Medicine and Health Sciences Commons^™

An Ethical Analysis Of Incentives As “Nudges” Toward Better Health Outcomes: A Case Study Of Seva Mandir’S Immunization Program In Rural Udaipur, Julika Kaplan

Independent Study Project (ISP) Collection

Seva Mandir, a non-governmental organization working on tribal development issues in the Udaipur District of India, offers pregnant women and mothers one kilogram of lentils for every visit they make to the organization’s monthly immunization camps. This study assesses whether it is ethical to use incentive-based systems, as opposed to empowerment through health education, to “nudge” the rural poor in Udaipur toward immunization. The information presented in this study is based on twenty-nine interviews with pregnant women and mothers of children less than two years old conducted during six field visits to Seva Mandir’s immunization camps. Through data obtained from …

The Impact Of The Chinese Rural Healthcare System On Infectious Disease: A Study Of The History And Reform Of Chinese Healthcare, And The Global Implications Of Infectious Disease Control In China, John Barbadoro

Independent Study Project (ISP) Collection

China’s healthcare system has gone through significant changes in the 20^th and 21^st centuries. These changes have mirrored not only the political focus of the time, but also the social issues facing China. The NRCMCS for rural residents is a cheap annual fee that covers a percentage of medical costs. There are two urban equivalents, the BMIUE and BMIUR for urban employees through their job, and residency respectively. Despite the focus on cheaper healthcare for rural residents, the problems of income inequality and mistrust in the medical system are major problems that affect the health of this large …

Adding Injustice To Injury - Health Perceptions, Plurality, And Power In The Ongoing Bhopal Disaster, Ruth Markwardt

Independent Study Project (ISP) Collection

Standards of health, human rights, and development are typically defined and dictated by policymakers instead of the populations directly affected by so-called development efforts. This paper seeks to contextualize global development efforts by highlighting specific local realities among the community of Bhopal Disaster survivors in Madhya Pradesh, India. As the site of the world’s largest industrial disaster, a disaster which is not over but ongoing, Bhopal represents an important population to highlight as the disaster continues. The Political Ecology of Health model was used to highlight political and environmental influences on community health. Within Political Ecology, this study takes a …

La Contaminación De La Cuenca Matanza-Riachuelo: Análisis De La Respuesta Institucional Con Respecto A La Salud De La Población Del Barrio De La Boca., Ishaira Nieto Rosas

Independent Study Project (ISP) Collection

La intención de esta investigación fue presentar un panorama de la respuesta de diferentes organizaciones del barrio de La Boca a los riegos de salud ambiental con respecto a la contaminación histórica y continua de la Cuenca Matanza-Riachuelo. Basado en el entendimiento que la salud es el completo bienestar físico, mental y social, este proyecto abordó el tema de contaminación ambiental a través de la participación en un taller de monitoreo social de la Cuenca y entrevistas con miembros del Equipo Local de Salud Ambiental del CESAC 41, el Presidente de la Asociación de Vecinos de La Boca y comerciantes …

Los Agroquímicos Usados En Las Plantaciones Bananeras Y Sus Efectos En El Agua, La Gente, Y El Ambiente En La Comunidad De Changuinola, Bocas Del Toro, Panamá., Daniela Rossi

Independent Study Project (ISP) Collection

Esta investigación analiza los efectos de los químicos que se usan en forma de fertilizantes, nematicidas, insecticidas, y pesticidas en las plantaciones bananeras en Changuinola, Panamá. Esta investigación analiza la relación entre estos químicos y la salud de la gente de la comunidad que vive adentro de las bananeras, la salud de los trabajadores de los bananales, y los efectos en el ambiente, específicamente el agua. Este estudio se realizo por medios de entrevistas informales y por analices de muestras de agua en fincas bananeras en el laboratorio de IDAAN. Los posos de agua analizados fueron de Fincas 03, 04, …

Sexual Education For Youth In Rwanda: A Case Study Of Methods, Effectiveness, And Response At The Kimisagara One Stop Youth Center, Leslie Massicotte

Independent Study Project (ISP) Collection

In examining the increasing influence of states in contemporary society, this paper explores the concept of biopower, particularly in the area of sexual health, as a critical control mechanism that solidifies state legitimacy. By turning control mechanisms inwards, into minds and physical bodies, the state utilizes its monopoly over the legitimate use of symbolic violence to convince citizens of the assumed universality of structures and mindsets that solidify state power. Reproductive health has emerged as a crucial site of consolidating state control, perpetuating the assumed necessity of state regulation of bodies for the betterment of the nation. In Rwanda, with …

A Collaborative Educational Innovation In An Old Order Mennonite Community, M. Susan Jones Phd, Maria E. Main Dnp, Dawn M. Garrett Phd

Nursing Faculty Publications

Forming collaborative, interprofessional partnerships to facilitate the education of future healthcare providers to serve diverse cultures is an overarching goal of Area Health Education Centers (AHECs) and supported by the Institute of Medicine (IOM, 2005). This article describes the process of creating and sustaining a collaborative interprofessional health promotion and educational project with an old order Mennonite (OOM) community in south central Kentucky. This ongoing project began over a decade ago and involves the collaborative efforts of the South Central Kentucky AHEC, the School of Nursing at Western Kentucky University (WKU), a family practice residency program affiliated with the University …

Migrant Farmworkers And Access To Health Care In Minnesota: Needs, Barriers, And Remedies, Rachel L. Gunsalus

Sociology Honors Projects

Every year, migrant farmworkers (MFWs) travel from southern Texas to Minnesota to provide the temporary labor needed to harvest seasonal Minnesotan crops. Migratory agricultural labor exposes workers to increased risk of occupational hazards, communicable disease, and chronic illness. However, the agricultural industry does not offer employer-based health insurance to these seasonal workers, and provides wages insufficient to otherwise cover the cost of health care services. This research investigates the financial and non-financial barriers to health care for Minnesota’s MFWs through interviews with staff from Migrant Health Service, Inc., the only federally-designated Migrant Health Center (MHC) in Minnesota. The findings show …

Let's Talk Speech! Volume 6 Issue 2, Barbara T. Schmidt Ph.D.

Communication Sciences and Disorders Newsletter

The spring 2013 semester has indeed been a memorable one. This newsletter keeps you informed of the activities that have transpired this semester. As you read, I think you will get a sense of how our department has grown and how many things we have to celebrate. And celebrate we do! First, this semester marks the graduation of our first class of master’s degree students in Speech-Language Pathology. The class of 7 students completed their 56 credit degree in 2 years. The clinical educators, faculty and staff all watched them eagerly, struggled with them and rejoiced in their success. I …

Factors Influencing Management Of Type 2 Diabetes Among Vietnamese Seniors In Worcester, Ma, Marianne M. Sarkis, Amelia Angevine, Chantal Begley, Kristina Nguyen, Thuha Le

Local Knowledge: Worcester Area Community-Based Research

What are the effects of diabetes among Vietnamese seniors on themselves and their communities?

This study examines the role of the social and physical environment in influencing type 2 diabetes management among the Vietnamese senior community. The researchers employed a concurrent mixed methods approach, utilizing both quantitative and qualitative instruments. Eleven diabetics participated in individual interviews and seven non-diabetic caregivers comprised the focus group. The study results suggest that in the study sample, the most important factors in influencing management include factors in the physical environment, such as safety and location, as well as social factors, including individual and community …

Inflammatory Findings On Species Extrapolations: Humans Are Definitely No 70-Kg Mice, Marcel Leist, Thomas Hartung

Validation of Alternative Methods Collection

Modern toxicology has embraced in vitro methods, and major hopes are based on the Omics technologies and systems biology approaches they bring along (Hartung and McBride in ALTEX 28(2):83–93, 2011; Hartung et al. in ALTEX 29(2):119–28, 2012). A culture of stringent validation has been developed for such approaches (Leist et al. in ALTEX 27(4):309–317, 2010; ALTEX 29(4):373–88, 2012a; Toxicol Res 1:8–22, 2012b), while the quality and usefulness of animal experiments have been little scrutinized. A new study (Seok et al. 2013) now shows the low predictivity of animal responses in the field of inflammation. These findings corroborate earlier findings from …

Contact Point, Arthur A. Dugoni School Of Dentistry

Contact Point

No abstract provided.

Government Provided Health Insurance, Kristina Lambert, Ryan O’Connor

Academic Symposium of Undergraduate Scholarship

No abstract provided.

Combatting Dental Anxiety In Patients, Gretchen Osdoba

Natural Science Student Work

Dental Anxiety is a highly debilitating condition that can keep people away from the dentist and from receiving critical care. This can lead to serious medical conditions that could have easily been prevented through proper dental care. The purpose of this paper is to describe the nature of dental fear and the different treatment options available. I will focus on helpful traits of dentists and the use of psychological treatments, nitrous oxide, anti-anxiety medications, and general anesthesia to reduce this fear. I will also discuss a comparison of a psychological treatment and an anti-anxiety medication as short-term and long-term treatment …

Hiv/Aids Care, Coping Strategies And Work Environmental Stress Among Nurses In Botswana, Thabo T. Fako, Debra Rose Wilson, James G. Linn, Ntonghanwah Forcheh

Walden Faculty and Staff Publications

Since 2006 there has been universal acceptance in both developing and industrialized societies that HIV treatment and related services, including more effective programs, be available to all citizens. However, as a result of the worldwide recession and shifting health priorities, progress toward these goals has stalled. While the epidemic continues to grow (approximately 34 million globally, with 2.7 million new cases in 2010), fewer resources are dedicated to treatment and prevention than previously, and clinical staffs, especially nurses are challenged by more patient care responsibilities. This paper focuses on the relationships of HIV/AIDS care, coping strategies and work environmental stress …

E.M.: A Case Report Of Chronic Low Back Pain, Lindsay St. Louis, Kristen Brusky, Michael D'Apice, Tyler Vunk

Student-led Mini-Grants

Video interviews of five chronic pain patients with differing conditions were completed; a man with chronic low back pain, a woman with fibromyalgia, a woman with rheumatoid arthritis, a man with musculoskeletal pain in addition to post-traumatic stress disorder, and a woman with a spinal cord injury. These interviews were used to make personal videos for each patient, which tell their story of chronic pain, and a longer 8-10 minute video that included all patients in addition to a young woman with complex regional pain syndrome (CRPS). They were also used to make interprofessional case reports of chronic pain with …

Pregnant With Parasites: Assessing Parasitic Infections In Pregnant Women Of The Kwale District, Christina Hopkins Hopkins

Independent Study Project (ISP) Collection

Parasitic infections such as malaria and intestinal worms plague many tropical and sub-tropical regions. The Kwale district of Kenya is among one of these regions and provides many circumstances that make these parasites endemic to the area. Pregnant women are part of the major groups affected by parasites. Although clinical professionals are making great attempts at reducing the chances for parasitic infections in these women, there are still some factors that are out of their control. Most women do not receive their drinking water from a secure water source and a majority of the women did not have the financial …

Las Multiplicidades De Salud Integral: Medicina Plural, Medicina Holística, Louise Highleyman

Independent Study Project (ISP) Collection

El Hospital Andino Alternativo de Chimborazo (H.A.A.CH.) es un hospital relativamente pequeño ubicado en la ciudad de Riobamba, la capital de la provincia de Chimborazo. Un proyecto de la Diócesis de Riobamba, lo que diferencia este hospital es la unión de tres áreas de medicina en el mismo lugar: medicina andina (o ancestral), medicina alternativa, y medicina alopática (o química).Los tres tipos de medicina “dan la libertad al paciente de elegir con qué tipo de medicina desea curarse.”[1] Aunque actualmente la mayoría de pacientes (70%, según la gerente) están transferidos por el Instituto Ecuatoriano de Seguridad Social (IESS) para …

Ada News - 04/01/2013, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

The Effects Of Weekday, Season, Federal Holidays, And Severe Weather Conditions On Emergency Department Volume In Montgomery County, Ohio, Kiran A. Faryar

Master of Public Health Program Student Publications

The purpose of this study was to determine whether day of the week, season, federal holidays, and severe weather conditions affected emergency department (ED) volume in Montgomery County, Ohio. A retrospective analysis of ED visits from July 1, 2010 to July 1, 2011 was conducted. Meteorological data in Montgomery County was obtained from the National Oceanic and Atmospheric Administration (NOAA). A two tailed Analysis of Variance (ANOVA) was used to determine if the total number of ED visits were significantly associated with these variables. The average number of ED visits per day was 722.5. Monday had the highest ED volume …

Flight Physician - April, 2013, Civil Aviation Medical Association

Browse all Civil Aviation Medical Association Newsletters

A sixteen page newsletter of the Civil Aviation Medical Association. The newsletter provided news about civil aviation medicine and information related to the organization.

A Passion For Saving Lives: The Motivation Of Surgically Trained Healthcare Professionals In Mozambique, Sofia Cadime

Inquiry Journal 2013

No abstract provided.

Kinematic And Spatiotemporal Analysis Between Sprint Drills And Maximal Sprinting, Julianne Cappadona

PTHMS Undergraduate Publications

Purpose: To determine if any kinematic differences exist between two common sprint drills (A- and B-drills) and maximal sprinting. Methods: 12 collegiate sprinters (19.17±1.11 y/o) granted informed consent were filmed performing two 40-meter sprints, A-skips, and B-skips. Three-dimensional motion analysis tracked the coordinates of 24 reflective markers and resulting joint kinematics were computed. Results: Statistical analysis revealed that sprinting yielded a significantly lower maximum hip flexion (p=0.015) but a significantly higher minimum ankle angular velocity (p=0.012) and step rate (p=0.000) value than A-drills. When compared to B-drills, sprinting values were significantly lower in maximum hip flexion (p=0.047), minimum knee flexion …

Same-Day Discharge Of Transradial Elective Coronary Intervention, Diane Rydzy Rn, Stuart Zarich

Posters

Transradial coronary interventions appear to be increasing in all cardiac catheterization laboratories across the country. The benefits of this approach have become apparent with fewer bleeding complications, faster recovery time and most of all, improved patient satisfaction. These benefits indirectly increase patient throughput and decrease costs due to more efficient resource utilization. With increased financial constraints transradial coronary procedures are also a benefit in cost reductions.

[The Great European Georg Friedrich Nicolai: Physician And Pacifist. Berlin, Germany, 1874 - Santiago, Chile, 1964], Felipe Cabello C

NYMC Faculty Publications

Georg Friedrich Nicolai (1874-1964) was a German physician and physiologist whose pacifism during the First World War led him in 1914 to cosign with W. J. Foerster, A. Einstein and O. Bueck a "Manifesto to the Europeans" against the entry of Germany into the war and the invasion of Belgium. As a result of this appeal and his strong pacifism, Nicolai lost his positions as cardiologist to the German royal family, professor at the University of Berlin and chief of laboratory at the Charite hospital also in Berlin, and was sent as a garrison physician in Graundenz, in today's Poland. …

Isometric Endurance Of Neck Muscles And Muscles For Scapular Positioning In Individuals With And Without Postural Neck Pain, Karthikeyan Guru, Nazhath Praveen, K. Selvamani

Internet Journal of Allied Health Sciences and Practice

Postural neck pain results from poor posture, arising through the sustained, long term, abnormal physiological loads imposed on the neck with a consequent reduction in neck and scapular muscle strength. The purpose of this study was to compare isometric muscle endurance in the neck and scapulothoracic region in individuals with and without postural neck pain. Methodology: Twenty-five patients between 20 to 50 years old with postural neck pain were chosen from the out-patient departments of Srinivas College of Physiotherapy and Rehabilitation Centre and Government Wenlock Hospital, Mangalore, and 25 healthy age matched individuals from society. The Neck Disability Index (NDI) …

Marshall University Joan C. Edwards School Of Medicine, Professional Enhancement Newsletter, Spring 2013, Darshana Shah

Professional Enhancement News (PEN)

Spring 2013 Volume 5 Number 1

Defining The Efficacy Of Aortic Root Enlargement Procedures: A Comparative Analysis Of Surgical Techniques, Katie L. Losenno, Jill J. Gelinas, Marjorie Johnson, Michael W. A. Chu

Anatomy and Cell Biology Publications

Background: Aortic root enlargement (ARE) procedures are believed to allow implantation of larger valve prostheses; however, little evidence exists to support the specific efficacy of various techniques. Methods: Using a cadaveric model, 20 adult (72.4 +/- 15.3 years) hearts were stratified into 4 groups based on annular diameter: <20 mm, 20-22 mm, 22-24 mm, and >24 mm. Each heart underwent an aortic valve replacement following a Nicks, Manougian, aortoventriculoplasty and modified Bentall procedure, with appropriate reversals between procedures. Results: All 4 groups experienced similar increases in annular diameter (P = 0.43) and prosthesis size implanted (P = 0.51) with each enlargement technique. The Nicks, Manougian, modified Bentall …

A Magnetic-Resonance-Imaging-Compatible Remote Catheter Navigation System., Mohammad Ali Tavallaei, Yogesh Thakur, Syed Haider, Maria Drangova

Medical Biophysics Publications

A remote catheter navigation system compatible with magnetic resonance imaging (MRI) has been developed to facilitate MRI-guided catheterization procedures. The interventionalist's conventional motions (axial motion and rotation) on an input catheter - acting as the master - are measured by a pair of optical encoders, and a custom embedded system relays the motions to a pair of ultrasonic motors. The ultrasonic motors drive the patient catheter (slave) within the MRI scanner, replicating the motion of the input catheter. The performance of the remote catheter navigation system was evaluated in terms of accuracy and delay of motion replication outside and within …

M.M.: A Case Report Of Spinal Cord Injury, Lindsay St. Louis, Michael D'Apice, Kristen Brusky, Tyler Vunk

Student-led Mini-Grants

Video interviews of five chronic pain patients with differing conditions were completed; a man with chronic low back pain, a woman with fibromyalgia, a woman with rheumatoid arthritis, a man with musculoskeletal pain in addition to post-traumatic stress disorder, and a woman with a spinal cord injury. These interviews were used to make personal videos for each patient, which tell their story of chronic pain, and a longer 8-10 minute video that included all patients in addition to a young woman with complex regional pain syndrome (CRPS). They were also used to make interprofessional case reports of chronic pain with …