Medical Humanities Commons^™

Financial Hardship From Purchasing Medications For Senior Citizens Before And After The Medicare Modernization Act Of 2003 And The Patient Protection And Affordable Care Act Of 2010: Findings From 1998, 2001, And 2015, Anthony W. Olson, Jon C. Schommer, David A. Mott, Lawrence M. Brown

Pharmacy Faculty Articles and Research

BACKGROUND: The Medicare Modernization Act of 2003 (Medicare Part D) added prescription drug coverage for senior citizens aged 65 years and older and applied managed care approaches to contain costs. The Patient Protection and Affordable Care Act of 2010 (ACA) had the goals of expanding health care insurance coverage and slowing growth in health care expenditures.

OBJECTIVES: To (a) describe the proportion of senior citizens who had prescription drug insurance coverage and the proportion who experienced financial hardship from purchasing medications in 2015, and (b) compare the findings with those collected in 1998 and 2001.

METHODS: Data were obtained in …

Alleged Insanity: Frank Johnson Sr., Racial Injustice, And The Failure Of The Mental Health Care System In South Carolina, Jonathon P. Johnson

Senior Theses

This thesis is about Frank Johnson Sr. and the circumstances that led to his downfall as a farmer and father of six, to his tragic death in the isolation of a racially segregated mental institution 18 miles away from his home. Using his life and incarceration at the South Carolina State Park mental health facility, I argue that racial injustice contributed to his tragic death and the woefully inadequate treatment thousands of African Americans in South Carolina received during Jim Crow. Additionally, I argue that the tragic circumstances around my great grandfather’s institutionalization and death were part of an enduring …

A Friend In Deed, Laura Meader

Colby Magazine

Children in need of surgery, refugee families, victims of abuse—Jacques Hermant steps up

From Interview To Transcript To Story: Elucidating The Construction Of Journalistic Narrative As Qualitative Research, Jørgen Jeppesen

The Qualitative Report

There is a call to narrative investigators to be more explicit about their ways of working methodologically, in particular concerning dialogic/performative analysis. The purpose of this study was to examine how journalistic storytelling used as qualitative health research transformed, assembled and sequenced interview into transcripts, scenes, digressions, and other language products. A published story from a socio-narratological study of living with the terminal disease Amyotrophic Lateral Sclerosis was selected. Distribution and sequence of modes of transcription, versions of dialogue, transformation of observation and memory to scenes, and conversion of the researcher’s reflection to digression, were identified and calculated. Spots in …

Empty Metal Jacket: The Biopolitical Economy Of War And Medicine, Sandra Lee Trappen

Dissertations, Theses, and Capstone Projects

Empty Metal Jacket: The Biopolitical Economy of War and Medicine undertakes study of how global conflict and violence shape the entire range of social production, from commodities and culture to social goods and social theory. The research presented in this work draws from cutting-edge theories in body and science studies, in addition to theories of affect and biopolitics to address how war became a problem solving paradigm in medicine. Combat casualties are shown to serve as a material nexus for medical knowledge production. Although the focus here is on medicine and medical innovation in particular, these developments are connected to …

Sharing Experiences And Expertise: The Health Care Systems Research Network Workshop On Patient Engagement In Research, Sarah Madrid, Leah Tuzzio, Cheryl D. Stults, Leslie A. Wright, Gina Napolitano, Ellis Dillon, Heather Tabano, Sarah M. Greene

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network’s (HCSRN) Patient Engagement in Research Scientific Interest Group (PER SIG) held a half-day workshop for researchers attending HCSRN’s 22nd annual conference, April 16, 2016, in Atlanta, Georgia. The workshop blended didactic and interactive content to facilitate co-learning. Both researchers and patient partners developed the content, including three broad topics: engagement of patient partners in developing research studies, nurturing partnerships, and assessing the impact of patient engagement in research. Each module presented approaches relevant to the specific topic, including lessons from the literature and in-the-field experience. Patient partners reflected on their experience related to each …

All The Lonely People, John Brill

Journal of Patient-Centered Research and Reviews

A primary care physician laments the loneliness apparent in many underserved patients and seeks closure in the death of one patient in particular.

Full 3rd Edition

Journal of Clinical Art Therapy

No abstract provided.

Visual Sexualities: Exploring An Integration Of Art And Sex Therapies, Jillien Kahn

Journal of Clinical Art Therapy

This research explores the potential of integrating art and sex therapies. Three interviews were performed: two with certified art therapists one with a certified sex therapist, in order to understand how each of these professionals approaches issues of sexuality and creative expression within his or her practice. The resulting data was compared within and between each interviewee, resulting three overarching themes through which the challenges regarding this integration can be understood. It was found that there is great potential for an integration of the two therapies, provided clinicians have access to appropriate training, as well as a deeper understanding of …

Exploring Ranges, Tensions, And Potential Integrations: Editorial Notes For Jcat’S 3rd Edition, Einat Metzl

Journal of Clinical Art Therapy

No abstract provided.

Front Matter

Journal of Clinical Art Therapy

No abstract provided.

Lifting Others, Kevin G. Budziszewski

Akesis

Medicine is full of paradoxes. As a species, we often need to take care of ourselves before we can take care of others. As humans, we become more energetic by the energy-intensive process of exercise. As physicians, we elevate ourselves by lifting others. Through all of the unexpected worries and complications that crop up in life – finances, illness, and indeed an understanding of our own mortality – it is through these three paradoxes of self-care that we survive the complications that life throws at us.

During my first year of medical school, I have grown to understand how important …

Making A Mountain Of A Mole Hill, Nihit N. Mehta

Akesis

There are times when students develop a certain amount of tunnel vision, which focuses their vision at the problem in front, making the proverbial "mountain out of a molehill.”

(Least) Complicated, Masina G. Wright

Akesis

The personal has always been a microcosm of the political.

Dear Mabel (Please Allow Me To Inhabit Your Pain Awhile), Jack C. Lewis

Akesis

This started as a note that I would have sent a patient I treated while working as a paramedic in Central Maine. Despite best intentions in caring for patients, we don't always walk away having "won." The practice of medicine is difficult for everyone, but it is necessarily a process and life-long endeavor.

Reflection, Interrupted: Material Mirror Work In The Confessio Amantis, Jenny Boyar

Accessus

The Confessio Amantis concludes with a revelatory scene in which Venus holds up a mirror to Amans, allowing him to recognize John Gower the poet— a moment that is often read as a mimetic and healing counterpoint to the Confessio’s sickness and self-questioning. My intention in this paper is to very slightly modify certain aspects of this narrative, to consider how the materiality of the mirror can inform its metaphoric deployments in the Confessio. I organize my discussion around two seemingly contrasting moments in the poem in which the self is seen and in different ways recognized through …

Calcium Phosphate As A Key Material For Socially Responsible Tissue Engineering, Vuk Uskoković, Victoria M. Wu

Pharmacy Faculty Articles and Research

Socially responsible technologies are designed while taking into consideration the socioeconomic, geopolitical and environmental limitations of regions in which they will be implemented. In the medical context, this involves making therapeutic platforms more accessible and affordable to patients in poor regions of the world wherein a given disease is endemic. This often necessitates going against the reigning trend of making therapeutic nanoparticles ever more structurally complex and expensive. However, studies aimed at simplifying materials and formulations while maintaining the functionality and therapeutic response of their more complex counterparts seldom provoke a significant interest in the scientific community. In this review …

Heavy Expectations: Reading Pregnancy In The Victorian Novel, Livia Arndal Woods

Dissertations, Theses, and Capstone Projects

This dissertation articulates the tendency of Victorian novels to make legible only the pregnant bodies of immodest characters who transgress gendered ideologies while the pregnant bodies of modest characters tend to go undescribed. Tracing the medicalization of pregnancy and childbirth over the course of the long nineteenth century, my chapters demonstrate the function of moralizing narrative conventions in the representation of pregnancy in mid-Victorian novels, of a self-conscious use of free indirect diagnosis in high-Victorian fiction, and a shift at the fin-de-siècle from pregnancy as a signifier of morality to a symptom of unstable minds. The novels I read closely …

Abuse And Discrimination Towards Indigenous People In Public Health Care Facilities: Experiences From Rural Guatemala, Alejandro Cerón, Ana Lorena Ruano, Silvia Sánchez, Aiken S. Chew, Diego Díaz, Alison Hernández, Walter G. Flores

Anthropology: Faculty Scholarship

Background

Health inequalities disproportionally affect indigenous people in Guatemala. Previous studies have noted that the disadvantageous situation of indigenous people is the result of complex and structural elements such as social exclusion, racism and discrimination. These elements need to be addressed in order to tackle the social determinants of health. This research was part of a larger participatory collaboration between Centro de Estudios para la Equidad y Gobernanza en los Servicios de Salud (CEGSS) and community based organizations aiming to implement social accountability in rural indigenous municipalities of Guatemala. Discrimination while seeking health care services in public facilities was ranked …

Biopsychosocial Factors Of Resilience In The Medically Indigent Adult Population, Kaitlin E. Puckett

Electronic Theses and Dissertations

The medically indigent adult population continues to struggle with the effects of not having insurance coverage, despite the efforts of the Affordable Care Act to provide more affordable healthcare coverage to the population. Based on the United States Census Bureau’s reported population in 2015, an estimated 45 million Americans are without insurance. This study aims to identify and explore the impacts of the biopsychosocial factors of resilience that enable the population to face adversity, stress, and manage distress in the face of trauma (Masten, Best, & Garmezy, 1990; Rutter, 2006; Zimmerman, 2015). Four hypotheses follow a review of literature and …