Medicine and Health Sciences Commons^™

Chronic Physical Health Conditions Among Homeless, Nooshin Nikoo, Marjan Motamed, Mohammad Ali Nikoo, Verena Strehlau, Erika Neilson, Sahoo Saddicha, Michael Krausz

Journal of Health Disparities Research and Practice

ABSTRACT

Objective: Morbidity and mortality among homeless individuals is higher than the general population. This study aims to determine the prevalence of current self-reported, chronic physical health conditions in a large sample of homeless people with sub-samples from shelters and street in British Columbia, Canada. Methods: Cross-sectional survey applying modified version of the ‘National Survey of Homeless Assistance Providers and Clients (NSHAPC)’ questionnaire in multiple sites in Vancouver, Victoria and Prince George, British Columbia, Canada. Sample: Five hundred homeless individuals were surveyed between May and September of 2009. A person was defined as homeless if he/she had a …

Evaluation Of The Nci’S Community Cancer Centers’ Program (Ncccp): Impact On Disparities In Quality Of Cancer Care, Michael T. Halpern, Pamela Spain, Debra J. Holden, Andrew K. Stewart, Erica J. Mcnamara, Greer Gay, Steven B. Clauser, Irene Prabhu Das

Journal of Health Disparities Research and Practice

This study examined the effects of the NCCCP pilot on breast or colon cancer quality of care for patients from underserved populations and those treated at disparities-focused hospitals (NCCCP sites having fewer oncology resources or in communities with greater proportions of underserved populations). Data on five quality of care measures were collected using the Commission on Cancer’s Rapid Quality Reporting System. Following NCCCP initiation, we observed improvements in all five quality of care measures. There were similar quality of care improvements for Black vs. White patients, privately insured vs. Medicaid or uninsured patients, and men vs. women. Patients treated at …

Impact Of Social And Cultural Factors On Teenage Pregnancy, Devi Akella, Melissa Jordan

Journal of Health Disparities Research and Practice

United States has the highest level of teenage pregnancy amongst the industrialized nations. Further, the level of teenage pregnancy is highest amongst the minority population. This research study examines the reasons behind high rates of early childbirth amongst African American teenagers. This study uses Bandura’s (1977) Social Learning Theory to deconstruct the factors, which influence and manipulate the overall behavior of the teenagers and initiates them to choose early motherhood over education and career. To ensure better quality of empirical data, the authors collaborated with the pregnant teenagers and a local non-profit community agency using a phenomenological analysis.

Gathering Perspectives On Extended Family Influence On African American Children's Physical Activity, Natasha A. Brown, Katherine Clegg Smith, Rachel L.J. Thornton, Janice V. Bowie, Pamela J. Surkan, Darcy A. Thompson, David M. Levine

Journal of Health Disparities Research and Practice

Background: The family environment is a key determinant of children’s physical activity. The importance of the extended African American family is well established, but there is little research on its influence on school age children’s physical activity. Methods: We recruited eight families in which grandparents and other adult relatives played a central role in child supervision. Semi-structured interviews with parents, other adult relatives, and children revealed various perspectives on the influences of culture and families on children’s weight-related behaviors. Results: Children were between the ages of 6 and 11, and five of the families resided in neighborhoods in which at …

American Muslim Health Disparities: The State Of The Medline Literature, Aasim I. Padela, Afrah Raza

Journal of Health Disparities Research and Practice

Background: While religious beliefs and values influence health behaviors, conventional health disparities research rarely examines health outcomes by religious affiliation particularly within multi-ethnic minority communities.

Methods: Using a systematic strategy we searched the Medline literature to identify empiric studies that report on health disparities between American Muslims and non-Muslim groups residing in America. In addition to use religious affiliation descriptors for Muslim groups we utilized geographic and ethnicity terms such as “South Asian” or “Pakistani” as proxy terms to help uncover studies of American Muslims.

Results: 171 empirical studies were captured. South Asians and Arabs were the most commonly studied …

Lifeguard Fitness Readiness: Certification Vs. Qualification, Jacob Rasmussen

Annual Graduate Student Symposium

Among lifeguard certifying bodies, there is a lack of minimum cardio and strength requirements. Once certified, it is assumed that a lifeguard is physically able to perform rescues. This study will review in-service logs for cardio and strength components within lifeguard training to design appropriate in-service fitness readiness guidelines.

The Perpetuation Of Graffiti Art Subculture, Camille Lannert

Butler Journal of Undergraduate Research

Graffiti art and the subculture that supports it is a form of graffiti that differs from gang graffiti, immediate graffiti, and street art. This research is a qualitative analysis using partial participant observation of a graffiti art subculture in a Midwestern city. Six themes which characterize this subculture were individual identity, communication, competition, criminality, aesthetic criteria, and changing forms of communication. The implications of the findings for labeling theory and differential association theories are discussed.

Role Overload And Prescription Stimulant Use Among College Students, Haley Cook

Butler Journal of Undergraduate Research

Previous research has found that prescription stimulant use on college campuses has increased in recent years although estimates of the actual amount of stimulant use vary. Studies have also found that the motives for stimulant abuse vary with some individuals indicating they use prescription stimulants for academic purposes while others use them for recreational purposes. Today, the student role includes academic, organizational involvement, and social expectations. Students, who have difficulty meeting the multiple obligations placed upon them by the student role are said to be experiencing role strain. One type of role strain is role overload, which occurs when people …

Table Of Contents

Butler Journal of Undergraduate Research

Front cover, a list of the article contents in this issue, and editorial information.

Facilitating Facilitators: Enhancing Pbl Through A Structured Facilitator Development Program, Francine D. Salinitri, Sheila M. Wilhelm, Brian L. Crabtree

Interdisciplinary Journal of Problem-Based Learning

With increasing adoption of the problem-based learning (PBL) model, creative approaches to enhancing facilitator training and optimizing resources to maintain effective learning in small groups is essential. We describe a theoretical framework for the development of a PBL facilitator training program that uses the constructivist approach as the program’s guiding philosophy. The structured, pedagogically sound program was designed for a multidisciplinary pool of basic and social/administrative scientists, clinical faculty, practicing pharmacists, and post-graduate residents enrolled in a teaching certificate program. The training program employs the PBL experience, along with interactive technology, case-based and debriefing sessions with small groups and experienced …

The Validation Of The Active Learning In Health Professions Scale, Rebecca Kammer, Laurie Schreiner, Young K. Kim, Aurora Denial

Interdisciplinary Journal of Problem-Based Learning

There is a need for an assessment tool for evaluating the effectiveness of active learning strategies such as problem-based learning in promoting deep learning and clinical reasoning skills within the dual environments of didactic and clinical settings in health professions education. The Active Learning in Health Professions Scale (ALPHS) instrument captures three elements of active learning: activities that have elements of novel access to information, observing or participating in experiences focused on learning, and reflective practices about the learning process. In order to assess the criterion-related validity of the ALHPS, a Structural Regression Model was created in which the latent …

Social Constructivism And Case-Writing For An Integrated Curriculum, Alison F. Doubleday, Blase Brown, Philip A. Patston, Pamela Jurgens-Toepke, Meaghan Driscoll Strotman, Anne Koerber, Colin Haley, Charlotte Briggs, G. William Knight

Interdisciplinary Journal of Problem-Based Learning

Case-writing within an integrated, systems-based health professions education curriculum presents many unique challenges. Specifically, case-writing in this context must consider integration of multidisciplinary learning objectives and synthesis of biomedical and clinical sciences. Establishing an effective process for content integration and determining who should be involved in the case-writing process can be a daunting task and this specific context requires a new model for effective casewriting. This paper provides a model for the cycle of case development, implementation, evaluation and modification in an integrated, systems-based health professions curriculum. We highlight how this collaborative case-writing model parallels the social constructivist approach promoted …

Self Regulation Through Art And Chocolate, Lydia Royeen

The Open Journal of Occupational Therapy

Josh Banks provided the cover art for the spring 2015 issue of The Open Journal of Occupational Therapy. The cover art is titled “Birthday Party” because the piece resembles images involved in a birthday party: multi-colored balloons, napkins, cakes, and icing. Josh created the piece using oil crayons on watercolor paper. Josh is sensory seeking and has difficulty using various types of materials, which include crayons, street chalk, and markers. After much experimentation, Josh is able to use nibs, a type of marker that does not have a cap. Josh is able to sit for 5-10 minute periods and …

Social Justice As A Moral Imperative, Barbara Hemphill

The Open Journal of Occupational Therapy

No abstract provided.

Lifesteps: An Evidence-Based Health Promotion Program For Underserved Populations – A Community Service Learning Approach, Melanie Austin-Mccain

The Open Journal of Occupational Therapy

Chronic diseases are the most common, costly, and preventable of all health problems in the United States. Chronic diseases represent the leading causes of death and are experienced at higher rates by minority populations (CDC, 2012). Innovative community-based health promotion programs are recommended that meet the diverse needs of underserved populations (Yeary, et al., 2011). LifeSteps is being developed as an evidence-based health promotion program focusing on health and wellness, a domain area defined within the Occupational Therapy Practice Framework (OTPF, 2008). LifeSteps will utilize a client-centered approach to coach individuals in making health behavior changes. Fieldwork and service-learning components …

Evidence Considerations For Mobile Devices In The Occupational Therapy Process, Kelly Erickson

The Open Journal of Occupational Therapy

Mobile app-based device utilization, including smartphones and handheld tablets, suggests a need to evaluate evidence to guide selection and implementation of these devices in the occupational therapy process. The purpose of the research was to explore the current body of evidence in relation to mobile app-based devices and to identify factors in the use of these devices throughout the occupational therapy process. Following review of available occupational therapy profession guidelines, assistive technology literature, and available mobile device research, practitioners using mobile app-based devices in occupational therapy should consider three areas: client needs, practitioner competence, and device factors. The purpose of …

A Study Of Engagement In Active And Passive Roles In Casual Leisure Occupations, Anne M. Fenech

The Open Journal of Occupational Therapy

Background: This article explores whether engagement with listening occupations varies depending on the occupational role or the level of sensory stimulation presented to participants with neuropalliative conditions.

Method: The study used a multiple case quasi-experimental study involving marginal-participant time-sampled observations of engagement of individuals with neuropalliative conditions, with casual leisure occupations using the Individual Child Engagement Record. Data was collected using the Individual Child Engagement Record with 14 participants (who had Barthel scores averaging 7/100). The participants represented a particular sub-group of individuals with profound levels of neurological disability.

Results: The time-sampled observations of engagement showed a significant difference between …

The Challenge Of Cultural Competency In The Multicultural 21st Century: A Conceptual Model To Guide Occupational Therapy Practice, Wesam Darawsheh, Gill Chard, Mona Eklund

The Open Journal of Occupational Therapy

Background: Occupational therapists increasingly encounter clients from diverse cultural backgrounds and need to meet their professional obligation of delivering culturally competent practice. Yet the process of cultural competency is poorly understood in occupational therapy practice. There is a need for a clear understanding of the meaning and process of cultural competency as it is enacted in practice with a wide range of individuals from culturally diverse backgrounds.

Aim: To investigate the process, stages, characteristics, and requirements of cultural competency as practiced by experienced occupational therapists.

Method: Semi-structured interviews were carried out with 13 community occupational therapists experienced …

Field-Testing Reusable Learning Objects Related To Sensory Over-Responsiveness, Bryan M. Gee, Kiersten Moholy, Kimberly Lloyd, Anthony Seikel

The Open Journal of Occupational Therapy

Background. There is an increased need for dynamic, mobile, and relevant parent and caregiver education related to autism spectrum disorders (ASD) and Sensory Processing (SP). This need may be due to the increased incidence of the conditions’ co-morbidity and the revision of the diagnostic criteria of ASD. Reusable learning objects (RLOs) have been implemented as instructional tools as a part of, or adjunct to, formal health care education programs. However, there is a lack of knowledge regarding the appropriateness of RLOs as a part of routine patient and caregiver instruction of children with ASD.

Method. A semi-structured interview/rating scale was …

A Novel Cognitive Cueing Approach To Gait Retraining In Parkinson’S Disease: A Pilot Study, Stephanie Morrison, Sandi Spaulding, Jeff Holmes, Mary Jenkins

The Open Journal of Occupational Therapy

Background: Parkinson’s disease (PD) impairs gait performance, which can lead to falls and decreased quality of life. This study examined the feasibility of implementing a novel home-based intervention designed to elicit gait improvement in individuals with PD.

Methods: Five participants with PD completed a two-week home-based gait retraining intervention designed around guided video feedback. Semi-structured interviews were conducted postintervention and two months postintervention to acquire feedback from the participants about their experience with the intervention. Spatiotemporal parameters of gait and functional mobility were assessed pre and postintervention and at two months postintervention.

Results: Participants reported high levels of usability …

Time And Space Use Of Adults With Intellectual Disabilities, Terry K. Crowe, Jessica Salazar Sedillo, Emily F. Kertcher, Joy H. Lasalle

The Open Journal of Occupational Therapy

Purpose: This study analyzed the time and space use of adults with intellectual disabilities (ID) in order to better understand the occupational patterns of this population.

Methods: Time and space use data were collected through observation of 15 adults with ID during 4-hour periods on typical weekdays and weekend days. Data were coded into 12 time and 10 space use descriptive categories.

Results: The participants used a greater variety of locations during weekdays that contributed to greater amounts of weekday time spent in a wider variety of activity categories. In contrast, the participants spent a majority of …

How To Make An Editor Happy, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Ciis Today, Spring 2015 Issue, California Instituite Of Integral Studies

CIIS Today

This volume is the Spring 2015 issue of CIIS Today, the Magazine of the California Institute of Integral Studies.

Integrative Health Studies Newsletter, Ciis

Integrative Health Studies Newsletter

This is the April-May 2015 issue of the Integrative Health Studies Newsletter at CIIS.

Integrative Health Studies Newsletter, Ciis

Integrative Health Studies Newsletter

This is the Spring 2015 issue of the Integrative Health Studies Newsletter at CIIS.

Common Molecular Challenges In Glaucoma, Mansoor Sarfarazi

Articles - Patient Care

The clinical entity collectively known as glaucoma is a very specific optic neuropathy that affects individuals with various degrees of ocular complications and even with greater degrees of genetic heterogeneity.[^1,2] Although the very first genetic contribution to this group of eye disorders was described over 50 years ago,[³] it took another 30 years before the first molecular studies of this condition were undertaken.[^4,5] The significant challenge in understanding the basic underlying genes, proteins, biochemical and molecular pathways that are involved in this group of disorders is due to many difficulties …

Healthnet News V.30:No.2 Spring 2015, Wendy Urciuoli

Articles - Patient Care

No abstract provided.

Proteo-Lipobeads For The Oriented Encapsulation Of Membrane Proteins, Leslie M. Loew

UCHC Articles - Research

As a surrogate of the life cell, proteo-lipobeads are presented, encapsulating functional membrane proteins in a strict orientation into a lipid bilayer. Assays can be performed just as on life cells, for example using fluorescence measurements. As a proof of concept, we have demonstrated proton transport through cytochrome c oxidase.

Department Of Surgery Update, April 2015, Wright State University Department Of Surgery

Department of Surgery Updates

A four page newsletter created by the Department of Surgery documenting changes to the department. This issue contains a message from the chair, a list of important dates, committee meetings, scholarly activity and more.

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 …