Medicine and Health Sciences Commons^™

Identifying Compliance Issues In The Community Health Care Clinic Environment, Faye K. Beery

Graduate Theses

This study explored the high number of failed appointments and follow-up appointments at a community health care children’s clinic. A thirty-seven item questionnaire was randomly given to 112 participants seeking health care at the clinic on a random basis. Based on literature reviews, five hypothesis were generated to examine reasons for failing to keep appointments for children: 1. Communication difficulties between healthcare personnel and parents regarding patient comprehension of instructions and bottle directions were anticipated. 2. Patient/physician/clinic relationships were expected to influence patient compliance. The need for more reminder calls for appointments was anticipated to be a factor in patient …

All The News That’S Fat To Print: The American "Obesity Epidemic" And The Media, Natalie Boero

Faculty Publications, Sociology

Increasingly the term epidemic is being used to describe the current prevalence of fatness in the United States. Skyrocketing rates of obesity among all groups of Americans, particularly children, the poor, and minorities, have become a major public health concern. Indeed, it is difficult to open a newspaper or magazine without encountering a discussion of the expanding American waistline and the health problems associated therewith. In this paper I use 751 New York Times articles on obesity to examine the media construction of the obesity epidemic. I show that there is not one dominant discourse (i.e. medicine) constructing this epidemic, …

Information Interface - Volume 31, Issue 2 - August/September 2003, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users. Includes articles on computer network improvements, PDA resources, the annual book sale, and database search tips.

The Effect Of Task Versus Ego Oriented Feedback On Exercise Enjoyment, Marc Fields

Masters Theses & Specialist Projects

Intrinsic motivation has been shown to be a very important factor in exercise adherence. Research has found that factors such as exercise intensity, social feedback, goal orientation and perceived climate can affect intrinsic motivation. The purpose of this study was to assess situational goal orientation, specifically whether individuals in a task induced condition or ego induced condition would report different levels of intrinsic motivation (i.e., enjoyment, tension, effort and competence during exercise). Participants (N= 114) rode on an exercise bike for 24 minutes at a moderate intensity. A MANCOVA factorial design was used to examine differences in intrinsic motivation. The …

Effects Of Perceived Costs And Rewards On Motivation And Retention Of Rape Crisis Center Volunteers, Amanda Grissom

Masters Theses & Specialist Projects

The purpose of this study was to obtain information that may assist Rape Crisis Center (RCC) volunteer coordinators and executive directors in the recruitment and retention of volunteers. The major hypotheses guiding this study are as follows: (a) the reasons that initially motivated volunteers to volunteer at the RCC will be the same as their reasons for why they are continuing to volunteer at the RCC and (b) volunteers at RCCs continue to volunteer because the perceived costs of volunteering do not exceed the perceived rewards of volunteering. Using a modified version of Black's (1989) questionnaire, respondents were asked to …

Group Therapy For Incarcerated Women Who Experienced Interpersonal Violence: A Pilot Study, Rebekah G. Bradley, Diane R. Follingstad

CRVAW Faculty Journal Articles

This study evaluated effectiveness of group therapy for incarcerated women with histories of childhood sexual and/or physical abuse. The intervention was based on a two-stage model of trauma treatment and included Dialectical Behavior Therapy skills and writing assignments. We randomly assigned 24 participants to group treatment (13 completed) and 25 to a no-contact comparison condition (18 completed). We evaluated treatment effects, using the Beck Depression Inventory, Inventory of Interpersonal Problems, and Trauma Symptom Inventory. The data demonstrate significant reductions in PTSD, mood, and interpersonal symptoms in the treatment group.

Predictors That Affect The Caregiver's Health Status And The Role Of Social Support On The Caregiver's Health Status, Hong Wang

All-Inclusive List of Electronic Theses and Dissertations

This study examines whether the caregiver's self-rated health status is affected by the caregiver's demographic characteristics (age, education level, and income), caregiver's stressor (the number of ADL and IADL), mediating variables of the caregiver's appraisal (willingness to help non-family members, level satisfaction with life, and financial burden), of and mediating variable of social support (information and/or advice from other family members or friends). Data were drawn from Chronic Illness and Caregiving, a national telephone survey conducted by Harris Interactive Inc. on behalf of The Robert Wood Johnson Foundation, Johns Hopkins University, and Partnership for Solutions. The sample size of caregivers …

The Relationship Of Attitude, Social Influence, And Self-Efficacy To Diabetes Type Ii Outcomes, Autumn L. Keefer-Ward

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study was to investigate the Attitude-Social Influence-Self Efficacy model and its relationship to Type II diabetes outcomes. One hundred-twelve adults ages 55-75 with Type II diabetes were recruited from a physician's office in West Central Indiana. Participants completed instruments that assessed (a) attitude, (b) social influence of the physician, (c) diabetes-specific self-efficacy, and (d) diabetes-specific quality oflife. A measurement of metabolic control was also obtained. Multiple regressions were performed using ( a) quality of life, and (b) metabolic control as criterion variables. Only one subscale of the self-efficacy variable scale, Managing the Psychosocial Aspects of Diabetes, …

Next-Of-Kin Perceptions Of Physician Responsiveness To Symptoms Of Hospitalized Patients Near Death, Joel C. Cantor, Jan Blustein, Matthew J. Carlson, David A. Gould

Sociology Faculty Publications and Presentations

Many different medical providers visit critically ill patients during a hospitalization, and patients and family members may not feel any physician is truly in charge of care. This study explores whether perceiving that a physician was clearly in charge is associated with reports by surviving next of kin about the responsiveness of physicians to symptoms in hospitalized patients near the end of life. We conducted telephone interviews with surviving next of kin of adult patients (n = 1107) who died in one of five New York City teaching hospitals between April 1998 and June 1999 after a minimum 3-day inpatient …

Can You Just Say No? The Impact Of Critical Thinking On Advertisement Activated Alcohol Expectancies, Sarah A. Forbes

All-Inclusive List of Electronic Theses and Dissertations

Alcohol expectancies appear to be the crux of alcohol advertisement effectiveness. Research has supported the notion that alcohol expectancies predict future drinking, but the expectancies must be activated by cues before they can influence drinking. Alcohol ads are one possible cue. The extent to which ads activate these expectancies could predict the extent to which drinking is influenced. One way to test this idea was to vary participants' attention to alcohol ads, thus varying expectancy activation. This study also examined whether or not critical thinking could undo the influence of activated expectancies. Four conditions were created for the study: control, …

Inside Unlv, Gian Galassi, Carol C. Harter, Gale Sinatra

Inside UNLV

No abstract provided.

Adrenocortical Adenoma And Carcinoma: Histopathological And Molecular Comparative Analysis, A. Stojadinovic, M. F. Brennan, A. Hoos, A. Omeroglu, Denis H. Y. Leung, M. Dudas, A. Nissan, C. Cordon-Cardo, R.A. Ghossein

Research Collection School Of Economics

We compared histomorphological features and molecular expression profiles of adrenocortical adenomas (ACAd) and carcinomas (ACCa). A critical histopathological review (mean, 11 slides per patient) was conducted of 37 ACAd and 67 ACCa. Paraffin-embedded tissue cores of ACAd (n = 33) and ACCa (n = 38) were arrayed in triplicate on tissue microarrays. Expression profiles of p53, mdm-2, p21, Bcl-2, cyclin D1, p27, and Ki-67 were investigated by immunohistochemistry and correlated with histopathology and patient outcome using standard statistical methodology. Median follow-up period was 5 years. Tumor necrosis, atypical mitoses, and >1 mitosis per 50 high-power fields were factors that were …

Gaze-Centered Updating Of Visual Space In Human Parietal Cortex., W Pieter Medendorp, Herbert C Goltz, Tutis Vilis, J Douglas Crawford

Brain and Mind Institute Researchers' Publications

Single-unit recordings have identified a region in the posterior parietal cortex (PPC) of the monkey that represents and updates visual space in a gaze-centered frame. Here, using event-related functional magnetic resonance imaging, we identified an analogous bilateral region in the human PPC that shows contralateral topography for memory-guided eye movements and arm movements. Furthermore, when eye movements reversed the remembered horizontal target location relative to the gaze fixation point, this PPC region exchanged activity across the two cortical lobules. This shows that the human PPC dynamically updates the spatial goals for action in a gaze-centered frame.

Student Physical Activity Patterns: Grade, Gender, And Activity Influences, Pamela Hodges Kulinna, Jeffrey J. Martin, Qin Lai, Amy Kliber, Brett Reed

Kinesiology, Health and Sport Studies

The purpose of this study was to determine how physical education students' cardiovascular responses as determined by mean heart rate, standard deviation of heart rate, and percentage of time in target heart rate zone varied according to student characteristics. Participants were 505 students in Grades 3 through 12. The Polar Accurex Plus heart rate telemetry system was used to measure the physiological load on the cardiovascular system. Three-way ANOVA results suggested that heart rate patterns in physical education varied according to gender, grade, and activity. For example, secondary school girls were more active in individual activities while secondary school boys …

Magnetic Resonance Images Of The Brain Of A Dwarf Sperm Whale (Kogia Simus), L. Marino, K. Sudheimer, D. A. Pabst, J. I. Johnson

Veterinary Science and Medicine Collection

Cetacean (dolphin, whale and porpoise) brains are among the least studied mammalian brains because of the difficulty of collecting and histologically preparing such relatively rare and large specimens. Among cetaceans, there exist relatively few studies of the brain of the dwarf sperm whale (Kogia simus). Magnetic resonance imaging (MRI) offers a means of observing the internal structure of the brain when traditional histological procedures are not practical. Therefore, MRI has become a critical tool in the study of the brain of cetaceans and other large species. This paper represents the first MRI-based anatomically labelled three-dimensional description of the dwarf sperm …

Sensations From Initial Exposure To Nicotine Predicting Adolescent Smoking In China: A Potential Measure Of Vulnerability To Nicotine, Xinguang Chen, Alan W. Stacy, Hong Zheng, Jianguo Shan, Donna Spruijt-Metz, Jennifer B. Unger, Jie Gong, Peggy Gallaher, Chunhong Liu, Stanley Azen, Sohaila Shakib, C. Anderson Johnson

CGU Faculty Publications and Research

Sensations derived from initial exposure to nicotine are a potential indicator of an individual's vulnerability to nicotine. This study assessed whether sensations experienced during the first lifetime exposure to nicotine could predict current and established cigarette smoking. Data from 210 respondents who reported having ever tried cigarette smoking in Wuhan, China, were obtained for this study from 610 students in 10th grade at two schools. Subjects were participants in a multipurpose pilot survey for an adolescent smoking prevention trial. The survey was administered in a classroom setting using a paper-and-pencil questionnaire. Sensations reported were cigarette smell (59.2%), coughing (54.1%), dizziness …

A Comparison Of Symptom Severity Between University Counseling Center And Community Mental Health Center Clients, Joshua Gunn

Masters Theses & Specialist Projects

The present study compares presenting levels of psychological distress at a university counseling center and a community mental health center. The Brief Symptom Inventory (BSI) was completed by clients at intake, and the results were subjected to statistical analysis. A significant difference was found between the two service units on the Global Symptom Index and all nine scales of the BSI. There were no gender differences in overall levels of psychological distress; however, a difference was found on the interpersonal hostility scale. Implications of the study, as well as limitations and suggestions for future research, are discussed.

The Lateral Occipital Complex Subserves The Perceptual Persistence Of Motion-Defined Groupings., Susanne Ferber, G Keith Humphrey, Tutis Vilis

Brain and Mind Institute Researchers' Publications

How are the bits and pieces of retinal information assembled and integrated to form the coherent objects that we see? One long-established principle is that elements that move as a group are linked together. For instance a fragmented line-drawing of an object, placed on a background of randomly distributed short lines, can be impossible to see. But if the object moves relative to the background, its shape is instantly recognized. Even after the motion stops, the percept of the object persists briefly before it fades into the background of random lines. Where in the brain does the percept of the …

Santa Clara Magazine, Volume 45 Number 1, Summer 2003, Santa Clara University

Santa Clara Magazine

8 - MASS APPEAL By Erin Ryan. Each week hundreds of students close their books for the night and crowd into Mission Santa Clara for an informal 10 p.m. Mass. The service has drawn students and the community to church for more than 30 years.

10 - BREAKING THROUGH By Francisco Jimenez. An excerpt from the autobiography of Jimenez, who faced many challenges since he and his family entered the United States from Mexico when he was 4. Through work in the fields, to deportation, to struggles in English class, he persevered. And now he's a professor at SCU.

16 …

Psychosocial Stress And Cervical Neoplasia Risk, Ann L. Coker, Sharon M. Bond, Margaret M. Madeleine, Kathryn J. Luchok, Lucia Pirisi

CRVAW Faculty Journal Articles

OBJECTIVE: We assessed the association between psychosocial stress and preinvasive cervical neoplasia development controlling for HR-HPV infection.

METHODS: This case-control study enrolled low-income women receiving family planning services at health department clinics. There were 59 cases with biopsy confirmed HSIL and 163 with low-grade SIL and 160 controls with normal cervical cytology. A modified SLE scale was used to measure stressful events and the perceived impact of the event in the prior 5 years. Unconditional logistic regression was used to assess SIL risk and stressful events scores and by subscales.

RESULTS: After adjusting for age, HR-HPV infection, and lifetime number …

Homeland (In)Security : Roots And Displacement, From New York, To Toronto, To Salt Lake City, Marusya Bociurkiw

Reconstruction: Studies in Contemporary Culture

[First paragraph]

On September 11, 2001, broadcast and print media around the world narrated the destruction of New York City's World Trade Center and the deaths of thousands of its occupants. This paper will examine the ways in which television and its appendages (the telephone, the internet, the newspaper) operated to organize the discursive meanings of this traumatic event. I will propose that between September 11 and February 2002's Winter Olympics in Salt Lake City, Utah, ideas about home, roots and rootedness (and their Others: foreignness, homelessness, nomadicism) operated as a discursive mapping of that which could otherwise not be …

“Bin Laden’S Brain”: The Abrasively Negativistic Personality Of Dr. Ayman Al-Zawahiri, Aubrey Immelman, Kathryn Kuhlmann

Psychology Faculty Publications

This paper presents the results of an indirect assessment of the personality of Ayman al-Zawahiri, deputy leader of the al-Qaida terrorist network at the time of the September 11, 2001 terrorist attack on the United States and allegedly chief strategist for al-Qaida operations and personal physician to Osama bin Laden.

Al-Zawahiri’s primary personality patterns were found to be Contentious/oppositional and Dominant/controlling, with secondary features of the Dauntless/dissenting and Ambitious/self-serving patterns.

The amalgam of Contentious (negativistic, or passive-aggressive) and Dominant (aggressive, or sadistic) patterns in al-Zawahiri’s profile suggests the presence of the “abrasive negativist” syndrome. For these personalities, minor frictions easily …

Inside Unlv, Gian Galassi, Carol C. Harter, Gene Hall

Inside UNLV

No abstract provided.

How Individuals Understand Depression: Attributions, Stigma, And Treatment Recommendations, Erin A. Pladsen

Psychology Theses & Dissertations

This study examined participants' beliefs/attributions about depression, their help seeking recommendations for depressed individuals, and the stigma associated with depression. Participants were asked to read a vignette that described a target person who is suffering from depression, and they were asked to complete various questionnaires based upon the vignette. Overall, the results indicated that individuals did not possess negative attitudes toward mental illness, that individuals more strongly recommended professional mental health assistance, and that individuals did not tend to stigmatize depressed individuals. Results did indicate that the label of depression and the gender of the target person affected provider type …

Sibling Death In Childhood: An Evaluation Of The Literature Regarding Inclusion Of Minority Cultures, 1990–2002, Joyce Kay L. Cherry

Community & Environmental Health Theses & Dissertations

This evaluation seeks to determine the extent to which the professional literature concerning bereaved children in the United States includes African American, Hispanic American, and Asian American children whose siblings have died in childhood.

A literature search identifies 58 articles, published between 1990 and 2002, concerning children under age 19 living in the United States whose siblings have died. Articles are sorted by time frame and classified by type. There are 31 descriptive articles consisting of five literature reviews, five commentaries, five case studies, and 16 narratives; there are 27 research articles. Analysis determines the extent to which race, culture, …

Do Fishes Have Nociceptors? Evidence For The Evolution Of A Vertebrate Sensory System, Lynne U. Sneddon, Victoria A. Braithwaite, Michael J. Gentle

Veterinary Science and Medicine Collection

Nociception is the detection of a noxious tissue-damaging stimulus and is sometimes accompanied by a reflex response such as withdrawal. Pain perception, as distinct from nociception, has been demonstrated in birds and mammals but has not been systematically studied in lower vertebrates. We assessed whether a fish possessed cutaneous nociceptors capable of detecting noxious stimuli and whether its behavior was sufficiently adversely affected by the administration of a noxious stimulus. Electrophysiological recordings from trigeminal nerves identified polymodal nociceptors on the head of the trout with physiological properties similar to those described in higher vertebrates. These receptors responded to mechanical pressure, …

Alex Bradley, Carl Milofsky

Northern Ireland Archive

Bradley is a psychotherapist based in a religious NGO. His talk primarily involves general comments and observations about the events of Bloody Sunday, sectarian conflicts in general, and values statements from Bradley offered in response to student questions about the conflict in Northern Ireland. He continues to talk about the White Oak Center in Donegal, which is a residential treatment center that in this account it heavily concerned with treating alcohol abuse. The tape shifts to talk about Bradley's work treating trauma experiences related to the Troubles. He began working in the Catholic community but then was asked to work …

Effects Of Moral Sensitivity And Moral Climate On Moral Reasoning, Marita Louise Mahoney

Loma Linda University Electronic Theses, Dissertations & Projects

As healthcare professionals, psychology students and psychologists are expected to behave ethically and morally. It is assumed that moral and ethical reasoning in psychology students develops through exposure to ethical dilemmas within ethics classes and during clinical training experiences. Rest's Four Component Model of Moral Behavior, a neo-Kohlbergian approach to understanding moral development, posits an interaction of Moral Sensitivity, Moral Motivation, Moral Reasoning and Moral Character. Moral sensitivity, or awareness of a moral dilemma, is posited to cue the moral reasoning process, though little is known about how the training environment can facilitate or hamper such developments. Fifty".'two psychology-graduate students …

Exploring The Physician’S Processes: Diagnosing Autism, Gwennyth Li Sze Palafox

Loma Linda University Electronic Theses, Dissertations & Projects

Physicians are customarily the first point of contact for parents who are concerned about a child’s development. Thus, it is important for physicians to be current and educated about childhood disorders and subsequent treatment for those disorders. Recently, empirical evidence has led to the proposal of early indicators of autism supporting that autism may be diagnosed accurately in children less than three years old. Furthermore, formal screening and assessment parameters developed by medical organizations have been proposed in order to identify autism as early as possible (American Academy of Neurology, 2000). While the proposed parameters and empirical evidence support early …

Cultural And Psychological Influences On Diabetic Adherence, Keikilani Mcmillin-Williams

Loma Linda University Electronic Theses, Dissertations & Projects

Diabetes mellitus is a serious disease that poses a particular healthcare challenge because progression is considered controllable (Cox, et al, 1985; Vinicor, et al, 1996) yet treatment adherence, and thus outcome, is very poor (Gonder-Frederick, Cox, & Ritterband, 2002; Goodall, 1991). Culture is a lethal risk factor for diabetic contraction and treatment maintenance. Latinos within the United States are two-to-three times more likely to develop complications and die than non-Latinos (Haffner et al, 1996; Rubin, Peyrot, & Saudek, 1991) and are less likely to adhere to treatment (Lipton, Losey, Giachello, Mendez, & Girotti, 1998). Efforts to eliminate health disparities have …