Medicine and Health Commons^™

Domestic Space: Virtually Underestimated?, Julie Dare

Research outputs pre 2011

This paper discusses the concept of domestic space as a transformative communications environment; a space in which relationships among individuals, families and ultimately the community are sustained, and in some cases transformed. Drawing on a research project currently being conducted in Western Australia, this paper explores communication within domestic space from an historical (Fischer, 1992; Moyal, 1992) and empirical perspective (Frissen, 1995; Holloway & Green, 2004), and contends that the seemingly mundane quality of the domestic sphere has resulted in it being underestimated as an avenue for research. Moreover, a research focus on young people’s uptake of information and communications …

Kenya: Integrating Services For Fp And Hiv Improves Quality And Hiv Testing, Population Council

Reproductive Health

The Kenyan government’s reproductive health policy highlights service integration and quality of care. While integrating counseling and testing (C&T) for HIV into family planning (FP) can potentially increase the range of services to clients at risk from sexually transmitted infections (STIs) including HIV, few studies have documented the feasibility, effects, or costs of such integration. From 2005–07, the Population Council worked with the Kenyan Ministry of Health to test the feasibility of two models for integrating C&T into existing FP services. Both models featured client education on HIV prevention during FP visits. Providers were trained to routinely use the Balanced …

Profile Of Abortion Seekers In Ghana And Their Decision-Making Processes, Philomena Nyarko, Cletus Adohinzin, Saumya Ramarao, Placide Tapsoba, Ayorinde Ajayi

Reproductive Health

In 2006, a consortium of agencies, including the Population Council, came together to provide technical and financial support to the Government of Ghana in the rollout of comprehensive abortion care (CAC) services. The consortium collaborated with the government in expanding women’s access to modern family planning and CAC. The consortium’s program, Reducing Maternal Mortality and Morbidity (R3M), aims to reduce unwanted pregnancy and severe complications and deaths caused by unsafe abortion. The formative research in this report was undertaken to provide a profile of beneficiaries, their needs for information and services, their decision-making process in seeking care, and the quality …

Delinking Female Genital Mutilation/Cutting From Islam, Ibrahim Lethome Asmani, Maryam Sheikh Abdi

Reproductive Health

Female genital mutilation or cutting (FGM/C) is practiced in at least 28 countries in sub-Saharan Africa, a few countries in the Middle East and Asia, and among immigrant populations from these countries in Europe, North America, and Australia. Worldwide, an estimated 100 to 140 million girls and women have undergone the practice, and at least three million girls are at risk each year. The Somali ethnic community in Kenya as well in Somalia, Djibouti, and Ethiopia, has practiced female genital cutting for centuries and the practice appears to have remained largely unchanged. The Population Council’s FRONTIERS program carried out two …

Science Fiction And Postmemory Han In Contemporary Korean American Literature, Seo-Young J. Chu

Publications and Research

In this essay, Seo-Young Chu explores representations of a specifically Korean American type of postmemory that she calls "postmemory han."

Off-Label Psychopharmacologic Prescribing For Children: History Supports Close Clinical Monitoring., Julie M Zito, Albert T Derivan, Christopher J Kratochvil, Daniel J Safer, Joerg M Fegert, Laurence L Greenhill

Department of Psychiatry and Human Behavior Faculty Papers

The review presents pediatric adverse drug events from a historical perspective and focuses on selected safety issues associated with off-label use of medications for the psychiatric treatment of youth. Clinical monitoring procedures for major psychotropic drug classes are reviewed. Prior studies suggest that systematic treatment monitoring is warranted so as to both minimize risk of unexpected adverse events and exposures to ineffective treatments. Clinical trials to establish the efficacy and safety of drugs currently being used off-label in the pediatric population are needed. In the meantime, clinicians should consider the existing evidence-base for these drugs and institute close clinical monitoring.

Life-Affirming Leadership: An Inquiry Into The Culture Of Social Justice, Raquel Delores Gutierrez

Antioch University Dissertations & Theses

A new paradigm for leading social change is emerging; a worldview acknowledging the importance of leadership that is life-affirming and lasts over time. The current inquiry explored the ways in which the social reality of Life-Affirming Leadership is created and the implications those realities have for the current and future generations of social justice workers, their organizations, and the communities in which they work. The dominant paradigm for social justice work needs to be radically renovated (see Horwitz, 2002; James, 2005; Ohlson, 2006; Polansky, 2005; Utne, 2006; Wheatley, 2005; Williamson, 1997; Yáhzí, 2005); as such, a re-evolution is in progress, …

Gender Trajectories Of Adolescent Depressed Mood: The Dynamic Role Of Stressors And Resources, Christina D. Falci

Department of Sociology: Faculty Publications

This research examines how gender variation in the trajectory of stressors and resources during high school shapes gender variation in the trajectory of depressed mood. Boys have steeper gains in depressed mood than girls during high school. Adolescents with increasing levels of school or work strain and declining levels of parental support or mastery were more likely to have an increasing trajectory of depressed mood; the effect of chronic work was stronger for boys than girls. Steeper declines in parental support and gains in work strain among boys relative to girls explain boy’s faster rate of increase in depressed mood …

Assessment Of Maine's Long-Term Care Needs Baseline Report: Demographics And Use Of Long Term Care Services In Maine, Stuart Bratesman Mpp, Julie T. Fralich Mba, Karen Mauney, Catherine Mcguire Bs, Louise Olsen, Jasper Ziller

Disability & Aging

In 2006, the Office of Elder Services requested the assistance of the Muskie School in developing an assessment of long term care service use in Maine. This report provides baseline information on the demographic characteristics, participant characteristics and service use trends for people accessing long term care services in this State.

For purposes of this report, we have excluded people with MR/DD. Long term care services do not include community support services for people with mental illness.

In this report, long term care services include:

• Nursing Facility Services
• Private Non-medical Institutions
• Consumer Directed Attendant Services
• Day Health Services
• Elder and …

Lead-Contaminated Candies In Southern Nevada, Shawn Gerstenberger, Glenn Savage, Clayton Sellers, Keith Zupnik, Emmanuel C. Gorospe

Environmental & Global Health Faculty Research

Lead-contaminated candies from Latin America are beginning to gain attention in the public media1,2 and in the medical literature.3–5 These candies come from a number of sources and are manufactured outside Food and Drug Administration regulatory control. In 2005, we sampled 50 imported Latin American candies sold in Southern Nevada. A total of 20 (40%) tested positive with an average lead content of 1.46  0.27 mg/kg in the candies’ wrappers and straws, based on standard Graphite Furnace Atomic Absorption Spectrophotometry methodology. Given these results, the Southern Nevada Health District issued a cease-and-desist order on February 13, 2006, to local …

The Impact And Efficacy Of Diabetes Education Programs Among Adults., Mireille Hamdan

Electronic Theses and Dissertations

The purpose of this study was to measure the impact of diabetes education classes in increasing knowledge and promoting healthy lifestyle behaviors. Thirty-three subjects participated in the classes between October 2004 and October 2005. Only six subjects agreed to participate in this study. Changes in knowledge after the classes were measured by a survey test one year following the completion of classes. Survey responses were analyzed using percentages. Subject's Hgb A1C and weights were also collected to measure the direct impact of education on participants' blood glucose management. Overall, participants were very knowledgeable of diabetes symptoms, complications, carbohydrate counting, and …

Evaluation Of An Elementary School Wellness Concept In Rural East Tennessee., Audrey Lynn Taylor

Electronic Theses and Dissertations

Parents of elementary school children in the small, rural area of Unicoi County, TN were surveyed to determine their attitudes toward health, nutrition, and Unicoi County Schools' Wellness Policy. Elementary school classrooms were randomly chosen to receive surveys for the children's parents to return by mail. Data were compiled and analyzed using SPSS software. Over 99% of parents stated that nutrition education in schools was important, and 96% stated schools played an important role in their child's health. The assessment provided meaningful data and laid groundwork for future nutrition education programs. The research showed rural, lower-income parents are supportive of …

Interdisciplinary Education In Emergency Preparedness: Assuring The Safety Of Aging Populations, Linda L. Strong, Dori Taylor Sullivan

Nursing Faculty Publications

Aging is a global phenomenon. It impacts unequally, with this inequality attributable to such factors as gender, culture, education, socioeconomic status and access to primary and preventive care. Access to care and the quality of that care are significantly impacted by governmental support and regulations. Most elderly live in developed countries; however, for a significant number life is not free of stress and struggle to meet basic needs. Elders in developing countries face even more challenges. Natural and man-made disasters increase the vulnerability of these populations through potential disruption of critical services. Currently there is a paucity of health and …

Rural Children Increasingly Rely On Medicaid And State Child Health Insurance Programs For Medical Care, William P. O'Hare

Carsey Publications

Despite a flurry of reports on health insurance coverage for children, virtually none of them have examined the unique situation of rural families where one-fifth of all the nation's poor children live. This brief takes an in-depth look at the health insurance programs, such as SCHIP and Medicaid, which rural children rely on for medical care.

Etsu Medical Residents' Clinical Information Behaviors, Skills, Training, And Resource Use., Richard Wallace

Electronic Theses and Dissertations

Information is a powerful tool for enabling physicians to provide quality healthcare for their patients. Information use in the clinic is a skill that must be learned. If medical residency programs fail to impart this skill, then patients will suffer.

The residents of the ETSU Quillen College of Medicine were surveyed as to their use of clinical information. Of the 217 residents of the 2005-2006 class who were surveyed, 105 returned the survey for a return rate of 48%. The clinical faculty was also surveyed in order to measure the responses of the residents against that of their instructors.

ETSU …

Assessing Perceptions Toward Implementation Of The Nutrition Care Process Among Registered Dietitians In Northeast Tennessee., Jessica Lee Gourley

Electronic Theses and Dissertations

The purpose of this study was to survey registered dietitians in Northeast Tennessee to determine attitudes toward implementation of the nutrition care process prior to and following education about the nutrition care process and/or implementation of the nutrition care process in their respective healthcare facilities. Approximately 100 registered dietitians were involved in the study. Data were collected through electronic submission and written inquiries. The findings of the study identified that there was a need for further research regarding implementation of the nutrition care process and that negative attitudes, opinions, and barriers were broken down by education, implementation, and exposure to …

Prenatal And Postnatal Nutrition And Lactation Consulting: A Feasibility Study., Marissa Blake Beale

Electronic Theses and Dissertations

The purpose of this study was to evaluate the feasibility of a prenatal and postnatal nutrition and lactation consulting facility in either of two locations in the Tidewater region of Virginia, Virginia Beach or Williamsburg. Experts in nutrition and lactation, a registered dietitian and licensed lactation consultant, would be the ideal means of providing adequate nutritional and lactation advice for the mother and infant to foster healthy, optimal pregnancy outcomes and lactation success. A web-based search for adequate data on the demographic sketches of the two cities was done to develop an understanding of meeting the needs of the target …

Wellness And Nutrition Education Program To Promote Improve Nutritional Practices And Decreased Body Mass In Individuals Working In A Health Care Setting., Jessica Brown Bandy

Electronic Theses and Dissertations

The purpose of this study was to determine whether a wellness and nutrition education program directed at employees of a health care facility would result in changes in weight, waist and hip circumference, BMI, and nutritional practices. Nine participants completed the five week program including final weight, measurements and post-program survey to determine nutritional practices. All participants attended weekly group classes with topics related to nutrition, physical activity, and behavior changes. Changes in weight, anthropometric measurements, and BMI were calculated. Changes in nutritional practices were analyzed using Minitab statistical software. There were improvements made in weight, anthropometric measurements, and BMI …

Stress And Occupation: Summer Research On The Road, Lindsey Wetteland

Inquiry Journal 2007

No abstract provided.

Who Should Patients Turn To? A Look At Caregivers' Willingness To Perform Various Caregiving Tasks For Patients With Alzheimer's Disease, Melina L. Laroco

Sociology & Criminal Justice Theses & Dissertations

Research suggests that with baby boomers reaching the age of the retirement, life expectancy rising, and the prevalence of Alzheimer's disease, caregiving roles are almost becoming an established aspect of family obligation (Hoyert 2000). The purpose of this study is to examine and measure the willingness of caregivers to either help with or completely perform the necessary caregiving tasks required by the Alzheimer's.

The data utilized for this study is entitled, "REACH." REACH stands for Resources Enhancing Alzheimer's Caregiver Health. It was gathered by the National Institute of Health and led by the National Institute on Aging. Data were …

Aborto Legal Para No Morir: Un Análisis De Los Discursos De La Lucha Por Los Derechos Reproductivos En Argentina, Jessica Scruggs

Independent Study Project (ISP) Collection

No abstract provided.

Children's Health Insurance In New Hampshire: An Analysis Of New Hampshire Healthy Kids, Sally Ward, Sarah Savage, Nena F. Stracuzzi

Carsey Publications

New Hampshire has been successful in achieving one of the lowest uninsurance rates for children in the country - 6 percent in 2005 (U.S. Census Bureau). The extent to which New Hampshire Healthy Kids has contributed to the state's success in achieving this low rate is the focus of this brief.

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

Scholarship and Professional Work - LAS

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 …

Rights And Health: Democracy's Dilemma In The United States, John W. Seavey, Robert J. Mcgrath

The University Dialogue

No abstract provided.

The Experience Of A Lifestyle, Brian Lonsway

School of Architecture - All Scholarship

This essay traces the evolution of themed environment design from theme parks to a series of new architectural types – Urban Entertainment Destinations, Lifestyle Enhancement Centers, and Lifestyle Villages – as a chronicle of spatial mediation from urban décor to urban design technique. Culled partly through semiotic deconstruction and partly through ethnographic investigation, this history examines the environmental design techniques employed in these spaces in order to better understand the relationship of design practice to the cultural practices of work and leisure.

From spatialized branding strategies to the neo-urbanist configurations of location-based entertainment, leisure/entertainment ventures use these narratively motivated techniques …

Promovendo Normas E Comportamentos Eqüitativos De Gênero Entre Homens Jovens Estratégia De Prevenção Do Hiv/Aids, Julie Pulerwitz, Gary Barker, Marcio Segundo, Marcos Nascimento

HIV and AIDS

The Horizons program and the Promundo Institute studied the effectiveness of interventions in Brazil designed to change the attitudes of young men in relation to gender norms and reducing the risk of contracting HIV/STIs. One conclusion of the study was the recognition of the importance of engaging young people (men and women) in the issue of gender relations and the risks of HIV contamination. The results of the study indicate that addressing inequitable gender norms, particularly those that define masculinity, can be an important element of HIV prevention strategies. These findings suggest that group education interventions can successfully influence young …

Voices From The Street: Comics For Young Men On Masculinity, Sexuality And Hiv—An Evidence-Based Communication Initiative, Vijaya Nidadavolu, Leena Joshi, Vinita Nathani, Atanu Ghosh, Isidore Phillips

HIV and AIDS

HIV infection is spreading rapidly among young people in India. With more than 30 percent of new infections in 2006 in the 15–29-year age group, the need to address the vulnerability of this population subgroup is pressing. Existing literature shows that young men subscribe to norms of masculinity that lead to risky behavior patterns. Misinformation about HIV coupled with a low perception of risk to themselves make young men even more vulnerable. To bring about social and attitude change in the long-term, communication strategies that are evidence-based, culturally appropriate, and designed in consultation with target audiences are needed. The Population …

Care Patterns And Outcomes For Hospitalized Patients With Diabetes In Nevada, Jay J. Shen

Nevada Journal of Public Health

This study demonstrates substantial differences between Nevada and the national average in patterns of hospital based care in patients with type 2 diabetes. Diabetic patients in Nevada are more likely to be hospitalized through the emergency department, and more likely to be admitted for a condition related to diabetes. Moreover, in Nevada, Medicaid and uninsured patients with diabetes are more likely to experience adverse outcomes then their privately insured counterparts. These differences may be primarily reflective of variances in access to ambulatory care, care seeking behavior, and availability of health services and facilities. Policies promoting expansion of health care benefits …

Social Support And Thriving Health: A New Approach To Understanding The Health Of Indigenous Canadians, Chantelle A.M. Richmond, Nancy A. Ross, Grace E. Egeland

Aboriginal Policy Research Consortium International (APRCi)

Objectives. We examined the importance of social support in promoting thriv- ing health among indigenous Canadians, a disadvantaged population.

Methods. We categorized the self-reported health status of 31 625 adult indig- enous Canadians as thriving (excellent, very good) or nonthriving (good, fair, poor). We measured social support with indices of positive interaction, emotional support, tangible support, and affection and intimacy. We used multivariable lo- gistic regression analyses to estimate odds of reporting thriving health, using social support as the key independent variable, and we controlled for educational attainment and labor force status.

Results. Compared with women reporting low levels of …

The Straight Talk Campaign In Uganda: Impact Of Mass Media Initiatives—Summary Report, Susan E. Adamchak, Karusa Kiragu, Cathy Watson, Medard Muhwezi, Tobey C. Nelson, Ann Akia-Fiedler, Richard Kibombo, Milka Juma

HIV and AIDS

This Horizons study in Uganda found that exposure by adolescents to Straight Talk, a mass media initiative focused on adolescent sexual and reproductive health (ASRH), was associated with greater ASRH knowledge, a greater likelihood of having been tested for HIV, and more communication with parents about ASRH issues.