Matching Items (3)
Description
Chemotherapy refers to the use of chemical agents to inhibit or stop the growth of rapidly dividing cancer cells. There are many side effects of systemic chemotherapy, which are caused because the drug not only kills cancer cells but healthy cells as well (American Cancer Society, 2017). Common side effects include fatigue, hair loss, bruising/ bleeding, infection, anemia, nausea and vomiting, appetite changes, constipation, diarrhea, oral sores, nerve and muscle pain, dry skin and color change, kidney dysfunction, weight loss, cognitive difficulties, mood changes, sexual dysfunction, and fertility problems (American Cancer Society, 2017). Research shows that complementary and alternative medicine (CAM) may help relieve some of the side effects of chemotherapy. Examples of CAM include herbal medicine, dietary supplements, acupuncture, yoga, Tai Chi, massage, electromagnetic therapy, meditation, biofeedback, music, dance, and guided imagery (Johns Hopkins Medicine, 2017). The aim of this creative project was to design a third-party website to provide information to patients undergoing chemotherapy and their family members regarding the use of CAM for the treatment of chemotherapy-induced side effects. Rationale for this project stemmed from a preliminary research step. We analyzed and coded for presence or absence of CAM-specific information on the websites of 20 National Cancer Institute-designated comprehensive cancer centers across the United States. Fifty percent of websites were double-coded. Inter-rater reliabilities (kappa values) for coding of the presence or absence of specific CAM therapies ranged from 0.38 for acupuncture to 1.00 for exercise and yoga, expressive arts, and herbs (mean kappa = 0.75). Fourteen of the 20 websites mentioned meditation or mindfulness; 13 mentioned nutrition; 12 mentioned acupuncture; 11 mentioned exercise or yoga; 11 mentioned massage; 8 mentioned expressive arts; and 3 mentioned herbs. Frequencies for presence of either a description of the specific CAM therapy or an explanation of how the therapy works were lower. We then conducted a literature review using PUBMED to find peer-reviewed research on the efficacy of the previously described seven CAM therapies. The literature search focused on systematic reviews and meta-analyses published within the past 10 years. Based on the literature obtained, we created summaries of the scientific evidence for each CAM therapy. This information is now provided on our third-party website in tabular form with summative statements. The website describes in lay language: chemotherapy, chemotherapy side effects, CAM, seven specific CAM therapies, and evidence for the efficacy or lack thereof of each. Per the American Nurses Association (2015), it is our responsibility to advocate for our patients through education and holistic treatment. The role of the nurse is to educate the patient about treatment options; however, it is not within the nurse's scope of practice to prescribe a treatment. As such, this website should not be viewed as a prescription for CAM therapies, but instead as a user-friendly and easily accessible resource for informed decision-making regarding the adjunctive use of CAM therapies.
ContributorsNichols, Abrianna (Co-author) / Varosky, Maxwell (Co-author) / Langer, Shelby (Thesis director) / Morris, Brenda (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
Description
Adolescence is a tumultuous time, and for those with risk factors, it can be even more difficult. This study examined the relationships among intrinsic and extrinsic protective factors such as high self-esteem, high self-efficacy, mattering to others, positive sense of identity, and healthy peer relationships in female adolescents. Additionally, the current study assessed the impact of a positive youth development intervention designed for this particular population. The potential sample consisted of adolescent girls who were students at an alternative high school in the Southwestern region of the United States. Of the 25 girls at the school, 12 participated in the study and completed pre-test instruments measuring self-esteem, self-efficacy, mattering to friends and parents, identity distress, and relational aggression. The instruments were administered before and after a positive youth development intervention of which 10 of the 12 participants attended. The intervention, Girls Circle, consisted of activities designed to foster self-acceptance, identity formation, healthy friendships, and goal setting in adolescent girls. While the study's intervention did not result in significant changes over time, several important findings emerged. Self-esteem was positively related to both mattering to friends and mattering to parents. Likewise, a negative correlation was found between relational aggression and mattering to parents. Girls who felt they were more important to friends and family had higher self esteem and were less likely to engage in covert aggression tactics such as spreading rumors and maliciously excluding peers from their social groups. These results support the literature and highlight the important interconnection of social relationships and subjective well-being. Teachers, counselors, social workers, and other helping professionals who work with adolescents need to understand these relationships and use this understanding to design and implement interventions that will best serve at-risk girls, such as those in this study.
ContributorsKincaid, Katherine J (Author) / Robinson Kurpius, Sharon (Thesis advisor) / Homer, Judith (Committee member) / Kinnier, Richard (Committee member) / Arizona State University (Publisher)
Created2010
Description
Mobile sources emit a number of different gases including nitrogen oxides (NOx) and volatile organic compounds (VOCs) as well as particulate matter (PM10, PM2.5). As a result, mobile sources are major contributors to urban air pollution and can be the dominant source of some local air pollution problems. In general, mobile sources are divided into two categories: on-road mobile sources and non-road mobile sources. In Maricopa County, the Maricopa County Air Quality Department prepares inventories of all local sources [11], [12]. These inventories report that for Maricopa County, on-road mobile sources emit about 23% of total PM2.5 annually, 58% of the total NOx, and 8% of the total VOCs. To understand how future changes how vehicles might impact local air quality, this work focuses on comparing current inventories of PM2.5, black carbon (BC), NOx, and VOCs to what may be expected emissions in future years based on different scenarios of penetration of hybrid gas-electric vehicles (HEV) and electric vehicles (EV) as well as continued reduction in emissions from conventional internal combustion (IC) vehicles. A range of scenarios has been developed as part of this thesis based on literature reports [6], [8], air quality improvement plan documentation [5], projected vehicle sales and registration [3], [4], as well as using EPA’s Motor Vehicle Emission Simulator (MOVES) [9]. Thus, these created scenarios can be used to evaluate what factors will make the most significant difference in improving local air quality through reduced emissions of PM2.5, BC, NOx and VOCs in the future. Specifically, the impact of a greater fraction of cleaner alternative vehicles such as hybrid-electric and electric vehicles will be compared to the impact of continual reductions in emissions from traditional internal combustion vehicles to reducing urban air pollution emissions in Maricopa County.
ContributorsAlboaijan, Fahad A M S (Author) / Fraser, Matthew (Thesis advisor) / Andino, Jean (Committee member) / Lackner, Klaus (Committee member) / Arizona State University (Publisher)
Created2020