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1

Doan, Michelle C. "Mint Green LLC." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10111189.

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Mint Green is a limited liability company who provides preventative health care services to the Greater Long Beach area. Mint Green is entering the Weight Loss Services Industry which is experiencing rapid growth due to the enactment of the Patient Protection and Affordable Care Act. Mint Green has the opportunity to reach approximately 65% of firms who offer health benefits to their employees. Mint Green’s Healthy Eating and Lifestyle Plan (HELP) is the core instruction to the weight loss programs. Mint Green has four types of weight loss programs; each developed to satisfy a wide array of budgets. Mint Green is projected to yield a profitable margin.

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2

Canfield, Tianna L. "Mint Health Functional Medicine Clinic| A Business Plan." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10261952.

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Chronic disease plagues nearly 133 million Americans, approximately 45% of the population. Several techniques have arise to address this issue other than traditional medicine and alternative medicine is making substantial strides. With the gaining popularity of functional medicine (a subset), the growing need for alternative methods is apparent, especially in the city of Long Beach, California. Mint Health Functional Medicine Clinic aims to treat the source of chronic diseases within the adult population of Long Beach, rather than simply relieving symptoms. Institute of Functional Medicine board certified physicians will do so through a monthly membership, so patients may have a quality consultation and constant access to their providers and support staff for progress follow-up and questions. The mission is to help eliminate chronic disease incidence within the residents of Long Beach, in a non-traditional way.

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3

Junior, Ivando Amancio da Silva. "O ser alcoolista: estudo compreensivo à luz da anÃlise existencial." Universidade Federal do CearÃ, 2012. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=10353.

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CoordenaÃÃo de AperfeiÃoamento de NÃvel Superior
O problema do alcoolismo à evidenciado nos efeitos desta droga que, alÃm de causar complicaÃÃes sociais, podem produzir consequÃncias orgÃnicas, mentais e espirituais. Os problemas advindos do uso abusivo de Ãlcool podem produzir vÃrios efeitos facilmente observÃveis no cotidiano das pessoas. Objetivando compreender o ser alcoolista, buscamos respaldo teÃrico na AnÃlise Existencial por estar atrelada aos preceitos compreensivo fenomenolÃgicos e ter a preocupaÃÃo com o significado do ser. O local de realizaÃÃo foi em um Centro de AtenÃÃo Psicossocial Ãlcool e outras Drogas - CAPSad, localizado no MunicÃpio de Fortaleza-CE. Participaram do estudo oito sujeitos, atendendo ao critÃrio de saturaÃÃo dos dados. A produÃÃo do material empÃrico se deu no perÃodo de setembro a outubro de 2012, realizada com entrevista, utilizando-se um roteiro contendo perguntas relativas aos aspectos pessoais e sÃciodemogrÃfico e uma questÃo norteadora: O que à para vocà ser alcoolista? A anÃlise compreensivo - fenomenolÃgica propiciou a aproximaÃÃo da vivÃncia dos sujeitos e favoreceu a compreensÃo do fenÃmeno em estudo. A pesquisa foi aprovada pelo Comità de Ãtica da Universidade Federal do CearÃ, conforme Parecer n 04555112.2.0000.5054.Com base na leitura e apreensÃo dos discursos produzidos foram estabelecidas categorias temÃticas e 14 subcategorias. As categorias foram definidas, primeiramente, com base na trajetÃria de uso de Ãlcool e sua repercussÃo na vida dos sujeitos, compondo-se por nove subcategorias:Contato inicial com as drogas; Uso esporÃdico de outras drogas concomitante com o de Ãlcool; A busca de diversÃo e do prazer como estÃmulo ao uso de Ãlcool; RepercussÃes do uso e abuso de Ãlcool na vida dos sujeitos; AusÃncia de sentido de vida provocada pelo alcoolismo; EstratÃgias de enfrentamento e superaÃÃo utilizadas pelos sujeitos:Busca de apoio na rede de serviÃos de saÃde;A espiritualidade como forma de apoio no processo de superaÃÃo; O suporte familiar nos momentos difÃceis; Dificuldades pessoais vivenciadas durante o tratamento. A forÃa de vontade como estratÃgia de enfrentamento para abstinÃncia. A segunda categoria foi definida com o significado do ser alcoolista, composta por trÃs subcategorias: Ser alcoolista representa a morte; Ser alcoolista à antes uma relaÃÃo de dependÃncia; Ser alcoolista à ser doente. A pesquisa favoreceu a compreensÃo do ser alcoolista, com base nos preceitos da AnÃlise Existencial, propiciando a busca do sentido de vida, por meio da responsabilidade, liberdade, capacidade de criar, do amor, e da autotranscedÃncia que, poderÃo servir de subsÃdios para melhor reflexÃo da prÃtica de Enfermagem desenvolvida nos serviÃos especializados. Pode-se apreender a ideia de que o sujeito alcoolista, mesmo permeado por conflitos existenciais e pelas diversas perdas que teve em sua vida, à um ser que buscou saÃdas e que procurou permanecer vivo, mesmo diante das adversidades, ilustradas em sua compreensÃo como fenÃmeno e como ser no mundo. O significado do ser alcoolista, apreendido do discurso dos sujeitos do estudo reveste-se de inÃmeras possibilidades, levando à compreensÃo de aspectos vivenciais e de suas trajetÃrias de vida que envolvou vÃrios sentimentos e repercussÃes durante as suas relaÃÃes consigo, com o outro e com o mundo que o cerca. Considera-se que a apreensÃo do significado que cada sujeito atribui à condiÃÃo de ser alcoolistapossibilita na melhor compreensÃo e da sua relaÃÃo com a droga, favorecendo o processo de cuidar e, atà mesmo, a autoperceÃÃo da problemÃtica vivenciada.
The problem of alcoholism is evident in the effects of this drug, and cause social complications, consequences can produce organic, mint and spiritual. The problems arising from the misuse of alcohol can produce various effects easily observed in daily life. In order to understand the being alcoholic, seek theoretical support in Existential Analysis by being linked to the precepts phenomenological understanding and have a concern with the meaning of being. The test was performed in a Psychosocial Care Center Alcohol and other Drugs - CAPSad, located in the city of Fortaleza. Eight subjects participated in the study, meeting the criterion of saturation data. The production of empirical material occurred in the period September-October 2012, with interviews conducted, using a script containing questions relating to personal and sociodemographic aspects and a question: What is for you to be an alcoholic? A comprehensive analysis - phenomenological approach allowed the survival of favored individuals and the understanding of the phenomenon under study. The study was approved by the Ethics Committee of the Federal University of CearÃ, as Opinion No. 04555112.2.0000.5054. Based on reading and seizure of talks were established thematic categories and 14 subcategories. The categories were defined, first, based on the trajectory of alcohol use and its impact on the lives of individuals, and is composed of nine subcategories: Initial contact with drugs; Sporadic other drugs concomitantly with alcohol, the search for fun and pleasure as encouraging the use of alcohol; Effects of alcohol use and abuse in the lives of individuals; Lack of sense of life caused by alcohol; Coping and Overcoming used by subjects: Search support network of healthcare services , Spirituality in support of the process of overcoming; Family support in difficult times; Personal difficulties experienced during treatment. Willpower as a coping strategy for withdrawal. The second category was defined with the meaning of being an alcoholic, composed of three subcategories: Being an alcoholic is death; Being an alcoholic is before a relationship of dependency; Being an alcoholic is to be sick. The survey favored the understanding of being an alcoholic, based on the precepts of Existential Analysis, allowing the search for the meaning of life through responsibility, freedom, ability to create, love, and transcendence that may contribute for better reflection of nursing practice developed in specialized services. One can grasp the idea that the individual alcoholic, even pervaded by existential conflicts and the various losses he had in his life, is a being who sought outputs and tried to stay alive, even in the face of adversity, as illustrated in their understanding phenomena and as being in the world. The meaning of being an alcoholic, seized the discourse of the study subjects is of endless possibilities, leading to understanding and experiential aspects of their life histories involving various feelings and repercussions for their relationship with themselves, with others and with the world around him. It is considered that the apprehension of the meaning that each subject gives the condition of being an alcoholic and enables the better understanding of their relationship with the drug, favoring the care process and even the attention the problems experienced.
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Green, Morgan. "Religion, health and psychological well-being." abstract and full text PDF (UNR users only), 2008. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1460758.

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5

Liechti, Heidi. "Übersicht Hautkrebsprävention : die Schweiz im Vergleich mit Australien /." Zürich, 2007. http://www.public-health-edu.ch/new/Abstracts/LH_26.03.08.pdf.

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6

Lüthi, Regula. "Gewaltprävention in der Psychiatrie : Umgang mit Gewalt zu Hause : was empfehlen Angehörige von psychisch kranken Menschen? : Erstellung eines Merkblattes durch Fokusgruppen mit Angehörigen /." Zürich, 2004. http://www.public-health-edu.ch/new/Abstracts/LR_14.03.05.pdf.

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7

Gurtner, Vontobel Renate. "Sucht und Pflege : Kenntnisse und Kompetenzen Pflegender im Umgang mit PatientInnen mit einem Suchtproblem : eine Umfrage bei Pflegenden am WE'G-Weiterbildungszenturm für Gesundheitsberufe SRK /." Wabern, 2001. http://www.public-health-edu.ch/new/Abstracts/GVR_18.04.02.pdf.

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8

Moser, Jeanne Margrit. "Die Kostenstruktur von Patienten mit rheumatoider Arthritis : eine Analyse prädiktiver Faktoren /." Zürich, 2006. http://www.public-health-edu.ch/new/Abstracts/MJ_19.04.07.pdf.

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9

Kauhanen, Jussi. "Dealing with emotions and health a population study of alexithymia in middle-aged men /." Kuopio [Finland] : Research Institute of Public Health, Dept. of Community Health and General Practice, University of Kuopio : Distributor, Kuopio University Library, 1993. http://books.google.com/books?id=i_1rAAAAMAAJ.

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10

Espinoza, Huincho Rosa Estefany, Monrroy Nicoll Alisson Ladera, Alvarez Valeria Lorena Livia, Mescua Evelyn Elisa Mozo, and Dueñas Karen Ivonne Tomas. "Proyecto Healthy Mind." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/654741.

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En la actualidad, solo uno de tres peruanos mayores a los 15 años realiza algún tipo de actividad física, dicha situación es alarmante. Ocasiona que las personas sean propensas a contraer enfermedades crónicas como diabetes, hipertensión, cardiopatías, cáncer, según Alexandro Saco, director de la Promoción de la Salud del Minsa. Cabe precisar que aquellos que padecen las enfermedades antes mencionadas están en riesgo al contagiarse de covid-19. A lo antes mencionado se le suma que las constantes exhalaciones por el esfuerzo durante la actividad física provocan un ambiente más favorable para los contagios de coronavirus dentro de los gimnasios. Es por ello, que el Gobierno Peruano se vio en la obligación de cerrar los gimnasios. Sin embargo, en el Perú según el último reporte (2019) del IHRSA, existen 1,818 gimnasios y centros de entrenamiento, que en estos momentos se mantienen cerrados afectando a alrededor de 20,000 profesionales del deporte. En base a ello, nace “HEALTHY MIND”, una idea de negocio de un grupo de alumnos de la Universidad Peruana de Ciencias Aplicadas. Este equipo analizó la situación que se vive en la actualidad y elaboró un servicio para que las personas puedan cambiar su estilo de vida desde casa y no tengan excusas para realizar alguna actividad física. Este proyecto consiste en brindar diversas disciplinas de manera online, al inscribirse podrán acceder a clases en vivo, grabaciones de las clases, un blog con tips para llevar una vida saludable y recibirán un control semanal por parte de los entrenadores personales.
At present, only one in teree Peruvians over 15 years of age performs some type of physical activity, this situation is alarming. It causes people to be prone to contracting chronic diseases such as diabetes, hypertension, heart disease, cancer, according to Alexandro Saco, director of Health Promotion of the Minsa. It should be noted that those who suffer from the aforementioned diseases are at risk by contracting covid-19. To the aforementioned, it is added that the constant exhalations due to effort during physical activity cause a more favorable environment for coronavirus infections within gyms. That is why the Peruvian Government was forced to close the gyms. However, in Peru, according to the latest IHRSA report (2019), there are 1,818 gyms and training centers, which are currently closed, affecting around 20,000 sports professionals. Based on this, “HEALTHY MIND” was born, a business idea from a group of students from the Peruvian University of Applied Sciences. This team analyzed the current situation and developed a service so that people can change their lifestyle from home and have no excuses for doing any physical activity. This project consists of providing various disciplines online, by registering you will be able to access live classes, class recordings, a blog with tips for leading a healthy life and will receive weekly control from personal trainers.
Trabajo de investigación
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11

Krauss, Bernhard. "Zufriedenheitsmessung bei Menschen mit geistiger Behinderung : Erprobung eines Befragungsinstrumentes für die Erwachsenenbildung /." Zürich, 2003. http://www.public-health-edu.ch/new/Abstracts/KB_14.01.04.pdf.

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12

Newkirk, Brian J. "Turning quicksand into bedrock : understanding the dynamic effects of disease-focused global health aid on health systems." Thesis, Massachusetts Institute of Technology, 2009. http://hdl.handle.net/1721.1/54594.

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Thesis (S.M.)--Harvard-MIT Division of Health Sciences and Technology, 2009.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 82-88).
This thesis asks one basic question: how do "vertical" disease- or intervention-focused global health programs impact the underlying health systems of the nations they serve? Vertical programs-health aid focused on a particular disease, such as HIV, or type of intervention, such as immunization-receive the lion's share of global health aid dollars, and yet we know uncomfortably little about their long-run impact on broader health systems. Many speculate that vertical aid undermines health worker effectiveness, distorts national policies, and disrupts the supply chain for drugs and medical products. Unfortunately, a lack of hard data makes quantitative analysis extremely difficult. Using the tools of system dynamics, this thesis consolidates the collective wisdom of previously published investigations and anecdotal observations to reveal the field's prevailing "mental model" of the dynamic in question. The result is a set of diagrams that describe the known impacts of vertical programs on health systems, and also reveal dynamic effects not yet explicitly identified in the literature. These effects fall into four sub-systems of impact: care delivery specialization and fragmentation, care delivery development and mediocritization, health policy development and mismatch, and market development and distortion. These models are then used to better understand the effects of recent contextual developments-the HIV/AIDS epidemic and the emergence of large Global Health Initiatives.
(cont.) Through expert interviews, this thesis identifies the most pressing system stresses in this contemporary context: the commitment to chronic care delivery which HIV/AIDS intervention creates, and the critical need for harmonization between donors which this commitment reveals. Using case examples from Kenya, these dynamics are shown to be active today, and to have instigated mitigation strategies by practitioners in the field. Finally, the systems identified above bring into focus key leverage points, including donor coordination, health worker augmentation, and engagement of local markets, which can "tip" the impact of vertical programs from harming health systems to strengthening them. In doing so, this thesis provides guidance to policymakers and program implementers who seek to use their resources to strengthen systems and eventually obviate health aid entirely.
by Brian J. Newkirk.
S.M.
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Mateus, Ashley (Ashley Marie). "Evaluation of teledermatology in the Veterans Health Administration." Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/97827.

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Thesis: Ph. D., Harvard-MIT Program in Health Sciences and Technology, 2015.
Cataloged from PDF version of thesis.
Includes bibliographical references (pages 269-287).
Telehealth technologies are being employed to increase access, quality of care, and cost containment. However, there are no widely accepted measures of telehealth performance and little information about long-term changes in access. The Veterans Health Administration (VHA) is advantageous for telehealth research because of the widespread implementation, organic development of multiple distinctively structured programs, and national electronic medical records. Using teledermatology, one of the earliest and most widely adopted uses, a set of recommended performance metrics are established and a select few are evaluated across the different programs. Store and forward (SF) teledermatology, taking a picture and sending it to a dermatologist for asynchronous evaluation, is the prominent method of care. In SF programs there is variation in the level of follow-up care available locally. Some locations have "surrogate dermatology providers" that are trained to do basic treatments and procedures. Based on four site visits and twenty-five interviews with stakeholders, recommendations for performance measurements were created. VHA is already in the process of executing three of the measures nationally: image quality, time to consult response, and patient satisfaction. Additionally, VHA has the data available to measure time to treatment, post-teledermatology utilization of care, travel distance, and wait-times. Finally, VHA should improve data to create future metrics regarding: cost, particularly payment for outside dermatologists; provider satisfaction; and quality of care through chart review or adverse event reporting. Using administrative databases, the metrics for which data were available were retrospectively evaluated. At a national level for 2013, entry into the care process through teledermatology is associated with faster time to treatment than entry from an in-person referral for both melanoma (teledermatology median: 62 days; in-person consult median: 70 days; p=0.002) and non-melanoma skin cancer (teledermatology median: 79 days; in-person consult median: 88 days; p<0.001). There was little consistency in the post-teledermatology care utilized across programs. Testing three programs with different resources used for local follow-up care, travel distance saved over 2013 was calculated. The program with surrogate dermatology providers had the most travel saved per patient. Implementation of teledermatology had no statistically significant impact on in-person wait times for dermatology clinics.
by Ashley Mateus.
Ph. D.
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14

Kavanagh, Peter. "Impacts of high arsenic concentrations in South West England on human health and agriculture." Thesis, Imperial College London, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.300619.

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Rhiner, Robert. "Entwicklung eines Messinstruments zur Beurteilung der Zufriedenheit der Zuweiser mit der stationären Dienstleistung eines Akutspitals /." Zofingen, 2004. http://www.public-health-edu.ch/new/Abstracts/RR_05.07.04.pdf.

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Huwiler-Müntener, Karin. "Welche Faktoren hängen mit der Durchführung der Grippeimpfung zusammen? : Analysen der zweiten Schweizerischen Gesundheitsbefragung 1997 /." Neuenegg, 2006. http://www.public-health-edu.ch/new/Abstracts/HMK_13.09.06.pdf.

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17

Meyer, Katharina. "Erstellung und Prüfung der Durchführbarkeit eines Pilotstudienprotokolls über die Effektivität einer arbeitsbezogenen Rehabilitation mit einer Kostenevaluation /." Zürich, 2002. http://www.public-health-edu.ch/new/Abstracts/MK_10.09.03.pdf.

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18

Höglund, Stina, and Camilla Vallström. "E-hälsotjänster i praktiken : En studie av Mina vårdkontakter och Min hälsoplan." Thesis, Umeå universitet, Institutionen för informatik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-73215.

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As an effect of increased living standards and improved health care, life expectancy has risen in many parts of the world. At the same time, welfare diseases such as diabetes and obesity increases. As the number of elderly and long-term sick rises, so will the medical care needs. E-health applications are often presented as a way to meet future medical and doing so within the scope of existing resources. By facilitating health communication and widen access to health services by offering them online, e-health applications encourages people to become more engaged in their own health, thus working proactively towards a healthier population. However, e-health applications often fail to reach their full potential. The purpose of this study is to explore how health care providers and health care recipients perceives e-health applications and their usefulness and thus being able to identify factors significant for successful introduction and use of e-health services. Two e-health applications have been analysed and six important aspects have been identified and discussed. In order to be successful, an e-health application must facilitate behaviour change and be integrated in the everyday life of the user. Substantial and adequate evaluation is essential to make sure that the application meet the requirements from both health care providers and health care recipients. An understanding of the possibilities technology has to offer is needed in order to fully exploit the potential of e-health applications in health care. Instructions for health care providers on how to use the applications are essential not only to ensure their proper usage but also to make sure that applications are being presented to recipients in a satisfactory way and that care providers can offer the support and help recipients may need. Finally, when discussing e-health applications it is important to remember that there are people who does not want to get involved and that there is still a demand for face-to-face interaction in health care. Therefore, e-health services must be complemented with alternatives providing different types of interaction opportunities.
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Abudayyeh, Omar O. "Discovery of novel CRISPR enzymes for transcriptome engineering and human health." Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/120887.

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Thesis: Ph. D. in Medical Engineering and Medical Physics, Harvard-MIT Program in Health Sciences and Technology, September 2018.
Page 399 blank. Cataloged from PDF version of thesis.
Includes bibliographical references (pages 210-229).
RNA plays important and diverse roles in biology, yet molecular tools to measure and manipulate RNA are limited. Recently, the bacterial adaptive immune system, CRISPR, has revolutionized our ability to manipulate DNA, but no known RNA-targeting versions exist. To discover parallel bacterial RNA-targeting systems that could be used for transcriptome engineering, we developed a computational pipeline to mine for novel Class 2 CRISPR systems across more than 25,000 bacterial genomes. Among the many novel CRISPR systems, we found a programmable RNA-targeting CRISPR system, CRISPR-Cas 13, that could provide immunity to E. coli against the ssRNA MS2 phage and biochemically characterized the enzyme. We adapted CRISPR-Casl3 for modulating the transcriptome in mammalian and plant cells by heterologously expressing Casl 3 and engineering the enzyme to precisely knockdown, bind, and edit RNA. Cas 13 knockdown was as efficient as RNA interference, but much more specific, across many transcripts tested. RNA editing with Cas 13 was also highly efficient, with up to 90% base editing rates, and as low as 20 off-targets with engineered specificity versions. Lastly, we combined Cas13 with isothermal amplification to develop a CRISPR-based diagnostic (CRISPR-Dx), providing rapid DNA or RNA detection with single-molecule sensitivity and singlebase mismatch specificity. We used this Casl3a-based molecular detection platform, termed SHERLOCK (Specific High Sensitivity Enzymatic Reporter UnLOCKing), to specifically detect pathogenic bacteria, genotype human DNA, and identify cell-free tumor DNA mutations. Our results establish CRISPR-Cas13 as a flexible platform for RNA targeting with wide applications in RNA biology, diagnostics, and therapeutics.
by Omar O. Abudayyeh.
Ph. D. in Medical Engineering and Medical Physics
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Sandoz, Menga. "Prävalenz und direkte medizinische Kosten der diabetischen Nephropathie mit terminaler Niereninsuffizienz bei Diabetes mellitus Typ 2 in der Schweiz für das Jahr 2001 /." Zürich, 2003. http://www.public-health-edu.ch/new/Abstracts/SM_12.09.03.pdf.

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Hikl, Reinhold. "Gesundheitsförderung für Personen über 55 Jahre in einer Kommune der Bundesrepublik Deutschland : durchgeführte Interventionen und Dimensionen der Lebensqualität : Erfahrungen mit Empowerment im kommunalen Setting /." Wuppertal, 2005. http://www.public-health-edu.ch/new/Abstracts/HR_24.08.05.pdf.

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22

Shen, Delin. "An exploratory analysis of large health cohort study using Bayesian networks." Thesis, Massachusetts Institute of Technology, 2006. http://hdl.handle.net/1721.1/34478.

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Thesis (Ph. D.)--Harvard-MIT Division of Health Sciences and Technology, 2006.
Includes bibliographical references (p. 91-98).
Large health cohort studies are among the most effective ways in studying the causes, treatments and outcomes of diseases by systematically collecting a wide range of data over long periods. The wealth of data in such studies may yield important results in addition to the already numerous findings, especially when subjected to newer analytical methods. Bayesian Networks (BN) provide a relatively new method of representing uncertain relationships among variables, using the tools of probability and graph theory, and have been widely used in analyzing dependencies and the interplay between variables. We used BN to perform an exploratory analysis on a rich collection of data from one large health cohort study, the Nurses' Health Study (NHS), with the focus on breast cancer. We explored the data from the NHS using BN to look for breast cancer risk factors, including a group of Single Nucleotide Polymorphisms (SNP). We found no association between the SNPs and breast cancer, but found a dependency between clomid and breast cancer. We evaluated clomid as a potential riskfactor after matching on age and number of children. Our results showed for clomid an increased risk of estrogen receptor positive breast cancer (odds ratio 1.52, 95% CI 1.11-2.09) and a decreased risk of estrogen receptor negative breast cancer (odds ratio 0.46, 95% CI 0.22-0.97).
(cont.) We developed breast cancer risk models using BN. We trained models on 75% of the data, and evaluated them on the remaining. Because of the clinical importance of predicting risks for Estrogen Receptor positive and Progesterone Receptor positive breast cancer, we focused on this specific type of breast cancer to predict two-year, four-year, and six-year risks. The concordance statistics of the prediction results on test sets are 0.70 (95% CI: 0.67-0.74), 0.68 (95% CI: 0.64-0.72), and 0.66 (95% CI: 0.62-0.69) for two, four, and six year models, respectively. We also evaluated the calibration performance of the models, and applied a filter to the output to improve the linear relationship between predicted and observed risks using Agglomerative Information Bottleneck clustering without sacrificing much discrimination performance.
by Delin Shen.
Ph.D.
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23

Girardi, Alessandra. "Perception of self and others in healthy ageing." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/7978.

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Processing information related to the self and inferring the mental state of another person is known to involve the ventromedial prefrontal cortex (VMPFC) in both younger and older adults (Stone et al., 2008; Kelley et al., 2002; Hynes et al., 2006; Ruby et al., 2009). According to the dorsolateral prefrontal (DLPF) theory of cognitive ageing, processing of the self should not be affected by healthy adult ageing as functions related to the VMPFC remain relatively preserved compared to functions related to the DLPF cortex (MacPherson et al., 2002). Similarly, no age difference should emerge in those tasks thought to tap functions of the VMPFC. The aim of this PhD is to investigate the effect of healthy adult ageing on the ability to process information related to the self and others. A series of experiments was designed to compare the performance of younger and older adults on tasks that investigate processing and retrieval of self-related information (e.g. behaviour prediction, personality judgement, mental state inferences, self-referential). The tasks differ in the extent to which they rely on cognitive effort. The results show that ageing does not affect self-related judgements. A further series of experiments designed to investigate affective and cognitive Theory of Mind (ToM) show that the affective performance, thought to rely on VMPFC activity, is not affected by age. In contrast, the performance of older participants differs from that of younger adults on cognitive ToM task, thought to involve DLPFC brain areas. A final experiment investigated the ability to make self versus other related judgments in a confabulating patient. The results show that the ability to reflect on the self but not on others was intact. In summary, the findings demonstrate that processing self-information and making ToM inferences remains intact in older individuals and is not overtly impaired by confabulation.
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Alexander, Kimberly A. "Emotional Health, Well-Being, And Religion as Quest." Thesis, University of North Texas, 2000. https://digital.library.unt.edu/ark:/67531/metadc2587/.

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This study examined the relationship between the religious orientation quest and well-being using the 1998 General Social Survey. In addition to the religious orientation quest the extrinsic and intrinsic religious orientations were also investigated. Analysis of the data indicated that there was a slight negative association between quest and general well-being, while also demonstrating a strong positive association between quest and inner peace. These results underscore the supposition that quest is an orientation that is complex and ultimately deserves further attention.
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25

Cassa, Christopher A. "Privacy and identifiability in clinical research, personalized medicine, and public health surveillance." Thesis, Massachusetts Institute of Technology, 2008. http://hdl.handle.net/1721.1/45624.

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Thesis (Ph. D.)--Harvard-MIT Division of Health Sciences and Technology, 2008.
This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.
Includes bibliographical references (p. 191-200).
Electronic transmission of protected health information has become pervasive in research, clinical, and public health investigations, posing substantial risk to patient privacy. From clinical genetic screenings to publication of data in research studies, these activities have the potential to disclose identity, medical conditions, and hereditary data. To enable an era of personalized medicine, many research studies are attempting to correlate individual clinical outcomes with genomic data, leading to thousands of new investigations. Critical to the success of many of these studies is research participation by individuals who are willing to share their genotypic and clinical data with investigators, necessitating methods and policies that preserve privacy with such disclosures. We explore quantitative models that allow research participants, patients and investigators to fully understand these complex privacy risks when disclosing medical data. This modeling will improve the informed consent and risk assessment process, for both demographic and medical data, each with distinct domain-specific scenarios. We first discuss the disclosure risk for genomic data, investigating both the risk of re-identification for SNPs and mutations, as well as the disclosure impact on family members. Next, the deidentification and anonymization of geospatial datasets containing information about patient home addresses will be examined, using mathematical skewing algorithms as well as a linear programming approach. Finally, we consider the re-identification potential of geospatial data, commonly shared in both textual form and in printed maps in journals and public health practice. We also explore methods to quantify the anonymity afforded when using these anonymization techniques.
by Christopher A. Cassa.
Ph.D.
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26

Gungor, Alper. "Occupational Health And Safety Management Tool." Phd thesis, METU, 2004. http://etd.lib.metu.edu.tr/upload/3/12604694/index.pdf.

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Labor protection, that is prevention of occupational disease and reducing the frequency of accident, has always been a matter of major concern of mining industry. Management and the government should promote and maintain high safety standards through some measures and tools to reduce frequency of accidents and occupational diseases. This thesis describes the development of a national occupational health and safety management tool that is composed of educational, statistical and database interfaces for mine safety and health administration. The detailed analysis of an accident requires knowledge of many parameters such as location, time, type, cost of the accident, victim information, nature of injury, result of the accident etc. that can be obtained from a standard coded accident report form. So, database interface of the management tool is developed with this sense to realize collecting accident data in a nationally used format to produce a common safety reporting system. Prepared database maintains user-friendly environment on Internet to submit accident information. Dynamic structure and ease of use of the developed database allow administered user to expand it without detailed computer programming knowledge. This was achieved by prepared modules to change or register new data fields within the database. Created database is also secure since only gives data input access rights to registered users. Database administrator is able to create registered users. Registered users could be safety engineer or manager of a mine who is responsible from the submission of data to the ministry of labor. So, standard and secure accident data collected rapidly through Internet connection. The other feature of the database is that, it is open to all people to query accidents with many aspects. Prepared management tool also includes educational interface, content of which can also be enlarged, as the new ideas, information or solutions for accidents are improved. This information is also open to all people since educating workers and managers about accidents and prevention techniques can improve working conditions and increase awareness. Knowing the fact that submitted accident data is still collected in hard copies in folders, the need for a kind of management tool, which is completed in this study, is obvious. Application of this kind of management tool will be able to prevent the collection of accident data in dusty shelves and share the accident data information with all people who are interested in with this subject.
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27

Hoang, Quoc Hung. "Heat transfer at longwall faces in coal mines." Thesis, University of Newcastle Upon Tyne, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.315562.

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28

Griffin, Kenneth R. "Utilization and Implementation of Atmospheric Monitoring Systems in United States Underground Coal Mines and Application of Risk Assessment." Diss., Virginia Tech, 2013. http://hdl.handle.net/10919/23299.

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Explosions of gas and dust continue to be recognized as an extreme danger in underground coal mines and still occur despite significant technological advances. Mining researchers have been attempting to accurately measure and quantify ventilation and gas properties since early mining; however basic monitoring attempts were limited by the available technologies. Recent advancements in monitoring and communication technologies enable comprehensive atmospheric monitoring to become feasible on a mine-wide scale. Atmospheric monitoring systems (AMS) allow operators to monitor conditions underground in real-time. Real-time monitoring enables operators to detect and identify developing high risk areas of the mine, as well as quickly alert mining personnel underground. Real-time monitoring also can determine whether conditions are safe for mining, to operate ventilation systems more efficiently, and to provide an additional layer of monitoring atmospheric conditions underground.

AMS utilizes numerous monitoring technologies that will allow underground coal mines to comprehensively monitor gas and ventilation parameters. AMS are utilized worldwide as well as in the United States, and can be modified to cater to specific hazards at different mines. In the United States, AMS are primarily used to monitor belt lines and electrical installations for smoke, CO, and CH4, and to automatically alarm at set thresholds.

The research in this study investigates and analyzed AMS across the world (specifically Australia, Canada, and United States). Two case studies presented in Chapter 5 focus on the utilization and implementation of AMS in two underground coal mines in the United States. These case studies identify challenges regarding installation, data management, and analysis of real-time atmospheric monitoring data. The second case study provides significant evidence that correlates mine ventilation fan outages and changes in barometric pressure to increases in methane from previous works. This research does not attempt to quantify data, but intends to provide engineers knowledge to utilize, design, and implement an AMS. Several incident scenarios are simulated using ventilation computer software, as well as the benefits of monitoring in past disasters are analyzed. This research does not intend to place blame, but intends to increase the understanding of utilizing and implementing AMS in underground coal mines.
Ph. D.
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29

Lis, Doron. "Blackwater Mine and the collaborative moose health monitoring program." Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/58029.

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In response to the rapid rate of multiple natural resource developments in British Columbia (BC) First Nations across the province are raising concern about the health and safety of traditional food or ‘country food’ sources. This concern has led to a large number of requests by BC First Nations to monitor country foods. Furthermore, a progressive approach to environmental assessment of mines in BC includes the implementation of a program to assess and monitor country foods especially when mine developments occur on or near First Nations traditional food gathering lands. Such monitoring programs can also be incorporated into Impact Benefit Agreements, which have become a key social tool for mining companies working on or near Aboriginal lands. The mining industry in BC has only recently begun to specifically assess the potential impacts of mining on country foods. However, this assessment has lacked both depth and guidance. New Gold, a mid-tier mining company, has implemented a ‘Country Food Monitoring Plan’ as part of an application for an environmental impact assessment of the proposed Blackwater Mine in central BC. In particular, moose were identified by local First Nations as a country food of primary concern. This report describes a unique collaboration between New Gold and the Lhoosk’uz Dene Nation and hunting guide outfitters, with support from wildlife veterinarians to develop and pilot the implementation of a moose health monitoring program. The goal is to establish a community-based monitoring program to provide information to First Nations and others on moose health and any potential threats via ingestion of country foods to humans throughout all stages, including construction, operation and post-closure, of the Blackwater Mine. This research can be used by industry, government, First Nations, and other stakeholders to provide a framework and model to approach the assessment and monitoring of the health and safety of country foods near mining development and other natural resource extractive activities.
Applied Science, Faculty of
Mining Engineering, Keevil Institute of
Graduate
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30

Fourie, Angelique Marie. "Job insecurity, coping and health-related behaviour / Angelique Marie Fourie." Thesis, North-West University, 2005. http://hdl.handle.net/10394/899.

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Across the world, job insecurity plays a critical role in organisations. This insecurity affects not only the individual, but also the organisation. In South Africa, the Employment Equity Act (No. 55 of 1998), and the Broad-Based Socio-Economic Empowerment Charter for the South African Mining Industry (Mining Charter), brought changes to the mining industry policies and decision-making process in terms of selection and recruitment, which could in turn lead to feelings of job insecurity. Other factors such as the availability of gold left to be mined, restructuring and strikes increase work-related stress. The objectives of this study were to investigate the role of job insecurity in predicting health related behaviours, and to determine whether coping moderates the effect of job insecurity on health behaviours for a group of managers in a South African gold mining company. A cross-sectional design was used. The study population (n = 206) consisted of managers in a gold mining company in South Africa The Job Insecurity Scale, Cybernetic Coping Scale and Health Complaints Questionnaire were used as measuring instruments. Descriptive statistics (e.g. means, standard deviations and kurtosis) were used to analyse the data. Hierarchical multiple regression analysis was used to test for the hypothesized moderating effect of coping on the relation between job insecurity and health-related behaviours. The results of the regression analyses showed that qualitative job insecurity was a significant predictor of health complaints. Qualitative job insecurity was also a significant predictor of health complaints in employees who smoked cigarettes and drank alcohol, and exercised at least once a week. Quantitative job insecurity did not play a role in predicting health-related behaviour. Coping did not moderate the effects of job insecurity for employees with health complaints. Rather, it is suggested that using negative coping behaviours may actually contribute to health complaints. Recommendations for future research are made.
Thesis (M.A. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2006.
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31

Miller, Brian L. K. "Financing the "Valley of Death" : an evaluation of incentive schemes for global health businesses." Thesis, Massachusetts Institute of Technology, 2009. http://hdl.handle.net/1721.1/54591.

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Thesis (S.M.)--Harvard-MIT Division of Health Sciences and Technology, 2009.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 80-84).
Many early-stage biotech companies face a significant funding gap when trying to develop a new drug from preclinical development to a proof of concept clinical trial. This funding gap is sometimes referred to as the "valley of death", a reflection of the vast number of companies that are unable to raise the needed capital to progress into the clinic. The suggestion behind the "valley of death" phrase is that companies that should be able to attract investment do not get funded, because (1) the technical risks inherent in taking a new drug through clinical trials are high, (2) a significant amount of capital is needed to finance clinical development, and (3) the time horizon of investment is on the order of 6-8 years. Ultimately, the valley of death reflects the perceived imbalance of risk and reward for an investment at this stage as well as the resulting difficulty for a biotech company in raising capital during this time. For companies focused on a neglected disease, this risk/reward profile is even more skewed, with significantly greater market risks and fewer exit opportunities for an investor. As a result, the "valley of death" phenomenon for a global health company developing a therapeutic for a neglected disease is even more pronounced As a result, private sector funding for translational research of neglected disease therapeutics has beeri severely lacking. In an effort to spur more private sector investment into the development of neglected disease therapeutics, several market design mechanisms have been developed including Advanced Market Commitments (AMCs) and Priority Review Vouchers (PRVs). These market design mechanisms are new and unproven.
(cont.) To date venture capital has not yet flowed in a meaningful way into startup companies focusing on neglected diseases. This is partially attributable to uncertainties surrounding the credibility and value of the incentives, but it also raises the question of whether these incentives will be sufficient to attract venture investment to a small biotech company focused on neglected diseases. The objective of this thesis is to explore the potential impact of these market design mechanisms on the financial prospects of early stage, pre-revenue biotech companies focused on neglected diseases, including an evaluation of whether the incentives will be sufficient to attract venture investment to the company. To accomplish this, a simulation model was created to compare the relative impacts of these incentive schemes on a small biotech company focused exclusively on a neglected disease therapeutic. The simulation data presented herein reflect the inherent tensions between the social benefit of a neglected disease therapeutic and the need for investors to pursue a financial return commensurate with the risk of the investment. I conclude that, while market design mechanisms like PRVs and AMCs are an intriguing first step, a dual market strategy is likely still necessary for a neglected disease company to attract private investment.
by Brian L. K. Miller.
S.M.
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32

Santiago-Saavedra, Fanny. "The nature of Puerto Rican folk health practices through healers [sic] perceptions and somatic assumptions dissertation /." [Columbus, Ohio] : Ohio State University, 2004. http://www.ohiolink.edu/etd/send-pdf.cgi?acc%5Fnum=osu1092853553.

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33

Zalesak, M. (Martin). "Transitive inference in healthy humans and implications for schizophrenia." Thesis, Massachusetts Institute of Technology, 2006. http://hdl.handle.net/1721.1/38247.

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Thesis (Ph. D.)--Harvard-MIT Division of Health Sciences and Technology, 2006.
"September 2006."
Includes bibliographical references.
Transitive inference (TI) refers to inferences on relations between items based on other known relations of those items. Using a paradigm where participants first learn a series of four overlapping pairs that constitute the ordered sequence A>B>C>D>E and are then tested on the novel TI pair BD and non-TI pair AE, animal experiments demonstrated that intact function of the hippocampus is necessary for TI but not for non-TI. We performed three functional magnetic resonance imaging (fMRI) experiments to identify neural correlates of TI in healthy humans. First, we show hippocampal activation in learning overlapping pairs that constitute an ordered sequence but not non-overlapping individual pairs. Second, we demonstrate hippocampal recruitment in inferences on the ordered sequence of overlapping pairs (TI) but not on non-overlapping pairs (non-TI, e.g., if a>b and c>d then a>d). We then demonstrate the specificity of hippocampal activation to TI on pairs that are devoid of sequence end-items (e.g., B>D vs. A>C). The results support the relational flexibility account of hippocampal function.
(cont.) Under this account, the hippocampus plays a special role in declarative memory in that it acts to rapidly bind common features into a unified representation that supports flexible inferential memory expression. Other brain areas that were activated in TI included prefrontal cortex, pre-supplementary and supplementary motor areas, insula, anterior and posterior cingulate cortex, lateral temporal cortex, precuneus, posterior parietal cortex, cerebellum, thalamus, ventral striatum and midbrain (the TI network). In schizophrenia, TI performance is impaired. Could this deficit be linked to hippocampal abnormalities in SZ? We used the findings from studies of TI in healthy participants to interpret an fMRI study of TI in SZ. In SZ, we confirmed the deficit in TI on pairs devoid of end-items (e.g., B>D) but not on pairs including an end-item (e.g., A>C) and linked it to reduced hippocampal activation. Further, we uncovered aberrant function in two points of the TI network - anterior cingulate and inferior parietal cortices - in SZ.
by M. Zalesak.
Ph.D.
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34

Plovnick, Robert M. (Robert Matthew) 1976. "Health information on the Internet : strategies for assessing consumer needs and improving consumer information retrieval." Thesis, Massachusetts Institute of Technology, 2004. http://hdl.handle.net/1721.1/28591.

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Thesis (S.M.)--Harvard-MIT Division of Health Sciences and Technology, 2004.
Includes bibliographical references (p. 67-70).
Patients and their family members are increasingly turning to the Internet for health information. However, the search strategies consumers are using to obtain information are often unsuccessful. Since some patients are using the information they obtain to influence health decisions, it is increasingly important to identify strategies that aid consumer access to quality information to address their needs. Three different strategies to improve consumer health information retrieval are explored in this thesis, and suggestions for the application of these tactics and incorporation into healthcare delivery are discussed. Consumers have the option to choose between medically specific web sites and generic search engines with the whole Internet as their search space. For this project, a rigorous comparison of Internet searches in these two scopes was conducted to determine which search scope provides better returns. No statistical difference was found between the two different scopes, but several pros and cons of each were identified. Queries generated by consumers to initiate a free-text Internet search are often too short or too general to be effective. Additionally, consumers often employ vocabulary that does not match the terminology of health content. For this research, reformulation of original consumer queries using professional terminology was explored. A trend was noted towards increased search precision when substitutions were provided for lay terms, abbreviations, and acronyms, though performance often worsened when reformulated queries contained ill-fitted or arcane terminology. It is essential to study information needs to devise strategies to support consumer health information retrieval. The specific needs of asthma patients
(cont.) and the extent they can be met by Internet resources are the focus of the final chapter of this thesis. To ascertain their information needs, asthma patients were interviewed before and after a clinical visit. The answers to these needs were then sought in a website limited to quality asthma content. Though many of the questions are answered during a clinical visit, a large proportion of patients leave the clinic with unanswered questions. Half of the needs expressed by patients were answered by the website.
by Robert M. Plovnick.
S.M.
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Boehler, Christian Ernst Heinrich. "Mind the gap! : geographic transferability of economic evaluation in health." Thesis, Brunel University, 2013. http://bura.brunel.ac.uk/handle/2438/7170.

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Background: Transferring cost-effectiveness information between geographic domains offers the potential for more efficient use of analytical resources. However, it is difficult for decision-makers to know when they can rely on costeffectiveness evidence produced for another context. Objectives: This thesis explores the transferability of economic evaluation results produced for one geographic area to another location of interest, and develops an approach to identify factors to predict when this is appropriate. Methods: Multilevel statistical models were developed for the integration of published international costeffectiveness data to assess the impact of contextual effects on country-level; whilst controlling for baseline characteristics within, and across, a set of economic evaluation studies. Explanatory variables were derived from a list of factors suggested in the literature as possible constraints on the transferability of costeffectiveness evidence. The approach was illustrated using published estimates of the cost-effectiveness of statins for the primary and secondary prevention of cardiovascular disease from 67 studies and related to 23 geographic domains, together with covariates on data, study and country-level. Results: The proportion of variation at the country-level observed depends on the appropriate multilevel model structure and never exceeds 15% for incremental effects and 21% for incremental cost. Key sources of variability are patient and disease characteristics, intervention cost and a number of methodological characteristics defined on the data-level. There were fewer significant covariates on the study and country-levels. Conclusions: Analysis suggests that variability in cost-effectiveness data is primarily due to differences between studies, not countries. Further, comparing different models suggests that data from multinational studies severely underestimates country-level variability. Additional research is needed to test the robustness of these conclusions on other sets of cost-effectiveness data, to further explore the appropriate set of covariates, and to foster the development of multilevel statistical modelling for economic evaluation data in health.
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Malda, Castillo Javier. "Asthma, caregiving and mental health : the mind keeps the score." Thesis, Lancaster University, 2018. http://eprints.lancs.ac.uk/126234/.

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This thesis includes a systematic literature review, a research outcome paper and a critical appraisal. The systematic literature review summarises 20 outcome papers that explore the use of Mentalisation-Based Treatment (MBT) in participants with different mental health presentations. The results suggest that MBT has strong evidence in the treatment of people with a diagnosis of Borderline Personality Disorder (BPD) and that MBT has the potential of improving clinical outcomes in people with diagnoses of eating disorders and depression, adolescents who self-harm and mothers enrolled in substance misuse treatments. As compared to other interventions, MBT yielded positive outcomes that were maintained over long follow-ups and thus should be increasingly available for people with a diagnosis of BPD. Future research addressing treatment fidelity, confounding and assessor‘s blindness bias is required. The outcome paper explores the mental health of adult caregivers of asthmatic children living in the United Kingdom. Using an online designed questionnaire, the study collected information regarding participants ́ socio-demographic characteristics, mentalising ability, family functioning, anxiety, depression and hypomanic symptoms. The aim was to further explore the association between caregivers ́mentalising capacity and self-reported mental health symptoms. Sequential linear regression models showed that mentalising on its own was associated with 16%, and 14% of depressive and anxiety symptoms respectively. On the contrary, family functioning was not significantly associated with the independent variables in any of the regression models after mentalising was included. Psychological interventions targeting mentalising might be helpful in reducing anxiety and depression symptoms in this population. The critical appraisal includes the author ́s personal reflections on the journey of writing a doctorate thesis along with the implications of the findings.
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Priscott, Keith. "Discovering knowledge structures in mind maps of mental health risks." Thesis, Aston University, 2016. http://publications.aston.ac.uk/28909/.

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This thesis addressed the problem of risk analysis in mental healthcare, with respect to the GRiST project at Aston University. That project provides a risk-screening tool based on the knowledge of 46 experts, captured as mind maps that describe relationships between risks and patterns of behavioural cues. Mind mapping, though, fails to impose control over content, and is not considered to formally represent knowledge. In contrast, this thesis treated GRiSTs mind maps as a rich knowledge base in need of refinement; that process drew on existing techniques for designing databases and knowledge bases. Identifying well-defined mind map concepts, though, was hindered by spelling mistakes, and by ambiguity and lack of coverage in the tools used for researching words. A novel use of the Edit Distance overcame those problems, by assessing similarities between mind map texts, and between spelling mistakes and suggested corrections. That algorithm further identified stems, the shortest text string found in related word-forms. As opposed to existing approaches’ reliance on built-in linguistic knowledge, this thesis devised a novel, more flexible text-based technique. An additional tool, Correspondence Analysis, found patterns in word usage that allowed machines to determine likely intended meanings for ambiguous words. Correspondence Analysis further produced clusters of related concepts, which in turn drove the automatic generation of novel mind maps. Such maps underpinned adjuncts to the mind mapping software used by GRiST; one such new facility generated novel mind maps, to reflect the collected expert knowledge on any specified concept. Mind maps from GRiST are stored as XML, which suggested storing them in an XML database. In fact, the entire approach here is ”XML-centric”, in that all stages rely on XML as far as possible. A XML-based query language allows user to retrieve information from the mind map knowledge base. The approach, it was concluded, will prove valuable to mind mapping in general, and to detecting patterns in any type of digital information.
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Lochan, Alicia Ruth. "E-Mental Health - Developing a general screening tool for Mental Disorders." Thesis, Uppsala universitet, Institutionen för informatik och media, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-133427.

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Mental health care is critical and while governments are trying to increase awareness of the problem the available resources is not sufficient to confront the growing problem. The thesis proposes a design theory, using Gregor and Jones’s (2007) ‘Anatomy of a Design Theory’ framework, for the current mental illness dilemma that all societies are facing. The proposed solution is one of using information systems, together with domain knowledge and conventional instruments from the field of psychology to create a general screening tool. The design theory takes an ontological approach to defining the domain’s knowledge, using the MINI instrument along with expert knowledge to form the basis of the artifact. The artifact consists of four main entities: Background Information, Screening Questions, Pre-Requisite Questions and Other Questions. The thesis discusses the theoretical rationale for the screening took and then presents an instantiation of the artifact. This tool would be able to screen any person (with the exception of the mentally handicapped) to ascertain if they have a mental disorder as defined in the DSM-IV.
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Adolfsson, Lovisa, and Jenny Pavlovic. "Mina kollegor är min andra familj : Ambulanssjuksköterskors upplevelse av att hantera känslomässigt sin arbetssituation." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-20897.

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Tidigare forskning visar att prehospitalt arbete upplevs stimulerande, men är också fysiskt och psykiskt påfrestande. Syftet var att beskriva hur ambulanssjuksköterskor upplever och hanterar känslomässigt sin arbetssituation. En kvalitativ ansats valdes och djupintervjuer av sex ambulanssjuksköterskor i södra Sverige genomfördes. Data analyserades med hjälp av kvalitativ innehållsanalys med inspiration av ett fenomenologiskt närmelsesätt. Ambulanssjuksköterskorna beskrev att deras arbete innebär att vara skärpt och uppfylld av sitt arbete, vilket innebär att de såg det som världens roligaste yrke, där de gör nytta och är en hjälpande hand för anhöriga men också att känna sig osäker i ett nytt vårdrum. De påtalade också hur de konfronteras med patienters tunga verklighet och att möta sorg, vilket väcker känslor av rädsla, ilska, frustration och maktlöshet. De betonade behov av stöd för att orka hantera sina egna känslor där kollegor sågs som en andra familj men även den egna familjen är ett stöd. De ifrågasatte de möjligheter till stöd som erbjöds i organisationen, men framförallt betonade de att ingen annan än kollegor kunde förstå. Ur ett framtida arbetssmiljöperspektiv är detta viktigt att uppmärksamma för att möjliggöra att hälsa bevaras bland ambulanspersonal.
Program: Specialistsjuksköterskeutbildning med inriktning mot ambulanssjukvård
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Nelson, Tina-Linnea. "An exploration of emotional well-being from a coping perspective." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1996. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ32759.pdf.

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41

Neuner-Jehle, Stefan. "Machbarkeits- und Akzeptanzanalyse des Beratungsprogrammes "Gesundheits-Coaching" (Förderung von gesundheitsrelevanten Verhaltensweisen durch Ärztinnen und Ärzte) mit Entwicklung eines visuellen Instrumentes als integraler Teil des Beratungsprogrammes : an analysis of practicability and acceptance of a new health promotive counseling concept in primary care physicians and their patients and development of a visual tool as non-verbal counseling technique /." Zug, 2006. http://www.public-health-edu.ch/new/Abstracts/NJS_04.06.07.pdf.

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42

Mattsson, Johanna, and Joanna Simonsson. "Min sjukdom mitt ansvar! Ungdomars erfarenheter av att ta ansvar för sin diabetes." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-17007.

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Diabetes är en vanlig sjukdom i Sverige och ungefär 800 barn och ungdomar får diagnosen varje år. Det är en sjukdom som kräver mycket planering för regelbundna måltider, insulindoser, blodsocker kontroller och motion. Svåra och hastiga komplikationer kan uppstå om sjukdomen inte behandlas korrekt. Bakom varje ungdom finns en familj som också påverkas. Mycket oro kan finnas hos föräldrar som tar ansvar för sina barn med diabetes och när barnet blir ungdom kan det vara svårt för föräldrarna att lämna över ansvaret till ungdomen. Detta är dock nödvändigt för att ungdomen ska kunna bli självständig. Syftet med denna uppsats är att utifrån ungdomars egna erfarenheter belysa vad de anser vara viktigt för att ta ansvar för sin diabetes i vardagen. En litteraturöversikt valdes som inkluderade tio kvalitativa artiklar med utgångspunkt från ungdomars egna erfarenheter och upplevelser av att ta ansvar för sin diabetes. Artiklarna analyserades utifrån Fribergs (2006) metod för analysera studier och resultatet presenteras i fem teman; stöd, kommunikation, kunskap, tillåtas ta ansvar samt stegvis ansvarstagande. Ungdomarna i artiklarna uttryckte att det var viktigt att känna föräldrarnas, sjuksköterskans, vänners och signifikanta andras stöd för att våga ta mer ansvar och bli mer självständiga. Det framkom även att relevant och anpassad information för ökad kunskap var viktigt för ungdomarna. God kommunikation med föräldrar och diabetesteam var viktigt samt att tillåtas ta mer ansvar, steg för steg. I diskussionen beskrivs de mest framträdande teman i resultatet och vi reflekterar över hur sjuksköterskor kan underlätta och bemöta ungdomar med diabetes.
Program: Sjuksköterskeutbildning
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43

Richter, Sundberg Linda. "Mind the Gap : exploring evidence-based policymaking for improved preventive and mental health services in the Swedish health system." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-118179.

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Background: The challenges in the utilization of scientific findings in the fields of prevention and mental health are well documented. Scholars have found significant gaps between the knowledge available and the knowledge applied in healthcare. Studies have suggested that about half of the patients receive the recommended care for their medical condition. In order to address this gap, health systems at global, national, regional and local levels have made diverse efforts to facilitate the uptake of research for example through evidence-based health policy processes. In Sweden, government agencies and health policy actors such as the National Board of Health and Welfare support and control the health care system through evidence-based policies amongst other steering tools. The overall aim of this thesis is to explore evidence-based policy processes, and to further understand barriers to implementation of policies in the fields of preventive and mental health services. Methods: A multiple case study approach was used, and data were collected from several sources. Qualitative content analysis methodology was used. Case 1 comprises the development and early implementation of national guidelines for methods of preventing disease managed by the National Board of Health and Welfare during 2007–2014. Case 2 covers the effort to improve health care for the older population that was undertaken through an agreement between the Swedish government and the Swedish Association of Local Authorities and Regions during 2009–2014. Case 3 involves an effort to implement an adapted version of a systematic review from the Swedish agency for health technology assessment and assessment of social services on treatment of depression in primary health care. Data was collected between 2007 and 2010. In Paper 1, the policies from Case 1 and 2 were studied using a longitudinal, comparative case study approach. Data were collected through interviews, documents and observations. A conceptual model was developed based on prior frameworks. The model was used to organize and analyse the data. In Paper 2, the guideline development process (Case 1) was studied through interviews and the collection of documents. A prior framework on guideline quality was used in order to organize the data. Paper 3 investigated decision-making processes during guideline development using a longitudinal approach. Qualitative data were collected from questionnaires, documents and observations and analysed using conventional and summative content analysis. In Paper 4, the barriers to implementation were investigated through interviews and the collection of documents. Data were analysed using qualitative content analysis with a conceptual model to structure the analysis. Results: The sources and procedures for policy formulation differed in Case 1 and 2, as did the approaches to promote the implementation of the policies. The policy processes were cyclical, and phases overlapped to a large degree. The policy actors intended to promote implementation, both during and after the policy formulation process. The thesis shows variation in how the key policy actors defined and used research evidence in the policy processes. In addition, other types of knowledge (e.g. politics, context, experience) served as alternative or multiple sources to inform the health policies. The composition of sources that informed the policies changed over time in Cases 1 and B. During the policy formulation and implementation process, efforts to integrate research evidence with clinical experiences and values were associated with tension and recurrent dilemmas. On the local level (i.e. primary health care centres), barriers to implementation were found related to the innovation and among health professionals, patients, in social networks as well as in the organizational, economic and political contexts. Conclusion: The concept of evidence holds a key position in terms of goals and means for knowledge based policymaking in the Swedish health system. Broad definitions of evidence – including research and non-research evidence - were requested and to various extents utilized by the policy actors in the studied cases. An explicit terminology and systematic, transparent methodology to define, identify, and assess also non-research evidence in policy processes would potentially strengthen the clarity and validity of these processes and also enhance policy implementation. Particular determinants to implementation, such as the interventions characteristic, are to a considerable degree established early in the policy process, during agenda setting and policy formulation. This early phase offers unique opportunities to assess and build capacity, initiate and facilitate implementation. Early analysis and considerations of target populations and contexts and other implementation determinants related to the specific policy scope (e.g. disease preventive guidelines) could enhance the forth-coming implementation of the policy.
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44

Bui, Lilian. "Mind Over Matter Telepsychiatry." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10262960.

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Each year, nearly 70,000 youth in America enter the juvenile justice system and are confined in correctional facilities. Many children younger than 18 years of age are forced to consider these institutions their home as they live out their sentence. A large body of evidence has shown that a majority of these detained adolescents commit crimes due to untreated mental health or from enduring years of constant mental abuse. These issues are often carried over into their sentences and juvenile facilities are not well equipped or properly trained, leaving many behavioral symptoms unattended. Mind Over Matter Telepsychiatry aims to utilize the emerging innovations of telehealth technology to transform mental health service delivery within the juvenile justice system. The mission is to provide accessible, effective, and quality care to vulnerable and often overlooked youth populations in order to prepare them for successful reentry into the community. Mind Over Matter Telepsychiatry’s goal is to work alongside juvenile halls located in The Greater Los Angeles area to become the primary provider of behavioral telehealth services. This proposal will provide an in-depth analysis of how Mind Over Matter Telepsychiatry aim to accomplish these objectives.

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45

Caldwell, Taylor M. "Dualism, Physicalism, and Professional or Alternative Health Seeking: A Gendered Perspective." Scholarship @ Claremont, 2016. http://scholarship.claremont.edu/pitzer_theses/66.

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Evidence supporting a range of 6-14 years between mental illness symptom recognition and psychological help seeking has spurred a substantial interest in help seeking barriers. The present study suggests that mind and body dualism, the perceiving of the mind as an entity distinct from the body, is one such barrier to help seeking. Despite the fact that beliefs in mind-body dualism or its opposite, that of physicalism, are evident in virtually all human cultures and religions, surprisingly little is known about the psychological and behavioral implications of holding such beliefs. An exception to this disparity is a study that demonstrated a connection between dualism and decreased engagement in healthy behaviors, such as exercise and eating habits (Forstmann et al., 2012). The aim of the present study was to expand on these findings by investigating the effects of mind-body beliefs and gender on attitudes towards professional psychological help and holistic or alternative medicines. In accordance with my hypothesis, a MANOVA indicated a main effect of gender, such that women felt more positively than men about seeking professional help for their own mental health problems as well as about the general value of therapy for others. A secondary analysis indicated that participants who self-identified as Jewish felt significantly more positive about psychotherapeutic treatment compared to Christian, Hindu, and Buddhist religious groups. Future research should continue to examine the links between mind-body ideologies, religion, culture, and help seeking through a large-scale correlational analysis utilizing naturally occurring mind-body beliefs.
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46

Geukes, Cornelia [Verfasser]. "Health Literacy bei älteren Menschen mit geistiger Behinderung / Cornelia Geukes." Bielefeld : Universitätsbibliothek Bielefeld, 2019. http://d-nb.info/1201818745/34.

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47

Eberhardt, Judith. "An electronic coping-enhancement programme for bereaved women addressing psychosocial factors in breast-cancer development." Thesis, Teesside University, 2012. http://hdl.handle.net/10149/239431.

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Conventional breast-cancer prevention strategies tend to focus on the reduction of physical breast-cancer risk factors while neglecting psychosocial factors potentially associated with its development. Yet, there is a wealth of evidence linking psychosocial factors such as the occurrence of and maladaptive coping with bereavement and other stressful life events, certain personality traits, and a lack of social support, to breast-cancer incidence, survival and mortality.This thesis aimed to design, implement and evaluate an electronic Coping-Enhancement Programme for the Bereaved (CEPB), addressing such psychosocial factors. Furthermore, participants’ experiences of the programme were to be explored. An experimental 2x2 independent measures design with triangulation was used, employing qualitative and quantitative methodology. Participants’ experiences were elicited qualitatively through blogs and message boards. The two independent variables were (1) emotional-expression-and-stress-reduction (EESR), and (2) psycho-education. Dependent variables were: (1) maladaptive coping with bereavement, (2) maladaptive coping with stressful life events, (3) social support, and (4) awareness of the connections between psychological and physical health. An additional dependent variable was conformity. A Web site containing message boards and blogs was created. Thirty-one women completed a psychological screening form and were then randomly assigned to one of four conditions (EESR-only, psycho-education-only, EESR-plus-pyscho-education, or the control group who received no intervention). They participated in online exercises designed to aid emotional expression and stress reduction (‘Art and Laughter for Wellbeing’) and/or received psycho-education through the reading of autobiographical accounts of breast-cancer sufferers. Participants were analysed on the dependent variables three times: before the programme to obtain a baseline measurement, after the programme, and at six-week follow-up. Thematic analysis was used to illustrate the process of the CEPB, as well as to confirm or disconfirm quantitative results. Analyses of covariance revealed that after the programme, taking part in ‘Art and Laughter for Wellbeing’ was associated with lower maladaptive coping with bereavement, while reading autobiographical accounts of breast-cancer sufferers was associated with lower maladaptive coping with stressful life events. Participation in both conditions was associated with higher levels of social support, and taking part in either condition was associated with lower levels of conformity. The latter effect persisted at follow-up. Mixed analyses of variance showed changes over time in three dependent variables. The CEPB was generally viewed as useful, helpful and enjoyable by participants. Implications for future research are discussed, and a biopsychosocial model of breast-cancer prevention is proposed.
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48

Cole, Andrew N. "Study of Microchip Power Module Materials with Mini-Channel Heat Exchanger." University of Dayton / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=dayton1264007133.

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49

Ozano, K. A. "Mind the gap! : an investigation into the optimisation of public health skills, knowledge and practices of health workers in Cambodia." Thesis, Liverpool John Moores University, 2017. http://researchonline.ljmu.ac.uk/6975/.

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Universal health coverage (UHC) has been identified as a priority in the sustainable development goals (SDG3), but it is argued here that this is only possible if the health workforce is educated in, and values a public health approach at the primary health care (PHC) level. Encouraging community participation by developing a critical awareness of the social determinants of health and supporting communities to take action is needed. Community health workers (CHWs) have the potential to act as agents for social change to improve the health of rural communities if trained and supported appropriately. This study investigates the optimization of public health skills, knowledge and practices of health workers at the PHC level in rural Cambodia. It is anticipated that this study will afford new insights to inform stakeholders of the factors impacting on the development of public health workforce capacity. The research engaged twenty CHWs over two studies using a participatory action research approach. Over eight participatory workshops and a two-day training session CHWs identified (using photovoice), implemented and reflected on solutions to community health problems. In addition, ten semi-structured interviews were undertaken with key stakeholders from government and non-government organisations (NGOs) to gain an understanding of current methods used to develop the public health capacity of health workers in Cambodia. The public health skills gaps identified at provincial and community levels included planning, communication, community engagement techniques and using initiative to identify and implement solutions. These gaps are intrinsically linked to Cambodian social and political structures, and cultural values which promote a hierarchical working environment. In addition, aid dependency and a lack of ownership has created a new patronage which encourages further disempowerment and an apathetic approach to independently tackling community health issues. Fragmented public health training mainly directed by international agents and a lack of financial support to develop sustainable training, supervision and monitoring negatively impacts public health skill development. Health promotion and prevention training is provided to health facility workers, but there is a ‘know-do’ gap. They view their role as purely curative and removed from the community public health agenda, thus devaluing the application of new public health skills. The implementation of community participation policies in Cambodia is hindered by a reliance on external agencies and cultural norms of respect, obedience and fear of challenging the elite. The capacity for CHWs to act as agents of social change is unlikely given the current policy structure and implementing environment. The health workforce in Cambodia has the potential to contribute significantly to the goal of UHC, however factors affecting their desire and ability to implement a public health approach need addressing. Although many health systems are hierarchical in nature, the degree to which people can innovate, openly analyse processes and procedures and suggest solutions needs to be considered. Identifying ways of supporting CHWs to mobilise and enable communities to be empowered within the contextual environment is required, as is a better understanding of how to close the know-do gap in health facility workers.
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50

Soar, Rod. ""Drugs on the mind" : dual diagnosis : the experience of mental health professionals." University of Ballarat, 2003. http://archimedes.ballarat.edu.au:8080/vital/access/HandleResolver/1959.17/15384.

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Recent publicity has focused on the problems created by the usage of illicit drugs in the community. The growing use of illicit drugs throughout the Grampians region and the lack of resources and professional services available to regional and rural areas raise many questions as to treatment options and the accessibility and appropriateness of drug and alcohol and mental health services. Despite the fact that mental health professionals in rural/regional areas are expected to deliver the most appropriate care to individuals with a comorbid drug and alcohol and psychiatric disorder, a number of these rural/regional mental health professionals have limited preparation and experience in dealing with dual diagnosis issues. This phenomenological study focuses on the area of dual diagnosis, specifically the experiences of health professionals who care for clients diagnosed with a serious mental illness and a coexisting drug and alcohol disorder. Results are described in the form of four themes, which emerged from data collected during in-depth interviews with 13 mental health professionals who care for clients with a dual diagnosis. The themes captured in this research will be described using metaphors as headings. The first theme Sink or swim represents mental health professionals’ initial preparation to care for this group of complex clientele. Treading water symbolises mental health professionals’ endeavours to keep their head above water and reflects on their feelings while endeavouring to do so. Rowing against the tide describes mental health professionals’ understanding of clients’ drug misuse, which impacts greatly on the level of care.
Master of Nursing
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