Medical Humanities Commons^™

Propiedad Intelectual Y Acceso A Medicamentos: El Caso De Lopinavir/Ritonavir En Guatemala, Luis Pablo Méndez-Alburez, Alejandro Cerón

Anthropology: Faculty Scholarship

No abstract provided.

Cultural Sensitivity In Healthcare: The New Modern Day Medicine, Daniel Dell'osso

Senior Theses

In healthcare facilities there are many factors that contribute to overall equity, efficiency, and quality of care which if addressed properly can promote justice for all. Patients relying on healthcare facilities come from a variety of races, ethnicities, and cultures as are the employees who provide care for the patients. Diversity is very widespread within the healthcare environment and tolerance as well as acceptance of others is necessary in conducting smooth and efficient care. However, cultural sensitivity and competency seems to continue to be an issue that has been neglected and has severely negatively impacted healthcare centers and its surrounding …

Decreasing Cost Associated Medication Nonadherence, Shawn E. Raymond

Doctor of Nursing Practice Scholarly Project

An Abstract of the Scholarly Project by

Shawn E. Raymond

Medication cost is a major contributor for patient medication nonadherence. Take in the fact that a large population lives in poverty, many cannot afford to pay the retail prices associated with purchasing their medications. By incorporating wholesale medications into a charitable health clinic, the reduced cost of medications for treatment of both acute and chronic illnesses could be passed on to those in need thereby decreasing cost associated medication nonadherence. Nurse Practitioners in the state of Kansas are not afforded the privilege to purchase, repackage and distribute or resell wholesale …

Providers’ Perspectives On Inbound Medical Tourism In Central America And The Caribbean: Factors Driving And Inhibiting Sector Development And Their Health Equity Implications, Rory Johnston, Valorie A. Crooks, Alejandro Cerón, Ronald Labonté, Jeremy Snyder, Emanuel O. Núñez, Walter G. Flores

Anthropology: Faculty Scholarship

Background

Many governments and health care providers worldwide are enthusiastic to develop medical tourism as a service export. Despite the popularity of this policy uptake, there is relatively little known about the specific local factors prospectively motivating and informing development of this sector.

Objective

To identify common social, economic, and health system factors shaping the development of medical tourism in three Central American and Caribbean countries and their health equity implications.

Design

In-depth, semi-structured interviews were conducted in Mexico, Guatemala, and Barbados with 150 health system stakeholders. Participants were recruited from private and public sectors working in various fields: trade …

Medicine Outside The Clinic: The Growing Need For Physicians In Sexual Education Policy, Zachary Sanford

Marshall Journal of Medicine

Sex and sexuality are both topics of immense social and personal importance, owing their openness or constraint in large part to the society in which they are discussed. In homogenous groups it may be possible to reach firm consensus on what is, or is not, appropriate to consider a sexual norm and use an overarching set of religious or spiritual morals to reaffirm this decision. However, in western society and specifically in the United States, a theme of integration and amalgamation of wildly different cultures has presented an interesting case study in searching for common ground on basic social issues. …

I Am Their Kin, Nihit N. Mehta

Akesis

In trying to answer the question, “what consumes me,” I was reminded of a question, one that has been asked of me over these past few years: “What do you want to be when you grow up?” It’s a question that I’ve encountered many a times along this journey of life. Yet, when I recently encountered this question, my answer was like a clarion call to the recesses of this heart. “I want to be a pediatrician. I was a really sick child, so the way I see it, I’m their family member, helping my kin feel …

Overgrowth, Samantha Stephen

Akesis

I often find myself consumed by a desire to better myself and my work.

This is true for both school and my art. It can be tricky trying to find a balance between the two.

This is a 5"x5" black and white print taken with a Holga 120 CFN Camera.

Compassionate Touch, Riddhi Daftary, Jessfor Baugh

Akesis

Artist Alex Rheault approached the College of Dental Medicine in the fall of 2015 about collaborating for UNE Interprofessional Art Exhibition: Wonder. Rheault’s idea was to create an artwork informed by CDM faculty and students that would explore the fear and anxiety many people associate with dental care. The artist connected with students Jessfor Baugh and Riddhi Daftary. Through meetings emphasizing free-form discussion—with Rheault often drawing as a part of the idea exchange—an interdisciplinary collaboration was born.

Baugh and Daftary identified five stages associated with anxious and fearful dental patients: Listen to Identify, Validation, Everyone has a Story, …

Facets Of Pain, Samantha J. Shepard

Akesis

Facets of Pain

By Samantha Shepard

This painting is a depiction of the emotions evoked by my journey with chronic pain. In the fall of 2009, I experienced an injury leaving me disabled for four years, I lost many things that day including my so-called identity as a young able bodied person. Though my journey with chronic pain was arduous, and at times, seemed endless, I continued to walk along my path to recovery, and today I am a successful premedical student at the University of New England working to pursue an education in osteopathy.

I often describe chronic pain …

“That’S Enough Patients For Everyone!”: Local Stakeholders’ Views On Attracting Patients Into Barbados And Guatemala’S Emerging Medical Tourism Sectors, Jeremy Snyder, Valorie A. Crooks, Rory Johnston, Alejandro Cerón, Ronald Labonte

Anthropology: Faculty Scholarship

Background

Medical tourism has attracted considerable interest within the Latin American and Caribbean (LAC) region. Governments in the region tout the economic potential of treating foreign patients while several new private hospitals primarily target international patients. This analysis explores the perspectives of a range of medical tourism sector stakeholders in two LAC countries, Guatemala and Barbados, which are beginning to develop their medical tourism sectors. These perspectives provide insights into how beliefs about international patients are shaping the expanding regional interest in medical tourism.

Methods

Structured around the comparative case study methodology, semi-structured interviews were conducted with 50 medical tourism …

The Importance Of Nature: An Investigation On How Geography Influences Well-Being, Christina Cobb

Independent Study Project (ISP) Collection

The objective of this community service project (CSP) was to study how a community’s location, specifically within nature, influences their well-being. I hoped to see how the community’s location, within Chapada Diamantina national park, influences the many ways health is promoted, and how these ways are affected by their location within nature. This project was built upon a review of the literature, which found that there is a theoretical basis for the notion that contact with nature is beneficial, a term deemed Biophilia. There is a robust body of academic research that highlights the health benefits deriving from contact …

Financial Hardship From Purchasing Medications For Senior Citizens Before And After The Medicare Modernization Act Of 2003 And The Patient Protection And Affordable Care Act Of 2010: Findings From 1998, 2001, And 2015, Anthony W. Olson, Jon C. Schommer, David A. Mott, Lawrence M. Brown

Pharmacy Faculty Articles and Research

BACKGROUND: The Medicare Modernization Act of 2003 (Medicare Part D) added prescription drug coverage for senior citizens aged 65 years and older and applied managed care approaches to contain costs. The Patient Protection and Affordable Care Act of 2010 (ACA) had the goals of expanding health care insurance coverage and slowing growth in health care expenditures.

OBJECTIVES: To (a) describe the proportion of senior citizens who had prescription drug insurance coverage and the proportion who experienced financial hardship from purchasing medications in 2015, and (b) compare the findings with those collected in 1998 and 2001.

METHODS: Data were obtained in …

Alleged Insanity: Frank Johnson Sr., Racial Injustice, And The Failure Of The Mental Health Care System In South Carolina, Jonathon P. Johnson

Senior Theses

This thesis is about Frank Johnson Sr. and the circumstances that led to his downfall as a farmer and father of six, to his tragic death in the isolation of a racially segregated mental institution 18 miles away from his home. Using his life and incarceration at the South Carolina State Park mental health facility, I argue that racial injustice contributed to his tragic death and the woefully inadequate treatment thousands of African Americans in South Carolina received during Jim Crow. Additionally, I argue that the tragic circumstances around my great grandfather’s institutionalization and death were part of an enduring …

Pathways To Positive Change: A People's Perspective Of Healthcare In Humla, Wensday Meyers Berman

Independent Study Project (ISP) Collection

The villagers of Humla have suffered from unreliable health services and unjust indifference from the Nepali government for too long. Many global health initiatives and international NGOs have tried and failed to step in and make an improvement of health within these villages, because they are lacking an understanding of how these villages are run, what villagers prioritize, and how to continue providing reliable, supervised support. Because of the remoteness of the Humla area, it is difficult for allopathic medicine to be sufficiently provided here, and access to emergency medical resources are limited. Global health organizations such as WHO and …

A Friend In Deed, Laura Meader

Colby Magazine

Children in need of surgery, refugee families, victims of abuse—Jacques Hermant steps up

From Interview To Transcript To Story: Elucidating The Construction Of Journalistic Narrative As Qualitative Research, Jørgen Jeppesen

The Qualitative Report

There is a call to narrative investigators to be more explicit about their ways of working methodologically, in particular concerning dialogic/performative analysis. The purpose of this study was to examine how journalistic storytelling used as qualitative health research transformed, assembled and sequenced interview into transcripts, scenes, digressions, and other language products. A published story from a socio-narratological study of living with the terminal disease Amyotrophic Lateral Sclerosis was selected. Distribution and sequence of modes of transcription, versions of dialogue, transformation of observation and memory to scenes, and conversion of the researcher’s reflection to digression, were identified and calculated. Spots in …

Empty Metal Jacket: The Biopolitical Economy Of War And Medicine, Sandra Lee Trappen

Dissertations, Theses, and Capstone Projects

Empty Metal Jacket: The Biopolitical Economy of War and Medicine undertakes study of how global conflict and violence shape the entire range of social production, from commodities and culture to social goods and social theory. The research presented in this work draws from cutting-edge theories in body and science studies, in addition to theories of affect and biopolitics to address how war became a problem solving paradigm in medicine. Combat casualties are shown to serve as a material nexus for medical knowledge production. Although the focus here is on medicine and medical innovation in particular, these developments are connected to …

Sharing Experiences And Expertise: The Health Care Systems Research Network Workshop On Patient Engagement In Research, Sarah Madrid, Leah Tuzzio, Cheryl D. Stults, Leslie A. Wright, Gina Napolitano, Ellis Dillon, Heather Tabano, Sarah M. Greene

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network’s (HCSRN) Patient Engagement in Research Scientific Interest Group (PER SIG) held a half-day workshop for researchers attending HCSRN’s 22nd annual conference, April 16, 2016, in Atlanta, Georgia. The workshop blended didactic and interactive content to facilitate co-learning. Both researchers and patient partners developed the content, including three broad topics: engagement of patient partners in developing research studies, nurturing partnerships, and assessing the impact of patient engagement in research. Each module presented approaches relevant to the specific topic, including lessons from the literature and in-the-field experience. Patient partners reflected on their experience related to each …

All The Lonely People, John Brill

Journal of Patient-Centered Research and Reviews

A primary care physician laments the loneliness apparent in many underserved patients and seeks closure in the death of one patient in particular.

Full 3rd Edition

Journal of Clinical Art Therapy

No abstract provided.

Visual Sexualities: Exploring An Integration Of Art And Sex Therapies, Jillien Kahn

Journal of Clinical Art Therapy

This research explores the potential of integrating art and sex therapies. Three interviews were performed: two with certified art therapists one with a certified sex therapist, in order to understand how each of these professionals approaches issues of sexuality and creative expression within his or her practice. The resulting data was compared within and between each interviewee, resulting three overarching themes through which the challenges regarding this integration can be understood. It was found that there is great potential for an integration of the two therapies, provided clinicians have access to appropriate training, as well as a deeper understanding of …

Exploring Ranges, Tensions, And Potential Integrations: Editorial Notes For Jcat’S 3rd Edition, Einat Metzl

Journal of Clinical Art Therapy

No abstract provided.

Front Matter

Journal of Clinical Art Therapy

No abstract provided.

Lifting Others, Kevin G. Budziszewski

Akesis

Medicine is full of paradoxes. As a species, we often need to take care of ourselves before we can take care of others. As humans, we become more energetic by the energy-intensive process of exercise. As physicians, we elevate ourselves by lifting others. Through all of the unexpected worries and complications that crop up in life – finances, illness, and indeed an understanding of our own mortality – it is through these three paradoxes of self-care that we survive the complications that life throws at us.

During my first year of medical school, I have grown to understand how important …

Making A Mountain Of A Mole Hill, Nihit N. Mehta

Akesis

There are times when students develop a certain amount of tunnel vision, which focuses their vision at the problem in front, making the proverbial "mountain out of a molehill.”

(Least) Complicated, Masina G. Wright

Akesis

The personal has always been a microcosm of the political.

Dear Mabel (Please Allow Me To Inhabit Your Pain Awhile), Jack C. Lewis

Akesis

This started as a note that I would have sent a patient I treated while working as a paramedic in Central Maine. Despite best intentions in caring for patients, we don't always walk away having "won." The practice of medicine is difficult for everyone, but it is necessarily a process and life-long endeavor.

Reflection, Interrupted: Material Mirror Work In The Confessio Amantis, Jenny Boyar

Accessus

The Confessio Amantis concludes with a revelatory scene in which Venus holds up a mirror to Amans, allowing him to recognize John Gower the poet— a moment that is often read as a mimetic and healing counterpoint to the Confessio’s sickness and self-questioning. My intention in this paper is to very slightly modify certain aspects of this narrative, to consider how the materiality of the mirror can inform its metaphoric deployments in the Confessio. I organize my discussion around two seemingly contrasting moments in the poem in which the self is seen and in different ways recognized through …

Calcium Phosphate As A Key Material For Socially Responsible Tissue Engineering, Vuk Uskoković, Victoria M. Wu

Pharmacy Faculty Articles and Research

Socially responsible technologies are designed while taking into consideration the socioeconomic, geopolitical and environmental limitations of regions in which they will be implemented. In the medical context, this involves making therapeutic platforms more accessible and affordable to patients in poor regions of the world wherein a given disease is endemic. This often necessitates going against the reigning trend of making therapeutic nanoparticles ever more structurally complex and expensive. However, studies aimed at simplifying materials and formulations while maintaining the functionality and therapeutic response of their more complex counterparts seldom provoke a significant interest in the scientific community. In this review …

Heavy Expectations: Reading Pregnancy In The Victorian Novel, Livia Arndal Woods

Dissertations, Theses, and Capstone Projects

This dissertation articulates the tendency of Victorian novels to make legible only the pregnant bodies of immodest characters who transgress gendered ideologies while the pregnant bodies of modest characters tend to go undescribed. Tracing the medicalization of pregnancy and childbirth over the course of the long nineteenth century, my chapters demonstrate the function of moralizing narrative conventions in the representation of pregnancy in mid-Victorian novels, of a self-conscious use of free indirect diagnosis in high-Victorian fiction, and a shift at the fin-de-siècle from pregnancy as a signifier of morality to a symptom of unstable minds. The novels I read closely …