Medicine and Health Commons^™

Mind+Body: An Ethnodrama About Adolescent And Young Adult Oncology, Jake Russell Thompson

Student Scholar Symposium Abstracts and Posters

The first thing many people think of as a “cancer patient” tends to be an elderly person, or perhaps a child too young to understand what’s happening — pink ribbons and fundraising walks, weak and feeble bodies too sick and delicate to function. These notions of a “quintessential cancer patient” are both limiting in their scope of what the disease actually is, and isolating to younger people going through it. For people who don’t fit this predetermined idea of the psychological, physical, and emotional development of a cancer patient (specifically, the seventeen to thirty-five age range), isolation becomes another side …

Sources Of Blood Meals Of Sylvatic Triatoma Guasayana Near Zurima, Bolivia, Assayed With Qpcr And 12s Cloning, David E. Lucero, Wilma Ribera, Juan Carlos Pizarro, Carlos Plaza, Levi W. Gordon, Reynaldo Peña, Leslie A. Morrissey, Donna M. Rizzo, Lori Stevens

College of Engineering and Mathematical Sciences Faculty Publications

In this study we compared the utility of two molecular biology techniques, cloning of the mitochondrial 12S ribosomal RNA gene and hydrolysis probe-based qPCR, to identify blood meal sources of sylvatic Chagas disease insect vectors collected with live-bait mouse traps (also known as Noireau traps). Fourteen T. guasayana were collected from six georeferenced trap locations in the Andean highlands of the department of Chuquisaca, Bolivia.We detected four blood meals sources with the cloning assay: seven samples were positive for human (Homo sapiens), five for chicken (Gallus gallus) and unicolored blackbird (Agelasticus cyanopus), and one for opossum (Monodelphis domestica). Using the …

Wellness And Food Preferences Among Children Of Latino Immigrant Families In The Arcadia Community Of Spartanburg County, Sarah Grace Keaveny

Student Scholarship

The topic of this capstone is the result of my synthesis across disciplines. As a student with majors in Biology and Spanish with a concentration in Medical Humanities, I wanted to research a topic that would include my disciplines in a way that would meaningfully prepare me to leave my undergraduate years for medical school. This project seeks to generate an understanding of the culturally created eating habits and perceptions of wellness in Latino children living in the Arcadia Community, as told by their mothers. By seeking this understanding, I hope that this project may serve as a tool to …

Community Health Worker Interventions For Latinos With Type 2 Diabetes: A Systematic Review Of Randomized Controlled Trials, Tariana V. Little, Monica L. Wang, Eida M. Castro, Julio Jiménez, Milagros C. Rosal

Tariana V. Little

This systematic review aimed to synthesize glucose (HbA1c) outcomes of community health worker (CHW)-delivered interventions for Latinos with type 2 diabetes that were tested in randomized controlled trials and to summarize characteristics of the targeted populations and interventions, including the background, training, and supervision of the CHWs. Searches of PubMed and Google Scholar databases and references from selected articles identified 12 studies that met the inclusion criteria. Of these, seven reported statistically significant improvements in HbA1c. Study participants were largely low-income, female, and Spanish-speaking and had uncontrolled diabetes. The CHWs led the interventions alone, in pairs, or as part of …

¿Cómo Amigos Comparten La Salud? Las Redes Sociales Y Factores De Riesgo. / How Do Friends Share Health? Social Networks And Risk Factors., Joanna Emerson

Independent Study Project (ISP) Collection

Research question: How are health risk factors shared between people by means of their social networks? Objectives: The main objective of the study is to determine the correlation between a person's social network and which health risk factors are most prevalent in network members. The first specific objective is to evaluate the rates of the most common risk factors in social networks and how these disperse throughout the network. The second is to analyze whether people with similar health risk factors have similar social tendencies. The final objective is to identify the risk factors most transmittable through social networks. Background: …

Promoción De La Salud En La Ciudad De Buenos Aires: Un Estudio Sobre El Trabajo De Los Promotores De Salud Y Las Percepciones De Su Rol En La Comunidad. / Health Promotion In The City Of Buenos Aires: A Study Of The Work Of Community Health Workers And Perceptions Of Their Role In The Community, Elizabeth Sherwin

Independent Study Project (ISP) Collection

Contextual information: At the global level, inequities exist with respect to access and quality of healthcare. Primary Health Care is a strategy to respond to these inequities. It adopts an integral concept of health that includes no only illness but also the wellbeing of a person affected by many environmental factors. It is a strategy that aims to improve access to medical care and health information through health promotion and has the goal of giving the population more control over their health. Community health workers, people from the same neighborhood in which they work promoting health, are recognized on the …

Hearing The Patient Voice: Using Video Intervention/Prevention Assessment To Understand Teens With Cystic Fibrosis, Susan Horky Lscw, Laura E. Sherman Msw, Julie Polvinen, Michael Rich Md

Patient Experience Journal

This qualitative study asked two questions: 1) How do teens with cystic fibrosis (CF) feel about their treatments; and 2) What factors lead teens to adhere, or not adhere, to treatments. To answer these questions we used an innovative approach (Video Intervention/Prevention Assessment or VIA), to learn about the experiences of teens with CF. We loaned video camcorders to teens with CF and asked them to create visual narratives of their lives. Researchers logged and coded videotapes, identifying themes that arose from the material. A primary theme was “Doctors don’t understand.” Participants also highlighted the value of routines and parental …

Hiv Disclosure As Practice And Public Policy, Barry D. Adam

Barry D Adam

Responses to the largest surveys of HIV-positive people in Ontario show that most either disclose to or do not have partners who are HIV-negative or of unknown status. Non-disclosure strategies and assumptions are reported by relatively small sets of people with some variation according to employment status, sexual orientation, gender, ethnicity, and having had a casual partner. Interviews with 122 people living with HIV show that disclosure is an undertaking fraught with emotional pitfalls complicated by personal histories of having misread cues or having felt deceived leading up to their own sero-conversion, then having to negotiate a stigmatized status with …

Beauty Through Control: Forming Pro-Anorexic Identities In Digital Spaces, Kay A.S. Mccurley

Masters Theses

Pro-anorexia is a complex, multi-layered phenomenon that exists only online. The women who participate in these websites are learning to negotiate how to manage an identity that is normalized within the group but stigmatized within larger society. Using an open-ended survey, distributed online directly to pro-ana website users, I aim to illustrate pro-anorexic experience. After a brief demographic sketch of typical pro-anorexic spaces, I examine pro-anorexia in depth by asking three primary research questions: 1) how do pro-anorexics craft their online identities within the community; 2) how do individuals interact with one another in a highly contested and heavily policed …

Desktop Medicine, Jason Karlawish

Jason Karlawish

No abstract provided.

Welfare Reform And Children’S Health, Badi H. Baltagi, Yin -Fang Yen

Center for Policy Research

This study investigates the effect of the Temporary Aid to Needy Families (TANF) program on children’s health outcomes using data from the Survey of Income and Program Participation (SIPP) over the period 1994 to 2005. The TANF policies have been credited with increased employment for single mothers and a dramatic drop in welfare caseload. Our results show that these policies also had a significant effect on various measures of children’s medical utilization among low-income families. These health measures include a rating of the child’s health status reported by the parents; the number of times that parents consulted a doctor; and …

Alcohol Abuse As A Rite Of Passage: The Effect Of Beliefs About Alcohol And The College Experience On Undergraduates’ Drinking Behaviors, Lizabeth Crawford, Katherine Novak

Katherine B. Novak

Qualitative studies of alcohol’s ritual influences indicate that college undergraduates who drink heavily tend to view alcohol use as integral to the student role and feel entitled to drink irresponsibly. Our analyses, based on a standardized measure of these beliefs administered to approximately 300 students, confirmed these findings. Among our sample, beliefs about alcohol and the college experience had an effect on levels of alcohol consumption similar in magnitude to that of other variables commonly associated with a risk for heavy drinking. Moreover, the alcohol beliefs index moderated the effects of three risk factors—gender, high school drinking, and friends’ use …

Estimation Of Global Network Statistics From Incomplete Data, Catherine A. Bliss, Christopher M. Danforth, Peter Sheridan Dodds

College of Engineering and Mathematical Sciences Faculty Publications

Complex networks underlie an enormous variety of social, biological, physical, and virtual systems. A profound complication for the science of complex networks is that in most cases, observing all nodes and all network interactions is impossible. Previous work addressing the impacts of partial network data is surprisingly limited, focuses primarily on missing nodes, and suggests that network statistics derived from subsampled data are not suitable estimators for the same network statistics describing the overall network topology. We generate scaling methods to predict true network statistics, including the degree distribution, from only partial knowledge of nodes, links, or weights. Our methods …

The Social Distribution Of Distress And Well-Being In The Canadian Aboriginal Population Living Off Reserve, Susan Wingert

Susan Wingert

This article examines how the social structure distributes risk and protective factors and mental health outcomes within the off reserve Aboriginal population in Canada. It uses the stress process model, a prominent model in the sociology of mental health, to explore pathways between social status, stress, coping resources, and mental health outcomes. Path analyses are used to decompose total effects on distress and well-being into direct and indirect or mediating pathways. The results suggest that stress, mastery, and social support are important mediators between social status and mental health outcomes. Stress appears to be a stronger contributor to distress while …

Documenting Mass Rape: Medical Evidence Collection Techniques As Humanitarian Technology, Jaimie Morse

Genocide Studies and Prevention: An International Journal

Aim: Emerging global networks of human rights activists, doctors, and nurses have advocated for increased collection of medical evidence in conflict-affected countries to corroborate allegations of sexual violence and facilitate prosecution in international and domestic courts. Such initiatives are part of broader shifts in human rights advocacy to document human rights violations using rigorous, standardized methodologies. In this paper, I consider three principal forms of medical evidence to document sexual violence and their use in these settings: the patient medical record, the medical certificate, and the sexual assault medical forensic exam (commonly known as the “rape kit”).

Methods: Combining archival …

Physicians' Perspectives On The Current Handling Of Medical Malpractice In Jordan, Jason Yohan Hwang

Independent Study Project (ISP) Collection

Research on medical malpractice has increased over the past few decades. However, such studies have primarily focused on malpractice in Western countries like America. In areas like the Middle East, studies on malpractice has been lacking. Thus, this study tries to fill this gap. The purpose of this study is to understand physicians’ perspectives on the current handling of medical malpractice in Jordan. To answer this research question, the study uses both surveys and interviews to focus on three main themes: one, physicians’ understanding of the term, malpractice; two, evaluation of the current malpractice system; and three, attitudes toward a …

Attitudes Toward Motherhood Among Sexual Minority Women In The United States, Emily Kazyak, Nicholas Park, Julia Mcquillan, Arthur L. Greil

Department of Sociology: Faculty Publications

In this article, we use data from the National Survey of Fertility Barriers—a national, population-based telephone survey—to examine how sexual minority women construct and value motherhood. We analyze the small (N = 43) random sample of self-identified sexual minority women using “survey-driven narrative construction,” which entails converting the structured answers and open-ended responses for each respondent into narratives and identifying themes. We focused on both sexual minority women’s desires and intentions to parent and on the importance they place on motherhood. We found that there is considerable variation in this population. Many sexual minority women distinguish between having and raising …

Chess Improves Cancer Caregivers' Burden And Mood: Results Of An Ehealth Rct, Lori L. Dubenske, David H. Gustafson, Kang Namkoong, Robert P. Hawkins, Amy K. Atwood, Roger L. Brown, Ming-Yuan Chih, Fiona Mctavish, Cindy L. Carmack, Mary K. Buss, Ramaswamy Govindan, James F. Cleary

Community & Leadership Development Faculty Publications

OBJECTIVE: Informal caregivers (family and friends) of people with cancer are often unprepared for their caregiving role, leading to increased burden or distress. Comprehensive Health Enhancement Support System (CHESS) is a Web-based lung cancer information, communication, and coaching system for caregivers. This randomized trial reports the impact on caregiver burden, disruptiveness, and mood of providing caregivers access to CHESS versus the Internet with a list of recommended lung cancer websites.

METHODS: A total of 285 informal caregivers of patients with advanced nonsmall cell lung cancer were randomly assigned to a comparison group that received Internet or a treatment group that …

Infusing Cultural Competency Into Medical School Curricula, Debbie Salas-Lopez, Maria Soto-Greene, Catherine Bolder, Robert Like

Debbie Salas-Lopez MD, MPH

No abstract provided.

Addressing Health Disparities In Minority Communities: Evaluation Of A Cultural Competency Curriculum In Medical School, Debbie Salas-Lopez, Maria Soto-Greene, Dawne Mouzon, A Davidow, J Reteguiz, C Mclauglin, Ana Natale-Pereira

Debbie Salas-Lopez MD, MPH

No abstract provided.

Baseline Intercultural Sensitivity Assessment Among Employees At A Large Health Network: Findings And Implications For Cultural Competency Interventions, Eric Gertner, Jarret Patton, Jay Baglia, Judith Sabino, Lynn Deitrick, Anthony Nerino, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

An Ecological Approach To Organizational Transformation: The Growth Of Cross-Cultural Health Care Delivery In An Academic Community Health Network, James Geiger, Judith Sabino, Eric Gertner, Jarret Patton, Llewellyn Cornelius, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

An Ecological Approach To Organizational Cultural Competence, Judith Sabino, Jarret Patton, Erica Mahady, Lynn Deitrick, James Geiger, Marykay Grim, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

Resisting Peer Pressure: Characteristics Associated With Other-Self Discrepancies In College Students’ Levels Of Alcohol Consumption, Lizabeth A. Crawford, Katherine B. Novak

Katherine B. Novak

Since college undergraduates tend to increase their use of alcohol to match what they perceive to be normative, the assumption has been that students who believe that others on campus drink more than they do (a common misperception) are in a vulnerable position. Taking a different perspective, we consider large other-self discrepancies in levels of alcohol consumption as indicative of a capacity to resist situational pressures that favor drinking. OLS regression was used to assess the relationship between student background characteristics, self-presentational tendencies, and a gender-specific other-self gap measure. Overall, those individuals who drank closest to what they regarded as …

Reactivity To Conspicuousness And Alcohol Use Among College Students: The Moderating Effect Of Alcohol Expectancies, Lizabeth A. Crawford, Katherine B. Novak

Katherine B. Novak

The analysis of self-report data from 147 college undergraduates suggested that alcohol expectancies moderate the effect of a dispositional susceptibility to embarrassment elicited by undesired conspicuousness [center-of-attention-induced embarrassability (CAE)] on drinking behavior. Individuals unlikely to experience embarrassment when they engage in behaviors that make them stand out in a crowd, a common occurrence when one drinks to excess, drank heavily if they expected alcohol to make them more assertive socially. Students with similar beliefs about the effects of alcohol on social interaction who were high in CAE consumed substantially less alcohol than the latter individuals. Their overall levels of drinking …

Perceived Drinking Norms, Attention To Social Comparison Information, And Alcohol Use Among College Students, Katherine B. Novak, Lizabeth A. Crawford

Katherine B. Novak

Numerous studies indicate that normative campus drinking practices are important in determining college undergraduates’ use and abuse of alcohol. The purpose of this paper was to extend this literature by assessing the extent to which a dispositional susceptibility to peer influence, measured using the Attention to Social Comparison Information subscale (Lennox & Wolfe, 1984), moderates this relationships. Consistent with prior research, the perception that alcohol use and abuse are common campus activities was associated with high levels of drinking across students. Attention to social comparison information also had a direct positive effect on alcohol consumption among the undergraduates surveyed. Moreover, …

The Effects Of Role-Taking And Embarrassability On Undergraduate Drinking: Some Unanticipated Findings, Lizabeth A. Crawford, Katherine B. Novak

Katherine B. Novak

This paper focuses on the relationship between role-taking, affect, and alcohol use among college undergraduates. Role-taking is the process through which people anticipate the perspectives—expectations, evaluations, and behaviors—of others (Mead, 1934). Reflexive role-taking (i.e.,viewing oneself through the eyes of others) was significantly related to four distinct types of embarrassment. However, in opposition to our hypotheses, embarrassment resulting from becoming the center of others’ attentions was the only form of embarrassability significantly related to undergraduate drinking. Moreover, it was those students least susceptible to this type of embarrassment who were the most likely to be drinkers. While role-taking, in general, was …

Beliefs About Alcohol And The College Experience As Moderators Of The Effects Of Perceived Drinking Norms On Student Alcohol Use, Lizabeth A. Crawford, Katherine B. Novak

Katherine B. Novak

Many students view the abuse of alcohol as integral to the student role. Thus, they feel entitled to drink heavily without sanction. OLS regression was used to assess the extent to which these beliefs about alcohol and the college experience moderate the effects of descriptive and injunctive campus drinking norms on students’ levels of alcohol consumption. Overall, respondents who perceived that same-sex students on their campus drank heavily tended to drink heavily themselves. This relationship was, however, strongest among individuals who viewed the abuse of alcohol as part of being a student. Although general injunctive norms were not themselves associated …

Parental And Peer Influences On Adolescent Drinking: The Relative Impact Of Attachment And Opportunity, Lizabeth A. Crawford, Katherine B. Novak

Katherine B. Novak

The purpose of this paper was to assess the relative effects of parents and peers on adolescent alcohol use via mechanisms of attachment and opportunity. Panel data from the second and third waves of the National Education Longitudinal Survey (NELS:88) were used to examine the relationship between multiple measures of peer and parent-child relations reflecting these concepts and alcohol use among high-school students. Overall, our results indicated that peers are more influential than parents in shaping adolescents’ patterns of alcohol consumption and that unstructured peer interaction is an especially powerful predictor of adolescent alcohol use and binge drinking. Our findings …

The Effects Of Public Self-Consciousness And Embarrassability On College Student Drinking: Evidence In Support Of A Protective Self-Presentational Model, Lizabeth A. Crawford, Katherine B. Novak

Katherine B. Novak

In this article we examine the effects of public self-consciousness (PSC) and a cross-situational reactivity to embarrassing encounters (EMB) on college students’ levels of alcohol consumption by levels of perceived peer drinking. The analysis of self-report data from two undergraduate samples (n = 118 and n = 195) yielded virtually identical results and suggests that PSC and EMB affect alcohol use primarily among students with friends who drink heavily. Among these individuals, our findings are consistent with a protective self-presentational model. While PSC increased levels of alcohol consumption among students who believed drinking to be prevalent within their social circle …