Digital Commons Network^™

Fostering Change In Organizational Culture Using A Critical Ethnographic Approach, Rosemary A. Brander, Margo Patterson, Yolande E. Chan

The Qualitative Report

Healthcare organizations are striving to meet legislated and public expectations to include patients as equal partners in their care, and research is needed to guide successful implementation and outcomes. The current research examined the meaning of customer service as related to the culture of care relationships within a Canadian hospital in southeastern Ontario. The goals were to better understand these expectations, develop shared meanings and influence cultural change from the perspective of the organization’s employees about their interactions with patients, families and work colleagues, and to generate ideas and groundswell for change. An ethnographic approach within the critical research paradigm …

Adverse Maternal Outcomes For Women With Different Health Insurance Statuses In Nevada, Jay J. Shen, Hong Wei

Nevada Journal of Public Health

Objective. Nevada women with unfavorable health insurance status may face greater barriers than women in the rest of the nation, since the development of healthcare infrastructure in Nevada is running behind population growth. This study examines the relationship between health insurance status and adverse maternal outcomes in Nevada.

Methods. Hospital discharge information of 33,149 women aged 13 or older who delivered in 2004 was abstracted from the 2004 State Inpatient Data for Nevada. A total of 13 measures of complications associated with pregnancy were identified, including preterm labor, hypertensive disorders of pregnancy, gestational diabetes, ante-partum hemorrhage, membrane disorders, cesarean section, …

Prevalence And Antimicrobial Agent Susceptibility Of Methicillin-Resistant Staphylococcus Aureus In Healthy Pediatric Outpatients In Las Vegas, Echezona E. Ezeanolue, Mark P. Buttner, Patricia Cruz, Joanne L. Henry, Chad L. Cross, Linda D. Stetzenbach

Nevada Journal of Public Health

Colonization and infection by community-associated resistant strains of Staphylococcus aureus are being reported in epidemic proportions. The purpose of this study was to determine the local prevalence of methicillin-resistant Staphylococcus aureus (MRSA) colonization in children and to characterize the MRSA isolates in the laboratory with regard to antimicrobial agent susceptibility patterns, and the presence of the mecA and the Panton-Valentine leukocidin (PVL) genes. Nasal swabs were collected at two pediatric clinics from a total of 505 children during health maintenance visits. A brief questionnaire was administered to collect demographic data and pertinent medical, family, and social history. Samples were cultured …

Fall/Winter 2012, Full Issue

The Confluence (2009-2020)

No abstract provided.

Damian Howard. Being Human In Islam: The Impact Of The Evolutionary Worldview. London & New York: Routledge. 2011., Martin Riexinger Ph.D.

Journal of International and Global Studies

Book review.

State Sponsored Famine: Conceptualizing Politically Induced Famine As A Crime Against Humanity, Jlateh Vincent Jappah Md, Msc, Danielle Taana Smith

Journal of International and Global Studies

This paper argues for the codification of politically induced famine as a crime against humanity. We use the term “state sponsored famine” to reflect the conceptualization of famine as not merely nature-induced but also as a willfully orchestrated state policy. The specification of faminogenic practices as criminal would subject perpetrators to international jurisdiction and provide deterrence to future offenders. We review traditional conceptualizations of famine as a geophysical event. We explore Amartya Sen’s concept of famine as caused by the collapse of individual entitlement and market exchange dynamics; we also discuss commentary on Sen’s approach. Further, we analyze the limits …

“To Love And To Cherish: Marital Violence And Divorce In Nineteenth-Century America”, Julian Barr

The Confluence (2009-2020)

In this co-winner of the Tatom Award, Julian Barr uses an 1865 divorce case to explore the ways women gained protection against domestic violence through the court system.

Lower Nutritional Status And Higher Food Insufficiency In Frail Older Us Adults, Ellen Smit, Kerri M. Winters-Stone, Paul D. Loprinzi, Alice M. Tang, Carlos J. Crespo

Community Health Faculty Publications and Presentations

Frailty is a state of decreased physical functioning and a significant complication of ageing. We examined frailty, energy and macronutrient intake, biomarkers of nutritional status and food insufficiency in US older adult (age ≥ 60 years) participants of the Third National Health and Nutrition Examination Survey (4731). Frailty was defined as meeting ≥ 2 and pre-frailty as meeting one of the following four-item criteria: (1) slow walking; (2) muscular weakness; (3) exhaustion and (4) low physical activity. Intake was assessed by 24 h dietary recall. Food insufficiency was self-reported as ‘sometimes’ or ‘often’ not having enough food to eat. Analyses …

Diplomacy And Cosmopolitanism In A Globalized World, Adina Borcan Ph.D.

Journal of International and Global Studies

Due to the fact that there is a new world culture, with increasing connections of varied local cultures, the characteristics of the 21st century seem to be globalization, seen as “a matter of increasing long-distance interconnectedness, at least across national boundaries, preferably between continents as well” (Hannerz, 1996, p. 17). However, despite this tendency towards globalization, there are still some communities who have no contacts even within the same country (different tribes from an African country, for example) or countries which are isolated due to political doctrine (North Korea, for example), where contact with the rest of the world is …

C. Sarmento. (Ed.). Permanent Transit: Discourses And Maps Of The Intercultural Experience. Newcastle-On-Tyne. Uk: Cambridge Scholars Publishing. 2012., Myna German Ph.D.

Journal of International and Global Studies

Book review.

Women Empowerment And Community Development Through Ecotourism, Katherine S. Barry

Capstone Collection

Eco-tourism is generically and broadly considered to be a trendy topic for the privileged traveler to obtain an “authentic cultural experience”. This paper aims to disprove common misperceptions and present failures the system has created. Eco-tourism is an over-exploited and under-utilized tool in the field of sustainable development. Many resorts and “cultural” tours dominant, while local people suffer economically, social and environmentally. However, in the far-reaches of the Kakamega rainforest, there is group that is filling the environmental, social and economic gap in the field of sustainable tourism. They are the Isecheno Women’s Conservation Group, empowering and educating women to …

Operating The Silencer: Muted Group Theory In The Great Gatsby, Sarah Funderbruke

Masters Theses

This master's thesis examines gender and social roles seen in dialogue in the American classic novel, The Great Gatsby, by F. Scott Fitzgerald. The researcher conducted a coding and rhetorical analysis to determine if elements of muted group theory were in the novel. Muted group theory was developed by Edwin and Shirley Ardener after their research indicated that a culture's values and social structure were voiced through rhetoric. The theory states that dominance in certain groups mutes, or silences, others from communicating effectively. Five passages from The Great Gatsby were selected for this analysis. These passages highlighted dialogue between the …

Examining Ways To Promote Water Conservation At Golf Courses In Bloomington-Normal, Illinois, Rose Kelly '13

Outstanding Senior Seminar Papers

The purpose of this study was to examine ways for golf courses in Bloomington-Normal, Illinois, to promote water conservation. As the demand for freshwater exponentially increases around the United States, it becomes necessary to examine current freshwater uses, especially those for recreational purposes. Golf courses are one of the largest freshwater users, with a typical course consuming hundreds of thousands of gallons every day for grass maintenance. With water shortages and insecure future water supplies, golf courses around the United States are urgently looking for ways to promote water conservation. This includes golf courses in Bloomington-Normal, Illinois. The severe drought …

“Modern Day Canary In The Coal Mine”, John A. Crawford

The Confluence (2009-2020)

Salamanders serve an array of functions in the Missouri environment, as this primer on amphibians by John Crawford suggests.

The Effects Of The Family On Student Achievement: A Comparative Study Of Traditional Nontraditional Families, Melinda Fonteboa

Doctoral Dissertations and Projects

The purpose of this quantitative, causal-comparative study was to test the interactive framework of social cognitive theory, attachment theory, and the theory of moral absolutism by comparing the academic achievement of over 200 high school seniors (as measured by the Georgia High School Graduation Test; GHSGT) based on the structures of their families. The independent variable of family structure was initially classified as either nontraditional or traditional. A nontraditional family was defined, for the purposes of this study, as any family that is not comprised in its entirety by two biological parents (or adoptive parents from birth), one male and …

Analysis Of Lead Levels In Deciduous Teeth From Children In Clark County, Nevada., Kristin Murphy, Jennifer Berger-Ritchie, Shawn L. Gerstenberger, Amol B. Amin, Jason K. Nitta, Frederick G. More, Jeanne A. Hibler, Karl Kingsley

Nevada Journal of Public Health

Background: Elevated blood lead levels (EBLL) are declining in the United States, although some population subgroups continue to exhibit significant health disparities. A childhood lead poisoning prevention program was recently started in Nevada, and many efforts have been made to support this program and increase the screening rates.

Methods: To expand the potential pool of children screened for EBLLs, a pilot study was performed to evaluate lead concentrations in extracted deciduous teeth using Graphic Furnace Atomic Absorption Spectrometry (GFAAS), Inductively Coupled Plasma Mass Spectrometry (ICP-MS), and X-Ray Fluorescence (XRF) analysis.

Results: Lead concentrations as determined by GFAAS and ICP-MS were …

Food Insecurity Across The First Five Years: Triggers Of Onset And Exit, Alison Jacknowitz, Taryn W. Morrissey

University of Kentucky Center for Poverty Research Discussion Paper Series

Very low food security among young children is associated with developmental deficiencies. However, little is known about the factors that predict entry into or exit from very low food security during early childhood. This study seeks to: (1) Understand the triggers that explain movements into or out of very low food security among children from birth to age five; (2) Examine the first aim using different definitions of food insecurity. The analysis relies on the Early Childhood Longitudinal Study-Birth Cohort (ECLS-B), a longitudinal, nationally representative dataset of approximately 10,700 children, to estimate linear probability models. Results suggest that residential moves …

Reducing Unlawful Prescription Drug Promotion: Is The Public Health Being Served By An Enforcement Approach That Focuses On Punishment?, Vicki W. Girard

Georgetown Law Faculty Publications and Other Works

Despite the imposition of increasingly substantial fines and recently successful efforts to impose individual liability on corporate executives under the Park doctrine, punishing pharmaceutical companies and their executives for unlawful promotional activities has not been as successful in achieving compliance with the Federal Food, Drug, and Cosmetic Act (FD&C Act) as the protection of the public health demands. Over the past decade, the Food and Drug Administration (FDA) and the Department of Justice (DOJ) have shifted their focus from correction and compliance to a more punitive model when it comes to allegedly unlawful promotion of pharmaceuticals. The shift initially focused …

Gender, Masculinity, Femininity And Help Seeking In College, Heath Marrs, Ellen A. Sigler, Robyn D. Brammer

All Faculty Scholarship for the College of the Sciences

The current academic performance struggles of college men is gaining increasing research attention (Sax, 2008a, 2008b), but few studies have explored the possible impact of gender-related attributes such as masculinity and femininity on academic help-seeking behaviors and academic performance. In this study of 567 college undergraduates, students who classified themselves as androgynous on the Bem Sex-Role Inventory were more likely to engage in academic help-seeking behaviors than those classified as male sex-typed, female sex-typed, and undifferentiated. No significant differences were found for academic performance. These results highlight the importance of exploring the potential influence of gender-related constructs on academic behavior …

The Relationship Between Ethnic Identity And Chlamydia And Gonorrhea Infections Among Low-Income Detained African American Adolescent Females, Dexter R. Voisin

Faculty Scholarship

This study explored the relationship between ethnic identity and Chlamydia and Gonorrhea infections among detained African American female adolescents. A cross-sectional survey was conducted among 123 African American female adolescents within eight detention facilities in Georgia. Using audio-computer assisted self-interviewing technology, data were collected on demographics, ethnic identity, laboratory-confirmed Chlamydia and Gonorrhea, and other known correlates for sexually transmitted infections (STIs), such as socioeconomic status, parental monitoring, and risky sexual behaviors. Rates of Chlamydia and Gonorrhea testing yielded incidence rates of 22.6% and 4.3%, respectively. Findings indicated that, controlling for STI correlates, participants who indicated high ethnic identity were 4.3 …

Racial/Ethnic Differences In The Relationship Between Neighborhood Disadvantage And Adolescent Substance Use, Abigail A. Fagan, Emily M. Wright, Gillian M. Pinchevsky

Criminology and Criminal Justice Faculty Publications

Although social disorganization theory hypothesizes that neighborhood characteristics influence youth delinquency, the impact of neighborhood disadvantage on adolescent substance use and racial/ethnic differences in this relationship have not been widely investigated. The present study examines these issues using longitudinal data from 1,856 African American, Hispanic, and Caucasian adolescents participating in the Project on Human Development in Chicago Neighborhoods (PHDCN). The results indicated that neighborhood disadvantage did not significantly increase the likelihood of substance use for the full sample. When relationships were analyzed by race/ethnicity, one significant (p ≤ .10) effect was found; disadvantage increased alcohol use among African Americans …

Rhode, Deborah L.: The Beauty Bias: The Injustice Of Appearance In Life And Law., Margaret Svogun

Journal of Interdisciplinary Feminist Thought

No abstract provided.

Family Structure, Work Patterns And Time Allocations: Potential Mechanisms Of Food Insecurity Among Children, Kelly Balistreri

University of Kentucky Center for Poverty Research Discussion Paper Series

Over 469 thousand households in the U.S. experienced very low food security among children, a severe condition characterized by reductions in food intake due to an inability to afford enough food. But food insecurity is not simply about economic resources. There exists a paradox in which some poor households with children are food secure while some non-poor households with children are food insecure. This study moves beyond a singular focus on income and considers how the family context may protect or generate risk of food insecurity for children. The goals of the proposed project were to: 1) to provide a …

Art As A Cure: Analyzing Healthcare Treatment For The Mentally Ill Through The Lens Of Art Therapy Programs In Dakar, Senegal, Sofia Porter-Castro

Independent Study Project (ISP) Collection

Mental illness is a malady that affects roughly 2.3 million people in Senegal ("Statistics by Country” 2012), but the wide and sometimes opposing range of healing practices suggests that the attitudes surrounding mental illness are still largely contested. This is especially true in Senegal’s capital, where advances in medicine in big city hospitals are growing while ties to traditional beliefs and practices remain strong. Alternative therapies, such as art therapy, provide an opportunity for practitioners to explore different techniques for treating the mentally ill while still integrating elements of the local culture. It is precisely this integration that this paper …

Pepfar Problems: How Does The United States’ Presidential Emergency Program For Aids Relief Empower Women?, Caitlin H.

Independent Study Project (ISP) Collection

This study looks to examine how the Presidential Emergency Program for AIDS Relief (PEPFAR) works to achieve one of its key goals, the empowerment of women, in the Western Cape. Human immunodeficiency virus (HIV) affects women disproportionately, around the world and in South Africa. Thus, women should be a key focus of Acquired Immunodeficiency Syndrome (AIDS) relief and HIV prevention. This paper analyzes the work of PEPFAR to empower women through three lenses. Women’s empowerment in general is discussed, to see how organizations view their own methods of empowerment. PEPFAR’s work with sex workers is examined, as they are often …

Engendering The Classroom: A Look At Constructions Of ‘Gender’ And Empowerment Within Teachers’ Trainings In Northern India, Martha Snow

Independent Study Project (ISP) Collection

Education for girls in India has been a crucial area of study for the past 20 years; however, the main focus of attention has been on issues of girls’ access to school only. This study moves beyond this, seeking to gain critical insight into how ‘gender’ is being understood within the classroom via teachers. Teachers’ trainings conducted by the government and by Non-Governmental Organizations (NGOs) were examined through interviews with teachers and coordinators of teachers’ trainings, along with experts on gender and feminism in Delhi and Jaipur, Rajasthan. These interviews focused on the content and quality of teachers’ trainings, and …

“Heaven And Earth” Samoan Indigenous Religion, Christianity, And The Relationship Between The Samoan People And The Environment, Grace Wildermuth

Independent Study Project (ISP) Collection

This paper examines Samoan indigenous religion and the relationship between Samoans and the environment before and after the introduction of Christianity. It looks at how Christian beliefs and the cultural perspectives of European missionaries affected Samoa’s environment. It then considers Samoan indigenous religious values that may be helpful to combat current environmental problems. Primary and secondary sources were used, including interviews with both theologians and environmentalists. Samoan indigenous religion promoted a sustainable relationship with the land but Christianity and the cultural lens through which it was delivered had negative environmental effects. Samoa retains a deep environmental knowledge in the memories …

Accessing Justice, Evaluating Agency: How 12 Women In Cape Town Perceive Their Local Police Services With Respect To Their Race, Class, Gender, And Geographic Location, Ellen Moore

Independent Study Project (ISP) Collection

Policing in South Africa has a long, twisted history that is still evident in some current police practices and especially in the public’s perceptions of the police. In addition to historical factors such as colonial rule and apartheid, people’s perceptions of the police are also affected by their race, class, gender, and geographic location. Although these factors’ can be considered to have an individual effect on perceptions, it is through a complex understanding of how they relate to one another that a true understanding of a person’s perception can be reached. The inspiration for this study stemmed from these concepts …

The “Marikana Massacre” And The Reactions Of South Africans, Isabelle Soifer

Independent Study Project (ISP) Collection

This paper seeks to convey the wide array of perspectives of South Africans regarding the Marikana strike, one of the bloodiest and most violent of mineworker strikes since the end of apartheid. The author sets out to determine the factors that mold and shape the views of the interviewees as they express their opinions regarding the strike; more specifically, the actions of the strikers and the police who sought to contain them. The methodologies utilized include research regarding the historical context of mineworkers and strikes in South Africa, interviews with a diverse group of individuals residing in Cape Town, and …

Living With Autism In Vietnam, Libie Motchan

Independent Study Project (ISP) Collection

This paper examines the many implications of living with Autism in Vietnam on both affected children and their families. The lack of information, statistics and awareness of autism in Vietnam is reflected in the limited treatment resources available. This study calls attention upon what problems parents are most affected by what they feel needs to change. It also looks at the current sentiment and understanding of autism and its perceived causes. The results of this paper come from background research, observation at clinics and special education facilities, interviews with professionals in the fields of psychology and education, interviews with parents …