Medical Humanities Commons^™

Diagnostic Categories And Epistemic Injustice In Clinical Psychology, Thomas Eilers

Theses/Capstones/Creative Projects

This study investigated how clinical psychologists reasoned about and used diagnostic categories in practice. Diagnostic categories are limited and sometimes reductive systems of understanding people. They can also bring with them epistemic injustice, a type of wrong done to someone specifically in their capacity as a knower. In this case the concern is that a mental health diagnosis is a serious attack on a person’s credibility, wherein their experience is seen as less legitimate insofar as it is caused by an illness. Four semi-structured interviews were conducted with clinical psychologists. Psychologists generally described using diagnosis as one of many tools …

On Death And Disease: How Physicians’ Perspectives Compare Across Specialties Through Written Work, Stephanie Anne C. Alkonga

Honors Capstones

Narrative medicine is a tool that the medical field is increasingly utilizing to cultivate patient-centered and culturally competent doctors and to reflect on lived experiences through texts that focus on psychosocial best practices. This study aims to examine the language used in physician-written works that address how physicians in different medical specialties treat the aging and the terminally ill, and how they view the deceased. Qualitative data guided by thematic questions will primarily be used in the analysis and comparison of these texts’ tone, rhetoric, diction, and similar literary devices to uncover if certain patterns arise across such specialties. Findings …

Digital Activism In Kenya: Moving From The Digital Center To The Digital Periphery Of Long Covid Experience, Emily Mendenhall, Lucy Kamau, Nora Kenworthy, Edna Bosire

Brain and Mind Institute

Digital activism around Long covid has reverberated around the globe, as patients, researchers, and clinicians worked together to understand the chronic condition. However, Long Covid networks, much like other social networks, have hierarchies and barriers that can impede equitable access. In this article, we examine how the global digital center and periphery shape how people with Long covid connect to networks to learn about their illness symptoms, diagnoses, treatments, and experiences. We introduce case narratives of two Kenyan women—one elite Nairobian who was connected to the digital center and another middle class woman who connected with her through a peripheral …

Dr. Doctor: A Look At Life In Medicine, Alexandra Hausmann

Honors Program: Senior Projects (Public)

The life of a medical professional is not easy. The road to get there and the lifestyle when practicing is mentally draining and results in many physicians experiencing burnout. This project and paper explore the stigma surrounding mental health in medicine, examining how fear of professional repercussions prevents many physicians from getting help. Through research and interviews with medical professionals of various specialties, this project looks at the different mental health struggles that each specialty faces. Additionally due to increased social media, medicine continues to evolve at a fast rate. Looking forward, medical professionals will have to deal with increased …

Strategies For Reducing Racial Disparities In Maternal Health Outcomes: An Examination Of The Role Of Doulas, Samavi Rafique

Honors Program: Senior Projects (Public)

Comparatively high rates of maternal morbidity and mortality remain a significant concern in the United States, particularly for Black women, who face a risk of maternal mortality that is four times higher than that of white women. Realizing the historical context of this burden requires tracing American obstetric and gynecological medicine to its 19th-century roots, where the medical experimentation of enslaved Black women occurred largely unopposed by the voices of those in power. The legacy of this is embodied in the modern maternal health crisis, marked by stark racial disparities in maternal health outcomes. As non-clinically trained professionals whose supportive …

Nurse-Physicians: From Nursing School To Practicing Physician, Tobias Fraedrich

Honors Scholar Theses

Nurse-physicians are healthcare professionals who have obtained both a nursing degree and a medical degree, transitioning from Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) to a licensed physician, including Medical Doctor (MD), Doctor of Osteopathic Medicine (DO), or Naturopathic Doctor (ND). Research on this phenomenon conducted to date is limited to a single study. Some nonresearch sources indicate a small presence of this topic online. Yin’s (2018) descriptive, multiple-case study approach was employed to investigate the phenomenon using oral history interviews and a survey of the online platform YouTube as data sources. For the intention of pursuing this …

Beyond Opioids: The Role Of Polysubstance Exposure In Neonatal Abstinence Syndrome Treatment And Hospitalization, Caelyn Harrison

Undergraduate Honors Theses

This thesis explores the impact of prenatal polysubstance exposure, specifically focusing on the need for pharmacological treatment for Neonatal Abstinence Syndrome (NAS) and the duration of their hospital stay. A retrospective analysis of 462 infants, including 121 exposed to polysubstances during pregnancy, showed significant associations between polysubstance exposure and adverse neonatal outcomes. Infants with prenatal polysubstance exposure were more likely to require pharmacological treatment for NAS (52.8%) compared to non-exposed infants (38.7%), as determined by chi-square analysis (χ²(1, N = 462) = 7.36, p = .007). Additionally, infants exposed to polysubstances experienced longer hospital stays on average (M = 14.88 …

Addiction In The Prison System: Recidivism And Alternatives, Daniel R. Bowers

Undergraduate Honors Theses

The United States criminal justice system has the highest number of incarcerated individuals in the world, with nearly 2 million people currently being behind bars, and around 7.5 million arrests per year according to the most recent available statistics. A key factor in this is addiction, specifically substance use disorders. Between 58% to 68% of adults arrested are addicted to one or more substances, with 68% of drug involved individuals being rearrested within three years of being released. This recidivism rate is incredibly high, and when combined with current prison and jail overcrowding, has created massive problems for the United …

Evaluating Surge Capacity In The Emergency Department: A Comprehensive Literature Review On Preparedness And Response Frameworks, Tanner J. Riscoe

Capstone Experience: Master of Public Health

Medical surge capacity in emergency departments is influenced by four critical factors: staff, stuff, space, and systems. Understanding these factors and the interplay between them is critical. Emergency departments are increasingly encountering issues with overcrowding, patient boarding, and medical surge events causing interruptions in care and depleting critical resources. Coordination of medical surge is challenging during normal operations but is intensified during times of crisis. This comprehensive literature review seeks to better understand the current state of the literature surrounding surge preparedness and response in emergency departments across the United States, identify gaps in the current literature, and ultimately recommend …

Entre La Reforma Y La Realidad: Salud Y Derechos Humanos En Costa Rica, Cuba Y Uruguay, Alyssa M. Nielsen

Honors Program: Senior Projects (Public)

Latinoamérica tiene varios sistemas para el cuidado de la salud y el acceso es uno de la lista de los derechos humanos. Esta región es la más desigual del mundo y se han logrado grandes avances, pero no se han distribuido equitativamente. Los sistemas de Cuba, Costa Rica y Uruguay son bien desarrollados, pero funcionan diferente. Costa Rica y Uruguay tienen opciones públicas y privadas y tienen maneras como la Mutualista en Uruguay y la Caja en Costa Rica para cubrir las visitas y servicios necesarios. Cuba es el sistema más controversial y tiene gran influencia de Castro, de donde …

Two 55-Word Stories: Reasonable Suspicion And There’S An Art To This, Angel Ogbeide

HCA Healthcare Journal of Medicine

Narrative medicine, specifically the 55-word story, provides clinicians an opportunity to reflect on experiences they encounter and garner significant meaning from them. These 2 stories discuss difficult situations I have experienced in my practice of medicine.

“Reasonable Suspicion” is an internal reflection on the weight of the complex decisions providers are often faced with (mandatory reporting, etc) and are not emphasized enough in health care. Doing the right thing in a clinical situation is taught. How doing the right thing can make a provider feel is not.

“There’s an Art to This” discusses grief. How do you grieve a patient? …

Assessment Of Biotransformation Rates, Biomagnification, And Bioconcentration Factors Of Difficult-To-Test Substances Using In Vitro Rainbow Trout Liver Subcellular Fractions, Mark A Cantu, Beatrice Chee, Talia R Cole, Yung-Shan Lee, Frank A P C Gobas

Faculty and Staff Publications

In vitro hepatic biotransformation assays have been proposed as methods for expediting and improving bioaccumulation assessment for substances that are difficult to test in conventional in vivo bioaccumulation assays and to reduce animal testing. However, to date, there has been no convincing evidence to demonstrate the ability and limitations of in vitro assays to estimate in vivo biotransformation rates and corresponding bioconcentration and biomagnification factors of difficult-to-test substances in fish. The present study presents the first measurements of in vitro biotransformation rates of superhydrophobic and highly volatile linear and cyclic siloxanes in rainbow trout liver S9 subcellular fractions and the …

Lack Of Patient-Centered Care Relative To Evidence-Based Practice In Clinical Diagnosis And Treatment Of Endometriosis In The U.S.: A Review, Piper E. Scoskie

Honors Theses

This scoping review examines the impact of combining Patient-Centered Care (PCC) and Evidence-Based Care (EBC) on clinical outcomes and patient satisfaction in the diagnosis and treatment of endometriosis in the United States. In particular, the review aims to (1) examine the body of research from the United States to learn more about the connection between PCC and EBC and their collective impact on patient satisfaction and clinical outcomes in the treatment of endometriosis; (2) identify the gaps in existing research and practice, specifically regarding PCC procedures, varying patient populations, and longitudinal investigations; and (3) provide recommendation for future research and …

Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano

Psychology Division Scholarship

Repeated eras of mass incarceration, criminalization of marginalized communities, and substance use policies have created a revolving door of justice involved populations. The ever-increasing prison population has repeatedly become the largest contingency of mental health clientele for an overburdened mental health system. Those who work with formerly incarcerated individuals in the community often don’t know the unique set of challenges faced by practitioners within the system. Increased understanding and coordination of care can offer opportunities for sustained recovery and reduced levels of recidivism. In this presentation participants will learn about the unique insights on mental health treatment that can be …

Dispatches From Bed: On The Intersection Of Disability Justice And Palestinian Liberation, I. B. Bedrotting

Toyon: Multilingual Literary Magazine

None.

Paradigm Shifts In Medicine, David Meza, James Peter Meza

Clinical Research in Practice: The Journal of Team Hippocrates

Implications for history of science, scientific revolutions and paradigm shifts in the context of rapidly developing artificial intelligence.

A Narrative Review Of Military Reverse Triage., Daniel J Hurst

Rowan-Virtua School of Osteopathic Medicine Departmental Research

INTRODUCTION: Military reverse triage has been described at several points in the literature. However, an extensive review of the concept and any gaps that may exist has not been conducted. This narrative review seeks to understand how reverse triage is used in the military literature and how it might be implemented in practice, as well as the documented historical applications of reverse triage.

MATERIALS AND METHODS: Four databases were searched manually for English-language articles: PubMed, SCOPUS, JSTOR, and Worldwide Political Science Abstracts. In addition, a manual search of references, U.S. DoD, and NATO doctrine, as well as other published works …

My Oath Of Healing And Living, Samuel B. John Mph

be Still

No abstract provided.

The Structural Inequality Of Status Quo Clinical Communication, Joelle Robertson-Preidler

Faculty and Staff Publications

No abstract provided.

Sacred Oath Of Healing - Volume 9

be Still

No abstract provided.