Medical Humanities Commons^™

Sad Swimmer, Janie Packer

be Still

Clay is such an exciting and responsive medium in which to work. Most often I only have a germ of an idea when I begin a project. I begin to build a form and before I know it, a wild dance has begun between me and the clay. It seems to know the steps and where we are headed, so I blithely follow along, taking my cues from a bend or an outcropping in the clay. Maybe it’s starting to look like a weeping woman, or a cat with a crown on its head. I just let the dance go …

The Mysterious Woman, Eno-Emem Okpokpo

be Still

While creating this image, I took these questions into account. What I love most about the process is that all of these questions can be answered by the viewers of this artwork. Based on our own experiences, we can come up with story lines for everything that we see. Therein lies the beauty of art. Its true meaning is left to the creative imagination of whomever appreciates it.

As healthcare professionals, we have to understand that each patient might be our “Mysterious Woman”. We have to appreciate the fact that our patients are emotional beings and not just a collection …

Looking From Within, Phillip Berges, Berges Alvarez

be Still

I made this with my father using a lateral chest X-ray superimposed under a quality control film. Together, we drew in the facial features, cut and pasted and enlarged the photographic image to produce this beautiful, strong assertive woman. We thought this image perfectly reflects the power, determination, and mystery contained within her gaze. Together and from within, women show their strength.

Untitled, Ben Sokoloff

be Still

In the outdated traditional view of women, spiders are associated with certain qualities and attributes. Beauty. Grace. Cunning. Homemakers. Skill with crafts. I tried to imagine these over-generalized features in another form that can be juxtaposed with this antiquated view. And I came up with the spider from the story of Arachne.

Root Of Everything, Christina Mangiaracina

be Still

This piece is entitled Root of Everything. A woman waters the soil like she nurtures her family and inspires our minds. She plants the seeds in our heads so we can explore and see paths blooming from the branch up north all the way to the branch down south. The female form is the nutrient of life.

The Bather, Paula Waziry

be Still

What inspired me to work on the female form was the belief that our minds can create our reality. Most of my life I had suffered from morbid obesity - reaching at one point 288 lbs. Most likely my body weight reached higher numbers, but I refused to step on the scale after observing the dreaded 288! I was suffering from low self esteem, depression, severe low back pain, tendinitis, plantar fasciitis and several other "itis" when I realized that the most powerful tool that I had available was my brain. If I was going to turn my life around, …

Sibyl, Paula Waziry

be Still

What inspired me to work on the female form was the belief that our minds can create our reality. Most of my life I had suffered from morbid obesity - reaching at one point 288 lbs. Most likely my body weight reached higher numbers, but I refused to step on the scale after observing the dreaded 288! I was suffering from low self esteem, depression, severe low back pain, tendinitis, plantar fasciitis and several other "itis" when I realized that the most powerful tool that I had available was my brain. If I was going to turn my life around, …

Birth Of Venus, Paula Waziry

be Still

What inspired me to work on the female form was the belief that our minds can create our reality. Most of my life I had suffered from morbid obesity - reaching at one point 288 lbs. Most likely my body weight reached higher numbers, but I refused to step on the scale after observing the dreaded 288! I was suffering from low self esteem, depression, severe low back pain, tendinitis, plantar fasciitis and several other "itis" when I realized that the most powerful tool that I had available was my brain. If I was going to turn my life around, …

Local Disease Concepts Relevant To The Design Of A Community-Based Surveillance Program For Influenza In Rural Guatemala, Alejandro Cerón, Maria Renee Ortiz, Danilo Álvarez, Guy H. Palmer, Celia Cordón-Rosales

Anthropology: Faculty Scholarship

Background

Early detection of emergent influenza strains is a global health priority. However, maintaining active surveillance is economically and logistically challenging. While community-based surveillance is an attractive alternative, design and operation of an effective epidemiological surveillance program requires community engagement that can be linked to public health reporting and response. We report the results of a study in rural Guatemalan communities aimed at identifying opportunities for and barriers to community engagement in disease surveillance.

Methods

Using an ethnographic approach followed by a descriptive cross-sectional survey, we documented local terms and ideas about animal illnesses, including the possibility of animal-human transmission. …

The Components Of Attentiveness In Oncology Care, Klaartje Klaver, Andries Baart

The Qualitative Report

This article presents the first findings of a qualitative empirical study of caregivers' attentiveness in hospital oncology care. It takes a care ethical perspective, in which attentiveness is considered an indispensable element of good care. The data are derived from participant observation at the oncology department of a general hospital in the Netherlands. The analysis shows a descriptive exploratory model of attentiveness, which comprises a coherent set of the clusters perception (A), object finding (B), and space for attentiveness (C). The methodological output of this article is an important one: the presented descriptive model of attentiveness promotes further research into …

One Year Later: The Politics And Stories Of Post-Earthquake Nepal, Boyer Andrew

Independent Study Project (ISP) Collection

A 7.8 magnitude earthquake struck Nepal on April 25^th, 2015. This was followed by a second major earthquake of magnitude 7.3 on May 12^th , 2015. These disasters took the lives of thousands of Nepali people, destroyed hundreds of thousands of structures, and displaced an estimated two million people. Immediately following the disaster, there was an outpouring of humanitarian aid from around the world. This lead to a conference where $4.1 billion USD of reconstruction funds were pledged to Nepal by international donors. Five months later, a new constitution passed into law and an informal blockade of …

Theoria, Sanjay Rau, Ryan Kollar

Akesis

I heal through meditation.

Upon turning 13 years old, I began the practice of meditation under the tutelage of Hindu priests in Chennai, India. The expectation of this experience was to learn to clear out all distractions, focus intently on breathing and recite certain passages of Scripture.

At the time, meditation involved sitting cross-legged and reciting certain phrases 1008 times. The hot, muggy weather and mosquitos that plagued summers in Chennai made this task even harder. While difficult and seemingly purposeless at first, I began to appreciate and better understand the power that meditative practices provided in the following summer …

Standstill, Ianna Hondros-Mccarthy

Akesis

This is a short story about a girl getting in touch with life at a concert.

I Lost You To What Eludes Me, Akesis Anonymous Author

Akesis

I wrote this in memory of someone I lost in my life to cancer. My own healing process is still ongoing, and his loss was one major reason I decided to go into medicine. Hopefully through my journey in medicine I can help heal others, and in the process, find my own healing.

Helpless In Healing, Stephanie Braunthal

Akesis

Inspired by a frustrating patient interaction, this piece delves into the the role of the physician-patient relationship throughout the healing process.

From Falx To Fingertips: An Exercise In Mind-Body Awareness Through Acupuncture, Aye Mon Win

Akesis

This is a subjective account of an acupuncture treatment that includes a brief scientific exploration of its mechanisms of action. Additionally, connections are made between acupuncture and osteopathic manual manipulation, yoga, and meditation.

Flow, Jenifer Van Deusen

Akesis

Within us and around us flows the power to heal ~ open through song, image, poetry & breath.

Bones, Polyxeni Gudis

Akesis

I heal in the absence of words with the quiet scratching of charcoal on paper, and with the familiar texture of my thumb blending and erasing shadows with dust. I push my boundaries with new mediums, like watercolors. I experiment often and usually fail. I put my anger into harsh lines, I choose colors based on an emotion and I fill a canvas with the things I cannot say. I heal in brush strokes and in the contours of a piece that says what I want it to say without having to ever say a word.

Medium: Charcoal and pen …

Intra And Inter-Rater Reliability And Convergent Validity Of Fit-Hansa In Individuals With Grade П Whiplash Associated Disorder, Michael Pierrynowski, Colleen Mcphee, Saurabh Mehta, Joy C. Macdermid, Anita Gross

Physical Therapy Faculty Research

BACKGROUND: Whiplash-Associated Disorders (WAD) are common following a motor vehicle accident. The Functional Impairment Test - Hand, and Neck/Shoulder/Arm (FIT-HaNSA) assesses upper extremity physical performance. It has been validated in patients with shoulder pathology but not in those with WAD.

OBJECTIVES: Establish the Intra and inter-rater reliability and the known-group and construct validity of the FIT-HaNSA in patients with Grade II WAD (WAD2).

METHODS: Twenty-five patients with WAD2 and 41 healthy controls were recruited. Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI), Disabilities of the Arm, Shoulder and Hand (DASH), cervical range of motion (CROM), and FIT-HaNSA were completed …

Medical Students' Perceptions Of Dementia After Participation In Poetry Workshop With People With Dementia., Alaina J Garrie, Shruti Goel, Martin M Forsberg

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Purpose. Researchers assessed whether medical students' participation in a poetry workshop with people with Alzheimer's disease and related dementias (ADRD) affected their attitudes towards persons with ADRD. Objective. To add to the growing body of research summarizing the impact of nonclinical interventions on medical students' perspectives about people with ADRD. Design. Researchers used dementia attitudes scale (DAS) and interpretive phenomenological analysis (IPA) to analyze participants' attitudes. Setting. Osteopathic medical school and dementia care unit in the state of New Jersey. Participants. Eleven out of fourteen medical students completed the study. Measurements. Emerging themes were classified from the postintervention semistructured interviews …

Age Differences In Cancer Treatment Decision Making And Social Support, Jessica Krok, Angela L. Palmer-Wackerly, Phokeng M. Dailey, Julianne C. Wojno, Janice L. Krieger

Department of Communication Studies: Faculty Publications

Objective: The aim of this study was to examine the decision-making (DM) styles of younger (18-39 years), middle-aged (40-59 years), and older (≥60 years) cancer survivors, the type and role of social support, and patient satisfaction with cancer treatment DM.

Method: Adult cancer survivors (N = 604) were surveyed using Qualtrics online software.

Results: Older adults reported significantly lower influence of support on DM than younger adults. The most common DM style for the age groups was collaborative DM with their doctors. Younger age was a significant predictor of independent (p < .05), collaborative with family (p < .001), delegated to doctor (p < .01), delegated to family (p < .001), and demanding (p < .001) DM styles.

Discussion: Despite having lower received social support in cancer …

Approaching Organ Transplant In Islam From A Multidimensional Framework, Daniel J. Hurst

Journal of Health Ethics

The subject of organ transplant has been highly contested within Islam. Though the majority of Muslims now accept the validity of the practice from both live and deceased donors, this is by no means a universal consensus. In particular Islamic contexts, the subject of organ transplant remains a major subject of debate. Intertwined with the debate of organ transplant is the sensitive and complex issue of what constitutes death. Bioethical decision-making in Islam takes place within a multi-dimensional framework of authorities and themes. With no central authoritative body for the Islamic community, general consensus on bioethical matters is difficult to …

Art And Medicine: A Collaborative Project Between Virginia Commonwealth University In Qatar And Weill Cornell Medicine In Qatar, Amy J. Andres, Thomas R. Himsworth, Alan Weber, Stephen Scott

VCU Libraries Faculty and Staff Publications

Four faculty researchers, two from Virginia Commonwealth University in Qatar, and two from Weill Cornell Medicine in Qatar developed a one semester workshop-based course in Qatar exploring the connections between art and medicine in a contemporary context. Students (6 art / 6 medicine) were enrolled in the course. The course included presentations by clinicians, medical engineers, artists, computing engineers, an art historian, a graphic designer, a painter, and other experts from the fields of art, design, and medicine. To measure the student experience of interdisciplinarity, the faculty researchers employed a mixed methods approach involving psychometric tests and observational ethnography. Data …

Moving Forward With Family Centered-Care: One Step At A Time, Adrianne Dunbar

UReCA: The NCHC Journal of Undergraduate Research and Creative Activity

Family-centered care is an evolving process between patients, families, and health care providers. The family centered care model emphasizes the strength families bring to the healing process. The research project was a quasi-experimental pre-and post-test study with a communication intervention phase. The study was conducted in a Surgical-Trauma Intensive Care Unit (STICU) in a university affiliated hospital in the Southeast with restricted visitation hours. The purpose of this IRB-approved study was to measure the nurses’ perceptions of communication involvement with family members before and after the intervention phase. Approximately 50% of eligible participants responded. The communication intervention phase consisted of …

The Disease Burden And The Extent Of Drug Therapy Problems In An Underserved Minority Population Receiving Medication Therapy Management At An Ambulatory Care Free Clinic, D. N. Ombengi, F. A. Ndemo, Ayman M. Noreddin, W. T. Harris

Pharmacy Faculty Articles and Research

Objective: To determine the common medical conditions, medications, and associated drug therapy problems in an underserved minority population receiving medication therapy management services at a large Community Free Clinic compared to the findings of the Minnesota Pharmaceutical Care Project.

Methods: Retrospective cohort study of a random sample of 60 minority patients referred for medication therapy management service at a Community Free Clinic from January 2012 to January 2014. Patient data including demographics, medication experience, past medical and medication history, medical conditions, active medications, allergies, immunization history and drug therapy was systematically evaluated to determine the most common conditions, …

Hospice Performance: Environmental And Organizational Correlates, Mengying He

All ETDs from UAB

The purpose of this dissertation is to explore hospice performance using a three paper format. Based on Structure-Conduct-Performance (SCP) and Structure-Process-Outcome (SPO) models, paper 1 conducts a systematic literature review to identify gaps in hospice performance research. Paper 2 explores the relationship between hospice market structure and inpatient services provision (Structure-Conduct). Market munificence is related to hospice inpatient services offering. Organizational factors such as hospice chain-affiliation, age, and ownership also play roles in predicting hospices’ probability in providing inpatient services. Paper 3 examines the impact of hospice inpatient service provision on service utilization and financial performance (Structure-Process-Outcome). Hospices that not …

Improving The Health Of African Americans In The Usa: An Overdue Opportunity For Social Justice, Allan S. Noonan, Hector Eduardo Velasco-Mondragon, Fernando A. Wagner

Faculty Publications & Research of the TUC College of Osteopathic Medicine

Using a modified social ecological model, we conducted a review of the literature and nationwide statistics on African American health. We discuss the main social determinants of health and main health disparities, risk factors, the leading causes of morbidity and mortality, and access to health services for blacks in the USA. The mechanisms through which social determinants, including racism, exert their deleterious effects on black health are discussed at the macro and individual levels. Incarceration and mental health care issues are highlighted as priorities to be addressed. African Americans remain the least healthy ethnic group in the USA, a somber …

The Physician’S Perspective On The Impact Of Interpretive Services On The Physician- Patient Relationship, Amrita Pandey

Williams Honors College, Honors Research Projects

The basis of the physician-patient relationship relies heavily on communication. It has been known that conversation between physician and patient is important in both diagnosing and providing therapeutic support. However, according to the US Census Bureau twenty percent of the US population does not use English as their first language. These residents face language barriers on a daily basis, including when they are being treated medically. The aim of this study was to research the physician’s perspective on the use of interpretive services and how it impacts the physician- patient relationship. The research consisted of surveying physicians who encounter patients …

Heath And The Homeless Population Of Missoula: “Housing First” As A Solution, Marissa S. Ginnett

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Missoula, Montana has an extremely high rate of homelessness at .75% of the population (compared to other large cities, Seattle, Washington at .23% and Los Angeles, California at .32%). This is due to there not being much done to help chronically inebriated homeless individuals. All are turned away from Missoula's overnight shelters if they are not sober. For an inebriated homeless person, the jail and the hospital are the only two places where they can stay the night. Through comparison to other cities, such as Seattle, Washington, I have identified that Missoula needs a wet housing program. Wet housing provides …

Understanding Cultural Health Beliefs And Practices In Ghana, Africa, Jamie Wossilek, Rachel Patterson

Williams Honors College, Honors Research Projects

Abstract

Purpose. The purpose of this study is to explore the experiences and perceptions of university students and faculty after going on a medical mission trip to Ghana, Africa related to the health and illness beliefs of the Ghanaian people.

Background. Many organizations plan and conduct health mission trips. Although, many organizations are focused on improving health in developing countries, some may not understand cultural values and the health problems in those countries. “Improving health” is a complicated problem in developing countries and is hard to understand how those in the countries recognize health and illness.

Methodology. A purposeful, convenience …