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"Falling on deaf ears": A historical treatment of fibromyalgia
Title
"Falling on deaf ears": A historical treatment of fibromyalgia.
Creator
Richardson, Barbara, Florida Atlantic University, Dunphy, Lynne M.
Abstract/Description
From 1850 to the present doctors have been examining the phenomenon now known as fibromyalgia, primarily in upper-middle class women. Some sources relate this to a lack of clearly defined roles for women since industrialization and urbanization changed family life. Medicine has not been able to effectively determine the etiology and treatment for this syndrome. Women's voices are "falling on deaf ears". Documented cases of fibromyalgia go back as far as biblical times. It is found in all...
Show moreFrom 1850 to the present doctors have been examining the phenomenon now known as fibromyalgia, primarily in upper-middle class women. Some sources relate this to a lack of clearly defined roles for women since industrialization and urbanization changed family life. Medicine has not been able to effectively determine the etiology and treatment for this syndrome. Women's voices are "falling on deaf ears". Documented cases of fibromyalgia go back as far as biblical times. It is found in all geographic areas and has been labeled with many different names. In spite of these facts, it was not until 1990 that a name and a diagnostic criteria for fibromyalgia syndrome was established. In order to understand the impact illness has had on women this paper will explore the relationship of historical events, social and medical views toward women and fibromyalgia-like illnesses from 1850 to the present.
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Date Issued
2001
PURL
http://purl.flvc.org/fcla/dt/12802
Subject Headings
Fibromyalgia, Women--Health and hygiene--Sociological aspects
Format
Document (PDF)
Has medicalization of menopause been a success?
Title
Has medicalization of menopause been a success?.
Creator
Campbell, Janice Eva., Florida Atlantic University, Appleton, Lynn M., Dorothy F. Schmidt College of Arts and Letters, Department of Sociology
Abstract/Description
In the 1960s and 70s, menopause was actively promoted by some members of the medical profession as a debilitating disease. The promotion extended from medical journals to popular books and magazines. Despite these efforts, by the 1980's and 90's, the medicalization of menopause has not been an unequivocal success. Using Conrad and Schneider's theory of the Medicalization of Deviance as a framework for my discussion, I provide evidence that medicalization is only partially successful. The...
Show moreIn the 1960s and 70s, menopause was actively promoted by some members of the medical profession as a debilitating disease. The promotion extended from medical journals to popular books and magazines. Despite these efforts, by the 1980's and 90's, the medicalization of menopause has not been an unequivocal success. Using Conrad and Schneider's theory of the Medicalization of Deviance as a framework for my discussion, I provide evidence that medicalization is only partially successful. The promoters of the concept of menopause as a disease have succeeded in formulating this definition, have been partially successful in institutionalizing it, and failed to implement their goal of treating all menopausal women with estrogen.
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Date Issued
1995
PURL
http://purl.flvc.org/fcla/dt/15137
Subject Headings
Menopause, Menopause--Hormone therapy, Estrogen--Therapeutic use, Women--Health and hygiene
Format
Document (PDF)
A Systematic Review and Quantitative Meta-Analysis of the Accuracy of Visual Inspection for Cervical Cancer Screening: Does Provider Type or Training Matter?
Title
A Systematic Review and Quantitative Meta-Analysis of the Accuracy of Visual Inspection for Cervical Cancer Screening: Does Provider Type or Training Matter?.
Creator
Driscoll, Susan D., Tappen, Ruth M., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
Background: A global cervical cancer health disparity persists despite the demonstrated success of primary and secondary preventive strategies, such as cervical visual inspection (VI). Cervical cancer is the leading cause of cancer incidence and death for women in many low resource areas. The greatest risk is for those who are unable or unwilling to access screening. Barriers include healthcare personnel shortages, cost, transportation, and mistrust of healthcare providers and systems. Using...
Show moreBackground: A global cervical cancer health disparity persists despite the demonstrated success of primary and secondary preventive strategies, such as cervical visual inspection (VI). Cervical cancer is the leading cause of cancer incidence and death for women in many low resource areas. The greatest risk is for those who are unable or unwilling to access screening. Barriers include healthcare personnel shortages, cost, transportation, and mistrust of healthcare providers and systems. Using community health workers (CHWs) may overcome these barriers, increase facilitators, and improve participation in screening for women in remote areas with limited access to clinical resources. Aim: To determine whether the accuracy of VI performed by CHWs was comparable to VI by physicians or nurses and to consider the affect components of provider training had on VI accuracy. Methods: A systematic review and quantitative meta-analysis of published literature reporting on VI accuracy, provider type, and training was conducted. Strict inclusion/exclusion criteria, study quality, and publication bias assessments improved rigor and bivariate linear mixed modeling (BLMM) was used to determine the affect of predictors on accuracy. Unconditional and conditional BLMMs, controlling for VI technique, provider type, community, clinical setting, HIV status, and gynecological symptoms were considered. Results: Provider type was a significant predictor of sensitivity (p=.048) in the unconditional VI model. VI performed by CHWs was 15% more sensitive than physicians (p=.014). Provider type was not a significant predictor of accuracy in any other models. Didactic and mentored hours predicted sensitivity in both BLMMs. Quality assurance and use of a training manual predicted specificity in unconditional BLMMs, but was not significant in conditional models. Number of training days, with ≤5 being optimal, predicted sensitivity in both BLMMs and specificity in the unconditional model. Conclusion: Study results suggest that community based cervical cancer screening with VI conducted by CHWs can be as, if not more, accurate than VI performed by licensed providers. Locally based screening programs could increase access to screening for women in remote areas. Collaborative partnerships in “pragmatic solidarity” between healthcare systems, CHWs, and the community could promote participation in screening resulting in decreased cervical cancer incidence and mortality.
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Date Issued
2016
PURL
http://purl.flvc.org/fau/fd/FA00004755
Subject Headings
Women--Health and hygiene., Cervix uteri--Cancer--Diagnosis., Cervix uteri--Cancer--Prevention., Medical screening., Medical care--Quality control., Community health services.
Format
Document (PDF)
Partnering: An exploration of the process occurring between couples engaged in a Partner Breast Exam Program
Title
Partnering: An exploration of the process occurring between couples engaged in a Partner Breast Exam Program.
Creator
Scheinberg-King, Caryn R., Florida Atlantic University, Hektor, Lynne M.
Abstract/Description
The purpose of this study was to gain an understanding of what happens when partners participate in the Partner Breast Exam Program. A qualitative research design, using a grounded theory approach was used to understand the perspective of the couples participating in "Men Can Too" a Partner Breast Exam program. This approach was chosen because the experience of participation in Partner Breast Exam is "unchartered territory." Preliminary findings suggest that the process of partnering results...
Show moreThe purpose of this study was to gain an understanding of what happens when partners participate in the Partner Breast Exam Program. A qualitative research design, using a grounded theory approach was used to understand the perspective of the couples participating in "Men Can Too" a Partner Breast Exam program. This approach was chosen because the experience of participation in Partner Breast Exam is "unchartered territory." Preliminary findings suggest that the process of partnering results in a synergy between the couples. The three processes that comprise the Dynamics of a Synergistic Couple include: Sharing, Dyad: Male/Female Interaction, and Motivation. Partnering, by removing barriers such as fear, can promote a shared journey toward health for a couple, where they become synergistic partners in health, when they share the burden.
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Date Issued
1996
PURL
http://purl.flvc.org/fcla/dt/15363
Subject Headings
Breast--Cancer--Diagnosis, Breast--Examination, Helping behavior, Men--Attitudes, Women--Health and hygiene, Breast--Cancer--Nursing
Format
Document (PDF)
The lived experience of health among older Guatemalan women
Title
The lived experience of health among older Guatemalan women.
Creator
Ordonez, Maria de los Angeles., Florida Atlantic University, Jett, Kathleen F.
Abstract/Description
Older Guatemalan women living in farmworking communities represent a vulnerable population enduring extreme poverty, leading to decline of their health. A phenomenological approach was selected as the qualitative research methodology to describe their lived experience of health. Pender's (2002) Health Promotion Model was used as the conceptual framework guiding the inquiry. Nine women, living in South Florida, were interviewed using their secondary language, Spanish. The interviews were tape...
Show moreOlder Guatemalan women living in farmworking communities represent a vulnerable population enduring extreme poverty, leading to decline of their health. A phenomenological approach was selected as the qualitative research methodology to describe their lived experience of health. Pender's (2002) Health Promotion Model was used as the conceptual framework guiding the inquiry. Nine women, living in South Florida, were interviewed using their secondary language, Spanish. The interviews were tape-recorded, transcribed, and translated into English. A synthesized list of descriptive expressions emerged with seven themes. These were analyzed and a structural definition of the lived experience of health was formulated and compared to the concept of health as described by Pender (1982). Understanding the meaning of health among older Guatemalan women may influence policies, practice processes, and accessibility of health care while expanding nursing's body of knowledge. Specific recommendations to improve older Guatemalan women's access to health care were presented.
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Date Issued
2006
PURL
http://purl.flvc.org/fcla/dt/13340
Subject Headings
Women--Health and hygiene--Guatemala, Health status indicators--Florida, Nursing--Social aspects--Florida, Health attitudes--Florida, Transcultural medical care--Florida, Women immigrants--Florida--Cross-cultural studies
Format
Document (PDF)