Medicine and Health Commons^™

The United Nations Sustainable Development Goals: Achieving The Vision Of Global Health With Justice, Eric A. Friedman, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

We are resolved to free the human race from the tyranny of poverty and want and to heal and secure our planet” (UN General Assembly, 2015, September 25, preamble). So pronounces the 2030 Agenda, the United Nations declaration on the Sustainable Development Goals (SDGs), adopted on September 25, 2015, succeeding the Millennium Development Goals (MDGs). If achieved, the SDGs will secure an improved level of health, development, and global justice. However, if the international community fails to live up to its commitments, an untold number of people will likely perish prematurely, people’s opportunities to thrive will be cut off, social …

Los Médicos No Creen En La Brujería: El Choque Entre La Psicologia Occidental, El Catolicismo Y Las Creencias Ancestrales En La Salud Mental Boliviana, Olivia Legan

Independent Study Project (ISP) Collection

Este ensayo explora el concepto de salud mental en Bolivia y discute cómo las creencias ancestrales y el catolicismo determinan el entendimiento boliviano sobre la salud. También se toma en cuenta el rol de la salud mental en la migración interna y la tensión entre el estilo de vida rural y urbano. En base a mis experiencias en un centro de terapia alternativa y un hospital psiquiátrico católico, voy a comunicar algunas maneras en que se recibe e implementa la psicología occidental en la sociedad boliviana.

This paper explores mental health in Bolivia and discusses how both ancestral beliefs and …

Sex And Sexual Education In China: Traditional Values And Social Implications, Isabella Steinhauer

Independent Study Project (ISP) Collection

In China, the differing views of sex between younger and older generations is the clearest indicator ofthe division of modern and traditional thought in societyand their resulting repercussions. The paper examineswhat specific traditional Chinese norms and values spark many social issues in China, how those traditional values are reflected in the lack of sexual education, and then analyzes how the lack of sexual education impacts those social issues.Formal interviews were conducted in Kunming with seven college students (aged 18-23) from Yunnan Finance and Economics University and other universities, while more casual conversations were held with people of other ages in …

A Qualitative Investigation On The Effects Of The Uttar Pradesh Population Policy On Women Who Undergo Sterilization In Bahraich, Uttar Pradesh, Anna Wadhwani

Independent Study Project (ISP) Collection

The effectiveness of population policies is widely disputed by the international development community and is under constant scrutiny. While these policies have the potential to positively affect reproductive and child health indicators, they often focus too heavily on macro-demographic family planning goals and fail to acknowledge socioeconomic determinants of fertility indicators, often making for ineffective policy. Furthermore, target-based approaches have the potential to negatively impact women’s family planning choices and the quality of care they receive. This study seeks to analyze how the Uttar Pradesh Population Policy affects the decision-making process and experiences of women who undergo sterilization procedures in …

Depression And Body Mass Index, Differences By Education: Evidence From A Population-Based Study Of Adult Women In The U.S. Buffalo-Niagara Region, Ashley Wendell Kranjac, Jing Nie, Maurizio Trevisan, Jo L. Freudenheim

Sociology Faculty Articles and Research

The relationship between obesity and depression is well described. However, the evidence linking depression and body mass index (BMI) across the broad range of body size is less consistent. We examined the association between depressive symptoms and BMI in a sample of adult women in the Buffalo-Niagara region between 1997 and 2001. Using logistic regression, we investigated whether increased weight status beyond normal-weight was associated with a higher prevalence of depressive symptoms, and if educational attainment modified the association between obesity and depression. There was a trend for increased weight status to be associated with higher depressive symptoms (obese II/III, …

Inégalités En Santé Chez Les Adultes Plus Vieux Dans Les Pays Développés: Réconcilier Théories Et Approches Politiques, Amélie Quesnel-Vallée, Andrea Willson, Sandra Reiter-Campeau

Population Change and Lifecourse Strategic Knowledge Cluster Discussion Paper Series/ Un Réseau stratégique de connaissances Changements de population et parcours de vie Document de travail

Les politiques dont le but est de soutenir les personnes âgées creusent peut-être les inégalités. Des régimes de pensions de plus en plus privatisées et un manque de services de soutien subventionnés profitent de façon disproportionnée à ceux qui ont les moyens sociaux et économiques les plus forts à l’âge avancé. Les gens favorisés sont en meilleure santé que ceux qui sont désavantagés. Le Canada a l’occasion d’éviter un impact si biaisé des programmes pour les aînés, en puisant dans les approches créées par l’Organisation mondiale de la santé, des exemples internationaux et dans la théorie et la recherche sociologique. …

Research Brief: "Aging Well Among Women Veterans Compared With Non-Veterans In The Women’S Health Initiative", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study analyzes a veteran status' effects on aging among women 80 years and older. For policy and practice, this research clearly states that mental health and healthy behaviors are important for aging women, and that the VA should continue research on health needs of aging female veterans. Suggestions for future research include studies to better understand special health risks among older female veterans, how self-resiliency among female veterans affects their health as they age, and how educational attainment relates to older female veterans' health.

Sustainable Development Goals Worth Sharing, Erika Simpson

Political Science Publications

The international community has agreed upon another set of goals for the next 15 years. On the table are no less than 169 objectives and 17 Sustainable Development Goals (SDGs). The new aspirations are summarized and the merits and demerits of further elaboration and measurement including country-specific deadlines and targets are discussed. The hefty budget to achieve all 17 goals is estimated at more than $4 trillion US a year. North American policy-makers need to be aware of humankind’s shared aspirations as they consider the new and expensive SDGs. Foreign aid is one of the instruments of North American foreign …

A Systematic Review Of Coal Fired Power Plant Proximity And Local Socioeconomic Status Trends And Outcomes, Oshane Mcrae, Peter Lapuma

GW Research Days 2016 - 2020

Among the significant sources of energy, coal based energy bears the largest share (42%) of the electricity produced in the United States. Already existing coal fired power plants are the largest emitter of carbon dioxide emissions in the United States. Among the cumulative emissions contributed by the industrial sector, significant portions are from coal fired power plants. Coal-fired power plants emit 66% of sulfur oxides, 40% of carbon dioxide, 33% of mercury and 22% of nitrogen oxides in the U.S. and are linked as risk factors to respiratory diseases, cardiovascular diseases and other ailments shown to impact environmental and human …

Long-Term Care Needs In The Context Of Poverty And Population Aging: The Case Of Older Persons In Myanmar, Bussarawan Puk Teerawichitchainan, John Knodel

Research Collection School of Social Sciences

Myanmar is one of the poorest and least healthy countries in Southeast Asia. Nevertheless, population aging is taking place. Myanmar's policy makers have only begun to pay attention to the implications of population aging for its economy and society, including the health system. There is virtually no official policy or program in place to provide long-term care (LTC) for older persons. Family has thus been the mainstay of financial and instrumental support for elderly with LTC needs. Myanmar's demographic transitions likely challenge the current form of family caregiving for frail older persons, especially in the coming decades. This study aims …

Caste-Ethnic Disparity In Vaccine Use Among 0- To 5-Year-Old Children In Nepal: A Decomposition Analysis, Satis Devkota, Christopher Butler

Economics & Management Publications

Objectives To examine what factors, if any, could account for caste/ethnic disparities in vaccine utilization between upper caste and indigenous, and upper caste and low caste (Dalit) groups in Nepal.

Methods Using the Institute of Medicine (IOM) approach to calculate disparity, we estimate the disparity between upper caste and indigenous, and between upper caste and Dalit 0- to 5-year-old children in Nepal. Then we use Fairlie’s non-linear regression-based decomposition technique to account for those disparities in immunization.

Results Using nationally representative data (the Nepal Living Standard Survey II and III), we construct a pooled cross-sectional series and calculate the disparity …

Psychological Distress, Drug Use, Sexual Risks And Medication Adherence Among Young Hiv-Positive Black Men Who Have Sex With Men: Exposure To Community Violence Matters, Dexter R. Voisin

Faculty Scholarship

In the USA, Black males are disproportionately affected by community violence and HIV. The aim of this study was to assess whether exposures to community violence are related to psychological distress, drug use, sexual risk behaviors, and medication adherence among a sample of HIV-positive young Black men who had sex with men (YBMSM). Data are from 98 YBMSM ages 18–29 years recruited from Chicago who completed measures on demographics, exposures to community violence, psychological distress, drug use, condomless anal intercourse, and medication adherence. Rates of exposure to community violence were high and youth reported victimization and witnessing numerous types of …

It Is Up To You, Kate Vander Veen

Faculty Work Comprehensive List

"If indeed you desire to be healthy, or to at least try to work toward living a healthier life than you do now, you must first answer one core question: what does healthy living mean to you?"

Posting about life choices that promote health from In All Things - an online hub committed to the claim that the life, death, and resurrection of Jesus Christ has implications for the entire world.

http://inallthings.org/it-is-up-to-you/

Bidirectional Associations Between Rheumatoid Arthritis And Depression: A Nationwide Longitudinal Study, Ming-Chi Lu, How-Ran Guo, Miao-Chiu Lin, Hanoch Livneh, Ning-Sheng Lai, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Rheumatoid arthritis (RA) and depression may be associated with each other pathophysiologically, but few studies have been conducted on the interplay between these two diseases using longitudinal measurement. Therefore, we used the National Health Insurance Research Database of Taiwan to investigate the bidirectional associations between RA and depression. One cohort was included to analyze RA predicting the onset of depression and a second cohort for analysis of depression predicting RA. A sex- and age-matched control group was included for both. The incidence of depression in RA subjects was higher than in non-RA subjects [15.69 vs. 8.95 per 1,000 person-years (PYs)], …

Your Body Has A Purpose, Nate Wolf

Faculty Work Comprehensive List

"How often do we consider using 100% of our bodies in pursuing God’s redemptive call? How often do we succumb to viewing our bodies through culture’s lens of graphically enhanced photos prepared for mass distribution?"

Posting about using the body to glorify God from In All Things - an online hub committed to the claim that the life, death, and resurrection of Jesus Christ has implications for the entire world.

http://inallthings.org/your-body-has-a-purpose/

Postoperative Pain Management In Children Of Hispanic Origin: A Descriptive Cohort Study, Rebecca Brown, Michelle A. Fortier, Sheeva Zolghadr, Padma Gulur, Brooke N. Jenkins, Zeev N. Kain

Psychology Faculty Articles and Research

BACKGROUND:

It has been established that pain is frequently undertreated in children following outpatient surgery. Very few studies, however, have investigated this phenomenon in ethnically diverse populations.

METHODS:

This study included 105 families of children aged 2 to 15 years of Hispanic origin and low income undergoing outpatient tonsillectomy and adenoidectomy surgery. Participating parents completed baseline and demographic packets. Recorded postoperative pain ratings and administration of analgesics at home for 1 week were collected during home visits.

RESULTS:

Despite the high (70%; 99% confidence interval [CI], 57%–82%) incidence of significant pain in the first 24 hours home, 32% (95% CI, …

Veterans History Project, Stephen Bowden, Alison Chiaramonte, Janelle Cruz, Brittany Fickau, Melissa Fischels, Olivia Gish, Hannah Kittel, Kylie Mason, Meave Otieno, Pauline Tran

ISCOPES Posters and Presentations

No abstract provided.

Healthy Teen Scholars: Our Journey Together, Sara Emamian, Miranda Garcia, Ans Irfan, Andrea Kablanian, Pavneet Kaur, Yonathan Kefelegn, Ariel Sherman, Munjireen Sifat

ISCOPES Posters and Presentations

No abstract provided.

Approaching Organ Transplant In Islam From A Multidimensional Framework, Daniel J. Hurst

Journal of Health Ethics

The subject of organ transplant has been highly contested within Islam. Though the majority of Muslims now accept the validity of the practice from both live and deceased donors, this is by no means a universal consensus. In particular Islamic contexts, the subject of organ transplant remains a major subject of debate. Intertwined with the debate of organ transplant is the sensitive and complex issue of what constitutes death. Bioethical decision-making in Islam takes place within a multi-dimensional framework of authorities and themes. With no central authoritative body for the Islamic community, general consensus on bioethical matters is difficult to …

Socioecological Factors Influencing Women's Hiv Risk In The United States: Qualitative Findings From The Women's Hiv Seroincidence Study (Hptn 064)., Paula M Frew, Kimberly Parker, Linda Vo, Danielle Haley, Ann O'Leary, Dazon Dixon Diallo, Carol E Golin, Irene Kuo, Lydia Soto-Torres, Jing Wang, Adaora A Adimora, Laura A Randall, Carlos Del Rio, Sally Hodder, Hiv Prevention Trials Network 064 (Htpn) Study Team.

Epidemiology Faculty Publications

BACKGROUND: We sought to understand the multilevel syndemic factors that are concurrently contributing to the HIV epidemic among women living in the US. We specifically examined community, network, dyadic, and individual factors to explain HIV vulnerability within a socioecological framework.

METHODS: We gathered qualitative data (120 interviews and 31 focus groups) from a subset of women ages 18-44 years (N = 2,099) enrolled in the HPTN 064 HIV seroincidence estimation study across 10 US communities. We analyzed data from 4 diverse locations: Atlanta, New York City (the Bronx), Raleigh, and Washington, DC. Data were thematically coded using grounded theory methodology. …

Life In Hampton Roads Survey Press Release #3: Health And Education, Social Science Research Center, Old Dominion University

Life in Hampton Roads Survey Report

This report examines regional and sub-regional measures of health and education perceptions from the 2016 Life In Hampton Roads survey (LIHR 2016) conducted by the Old Dominion University Social Science Research Center. Data from prior years is also provided when available to show comparisons in responses over time. Responses were weighted by city population, race, age, gender, and phone usage (cell versus land-line) to be representative of the Hampton Roads region.

Nebraska Risk And Protective Factor Student Survey Results For 2016. Profile Report: State Of Nebraska, Bureau Of Sociological Research

Nebraska Student Health and Risk Prevention Surveillance System (SHARP)

No abstract provided.

Vitamin D Clinical Relevance In The Recovery From Traumatic Brain Injury Among The Military Population, Yuisa M. Colón

Honors Undergraduate Theses

Background: Traumatic brain injury (TBI) still remains a difficult disorder to treat. TBI has been associated to chronic neuroinflammation and a high risk for neurodegenerative disorders. Since 2001 between ten to twenty percent of all deployed military members have suffered a combat-related TBI. Nearly twenty to thirty percent of those will experience chronic cognitive, behavioral and somatic symptoms after suffering a TBI.
Methods: The objective of this review is to evaluate current literature examining vitamin D as a neurosteroid with protective properties and its clinical relevance after traumatic brain injury. Vitamin D is known to participate in neurobiological …

North Minneapolis Residents' Knowledge And Awareness Of Indoor Air Quality In Older Residences, Blisse Marie Cajacob

All Graduate Theses, Dissertations, and Other Capstone Projects

Older housing stock is one suspected cause of poor indoor air quality and poor indoor air quality can cause many negative health conditions. Four hazardous conditions related to indoor air quality were examined for this study: lead, asbestos, dampness causing mold and radon. North Minneapolis residents, specifically low-income, disproportionately live in older stock houses and have higher rates of asthma compared to other parts of the state. In this study, data was collected to understand North Minneapolis residents' knowledge and awareness of indoor air quality in older residences. Fifteen minute interviews followed by a brief sociodemographic questionnaire were used to …

State Of Nebraska 2015 Youth Risk Behavior Survey Results, Bureau Of Sociological Research

Nebraska Student Health and Risk Prevention Surveillance System (SHARP)

No abstract provided.

Response To A Standard Behavioral Weight Loss Intervention By Age Of Onset Of Obesity, Kristie Rupp, S. E. Taverno Ross, W. Lang, J. M. Jakicic

Publications and Research

Background The purpose of this study was to examine weight loss, physical activity, fitness and diet changes in response to a standard behavioral weight loss intervention in adults with self-reported juvenile onset (n = 61) or adult onset (n = 116) obesity.

Methods Participants (n = 177; 43.0 ± 8.6 years; body mass index [BMI] = 33.0 ± 3.4 kgm2) engaged in an 18-month standard behavioral weight loss intervention. Participants were randomized into three different intervention groups as part of the larger parent trial. BMI, physical activity, fitness and diet were assessed at baseline, 6, 12 and 18 months. Separate …

Determinants Of Active Pursuit Of Kidney Donation: Applying The Theory Of Motivated Information Management, Stacy M. West

Theses and Dissertations

End stage renal disease (ESRD) is a growing epidemic impacting the United States. While the optimal treatment for ESRD is renal replacement, barriers exist making this treatment difficult and sometimes impossible for patients to pursue. One potential solution to existing barriers is to encourage patients to actively seek living donors. This is an inherently communicative and social process. The Theory of Motivated Information Management (TMIM) offers a framework for understanding factors that contribute to patients’ conversations about transplantation with their social networks. It is also possible that Patient Empowerment can add to this model, and inform future patient education.

Specific …

Negotiating Order In State-Funded Care: Examining The Salience Of Sponsoring Agencies In Maine's School-Based Health Centers, Susan M. Fleurant

Honors Theses

The rising costs of healthcare and increasing awareness about poor health outcomes in the United States has brought the issue of access to primary and preventative care to the forefront of the national public health agenda in recent years. While still a relatively small part of the U.S. health care delivery system, the integral place of school-based health centers is becoming increasingly apparent, particularly in low-income, medically underserved communities. Previous scholarship that using quantitative measures demonstrates that school-based health centers are effective and address the stark racial and socioeconomic health disparities that persist. Yet, this work neglects many of the …

Predicting Mortality In Patients Treated Differently: Updating And External Validation Of A Prediction Model For Nursing Home Residents With Dementia And Lower Respiratory Infections, Simone P. Rauh, Martijn W. Heymans, David R. Mehr, Robin L. Kruse, Patricia Lane, Neil W. Kowell, Ladislav Volicer, Jenny T. Van Der Steen

Aging Studies Faculty Publications

Objective To evaluate whether a model that was previously developed to predict 14-day mortality for nursing home residents with dementia and lower respiratory tract infection who received antibiotics could be applied to residents who were not treated with antibiotics. Specifically, in this same data set, to update the model using recalibration methods; and subsequently examine the historical, geographical, methodological and spectrum transportability through external validation of the updated model.

Design 1 cohort study was used to develop the prediction model, and 4 cohort studies from 2 countries were used for the external validation of the model.

Setting Nursing homes in …

Identity Theory And Women’S Choice Of Medical Specialty, Kelli A. Rolfsmeyer

Electronic Theses and Dissertations

The purpose of this study was to answer the research question: Does a self theory of social action account for female physicians’ perceptions of past choice of specialty? Perceptions of self changed as she prepared herself to become a physician. During her medical training, a medical student gains a better sense of who she is as a person who will become a doctor. The ability to act back on one’s self, called selfreflexivity, is the mechanism involved in the transitions of a physician’s biographical self. The data for this study was collected through interviews centered on questions chosen from the …