Medicine and Health Commons^™

Psychedelic Assisted Psychotherapy, Lori Ferguson, Ross Mcdonough

Showcase of Osprey Advancements in Research and Scholarship (SOARS)

Beginning in the early 1900s, research into Psychedelic Assisted Psychotherapy (PAP) showed promising results. After psychedelics were made illegal in the early 1970s they went largely underground. Psychedelic research resumed in the 1990s and the research shows great promise. Unlike traditional antidepressants that only manage symptoms and cause long term side effects, psychedelics could possibly be a cure with no side effects once the drug has worn off. Treatment often includes preparatory therapy sessions before, a session which includes the use of a psychedelic, and integrative therapy sessions after. Right now the Multidisciplinary Association for Psychedelic Studies (MAPS) is the …

"Founding Its Empire On Spells Of Pleasure": Brunonian Excitability, The Invigorated English Opium-Eater, And De Quincey's "China Question", Menglu Gao

English and Literary Arts: Faculty Scholarship

What light can De Quincey's Confessions of an English Opium-Eater (1821) shed on its author's later advocacy of the First Opium War? To what degree did De Quincey's and other contemporaneous accounts of opium use in Britain influence metaphorical connections between bodily energy and national power in the 1830s and 1840s? Placing Confessions alongside John Brown's 1780 treatise, Elements of Medicine, this essay argues that De Quincey "nationalized" opium-eating by transforming mental exceptionality in British Romanticism into a medical body's connection with internal energies and external stimuli from China and "the Orient." The essay concludes that opium serves in …

An Overview Of Supply-Chain Logistics In International Humanitarian Aid: Finding Challenges And Solutions, Arjun Ganga

Independent Study Project (ISP) Collection

Humanitarian supply chain logistics concern the flow of goods and services in public health delivery. Such supply chains operate in both general development contexts and in acute crisis situations. In this paper, I give an overview of supply chains and then explore some of the challenges and potential solutions in delivering goods and services effectively and efficiently. Specifically, I analyze procurement, maintaining quality goods, incentivizing countries to act, collaboration, verification, possible losses in the supply chain, and ensuring appropriate use of product. I conclude that although humanitarian supply chains pose unique challenges, there is surprising efficiency in the system. This …

A Look Into The Varying Usage Patterns Of Traditional And Western Medicine Within Senegal’S Urban Centers, Sarah Smith

Independent Study Project (ISP) Collection

This paper explores the usage patterns of traditional medicine and western medicine in Senegal’s urban centers of Dakar and Thiès and the factors that influence these patterns. I argue that the most influential factors in determining which medicine is used by an individual are accessibility, efficacy, and personal preference. This research was conducted in the first and third most-populated urban centers in Senegal, presenting a unique field site due to the higher concentration of western medicine in urban areas compared to rural areas in Senegal. Qualitative methodology was used through the form of secondary sources and semi-structured interviews which allowed …

The Cultural And Systemic Influence On Substance Use Disorder, Christina Seery

Independent Study Project (ISP) Collection

The opioid epidemic is an extensive global problem, but it is not random that it is most severe in the United Sates. It is commonly believed that the individuals with substance use disorder and the health care system are at fault, however many people disregard the impact culture and systems have on substance use disorder. I tackled this gap by conducting formal qualitative interviews with experts in the field of addiction and dissecting academic work. After this research it is apparent that the American culture and institutions has made individuals vulnerable to become addicted to opioids while other similar European …

Environmental Injustice's Impact On Asthma Disparities In Nyc, Tayler J. Rodriquez

Student Publications

Understanding the social determinants of health is essential when looking at low-income minorities in urban cities. Social determinants of health are conditions in the environment in which people are born, which affects a wide range of health and quality-of-life outcomes. Amongst other determinants, adequate housing can have a significant influence on population health outcomes such as asthma. Zoning inequality negatively and disproportionately impacts the health and the overall quality of life of low-income minorities; zoning is correlated to environmental injustice fueling adverse health effects and health disparities among low-income minority populations. Without the opportunity to receive adequate and affordable housing, …

African American Disparities Within The Medical World, Claudia E. Mischler

Student Publications

There are many challenges that African Americans face and the lack of quality in care towards African Americans is an ongoing problem. Black men and women are not given the same care compared to their white counterparts. African Americans are faced with numerous disparities in the medical world. This can exist due to factors that are out of their control such as; failure of medical professionals recognizing the sociocultural differences, distrust in the health care system, cultural differences in understanding and explaining illness, history of hospital and medical office segregation, and knowledge of available services. It is very unlikely to …

Reflections On The Effects Of Federalism On Opioid Policy, Matthew B. Lawrence

Dickinson Law Review (2017-Present)

No abstract provided.

Mhpaea & Marble Cake: Parity & The Forgotten Frame Of Federalism, Taleed El-Sabawi

Dickinson Law Review (2017-Present)

No abstract provided.

State Regulatory Responses To The Prescription Opioid Crisis: Too Much To Bear?, Lars Noah

Dickinson Law Review (2017-Present)

In order to prevent further overuse of prescription opioids, states have adopted a variety of strategies. This article summarizes the growing use of prescription drug monitoring programs, crackdowns on “pill mills,” prohibitions on the use of particularly hazardous opioids, limitations on the duration and dosage of prescribed opioids, excise taxes, physician education and patient disclosure requirements, public awareness campaigns, and drug take-back programs. Although occasionally challenged on constitutional grounds, including claims of federal preemption under the Supremacy Clause, discrimination against out-of-state businesses under the dormant Commerce Clause doctrine, and interference with rights of commercial free speech, this article evaluates the …

Safe Consumption Sites And The Perverse Dynamics Of Federalism In The Aftermath Of The War On Drugs, Deborah Ahrens

Dickinson Law Review (2017-Present)

In this Article, I explore the complicated regulatory and federalism issues posed by creating safe consumption sites for drug users—an effort which would regulate drugs through use of a public health paradigm. This Article details the difficulties that localities pursuing such sites and other non-criminal-law responses have faced as a result of both federal and state interference. It contrasts those difficulties with the carte blanche local and state officials typically receive from federal regulators when creatively adopting new punitive policies to combat drugs. In so doing, this Article identifies systemic asymmetries of federalism that threaten drug policy reform. While traditional …

Medical Cannabis And Recreational Marijuana: Patient Perceptions, Stigma, And Gender During A Time Of Emerging Legalization, Matt Reid

Dissertations

Marijuana’s status as an illegal drug has been redefined over the previous three decades. Despite Michigan and 32 other states having comprehensive medical cannabis programs, both academics and laypeople commonly present the medicalization of marijuana as an intermediary phase or proxy for fully legalized recreational use. While some evidence exists to support this position, this framework marginalizes the struggles and experiences of patients who have found relief through their therapeutic use of cannabis. As such, the goal of this study is to re-center the voices of cannabis patients in academic conversations of cannabis as medicine.

My study is unique in …

Medical Trust In Pediatric Care In The United States, Talia Feldscher

Independent Study Project (ISP) Collection

Trust is a critical aspect of the patient-provider dynamic, but in the U.S., its importance is overlooked in many medical settings, especially among those from low socio-economic groups. As the disparities in American healthcare are being recognized on a larger scale, it is necessary to further uncover why this is the case, and how to begin to remedy this disparity. This study presents an original qualitative data set of perspectives from four current health/mental health practitioners, based on their experiences with their pediatric patients, and how the concept of trust is critical to their service provision. Supported by literature, this …

Ensuring Accountability To Affected Populations In Humanitarian Settings: "Holding Humanitarian Organizations Accountable To People.", Jazmin Williamson

Independent Study Project (ISP) Collection

Aim: This research aims to examine what guidelines and regulations help ensure that humanitarian organizations are held accountable to their beneficiary populations.

Background: Although people have always been the focus of humanitarian aid, their voice and participation didn't become a centralized part of the conversation until the 1990s and later gained real traction in the early 2000s. During these times, many new foundational documents were created to highlight the "centrality of local participation in aid." Among the documents that enshrined this new principle of population participation included the 1992 Code of Conduct for the International Red Cross and Red Crescent …

“En Defensa Por La Salud”: Los Actores Sociales En La Construcción Del Movimiento Social En Chile, Karina Martinez

Independent Study Project (ISP) Collection

This investigation aimed to describe the construction of the social movement for health demands in the frame of the social outbreak in Chile in October 2019. In addition to identifying the main health demands of this movement, it also had a focus on understanding the role of social organizations in the construction of the movement and placing it within the broader socio-political movement that arises from the social outbreak. The research design was qualitative and descriptive. Having been a remote investigation, it was largely based on literature review with the support of information from a semi-structured interview. Regarding the results, …

El Rol Del Gobierno En Las Campañas Sanitarias De Vih, Covid-19 E Influenza, Sydney Reyes

Independent Study Project (ISP) Collection

Research Question: What are the differences and similarities between the three health campaigns — the flu, HIV, and COVID-19 — that the Chilean government has spread to population?

Objectives: The primary objective of this study was to describe and compare the three public health campaigns — the flu, HIV, and COVID-19 — to examine the role that the Chilean government has in health education and heath promotion. The secondary objectives were to identify the differences in national health campaigns and regional campaigns as well as to show the interactions between health campaigns and indigenous people. Overall, the research project looked …

Understandings Of Sexual Consent Among Male And Female Zulu South Africans In Masxha, Kwazulu-Natal, Larkin Levine

Independent Study Project (ISP) Collection

Though South Africa has an astonishingly high rate of rape and sexual violence, little research has been conducted on understandings of sexual consent outside of the context of rape and sexual violence in different South African communities. Instead, research has focused on understandings and perceptions of rape and sexual violence alone, ignoring the importance of understanding how individuals approach consent in healthy sexual relationships.

Through conducting semi-structured interviews with sixteen Zulu males and females of different ages, all of whom are residents of Masxha, I hoped to learn how these individuals understand sexual consent and how consent is requested, given, …

The Current State Of Migrant Health In Morocco: Pre-And Peri-Covid-19 Pandemic, Layla Babahaji

Independent Study Project (ISP) Collection

In the early 21st century, Morocco transitioned from being a predominantly transit migration country into both a transit and destination country for migrants. In 2013, the Moroccan government took significant steps to adapt the healthcare system in better integrating migrants in its policies. The government implemented the National Strategy on Immigration and Asylum that improved access to public health care for migrants. Recently, in March of 2020, Morocco declared a state of medical emergency due to the current COVID-19 pandemic that continues today. This paper addresses the effects of the COVID-19 pandemic on the current state of migrant health in …

How Relevant Is The Hippocratic Oath In Guiding Physicians' Views On Physician-Assisted Suicide, Megan Neal

Honors Program: Senior Projects (Public)

The Hippocratic Oath is an ancient vow that most doctors, especially within the last century in the United States, take upon their graduation from medical school. The importance of this oath, however, is up for debate as medical advances and cultural beliefs in the rights of the patient evolve. The Hippocratic Oath has been adapted many times over the past few centuries to reflect the beliefs of the period, but the original Oath still survives. One of the most recent movements in the medicine has been the legalization of physician-assisted suicide (PAS) in select states. Using a qualitative, thematic approach, …

Rural-Urban Differences In Roles And Support For Community Health Workers In The Midwest, Kate E. Trout, Virginia Chaidez, Angela L. Palmer-Wackerly

Department of Nutrition and Health Sciences: Faculty Publications

The Patient Protection and Affordable Care Act supports the integration of community health workers (CHWs) into the health care workforce, but little is known about integration and current roles of CHWs among employers in community settings. This analysis of 97 employers described the roles of CHWs in Nebraska and found significant differences between CHWs practicing in rural and urban areas in organization types employing CHWs, funding sources, and minority populations served. The findings suggest that the utility of CHWs is widely recognized among employers, but deliberate support will be needed to better define the roles of CHWs to meet the …