Medicine and Health Sciences Commons^™

Dutch Women's Perceptions Of Childbirth In The Netherlands, Taralyn R. Johnson, Lynn Clark Callister, Donna S. Freeborn, Renea L. Beckstrand, Katinka Huender

Faculty Publications

Purpose: To explore the lived experience of childbirth in Dutch women who had given birth at home in the Netherlands.

Methods: Qualitative study using audiotaped interviews with 14 women.

Results: Themes included the advantages of giving birth in the home, where the women felt more in control of their environment; the difficulty and normalcy of the pain associated with giving birth; the feelings of fulfillment and empowerment that come with childbirth and motherhood; and the importance of the supportive role of the midwife–caregiver.

Nursing Implications: Women in a culture different from that of the United States who gave birth at …

Haplotype Association Between Haptoglobin (Hp2) And Hp Promoter Snp (A-61c) May Explain Previous Controversy Of Haptoglobin And Malaria Protection, Sharon E. Cox, Conor Doherty, Sarah H. Atkinson, Chidi V. Nweneka, Anthony J.C. Fulford, Hala Ghattas Ph.D., Kirk A. Rockett, Dominic P. Kwiatkowski, Andrew M. Prentice

Faculty Publications

Background.

Malaria is one of the strongest recent selective pressures on the human genome, as evidenced by the high levels of varying haemoglobinopathies in human populations-despite the increased risk of mortality in the homozygous states. Previously, functional polymorphisms of Hp, coded by the co-dominant alleles Hp1 and Hp2, have been variously associated with several infectious diseases, including malaria susceptibility.

Methodology/Principal Findings.

Risk of a clinical malarial episode over the course of a malarial transmission season was assessed using active surveillance in a cohort of Gambian children aged 10-72 months. We report for the first time that the major haplotype for …

Haplotype Association Between Haptoglobin (Hp2) And Hp Promoter Snp (A-61c) May Explain Previous Controversy Of Haptoglobin And Malaria Protection, Sharon E. Cox, Conor Doherty, Sarah H. Atkinson, Chidi V. Nweneka, Anthony J.C. Fulford, Hala Ghattas Ph.D., Kirk A. Rockett, Dominic P. Kwiatkowski, Andrew M. Prentice

Faculty Publications

Background

Malaria is one of the strongest recent selective pressures on the human genome, as evidenced by the high levels of varying haemoglobinopathies in human populations–despite the increased risk of mortality in the homozygous states. Previously, functional polymorphisms of Hp, coded by the co-dominant alleles Hp1 and Hp2, have been variously associated with several infectious diseases, including malaria susceptibility.

Methodology/Principal Findings

Risk of a clinical malarial episode over the course of a malarial transmission season was assessed using active surveillance in a cohort of Gambian children aged 10–72 months. We report for the first time that the major haplotype for …

Gstm1, Gstt1, Gstp1, And Gsta1 Polymorphisms And Urinary Isothiocyanate Metabolites Following Broccoli Consumption In Humans, Susan E. Steck, Marilie D. Gammon, James R. Hébert, Denise E. Wall, Steven H. Zeisel

Faculty Publications

Isothiocyanates (ITC) are potentially anticarcinogenic phytochemicals formed from the metabolism of glucosinolates and are found in cruciferous vegetables as well as a select number of other foods. ITC are both substrates for and inducers of glutathione S-transferase (GST) phase II metabolizing enzymes involved in carcinogen detoxification as well as effectors of phase I pathways. Previous studies report mixed results on the interaction between cruciferous vegetable intake, GST polymorphisms, and risk of cancer. We conducted a study of 114 healthy human subjects between 18 and 50 y of age to examine the biologic mechanism underlying the associations, specifically, to assess …

Effects Of Residence And Race On Burden Of Travel For Care: Cross Sectional Analysis Of The 2001 Us National Household Travel Survey, Janice C. Probst, Sarah B. Laditka, Jong-Yi Wang, Andrew O. Johnson

Faculty Publications

Background: Travel burden is a key element in conceptualizing geographic access to health care. Prior research has shown that both rural and minority populations bear disproportionate travel burdens. However, many studies are limited to specific types of patient or specific locales. The purpose of our study was to quantify geographic and race-based differences in distance traveled and time spent in travel for medical/dental care using representative national data.

Methods: Data were drawn from 2001 National Household Travel Survey (NHTS), a nationally representative, cross-sectional household survey conducted by the US Department of Transportation. Participants recorded all travel on a designated day; …

Use Of Complementary And Alternative Medicine For Weight Control In The United States, Patricia A. Sharpe, Heidi M. Blanck, Joel E. Williams, Barbara E. Ainsworth, Joan M. Conway

Faculty Publications

Objectives: The purpose was to assess the prevalence and correlates of complementary and alternative medicine use for weight control.

Design: A list-assisted random-digit-dialed telephone survey of adults was conducted in the fall of 2002 (n = 11,211). The focus of the study was complementary and alternative medicine (CAM) use, other than dietary supplements, in the previous 12 months.

Settings/location: The sample of respondents was drawn from the total noninstitutionalized U.S. adult population residing in telephone-equipped locations.

Subjects: The sampling procedures were designed to obtain adequate representation of Hispanic and non-Hispanic black respondents. Data from the total sample of 11,211 …

Objectively Measured Physical Activity And Fat Mass In A Large Cohort Of Children, Andy R. Ness, Sam D. Leary, Calum Mattocks, Steven N. Blair, John J. Reilly, Jonathan Wells, Sue Ingle, Kate Tilling, George Davey Smith, Chris J. Riddoch

Faculty Publications

Background: Previous studies have been unable to characterise the association between physical activity and obesity, possibly because most relied on inaccurate measures of physical activity and obesity.

Methods and Findings: We carried out a cross sectional analysis on 5,500 12-year-old children enrolled in the Avon Longitudinal Study of Parents and Children. Total physical activity and minutes of moderate and vigorous physical activity (MVPA) were measured using the Actigraph accelerometer. Fat mass and obesity (defined as the top decile of fat mass) were measured using the Lunar Prodigy dual x-ray emission absorptiometry scanner. We found strong negative associations between MVPA and …

Seaweed And Soy: Companion Foods In Asian Cuisine And Their Effects On Thyroid Function In American Women, Jane Teas, Lewis E. Braverman, Mindy S. Kurzer, Sam Pino, Thomas G. Hurley, James R. Hébert

Faculty Publications

Seaweeds and soy are two commonly eaten foods in Asia. Both have been reported to affect thyroid function, seaweed because of its iodine content and soy because of its goitrogenic effect. Twenty-five healthy postmenopausal women (mean age 58 years) completed a double-blinded randomized crossover study. Ten capsules (5 g/day) of placebo or seaweed (Alaria exculenta), providing 475 ug of iodine/day, were consumed daily for 7 weeks. A powdered soy protein isolate (Solae Co., St. Louis, MO) providing 2 mg of isoflavones/kg of body weight, was given daily during the last week of each treatment arm. On average, …

Family Support For Physical Activity In Girls From 8th To 12th Grade In South Carolina, Marsha Dowda, Rod K. Dishman, Karin A. Pfeiffer, Russell R. Pate

Faculty Publications

Objective - To examine the relationship between perceived family support and other selected correlates of physical activity (PA) with changes in PA over time.

Methods - A total of 421 girls in South Carolina completed questionnaires at 8th, 9th and 12th grades (1998-2003). Family support for PA, PA self-efficacy, perceived behavioral control, attitudes, availability of equipment, and PA were measured.

Results - Growth curve analysis showed that family support, perceived behavioral control, and self-efficacy were independently related to age-related changes in PA as reflected by a total METs. Girls who reported lower family support at the 8th grade measure had …

Validation Of The Physical Activity Questionnaire For Older Children In Children Of Different Races, Justin B. Moore, John C. Hanes Jr., Paule Barbeau, Bernard Gutin, Roberto P. Treviño, Zenong Yin

Faculty Publications

The Physical Activity Questionnaire for Older Children (PAQ-C) is a validated self-report measure of physical activity widely used to assess physical activity in children (8-14 years of age). To date, however, the instrument has been validated in largely White Canadian samples. The purpose of the present article is to determine the pscyhometric properties of the PAQ-C for African American, European American, and Hispanic children. Two studies were conducted in which independent samples were administered the PAQ-C, along with varying indices of cardiovascular fitness, fatness, and psychological measures related to physical activity. Results showed that the reliability and validity of the …

Food Insecurity And Subsequent Weight Gain In Women, Sonya J. Jones, Edward A. Frongillo Jr.

Faculty Publications

Objective: Cross-sectional data indicate that a relationship between household food insecurity and overweight exists among women in the USA. Cross-sectional data cannot determine if food insecurity leads to overweight as some have hypothesised. The purpose of the present study was to examine the relationship of food insecurity with subsequent weight gain in women using data from the Panel Study of Income Dynamics (PSID).

Design, setting and subjects:Panel data from the 1999 and 2001 PSID, a nationally representative sample of households, were analysed using multivariate regression procedures.

Results: Average weight gain among all women (n=5595) was 1.1 kg …

Bereavement In The Modern Western World, David San Filippo Ph.D.

Faculty Publications

Bereavement is the process of suffering that follows the loss of a living being that is significant to someone. When one suffers, she or he has to endure an unpleasant experience, in the case of bereavement, the loss of something special to the person. This loss most often is a loved one but could also include the loss of a pet, relationship, or physical or mental capability. This state of suffering is called grief. In describing his grief, C. S. Lewis stated, after the loss of his wife, “No one ever told me that grief felt so much like fear. …

How Heel Oxygenation Changes Under Pressure, Vivian K. Wong, N. A. Stotts, H. W. Hopf, E. S. Froelicher, G. A. Dowling

Faculty Publications

The mechanism of heel pressure ulcers after hip surgery is not entirely understood. The purpose of this one-group, prospective, repeated-measures design study was to examine how the external pressure of the bed surface affects heel skin oxygen tension in adults on the first 3 days after hip surgery. Transcutaneous oxygen sensors were placed on the plantar surface of each foot, close to the heels. Measures were taken on room air and with an oxygen challenge with the heels (1) suspended above the bed surface (preload), (2) on the bed surface for 15 minutes (loading), and (3) again suspended above the …

Responsibility For Hiv Prevention: Patterns Of Attribution Among Hiv-Seropositive Gay And Bisexual Men, C. Offer, O. Grinstead, E. Goldstein, Edward M. Mamary, N. Alvarado, J. Euren, W. Woods

Faculty Publications

The article presents research based on narratives by gay and bisexual men recently infected with HIV. Researchers looked at the men's attributions of responsibility for infection, comparing recollections of feelings before becoming infected with views expressed after seroconversion. The research responds to a call to better understand risk behavior among HIV-positive persons, in an effort to craft effective prevention interventions. In both before-and after-HIV infection views, survey participants expressed a sense of personal responsibility. Researchers report also nuances of views about shared responsibility.

Disclosure Of Maternal Hiv Status To Children: To Tell Or Not To Tell . . . That Is The Question, Tanya L. Tompkins

Faculty Publications

HIV-infected mothers face the challenging decision of whether to disclose their serostatus to their children. From the perspective of both mother and child, we explored the process of disclosure, providing descriptive information and examining the relationships among disclosure, demographic variables, and child adjustment. Participants were 23 mothers and one of their noninfected children (9 to 16 years of age). Sixty-one percent of mothers disclosed. Consistent with previous research, disclosure was not related to child functioning. However, children sworn to secrecy demonstrated lower social competence and more externalizing problems. Differential disclosure, which occurred in one-third of the families, was associated with …

Parentification And Maternal Hiv Infection: Beneficial Role Or Pathological Burden?, Tanya L. Tompkins

Faculty Publications

Parentification, along with parenting and child adjustment were examined in 23 9-through 16-year-old youth from families affected by maternal HIV infection and 20 same-age peers whose mothers were not infected. Children whose mothers were HIV-positive reported to more often engage in parental role behaviors, relative to children of HIV-negative mothers. This difference remained even after controlling for the effects of current drug use, number of adults per child in the household, and marital status. Findings revealed a beneficial relationship between parentification and both child adjustment and parenting, particularly among families affected by maternal HIV infection. When relationships were examined separately …

Change In Physical Activity Participation Among Adolescent Girls From 8th To 12th Grade, Russell R. Pate, Marsha Dowda, Jennifer R. O'Neill, Dianne S. Ward

Faculty Publications

Background: Physical activity levels of girls decline in adolescence, but little is known about changes in participation in specific types of physical activity. This study examined change in participation in specific activities during adolescence in girls. Methods: Girls (N=398, age 13.6 ± 0.6 y at baseline, 58.5% African American) from 31 middle and 24 high schools in South Carolina completed the 3-Day Physical Activity Recall (3DPAR) in 8th, 9th, and 12th grades. Girls reported their predominant activity and its intensity level in each 30-min time block on the previous 3 d. Results: Vigorous physical activity declined from 45.4% …

Giving Birth: The Voices Of Russian Women, Lynn Clark Callister, Natalia Getmanenko, Natalia Garvrish, Marakova Olga Eugenevna, Zotina Nataliya Vladimirova, Jane H. Lassetter, Natalia Turkina

Faculty Publications

Purpose: To gain an understanding of the meaning of childbirth to women living in St. Petersburg, the Russian Federation.

Study Design and Method: Twenty-four Russian women who had given birth in the past 6 months participated in this phenomenological study and were interviewed and audio-taped about the meaning of childbirth. Data collection and analysis occurred concurrently.

Results: The Russian sociocultural context of childbirth was identified in specific themes: (1) adhering to cultural traditions, (2) accessing information, (3) maintaining a healthy lifestyle, (4) articulating the spiritual and emotional meaning of giving birth, and (5) transforming as a mother and a person. …

Psychometrically Equivalent Russian Speech Audiometry Materials By Male And Female Talkers, Shawn L. Nissen, Richard W. Harris, Melissa G. Pola, David L. Mcpherson, George A. Tavarkiladze, Dennis L. Eggett

Faculty Publications

Despite the large number of individuals who speak Russian, only a limited number of high-quality speech audiometry materials are available in a standard dialect of Russian. Thus, the purpose of this study was to develop and evaluate speech audiometry materials that can be used to measure word recognition and SRT testing in quiet for native speakers of Russian. Familiar mono-syllabic and bisyllabic words were digitally recorded by male and female talkers of Russian and subsequently evaluated by native listeners. Using logistic regression, psychometric functions were then calculated for all words. Selected monosyllabic words were digitally adjusted to create word recognition …

Lip Kinematics In Spasmodic Dysphonia Before And After Treatment With Botulinum Toxin, Christopher Dromey, Aubrey Reese, Susan Howey

Faculty Publications

In order to learn about articulatory behavior in adductor spasmodic dysphonia (SD), the lip movements of seven individuals with SD and three control speakers were recorded with strain gauges as they repeated 'Buy Bobby a puppy' in voiced and whispered conditions. Results included weaker bilabial coordination, qualitative differences in the shape of lip movement profiles, and an increased number of lip velocity peaks in the speakers with SD. These participants received percutaneous botulinum toxin injection to the thyroarytenoid muscle, and were then recorded again. The pre- vs. post-treatment data revealed that improved vocal activity was associated with fewer articulatory disturbances. …

Significant Stress And Real Rewards: The Ecological And Ambiguous Experiences Of Foster Parents, Jason B. Whiting Phd, Paul T. Huber Ma

Faculty Publications

To obtain an insider's perspective of the unique dynamics and needs of foster parents, surveys and interviews were conducted using human ecology and ambiguous loss as a guiding framework. The resulting qualitative and quantitative data show significant and distinctive stressors for foster parents. These include challenges with agency staff and procedures and ambiguous situations. However, these parents generally found meaning and satisfaction in service and coped with the help of informal and formal supports.

Foster Parent Pre-Service Training Programs: A Content Analysis Of Four Common Curricula, Jason B. Whiting Phd, Paul Huber, Alice Koech

Faculty Publications

This study compares four curricula commonly used in the pre-service training of US foster parents. Stufflebeam's (1983) CIPP model for program evaluation was used to guide a content analysis of each curriculum, with specific attention to the content and training methodology used. The content was examined to determine if it covered topics identified as germane to the task of fostering children. The instructional methodology of each program was compared with established andragogical adult education techniques. Results indicated that each curriculum varied in content and method of instruction, although there were many areas of overlap. Suggestions for curriculum selection criteria are …

Variability In Apraxia Of Speech: A Perceptual, Acoustic, And Kinematic Analysis Of Stop Consonants, Christopher Dromey, Shannon C. Mauszycki, Julie L. Wambaugh

Faculty Publications

Since being recognized as a clinical entity, the defining characteristics of apraxia of speech (AOS) have continued to evolve (McNeil, Robin, & Schmidt, 1997). Early research examining speech production with AOS speakers revealed inconsistency in articulatory performance with unpredictable errors (Johns & Darley, 1970; LaPointe & Johns, 1975). More recent research with “pure” apraxic speakers and AOS speakers with accompanying aphasia has revealed consistency in the location and types of errors in repeated productions (McNeil, Odell, Miller & Hunter, 1995; Shuster & Wambaugh, 2003; Wambaugh, Nessler, Bennett & Mauszycki, 2004). The issue of variability in AOS remains unresolved (Croot, 2002). …

Development Of Speech Reception Threshold Materials For Speakers Of Taiwan Mandarin, Shawn L. Nissen, Richard W. Harris, Katie B. Slade

Faculty Publications

The aim of this research was to develop, digitally record, evaluate, and equate speech audiometry materials that can be used to measure the speech reception threshold(SRT) in quiet for native speakers of Taiwan Mandarin. Familiar trisyllabic words were digitally recorded by male and female talkers of Taiwan Mandarin and subsequently evaluated by 20 native listeners with normal hearing at 14intensity levels (10 to 16 dB HL) in 2 dB increments. Using logistic regression, psychometric functions were calculated for all words. Twenty-eight words with comparatively steep psychometric functions were selected and digitally adjusted to match the mean subject pure-tone average (5.0 …

Developing Healthy Kids In Healthy Communities: Eight Evidence-Based Strategies For Preventing High-Risk Behaviour., Gary L. Hopkins, Duane C. Mcbride, Helen H. Marshak, Kiti Freier, John V. Stevens, Wendi Kannenberg, James B. Weaver, Stephanie L. Sargent Weaver, Peter N. Landless, Jonathan Duffy

Faculty Publications

Australian youth engage in behaviour that threatens their health and wellbeing. National surveys report that about a third of young Australians have tried an illicit drug. High rates of substance use and risky sexual behaviour among young Australians suggest that effective prevention efforts based on empirical evidence need to be expanded. Church-associated organisations are an untapped resource that could be used to improve the health and welfare of young people. We describe eight evidence-based elements to consider in designing strategies to prevent high-risk behaviour in young people.

An Overview Of The Near-Death Experience Phenomenon, David San Filippo Ph.D.

Faculty Publications

Near-death experiences appear to be universal phenomena that have been reported for centuries. A near-death encounter is defined as an event in which the individual could very easily die or be killed, or may have already been considered clinically dead, but nonetheless survives, and continue his or her physical life. Reports of near-death experiences date back to the Ice Age. There are cave paintings, in France and Spain that depict possible after life scenes that are similar to reported scenes related to near-death experiences. Plato's Republic presents the story of a near-death experience of a Greek soldier named Er. In …

Objectively Measured Physical Activity In Sixth-Grade Girls, Russell R. Pate, June Stevens, Charlotte Pratt, James F. Sallis, Kathryn H. Schmitz, Larry S. Webber, Gregory J. Welk, Deborah Rohm Young

Faculty Publications

Objectives - To describe the objectively-measured physical activity (PA) characteristics of a diverse sample of 6^th grade girls to examine influences on PA, and to report compliance with PA guidelines.

Design - Cross-sectional study.

Setting - Six locations across the United States.

Participants - 1578 6^th grade girls. Actigraph accelerometers were worn for 7 days, and data for 6 days were included in the analyses.

Main exposure - Race/ethnicity, free-or-reduced price lunch (FRPL), and geographic region.

Main outcome measure - Six operational definitions of adequate activity (60 min or 30 min of daily MVPA at or above 4.6, …

Cultural Competence In Action: A Framework And Practical Strategies For Clinicians, Nidhi Mahendra, Dolores Battle, Joan Payne

Faculty Publications

No abstract provided.

Omega-3 Fatty Acid Consumption In The Reduction Of Sudden Cardiac Death: A Critical Appraisal, Katie J. Walker, A. Elaine Bond, Renea L. Beckstrand, Mary Williams

Faculty Publications

This article examines the effects of omega-3 fatty acid consumption in reducing sudden cardiac death risk, and provides useful dosing recommendations for patients–with or without a history of coronary heart disease–in a primary care practice.

Emergency Nurses' Perceptions Of Obstacles And Supportive Behaviors In End-Of-Life Care, Sondra Heaston, Renea L. Beckstrand, A. Elaine Bond, Sheri P. Palmer

Faculty Publications

Introduction: Little is known about emergency nurses' perceptions of either obstacles or supportive behaviors for providing end-of life (EOL) care to dying patients. The purpose of this study was to determine the perceived obstacles and supportive behaviors in providing EOL care to dying patients in emergency departments.

Methods: In this survey research, a 73-item questionnaire regarding EOL care was mailed to a geographically dispersed national random sample of 300 members of the Emergency Nurses Association. Descriptive statistics were calculated for the 54 Likert-type items and demographic items. Two open-ended questions were analyzed using content analysis.

Results: Returns after 3 mailings …