Medicine and Health Sciences Commons^™

A Quest Through Chaos: My Narrative Of Illness And Recovery, Katie Ellis

Research outputs pre 2011

Narrative is vital, as the ill person works out their changing identity, and position in the world of health, continuing when they are no longer ill, but remain marked by their experience. 2 Following the tradition of illness auto ethnographers (Frank, The Wounded Storyteller; Ettore; Rier), this article critically examines the role of narrative throughout recovery from serious illness or trauma by connecting the (my) autobiographical to the social, political and cultural. The focus then shifts to the recent emergence of illness narrative blogging to consider their cultural significance before exploring stigma and resistance to the telling of illness narratives …

Institute Brief: Supporting Individuals With Autism Spectrum Disorders: Quality Employment Practices, Alan Kurtz, Melanie Jordan

The Institute Brief Series, Institute for Community Inclusion

It has been known for decades that individuals with autism spectrum disorders (ASD), including those with significant impairment or who have behaviors that others find challenging, can work when they are given appropriate supports. It is also clear that individuals with ASD can benefit from employment. Benefits include improved emotional state, greater financial gain, decreased anxiety, greater self-esteem, and greater independence. Nonetheless, employment outcomes for individuals with ASD have traditionally been poor. Even those who do find work are often underemployed or do not hold onto jobs for a long period of time.

Relationships Among Temperament Characteristics Of Adolescents Born Prematurely And Maternal Temperament Characteristics, Andrea D. Clements, Kellye Lingerfelt, Wallace E. Dixon Jr.

ETSU Faculty Works

Abstract available through the Developmental Psychobiology.

Widowhood And The End Of Spousal Caregiving: Wear And Tear Or Relief?, Jennifer Reid Keene, Anastasia H. Prokos

Sociology Faculty Research

This paper analyses the impact of spousal care-giving on survivors’ depressive symptoms six months into widowhood, and examines the applicability of a ‘ relief model’ of spousal adjustment during bereavement. We examine several aspects of the care-giving situation, including care-giver stress, care-giving demands, and type and duration of care and how these affect survivors’ depressive symptomatology. The sample is drawn from two waves of the Changing Lives of Older Couples (CLOC) survey, which was conducted in the United States in the Detroit Metropolitan Area, Michigan. The first wave of data was collected from couples and the second from the surviving …

Focal Cerebral Ischemia In The Tnfalpha-Transgenic Rat, L. Creed Pettigrew, Mark S. Kindy, Stephen W. Scheff, Joe E. Springer, Richard J. Kryscio, Yizhao Li, David S. Grass

Sanders-Brown Center on Aging Faculty Publications

BACKGROUND: To determine if chronic elevation of the inflammatory cytokine, tumor necrosis factor-alpha (TNFalpha), will affect infarct volume or cortical perfusion after focal cerebral ischemia.

METHODS: Transgenic (TNFalpha-Tg) rats overexpressing the murine TNFalpha gene in brain were prepared by injection of mouse DNA into rat oocytes. Brain levels of TNFalpha mRNA and protein were measured and compared between TNFalpha-Tg and non-transgenic (non-Tg) littermates. Mean infarct volume was calculated 24 hours or 7 days after one hour of reversible middle cerebral artery occlusion (MCAO). Cortical perfusion was monitored by laser-Doppler flowmetry (LDF) during MCAO. Cortical vascular density was quantified by stereology. …

Elder Abuse Identification And Intervention: Final Report To Blue Cross-Blue Shield Of Michigan Foundation, Mary C. Sengstock

Sociology Faculty Research Publications

In 2006 through 2008, Dr. Mary Cay Sengstock held a grant from the Blue Cross and Blue Shield of Michigan Foundation to study the effectiveness of the current system for identifying and assisting abused elders in the State of Michigan.

This document presents the Final Report of the project. It can serve as a model, not only for the State of Michigan, but for other states regarding the mechanisms which are effective in identifying and assisting abused elders, as well as the problems and dilemmas which may arise.

Living With Alzheimer’S Disease: A Study Of Adult Day Health Services In Massachusetts, Nina M. Silverstein, Cathy M. Wong, Kristen E. Brueck

Gerontology Institute Publications

The role of adult day health care (ADHC) is gaining increased attention as the nation prepares for the large cohort of baby boomers entering their later years. Many boomers are aging with physical and cognitive impairments, including Alzheimer's disease and related dementias. Projections indicate that Massachusetts, along with the nation as a whole, is experiencing an increasing rate of older persons as baby boomers enter late-life. The Commonwealth can expect that persons with Alzheimer's disease and their care partners will need community-based services that are specifically designed for adults with cognitive impairments. However, a report by the Robert Wood Johnson …

"Sitting In Different Chairs:" Roles Of The Community Health Workers In The Poder Es Salud/Power For Health Project, Stephanie Farquhar, Noelle Wiggins, Yvonne L. Michael, G. Luhr, Jennifer Jordon, A. Lopez

Community Health Faculty Publications and Presentations

Evaluations of Community Health Worker programs consistently document improvements in health, yet few articles clearly describe the roles of Community Health Workers (CHWs) from the CHWs' perspective. This article presents the CHWs' points of view regarding the various roles they played in a community-based participatory research (CBPR) project, Poder es Salud/Power for Health in Portland, Oregon, including their roles as community organizers and co-researchers. Methods: Authors draw from an analysis of transcript data from in-depth interviews conducted with CHWs to present a description of the strategies employed by the CHWs to build leadership skills and knowledge among community members. CHWs …

Family Variables As Predictors Of Adolescent Substance Abuse Treatment Outcome, Gina R. Sillo

Loma Linda University Electronic Theses, Dissertations & Projects

The current study sought to investigate the importance of family variables as they potentially predict treatment outcome for adolescents at two intensive outpatient drug treatment programs. A growing body of research has demonstrated that family dynamics serve to influence drug using behaviors and substance abuse treatment. More specifically, empirical support has suggested that the quality of family relationships is an important factor serving to influence affective treatment. The current investigation considered two primary domains of family influence: family cohesion and family conflict. Results revealed that the study variables comprising these domains were not found to be associated with adolescent treatment …

Arginine Vasopressin And Male Attachment: A Marital And Family Therapy Perspective, Calvin James Thomsen

Loma Linda University Electronic Theses, Dissertations & Projects

Social neuroscience offers a promising way to understand some dimensions of adult attachment. Arginine vasopressin (AVP) is a neuropeptide with significant implications for human social behavior and it provides an important testing ground to explore links between social/interpersonal neurobiology and attachment. It has a distinctive impact on the social/relational behavior of certain male animals, most notably prairie voles. It fosters monogamy, creates attachment to both mate and offspring, and increases affiliation and a desire for physical proximity with other animals of the species. There has been much speculation that it might play a similar role with human males. This study …

Breast Cancer Screening Disparities In Japanese-American Women, Theodora Stratis

Loma Linda University Electronic Theses, Dissertations & Projects

Cancer screening disparities in ethnic minority women have received much research attention in the last several years due to a marked increase in ethnic minority cancer incidence and poor survival rates (Miller, Kollnel, Bernstein, Young Swanson, West et ah, 1996). Breast cancer is the leading cause of death for Asian American women (Asian American Network for Cancer Awareness, Research & Training, 2002) and, although their incidence and mortality rates are lower than Caucasian women, these rates continue to increase every year. This increasing mortality rate is likely due to the underutilization of breast cancer screening by Asian American women. Asian …

Inside Unlv, Grace Russell, Michelle Mouton, Shane Bevell, Diane Russell

Inside UNLV

No abstract provided.

Cultural Beliefs About Health Professionals, Attributions For Mistreatment, And Continuity Of Cancer-Related Care, Jennifer Anne Tucker

Loma Linda University Electronic Theses, Dissertations & Projects

This research examined attributions for health care mistreatment, related emotions, and the role of cultural beliefs about health care professionals as determinants of cancer-related continuity of care among Anglo and Latino women in Southern California. This research was guided by Betancourt’s model of culture adapted for the study of health behavior (Betancourt & Flynn, 2008) and Weiner’s (1996) attribution theory of motivation and emotion. As predicted, higher levels of negative cultural beliefs about health professionals resulted in lower intentions for continuity of care indirectly through mediating psychological perceptions of intentionality for mistreatment, controllability of its causes, and anger toward the …

Using Social Construction Theory As A Foundation For Macro-Level Interventions In Communities Impacted By Hiv And Addictions, David Allen Patterson, Robert H. Keefe

The Journal of Sociology & Social Welfare

Many professionals working with people living with HIV and alcohol and other drug addictions rely heavily on micro and mezzo-level interventions. The authors argue that although these approaches are effective for helping people living with some social problems they are too narrow for working effectively with HIV-positive and alcohol and other drug-addicted individuals. The authors use social construction theory to analyze the social problems of HIV/AIDS and addictions and make recommendations for macro-level interventions that may help curtail the dual problems of HIV and addictions.

Physicians Providing Alternative Medicine: Boundary Crossing And The Emergence Of Integrative Medicine, Richard Scott Lockwood

Dissertations and Theses

Integrative medicine (IM) has organized as a new area of specialization in mainstream healthcare. The development of IM is widely attributed to popular demand for the range of therapies known collectively as Complementary and Alternative Medicine (CAM). During the 1990's the rate of acceptance of CAM accelerated among consumers, professions, financing and education. The Medical Expenditure Panel Survey (MEPS) measured CAM utilization and professional service provision during the years 1996 and 1998, but never since. These surveys were unique because they specifically inquired as to whether CAM was provided by a physician, among other types of professionals. This dissertation defines …

Exploiting A Research Underclass In Phase 1 Clinical Trials, Carl Elliott, Roberto Abadie

Department of Sociology: Faculty Publications

In November 1996, the Wall Street Journal reported that Eli Lilly was paying homeless alcoholics from a local shelter to participate in safety testing of new drugs at its trial site in Indianapolis.1 “These individuals want to help society,” asserted Lilly’s director of clinical pharmacology. The subjects, however, said they took part for easy money and free room and board. Although Lilly reportedly offered the lowest per diem in the business, it managed to attract poor subjects from all over the country.1 The medical director of the local Homeless Initiative Program said Lilly had created a “shadow economy” of paid …

The Guacamole Fund Presents...

Native American Forum on Nuclear Issues

Special Bonnie Raitt Benefit Tickets

Feeling Overwhelmed: The Lived Experience Of Nurse Managers., Teresa Potter England

Electronic Theses and Dissertations

Multiple studies have addressed registered nurse turnover in recent years. There is little research specifically addressing nurse manager turnover. The nurse manager is addressed in current research as being in a pivotal position to affect nurse retention. Research has focused on the skills necessary for nurse managers to affect turnover; however, there is little research addressing the pressure placed upon the nurse manager as he or she struggles to maintain the nursing workforce. This qualitative study explored the lived experience of feeling overwhelmed by 6 nurse managers currently working in an inpatient hospital environment. Interviews were analyzed using a modified …

Socioeconomic Determinants Of Hiv Status In Kenya, Kimberly Fletcher

Masters Theses & Specialist Projects

The spread of Human Immunodeficiency Virus (HIV) is one of the greatest threats to stability and development in Kenya. The country's infection rate is estimated between seven and eight percent, making it one of the highest in the world. Several studies have been done that examine subpopulations such as truck drivers, sex workers, and migrants. However, to date there is little research that examines who, across the country, is contracting HIV. Kenya's 2003 Demographic and Health Survey includes data that make it possible to determine which groups have the highest odds of being infected. The question of who is contracting …

Discipline, Facial Affect Recognition And Self-Efficacy, Julie Harris

Graduate Theses

The present study explored facial affect recognition, discipline and self-efficacy correlates, predicted using the Social Cognitive Theory framework. A sample of undergraduate students (N—114) from The University of Texas of the Permian Basin, were surveyed on parental style, discipline, self-efficacy, and then tested for facial affect recognition. The results indicated that participants reporting more corporal punishment scored lower on facial affect than those reporting less corporal punishment (p < .05). No significance was found for corporal punishment and self-efficacy (p > .05). The parental style of the father emerged as a significant predictor for the relationship between corporal punishment and facial affect recognition (p < .05). Results appear to support the idea that the social environment parents, especially fathers, create via discipline may hinder ability to interpret emotion. One important implication of this study is that paternal influence may be more vital to emotional detection development than previously considered.

Integrating Rational Emotive Behavioral Therapy Into Art Therapy: Depression Treatment In Juvenile Justice Settings, Elizabeth Illig

EVMS School of Health Professions Theses & Dissertations

This single case mixed methods research study integrated Rational Emotive Behavioral Therapy (REBT) into art therapy in the treatment of incarcerated adolescents experiencing a depressed mood. The review of the literature focused on depression treatment as approached by REBT practitioners and art therapists, and revealed that an integration of these approaches had not been previously attempted. Before the study commenced the Reynolds Adolescent Depression Scale-2 was administered to both participants. Then individual REBT-enhanced art therapy sessions were conducted. After the conclusion of these sessions the RADS-2 was re-administered, an exit interview conducted, and a formal analysis of the artwork was …

Guidelines For Group Art Therapy Videos: Connecting Group Process With Production, Sarah D. E. Newton

EVMS School of Health Professions Theses & Dissertations

Group art therapy professionals, educators, and students have limited resources available to enhance learning and professional practice. Video productions and literature about group art therapy have seemingly decreased over the past 10 years. Due to the limited number of group art therapy videos, few resources exist for training purposes. This study employed an exploratory mixed-method design with a preliminary qualitative analysis of currently available group psychotherapy and group art therapy videos and follow-up quantitative analysis of a needs assessment from group art therapy educators. It was hypothesized that the survey results will demonstrate a generalized dissatisfaction among art therapy educators …

Tribes And Yucca Mountain: Native American Forum On Nuclear Issues, Fred Dilger

Native American Forum on Nuclear Issues

Abstract:

-Yucca Mountain: Extensive history of social-cultural studies

-No interaction on transportation

-Unsuccessful effort began in 1993 and ended in 1995

-DOE tribal policy was a very good start

-Restarted again in 2004-DOE invites tribes to TEC meeting

-Shape future interaction between DOE and other Tribes

-Tribes identify themselves as affected by DOE differently than DOE defines affected tribes

Sport As The “Opiate Of The Masses”: College Football In The American South, Eric Bain-Selbo

Philosophy & Religion Faculty Publications

Karl Marx famously describes religion as the “opiate of the masses.” Marx argues that religion is an ideological tool that legitimates and defends the interests of the dominant, wealthy classes in the population. It does so in part by placating the poor and exploited classes. Faced with an arduous and seemingly unjust life in this world, the poor and exploited at least can look forward to a more perfect existence in the afterlife. To reach that afterlife, however, one must peacefully and quietly persevere through life’s tribulation—respecting the life, liberty, and (especially) private property of others. In this way, religion …

Parental Influences On Adolescent Girl's Goal Orientations, Perceived Competence, Sport Friendship Quality, And Enjoyment, Carla L. Paiffy, Jeffrey J. Martin

Kinesiology, Health and Sport Studies

The purpose of the present study was to examine the relationships among critical sport psychosocial perceptions of fathers (N=84), mothers (N=84), and daughters (N=84) in the same family (N=252). Athlete participants were young female soccer players ranging in age from 9 to 14 years. A canonical correlation analysis revealed a significant overall multivariate relationship (Wilks's λ = .485, p<.0001) and one significant function emerged (Rc = .64). The loadings suggested that athlete's perceptions of both mother and father created task involving and worry conducive climates all contributed to the multivariate relationship, predicting athlete's perceived competence, sport friendship …

Why We Can't Sleep, Gayle Greene

Scripps Faculty Publications and Research

Can't sleep? Well you're not alone, especially among women. A 2007 poll by the National Sleep Foundation found that 67 percent of women frequently experience sleep problems and 29 percent use some type of sleep aid at least a few nights a week. Other surveys have consistently found that nearly half again as many women as men complain of insomnia.

Gambaran Korban Dalam Menghadapi Kekerasan Dalam Rumah Tangga, Farida Hayati Tobri, Dini Widinarsih

Jurnal Ilmu Kesejahteraan Sosial

Domestic violence is a social problem which has multiple causes and complex This research has founds that there are variety of domestic violence backgrounds, the intent of violence, the form of domestic violence, the impact of violence for women, and also the effort to ends domestic violence

Comparing Net And Eri Standardized Exam Scores Between Baccaulureate Graduates Who Pass Or Fail The Nclex-Rn, Mary D. Bondmass, Sheniz Moonie, Susan Kowalski

Environmental & Global Health Faculty Research

In the United States, nursing programs are commonly evaluated by their graduates success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this paper is to describe a change in NCLEX-RN success rates following the addition of standardized exams throughout our program's curriculum, and to compare these exam scores between graduates who pass NCLEX-RN and those who do not. Our results indicate an 8.5% change (p < 0.000) in the NCLEX-RN pass rate from our previous 5-year mean pass rate, and significant differences in standardized test scores for those who pass the NCLEX-RN compared to those who do not (p < 0.03). We conclude that our selected standardized exam scores are able to significantly identify graduates who are more likely to pass NCLEX-RN than not.

Program Mitigasi Bagi Anak Terpapar Hiv/Aids, Fentiny Nugroho

Jurnal Ilmu Kesejahteraan Sosial

Mitigation services for children living with HIV/ AIDS who have done such as health and psychosocial services for children and also training and financial assistance for economic improvement for the child's parent Especially psychosocial services for children, not all agencies provide this service, so it's a service aspect that still needs to be developed. Mitigation model that has been done in general is family-based care, while community-based have limitations because there still exists the stigma from society. In implementation, the mitigation program experienced a number of obstacles, besides there is also a supporting factor

Types And Measurement Of Poverty In Australia, Isbandi Rukminto Adi

Jurnal Ilmu Kesejahteraan Sosial

During Millennium Summit 2000 the United Nations (UN) has declared the Millennium Development Goals. The UN acknowledges the importance of poverty problems. The first goal of MDGs is to eradicate extreme poverty and hunger The declaration also mentioned that proportion of people whose income is less than one dollar a day and people who suffer from hunger should decrease by half in 25 years (from 1990 to 2015) Related to poverty problems The 8th goal of MDGs is to develop a global partnership for development Global Partnership, in this case, could be seen by giving opportunities for people from developing …