Social and Behavioral Sciences Commons^™

Screen Door Medicine: The Informal Medical Consultation, Debra Faith Nickell

University of Kentucky Doctoral Dissertations

This study explores the phenomenon of the informal medical consultation, a communication event in which an individual asks for medical information, advice, or care from an off-duty health professional with whom the individual has no formal patient-provider relationship. Using surveys and interviews, the study describes these consultations from the perspective of the health care professional and the informal patient. The study explores foundational theories that offer explanations for the phenomenon. The theories considered include social support, decision-making, social exchange, perceived partner responsiveness to needs, and uncertainty management.

This study suggests health care providers perceive informal medical consultations to be more …

Neuropsychological Correlates And Underlying Cortical Mechanisms Of Working Memory In Moderate To Severe Traumatic Brain Injury, Jessica Ann Clark

University of Kentucky Doctoral Dissertations

Functional magnetic resonance imaging (fMRI) is a relatively new tool that has been used to examine patterns of neural activation within those with traumatic brain injuries (TBI). A review of relevant literature is presented, including alterations in activity within the frontal and parietal regions that are thought to be compensatory in nature. In addition, possible explanations for discrepancies within this research are discussed. The current study expands upon previous work by incorporating a delayed-match-to-sample (DMS) task within an event-related paradigm and neuropsychological testing to compare 12 individuals with a history of TBI to 12 control participants with orthopedic injuries (OI). …

Stalking Myth Acceptance: An Investigaton Of Attitudinal Constructs Associated With Gender Differences In Judgments Of Intimate Stalking, Emily Elizabeth Dunlap

University of Kentucky Doctoral Dissertations

Emerging research has shown that women and men perceive criminal stalking differently, yet there is little research addressing why these differences exist. For example, mock juror research on intimate stalking has found that men are more likely than women to render lenient judgments (e.g., not-guilty verdicts). Understanding the underlying attitudes associated with differences in how men and women interpret whether certain behaviors would cause reasonable fear is crucial to an evaluation of current anti-stalking legislation. The primary goals of this research were: (1) to examine the extent to which beliefs that support stalking (i.e., stalking myth acceptance – SMA victim …

Globalization And The Politics Of The Welfare State, Hanbeom Jeong

University of Kentucky Doctoral Dissertations

The theoretical argument of this study is that economic globalization, by default, exerts a downward pressure on the social policies of states largely through the operations of transnational corporations. However, since globalization’s effect on social policy is conditional on endogenous political forces such as regime type, democratization, electoral competition and political participation, its proclivity to retrench the welfare state is averted by the preferences of political actors and institutions to expand social spending. This argument found consistent empirical support via a series of cross-section regressions that estimated the interactive effects of economic globalization and various measures of domestic political institutions …

Geographies Of Co2Lonialism And Hope In The Northwest Pacific Frontier Territory-Region Of Ecuador, Julianne Adams Hazlewood

University of Kentucky Doctoral Dissertations

This dissertation investigates the human dimensions of environmental transformations spurred by international climate change mitigation agreements—such as the Kyoto Protocol—that encourage lowering greenhouse gas emissions with ‘green’ market strategies like biofuel and ecological services development projects. It is methodologically grounded in “collaborative activist geographical methods” and theoretically based at the nexus of development, political ecologies, neoliberalization of Nature, and geographies of hope literatures. It examines the contradictory and complex ways that state “climate change mitigation development” projects surround and infiltrate the Indigenous and Afro-ecuadorian ancestral territories of the canton of San Lorenzo (Esmeraldas Province), located in the “Northwest Pacific Fronter …

Interpreting The Architectonics Of Power And Memory At The Late Formative Center Of Jatanca, Jequetepeque Valley, Peru, John P. Warner

University of Kentucky Doctoral Dissertations

This works examines the Late Formative Period site of Jatanca (Je-1023) located on the desert north coast of the Jequetepeque Valley, Peru. Je-1023 is a complex site made up of numerous free-standing compounds that are organized around several predictably located, replicated interior complexes that were important in determining the overall shape and interior organization of the site. While this work relies on a number of data sets traditionally used by archaeologists as a means of examining prehistoric cultures such as ceramics, ethnobotanical analysis, and the surrounding relic landscape, architectural analysis is the primary means by which Je-1023 is examined.

This …

Late Pleistocene-Early Holocene Colonization And Regionalization In Northern Perú: Fishtail And Paiján Complexes Of The Lower Jequetepeque Valley, Greg J. Maggard

University of Kentucky Doctoral Dissertations

Until relatively recently, the view of Late Pleistocene hunter-gatherers in the Americas was dominated by the “Clovis-first” paradigm. However, recent discoveries have challenged traditional views and forced reconsiderations of the timing, processes, and scales used in modeling the settlement of the Americas. Chief among these discoveries has been the recognition of a wide range of early cultural diversity throughout the Americas that is inconsistent with previously held notions of cultural homogeneity.

During the Late Pleistocene-Early Holocene, the development of widely varying economic, technological and mobility strategies in distinct environments is suggestive of a range of different adaptations and traditions.

It …

Public Higher Education Governance: An Empirical Examination, Jacob Fowles

University of Kentucky Doctoral Dissertations

Public higher education is a large enterprise in the United States. Total state expenditures for higher education totaled nearly $152 billion dollars in FY2008, accounting for over ten percent of total state expenditures and representing the single largest category of discretionary spending in most states (NASBO, 2009). The last three decades have witnessed the introduction of hundreds of pieces of legislation across states which make structural changes to state higher education governance systems (Marcus, 1997; McLendon, Deaton, and Hearn, 2007). Despite the ubiquity of state higher education governance change much remains unknown, both in terms of why states choose to …

Social Categories And Health Care Outcomes: African American Women And Hiv Survival In The Urban South, Alyson J. O'Daniel

University of Kentucky Doctoral Dissertations

This ethnographic research examines the daily life and institutional conditions under which low-income Black women in urban North Carolina perceived and attended to HIV health-related needs. I focus specifically on the interplay among women’s living conditions, programmatic service needs, and their strategies for navigating the local system of care to explore and refine the categorical label “low income.” I found that there were significant differences among study participants in terms of their monthly incomes and financial resources, housing quality and status, and personal experiences with incarceration and substance abuse. The economic differences among women translated into social differences within the …

Considering The Power Of Context: Racism, Sexism, And Beloging In The Vicarious Traumatization Of Counselors, Katharine J. Hahn

University of Kentucky Doctoral Dissertations

Recent concerns have arisen about the effects on counselors of working with trauma survivors. Vicarious traumatization may be a normal developmental process of adapting to client trauma material and may ultimately result in vicarious posttraumatic growth, or positive changes arising from vicarious trauma. Most studies have focused on individual variables or clinician coping strategies that predict vicarious traumatization. Taking a feminist approach to vicarious traumatization, this study examined the role of workplace context variables, such as sense of belonging in the workplace and support for vicarious trauma at work, on counselor vicarious traumatization and vicarious posttraumatic growth. Stratified random sampling …

Building Sustainable Societies: Exploring Sustainability Policy And Practice In The Age Of High Consumption, Cindy Isenhour

University of Kentucky Doctoral Dissertations

This dissertation is an attempt to examine how humans in wealthy, post-industrial urban contexts understand sustainability and respond to their concerns given their sphere of influence. I focus specifically on sustainable consumption policy and practice in Sweden, where concerns for sustainability and consumer-based responses are strong. This case raises interesting questions about the relative strength of sustainability movements in different cultural and geo-political contexts as well as the specific factors that have motivated the movement toward sustainable living in Sweden.

The data presented here supports the need for multigenic theories of sustainable consumerism. Rather than relying on dominant theories of …

Career Interruptions: Wage And Gender Effects, Jill Kearns

University of Kentucky Doctoral Dissertations

This dissertation examines the effects of career interruptions on workers’ wages. In chapter four I examine whether controlling for the type of interruption differently affects men’s and women’s wages and therefore can be used to explain the remaining gender wage differences. The increased participation of married women in the labor force has increased their wages from just 30% of men’s wages in 1890 to nearly 80% as of 2001. Thus, although the gender wage gap has narrowed over time, it has yet to be eliminated. One argument for the persistence of the gender wage gap is that previously researchers have …

Shame, Guilt, And Knowledge Of Hpv In Women Recently Diagnosed With Hpv-Related Cervical Intraepithelial Neoplasia (Cin), Sarah E. Flynn

University of Kentucky Doctoral Dissertations

The current study investigated the relationships between state shame, guilt, and disease knowledge in women recently diagnosed with cervical intraepithelial neoplasia (CIN) caused by the human papillomavirus (HPV). Recent research has indicated that diagnosis of HPV can elicit negative self-directed affect, including persistent experiences of shame. Studies have also shown that knowledge of HPV is low in the general population, even though it is the most common sexually transmitted infection. It is important to understand how shame affects those with HPV because shame is related to a decline in important immune parameters that may be essential in HPV clearance. A …

The Vortex Of Labor, Thomas Janoski, Christopher Oliver

Sociology White Papers

Three factors constitute the new global division of labor that causes structural unemployment in advanced industrialized countries: (1) Globalization has increased outsourcing and off-shoring with manufacturing jobs and white collar work moving overseas. (2) Lean production has moved throughout the manufacturing industries of the world, with the service industries following behind. Lean production reduces jobs but can also create some jobs. (3) Advanced technologies reduce old jobs (e.g., newspapers, post office, etc.) but also create new jobs. The internet allows jobs to be done from anywhere in the world, which aids off-shoring, and automation reduces jobs but creates a few …

Kentucky Annual Economic Report 2010, Kenneth R. Troske, Devanathan Sudharshan, Anna L. Stewart

Kentucky Annual Economic Report

No abstract provided.

A Declarative Approach To Language Change: Regularization As Realignment, Andrew R. Hippisley

Linguistics Faculty Publications

In this paper I consider how best to model lexical regularization as a type of language change, and more specifically how to capture regularization when it is a question of realigning the syntactic function with the expected morphological expression. While it seems natural to approach language change in procedural terms, I will argue that a declarative/static approach is more natural for at least certain types of lexical change, specifically change that involves a reorganization of the paradigm. This account is modeled in the defaults-based framework of Network Morphology (Corbett & Fraser 1993; Brown & Hippisley forthcoming).

The Derivation Of Compound Ordinal Numerals: Implications For Morphological Theory, Gregory Stump

Linguistics Faculty Publications

In the domains of both inflection and derivation, there is evidence for both rules of exponence (which realize specific morphosyntactic properties or derivational categories through the introduction of specific morphological markings) and rules of composition (which determine how such rules of exponence apply in the definition of a compound’s inflected forms or derivatives). A single, general rule of composition accounts for the definition of a wide range of derivatives from compound bases; nevertheless, ordinal derivation demonstrates the considerable extent to which rules of composition may vary across languages. Evidence from a diverse range of languages is used to motivate a …

Paradigmatic Realignment And Morphological Change: Diachronic Deponency In Network Morphology, Andrew R. Hippisley

Linguistics Faculty Publications

A natural way of formally modeling language change is to adopt a procedural, dynamic approach that gets at the notion of emergence and decay. We argue that in the realm of morphological change, and notably the reorganization of a lexeme’s paradigm, a model that at a given synchronic stage holds together both the actual facts about the paradigm as well as the range of potential or virtual facts that are licensed by the morphological machinery more elegantly captures the nature of the changing paradigm. We consider the special case of morphological mismatch where syntactic function is misaligned with morphological expression, …

The Female Athlete, Dilip R. Patel, Donald E. Greydanus, Hatim A. Omar

Pediatrics Faculty Publications

The female athlete has today became an accepted part of sports in elementary school, junior high, senior high, and college. This chapter covers various aspects of the prepubertal and pubertal female athlete. An historical perspective will be presented and selected comments provided on psychological and physiologic aspects of the female athlete. Concepts of adolescent gynecology are reviewed, including breast concerns and menstrual dilemmas in relation to sports activity. Exercise during pregnancy is also considered. Iron deficiency anemia and stress urinary incontinence

Southeastern Law Librarian Winter 2010, Seaall

Newsletters

No abstract provided.

Examining Manual And Visual Response Inhibition Among Adhd Subtypes, Zachary W. Adams, Richard Milich, Mark T. Fillmore

Psychology Faculty Publications

This study compared inhibitory functioning among ADHD subtype groups on manual and visual versions of the stop task. Seventy-six children, identified as ADHD/I (n = 16), ADHD/C (n =42), and comparison (n = 18) completed both tasks. Results indicated that both ADHD groups were slower to inhibit responses than the comparison group on both tasks. Comparison children were faster to inhibit than activate responses on both versions of the task. Children in the ADHD groups also demonstrated this robust pattern on the manual task. However, on the visual task, children in the ADHD groups evidenced slowed inhibition …

Acute Musculoskeletal Sports Injury And Topical Nsaid, Amit M. Deokar, Shawn J. Smith, Hatim A. Omar

Pediatrics Faculty Publications

The objective of this chapter is to summarize the current standards of pain management in minor sports related musculoskeletal injuries. We also address the topical form of non-steroidal anti-inflammatory drug as an effective pain management option in an out-patient setting. Design: Quantitive systematic review of randomized controlled trials. Methods: The data was obtained through literature review of articles published in the last 10 years. In addition, FDA information on non-steroidal anti-inflammatory medications was also reviewed. The patient population studied in the articles included children and adults. Conclusion: Current standards of managing pain resulting from sports injuries involve a number of …

Down Syndrome And Sexuality, Maria José Carvalho Sant'anna, Bruna Marques Bononi, André Chao Vasconcellos De Oliveira, Tadeu Silveira Renattini, Carla Franchi Pinto, Maria Lucia Passarelli, Veronica Coates, Hatim A. Omar

Pediatrics Faculty Publications

In recent years important gains and changes have been observed in the life of teenagers with Down syndrome (DS) with increased inclusion into society. This chapter will discuss adolescence and sexuality in teenagers with DS from a descriptive study of 50 patients with DS between the ages of 10 and 20 years. The mean age was 13.5 years, 50% females. 86% went to school with 62.2% in school for over six years. Of the patients that attended school, 60% went to special education school and only 10% read and wrote correctly. In evaluation of autonomy, 66% took shower, 78% performed …

Quality Of Life And Adolescents In Rural Kentucky, Hatim A. Omar, Søren Ventegodt, Joav Merrick

Pediatrics Faculty Publications

In many rural areas in Kentucky, adolescents lack the basic assets for a good quality of life, such as having caring adults, a safe place and useful activities after school. In this chapter we analyze data from middle and high school students referred to a comprehensive school based health promotion center (SBHPC). From August 2006 to February 2008, a total of 382 students (200 female, 182 male, aged 12-18 years) were referred to the SBHPC for help. Only two (0.5%) students had two parents living with them and 12 (3.1 %) had safe, organized after school activities. 19.9% of the …

Quality Of Life And Persons With Intellectual Disability: Can We Measure Qol In This Population?, Søren Ventegodt, Hatim A. Omar, Flemming Struve, Tove K. Nielsen, Isack Kandel, Joav Merrick

Pediatrics Faculty Publications

Quality of life (QOL) has been discussed by professionals working with persons with intellectual disability (ID) for some time, but since QOL is concerned with subjective well-being, satisfaction and happiness, how is it possible to measure, when the person in question is unable to communicate? Consciousness is believed to be an internal and personal thing, but we have done the simple experiment to ask observers to rate QOL of another person, also in sub dimensions like self-assessed physical and mental health, relationship with self, self-assessed sexual ability, self-assessed social ability, and we have found that people are able to assess …

Drug Law Reform—Retreating From An Incarceration Addiction, Robert G. Lawson

Law Faculty Scholarly Articles

Now, thirty years into the "war on drugs," views about the law's reliance on punishment to fix the drug problem are less conciliatory and more absolute: "[t]he notion that 'the drug war is a failure' has become the common wisdom in academic ... circles." Those who have most closely studied the results of the "war" believe that it has "accomplished little more than incarcerating hundreds of thousands of individuals whose only crime was the possession of drugs." More importantly, they believe that it has had little if any effect on the drug problem: "Despite the fact that the number of …

Face To Face Versus Computer-Mediated Communication: Couples Satisfaction And Experience Across Conditions, Martha Perry

University of Kentucky Master's Theses

This mixed method study examined differences in how face to face (FtF) and computer-mediated communication (CMC) were experienced for individuals communicating with their romantic partner. Forty-four individuals (22 couples) engaged in discussions in both FtF and CMC conditions in a laboratory environment, measuring communication satisfaction as an indicator of experience. Eight couples were also randomly selected to participate in interviews and their reports were used to add depth to the analyses and further inform the findings. Participants reported similar levels of satisfaction across communication conditions, which extends previous literature suggesting that users are able to adapt to text-based channels of …

The Relationship Between Obesity And Skin And Soft Tissue Infections, Juliana Swiney

MPA/MPP/MPFM Capstone Projects

The Problem:

It is well known that our country is experiencing an obesity epidemic: 33.9% of all adults are obese (BMI>30) and 67% of adults are either overweight or obese (BMI>25). Obesity is a risk factor for several serious disease states such as, diabetes, stroke, hypertension, heart disease and some types of cancer. It also has a less well defined relationship with skin and soft tissue infections.

Although it is known that excessive weight increases the opportunity for harmful skin conditions, this relationship has not been as well studied. Some of the mechanisms that predispose obese people to …

Cycling As A Political Act: The Framing And Culture That Create A New Social Movement, Mitchael Lee Schwartz

University of Kentucky Master's Theses

This study analyzes the bicycling community of Lexington, Kentucky. Interviews and participant observation were conducted in order to better understand the structure of Lexington’s cycling community, revealing three prominent groups/types of cyclists: (1) road cyclists, (2) underground/urban cyclists, and (3) commuters. The characteristics of each group are discussed, with particular attention devoted to the underground/urban cyclists, due to their politically-minded culture. Building from prior social movement literature, the unique framing processes of the underground/urban cycling group are analyzed in order to explore the group as a new social movement. Finally, the potential for a broader cycling movement based upon interests …

Tolerance To The Impairing Effects Of Alcohol On The Inhibition And Activation Of Behavior, Erik Wayne Ostling

University of Kentucky Master's Theses

Moderate doses of alcohol impair response inhibition activation. Recent work has shown that, during a single dose, response inhibition recovers from the impairing effects of alcohol more slowly than response activation. Evidence for a lag in tolerance development to inhibitory versus activational mechanisms suggests that, as blood alcohol declines, drinkers’ response inhibition might continue to be impaired, despite the recovery of response activation. However, this has not been studied across repeated doses. This study examined how cross-session tolerance to alcohol develops differentially between response activation and inhibition. Thirty-two healthy adults performed a cued go/no-go task that measured response activation and …