Mental and Social Health Commons^™

E-Therapy As A Means For Addressing Barriers To Substance Use Disorder Treatment For Persons Who Are Deaf, Dennis Moore, Debra Guthmann, Nikki Lynn Rogers, Susan Fraker, Jared A. Embree

Population and Public Health Sciences Faculty Publications

Persons who are deaf face a number of challenges with regard to vulnerability for substance use disorders. Moreover, accessible treatment for this condition can be difficult to establish and maintain. The Deaf community may be one of the most disenfranchised groups in America in regard to appropriate access to substance use disorder (SUD) prevention and treatment services. This article reviews
findings related to substance use disorder and treatment for this condition among persons who are deaf. It also reviews a promising approach for addressing treatment needs via e-therapy, and it highlights the challenges and concerns regarding e-therapy for this population. …

The Emergent Generation Gap In Attitudes Toward Khat Use In Urban Ethiopia, Nikki Lynn Rogers, Jared A. Embree, Yigzaw Kebede, Josephine Wilson, Mary J. Huber, Dennis Moore

Population and Public Health Sciences Faculty Publications

No abstract provided.

Athletics & Recreation Master Plan Sub‐Committee Final Report, Charlie Titus, Terry Condon, Chris Fitzgerald, Ken Mcbryde, Robert Burgess, Shaun Curry, Laurie Milliken, Chris Sweeney, Pavel Braude, Ryan Norton, Jack Looney, Susan Wolfson, Jain Ruvidich‐Higgins

Campus Master Planning Publications

In 2000 the Athletics & Recreation Department at UMass Boston Implemented a five year strategic plan that would more realistically align sports sponsorship with available financial and facility resources. We reduced the number of sports sponsored from 20 to 14 maintaining 7 sports for women and 7 sports for men. The only sports maintained without a facility were Men’s baseball and Cross Country Track. We eliminated football, swimming and indoor & outdoor track and field for men and women.

Since 2005 The Athletics & Recreation Department has been focused on University wide transition and planning efforts. In that period we …

Attachment: The Antidote To Trauma, Joshua Straub

Faculty Publications and Presentations

Trauma and loss in life are inevitable. And all too often the traumatic experience itself can be enough to paralyze the mental, emotional, and spiritual state of any given person. Unable to interpret the traumatic experience, many instead are left defined by it. Helping clients discern the objective experience and their subjective reactions to it will help free them from the emotions and beliefs that subsequently control their lives. Based on the most relevant attachment theory research and clinical techniques, this workshop teaches the attentional strategies necessary to helping clients overcome trauma.

Quality Of Life Estimation With Structural Equation Modeling In School Aged Children With Asthma, Sheniz Moonie, Xuan Huang, David A. Sterling

Environmental & Global Health Faculty Research

Significant increases in childhood asthma prevalence and mortality has prompted federal and regulatory agencies to work towards a national framework to address childhood asthma. Quality of life is an important component of chronic disease, and the evaluation of healthcare outcomes. There is little discussion in the literature regarding the implications of QoL as a theoretical construct. This study determined the effect of asthma on the QoL of our study population and caregiver’s missed workdays on the child’s QoL scores. A negative relationship was found between the child’s QoL and the caregiver’s missed workdays due to their child’s asthma. The use …

Anas, Mias And Wannas: Authenticity And Embodiment In Pro-Anorexia Discussion Groups, Natalie Boero, C. Pascoe

Faculty Publications, Sociology

This paper details the making of community and bodies in online environments, specifically the online pro-anorexia community. Building community among members of these groups is particularly fraught because tensions over claims to authenticity permeate these groups. Because these are embodied practices and online spaces are presumably disembodied, participants constantly grapple with authenticity, largely through the threat of the "wannarexic." This paper documents the way in which tensions around authenticity and embodied practices are managed through treatment of the wannarexic, participating in group rituals, and deployment of individual tools. Participants grapple with these tensions through engaging in offline bodily rituals that …

Physiological Changes And Participation To Exercise In Older Adults Living In Age Restricted Communities, Mary F. Shaughnessy

All-Inclusive List of Electronic Theses and Dissertations

It is known that the aging population is more susceptible to musculoskeletal and metabolic disease and would benefit from a regular exercise program. The primary objective of this study was to evaluate whether older adults (55 years of age and older) participation in a more regular exercise program would increase if there was supervision from a health professional. The second objective was to evaluate whether supervision in a regular exercise program would show physiological benefits. Subjects were recruited from three age-restricted communities; however one community was disregarded due to lack of subjects. A physical activity plan based on the American …

Is Chaalia/Pan Masala Harmful For Health? Practices And Knowledge Of Children Of Schools In Mahmoodabad And Chanesar Goth, Karachi, Sameena Shah, Riaz Qureshi, Iqbal Azam Syed

Department of Family Medicine

OBJECTIVE: To determine the practices and knowledge of harmful effects regarding use of Chaalia and Pan Masala in three schools of Mahmoodabad and Chanesar Goth, Jamshed Town, Karachi, Pakistan.

METHODS: To achieve the objective a cross-sectional design was used in three government schools of Mahmoodabad and Chanesar Goth, Jamshed Town, Karachi. Students of either gender drawn from these schools fulfilling the inclusion and exclusion criteria were interviewed using a pre-coded structured questionnaire. Along with demographic data, questions regarding frequency of Chaalia and Pan Masala use, practices of this habit in friends and family and place of procurement of these substances, …

State Experiences With Affordable Housing Plus Services: Report To Seniors And Persons With Disabilities, On The Move, Paula C. Carder, Erika Zoller

Institute on Aging Publications

Housing developers, providers, policy makers, and advocates, increasingly recognize that for some groups of individuals, access to affordable housing alone is "not enough." That is, some individuals require more than shelter. Examples include individuals who have chronic health conditions (e.g., HIV/AIDS), those with physical or cognitive limitations (e.g., persons with developmental disabilities, adults with physical disabilities), and those who have a combination of health conditions or who cannot thrive in traditional housing (e.g., persons who have been homeless, individuals with chronic mental illness). Increasingly, housing providers, social service agencies, advocates, states, and federal agencies have recognized the need to combine …

Consanguinity Among The Risk Factors For Underweight In Children Under Five: A Study From Rural Sindh, S. F. Hasnain, S. K. Hashmi

Community Health Sciences

BACKGROUND: Malnutrition is a common problem, especially in developing countries. Of the 11 million children under 5 who die each year in the developing countries mainly from preventable causes, the death of about 54% are either directly or indirectly attributable to malnutrition. The objectives of this study were to assess the prevalence and associated factors for underweight in rural Sindh.METHODS: A cross-sectional survey was conducted in Jhangara Town, located in District Dadu, Sindh. Eight hundred children under 5 years of age were enrolled. A questionnaire was used to elicit required information and anthropometric measurements were made.RESULTS: The overall prevalence for …

Ageing Population: Status, Challenges And Opportunities For Health Care Providers In Pakistan, Waris Qidwai Dr

Department of Family Medicine

No abstract provided.

Acetabular Morphometry And Prevalence Of Hip Dysplasia In The South Asian Population, Masood Umer, Yasir J. Sepah, Sharjeel Asif, Iqbal Azam Syed, Muhammad Umar Jawad

Section of Orthopaedic Surgery

We carried out a cross-sectional study to measure the association of the seven acetabular parameters with pelvic morphometry and prevalence of hip dysplasia in our population. Convenience sampling was carried out and 250 consecutive patients who came to AKUH for intravenous pyelogram and had no complaints in the region of the hip joint were enrolled in the study. Post-micturition standardized plain antero-posterior pelvic radiographs of 250 asymptomatic adults (500 hip joints) was studied. There were 136 males (54.4%) and 114 females (45.6%). Mean age of our study population was 38 years (15-78 years). The average center edge angle was 35.5±6.6° …

An Autoregressive Integrated Moving Average Model For Short-Term Prediction Of Hepatitis C Virus Seropositivity Among Male Volunteer Blood Donors In Karachi, Pakistan, Saeed Akhtar, Shafquat Rozi

Community Health Sciences

Aim: To identify the stochastic autoregressive integrated moving average (ARIMA) model for short term forecasting of hepatitis C virus (HCV) seropositivity among volunteer blood donors in Karachi, Pakistan.
Methods: Ninety-six months (1998-2005) data on HCV seropositive cases (1000(-1) x month(-1)) among male volunteer blood donors tested at four major blood banks in Karachi, Pakistan were subjected to ARIMA modeling. Subsequently, a fitted ARIMA model was used to forecast HCV seropositive donors for 91-96 mo to contrast with observed series of the same months. To assess the forecast accuracy, the mean absolute error rate (%) between the observed and predicted HCV …

Appropriate Practices In College/University Physical Activity Instructional Programs, Bridget F. Melton, Michele M. Sweeney, Jared A. Russel, Carrie L. Moore

Community Health: Faculty Presentations (1993-2018)

This session will introduce the audience to a new NASPE document that supports basic instructional programming at the college and university level. Based on NASPE’s former K-12 Appropriate Practice documents, this document will serve as an advocacy document for the importance of quality programming at the college/university level. Come and preview this new document!

Eligibility, Recruitment, And Retention Of African Americans With Severe Mental Illness In Community Research, Michelle Hampton, Mary White, Linda Chafetz

Faculty Publications

Data that addresses severely mentally ill (SMI) African Americans (AAs) likelihood to participate in clinical research is limited. This study’s purpose was to determine if differences exist between races regarding eligibility, recruitment, and retention in a community-based clinical trial. The sample included 293 participants. Data sources included clinical records and interviews. Logistic regression was used for analysis. AAs were as likely to participate and to complete followup interviews as Whites. In contrast to studies about non-mentally ill AAs, AAs with SMI appeared to be as willing to consent to and to remain in clinical research studies as Whites.

Prevalence Of Obesity In School-Going Children Of Karachi., Haider Javed Warraich, Faisal Javed, Mohammed Faraz-Ul-Haq, Fariha Batool Khawaja, Sarah Saleem

Community Health Sciences

Background: Obesity is an emerging problem in Pakistan. The authors sought to determine prevalence of obesity and malnutrition in school-going children, from grades 6(th) to 8(th) of different schools of Karachi and assess associations that affect the weight of the children.
Methodology/Principal Findings: A cross sectional Study Design with children studying in grades 6(th) to 8(th) grade, in different schools of Karachi. We visited 10 schools of which 4 consented, two subsidized government schools and two private schools. A questionnaire was developed in consultation with a qualified nutritionist. Height and weight were measured on calibrated scales. A modified BMI criterion …

The Health Seeking Behaviour Of Elderly Population In A Poor-Urban Community Of Karachi, Pakistan, Abdullah Ladha, Romaisa Shamim Khan, Awais Amjad Malik, Sana Farooq Khan, Beenish Khan, Irum Nawaz Khan, Samiullah, Waleed Tallat Kayani, Sarah Saleem

Community Health Sciences

OBJECTIVES: To presents socio-demographic characteristics and health seeking behaviour of elderly and to determine frequency of Diabetes Mellitus and Hypertension in elderly population of a poor peri-urban community in Karachi, Pakistan.

METHODS: A cross-sectional study was conducted, targeting population aged 65 or above. A total of 438 respondents were interviewed after taking informed consent, between November 2005 and December 2005. Frequencies and Chi square values were calculated for different variables using SPSS 13.0.

RESULTS: Total population surveyed comprised of 438 elderly, 158 (36%) women and 280 (63.9%) men. Mean age for the population was 71.44 +/- 7.74. A total of …

Public Private Mix Model In Enhancing Tuberculosis Case Detection In District Thatta, Sindh, Pakistan, Jameel Ahmed, Mubashir Ahmed, A Laghari, Wasdev Lohana, Sajid Ali, Zafar Fatmi

Community Health Sciences

To enhance the TB case detection through Public Private Mix (PPM) model by involving private practitioners in collaboration with National TB Control Program, (NTP) in district Thatta. Private practitioners (PPs) of district Thatta involved in treatment of TB cases were requested to participate in the study. All consenting physicians were provided with training on Directly Observed Treatment Short course (DOTS) module. In addition to routine cases, TB cases diagnosed by private practitioners through sputum microscopy were also registered with the district TB control program and medicines were provided by NTP. After intervention of PPM-DOTS change in Case Detection Rate (CDR) …

General Practitioner's Knowledge Regarding The Diagnosis And Drug Therapy For Acute Myocardial Infarction, Zaman Shah, Munsif Ali, Islam Hussain, Saadia Zohra Farooqui, Anita Naushir Akbar Ali, Ailia Welayat Ali, Fazal Manzoor Arain, Salman Saleem Allana, Shadmeen Rafique Aarabi, Salman Fasih Khan, Mansoor Arif, Saad Siddique, Majid Shafiq, Amyn B Lakhani

Community Health Sciences

OBJECTIVE: To assess the general practitioners (GP) knowledge regarding the diagnosis and initial drug therapy for acute myocardial infarction (AMI).

METHODS: A questionnaire-based survey was conducted in randomly selected GPs of Karachi. Doctors working in community as GPs who were registered medical practitioners having a Bachelor of Medicine & Bachelor of Surgery degree were included in the study. Doctors working at tertiary care facilities or having a post graduate degree or post graduate training in a specialty other than family medicine were excluded from the study.

RESULTS: A total of 186 GPs participated in our study. GPs who studied research …

Rural Children Don't Receive The Mental Health Care They Need, David Lambert Phd, Erika C. Ziller Phd, Jennifer D. Lenardson Mhs

Mental Health / Substance Use Disorders

Key Findings: Just over one-third of all children with a mental health problem received a mental health visit in the past year; Controlling for other characteristics that affect access to care, rural children are 20% less likely to have a mental health visit than urban children; Having Medicaid or SCHIP increases the likelihood that a child will receive services, and this is pronounced in rural areas.

Mental Health And Substance Abuse In Maine: Building A Community-Based System, David Lambert Phd, John A. Gale Ms

Mental Health / Substance Use Disorders

No abstract provided.

Affective Decision-Making Predictive Of Chinese Adolescent Drinking Behaviors, Lin Xiao, Antoine Bechara, Jerry L. Grenard, Alan W. Stacy, Paula Palmer, Yonglan Wei, Yong Jia, Xiaolu Fu, C. Anderson Johnson

CGU Faculty Publications and Research

The goal of the current investigation was to address whether affective decision making would serve as a unique neuropsychological marker to predict drinking behaviors among adolescents. We conducted a longitudinal study of 181 Chinese adolescents in Chengdu city, China. In their 10th grade (ages 15–16), these adolescents were tested for their affective decision-making ability using the Iowa Gambling Task (IGT) and working memory capacity using the Self-Ordered Pointing Test. Self-report questionnaires were used to assess academic performance and drinking behaviors. At 1-year follow-up, questionnaires were completed to assess drinking behaviors, and the UPPS Impulsive Behavior Scale was used to examine …

Evaluation Of Two Web-Based Alcohol Interventions For Mandated College Students, Diana M. Doumas, Lisa L. Mckinley, Phares Book

Counselor Education Faculty Publications and Presentations

This study evaluated the efficacy of two web-based interventions aimed at reducing heavy drinking in mandated college students. Mandated students were randomly assigned to one of two conditions: web-based personalized normative feedback (WPNF) or web-based education (WE). As predicted, results indicated mandated students in the WPNF condition reported significantly greater reductions in weekly drinking quantity, peak alcohol consumption, and frequency of drinking to intoxication than students in the WE condition at a 30-day follow-up. Although not statistically significant, there was a similar trend for changes in alcohol-related problems. Mandated students in the WPNF group also reported significantly greater reductions in …

Examining Conversational Constraints In Vietnamese Patient-Doctor Communication: A Case Study, Kimberly Tran

XULAneXUS

The purpose of this study was to determine the use of conversational constraints among older members of the New Orleans Vietnamese community within the primary healthcare context. A purposive sample of seven Vietnamese male and five Vietnamese female immigrants between the ages of 47 and 80 was interviewed. Conversational constraints were evident in the responses relating to communication with physicians. The respondents emphasized relational conversational constraints such as minimal imposition on the physician’s autonomy, prevention of hurting the physician’s feelings, and prevention of negative evaluation by the physician. Conversely, task-oriented conversational constraints such as concern for clarity and effectiveness were …

Culture And The Social Context Of Health Inequalities, Carol Leler Mansyur, Benjamin C. Amick Iii, Luisa Franzini, Robert E. Roberts

Community & Environmental Health Faculty Publications

There is a great deal of recent interest and debate concerning the linkages between inequality and health cross-nationally. The U.S. National Institutes of Health recommended in 2001 that any new research on health disparities should include social and cultural systems as units of analysis. Nevertheless, many public health interventions and policies continue to decontextualize risk factors from the social environment. Exposures to social and health inequalities probably vary as a consequence of different cultural contexts. To identify the processes that cause social and health inequalities, it is important to understand culture's influence. Navarro's research on political institutions and inequality illustrates …

Complete Identification Of Permissible Sampling Rates For First-Order Sampling Of Multi-Band Bandpass Signals, Yan Wu, Daniel F. Linder

Biostatistics: Faculty Publications

The first-order sampling of multi-band bandpass signals with arbitrary band positions is considered in this paper. Gaps between the spectral sub-bands are utilized to achieve lower sampling rates than the Nyquist. The lowest possible sampling rate along with other permissible sampling rates is identified via a unique partition of the frequency axis. With the complete identification of all the permissible sampling rates, a necessary and sufficient sampling theorem for multi-band bandpass signals is presented in terms of a series of csinc-interpolators.

Developing Enterprise Budgets For Sustainable School Gardens: Service Learning In A Global Context, Ashley D. Jones, Jennie S. Popp

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Service learning programs are becoming a part of curricula in universities throughout the United States. The University of Arkansas, Fayetteville, (UAF) established a service learning program that targeted the educational, health, social, and agricultural needs of a community. The focus of this research aimed to provide students, faculty, community members, school officials, and students with a template for crop budgets. These crop budgets are used to evaluate the costs and returns of producing multiple crops at a school. Crops produced in a sustainable garden must meet three criteria: 1) have minimal negative environmental impact, 2) provide just-in-time production of quality …

The Evaluation Of Sharper Future: A Community-Based Sex Offender Treatment Program, Lindsay M. Cunningham

Loma Linda University Electronic Theses, Dissertations & Projects

A program evaluation of Sharper Future’s Substance Abuse Services Coordinating Agency (SASCA) sex offender treatment program was conducted in order to ascertain whether the program is meeting its treatment goals as outlined by the SASCA contract and Sharper Future program goals. The participants of this evaluation were 248 past male Sharper Future clients who had been mandated to treatment at the Sharper Future facilities and were funded by the SASCA program. The data used in this program evaluation was archival, as it existed in the clients’ file as supplied by the Sharper Future clinics that run a SASCA treatment program. …

Practices And Knowledge Of Schoolchildren Regarding Chhaalia/Paan Masala In Mahmoodabad And Chanesar Goth, Karachi, Sameena Shah, Riaz Qureshi, Iqbal Azam Syed

Department of Family Medicine

OBJECTIVE: To determine the practices and knowledge about chhaalia and paan masala chewing among school children in Mahmoodabad and Chanesar Goth, Karachi, Pakistan.

METHODS: A cross-sectional study was conducted in three government schools of Mahmoodabad and Chanesar Goth, Jamshed Town, Karachi. Students of either gender were interviewed using a pre-coded structured questionnaire. In addition to the demographic data, questions included frequency of use, practices among friends and family and procurement of these substances. Knowledge about harmful effects, source of the knowledge and practices in relation to knowledge were also assessed.

RESULTS: A total of 370 students, ages between 10 to …

Knowledge And Practices Regarding Cigarette Smoking Among Adult Women In A Rural District Of Sindh, Pakistan, Sajid Ali, Naseem Ara, Arif Ali, Beena Ali, Muhammad Masood Kadir

Community Health Sciences

OBJECTIVE: To determine the prevalence of cigarette smoking and to obtain information on socio-demographic factors and attitude regarding cigarette smoking among adult women in a rural district of Sindh Province, Pakistan.

METHODS: A cross sectional community based survey was done in a rural district of Sindh province of Pakistan using a two stage cluster sampling design. A pre tested questionnaire was used to interview 502 adult women (aged 18- 60 years) from the study site. The study was approved by the ethical research committee and informed consent was taken from participants.

RESULTS: A total of 502 women were interviewed for …