Medicine and Health Sciences Commons^™

The Struggle Overseas: Risk Factors For Suicide Among Female Migrant Workers In Nepal, Dhara Puvar

Independent Study Project (ISP) Collection

This study aims to understand the various risk factors for suicide among female migrant workers in Nepal. Suicide is the leading cause of death among women in the country, and the prevalence of suicide among migrant women in particular warrants further investigation, especially considering the increasing number of women traveling abroad for foreign employment. What experiences do these women have that would lead to suicidal behavior? What personal and institutional challenges contribute to increased risk of suicide? How does the community respond to their needs? This research was conducted in the Kathmandu Valley, with the majority of data acquired through …

Narratives Towards Ending Stigma: Hiv-Related Stigma In The Netherlands From The Standpoint Of Those Who Experience It First-Hand, Anya Katz

Independent Study Project (ISP) Collection

While there is a decent amount of research that has been done regarding HIV related stigma in the Netherlands, little has been done qualitatively, working from the standpoint of individuals who have experienced that stigma first hand. This research uses qualitative methods, weaving the stories of individuals as well as participant observations to understand what people believe are the most essential methods in erasing HIV stigma. It also looks at what people see as the types of stigma and conflicts within HIV positive communities that are the most detrimental to the larger erasure of stigma. Through interviews and volunteer work …

Coming To Terms With The Limited Body: The Role Of Physical Therapy In Improving Self-Esteem Of Stroke Survivors In Salvador-Bahia, Brazil, Ninghe Cai

Independent Study Project (ISP) Collection

Objective: The aim of this study is to explore the role of the physical therapy offered by public health sectors in Salvador in improving stroke survivors’ self-esteem. This study also intends identify components of physical therapy that contribute most to patients’ perceived recovery.

Methods: Participant observation was conducted at Clinica da Fisioterapia in Escola Bahiana de Medicina e Saúde Púlica. Interviews were conducted with 4 professionals and 7 patients, of which 3 professionals and 6 patients are affiliated to Escola Bahiana. The patients participated in this study were also asked to evaluate their self-esteem via a questionnaire adapted from Rosenberg …

Treatment Accessibility For Co-Infected Idus In China: A Likelihood For Hiv, An Improbability For Hepatitis C, Jessica Collins

Independent Study Project (ISP) Collection

In a country which provides free medicine and care for patients living with HIV/AIDS, China has not included a crucial piece of the problem in its health care scheme. In Yunnan Province alone, 77.7 % of intravenous drug users are co-infected with HIV and hepatitis C. While these patients can obtain treatment for HIV with ease, they cannot do so to treat their hepatitis C infection, a viral disease that leads to liver failure. Recent trends indicate that more co-infected patients are dying of HCV rather than HIV due to treatment inaccessibility. This study investigates theseverity of HCV in China, …

La Relación Entre El Desamparo Y La Salud: El Caso Del Campamento Japón En Santiago, Chile, Chaveli Concepción

Independent Study Project (ISP) Collection

En esta investigación se busca exponer más a fondo como la desigualdad social afecta la salud de aquellos que han sido menos favorecidos. En esta ocasión se analizó el caso de los habitantes del Campamento Japón, en la comuna de Maipú, de Santiago, Chile, con el objetivo de entender el fenómeno de la desigualdad social y cómo esta afecta la salud de las personas que la sufren. La metodología de este estudio cualitativo se constituyó de investigación bibliográfica previa, y posteriormente visitas y trabajos voluntarios al Campamento Japón para hacer observaciones y entrevistas a los activistas del campamento, a los …

Nutrition And Education In An Urbanizing Nation, Molly Pritz

Independent Study Project (ISP) Collection

Child malnutrition is a growing public health issue in Nepal, particularly in urban areas. Not eating enough, or not eating enough of healthy foods, can have life-long implications on development and cognitive ability. Because of its relevance to development within the country, many donor organizations and non-governmental organizations are working to promote child nutrition education programs. The purpose of this research is to investigate the implementation and structure of urban child nutrition educational programs involving treatment and prevention in Kathmandu, Nepal. Through qualitative interviews and field observations with three primary organizations, this research analyzes the patterns and disconnects between various …

Tracing The Human Healthcare Roots Of Antibiotic Resistance In India: Causes, Challenges, And Promising Solutions, Kelsey Matteson

Independent Study Project (ISP) Collection

The rapid development of biological defense mechanisms by bacteria, or antibiotic resistance, is a dangerously progressing public health concern worldwide. The spread of antibiotic resistant pathogens are not only a threat to the security of healthcare facilities and the stability of modern medicine across the globe, but this phenomenon also creates a particular burden on countries with a high prevalence of infectious disease such as India. This study attempts to explore India’s unique human healthcare causes of the emergence and spread of antibiotic resistance, comprehend the obstacles that have created roadblocks to change, and outline possible solutions to overcome these …

El Parto Humanizado: Perspectivas De Profesionales En Las Maternidades Públicas De Buenos Aires, Lara Kaplan Westbrook

Independent Study Project (ISP) Collection

Con el reconocimiento de la tecnologización y medicalización del embarazo y parto en años recientes, el término violencia obstétrica y la ley del parto humanizado han surgido en Argentina. Aunque la ley define cómo los hospitales deben actuar para garantizar un parto donde la mujer sea la protagonista, su implementación depende de muchos factores, incluyendo la interpretación y opinión del profesional. Además, las mujeres que viven en situaciones de pobreza son quienes más frecuentemente usan los servicios de salud públicos y por ello suelen estar más expuestas a la naturalización de la violencia en la atención de la salud y …

Práctica Habitual De Los Médicos Del Hospital De Niños Dr. Ricardo Gutiérrez, Cuidad Autonomía De Buenos Aires, Argentina, En El Tratamiento De La Otitis Media Aguda En Niños. Enfoque En El Uso De Antibióticos. /The Usual Practice Of Acute Otitis Media In Children By The Hospital De Niños Dr. Ricardo Gutiérrez In The City Of Buenos Aires With A Focus On The Use Of Antibiotics As Treatment, Kali Marie Burkhardt

Independent Study Project (ISP) Collection

The study was developed during the month of November 2015 in the city of Buenos Aires. The investigation was accomplished through the use of interviews with a variety of professionals and surveys with pediatric residents in the Hospital de Niños Dr. Ricardo Gutiérrez. The surveys asked about how the pediatric residents diagnosed acute otitis media, what was their usual practice with acute otitis media, which medications they used, and if there were any factors that could influence their decision to prescribe antibiotics. The interviews were semi-structured and oriented to discover how those who were interviewed managed acute otitis media, if …

An Investigation Of The Integration Of Education And Mental Health Treatment Into The Care Of Diabetes In Syrian Refugee Women, Miller Richmond

Independent Study Project (ISP) Collection

Due to the fact that Syrian refugees’ situation subjects them to unusual, acute stresses, health professionals must proactively screen them for mental disorders. Many studies show that the correlation between diabetes and mental illness is very strong, thus treatment of diabetic refugees should consider the mental health of the patient in order to ensure successful management of the disease. Additionally, health education should be emphasized as both a route to successful disease management and a route to overall health literacy that can empower the refugee to make important and efficient decisions about accessing health services. This study examined the integration …

Exercising Agency In Medical Decision-Making Processes Conventional And Traditional Medicine -A Case Study Of 67ha, Antananarivo-, Sakura Oyama

Independent Study Project (ISP) Collection

The formal integration of traditional and conventional medicine has been touted as a prime method to improve access to quality healthcare in Madagascar. This study draws on interviews with both traditional and conventional medical professionals as well as 100 residents of 67ha, Antananarivo to critically analyze the advantages of each sector in order to understand how integration can be used to strengthen the medical-decision making capacities of marginalized populations. Currently the ability for millions of Malagasy to exercise their freedom of choice in seeking their treatment method of choice is seriously compromised not only by cost and accessibility but by …

Prevalence Of Depression Among Active Tb And Tb/Hiv Patients In Kisumu County, Esther Lee

Independent Study Project (ISP) Collection

According to the World Health Organization (WHO), one in four people have been affected by a mental health disorder at one point in their lives.^[1] Kenya’s mental disorders account for 5.9% of the total global burden.[2] Mental disorders like depression is often comorbid with TB and HIV and disproportionately affects those with lower socio-economic income. Kisumu, a city in Nyanza province, has the highest HIV and TB prevalence in Kenya. This study aimed to determine the prevalence of depression among TB non-coinfected and TB/HIV co-infected patients at Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) and the Clinical …

How Social Determinants Of Health, Health-Seeking Behaviors, And Treatment Adherence Influence And Interact With Endemic Levels Of Pulmonary Tb And Mdr-Tb In Urban Rajasthan, Michelle Kagei

Independent Study Project (ISP) Collection

Tuberculosis, the worlds most deadly infectious disease, remains as one of the major causes of morbidity and mortality in modern-day India. The country has the highest burden of both tuberculosis as well as multidrug-resistant tuberculosis, a more recently emerging menace. This study focuses on the social determinants of health pertaining to tuberculosis, identifying and discussing “at-risk” groups in the population of urban Rajasthan. Jaipur was chosen as the field study location because of the city’s extensive levels of healthcare institutions and facilities. In order to identify common patient demographics as well as issues regarding treatment adherence, medical records and interviews …

Cross-Cultural Childbirth: Prioritizing The Healthcare Experiences Of Migrant Women In Competent Models Of Care, Emma Hall

Independent Study Project (ISP) Collection

In the context of the feminization of increasing global migration, it is impossible to understand maternal and child health in a given country without considering the experience of female migrants. As the total migrant population increases in the European Union, migration and its effects on health care provision in receiving countries and the experiences of immigrant populations must be recognized. Past research exposes an increased risk of complications and maternal mortality in migrant populations, but little information exists on the tangible programs that could respond to disparity. According to the World Health Organization, maternal health refers to the health of …

Treatment Of Drug Addiction Within Brazil’S Penitentiary System A Qualitative Investigation, Samantha Jain

Independent Study Project (ISP) Collection

Illicit drug use remains a significant public health issue within in Brazil, and is only magnified in the state penitentiary system, where there is excessive over-crowding and a lack of resources to address this issue. The purpose of this investigation is to understand the context of drug use within the prison system as well as how is drug abuse treated by the professionals that work in Penitenciaria Lemos Brito and Cadeia Publica. Treating drug addiction is an important aspect of the inmate’s well-being as well as it’s impact on his re-integration back into society after his punishment is served. Therefore, …

How We Saved Ourselves: A Look At The Positive Coping Strategies The Orphans Of The 1994 Genocide Against Tutsis Implemented During Bereavement, Gregory Barber

Independent Study Project (ISP) Collection

Recent estimates report that there are approximately 145 million children worldwide who have lost at least one parent as a result of various causes (Development, 2008). Parental death is one of the most traumatic events that can occur in childhood (Haine, 2006). Literature has also indicated that parental death places children at risk for many negative outcomes, including mental health problems, grief, lower academic success, self-esteem, and greater external locus of control (Lutzke, 1997). Between April and July 1994, 800,000 to 1,000,000 Rwandans died in the 1994 genocide against Tutsis. Because of the 1994 genocide against Tutsis, nearly 75,000 children …

Las Percepciones De Los Profesionales De La Salud Sobre Los Cuidados Paliativos En Diferentes Sectores De Salud En La Ciudad De Buenos Aires / Perceptions Of Health Professionals About Palliative Care In Different Health Sectors In The City Of Buenos Aires, Kate Paulsen

Independent Study Project (ISP) Collection

Información contextual: Los cuidados paliativos son un campo de medicina para pacientes con enfermedades avanzadas o terminales. El propósito de la medicina paliativa es mejorar la calidad de vida de los pacientes y su familia y cuidar los síntomas físicos, psicológicos, sociales y espirituales. Los equipos interdisciplinarios compuestos de médicos, enfermeros, trabajadores sociales, psicólogos y otros tienen un papel esencial en el cuidado del paciente en una manera completa. Los cuidados paliativos son importantes porque todos tienen el derecho a ser acompañados en el final de la vida. En Argentina, los cuidados paliativos se han desarrollado considerablemente y existen en …

The Beast Inside Your Head: A Look At Mental Health Issues In Samoa, Brandon Nelson

Independent Study Project (ISP) Collection

Mental illness remains a very controversial and prevalent problem for the entire world, especially the Pacific. This study examines some prevalent mental health issues and looks at how suicide, youth, alcohol, and prison correlate with mental health issues and illness in Samoa. It also looks at the Mental Health Unit (MHU) at National Hospital and programs implemented to help Samoans suffering within the four areas of mental health researched. Quantitative data from international organizations, government bureaus, and surveys, helps describe the current status of mental health issues in Samoa. One hundred twenty four surveys (124) were distributed about mental health …

Abortion In Brazil - Todo Mundo Faz: An Analysis Of Social Movements And Social Support For The Liberalization Of Brazil’S Abortion Law In Salvador, Brazil, Maria Camila Caicedo

Independent Study Project (ISP) Collection

This study analyzed the current actions of feminist movements, black women’s movements, and other advocacy groups that have a stake in the current debate for the legalization of abortion in Brazil. The purpose of the study was to assess the current political avenues for approaching the legislative body available to marginalized groups who are disproportionately affected by the criminalization of abortion. It was built upon a comprehensive review of existing literature, which found very little information on the actions of feminist movements and black women’s movements in Northeast Brazil. The study was conducted over the course of four weeks in …

Hurdles To Health: An Exploration Of The Social Determinants That Affect Attitudes Toward Hpv Vaccination In Salvador, Bahia, Brazil, Megan Rogers

Independent Study Project (ISP) Collection

In 2014, the Brazilian government began supplying free, preventative human papillomavirus (HPV) vaccines for girls between the ages of 9 and 13. This public health campaign has the potential to greatly reduce the high HPV infection rate in Brazil, but without targeted education and information to supplement this medical intervention the program is predicted to have a smaller impact. This study aims to assess how well information about the HPV vaccine is currently reaching young Brazilian girls and their families. Data was gathered by interviewing professionals who work in STD education, women’s issues, and healthcare advocacy, as well as one …

La Santé Maternelle À Antsiranana Selon La Médicine Occidentale Et La Médicine Traditionnelle : Une Étude Des Traitements Opposés Pour Les Femmes Enceintes, Lauren Nguyen

Independent Study Project (ISP) Collection

Dans un pays comme le Madagascar, où des coutumes traditionnelles et le lien avec les ancêtres demeurent une grande partie de la culture, l’introduction des aspects « occidentales » présente un peu du désaccord. Cela est vu avec l’introduction de la médecine « occidentale », et le choix que font des Malagasy pour leurs soins médicaux. Spécifiquement dans le secteur de la médecine, la tension entre des pratiques occidentales et des pratiques traditionnelles est significative.

La présence des guérisseurs traditionnels et de la médecine traditionnelle sur l’île existait bien avant l’introduction de la médecine occidentale. Bien que de plus en …

Exploring Community Health Through The Lens Of The Community Unit In Kariobangi North And The Surrounding Areas, Maya Paris-Saper

Independent Study Project (ISP) Collection

Healthcare is a challenge in countries of the Global South. Not only do climates and trends of rapid urbanization affect the health status of many negatively, but also many health facilities are inaccessible and not of good quality, they lack enough medical personnel and lack the resources to adequately provide for patients who do not have the resources them selves. As the wealth gap increases all over the world and resources continue to be distributed unequally communicable and non-communicable health issues plague those in urban and rural settings at an alarmingly high rate and as health innovation has worked to …

Perceptions Of Safety Among Adolescents In Jordanian Host Communities: A Pilot Study Conducted In Housing Communities In Baqa’A And Ramtha, Katie Stevenson

Independent Study Project (ISP) Collection

The purpose of this research was to understand how refugee and Jordanian adolescents perceive safety by answering the following three questions: 1) How do adolescents in host communities define safety? 2) How do they perceive the safety of their community? 3) What is being done, within their communities, to address the safety needs of adolescents? By answering these questions, this research aimed to increase the understanding of how safety should be defined, assessed, and addressed in regards to adolescents living in Jordanian host communities. Due to resources limitations, this research was only conducted with Syrian adolescents refugees. Four interviews were …

Child Nutrition And Fitness In Switzerland And The United Kingdom: Analyzing Preventative Solutions For The Developing Obesity And Diabetes Crises, Nicolas Selemon

Independent Study Project (ISP) Collection

The current study takes a novel approach to analyzing how child nutrition and fitness can be used as preventative measures to solve the ongoing crises of obesity and diabetes. A comparison case-study between two stereotypically different European nations, Switzerland and the United Kingdom, was utilized to address how nutrition and fitness education, policy, culture and programs affect the health of the country. Each nation was analyzed comprehensively, accounting for dietary and exercise practices from infant stages to adolescence. Personal interviews with experts in the fields of breastfeeding, nutrition and fitness provided the main sources of information. Primary research was supplemented …

Tracing The Human Right From Law To Policy To Reproductive Healthcare: Exploring The Strengths And Shortcomings Of Undocumented Migrant Women’S Access To Reproductive Healthcare In Switzerland, Sabrina S. Merold

Independent Study Project (ISP) Collection

Background: Through the UN Human Rights Declaration and articles of other UN treaty bodies, access to healthcare is a fundamental human right that has been granted to all, including undocumented migrants (UDMs). In Switzerland, reports estimate that there are between 80,000 to 100,000 UDMs. Among European countries, Switzerland is one of the few countries where UDMs have the right to access healthcare services beyond emergency healthcare, as they are included in the Swiss Federal Law on Compulsory Healthcare (LAMal). For UDM women, they face two layers of vulnerability (their irregular living status and the reproductive health needs that come …

European Policies On Cardiovascular Disease Prevention And Health Promotion: A Comparative Study, Alison Council

Independent Study Project (ISP) Collection

As the number one cause of death, cardiovascular disease represents a threat to both the economic and social well being of European countries. As a result of a variety of coordinated efforts between the European Union (EU), national governments, nonprofits, private industry, and local communities, cardiovascular disease (CVD) has been decreasing in most countries in recent years. Measures such as bans on trans fats in Denmark, social mobilization and prevention policy in Finland, and nutrition labeling in the United Kingdom have had major impacts on heart disease. For instance, Finland’s prevention programs have resulted in a 63% reduction in deaths …

El Impacto De Los Lazos Familiares En La Salud Física, Emocional Y Espiritual En Cuidados Paliativos: Un Estudio De La Clínica Familia, Max Meyerhoff

Independent Study Project (ISP) Collection

Research Question: How do Chilean family ties impact the physical, emotional and spiritual health of patients in a palliative care facility?

Objective: Understand the role that the tight-knit Chilean family structure plays during the palliative care process and how these family ties affect the physical, emotional and spiritual well being of the patient.

Background: Chile has recently gone through an epidemiological transition. Due to improved access to primary care fewer people are dying from infectious diseases. However, because they are now living longer, more Chileans are now dying from slow-acting noncommunicable diseases. Due to these slower acting …

A Behavioral Analysis Of The Pre-Release Tasmanian Devils (Sarcophilus Harrisii) Currently At Devils@Cradle: An Assessment Of The Impacts Of Captivity On The Wild Behaviors Of Tasmanian Devils That Are Important For Their Reintroduction, Survival, And Inclusion In Wild Populations, Anna Staudenmaier

Independent Study Project (ISP) Collection

The Tasmanian devil, Sarcophilus harrisi, is in danger of extinction in the wild due to the emergence of Devil Facial Tumor Disease (DFTD). In an attempt to save the species the Save the Tasmanian Devil Program (STTDP) has initiated the creation of an ‘Insurance Population’. These insurance animals are a part of the captive breeding population (CBP) designed to conserve the genetic diversity of the species to preserve their ecological function for their future reintroduction into the wild. CBPs are located at various bio-secure zoos, wildlife parks, free-range enclosures (FREs), Tasmanian islands and peninsulas and sanctuaries like Devils@Cradle - Tasmanian …

Dying For A Drink: How The Consumption Of Home Brews Affects Health Within The Kibera Slum Of Nairobi, Kenya, Teaka Jackson

Independent Study Project (ISP) Collection

Home-brewed alcohols are inexpensive, thus they are especially consumed by low-income individuals such as those residing in Kibera. This project investigates three alcohols brewed within this area: muratina (mugasha), busaa and chang’aa. With the help of Philip Ndemwa, a nutrition expert from the Kenya Medical Research Institute, I was able to gain insight regarding the process of these alcohols, as well as the sanitation conditions of the production sites of these home brews and how these factors affect the health of the consumer. Both qualitative and quantitative research methods were utilized in order to fully understand the health repercussions from …

Babies First: Ensuring Proper Infant Nutrition During Emergencies, Abigail M. Alonso

Independent Study Project (ISP) Collection

Background: Breastfeeding is the best source of nutrition for an infant, living in all regions and cultures. Recommendations apply across the board, from developed nations to refugee camps, from women with HIV to those with time constraints regarding feeding. There also exists a complex relationship between corporations that provide BMS and the NGOs working to promote breastfeeding in emergency situations amongst vulnerable populations.

Objective: The objective of this paper is to expose breastfeeding promotion, using the Dadaab camps in Northeastern Kenya as a case study of IYCF programs and support of breastfeeding among low-literacy populations with an emphasis on women …