Social and Behavioral Sciences Commons^™

Designation Of Medically Underserved And Health Professional Shortage Areas: Analysis Of The Public Comments On The Withdrawn Proposed Regulation, Emily Jones, Leighton C. Ku, Joseph Lippi, Ramona Whittington, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

In February 2008, the Health Resources and Services Administration (HRSA) proposed new regulations that would have modified and combined the Health Professional Shortage Area (HPSA) and Medically Underserved Area/Population (MUA/P) designation processes. The comment period was extended twice in response to the large volume of comments, through June 30th. On July 23rd, HRSA effectively withdrew the proposed rule, announcing that in light of its preliminary review of comments, the agency had elected to develop a new proposal. This Research Brief highlights some of the salient issues surrounding the proposed rule, based on an analysis of the public comments by researchers …

"Sitting In Different Chairs:" Roles Of The Community Health Workers In The Poder Es Salud/Power For Health Project, Stephanie Farquhar, Noelle Wiggins, Yvonne L. Michael, G. Luhr, Jennifer Jordon, A. Lopez

Community Health Faculty Publications and Presentations

Evaluations of Community Health Worker programs consistently document improvements in health, yet few articles clearly describe the roles of Community Health Workers (CHWs) from the CHWs' perspective. This article presents the CHWs' points of view regarding the various roles they played in a community-based participatory research (CBPR) project, Poder es Salud/Power for Health in Portland, Oregon, including their roles as community organizers and co-researchers. Methods: Authors draw from an analysis of transcript data from in-depth interviews conducted with CHWs to present a description of the strategies employed by the CHWs to build leadership skills and knowledge among community members. CHWs …

Shea/Apic Guideline: Infection Prevention And Control In The Long-Term Care Facility, Philip W. Smith, Gail Bennett, Suzanne Bradley, Paul Drinka, Ebbing Lautenbach, James Marx, Lona Mody, Lindsay Nicolle, Kurt Stevenson

United States Department of Veterans Affairs: Publications

Long-term care facilities (LTCFs) may be defined as institutions that provide health care to people who are unable to manage independently in the community.¹ This care may be chronic care management or short-term rehabilitative services. The term nursing home is defined as a facility licensed with an organized professional staff and inpatient beds that provides continuous nursing and other services to patients who are not in the acute phase of an illness. There is considerable overlap between the 2 terms.

More than 1.5 million residents reside in United States (US) nursing homes. In recent years, the acuity of illness …

Family Variables As Predictors Of Adolescent Substance Abuse Treatment Outcome, Gina R. Sillo

Loma Linda University Electronic Theses, Dissertations & Projects

The current study sought to investigate the importance of family variables as they potentially predict treatment outcome for adolescents at two intensive outpatient drug treatment programs. A growing body of research has demonstrated that family dynamics serve to influence drug using behaviors and substance abuse treatment. More specifically, empirical support has suggested that the quality of family relationships is an important factor serving to influence affective treatment. The current investigation considered two primary domains of family influence: family cohesion and family conflict. Results revealed that the study variables comprising these domains were not found to be associated with adolescent treatment …

Predictive Measures Of Cognitive Outcome In Adults Sustaining Brain Injury, Herminia De La Rosa-Trujillo

Loma Linda University Electronic Theses, Dissertations & Projects

To date, there is no consistent and accurate outcome prediction method for patients with traumatic brain injury (TBI). Commonly used clinical measures such as the Glasgow Coma Scale (GCS) and traditional radiological methods of x-rays and computed tomography (CT) scans do not always accurately predict patient functional outcome. These radiological methods are adequate in determining gross structural anatomical disturbances, however, they are unable to detect more diffuse cellular damage believed to be responsible for the functional impairments evidenced in patients sustaining TBI. Magnetic resonance imaging allows for various non-invasive sequencing techniques that have demonstrated to be a potentially valuable method …

The Effectiveness Of Treatment In An Inpatient And Outpatient Psychiatric Facility, Timothy Quan Tran

Loma Linda University Electronic Theses, Dissertations & Projects

The present study is aimed at examining treatment outcome in a large psychiatric facility that provides both inpatient and outpatient services to a broad range of patients. Not only will patient outcomes be assessed at a facility-wide level, but patient outcomes on the various units/programs in the facility will also be assessed and compared. It is expected that, facility wide, patients will show significant improvement on the outcome measure from admission to discharge, but that patient outcomes will differ across the various units/programs in the facility. In sum, the results of the paired-sample t-test and effect size obtained in this …

A Theory Of Positive Mental Health, Jason D. Rowden

Loma Linda University Electronic Theses, Dissertations & Projects

For many decades psychological research has erred on the side of looking toward pathology and has neglected to define what positive mental health functioning is on an individual level (Dahlsgaard, Peterson, & Seligman, 2005, p. 203). Without a sound theory of positive mental health, the field of psychology is left guessing as to its meaning. The importance of having a clear definition of mental health cannot be underscored enough. Without a clear understanding of mental health, the field of psychology is forced to function with varying opinions, defined by each clinician. The goal of the current thesis is to contribute …

Study Of Executive Functioning Training In Adolescents Diagnosed With Autism, Jessica Postil

Loma Linda University Electronic Theses, Dissertations & Projects

This study investigated the effectiveness of a manualized executive functioning training program used with adolescents diagnosed with autism. Three male adolescents were trained on executive function activities using a combination of Applied Behavioral Analysis and executive functioning activities. Training programs were administered individually, lasting for 2 hours per day for 20 days. Participants were tested 1 month before training, 1 week before treatment, immediately after training and at a one-month follow-up. Significant improvements were seen in performance on executive functioning tasks that required motor speed, verbal fluency, monitoring, predicting, planning and organization skills. Significant changes in the participant’s adaptive behavior …

Healing Young People Thru Empowerment (H.Y.P.E.): A Hip-Hop Therapy Program For Black Adolescent Males, Adia B. Mcclellan

Browse all Theses and Dissertations

Treating Black adolescent males with disruptive behavior disorders can be challenging for psychologists and other mental health professionals The negative perception of this group within society, as well as the absence of clinical training exploring issues pertinent to Black adolescent males, among other things, may hinder a professional’s ability to effectively work with this population. This doctoral project discussed the research in several areas currently pertinent to Black adolescent males, as well as factors that have historically been oppressive to Black Americans. It then describes several DSM-IV-TR diagnoses and legal classifications associated with Disruptive Behavior Disorders. In addition, research analyzing …

Lsuhsc Facilities Daily Update: September 2008, Lsuhsc Property And Facilities Management

LSUHSC Facilities Daily Updates: 2008

LSUHSC Dailly Facilities Updates from September 2008. These updates describe damage and a timeline of repairs at the LSU Health Sciences Center - New Orleans campus due to Hurricane Katrina which made landfall August 29, 2005.

Lsuhsc Facilities Biweekly Update: September 2008, Lsuhsc Property And Facilities Management

LSUHSC Facilities Biweekly Updates: 2008

LSUHSC Facilities Biweekly Update from September 26, 2008.

These updates describe damage and a timeline of repairs at the LSU Health Sciences Center - New Orleans campus due to Hurricane Katrina which made landfall August 29, 2005.

Is American Health Care Uniquely Inefficient?, Alan M. Garber, Jonathan Skinner

Dartmouth Scholarship

No abstract provided.

Arginine Vasopressin And Male Attachment: A Marital And Family Therapy Perspective, Calvin James Thomsen

Loma Linda University Electronic Theses, Dissertations & Projects

Social neuroscience offers a promising way to understand some dimensions of adult attachment. Arginine vasopressin (AVP) is a neuropeptide with significant implications for human social behavior and it provides an important testing ground to explore links between social/interpersonal neurobiology and attachment. It has a distinctive impact on the social/relational behavior of certain male animals, most notably prairie voles. It fosters monogamy, creates attachment to both mate and offspring, and increases affiliation and a desire for physical proximity with other animals of the species. There has been much speculation that it might play a similar role with human males. This study …

Breast Cancer Screening Disparities In Japanese-American Women, Theodora Stratis

Loma Linda University Electronic Theses, Dissertations & Projects

Cancer screening disparities in ethnic minority women have received much research attention in the last several years due to a marked increase in ethnic minority cancer incidence and poor survival rates (Miller, Kollnel, Bernstein, Young Swanson, West et ah, 1996). Breast cancer is the leading cause of death for Asian American women (Asian American Network for Cancer Awareness, Research & Training, 2002) and, although their incidence and mortality rates are lower than Caucasian women, these rates continue to increase every year. This increasing mortality rate is likely due to the underutilization of breast cancer screening by Asian American women. Asian …

Uninsured And Medicaid Patients' Access To Preventive Care: Comparison Of Health Centers And Other Primary Care Providers, Avi Dor, Yuriy Pylypchuck, Peter Shin, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

This issue of Research Briefs examines health centers' role in reducing disparities in preventive health care access by medically vulnerable and high risk populations. The analysis uses information from several national data sources to examine differences in the provision of preventive health care to Medicaid and uninsured patients between health centers and other primary care providers.

Key Findings:

• Compared to those treated by other primary care providers, Medicaid and uninsured patients treated by health centers are significantly poorer, in significantly worse health, and in the case of uninsured patients, more likely to be members of racial and ethnic minority groups. …

Development And Pilot Testing Of A Low Literacy Handout For Hispanic/Latino Caregivers To Promote Breastfeeding And Introduce Age Appropriate Foods For Infants, Judith C. Rodriguez, Nancy Correa-Matos

Florida Public Health Review

Based on input from four focus groups the authors developed a culturally and linguistically appropriate material (CLAM) that used a pictorial format to promote breast feeding and age-appropriate introduction of solids for Hispanics/Latinos that attended a public health clinic in the northeast region of Florida. The handout focused on five key, but simple educational messages. Clients were randomly assigned to receive 1) the physician's usual oral instruction or 2) instruction that incorporated the use, and provision of, the handout. Among the group (n=12) that received the handout the mean month for introduction of solids was 5 months compared to 4.07 …

Comorbidities Of Patients With Hypertension Admitted To Emergency Departments In Florida Hospitals

Florida Public Health Review

Although essential hypertension (EHT) tends to coexist with other conditions, few studies have focused on comorbidities and symptoms among patients admitted to emergency departments (ED). The objective was to compare the characteristics, comorbidities and symptoms among patients with three types (unspecified, benign, or malignant) of EHT in Florida. A public use data set of ED patients from the Florida Agency for Health Care Administration (AHCA) from 2005 was used. Records included those with primary diagnosis of three types of EHT based on the International Classification of Diseases, 9th edition (ICD-9) code. Group comparisons were made using Chi square tests and …

Tell A Church - Lessons Learned From A Church-Based Tuberculosis Health Education Program

Florida Public Health Review

Historically, the church has been the center of the African American community – contributing to the spiritual and physical well-being of its congregations. Community health education outreach utilizing African American churches could prove effective but is often neutralized by historical feelings of distrust in research and outreach by secular organizations. During the summer of 2007, the “Think TB” project, a tuberculosis education program, attempted to utilize the church as a health education venue and overcome the historical hurdles that usually hamper church- based health education promotion. This paper discusses the “Think TB” program’s challenges and successes.

The Effects Of Daily Diabetina Tea Consumption On Glycosylated Hemoglobin, Fasting Glucose And Lipid Levels, And Body Mass Index In Normoglycemic Individuals, Lauren A. Emes, Daniel C. Benyshek

Undergraduate Research Opportunities Program (UROP)

Type 2 diabetes mellitus is a chronic disease responsible for high levels of morbidity and mortality in the United States, especially among some ethnic minority populations. Diabetina tea, a commercially-available herbal blend tea, is a well known herbal remedy for high blood sugar among Hispanic American diabetics. This study will examine the effect of twice-daily unsweetened Diabetina tea consumption over an 8 week period on glucose (sugar) and lipid (fat) metabolism. Potential effects of Diabetina tea consumption on glucose metabolism will be measured by glycosylated hemoglobin (HbA1c) and fasting glucose tests, while the potential effects of Diabetina tea consumption on …

Characteristics Of Patients Admitted To Florida Hospitals For Cardiovascular Diseases

Florida Public Health Review

The present study evaluated the variations in demographic and clinical characteristics of patients hospitalized for cardiovascular diseases (CVD) in Florida hospitals in 2005. Using the 2005 data from the Florida Agency for Health Care Administration, patients admitted for any CVD were extracted by using the International Classification of Diseases, 9th edition (ICD-9) codes. Of all patients (N=2,534,641) hospitalized in 2005, about 17.7% (n=450,559) were admitted for CVD. There were nine distinct diagnosis groups for CVD and about 33.2% and 31.8% of patients were admitted for other forms of heart disease (OHD) and ischemic heart disease (IHD), respectively. Cerebrovascular disease or …

Beck, Barbara (Fa 301), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid and full-text scan of paper (Click on “Additional Files” below) for Folklife Archives Project 301. Paper: "Images of Nurses in Print Media: 'RN Magazine', January 1995-June 1995" written by Barbara Beck for a Western Kentucky University folk studies class.

Social And Environmental Risk Factors For Hypertension In African Americans

Florida Public Health Review

This study tests the hypothesis that disparities of hypertension risk in African Americans is related to lead exposure, perceptions of racism, and stress, among urban (Roxbury, MA) and rural (Gadsden, FL) communities. Analysis of preliminary data from Phase I reveal 60% in Gadsden and 39% in Roxbury respondents self-reported having hypertension. In Gadsden 80% people did not know if their residence contained lead paint, compared to 45% in Roxbury. In Gadsden County, 58% of respondents reported experiencing racial discrimination in different settings compared with 72% in Roxbury. In regression analyses high cholesterol emerged as a significant predictors of hypertension in …

Information Interface - Volume 36, Issue 3 - August/September 2008, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users.

A Mismatch With Dual Process Models Of Addiction Rooted In Psychology, Reinout W. Wiers, Remco Havermans, Roland Deutsch, Alan W. Stacy

CGU Faculty Publications and Research

The model of addiction proposed by Redish et al. shows a lack of fit with recent data and models in psychological studies of addiction. In these dual process models, relatively automatic appetitive processes are distinguished from explicit goal-directed expectancies and motives, whereas these are all grouped together in the planning system in the Redish et al. model. Implications are discussed.

Positioning Hospice Care Within The Black And Hispanic Communities, Carol Armstrong

Graduate Theses

Nationally, hospice care and the signing of advance directives are underutilized by minority populations. Research on this phenomenon includes cultural differences, access to medical care and language barriers. A retrospective study of 1,817 closed patient charts from a local hospice was conducted to determine significant differences among the White, Black and Hispanic patient populations. The number of White patients admitted to both hospice homecare and to the hospice inpatient was significantly greater than the number of admissions of either the Black or Hispanic patients. There were no significant findings in the total number of services provided to each of the …

The Influence Of Preferred Attentional Focus Strategies On Exercise Induced Changes In Affect, Erin L. Heltsley

Masters Theses & Specialist Projects

Along with the numerous physical benefits of exercise, past research has shown that physical activity can alleviate symptoms of anxiety and depression in both clinical and non-clinical populations. Yet, it has been suggested less than half of American adults exercise at public health recommended levels. Therefore, it is important to identify factors that may lead to an increase in physical activity and, subsequently, improvements in mental health. Previous research, for the most part, has neglected to investigate how preference for attentional focus strategy during exercise influences mood. In addition, previous studies that involved attentional focus and exercise have focused more …

Combined Cognitive Behavioral Treatment Plus Caregiver Sessions For Childhood Depression, Dikla Eckshtain

Dissertations

Childhood depression is intimately related to the family context and caregiver-child relations, but only a limited number of treatment outcome studies for depressed youth have formally included members of the family in the intervention. To address this discrepancy the present study evaluated the efficacy of adding caregiver sessions to individual cognitive behavioral therapy (CBT) for the treatment of depressed youth. The treatment included 16 individual sessions and 7 caregiver sessions administered in the child's school to promote accessibility. Fifteen children (10 females and 5 males ranging in age from 8-13), who met inclusion criteria based on self-report and interview measures …

Recently Arrested Adolescents Are At High Risk For Sexually Transmitted Diseases, Steven Belenko, Richard Dembo, Doris Weiland, Matthew Rollie, Christopher Salvatore, Alexandra Hanlon, Kristina Childs

Department of Justice Studies Faculty Scholarship and Creative Works

Adolescent offenders may be at high risk for sexually transmitted diseases (STDs). With previous research and interventions focused on incarcerated adolescents, data are needed on STD prevalence and risk factors among newly arrested youth released to the community, a far larger subgroup.Participants were recruited from all arrested youth processed at the Hillsborough County, Florida Juvenile Assessment Center during the last half of 2006 (506 males, 442 females). Participants voluntarily providing urine samples for drug testing as part of standard protocol were also consented to having their specimens split and tested for chlamydia and gonorrhea, using an FDA-approved nucleic acid amplification …

Lsuhsc Facilities Biweekly Update: August 2008, Lsuhsc Property And Facilities Management

LSUHSC Facilities Biweekly Updates: 2008

LSUHSC Facilities Biweekly Updates from August 1, 15 and 29, 2008.

These updates describe damage and a timeline of repairs at the LSU Health Sciences Center - New Orleans campus due to Hurricane Katrina which made landfall August 29, 2005.

Lsuhsc Facilities Daily Update: August 2008, Lsuhsc Property And Facilities Management

LSUHSC Facilities Daily Updates: 2008

LSUHSC Dailly Facilities Updates from August 2008. These updates describe damage and a timeline of repairs at the LSU Health Sciences Center - New Orleans campus due to Hurricane Katrina which made landfall August 29, 2005.