Social and Behavioral Sciences Commons^™

Know Your Status: Alleviating Stigma From The Hiv Positive Community Of San Luis Obispo California, Mario Alberto Viveros Espinoza

Ethnic Studies

The purpose of this project is to alleviate stigma from the HIV community in San Luis Obispo, CA by creating an outreach program, “Know Your Status,” that raises awareness of HIV education and prevention. Research on HIV stigma and on ideologies for program development and implementation shows that HIV positive individuals face both internalized and externalized stigma. Program development and implementation can be effective by assessing and addressing the specific needs of those living within the community. This project includes the data needed for program development and implementation, collected through anonymous surveys from HIV positive community members, interviews with professionals …

How Will Texas’ Affordable Care Act Implementation Decisions Affect The Population? A Closer Look, Sara J. Rosenbaum, Sara Rothenberg, Sara Ely

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

The Affordable Care Act (ACA) gives states two key choices: Whether to expand Medicaid to cover poor uninsured adults; and whether to establish a state Exchange. No population stands to gain more from these choices than residents of Texas, who experience the nation’s highest uninsured rate. National estimates show that by not expanding Medicaid, the state has foregone coverage for 1.5 million people. County‐level estimates show that in 249 out of 254 counties, the proportion of uninsured adults exceeds 20 percent of the total adult county population. In 31 counties, the proportion of low income uninsured adults exceeds 60 percent …

Medical Education Departments: A Study Of Four Medical Schools In Sub-Saharan Africa, Elsie Kiguli-Malwadde, Zohray Talib, Hannah Wohltjen, Susan C. Connors, Jonathan Gandari, Sekelani S. Benda, Lauren A. Maggio, Susan C. Van Schalkwyk

Health Policy and Management Faculty Publications

Background

Many African countries are investing in medical education to address significant health care workforce shortages and ultimately improve health care. Increasingly, training institutions are establishing medical education departments as part of this investment. This article describes the status of four such departments at sub-Saharan African medical schools supported by the Medical Education Partnership Initiative (MEPI). This article will provide information about the role of these institutional structures in fostering the development of medical education within the African context and highlight factors that enable or constrain their establishment and sustainability.

Methods

In-depth interviews were conducted with the heads or directors …

L’Animal : Agent Du Biopouvoir Dans L’Imaginaire Postcolonial Alain Cyr Pangop Kameni Et Hervé Tchumkam, Alain Cyr Pangop Kameni, Hervé Tchumkam

Présence Francophone: Revue internationale de langue et de littérature

This article seeks to understand the status of the animal and its relation to biopolitics in postcolonial fiction. Going beyond and against Graham Huggan’s notion of “postcolonial exotic”, the analysis of the relation between human and animal is twofold: first, describe and interpret the mechanisms of power, and second, show how the figure of the beast which is at the center of political struggle and social conflict makes more complex the understanding of the “discipline and punish” in postcolonial contexts. Ultimately, drawing on the study of selected novels and drama, the aim of this paper is to show that the …

Fusion Analysis Of Functional Mri Data For Classification Of Individuals Based On Patterns Of Activation., Mahdi Ramezani, Purang Abolmaesumi, Kris Marble, Heather Trang, Ingrid Johnsrude

Brain and Mind Institute Researchers' Publications

Classification of individuals based on patterns of brain activity observed in functional MRI contrasts may be helpful for diagnosis of neurological disorders. Prior work for classification based on these patterns have primarily focused on using a single contrast, which does not take advantage of complementary information that may be available in multiple contrasts. Where multiple contrasts are used, the objective has been only to identify the joint, distinct brain activity patterns that differ between groups of subjects; not to use the information to classify individuals. Here, we use joint Independent Component Analysis (jICA) within a Support Vector Machine (SVM) classification …

Four Lessons Learned From Treatingcatholic Priest Sex Offenders, Thomas G. Plante

Psychology

Perhaps there is no one in our society more despised and vilified than sex offenders, especially those who sexually violate young children. And during the past decade perhaps no particular subgroup of sex offender has been more despised than those who are Roman Catholic priests. We need to be attentive to the state-of-the-art facts, best practices, and create policies and procedures to keep those who might harm children away from children. To do otherwise is foolish and harmful. Yet strong opinions, advocacy, and hysteria sometimes gets more attention than actual evidence-based quality research and practice which is not ultimately in …

Cultural Beliefs And Understandings Of Cervical Cancer Among Mexican Immigrant Women In Southeast Georgia, John S. Luque, Yelena N. Tarasenko, Jonathan N. Maupin, Moya L. Alfonso, Lisa C. Watson, Claudia Reyes-Garcia, Daron G. Ferris

Health Policy & Management: Faculty Publications (2006-2018)

Rural Mexican immigrant women in the U.S. are infrequently screened and experience health disparities from cervical cancer. We explored cancer-related cultural beliefs in this population. We administered a cross-sectional survey to 39 Mexican immigrant women due for screening. We conducted univariate and bivariate analyses of participants’ characteristics, Pap test history, cancer-related knowledge and beliefs, and cultural consensus analysis about causes of cervical cancer and barriers to screening. For all the cultural consensus tasks, there was consensus (Eigenratios >3:1) among survey participants. Comparing the rankings of risk factor clusters, clusters related to sexual behaviors were ranked more severely than clusters related …

The Emotional Experience Of American Indians Receiving Hemodialysis And How It Relates To Treatment Adherence, Anitra M. Warrior

College of Education and Human Sciences: Dissertations, Theses, and Student Research

This study used a phenomenological approach as an attempt to capture the essence of the experience of American Indians with diabetes who are receiving dialysis. The purpose of this study and this approach was to develop an understanding of factors that influence treatment adherence, specifically with mental health concerns. As an additional component of this study, this research also followed an advocacy/participatory approach (Creswell, 2007) in which steps to reform services are provided to the Indian Health Service in support of this marginalized group through a written Agenda for Change.

Participants for this study were recruited from multiple states serving …

Diagnoses, Intervention Strategies, And Rates Of Functional Improvement In Integrated Behavioral Health Care Patients, Ana J. Bridges, Samantha J. Gregus, Juventino Hernandez Rodriguez, Arthur R. Andrews Iii, Bianca T. Villalobos, Freddie A. Pastrana, Timothy A. Cavell

Psychological Science Faculty Publications

Objective—Compared with more traditional mental health care, integrated behavioral health care (IBHC) offers greater access to services and earlier identification and intervention of behavioral and mental health difficulties. The current study examined demographic, diagnostic, and intervention factors that predict positive changes for IBHC patients.

Method—Participants were 1,150 consecutive patients (mean age = 30.10 years, 66.6% female, 60.1% Hispanic, 47.9% uninsured) seen for IBHC services at 2 primary care clinics over a 34-month period. Patients presented with depressive (23.2%), anxiety (18.6%), adjustment (11.3%), and childhood externalizing (7.6%) disorders, with 25.7% of patients receiving no diagnosis.

Results—The most commonly …

Substance Abuse Among The Elderly: What Works In Treatment, Sophia Morelli

Electronic Theses, Projects, and Dissertations

Social workers are trained during the course of their education to work with the elderly and to understand the various dynamics of aging. These professionals also receive education on substance abuse and how to assess clients as well as link them to appropriate supportive services. How can social workers be more inclined to effectively treat the elderly substance abuser? What are, if any, special considerations a social worker should be aware of when working with the geriatric population? What treatment modalities seem to be more effective with the elderly client? This study utilized a qualitative analysis consisting of interviews with …

Utilization Of Specialized Camp Services Among Parents Of A Child With A Disability, Heather Ann Wroten

Electronic Theses, Projects, and Dissertations

The purpose of this study was to explore the utilization of specialized camp services among parents of a child with a disability. This study sought to investigate specialized camp services as respite for families. The data was gathered utilizing a mixed method survey approach. The surveys were distributed to primary caregivers of a child with a disability who have attended Camp Paivika within the past three years. The sample size of this study was 69 respondents. The results show that the family unit benefits by way of de-isolation. The camper increases social skills, confidence, and independence. The caregivers experience emotional …

The Relationship Between Self-Determination And Client Outcomes Among The Homeless, Samuel M. Hanna

Electronic Theses, Projects, and Dissertations

This paper has attempted to determine if there is a significant relationship between self-determination and client outcomes among the homeless. The study has been based upon the conceptual framework set forth in Self-Determination Theory. The purpose of the study was to explore the relationship between self-determination and client outcomes among the homeless. Using a data collection instrument, based on empirically validated instrumentation, clients from several homeless service providers in the City of San Bernardino were assessed for the level of self-determination and autonomy support they experience within these agencies. Outcome measures included such things as whether the client was going …

The Effects Of Schedule Density Of Reinforcement For Alternative Behavior On Resurgence, Kathryn M. Kestner

Dissertations

Resurgence is the reemergence of a previously extinguished response when an alternative response no longer produces reinforcement. Although returning to previously successful methods for obtaining reinforcement is likely advantageous, resurgence also occurs in the form of treatment relapse. An individual may return to problematic behavior (e.g., aggression, self-injury, drug use) when an alternative behavior (e.g., communication response, coping skill, social behavior, etc.) is no longer successful at producing a reinforcer. Behavior analysts rely on treatments based on differential reinforcement of alternative behavior, and resurgence has been demonstrated following changes to reinforcement schedules due to errors in treatment integrity or intentional …

Review Of Edison Bicudo, Pharmaceutical Research, Democracy And Conspiracy: International Clinical Trials In Local Medical Institutions, Roberto Abadie

Department of Sociology: Faculty Publications

The pharmaceutical industry is—along with the financial and weapons industries—one of the most globalized and profitable business domains. But they wouldn’t make any profits if they weren’t able to recruit research subjects to test an increasing number of drugs. This global trial economy creates its own assemblages of clinical trials, often run by hired contract research organizations (CROs), who fight among each other in a rat-race competition, promising quick and effective trials; at the same time, enterprising countries, hospitals, and doctors jump on the drug trial economy bandwagon by promising quick, endless access to a large pool of research subjects, …

Factors Associated With Belief In Conspiracies About Hiv/Aids Among Hiv-Positive African-American Patients, Andrew A. Zekeri, Youssouf Diabate

Professional Agricultural Workers Journal

Abstract

The purpose of this study is to examine factors associated with belief in conspiracies about HIV/AIDS among HIV-Positive African American patients. Survey data were collected from 256 African American patients living with HIV/AIDS attending two HIV clinics in Montgomery and Dothan, Alabama. The study used multiple regression analysis to examine how sociodemographic factors contribute to belief in conspiracies about HIV/AIDS. Education and age were significantly related to belief in conspiracies about HIV/AIDS among men and women. Beliefs in conspiracies about HIV/AIDS may be a barrier to HIV prevention among African Americans. Public health officials should work toward obtaining the …

Sleep Hygiene Practices: A Cross Cultural Survey Of Sleeping And Dreaming In College Students, Ivan Noe Martinez Salazar

Masters Theses

There is consensus that a sizeable percentage of people in most developed countries do not obtain adequate amounts or quality of sleep. These disruptions in sleep, when chronic and severe, can lead to psychological, behavioral and health consequences. The focus on behavioral and contextual factors that impact sleep has been termed “sleep hygiene”. An on-line anonymous survey collected sociodemographic information, as well as self-reports on sleep, sleep hygiene practices and dreaming across two cultural groups (English & Spanish speaking responders). A total of 204 participants (majority of them college and graduate students) answered the survey. Both cultural groups, English and …

Preserving, Interpreting, And Displaying Mental Health History: Establishing The Patton State Hospital Museum And Archive, Shannon Rene Long

Electronic Theses, Projects, and Dissertations

There are few museums in the western half of the United States that provide an opportunity to educate the public about the history of mental health care. Recently, a mental health museum and archive of artifacts, photographs, and documents was established on the grounds of Patton State Hospital in Highland, California. The purpose of this paper is to reflect on the establishment of this museum and archive and to provide an account of the 125 year history of Patton State Hospital. Understanding the history of Patton provides an opportunity to understand the history of mental health care in the United …

The Impact Of Nursing Hours And Hospital And Patient Characteristics On Medicare Hospital Acquired Conditions: A National Pooled Cross-Sectional Secondary Data Model And Analysis, Terry Kahlert Eng

Graduate Doctoral Dissertations

Background: Previous research and quality improvement initiatives have underscored the prevalence of healthcare acquired conditions (HACs) and their associated costs in American hospitals. In response to these findings, in 2008, The Centers for Medicare and Medicaid Services identified 10 condition categories that they would no longer pay for if acquired during hospitalization. The conditions were selected based on high cost, high volume, or both, assigned to a higher paying medical severity diagnostic related group (MS-DRG), and were deemed preventable through application of evidence-based guidelines. The Health Quality Outcomes Model and a Path Model guided the study.

Objective: To quantify the …

Commencement Program 2015, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2015 Events of Commencement

5 | The Academic Procession

7 | Significance of Academic Regalia

9 | The Good Samaritan

10 | University History Highlights

12 | Loma Linda University Song - "Healing Love"

13 | The Speakers

23 | The University Honorees

45 | The School Honorees

72 | The Programs

• School of Medicine, 73
• School of Pharmacy, 95
• School of Dentistry, 103
• School of Allied Health Professions, 122
• School of Allied Health Professions - Physical Therapy, 143
• School of Public Health, 154
• School of Behavioral Health and School of …

Librarian Actions To Develop And Sustain Human Research Subject Protection: A Pilot Global Study, Charles J. Greenberg, Sangeeta Narang

Library Philosophy and Practice (e-journal)

The Institutional Review Board (IRB), also known as an Independent Ethics Committee (IEC), is the most widely adopted process to insure human participant protection. The IRB system is overburdened as human research studies and human participation has dramatically increased without a corresponding increase in reviewing clinicians or ethics staff. Librarian involvement in the IRB process is evident but uneven and unstudied on an international scale. A literature review and international survey attempted to provide professional practice context and librarian reflection on the extent of their involvement, roles, and responsibilities in the IRB or IEC institutional process. Survey results reveal that …

Prehipertensi Pada Obesitas Abdominal, Lia Churniawati, Santi Martini, Catharina Umbul Wahyuni

Kesmas

Prehipertensi banyak terjadi pada penderita obesitas abdominal. Prevalensi obesitas abdominal di Kabupaten Gresik sebesar 21,5%. Kepatuhan diet penderita prehipertensi dengan obesitas abdominal diperlukan untuk mengurangi risiko terjadinya hipertensi. Prehipertensi dan hipertensi berhubungan dengan pelbagai komplikasi pada hampir seluruh organ. Penelitian ini bertujuan untuk menganalisis determinan prehipertensi pada obesitas abdominal di Kabupaten Gresik. Penelitian ini dilaksanakan di Kabupaten Gresik pada November 2013 - November 2014 dengan rancangan penelitian potong lintang. Responden adalah pasien yang datang ke unit rawat jalan puskesmas yang diambil secara konsekutif sejumlah 74 orang. Responden berusia antara 25 - 64 tahun, mengalami obesitas abdominal, tidak hamil, tidak hipertensi, …

Profil Rujukan Kasus Nonspesifik Pada Fasilitas Kesehatan Tingkat Primer, Elda Nazriati, Nuzelly Husnedi

Kesmas

Salah satu indikator kualitas fasilitas kesehatan tingkat primer (FKTP) adalah rendahnya rujukan nonspesialistik. Rujukan nonspesialistik adalah rujukan dari 144 penyakit yang seharusnya dapat diatur di FKTP. Kenyataannya, masih banyak kasus nonspesialistik yang dirujuk ke fasilitas kesehatan sekunder. Penelitian deskriptif dengan metode campuran kuantitatif dan kualitatif ini bertujuan untuk mengetahui pola dan penyebab kasus penyakit nonspesialistik yang dirujuk ke fasilitas kesehatan tingkat sekunder di Kota Pekanbaru. Gambaran kasus penyakit nonspesialistik dikumpulkan dari data Badan Penyelenggara Jaminan Sosial Kesehatan Kota Pekanbaru periode Desember 2014 - April 2015, sedangkan faktor penyebab rujukan diperoleh dari focus group discussion yang diikuti oleh 40 dokter berdasarkan …

Pola Konsumsi Dengan Terjadinya Sindrom Metabolik, Suhaema Suhaema, Herta Masthalina

Kesmas

Terjadinya sindrom metabolik diduga berhubungan dengan pergeseran gaya hidup masyarakat yang berubah menuju masyarakat modern, dari mengonsumsi makanan tradisional beralih ke makanan instan dan kebaratbaratan. Penelitian ini bertujuan untuk mengetahui prevalensi sindrom metabolik dan determinannya dari pola konsumsi, meliputi konsumsi sayur dan buah serta pola makan makanan manis, asin, berlemak, lauk hewani berpengawet, dan penggunaan penyedap. Penelitian ini merupakan bagian dari analisis lanjut data Riset Kesehatan Dasar tahun 2013 dengan desain potong lintang. Jumlah sampel setelah pembobotan adalah 1.878.578 orang dengan kriteria berusia 18 tahun ke atas. Pengumpulan data pola konsumsi, antropometri, klinis, dan biomedis telah dilakukan. Analisis data menggunakan …

Efektivitas Ovitrap Bambu Terhadap Jumlah Jentik Aedes Sp Yang Terperangkap, Wiwit Aditama, Zulfikar Zulfikar

Kesmas

Demam berdarah dengue (DBD) masih menjadi masalah kesehatan masyarakat di Banda Aceh. Banda Aceh merupakan daerah endemik DBD dengan meningkatnya angka kejadian dan case fatality rate setiap tahun. Insiden tertinggi DBD berada di Kecamatan Baiturrahman dengan angka kejadian 120 per 100.000 penduduk dan tertinggi kedua adalah Kecamatan Jaya Baru dengan angka kejadian 84 per 100.000 penduduk. Keberadaan larva Aedes sp di masyarakat merupakan salah satu indikator populasi nyamuk Aedes aegypti di daerah tersebut. Penelitian ini bertujuan untuk mengetahui jumlah jentik nyamuk Aedes sp yang terperangkap pada masing-masing wadah ovitrap (tempurung kelapa, gelas plastik, dan potongan bambu) serta tingkat kepadatan jentik …

Studi Intervensi Klaster Kawasan Tanpa Rokok Pada Tingkat Rumah Tangga, Najmah Najmah, Fenny Etrawati, Yeni Yeni, Feranita Utama

Kesmas

Perilaku merokok memberikan dampak negatif, baik bagi perokok aktif maupun pasif, ditinjau dari sudut pandang kesehatan maupun ekonomi. Regulasi mengenai Kawasan Tanpa Rokok (KTR) yang telah diterbitkan belum ada yang mengatur mengenai penerapan KTR di tingkat rumah tangga. Penelitian ini bertujuan untuk mengidentifikasi perubahan perilaku melalui intervensi terpadu KTR pada tingkat rumah tangga. Penelitian dilakukan pada bulan Juli - September 2014 menggunakan desain cluster trial pada empat desa di Kabupaten Ogan Ilir, Sumatera Selatan. Selanjutnya, 200 sampel kepala keluarga dipilih melalui metode cluster random sampling. Intervensi yang dilakukan meliputi konseling terpadu, pemberian permen pengganti rokok, dan tabungan sehat. Hasil penelitian …

Efektivitas Collaborative Governance Dalam Pelayanan Komprehensif Berkesinambungan Untuk Menanggulangi Hiv/Aids, Argyo Demartoto

Kesmas

Di tingkat nasional dan daerah telah terdapat kebijakan publik, program dan kegiatan untuk menanggulangi HIV/AIDS, namun jumlah kasus HIV/AIDS meningkat setiap tahun. Tujuan penelitian ini untuk mengetahui efektivitas collaborative governance antarpemangku kepentingan dalam pelayanan komprehensif berkesinambungan untuk menanggulangi HIV/AIDS di Kota Surakarta. Penelitian ini merupakan studi kasus jenis exploratory. Informan ditentukan dengan menggunakan purposive sampling. Pengumpulan data dilakukan pada 2 Juli – 2 September 2013 dengan wawancara mendalam, observasi, focus group discussion, dan dokumentasi. Teknik analisis data dengan model analisis interaktif. Hasil penelitian menunjukkan bahwa pemberi dan penerima layanan berperan dalam penanggulangan HIV/AIDS sesuai tugas dan fungsinya masing-masing. Program pencegahan …

Cemaran Mikroba Escherichia Coli Dan Total Bakteri Koliform Pada Air Minum Isi Ulang, Rolan Sudirman Pakpahan, Intje Picauly, I Nyoman W. Mahayasa

Kesmas

Jumlah layanan air minum melalui depot air minum di Kota Kupang meningkat dengan rata-rata 1,44 setiap tahun sejak 2010, sementara tidakterdapat jaminan kualitas air minum isi ulang memenuhi syarat setiap saat. Hasil pemeriksaan sampel air minum isi ulang di Kota Kupang tahun 2013 menunjukkan 37,5% tercemar mikroba. Tujuan penelitian ini adalah menganalisis cemaran mikroba dan mengetahui determinan cemaran Escherichia coli (E. coli) dan total koliform pada air minum isi ulang. Penelitian ini menggunakan desain studi potong lintang periode Januari Maret 2015. Populasi penelitian berjumlah 51 depot air minum yang ditentukan menggunakan teknik total sampling. Analisis data dilakukan secara univariat, analisis …

Akses Jaminan Kesehatan Nasional Pada Pekerja Seks Perempuan, Ni Made Sri Nopiyani, Putu Ayu Indrayathi, Rina Listyowati, I Ketut Suarjana, Pande Putu Januraga

Kesmas

Pekerja seks perempuan (PSP) merupakan kelompok yang termarginalkan secara sosial dan memiliki kerentanan yang tinggi terhadap masalah kesehatan. Upaya perluasan Jaminan Kesehatan Nasional (JKN) pada PSP masih terbatas sehingga penting dilakukan untuk mendukung pencapaian universal health coverage. Penelitian ini bertujuan untuk memperoleh gambaran mengenai akses JKN pada PSP di Denpasar. Penelitian ini merupakan studi kualitatif. Data dikumpulkan melalui wawancara mendalam terhadap 15 orang PSP dan empat orang mucikari di Denpasar pada Agustus hingga Oktober 2014. Hasil wawancara diolah dengan analisis tematik. Kerangka analisis yang digunakan adalah The Health Access Livelihood Framework. Kepemilikan JKN pada PSP di Denpasar masih rendah, meskipun …

Pengaruh Teknik Marmet Terhadap Kelancaran Air Susu Ibu Dan Kenaikan Berat Badan Bayi, Anita Widiastuti, Siti Arifah, Wiwin Renny Rachmawati

Kesmas

Bayi lahir cukup bulan memiliki naluri menyusu 20 - 30 menit setelah dilahirkan. Namun, fakta menunjukkan produksi dan ejeksi air susu ibu (ASI) yang sedikit di hari-hari pertama menyebabkan banyak ibu yang mengalami ketidakefektifan proses menyusui. Tidak terproduksinya ASI diakibatkan karena kurangnya rangsangan hormon prolaktin. Teknik marmet merupakan perpaduan memerah dan memijat payudara pada ibu nifas yang dapat merangsang hormon pada proses menyusui. Penelitian ini bertujuan untuk mengetahui perbedaan pengaruh teknik marmet dengan masase payudara pada ibu nifas tiga hari postpartum terhadap kelancaran ASI dan kenaikan berat badan bayi. Penelitian ini menggunakan desain pre-experimental bentuk perbandingan kelompok statistik yang dilakukan …

Asma Pada Anak Indonesia: Penyebab Dan Pencetus, Ika Dharmayanti, Dwi Hapsari, Khadijah Azhar

Kesmas

Asma merupakan penyakit kronis yang dapat mengganggu kualitas hidup. Hingga saat ini, jumlah penderita asma semakin meningkat termasuk di Indonesia. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan kejadian asma dan pencetus asma pada anak usia 6 - 14 tahun di Indonesia. Metode penelitian adalah desain potong lintang dengan menggunakan data Riset Kesehatan Dasar tahun 2013 di 33 provinsi di Indonesia. Variabel bebas adalah karakteristik responden, faktor lingkungan, dan perilaku merokok anak dan orangtua. Hasil analisis menunjukkan bahwa jenis kelamin laki-laki, kondisi sosial ekonomi rendah, riwayat asma pada orangtua, anak yang merokok atau pernah merokok, dan orangtua yang merokok …