MENTAL HEALTH IMPACT OF STUDENT LOAN DEBT ON COLLEGE STUDENTS

This is a proposed study regarding student loan debt and mental health. This study would impact social work practice and education by understanding the mental health status of those continuing to pay off student loan debt. Student loan debt has become an enormous issue in the United States, with the average student carrying $37,000 in debt. Students are impacted financially and emotionally, and their overall well-being is compromised because higher education has become unaffordable for many without the assistance of student loans. Students need to understand the short and long-term implications of student loan debt, such as mental health issues and financial instability. Students should become aware of financial resources such as scholarships, financial counseling, and repayment/forgiveness programs to mitigate the implications of student loan debt. The target population of this study would have been current and graduated college students with at least one student loan debt. The study would have used surveys and interview guides to help understand the mental health implications that student loan debt proposes

Factores que afectan el uso de prácticas de gestión del riesgo en los proyectos del sector minero energético en Colombia

139 páginasA pesar de la necesidad, beneficios y efectividad de la implementación de sistemas de gestión de riesgos, investigadores afirman que las organizaciones que han tenido éxito en la aplicación de esta práctica se encuentran todavía en una pequeña minoría que no supera el 25º/o. Por lo anterior, se hace necesario entender los factores que afectan el buen uso de prácticas de gestión de riesgos en los proyectos desarrollados en Colombia, analizar el grado de compromiso de gerentes y profesionales involucrados en el proceso. Es así, como el presente trabajo de grado tiene como objeto analizar el manejo del riesgo en proyectos, específicamente en los ejecutados en el sector Minero Energético en Colombia, un sector que se ha convertido en el sector más dinámico e importante de la economía del país y por lo tanto, un sector lleno de incertidumbres con incidencias positivas o negativas dependiendo de su comportamiento; con el propósito de identificar aquellos factores que lo afectan y conocer las causas que impiden o dificultan que la gestión del riesgo sea una práctica implementada de forma eficiente.Despite the need, benefits and effectiveness of the implementation of risk management systems, researchers say that organizations that have succeeded in implementing this practice are still in a small minority that doesn't exceed 25o/o. Due to the above, it is necessary to understand !he factors that affect the good use of risk management practices in projects developed in Colombia, to analyze the degree of commitment of managers and professionals involved in process. Thus. the present thesis aims to analyze the risk management in projects, specifically those executed in !he Mining Energy sector in Colombia, a sector that has become the most dynamic and important sector of the country's economy and therefore, a sector full of uncertainties with positive or negative incidents depending on their behavior; with the purpose of identifying those factors that affect it and knowing the causes that impede or make it difficult for risk management to be an efficiently implemented practice.Magíster en Gestión y Evaluación de Proyectos de InversiónMaestrí

Relación entre la posición de labio superior con la posición de los incisivos superiores y el maxilar en sujetos de 11 a 35 años de edad

El presente estudio tuvo como propósito determinar la relación entre la posición de labio superior con la posición de los incisivos superiores y el maxilar en sujetos de 11 a 35 años de edad. El estudio, retrospectivo, transversal, descriptivo y observacional se desarrolló en un Centro Radiológico de Trujillo e incluyó un total de 120 radiografías laterales escogidas al azar. Para determinar las dimensiones de la posición de labio superior con la posición de los incisivos superiores y el maxilar se utilizó el análisis de McNamara (ángulo nasolabial, A-Nperp, longitud maxilar, la distancia del IS al punto A) y el análisis de Steiner (ángulo SNA, posición del incisivo superior, clase esquelética, ángulo del incisivo superior y la distancia de la protusión del labio superior) Para evaluar la relación entre la posición de labio superior con la posición de los incisivos superiores y el maxilar se empleó el coeficiente de correlación de Spearman, con un nivel de significancia del 5%. Los resultados muestran que no existe relación entre la posición de labio superior y el maxilar, sin embargo, sí existe relación entre la posición del labio superior con la posición de los incisivos superiores.The purpose of the present study was to determine the relationship between the position of the upper lip and the position of the maxillary and upper incisors in subjects from 11 to 35 years of age. The retrospective, transverse, descriptive and observational study was carried out at a Trujillo Radiological Center and included a total of 120 lateral radiographs chosen at random. The McNamara analysis (nasolabial angle, A-Nperp, maxillary length, the distance from the IS to the point A) and Steiner's analysis (SNA angle, upper incisor position, skeletal class, upper incisor angle and the distance from the protrusion of the upper lip). To evaluate the relationship between the position of the upper lip and the position of the maxillary and maxillary incisors, the Pearson correlation coefficient was used, with a significance level of 5%. The results show that there is no relationship between the position of the upper lip and the maxillary, however, there is a relationship between the position of the upper lip and the position of the upper incisors.Tesi

Incidencia de las complicaciones post-exodoncias complejas y cerradas de dientes normalmente implantados en la Clínica Estomatológica de la Universidad Privada Antenor Orrego de Trujillo en el periodo de marzo a julio 2016

El presente estudio tuvo como objetivo principal determinar la relación de incidencia en las complicaciones post-exodoncias complejas y cerradas de dientes normalmente implantados como el edema, intensidad del dolor y trismu. El estudio prospectivo, longitudinal, comparativo y observacional, se desarrolló en el Centro Quirúrgico de la Clínica Estomatológica de la Universidad Privada Antenor Orrego que incluyó un total de 30 pacientes. Para la recolección de datos, cada paciente firmó un consentimiento informado donde tuvo conocimiento del estudio a realizar, el cual fue registrado en una ficha de recolección de datos, teniendo en cuenta la edad del paciente, edema, intensidad del dolor y trismu a las 0, 24, 48 y 72 horas post -operatorio. Según edema, a las 0 horas se encuentra diferencia significativa al corroborarse con el p-valor: 0,029 < 0.05; asimismo, a las 24, 48 y 72 horas se encuentra diferencia, al corroborarse con el p-valor: 0,000 < 0.05. Según intensidad del dolor, a las 0, 24, 48 y 72 horas se encuentra diferencia significativa en dichas horas, al corroborarse con el p-valor (0.00 < 0.05). Según trismu, a las 0, 24, 48 y 72 horas, no se encuentra diferencia significativa en dichas horas al corroborarse con el p-valor (0.873 > 0.05); a las 24 horas, (0.884 > 0.05); a las 48 horas, (0.735 > 0.05) y; a las 72 horas, (0.777 > 0.05). Se concluyó que existe diferencia estadísticamente significativa al comparar la exodoncia cerrada y la exodoncia compleja, según edema a las 0,24,48 y 72 horas; según intensidad de dolor a las 24,48 y 72 horas y; no existe diferencia estadísticamente significativa , según trismu a las 0, 24,48 y 72 horas.Main objective of this study was to determine the relationship between incidence in complications post-extraction complex and closed teeth normally implanted as edema, intensity of pain and trismus. The observational, comparative and longitudinal, prospective study was conducted in the Center surgical of the clinic dental of the Universidad Private Antenor Orrego which included a total of 30 patients. For the collection of data, each patient signed an informed consent where he had knowledge of the study to be done, which was recorded in a data collection form, taking into account the age of the patient, edema, intensity of pain and trismus at 0, 24, 48 and 72 hours post - operative. According to edema, at 0 hours is significant difference to corroborate with the p-value: 0.029 < 0.05; In addition, at 24, 48 and 72 hours is difference, to corroborate with the pvalue: 0.000 < 0.05. According to intensity of pain, 0, 24, 48 and 72 hours is significant in these hours difference, to corroborate with the p-value (0.00 0.05); 24 hours, (0.884 > 0.05); at 48 hours, (0.735 > 0.05) and; at 72 hours, (0.777 > 0.05). It was concluded that there is statistically significant difference when comparing closed extraction and complex extraction, according to edema to the 0,24,48 and 72 hours; According to intensity of pain to the 24.48 and 72 hours and; There is no statistically significant difference, according to Lockjaw to 0, 24,48 and 72 hours.Tesi

Qualitative Contributions to a Randomized Controlled Trial Addressing HIV/AIDS-Stigma in Medical Students

Specialized training for healthcare professionals (HCP) in order to reduce HIV/AIDS related stigma must be part of a public health model for HIV/AIDS. Tested interventions to reduce HIV/AIDS related stigma among HCP have been mostly absent from these efforts. A qualitative approach was used to assess stigma reduction within a traditional randomized controlled design in order to better understand how our current stigma intervention worked and was understood by 2nd year medical students. After conducting a quantitative follow up survey one-year post intervention we conducted 20 in-depth qualitative interviews with a subsample of our intervention group participants as part of the overall evaluation process. Once the interviews were finished, we transcribed them and used NVivo (v.8) to organized the qualitative data. In the process of analyzing the qualitative data we identified core intervention areas participants described as useful for their training and development: (1) acquiring more HIV/AIDS-related knowledge, (2) increased skills for management of high stigma situations, and (3) the ability to identify socio-structural factors that foster HIV infection among clients. The gathered information is important in order to have a deep understanding of how attitudinal change happens as part of our intervention strategies

Filling the gaps in physician communication. The role of the Internet among primary care patients

BACKGROUND: Millions of people use the Internet as a source for health information yet little is understood about how the use of the Internet for health information is related to the doctor-patient relationship. OBJECTIVE: We conducted the present study to understand the association between one’s interest in using the Internet for general and quality-oriented health information and attitudes about one’s communications with health care provider(s). DESIGN: Cross-sectional survey. SETTING: Four community-based primary care practices in Rhode Island. MEASUREMENTS: A single self-administered survey included items to measure: interest in using the Internet to look for general and quality-oriented information and a patient’s perceptions of the degree to which their doctors over the previous year have: 1) given them information and 2) engaged them in the decision-making process. RESULTS: A total of 300 patients completed the survey. Among patients without Internet access, interest in using the Internet for health related activities was less among patients who felt that their doctor gave less information: Odds ratio 0.83 (95% CI, 0.70 to 0.98) and greater among patients who felt that their doctor engaged them more in decision making: Odds ratio 1.3 (95% CI, 1.1-1.6). Among patients with Internet access, we found no relationship between interest in using the Internet for health related activities and measures of patient-physician communication or patient-physician decision making. CONCLUSIONS: Interest in using the Internet for health information is greater for those who 1) felt their doctors provided less information and 2) felt their doctors engaged them more in the decision-making process, but this is true only for those without access to the Internet

Pre-Visit Planning in Primary Care

Pre-visit planning is the process of collecting and organizing data prior to a patient appointment. The pre-visit planning process requires a team member to call the patient a week before the appointment through the use of a questionnaire form. This helps identify incomplete tests, screenings, immunizations and referrals that are currently outstanding. The pre-visit process results in scheduling needed appointments and lab work as well as gathering necessary information from the patient to streamline their upcoming visit. The use of pre-visit planning may result in improved patient satisfaction and decreased physician time with each patient visit.https://scholar.rochesterregional.org/nursingresearchday_2023/1016/thumbnail.jp

The case for biocalculus: Improving student understanding of the utility value of mathematics to biology and affect toward mathematics

The next generation of life science professionals will require far more quantitative skills than prior generations. Calculus is important for understanding dynamical systems in biology and, therefore, is often a required course for life science students. However, many life science students do not understand the utility value of mathematics to biology. Therefore, according to expectancy-value theory, life science students may experience lower moti-vation, which can impact their performance in a calculus course. This study examines how two different biocalculus courses, which integrated calculus and biological concepts and successfully halved the rates of students earning a D, F, or withdrawing (DFW), affected life science students’ utility value, interest, and overall attitudes toward mathematics. Using pre and post surveys, we found that students’ interest in mathematics increased by the end of the semester, and they demonstrated a more sophisticated understanding of how mathematics is used in biology. Students whose attitudes toward mathematics improved primarily attributed these changes to a better understanding of the utility of mathematics to biology, feelings of competence in mathematics, or rapport with the instructor. Thus, communicating the utility value of mathematics to biology through integrated mathemat-ics–biology courses can contribute to improved attitudes toward mathematics that can impact students’ motivation and performance

Reestructuración del paisaje : propuesta de un centro de interpretación en los humedales de Ciudad Eten

El presente trabajo de investigación se centra en el análisis territorial que abarca el humedal La Bocana de Ciudad Eten, la importancia de su ecosistema, historia, turismo y la representación que tiene el poblador sobre el lugar, dándonos a conocer el grado de identidad con el humedal, y las posibles intervenciones para reestructurarlo y protegerlo. Debido que el elemento base del paisaje en el humedal es el agua se estudio su dinámica en el río Reque, cuyo recorrido actúa directamente sobre su morfología y biodiversidad; teniendo en cuenta las variables naturales que modifican el comportamiento del río por períodos, causando desbordes, difurcaciones o el desplazamiento de su cause. Como es el caso del fenómeno del Niño Costero que no solo afecta directamente al humedal sino también a Ciudad Eten. Aparte de entender los trazos del río Reque se estudio la fisonomía del humedal, su flora y fauna, analizando sus diversas características para un mayor entendimientodel terreno y tomar decisiones sobre el emplazamiento de un proyecto arquitectónico. También se tuvo encuenta para este fin el desarrollo histórico del humedal vinculado con el poblador etenano, donde se describio el desplazamietno del pueblo por el humedal hasta su ubicación actual y el uso que hicieron de sus recursos naturales, siendo en la actualidad algunos vigente. Esto nos ayudo a comprender la transformación de la identidad del poblador etenano, respecto a sus costumbres ancestrales, hasta llegar a la representación que actualmente tienen. Así como el surgimiento de nuevos movimientos, que promueven el valor cultual y natural de la zona. Todos estos valores ambientales, culturales y paisajísticos; nos muestran una gama de potencialidades turísitcas no solo en el ámbito natural por el avistamietno de aves, sino también religioso e histórico. Los cuales se uso a la hora de plasmar las estrategias proyectuales a lo largo del territorio delimitado, el cual termina en la propuesta de un Centro de Interpretación