Community Health Commons^™

New Outpatient Experience Survey Design: A Quality Improvement Case Study, Nathan Paluso

Muskie School Capstones and Dissertations

The purpose of this capstone project is to evaluate the implementation process for a new survey methodology introduced by Maine Medical Partners (MMP), by following the Plan-Do-Study-Act (PDSA) quality improvement cycle framework. This new survey has been implemented to collect data on patients’ experiences in the MMP outpatient facilities, and is offered to the patients via iPad at check-out after their appointment. Through observation at MMP practices and MMP staff interviews, strengths and weaknesses of the implementation process have been identified. Evidence-based solutions pertaining to the identified weaknesses have been selected through a literature review and are incorporated in recommendations …

Psychosocial Challenges Facing Women Living With Hiv During The Perinatal Period In Rural Uganda, Scholastic Ashaba, Angela Kaida, Jessica N. Coleman, Bridget F. Burns, Emma Dunkley, Kasey O'Neil, Jasmine Kastner, Naomi Sanyu, Cecilia Akatukwasa, David R. Bangsberg, Lynn T. Matthews, Christina Psaros

OHSU-PSU School of Public Health Faculty Publications and Presentations

The complexities of navigating pregnancy while living with HIV predispose women to additional stress. Finding ways to minimize psychosocial challenges during the perinatal period may maximize the well-being of mothers living with HIV and their children. The goal of this study was to explore psychosocial challenges experienced by women living with HIV (WLWH) during pregnancy and the postpartum.

We conducted individual in-depth interviews with 20 WLWH recruited from an HIV treatment cohort study in Mbarara, Uganda as part of a larger study exploring perinatal depression. We conducted content analyses to identify themes related to challenges of WLWH during pregnancy and …

Humor In Medicine: A Literature Review Of Humor’S Potential Therapeutic Value In Health Care, Weston Michael Grant

Psychological Science Undergraduate Honors Theses

Using humor and laughter within the health care field has the potential to be relevant to patients during treatment, to the patient-caregiver relationship, to the subjective well-being of health care providers, and to the environments’ (e.g., work settings) impact on group relationships (e.g., colleagues). A review of the literature examines how the psychological and physiological effects of laughter and humor within the human body impact health and well-being, how humor and laughter improve the patient-practitioner relationship, and if humor and laughter can potentially impact physician burnout. Several possible implications for these findings are discussed, such as professional medical comedians, improvements …

Colorectal Cancer Fit Screening In The Hope Vi Population Of Jefferson County, Kentucky., Jeffrey D. Stone

Electronic Theses and Dissertations

Using pre-post survey data collected from 209 randomly selected African American people from the population of former residents of Clarksdale and Sheppard Square public housing areas, this study explores the relationship between individual characteristics and colorectal cancer screening behavior, measured by the uptake of the Fecal Immunochemical Test (FIT) and by prior colorectal screening, while controlling for neighborhood factors and geographic proximity to healthcare facilities. This particular public housing population is of interest because of their relocation from the downtown area, where healthcare facilities are within walking distances, to other public housing units either in large apartment complexes or scattered …

Reconnecting The Mind And Body: A Pilot Study Of Developing Compassion For Persistent Pain, Sarah L. Parry Dr, Zoey Malpus Dr

Patient Experience Journal

As an alternative to the more typical cognitive behavioural approach to pain management, a novel pain management group based on the principles of compassionate mind training was developed for a particular sub-group of patients. Participants were patients of a community pain clinic, who were invited to participate in this alternative approach to pain management. The eight-week Compassion in Pain Groups included psychoeducation around persistent pain, the underlying principles of compassionate mind training, practical exercises such as diaphragmatic breathing, followed by a series of compassionate imagery exercises and group discussions. Both quantitative and qualitative analyses were undertaken to gain further insights …

Experiences Of Communication Barriers Between Physicians And Immigrant Patients: A Systematic Review And Thematic Synthesis, Salim Ahmed, Sonya Lee, Nusrat Shommu, Nahid Rumana, Tanvir Turin

Patient Experience Journal

Frequent immigration of peoples from outside often challenges various systems of any country; healthcare sector is the most confronted one. One of the most prominent reasons for this confrontation is communication gap between physicians and immigrant patients. In this systematic narrative review, we studied existing literature on physician-immigrant patient communication. We systematically searched the repositories of literature and followed some criteria to select literature. We selected 32 literatures for information extraction. Three themes emerged from the synthesis: Physicians’ viewpoint about communication barrier with their immigrant patients, Immigrant patients’ viewpoint about the communication barrier with their physicians, and Interpreter as a …

Perceptions Of The Body Haunted: An Analysis Of Significant Pilot Study Findings On The Abuse And Harassment Of Women With Disabilities Ho Chi Minh City, Vietnam, Pia C. Mingkwan

International Studies Honors Projects

This pilot study conducted with Disability Research and Capacity Development in Ho Chi Minh City, Vietnam, found that women with disabilities (WWD) reported significant experiences with abuse and harassment. Analysis of these findings revealed that the abuse and harassment of WWD is directly connected to the complex roles that gender and disability hold within Vietnamese society. Vietnam is a patriarchal society and WWD experienced abuse and harassment due to their roles as women; their expressions of gender and sexuality in connection with disability; and their desire for participation in processes such as sex, intimacy, and childbearing. Additionally, disabled bodies in …

Knowledge And Beliefs About Cancer In African American Population, Rabindra P. Gautam Dhs, Deven Shah Phd, Eric Matthews Phd

Journal of Health Disparities Research and Practice

Cancer is the second most common cause of death in the United States, taking the lives of one in four Americans each year (American Cancer Society [ACS], 2015). A total of 1,658,370 new cancer cases and 589,430 deaths from cancer were projected to occur in the United States in 2015 (ACS, 2015). In 2013, approximately 176,630 new cancer cases and 64,880 deaths from cancer were projected to occur in African American communities. The majority of diagnoses were cancers of the prostate, lung, colon, rectum, breast, and colorectal region (ACS, 2013). For most cancers, African Americans have the highest death rate, …

Bad Medicine: A Panel, Alanah Raianne Williams, Alex Do, Emma Erskine, Page Lemont, Sarah Zaidi, Van Chung, Joiada Munoz, Chelsey Damasco

Collin College Undergraduate Interdisciplinary Student Research Conference

Papers presented:

"Spread the News, Do Not Abuse" by Alanah Raianne Williams, Alex Do, Emma Erskine, Page Lemont & Sarah Zaidi

Abuse needs to be spoken about. The community needs to take action against it, if someone does not, who will? Who will be there to protect the victims of these demeaning situations? This project focuses on the types of abuse, what abuse is, the reason they do it, how it affects the victim's life, and what things can be done to stop it. Awareness and resources are the main focuses of this research project. The video focuses on statistics …

Maternity Care: A Case Study At Centro De Parto Normal, Kemi Oladipo

Independent Study Project (ISP) Collection

An overwhelming percentage of Brazil’s population has caesarean births (C-sections), and during pregnancies many women endure violations of their rights such as mental and physical abuse. The main objective of my community study project (CSP) is to learn more about normal childbirth through fieldwork at Centro de Parto Normal (CPN). The goal is to understand how CPN’s approach and principles create a better birthing experience with quality maternity care. My second objective is to learn how CPN mitigate issues with accessibility to health facilities, especially in Brown and Black locations. A general goal is to share my acquired knowledge and …

Abordajes De Nuevos Tratamientos Para La Enfermedad De Chagas Y Su Potencial Aplicación En Pacientes Desde Las Perspectivas De Los Profesionales En La Ciudad Autónoma De Buenos Aires, Argentina / Approaches To New Treatments For Chagas Disease And Their Potential Application In Patients From The Perspectives Of Professionals In The Autonomous City Of Buenos Aires, Argentina, Chelsea Hipwell

Independent Study Project (ISP) Collection

Más de cien años después del descubrimiento de la enfermedad de Chagas, esta enfermedad desatendida sigue afectando más de 6 millones de personas en Latinoamérica, de las cuales 1.5 millones son de Argentina. Al día de hoy, solo existen dos medicamentos para tratar esta enfermedad. El presente proyecto se basa sobre un estudio exploratorio de los desafíos de tratar la enfermedad de Chagas en sus distintas fases y los abordajes actuales para nuevos tratamientos.

Los objetivos de este trabajo fueron los siguientes: en primer lugar, estudiar el contexto socio-económico en que existe esta enfermedad y las implicaciones de este contexto …

El Acceso Y Uso De Las Pruebas Genéticas Para La Detección Precoz De Enfermedades Congénitas En Mujeres Embarazadas En La Ciudad Autónoma De Buenos Aires En El Año 2017 \ The Access And Use Of Genetic Tests For Early Detection Of Congenital Diseases In Pregnant Women In The Autonomous City Of Buenos Aires In The Year 2017, Anna Anna Bauer

Independent Study Project (ISP) Collection

Las pruebas genéticas son una herramienta útil para la prevención y el diagnóstico de defectos congénitos en las mujeres embarazadas. Esta investigación explora el acceso y uso de estas pruebas para mujeres que residen en la Ciudad Autónoma de Buenos Aires en el año 2017. Se trata de un tema amerita una investigación porque la tecnología para hacer estudios genéticos todavía es algo novedosa. Además, a través de las pruebas genéticas es posible detectar si el feto tiene un alto riesgo para desarrollar un defecto congénito, el cual es una de las causas más importantes de la mortalidad prenatal y …

The Disappearance Of Nyoman And Ketut, Laura Michelle Garvie

Independent Study Project (ISP) Collection

No abstract provided.

Una Exploración Del Proceso De Recuperación Frente A Desastres Y Las Fuentes De Resiliencia En Alimapu, "La Tierra Quemada” / An Exploration Of The Disaster Recovery Process And Sources Of Resilience In Alimapu, "La Tierra Quemada", Alison Stewart

Independent Study Project (ISP) Collection

The history of Chile has been fraught by natural and socionatural disasters. Nevertheless, research on the mental health effects on the disaster survivors and the mechanisms used to overcome the catastrophes and mend the psychological damage is scarce. Therefore, this descriptive study explored the experiences of those that were affected by the great fire of Valparaíso, Chile in 2014 and the work of those involved in the recuperation process in order to reveal the manner in which resilience is manifested among the communities of disaster sufferers. The sample population was composed of 7 disaster survivors from the communities of Cerro …

Definiendo La Concepción De La Salud Mental Y Espiritual: La Influencia De La Biomedicina Y La Religión Occidental En La Comunidad Mapuche De La Araucanía, Maya Salvio

Independent Study Project (ISP) Collection

Research Question: In what ways has occidental religions and the biomedical health system influenced the conception of mental health in the Mapuche community in the Araucania?

Objectives: The general objective of this study is to identify the ways in which mental and spiritual health are conceptualized by the Mapuche community and identify the influences of occidental religion and biomedicine in Carahue and Saavedra. The specific objectives are to identify the conceptions of mental and spiritual health among the three predominant ideologies, characterize their perceptions of anxiety and depression (two occidental mental illnesses), identify the relationships between the three ideologies, and …

Discourses Of Psychiatry And Culture: The Interface Between Western And Traditional Medicine In The Treatment Of Mental Illness, Madeline Molot

Independent Study Project (ISP) Collection

Mental illness is a burden of disease that, in many countries, is neglected; South Africa is no exception. There are many reasons for this, including but not limited to a lack of specialized mental health personnel in primary care settings, a budget that favors South Africa’s communicable disease epidemic, and a continued stigma around mental illness. Whenever discussing the healthcare system in South Africa, however, it is important to note another parallel system of care, one with little to no budget or regulation: that of traditional healing. It is estimated that over 70% of South Africans have at some point …

Health Literacy Skills Of Aging Populations And Its Impact On The Prevention Of Cardiovascular Disease, Peter Gorman

Independent Study Project (ISP) Collection

Cardiovascular disease (CVD) represents a threat to both the economic and social well being of Switzerland. Cardiovascular disease is easily a preventable disease, yet continues to take over the world. One’s ability to read and comprehend health information from medical professionals is a vital component of maintaining and improving an individuals’ overall health. Health literacy can have an impact on the effectiveness of preventive interventions in health behaviors and the success of health outcomes. Studies have shown that well-educated and financially improved persons have a higher health competence than lower educated persons.1 Given that cardiovascular disease is the number one …

The Cry Of The Poor: Anthropology Of Suffering And Justice In Health Care From A Latin American Liberation Approach, Alexandre Andrade Martins

Dissertations (1934 -)

This dissertation examines the connection between poverty and health inequalities from a liberation theological ethics perspective. It uses Simone Weil’s and Latin American liberation theology’s approaches to suffering and social justice as theoretical sources to address health inequalities and the suffering of the poor because of social injustice, vulnerability to diseases, and lack of healthcare assistance. First of all, these approaches are examined from how they shape an anthropology of suffering that enable us to understand the suffering of the poor and, at the same time, to recognize them as agents of their own liberation and struggle for justice in …

Depression, Loneliness, And Pet Attachment In Homebound Older Adult Cat And Dog Owners, Sandy M. Branson, Lisa Boss, Stanley Cron, Dennis C. Turner

Journal of Mind and Medical Sciences

Background: Companion animals may reduce depression and loneliness in socially isolated homebound older adults. However, whether owning a cat or dog is more beneficial in this population remains unknown.

Materials and Methods: Pet attachment and the levels of depressive symptoms and loneliness were examined in 39 homebound older adults who exclusively owned a cat(s) or a dog(s). Cat owners (n = 12) and dog owners (n=27) were assessed for depressive symptoms (Geriatric Depression Scale-Short Form), loneliness (R-UCLA Loneliness Scale), and attachment to pets (Likert scale).

Results: Cat owners reported significantly lower levels of depressive symptoms than dog …

Journal Of Mind And Medical Sciences: Translational And Integrative Mission, David L. Rowland, Ion G. Motofei

Journal of Mind and Medical Sciences

Initiated four years ago, Journal of Mind and Medical Sciences (J Mind Med Sci.) established the mission to publish papers on mental and medical topics in distinct but closely interrelated domains. The editorial policy especially encourages interdisciplinary and integrative perspectives, being equally focused on basic research and clinical investigations and short reports.

The journal adheres to the philosophy that high quality, original ideas and information should be readily accessible and freely shared within and amongst the scientific community. Accordingly, J Mind Med Sci. is an online, open access, non-for-profit journal which, because of individual/ private support, has levied no charges …