Thesis (M.P.H.)--University of Michigan, 1946.

Thesis (Ed.D.)--Boston University

The opioid epidemic in America and worldwide is growing leading to an increase in opioid addiction ultimately ending in overdose and death. The specific aim of this paper is to evaluate the different treatment methods that aid with opioid addiction. The main medicated-assisted treatments (MATs) that will be discussed are buprenorphine and methadone. In addition to these two MATs, behavioral therapy treatment will also be of focus as it is often paired with a MAT to obtain the best treatment outcome. This paper will evaluate multiple factors that define successful opioid addiction treatment and treatment outcomes. These factors may include patient characteristics, relapse time if applicable, and length of sobriety after treatment completion also with other aspects.

Thesis (Ed.D.)--Boston University.

<p> Annually, over 200,000 people suffer injury or death due to preventable medical errors. Unintentional medical errors continue to be a problem despite repeated attempts within health care to reduce sentinel events. High Fidelity Medical Simulation (HFMS) provides a realistic, computer generated patient care environment. Simulation has been used successfully to educate and train healthcare providers. Little research has examined how simulation could contribute to the investigation of causal analysis of sentinel events in healthcare. This dissertation addresses the question: How can medical simulation play a role in the understanding of sentinel events in healthcare? Three sentinel event cases were identified and investigated using typical morbidity and mortality (M&MC;) methods. Ten contributing factors averaging 3.33 (2&ndash;5) were found in each sentinel event through traditional debriefing. Nineteen additional contributing factors were identified through simulation averaging 6.3 (4&ndash;7) additional contributing factors. Simulation provided a 65.5% increase in causal factors of sentinel events compared to traditional debriefing. In addition, there were an additional fifty-eight points of learning that were identified through the simulations and debriefings. This research concludes that the use of simulation can increase the understanding of contributing factors to sentinel events in healthcare.</p>

No description available.

<p> Research indicates that ACEs are common and adults who have experienced abuse, neglect, or household dysfunction are at higher risk for emotional, mental, and physical health problems, such as type-2 diabetes. However, little is known about how adults with type-2 diabetes and ACEs self-manage their diabetes. The delayed time between exposure to ACEs and the diagnosis of diabetes can inhibit recognition of the relationship between the two. Identifying ACEs in adults and treatment of diabetes share similar goals: to improve health outcomes and quality of life. Self-management of type-2 diabetes can be stringent and challenging, requiring collaborative work between patients and healthcare providers. </p><p> The purpose of this study was to explore the adults&rsquo; perception of how ACEs influence how they self-manage and control their type-2 diabetes. This qualitative multiple case study took place at two healthcare practices at the Institute for Family Health, which serves Hispanic/Latino and Black, low socioeconomic communities. One-on-one semi-structured interviews were the primary means of data collection. A diabetes self-management survey (SDSCA) and collection of hemoglobin A1C levels were utilized to provide triangulation. </p><p> The findings revealed that all participants described multiple ACEs and spoke of emotional neglect. Physical neglect and abuse, and separation from family member(s) were also prevalent. Most often these experiences evoked feeling helpless, unloved, and depressed. Overall, this group of adults self-managed their diabetes poorly, as evidenced by their responses to the interview, SDSCA, and A1C levels. Finally, they denied the influence of ACEs on how they self-managed their diabetes. </p><p> This study found that ACEs elicit physical and emotional effects that may influence how adults with type-2 diabetes self-manage their diabetes. Denial of a connection between the two may contribute to poor self-management. Further analysis determined that participants fell into one of three groups: (1) the Proactives, a small group, who despite their ACEs were actively involved in self-management; (2) the Deniers, who denied the severity of their ACEs and diabetes and didn&rsquo;t adequately participate in their care; and (3) the Debilitated, who appeared depressed and incapable of participating in self-management. The influence of racial/ethnic, low education, and low SES cannot be underestimated.</p>

Thesis (Ed.D.)--Teachers College, Columbia University. / Typescript; issued also on microfilm. Dissertation Committee: Elizabeth Swain Kasl, Victoria J. Marsick. Bibliography: leaves 341-355.

Thesis (M.S.P.H.)--University of Michigan, 1937.

Thesis (Ph. D.)--New York University, School of Education, 1975. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.