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2016

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Generic Drugs : Physician Prescribing Practices For Brand Name And Generic Medications, Tamuno Raymond George Jan 2016

Generic Drugs : Physician Prescribing Practices For Brand Name And Generic Medications, Tamuno Raymond George

Walden Dissertations and Doctoral Studies

Brand-name drug costs continue to create a burden for many US seniors who receive care from healthcare institutions. Generic medication is as therapeutic as is brand-name drugs and, in most cases, costs far less. Despite this cost difference, physicians continue to prescribe brand-name drugs. The purpose of this cross-sectional study was to explore physicians' patterns of prescribing brand-name drugs over generic drugs. This study was guided by the medical home model, which was developed in 1967 by the American Academy of Pediatrics. The study incorporated a purposeful sampling approach with a sample size of 151 physicians. Multiple linear regression was …

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Clergy Characteristics As Predictors Of Mental Health Literacy, Jodi Vermaas Vermaas Jan 2016

Clergy Characteristics As Predictors Of Mental Health Literacy, Jodi Vermaas Vermaas

Walden Dissertations and Doctoral Studies

The mental health literacy (MHL) rates of Christian clergy in the United States remains underinvestigated in the current literature. This gap of knowledge is problematic for the large numbers of individuals with mental illness who seek assistance from clergy and may receive inadequate care for their concerns. As theoretically designated by the behavioral models of health care and MHL research, denomination-type, educational variables, and demographic characteristics were investigated as potential predictors of MHL. A sample of 238 Christian clergy from throughout the United States completed the web-based Mental Health Literacy Scale and demographic questionnaire. Results of analysis of variance (ANOVA) …

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Perceived Barriers To Oral Health Care Access For Massachusetts' Underserved Parents, Doudelyne Cenafils-Brutus Jan 2016

Perceived Barriers To Oral Health Care Access For Massachusetts' Underserved Parents, Doudelyne Cenafils-Brutus

Walden Dissertations and Doctoral Studies

Poor oral care is detrimental to the overall health of the population. In the United States, oral health diseases affect millions of individuals, especially children and adolescents. Guided by the health belief model, the purpose of this study was to identify parents' perceived barriers to oral health care access among their 5- to 10-year-old children. A phenomenological approach was used to gather data and thematically analyze interview data from 20 parents who were recruited from a health center in the northeastern United States. All participants had at least one child between 5-10 years old and all identified as under-served. Data …

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The Effect Of A Constructivist-Based Approach On Fifth Grade Reading Achievement, Lori Mcgough Harkness Jan 2016

The Effect Of A Constructivist-Based Approach On Fifth Grade Reading Achievement, Lori Mcgough Harkness

Walden Dissertations and Doctoral Studies

The problem investigated in this quantitative study was that schools in a small, rural East Texas town were falling below acceptable ratings in reading on the Texas Assessment of Knowledge and Skills (TAKS) and the State of Texas Assessment of Academic Readiness (STAAR). Researchers have found that constructive-based learning environments (CBLEs) can improve student achievement. The purpose of this study was to examine the relationship between length of time enrolled in a CBLE and reading achievement. Based on the framework of constructivism, 2 research questions were examined. To answer Research Question 1, an analysis of covariance (ANCOVA) calculated the difference …

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A Composite Index To Measure Integration Of Global Business Citizenship, Linda L. Sanner Jan 2016

A Composite Index To Measure Integration Of Global Business Citizenship, Linda L. Sanner

Walden Dissertations and Doctoral Studies

Among the top Fortune 100 U.S. companies, 97% claim to be global business citizens, primarily based on self-evaluated qualitative criteria. The purpose of this quantitative cross-sectional survey design study was to develop a self-administered survey and apply it to calculate a composite index rating that assesses the maturity level a company has attained toward becoming a global business citizen. The theoretical framework underpinning the research was based on the theory of global business citizenship (GBC) and accompanying four-step implementation process. The GBC theory was utilized to develop the research survey consisting of 1 qualifying question and 22 Likert-type questions. The …

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Disparities In Arkansas Mandated Immunization Coverage Among Natural Home And Foster-Care Adolescents, Jerome Essono Ngundue Jan 2016

Disparities In Arkansas Mandated Immunization Coverage Among Natural Home And Foster-Care Adolescents, Jerome Essono Ngundue

Walden Dissertations and Doctoral Studies

Anecdotal evidence indicated vaccine coverage disparities among foster-care (FCA) and natural-home adolescents (NHA). Arkansas laws require 5 vaccines for school entry (FVSE) to prevent 9 common childhood diseases. The study problem was that Pulaski County, Arkansas adolescent birth cohort (PCABC) immunization rates were low compared to U.S. adolescents for these FVSE. This study examined the extent to which (1) PCABC immunization rates were significantly different from those estimated for U.S. adolescents in 2006–2008, (2) NHA and FCA immunization rates were different in 2003– 2008; (3) sociodemographic variables mediate associations between home of residence (HOR), NHA or FCA, and up to …

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Risk Factors For Hypertension Among African-Born Immigrants In The United States, John Ojih Jan 2016

Risk Factors For Hypertension Among African-Born Immigrants In The United States, John Ojih

Walden Dissertations and Doctoral Studies

Essential hypertension (HTN) has been and continues to be a serious public health problem across the globe, particularly among Black races, with an estimated morbidity rate of over 1 billion people and an estimated mortality rate of 9.4 million people worldwide. Essential HTN can lead to a host of chronic diseases including cardiovascular disease (CVD), stroke, myocardial infarction, brain damage, kidney failure, and retinopathy. The main purpose of this quantitative, descriptive, nonexperimental study was to investigate the association of physical inactivity, length of stay in the United States, immigrants' health status, and food security as risk indicators in the development …

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The Small Area Fair Market Rent System In The Richmond Region: An Evaluation Of Current Voucher Concentration, Move To Opportunity Counseling, And Value Capture Planning, Catherine L. Bray Jan 2016

The Small Area Fair Market Rent System In The Richmond Region: An Evaluation Of Current Voucher Concentration, Move To Opportunity Counseling, And Value Capture Planning, Catherine L. Bray

Theses and Dissertations

In June of 2015, the U.S. Department of Housing and Urban Development released an Advance Notice of Proposed Rulemaking to establish a more effective Fair Market Rent System using Small Area Fair Market Rents (SAFMRs) in the Housing Choice Voucher Program (HCVP) instead of the current 50th Percentile FMRs. The 50th Percentile FMR is currently in use in the Richmond, Virginia region, and the region is likely to be among early adopters of the new SAFMR System. This thesis assesses existing conditions that will affect implementation of the Small Area Fair Market Rent (SAFMR) System. First, it evaluates …

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Strategies To Retain Employees In Clinical Laboratories, Amber Rose Phipps Jan 2016

Strategies To Retain Employees In Clinical Laboratories, Amber Rose Phipps

Walden Dissertations and Doctoral Studies

With 30 million citizens gaining access to U.S. healthcare through the Affordable Care Act by 2016, healthcare managers need preanalytic employees to ensure quality healthcare services can be provided. The purpose of this qualitative single case study explored strategies used to retain preanalytic employees. The target population consisted of 10 clinical laboratory managers in a single community-based clinical laboratory in the mid-southern United States, selected because of prior success in improved employee retention strategies. The conceptual framework grounding this study was the theory of work adjustment. Data triangulation occurred from using semistructured interviews and company documents. All interpretations from the …

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Reducing Employee Turnover In Retail Environments: An Analysis Of Servant Leadership Variables, Beatriz Rodriguez Jan 2016

Reducing Employee Turnover In Retail Environments: An Analysis Of Servant Leadership Variables, Beatriz Rodriguez

Walden Dissertations and Doctoral Studies

In a competitive retail environment, retail store managers (RSMs) need to retain retail customer service employees (RCSE) to maximize sales and reduce employee turnover costs. Servant leadership (SL) is a preferred leadership style within customer service organizations; however, there is disagreement regarding the usefulness of SL in the retail industry. The theoretical framework for this correlational study is Greenleaf's SL theory. Seventy-four of 109 contacted human resources managers (HRMs) from a Fortune 500 United States retailer, with responsibility for evaluating leadership competencies of the RSMs they support, completed Liden's Servant Leadership Questionnaire. RCSE turnover rates were available from company records. …

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Exploring Obesity Risk Factors In Five Regions Of Virginia, Karen Toth Carpenter Jan 2016

Exploring Obesity Risk Factors In Five Regions Of Virginia, Karen Toth Carpenter

Walden Dissertations and Doctoral Studies

Obesity continues to weaken our nation physiologically, psychologically and financially with an overall prevalence rate of 34.9% or 78.6 million Americans affected. Variance in obesity prevalence rates, in the state of Virginia, account for over a 15% difference from one health district to the next. The purpose of this research was to better explore the regional obesogenic factors that may exist among five health districts in the state of Virginia. The socio ecological theory provides the conceptual framework of the study to understand the variance in regional obesity rates, as a function of the contributing risk factors that a region …

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Unlimited Rights In A Water-Scarce World? Quantification Of Dormant Rights To Common Pool Groundwater, Jennifer L. Harder Jan 2016

Unlimited Rights In A Water-Scarce World? Quantification Of Dormant Rights To Common Pool Groundwater, Jennifer L. Harder

McGeorge School of Law Scholarly Articles

No abstract provided.

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Modeling Effects Of Diet On Human Gut Microbiota, Richard Thomas Agans Jan 2016

Modeling Effects Of Diet On Human Gut Microbiota, Richard Thomas Agans

Browse all Theses and Dissertations

The human gut microbiota is integrally involved in the metabolism of nutrients contained within the human diet. Studies into human nutrition have primarily been carried out using human and animal models. These studies are extremely important in our understanding of human nutrition, however, suffer from inherent limitations including unique microbial compositions between individuals, compliance in human studies, inability to carry out mechanistic studies, and inability to interrogate proximal regions of the gut without applying invasive techniques. In vitro gut simulator systems circumvent many of these limitations in animal and human models by allowing control of gut environmental conditions, decreasing variability …

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Power Distribution And Probabilistic Forecasting Of Economic Loss And Fatalities Due To Hurricanes, Earthquakes, Tornadoes, And Floods In The United States, Scott Edward Baker Jan 2016

Power Distribution And Probabilistic Forecasting Of Economic Loss And Fatalities Due To Hurricanes, Earthquakes, Tornadoes, And Floods In The United States, Scott Edward Baker

Browse all Theses and Dissertations

Traditionally, the size of natural disaster events such as hurricanes, earthquakes, tornadoes, and floods is measured in terms of wind speed (m/sec), energy released (ergs), or discharge (m3/sec). Economic loss and fatalities from natural disasters result from the intersection of the human infrastructure and population with the natural event. This study investigates the size versus cumulative number distribution of individual natural disaster events in the United States. Economic losses are adjusted for inflation to 2014 United States Dollars (USD). The cumulative number divided by the time over which the data ranges is the basis for making probabilistic forecasts in terms …

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The Genomics Of Speciation Within The Globally Distributed Blue-Winged Ducks, Joel Thomas Nelson Jan 2016

The Genomics Of Speciation Within The Globally Distributed Blue-Winged Ducks, Joel Thomas Nelson

Browse all Theses and Dissertations

The ability to disperse over long distances can result in a high propensity for colonizing new geographic regions and lead to lineage diversification via allopatric speciation. However, high vagility can also result in gene flow between otherwise allopatric populations, and in some cases, parapatric or divergence-with-gene-flow models of speciation might be more applicable to widely distributed lineages. Here, I used five nuclear introns and the mitochondrial control region to examine divergence, gene flow, and phylogenetic relationships within a cosmopolitan lineage comprising six species, the blue-winged ducks (genus Anas), which inhabit all continents except Antarctica. I found two primary sub-lineages, the …

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Determining The Significance Of Alliance Pathologies In Bipolar Systems: A Case Of The Peloponnesian War From 431-421 Bce, Anthony Lee Meyer Jan 2016

Determining The Significance Of Alliance Pathologies In Bipolar Systems: A Case Of The Peloponnesian War From 431-421 Bce, Anthony Lee Meyer

Browse all Theses and Dissertations

The literature proposes that bipolar systems and international systems with nuclear weapons will not have significant issues with alliance pathologies. But are alliance pathologies really insignificant in Bipolar Systems? The problem is that the literature only describes bipolar systems with nuclear weapons, so one cannot discern whether bipolarity or nuclear weapons alone are responsible for the insignificance of these alliance pathologies. So to solve this problem, this paper will examine a bipolar system in Classical Greece during the time of the Peloponnesian War to isolate any possible influence that nuclear weapons may have on alliance pathologies. This will be done …

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Examining Infarct Sizes In Female Sprague Dawley Rats In Response To A Delayed Post-Stroke Pharmacological Treatment In Combination With Physical Rehabilitation, Sayali Ravindra Dharmadhikari Jan 2016

Examining Infarct Sizes In Female Sprague Dawley Rats In Response To A Delayed Post-Stroke Pharmacological Treatment In Combination With Physical Rehabilitation, Sayali Ravindra Dharmadhikari

Browse all Theses and Dissertations

In this study, we hypothesize that a pharmacological drug treatment comprised of Fluoxetine, Simvastatin and Ascorbic acid together with physical rehabilitation would reduce infarct sizes. Over the period of 60 days after stroke-induction, 13 of the 23 rats were administered the drugs beginning 20-26 hours after stroke-induction and the rest were assigned to the control group. Physical rehabilitation exercises were initiated from poststroke day 8 and continued for 23 alternate days. The rats were tested for functional recovery using Montoya staircase apparatus and were euthanized after post-stroke day 60. The brains sections were analyzed using Nissl stain for infarct volume …

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Genomic Signatures Of Population History In A Pair Of Recently Diverged Australian Teal Support Strong Selection On The Z Sex-Chromosome, Kevin Kyle Hawkins Jan 2016

Genomic Signatures Of Population History In A Pair Of Recently Diverged Australian Teal Support Strong Selection On The Z Sex-Chromosome, Kevin Kyle Hawkins

Browse all Theses and Dissertations

Sex chromosomes are thought to be an important component of the genome associated with speciation and the buildup of reproductive isolation. Recent advances in sequencing technologies and improvements in population genetics and modeling techniques have made it possible to better assess genomic signatures of selection, genetic drift and gene flow in diverging lineages. Recent studies have shown elevated differentiation on the Z sex-chromosome between the Australian grey teal (Anas gracilis) and chestnut teal (Anas castanea). Here, we used next generation sequencing to scan ~3,400 autosomal loci and ~190 Z loci to examine genomic differentiation and signatures of selection and gene …

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The Geography Of Learning: Ferrari Gestione Sportiva 1929-2008, Mark Jenkins, Stephen Tallman Jan 2016

The Geography Of Learning: Ferrari Gestione Sportiva 1929-2008, Mark Jenkins, Stephen Tallman

Management Faculty Publications

This article considers the mechanisms that permit and enhance the movement of highly tacit component (technical) knowledge and geographically sticky architectural knowledge across borders and between clusters and firms. We address a number of critical research questions that relate to intra- and inter-locational knowledge transfer. We use a theory-driven, longitudinal, single case study to develop a conceptual framework to examine and describe how shifting the geography of knowledge sourcing can facilitate architectural change by following the transformation of one business unit within a specialist global organization through a series of evolutionary steps that involved internalizing new component knowledge from other …

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Revenue Recognition : Accounting And Auditing Considerations, 2016/17; Alert, American Institute Of Certified Public Accountants (Aicpa) Jan 2016

Revenue Recognition : Accounting And Auditing Considerations, 2016/17; Alert, American Institute Of Certified Public Accountants (Aicpa)

Industry Guides (AAGs), Risk Alerts, and Checklists

No abstract provided.

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The Cuyuna Iron Range: Legacy Of A 20th Century Industrial Community, Frederick Sutherland Jan 2016

The Cuyuna Iron Range: Legacy Of A 20th Century Industrial Community, Frederick Sutherland

Dissertations, Master's Theses and Master's Reports

The Cuyuna Range is a former North American iron mining district about 90 miles(145 kilometers) west of Duluth in central Minnesota. The district was the furthest south and west of the three Minnesota iron ranges (Vermilion, Mesabi, and Cuyuna). In 2011, Students and staff from Michigan Technological University's Department of Social Sciences were asked to identify and promote features of the Cuyuna Range's mining heritage. Methods and approaches of mulitsited archaeology were used to unify the diverse places and themes into a more cohesive narrative. Their investigations focused on sites of technological innovation, social conflict, and important people. One collaborative …

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Investigating The Social Habitat Of Deer Hunters In Michigan, Christopher Henderson Jan 2016

Investigating The Social Habitat Of Deer Hunters In Michigan, Christopher Henderson

Dissertations, Master's Theses and Master's Reports

State wildlife management agencies are funded primarily by revenue from hunting and angling license sales as well as federal excise taxes on equipment. These agencies are also responsible for managing wildlife populations and providing recreational resources to the public. Declines in hunting participation across much of the United States throughout the last two decades have prompted researchers and wildlife professionals to search for explanations and solutions that will ensure a level of funding for state agencies that allows continued management of wildlife within biological and social carrying capacities, engagement in conservation initiatives, and development of recreational opportunities. Most of the …

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Modeling Spring Catchment Discharge: A Case Study Of Candela, Panama, Central America, Jordan P. Van Sickle Jan 2016

Modeling Spring Catchment Discharge: A Case Study Of Candela, Panama, Central America, Jordan P. Van Sickle

Dissertations, Master's Theses and Master's Reports

Where the proper geological and hydrological conditions exist, natural springs have provided a reliable source of clean water to mankind for eons. Changing climates and land development can negatively impact spring source replenishment and threaten their reliability as a source of water. In the face of prospects of diminishing supplies and increasing population demands, community leaders question whether and how to invest in development for enhancing sustainability and protecting water quality, causing water managers to dispute their reliability given decreasing flows. Springs located in the rugged jungle of western Panama serve as the primary water supply for many indigenous communities, …

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Strike-Slip Neotectonic Regime And Related Structures In The Cappadocia Region: A Case Study In The Salanda Basin, Central Anatolia, Turkey, Ali̇ Koçyi̇ği̇t, Uğur Doğan Jan 2016

Strike-Slip Neotectonic Regime And Related Structures In The Cappadocia Region: A Case Study In The Salanda Basin, Central Anatolia, Turkey, Ali̇ Koçyi̇ği̇t, Uğur Doğan

Turkish Journal of Earth Sciences

The study area is a strike-slip basin of approximately 1-9 km wide, 66 km long and N65°W trending, located between the historical Kesikköprü in the west and the Sarıhıdır settlement in the east along the northern side of the Central Anatolian Volcanic Province. It was evolved on a regional erosional surface of a pre-Quaternary volcanosedimentary sequence during Quaternary. This is evidenced by the stratigraphical, structural, and seismic data. The total amounts of throw and dextral strike-slip displacement accumulated on the basin-boundary faults during the evolutionary history of the basin are 178 m and 5 km, respectively. The average slip rate …

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Still Not Equal: A Report From The Red States, Clifford Rosky Jan 2016

Still Not Equal: A Report From The Red States, Clifford Rosky

Utah Law Faculty Scholarship

This chapter considers how the LGBT movement might pursue legal equality — alongside lived equality — now that same-sex couples enjoy the freedom to marry across the United States. In particular, it focuses on the passage of antidiscrimination laws in swing states and red states. While this objective may sound familiar — perhaps even passé — the political dynamics and strategic dilemmas that it presents are unprecedented. As one activist admits, the challenges now facing LGBT people in swing states and red states are “unlike anything we’ve faced before.” The chapter begins by explaining why the LGBT movement is likely …

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Geospatial Analysis Of Food Environment Demonstrates Associations With Gestational Diabetes, Mk Kahr, Ma Suter, J Ballas, Sm Monga, W Lee, M Hu, Cd Shope, A Chesnokova, L Krannich, En Griffin, J Mastrobattista, Ga Dildy, Sl Strehlow, R Ramphul, Et Al. Jan 2016

Geospatial Analysis Of Food Environment Demonstrates Associations With Gestational Diabetes, Mk Kahr, Ma Suter, J Ballas, Sm Monga, W Lee, M Hu, Cd Shope, A Chesnokova, L Krannich, En Griffin, J Mastrobattista, Ga Dildy, Sl Strehlow, R Ramphul, Et Al.

Faculty, Staff and Students Publications

BACKGROUND: Gestational diabetes mellitus (GDM) is one of most common complications of pregnancy, with incidence rates varying by maternal age, race/ethnicity, obesity, parity, and family history. Given its increasing prevalence in recent decades, covariant environmental and sociodemographic factors may be additional determinants of GDM occurrence. OBJECTIVE: We hypothesized that environmental risk factors, in particular measures of the food environment, may be a diabetes contributor. We employed geospatial modeling in a populous US county to characterize the association of the relative availability of fast food restaurants and supermarkets to GDM. STUDY DESIGN: Utilizing a perinatal database with >4900 encoded antenatal and …

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Effect Of Abnormal Loan Growth On U.S. Credit Union Performance, Dahye Han Jan 2016

Effect Of Abnormal Loan Growth On U.S. Credit Union Performance, Dahye Han

Agribusiness and Applied Economics

This study examined the relationship between abnormally rapid loan growth and its impacts on U.S. credit union performance during 2007 – 2013. Three hypotheses were developed to test whether and how abnormal loan growth affects default risk, profitability, and solvency in credit unions. This study found that 1) rapidly loaning credit unions had larger average loan loss, smaller average profitability and solvency than normally loaning credit unions; 2) market concentration exhibited a negative and significant impact on default risk, profitability, and solvency; and 3) A size of credit union also exhibited a negative and significant impact on profitability and solvency. …

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Climate Change Mitigation, Technological Innovation And Adaptation: A New Perspective On Climate Policy, Michael J. Allen Jan 2016

Climate Change Mitigation, Technological Innovation And Adaptation: A New Perspective On Climate Policy, Michael J. Allen

Political Science & Geography Faculty Publications

The book Climate Change Mitigation, Technological Innovation and Adaptation outlines the complexities associated with addressing climate change including economic structure, technological innovation, and geopolitical willpower. By focusing on global economics, the text considers barriers to climate policy and future energy transformation away from carbon to more renewable sources. Additionally, the authors highlight the role of innovation in mitigation and adaptation.

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Curating Hatred: The Joe Mcwilliams's Controversy At The Ulster Museum, Tom Maguire Jan 2016

Curating Hatred: The Joe Mcwilliams's Controversy At The Ulster Museum, Tom Maguire

Journal of Hate Studies

Since heritage is a manifestation of how the past is used in the present,engagement with heritage is a critical indicator of how contemporaryhatreds play out, both feeding and feeding off traditions and legacies.Despite its ongoing peace process, Northern Ireland remains a site of dissonantheritages, where sectarian hatred continues to be expressed in societaldivisions, often resulting in outright violence. This relationship betweencurrent expressions of hatred and the uses of the past present particularissues for heritage professionals. This essay examines a recent example inwhich these tensions have been made manifest, the inclusion of a paintingby Belfast artist Joe McWilliams in the Annual …

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Reclaiming The Place Of Translation In English Composition And Technical Communication: Toward Hospitable Writing, Massimo Verzella Jan 2016

Reclaiming The Place Of Translation In English Composition And Technical Communication: Toward Hospitable Writing, Massimo Verzella

English

The defining characteristic of a pedagogy informed by philosophical cosmopolitanism is a focus on the dialogic imagination: the coexistence of rival ways of life in the individual experience which incites us to interrogate common sense assumptions on culture, language, and identity, and combine contradictory certainties in an effort to think in terms of inclusive oppositions while rejecting the logic of exclusive oppositions. One of the goals of the Trans-Atlantic and Pacific Project (TAPP), an educational network of bilateral writing-translation projects that establishes links between students in different countries, is to invite students to mediate between languages, cultures, and rhetorical traditions …

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