasizes Predisposing (i.e., demographic as well as attitudes about support services), Enabling (i.e., accessibility of services), and Illness (i.e., need for services based on health) factors, was applied to the prediction of survivors’ behavioral intention to participate in face-to-face support groups (F2F) …

Client/Therapist Feedback And The Role Of The Alliance On Psychotherapy Outcomes, Elizabeth Preston Cisneros

Loma Linda University Electronic Theses, Dissertations & Projects

Through a system of patient-focused outcomes research which has employed a quality assurance system for tracking client progress in therapy, there has been consistent evidence that utilizing the system to identify those who are not responding to treatment and warning their therapist about the client’s risk significantly improves client outcomes in psychotherapy. Although outcomes have been improved, significant proportions of clients have treatment failures or see no improvement in therapy. Moreover, feedback to therapists appears to be most effective in improving outcomes for the minority of clients who are already at risk of treatment failure.

Attempts to augment the feedback …

Diagnosing And Treating Adhd: Discipline Differences, Lisa Marie Lliteras

Loma Linda University Electronic Theses, Dissertations & Projects

According to Barkley (2005), attention deficit hyperactivity disorder (ADHD) is one of the most common reasons children are referred to mental health workers in the United States and is now one of the most prevalent psychiatric disorders associated with childhood. The diagnostic criteria and labels for ADHD have changed over the last several decades, and with each change the prevalence rate for ADHD has increased (Wolraich & Baumgaertel, 1997). This increase in the prevalence of ADHD has led to a need for clinicians from different disciplines to assess and treat ADHD. As such, several guidelines from professional associations have been …

Envisioning Nevada’S Future: Goals & Strategies For Advancing Our Quality Of Life, Nevada Vision Stakeholder Group, Moody’S Analytics

Brookings Mountain West Publications

Nevada’s severe downturn has brought to light many of the long-term challenges facing the state. Not only is its economy subject to painful swings, but Nevada’s primary drivers— consumer services (primarily gaming, hospitality and housing) and resource extraction—will provide less support than they have in past business cycles. Less economic vitality will make it harder to offer Nevadans the quality of life they expect.

The importance of the economy to quality of life is equally clear—quality of life is a hollow promise without a healthy and supportive economy. Similarly, a proper fiscal structure—both in terms of spending and revenues—is critical …

Lsuhsc Facilities Daily Update: September 2010, Lsuhsc Property And Facilities Management

LSUHSC Facilities Daily Updates: 2010

LSUHSC Facilities Daily Updates from September 2010.

These updates describe damage and a timeline of repairs at the LSU Health Sciences Center - New Orleans campus due to Hurricane Katrina which made landfall August 29, 2005.

Lsuhsc Facilities Biweekly Update: September 2010, Lsuhsc Property And Facilities Management

LSUHSC Facilities Biweekly Updates: 2010

LSUHSC Facilities Biweekly Updates from September 24, 2010.

These updates describe damage and a timeline of repairs at the LSU Health Sciences Center - New Orleans campus due to Hurricane Katrina which made landfall August 29, 2005.

Life History And Narrative Analysis: Feminist Methodologies Contextualizing Black Women's Experiences With Severe Mental Illness, Marya R. Sosulski, Nicole T. Buchanan, Chandra M. Donnell

The Journal of Sociology & Social Welfare

This paper discusses a methodological approach to research that enhances critical analysis by contextualizing qualitative research findings within participants' individual experiences. We demonstrate the combined use of life history methods and feminist narrative analysis to explore Black women's everyday experiences with mental illness, from their perspectives. These interpretive methods reach beyond pathologized conceptions of identity and adjustment that often narrowly characterize mental illness among Black women. Instead, these methods holistically describe a participant's experiences and strategies she uses to pursue goals and enhance her life. The use of the methods is illustrated with examples from the life narrative of "Maria," …

Psychological Profiles In A Female Bariatric Surgery Sample, Aimee L. Donato

Loma Linda University Electronic Theses, Dissertations & Projects

Morbid obesity is an epidemic. Current literature suggests that people with morbid obesity tend to show increased levels of psychological dysfunction. This is especially pertinent to the clinicians who work with morbidly obese patients who seek bariatric surgery as the method for weight control. Surgery should be performed on patients who are psychologically ready to adjust to the stringent post-operative lifestyle.

The purpose of the present study was (1) to compare two groups of bariatric patients (a White group and a non-White group) on pre-surgery measures: specific scales on the Millon Behavioral Medicine Diagnostic (MBMD), the Beck Depression Inventory II …

Core Promoter Function In Brugia Malayi, Michelle Bailey

USF Tampa Graduate Theses and Dissertations

Previous studies have indicated that the promoters of the human filarial parasite Brugia malayi are unusual in that they do not exhibit the CAAT or TATAA sequences usually found in the core domains of promoters of most eukaryotic organisms. Analysis of the promoters of the ribosomal proteins showed that the region flanking the splice leader (SL) addition site plays an important role in transcription and may function as the core promoter domain in B. malayi. To test the hypothesis that the SL addition domain is the most important essential region of the ribosomal protein promoters, the SL addition site of …

Chronic Pain And Pain Management Among Older Veterans, Juyoung Park

Florida Public Health Review

The aim of the study was to examine chronic pain in older veterans (65+) and the pain treatment that they received at the Veteran Medical Center. Using a cross-sectional research design, a survey was administered to 107 older veteran participants with self-reported chronic pain recruited from outpatient centers of the Veterans Administration Medical Center: Pain Management Center, Geriatric Clinic, Arthritis Treatment Center, Mental Health Clinic, and Primary Care Clinic. Severity of pain, functional status, depression, spirituality, social support, and social network were assessed, and demographic data were collected. A majority of the participants (92.5%, n = 99) reported having had …

Erving Goffman As A Pioneer In Self-Ethnography? The “Insanity Of Place” Revisited*, Dmitri N. Shalin

Bios Sociologicus: The Erving Goffman Archives

This paper was presented at the Annual Meeting of the American Sociological Association, Atlanta, August 14, 2010. I wish to express my profound gratitude to all those who have helped preserve the memory of Erving Goffman by contributing a memoir to the Erving Goffman Archives. I am especially grateful to Frances Goffman Bay, Esther Besbris, and Marly Zaslov for providing family documents and invaluable recollections about Erving Goffman’s formative years, as well as to EGA board members whose practical assistance and good cheer sustained me throughout this project.

Goffman's Self-Ethnographies, Dmitri N. Shalin

Bios Sociologicus: The Erving Goffman Archives

An earlier version of this paper was presented at the Annual Meeting of the American Sociological Association, Atlanta, August 14, 2010. I wish to express my profound gratitude to all those who helped preserve the memory of Erving Goffman by contributing a memoir to the Erving Goffman Archives. I am especially grateful to Frances Goffman Bay, Esther Besbris, and Marly Zaslov for providing family documents and invaluable recollections about Erving Goffman’s formative years, as well as to EGA board members whose practical assistance and good cheer sustained me throughout this project.

The Feminization Of Hiv: Patriarchy As A Threat To Public Health In Ecuador – A Trans-Feminist Perspective, Fabián Espinosa Ma, Academic Director

Fostering Multicultural Competence and Global Justice: an SIT Symposium

This article attempts to analyze male sexual conduct in Ecuador and its determining role in the feminization of HIV. Male promiscuity, not only tolerated but celebrated by sexist discourse, severely impairs public health initiatives and remains one of the critical issues for both individuals and collectives struggling for structural changes in sexual politics. The exercise of citizenships, sustained by a new constitutional framework, embraces the principle of “subversion from within”, the only significant way of challenging heterosexist imaginaries and practices. This type of activism focuses on the formal and normative political dimension of sex and gender, but also and most …

Weighing In: A Critical Analysis Of New York City’S Calorie Labeling Law, Josephine Barnett

Publications and Research

The ‘obesity’ epidemic has The health of New York City Residents has been a significant concern of public health officials with the rates of obesity and diabetes ranking eighth of all cities nationally. The New York City (NYC) Board of Health laid the foundation and influenced the legislative efforts of means to address the ‘obesity-diabetes’ epidemic for public health officials consider this to be one of the major health concerns among Americans and particularly NYC residents. The major initiatives implemented by NYC official include: (1) a ban on trans-fat (2) a city registry of those with diabetes, and (3) menu-labeling. …

The Effect Of Proprioceptive Neuromuscular Facilitation Stretching On Flexibility, Muscle Power, And Aerobic Fitness, Dustin Rex

Graduate Theses

Proprioceptive neuromuscular facilitation (PNF) is a commonly used stretching technique in rehabilitation and athletic competition. The most accepted benefit associated with PNF has been for increasing flexibility; however its definitive effect on muscle power and aerobic fitness remains controversial and relatively unknown. The purpose of this study was to determine the effect of prolonged use of PNF on flexibility at the hip, muscle power of the hamstring and aerobic capacity measured during submaximal exercise. Testing this required the participation of 10 adults split into two groups, who were tested for flexibility, muscle power, and aerobic capacity at three levels based …

The Blood Drive Of Wku Greek Week: Issues Of Altruism, Egoism, Integration And Separation, Cynthia Halcyone Cotton

Masters Theses & Specialist Projects

This thesis focuses on the Blood Drive which takes place during the spring Greek Week event at Western Kentucky University. I primarily investigate the varying methods of negotiating issues of altruism and egoism in terms of the Blood Drive as well as way that the Blood Drive fits into the WKU Greek yearly cycle. I focus on issues of the process of identity in social Greek-letter organizations and how the process of this identity is renegotiated during the Blood Drive and other Greek events.

I interviewed people from several groups for this paper. Initially, I interviewed Blood Donor Recruitment Representatives …

Neural Reuse: A Fundamental Organizational Principle Of The Brain, Michael Anderson

Brain and Mind Institute Researchers' Publications

An emerging class of theories concerning the functional structure of the brain takes the reuse of neural circuitry for various cognitive purposes to be a central organizational principle. According to these theories, it is quite common for neural circuits established for one purpose to be exapted (exploited, recycled, redeployed) during evolution or normal development, and be put to different uses, often without losing their original functions. Neural reuse theories thus differ from the usual understanding of the role of neural plasticity (which is, after all, a kind of reuse) in brain organization along the following lines: According to neural reuse, …

Relationships Among Person And Environment Variables And Turnover Intention In Adults With Multiple Sclerosis, Wanda Shull

Graduate Theses and Dissertations

The organization and management literature presents a large base of research on the concept of turnover intention, i.e. the point at which a person decides to leave employment. What is known is that turnover intention is the precursor to employee turnover, yet very little research exists in the rehabilitation field to address this concept in terms of persons with chronic illness and disability. This study examines this variable in the population of adults with multiple sclerosis (MS). Employing multivariate analysis of variance (MANOVA) to analyze three blocks of variables and their impact on turnover intention, the results show that groups …

An Investigation Of Interpersonal Disruptions And Secondary Traumatic Stress Among Mental Health Therapists, Rachael Ann Robinson-Keilig

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Mental health therapists who work with victims of trauma are often exposed to vivid descriptions of traumatic events and strong emotional expressions from their clients. Research within the last fifteen years has started to explore the impact of this indirect form of trauma exposure on therapists who treat trauma clients.

The purpose of this study was to explore the prevalence of interpersonal and sexual disruptions as symptoms of secondary traumatic stress/vicarious trauma among practicing mental health therapists, to understand how various therapist characteristics predict interpersonal and sexual disruptions, and to explore the role that gender and prior trauma history play …

Is Everyone Rated Equal? An Examination Of Factors Related To Sexual Risk In Ethnically Diverse Male Adolescents Who Have Sexually Offended, Veronica Chavez

Department of Psychology: Dissertations, Theses, and Student Research

As the juvenile justice system has evolved, there has been a need for clinicians to make judgments about risk posed by adolescents who have committed sexual offenses. There are inherent difficulties in attempting to assess risk for violence among adolescents due to the developmental changes taking place and the absence of well-validated instruments to guide risk prediction judgments. With minority groups increasing in numbers in the U.S., it is likely that professionals will encounter minority individuals when conducting risk assessments. Overall questions regarding race/ethnicity have been neglected and there are few if any published research that explores risk factors with …

Predicting Problematic Approach Behavior Toward Politicians: Exploring The Potential Contributions Of Control Theory, Douglas Owen Cacialli

Department of Psychology: Dissertations, Theses, and Student Research

The potential merits of Carver and Scheier's (1981) control theory in the prediction of targeted violence are reviewed and several novel indicators of risk that are consistent with this theory are suggested for study. It was hypothesized that: (a) similarity between inappropriate contact with politicians and extremist group literature and writings; (b) the temporal proximity to violent or otherwise criminal actions and notable anniversaries of such groups; (c) detailed specification of a plan to engage in problematic approach behavior, and; (d) self-focus, will be significant predictors of problematic approach behavior. A sample of 506 individuals who engaged in threatening or …

Failure Of Intimate Partner Violence Screening Among Patients With Substance Use Disorders, Esther K. Choo, Christina Nicolaidis, Robert H. Jenkinson, Jessi M. Cox, Kenneth J. Mcconnell

School of Social Work Faculty Publications and Presentations

Objectives: This study examined the relationship between substance use disorder (SUD) and intimate partner violence screening (IPV) and management practices in the emergency department (ED). Methods: This was a retrospective cohort study of adult ED patients presenting to an urban, tertiary care teaching hospital over a 4-month period. An automated electronic data abstraction process identified consecutive patients and retrieved visit characteristics, including results of three violence screening questions, demographic data, triage acuity, time of visit, and ICD-9 diagnosis codes. Data on management were collected using a standardized abstraction tool by two reviewers masked to the study question. Multivariate logistic regression …

Lgb-Affirmative Therapists' Use Of Developmental Models Of Lgb-Identity In Therapy. A Phenomenological Investigation, Victoria E. Cane

Dissertations

Socially sanctioned hostility toward sexual minority persons continues to be a reality in the United States and worldwide. Therapists working with sexual minorities have responsibility to provide non-pathologizing, affirmative therapy to these clients. A central aspect of affirmative therapy is therapists' recognition and understanding of sexual orientation (SO) identity and developmental models of sexual minority identity have a played a vital role in promoting this understanding. Although such models have been central to the practice and training of affirmative therapy, therapists' applied use of the models has not been empirically investigated. For this phenomenological study, nine affirmative therapists were interviewed …

Asian Race/Ethnicity As A Risk Factor For Bile Duct Injury During Cholecystectomy., Stephanie R. Downing, Ghazala Datoo, Tolulope A. Oyetunji, Terrence Fullum, David C. Chang, Nita Ahuja

Manuscripts, Articles, Book Chapters and Other Papers

Iatrogenic bile duct injury (BDI) is an uncommon but serious complication of cholecystectomy, with identified risk factors of acute cholecystitis, male sex, older age, and aberrant biliary anatomy. The Nationwide Inpatient Sample (1998-2006) was queried for cholecystectomy performed on hospital day 0 or 1. Bile duct injury repair procedure codes were used as a surrogate for BDI. We identified 377,424 patients who underwent cholecystectomy, with 1124 BDIs (0.3%). On multivariate logistic regression analysis, Asian race/ethnicity was a significant risk factor for BDI (odds ratio [OR], 2.26; 95% confidence interval [CI], 1.59-3.23; P < .001). This persisted for laparoscopic (OR, 2.62; 95% CI, 1.28-5.39; P = .009) and open (2.21; 1.59-3.07; P < .001) cholecystectomies. No other race/ethnicity was identified as a risk factor for BDI. We report a new finding that Asian race/ethnicity is a significant risk factor for BDI in laparoscopic and open cholecystectomies.