Medicine and Health Sciences Commons^™

The Integration Of The Long Term Care Continuum Into A Seamless Health Delivery System, Viriginia E. Moseley

Theses

A seamless continuum of healthcare services is necessary to serve older adults, caregivers and the community. Personal knowledge and experience of the author, a nurse and skilled nursing facility administrator, is combined with a literature review to determine a vision for serving older adults and caregivers. A vertical integration of long term care into a health delivery network traditionally focused on acute and primary care is proposed.

The History Of American Health Care, Michael R. Niehaus

Theses

Health care in America has grown predominately in response to both social and religious need. All though historically social position was the primary determinant of a patients ability to receive health care, today insurance plays a major role in ones ability to receive that care. This thesis will examine some of the social changes which have effected American hospital and its relation to the patients ability to pay .

Intravenous To Oral Medication Streamlining Manual, Christina Cognata Smith

Theses

This thesis will examine intravenous to oral medication streamlining in hospitalized patients.

For multiple reasons the cost of healthcare has been rising over the past ten years. As a result of rapidly escalating expenditures, pharmacoeconomic strategies that center on reducing costs without adversely affecting patients' outcomes are commonplace throughout the pharmaceutical industry.

The literature demonstrates that the early transition from intravenous to oral medications is an opportunity to decrease hospital and patients' costs without compromising patients outcomes. It is important to note that an inappropriate or careless transition can result in a drastic increase in cost, therefor, patients should be …

The Impact Of Community Violence On African American Children And Families, Simeon J. Williams

Theses

This thesis will attempt to increase awareness of the significant impact of community violence on the social and emotional development of African American children and families and to examine the role that mental health and maternal and child health agencies could play in the implementation of effective prevention and intervention strategies.

The purpose of the study is to give an overview of the scope of the problem, identifying the extent, prevalence, and nature of the community violence in African American communities. Additionally, the study will review the theoretical and conceptual frameworks that have guided research in the area of violence …

The Integration Of The Long Term Care Continuum Into A Seamless Health Delivery System, Virginia E. Moseley

Theses

A seamless continuum of healthcare services is necessary to serve older adults, caregivers and the community. Personal knowledge and experience of the author, a nurse and skilled nursing facility administrator. is combined with a literature review to determine a vision for serving older adults and caregivers. A vertical integration of long term care into a health delivery network traditionally focused on acute and primary care is proposed.

Coping Resources: A Comparative Study Of Parents Of Children With Down Syndrome And Parents Of Children Without Down Syndrome, Randee Jo Feco

Theses

A comparative study was conducted on differences in coping resources in parents of a child with Down syndrome and parents of children without Down syndrome. Participants included twenty- three parents of a child with Down syndrome and twenty-nine parents of children without Down syndrome . All parents were from the St. Louis metropolitan area. The participants completed a personal data questionnaire and the Coping Resources Inventory (CRI). The personal data questionnaire contained demographic questions, and the CRI measured coping resources in five domains: cognitive , social, emotional, spiritual/philosophical, and physical . Data was statistically analyzed to determine differences in each …

Getting Ready For Total Joint Replacement Surgery: A Pre-Operative Education Program, Jason R. Delaney

Theses

Today's health care system is in a state of constant flux attempting to merge, decrease jobs and increase profits. A method to accomplish the goal for increased profits is to have a decline in the number of days any patient remains in the hospital. One such facility attempting to achieve this goal is a 340 bed acute care hospital in the Midwest.

ln the view of the author it seems possible for the physical and occupational therapy departments to have the ability to improve outcomes and decrease the total amount of time any patient remains hospitalized. With this in mind, …

Quality Assisted Living For Older Adults, A Study Of Three Single Family Homes, A Viable Housing Alternative To Institutionalization, Rhonda Lynn Dahlberg

Theses

Long-term care is one of the greatest threats to the financial security of older Americans and their families. People are living longer and because of this many are becoming frail, developing functional impairments and suffering from chronic illnesses. In the past, elderly people did not have many options when health problems made running a household too difficult to manage. It then became necessary to explore other housing alternatives. Previously, nursing homes were the traditional solution for individuals without the family resources to help them stay at home.

Today, new housing options are emerging. These housing options are gaining considerable attention. …

Psychiatric Outcomes In Low Birthweight Children At Age Six: Relation To Neonatal Cranial Ultrasound Abnormalities, Agnes H. Whitaker, Ronan Van Rossem, Judy F. Feldman, Irvin Sam Schonfeld, Jennifer A. Pinto-Martin, Carolyn Torre, David Shaffer, Nigel Paneth

Publications and Research

Examined the relation of neonatal cranial ultrasonography abnormalities to later psychiatric disorder in 564 low birth weight children (aged 5.2–8.7 yrs). Psychiatric diagnoses were assessed by means of the Diagnostic Interview Schedule for Children–Parent version, and detailed information was collected on other predictors and outcomes. Results show that 454 Ss had no cranial abnormalities, 78 had germinal matrix hemorrhage (GMH) and/or intraventricular hemorrhage (IVH), and 32 had a parenchymal lesion (PL) or ventricular enlargement (VE). 22% of the Ss had at least 1 psychiatric disorder, the most common being attention deficit hyperactivity disorder (ADHD). Isolated GMH/IVH did not increase …

Controlling Infectious Diseases, David P. Fidler, William Lane Porter

Articles by Maurer Faculty

No abstract provided.

J Am Coll Dent 1997 64 3

Journal of the American College of Dentists

The Journal of the American College of Dentists (JACD) publishes scholarly articles, editorials, essays, and reflections addressing the ethical, professional, and social dimensions of dentistry. The Journal serves as a forum for advancing ethics, professionalism, leadership, and excellence within the dental community. By fostering dialogue across disciplines and perspectives, JACD provides readers with insights that encourage ethical, professional practice, lifelong learning, and service to the public, reinforcing dentistry’s commitment to advancing oral healthcare and the common good.

Teenage Pregnancy In St. Kitts-Nevis: Psychosocial And Familial Factors, Ermine T. Leader

Dissertations

Problem. This study was conducted to examine some of the factors that are related to teenage pregnancy in St. Kitts-Nevis. It focused on the relationship between teenage pregnancy and father absence/presence, intergenerational teenage pregnancy, childhood sexual abuse, and domestic violence. A young girl's view of her relationship with both parents, the self-esteem of respondents, and their level of attendance and participation in church-related activities were also studied.

Method. Two instruments were incorporated into the questionnaire administered to females in St. Kitts and Nevis between the ages of 12 and 21, some of whom had experienced a pregnancy, and others who …

Determining The Degrees Of Needed Support For First Time Parents In The Immediate And Early Post Partum Period, Marilyn Grimes Fraktman

Educational Studies Dissertations

This study investigates the needed support for first-time parents in postnatal care.

Service-Learning In Health Professions Education Bibliography, Community-Campus Partnerships For Health

Bibliographies

The following list of resources will provide direction and useful information as you develop your servicelearning or community service program. Please note that some resources are listed with telephone or contact information for ordering a particular book or article. The list is not intended to be exhaustive, but reflects a compilation of materials recommended by Community-Campus Partnerships for Health. If you have a recommended resource to add to this list, please contact us at [email protected].

Ankle Injuries And Ankle Strength, Flexibility, And Proprioception In College Basketball Players, Kristen A. Payne, Kris E. Berg, Richard W. Latin

Health and Kinesiology Faculty Publications

Injuries to the ankle joint are among the most common of all sport-related injuries. Figures range from 10% to 30% of all injuries and from 5% to 20% of all time-loss injuries.1-9 Athletes participating in sports such as football, soccer, basketball, and volleyball are especially at risk for this type of injury, largely because of the running and jumping involved. In 1977, Garrick3 reported that during any single year of a 6-year period at the University of Washington, at least 16% of all time-loss injuries for all sports involved ankle sprains.

The Flame, Winter-Spring 1997, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

Women's Basketball Media Guide 1997-1998, Indiana State University

Intercollegiate Athletics

No abstract provided.

Effect Of Phenobarbital On Extracellular Matrix Production, Cell Replication, Transforming Growth Factor-��1 Binding, And Tgf-�� Receptor Profile In Rat Dermal Fibroblast Cultures, Rani Karina Spudich

Yale Medicine Thesis Digital Library

No abstract provided.

Empowering The Next Generation: Girls Of The Maqattam Garbage Settlement, Marie Assaad, Judith Bruce

Poverty, Gender, and Youth

This edition of SEEDS explores the challenge of extending earning opportunities and access to valued social roles to young women in the garbage settlement of Maqattam, Egypt. This edition furthermore underscores the degree to which livelihood programs must confront the social circumstances—such as health, marriage, and cultural and family traditions—that play a major role in shaping girls' current and future economic prospects.

Introducing Sexuality Within Family Planning: The Experience Of Three Hiv/Std Prevention Projects From Latin America And The Caribbean, Julie Becker, Elizabeth Leitman, Mahmoud F. Fathalla

Poverty, Gender, and Youth

This edition of Quality/Calidad/Qualité relates the experience of three family planning associations affiliated with the International Planned Parenthood Federation/Western Hemisphere Region that have tried to incorporate an HIV/AIDS prevention strategy into their existing family planning programs and services. It examines how BEMFAM/Brazil, ASHONPLAFA/ Honduras, and FAMPLAN/Jamaica have made a transition toward a range of family planning services more focused on the clients themselves and more explicit in the treatment of sexual themes. In each of the three countries, the staff received special training that not only enabled them to provide information on HIV/AIDS, but also helped them adopt a broader …

Gender Differences In The Schooling Experiences Of Adolescents In Low-Income Countries: The Case Of Kenya, Barbara Mensch, Cynthia B. Lloyd

Poverty, Gender, and Youth

Little research on education in developing countries has focused on adolescent issues at the same time, despite the fact that a growing proportion of young people are spending some time in school during the phase of their lives between puberty and marriage, there is little research on schooling as a key dimension of the adolescent experience. This paper examines the school environment in Kenya and the potential ways it can help or hinder adolescents. We focus on gender differences with a view toward illuminating some of the factors that may present particular obstacles or opportunities for girls. The paper begins …

Urbanization, Unemployment And Migration In Africa: Theory And Policy, Michael P. Todaro

Poverty, Gender, and Youth

During the past three decades, the cities of the developing world in general, and of Africa in particular, have witnessed a remarkable and in many ways unprecedented demographic growth spurt. Despite some slowdown in rates of increase in the past few years as a result of falling wages, contracting social services, and changing demographic trends, contemporary urban areas remain the growth poles of economic progress and the lightning rods of political and social unrest. Nowhere is this dilemma more visible nor the resulting problems more intractable than in the crowded cities of sub-Saharan Africa, where projections of urban population growth …

A Comparison Of Caregiving Self-Efficacy, Stress, Social Support, Coping, Depression, And Life Satisfaction Among African-American And White-American Female Caregivers Of Elder Bedbound Patients., Norma Graciela Cuellar

All ETDs from UAB

No abstract provided.

Gender Differences: Exercise Beliefs Among Youth, Marilyn Frenn

College of Nursing Faculty Research and Publications

No abstract provided.

Identification, Localization, And Characterization Of Sodium/Hydrogen Exchanger Isoforms 1 And 3 In The Gerbil Cochlea, Brian R. Bond

MUSC Theses and Dissertations

Mongolian gerbils were used in an investigation into the expression of cochlear sodium/hydrogen (NHE) exchanger isoforms 1,2,3 and 4. NHE 1-4 gene products were identified in the gerbil inner ear by reverse-transcription polymerase chain reaction (RT-PCR). The distribution of NHE-1 and 3 subsequently was mapped in the adult gerbil inner ear using isoform-specific polyclonal antibodies generated against rat antigens. Changes in the cellular expression level of NHE-1 protein in response to treatment with dexamethasone or NH4 CI-induced acidification were then assessed by semiquantitative immunohistochemical analysis. Cochlear cDNA was amplified by the polymerase chain reaction (PCR) using NHE isoform-specific primers based …

The Epidemics Of Injecting Drug Use And Blood-Borne Disease: A Public Health Perspective, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

In this article, the author first examines the mechanism by which blood-borne disease is transmitted through sharing of injection equipment. Thereafter, he presents a public health strategy for reducing multi-person use of contaminated injection equipment. This strategy includes: repealing or modifying current laws and regulations making possession and distribution of sterile injection equipment a criminal offense; implementing syringe exchange programs to expand access to new syringes for users of injection drugs; and counseling, education, and treatment targeted to injecting drug users (IDUs), including those in the prison and health care system. The objective of a public health approach is not …

Dedicatory Essay: Honoring Ian Mccoll Kennedy, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

Ian Kennedy is perhaps the best known and most important figure in health law and ethics in the United Kingdom, and probably one of the most significant in Europe and North America. How did his life and career evolve to the point where he would wield such influence? This essay examines the leadership, erudition, and passion Ian Kennedy has brought to the field of health law and ethics. It is perhaps not an overstatement to suggest that Professor Kennedy virtually invented the field in the United Kingdom. He did so through his scholarship, public advocacy, and influence in shaping institutions, …

Using A Rapid Assessment Approach To Evaluate The Quality Of Care In An Integrated Program: The Experience Of The Family Health Division, Ministry Of Health, Botswana, Lucy Sejo Maribe, Baker Ndugga Maggwa, Ian Askew, Kate Miller

Reproductive Health

To strengthen existing efforts by the Government of Botswana in responding to the HIV/AIDS epidemic, USAID provided financial and technical assistance through the Botswana Population Assistance (BOTSPA) project. BOTSPA’s goal was to improve the quality and availability of family planning (FP) and sexually transmitted infection (STI) services through designing, implementing, and monitoring activities that would lead to the eventual institutionalization and sustainability of high-quality FP and STI/HIV/AIDS services. The Ministry of Health requested assistance from the Africa OR/TA Project II to develop and test an approach for routinely measuring the quality of service delivery and assessing skills retention by staff …

Integrating Sti/Hiv Management Strategies Into Existing Mch/Fp Programs: Lessons From Case Studies In East And Southern Africa, Baker Ndugga Maggwa, Ian Askew

Reproductive Health

Sub-Saharan Africa is confronting an HIV/AIDS epidemic and virtually all health programs in the region are seeking ways of preventing and reducing the spread of this virus. To compound the problem, the presence of certain sexually transmitted infections (STIs) is known to increase risk of the sexual transmission of HIV. The sub-Saharan region is believed to have some of the highest levels of STIs in the world, thus controlling STIs is not only an important reproductive health care strategy in itself but also a key strategy in reducing the spread of HIV. The strongest evidence to support this has come …

Traditional Family Planning In Bangladesh, Alan Gray, Jamil H. Chowdhury, Bruce Caldwell, Ahmed Al-Sabir

Reproductive Health

“Traditional” methods of family planning (FP) generally are methods such as withdrawal and periodic abstinence that do not require contraceptive substances or devices, or clinical procedures. In 1991, approximately 38 million couples worldwide relied on withdrawal to prevent pregnancy, and 30-35 million relied on periodic abstinence. Together, these constituted one-quarter of all users of temporary methods of FP worldwide. In Bangladesh, the proportion using periodic abstinence or withdrawal was more than 20 percent of users of temporary methods. The reasons for use of traditional methods have not been investigated in Bangladesh, because of overriding attention to modern methods. Given that …