Developing Cultural Competence In An Occupational Therapy Program In A Border Institution In South Texas, Criselda Garcia, Roel Garcia

Teaching and Learning Faculty Publications

While strong consensus exists for preparing culturally competent occupational therapists as the national minority population grows, scholarship in this area continues to evolve. Conversations and explorations of best practices and perspectives add the practical component related to this phenomenon. Perspectives will be shared for leveraging culture to promote respect within communities from asset-based ideologies from the vantage point of a Latino clinician in a predominately Latino underserved community. The authors provide a brief review of the related literature, unpack the definitions of cultural competence, and discuss the pedagogical approach used by an occupational therapist educator. Framing the conversation from an …

Classical Liberal Property And The Question Of Institutional Choice, Thomas W. Merrill

Faculty Scholarship

Richard Epstein’s property scholarship tracks his classical liberal theory of government. The classical liberal would permit state intervention to overcome collective-action problems but not to engage in redistribution of wealth. With respect to private law, Epstein harbors no clear preference for either the legislature or the courts as a source of limits on owners’ autonomy to overcome collective-action problems. With regard to public law, in contrast, Epstein would elevate the courts to a superior status relative to legislatures and would have courts enforce the classical liberal ideal as a matter of constitutional law. This article questions whether giving such power …

Rhetorical Body Work: Professional Embodiment In Health Provider Education And The Technical Writing Classroom, Lillian Campbell

English Faculty Research and Publications

This article introduces “rhetorical body work” as a framework for understanding professional embodiment in health provider education and technical and professional communication (TPC) pedagogy. Using the case study of clinical nursing simulations and drawing on sociological theory, I provide a detailed analysis of three components of rhetorical body work as they manifest in three simulation scenarios: physical, emotional, and discursive. I conclude by considering the implications of these findings for the embodied teaching of TPC.

Practitioner Attitudes Towards An Early Warning System: From Professional Distraction To Relational Support, Lillian Campbell, Amrita George, Shion Guha

English Faculty Research and Publications

As the general population ages and life expectancy increases in the United States, demand for virtual health care is on the rise. Undoubtedly, the next several decades will see increases in automated patient care and use of data-driven warning systems, trends which have already accelerated in the wake of Covid-19. Thus, understanding how traditionally trained healthcare practitioners respond to predictive analytics, like early warning systems, is vital for their successful implementation in the future.

Communication And Algorithmic Decision Making In A Virtual Healthcare Context: Extended Abstract, Lillian Campbell, Amrita George, Shion Guha

English Faculty Research and Publications

This qualitative study draws on interviews and observations with nurses working in a virtual intensive care unit and using algorithms to track patient progress. It overviews how health practitioners navigate algorithmic systems to build relationships with other providers and patients, with attention to strategies for accountability and advocacy in virtual healthcare contexts.

The Promise Of Improved Adherence With Long-Acting Antiretroviral Therapy: What Are The Data?, Kimberly Scarsi, Susan Swindells

Journal Articles: Infectious Diseases

As with other chronic conditions, adherence to daily medications remains a challenge for many individuals living with HIV due to structural, behavioral, and social barriers. Unfortunately, high levels of adherence to antiretroviral therapy are required to maintain virologic suppression. Alternative approaches are being explored to decrease the burden of daily pill administration, including long-acting injectable, oral, and implantable products. Phase 3 data support the efficacy of nanoformulated injectable cabotegravir and rilpivirine for HIV treatment in patients with undetectable viremia, but we have yet to learn how this strategy may benefit those with medication adherence challenges. Despite this, the affected community …

A Midwestern Academic Hiv Clinic Operation During The Covid-19 Pandemic: Implementation Strategy And Preliminary Outcomes, Nada Fadul, Nichole Regan, Layan Kaddoura, Susan Swindells

Journal Articles: Infectious Diseases

During the COVID-19 pandemic, HIV clinics had to transform care delivery for people with HIV (PWH). We developed a multifaceted telehealth implementation strategy and monitored number of out of care patients (OOC), medical visit frequency (MVF), gap in care (GiC) and viral suppression (VS), and compared measures to baseline data. Between April and October 2020, 1559 visits were scheduled; 328 (21%) were missed, and 63 (4%) were new to care. Of the remaining 1168 follow-up visits, 412 (35%) were telehealth visits. As of October 2020, there were 53 patients OOC, MVF was 55% and GiC was 24% compared to 34, …

Gendered Differences In Consent And Brochures For Permanent Birth Control, Caleb Ayers, Arika L. Hoffman, Jenenne A. Geske

EMET Projects

Background

Gendered differences have been documented for many healthcare outcomes. One cause of such differences is gendered differences in language, which has been documented in many fields. The difference in language used to describe permanent birth control to women (tubal ligation) versus men (vasectomy) has not been studied.

Objectives

To analyze consent forms and brochures for female and male permanent sterilization for gendered differences in language.

Methods

A convenience sample of consent forms and brochures was obtained and analyzed for differences in the emphasis on various subject matter.

Results

Physiologic explanations and insurance and/or cost was discussed more in documents …

Effects Of Neuraxial Anesthesia On Post Operative Pain Scores In Children With Osteogenesis Imperfecta, Lauren Greufe, Nick Bohannon, Amy Beethe, Maegen Wallace, Paul Esposito, Jenenne A. Geske, Susan Evans, Jessica Goeller

EMET Projects

No abstract provided.

Frequency Of Aortic Miscannulation During Fluoroscopy-Free Endovascular Navigation, Sruti Prathivadhi-Bhay

EMET Projects

No abstract provided.

Covid-19 Vaccinations: Information For Providers, Kevin Hanna

EMET Projects

No abstract provided.

Effect Of Targeted Transcranial Magnetic Stimulation On Hippocampal-Dependent Declarative Memory In Older Adults, Carly Faller, Ran Jing, Nicholas Christopher-Hayes, Anthony Rangel, Connor J. Phipps, Vaishali Phatak, Daniel L. Murman, David E. Warren

EMET Projects

No abstract provided.

Neighbouring Horizons: Migration, Squatting, And Citizenship In São Paulo, Diana Zacca Thomaz

Theses and Dissertations (Comprehensive)

This dissertation examines the shared struggles and political horizons of citizens and non-citizens living together in squatted buildings in central São Paulo, Brazil. Building on six months of ethnographic fieldwork, it focuses on the coalition forged between the MSTC (Movimento Sem Teto do Centro, i.e. Central São Paulo Roofless Movement) and international migrants and asylum-seekers who have taken up residence in the movement’s squats. This dissertation argues that the problem of political subjectivity and belonging at the urban margins is deeply shaped by the struggles for adequate housing. Further, that looking at the divergent aspirations and claims-making of …

Exploring Compassion In The Ontario Child Welfare System., Gissele Taraba

Theses and Dissertations (Comprehensive)

Child welfare workers are faced with suffering on a daily basis. Workers report experiencing empathetic distress (also known as compassion fatigue) and many feel discouraged from showing self-compassion or compassion toward others. However, the literature on compassion suggests that self-compassion and compassion for others builds resiliency, improves job satisfaction and increases engagement. Workers who support themselves with self-compassion may be less likely to experience burnout and more willing to create inclusive and compassionate environments. This study was conducted in two phases. The goals of the Phase 1 mixed-method, cross sectional study were to (1) assess the level of self-compassion and …

Second Generation Christian Korean Canadians: Exploring Their Lived Experiences Of Mental Health Issues And Services, Kyoung Jung Kim

Theses and Dissertations (Comprehensive)

Abstract

This study explores the lived experiences of second-generation Christian Korean Canadian young adults with mental health issues (MHI) and their use of health services (MHS). In addition, this study asked this cohort to discuss their beliefs about the views their parents held about MHI and MHS. All research participants were born and raised in Canada by Korean born immigrant parents. This study was descriptive, phenomenological, and qualitative in nature; it consisted of in-depth interviews with six male and six female participants. In their experience with MHI, seven participants experienced fear and sadness (depression and anxiety) and three of them …

Role Of Training Mode On Individual And Group Responses To Sprint Interval Training, Lauren T. Digby, Seth F. Mccarthy, Claudia Jarosz, Derek P.D. Bornath, Jessica A.L. Tucker, Tom J. Hazell

Theses and Dissertations (Comprehensive)

Improvements in V̇O_2peak decrease the risk of heart disease and all-cause mortality, and is predictive of overall health. This study compared the group and individual responses of V̇O_2peak, as well as group responses of aerobic performance and anaerobic capacity following running and cycling sprint interval training (SIT) to determine the optimal modality. Twenty-three recreationally active young adults (males: n = 16, BMI = 27.5±4.9; females: n = 7, BMI = 23.6±3.0) completed 3 training sessions/week for 3 weeks (9 sessions). Pre- and post-testing measures included: aerobic capacity (V̇O_2peak), aerobic performance (time trial), and anaerobic capacity …

Microaggressions And Microaffirmations Experienced By Lgbtq2s+ People With Disabilities, Kathleen Mckee

Theses and Dissertations (Comprehensive)

This study explored the indirect, subtle, or unintentional discrimination (i.e., microaggressions) and positive identity-affirming actions (i.e., microaffirmations) that gender and sexually diverse (LGBTQ2S+) people with disabilities (PWD) experience in multiple life contexts. Previous literature has tended to focus solely on negative experiences, and little research has been conducted to understand their possible experiences of microaffirmations and how they may promote resilience and well-being. Intersectionality theory, minority stress theory, and Crip theory guided the study. The objectives were to explore microaggressions and microaffirmations experienced by LGBTQ2S+ PWD, as well as these individuals’ responses to microaggressions and microaffirmations. Semi structured qualitative interviews …

Nucleus Type-Specific Dna Methylomics Reveals Epigenetic “Memory” Of Prior Adaptation In Skeletal Muscle, Yuan Wen, Cory M. Dungan, C. Brooks Mobley, Taylor Valentino, Ferdinand Von Walden, Kevin A. Murach

Health, Human Performance and Recreation Faculty Publications and Presentations

Using a mouse model of conditional and inducible in vivo fluorescent myonuclear labeling (HSA-GFP), sorting purification of nuclei, low-input reduced representation bisulfite sequencing (RRBS), and a translatable and reversible model of exercise (progressive weighted wheel running, PoWeR), we provide the first nucleus type-specific epigenetic information on skeletal muscle adaptation and detraining. Adult (>4 mo) HSA-GFP mice performed PoWeR for 8 wk then detrained for 12 wk; age-matched untrained mice were used to control for the long duration of the study. Myonuclei and interstitial nuclei from plantaris muscles were isolated for RRBS. Relative to untrained, PoWeR caused similar myonuclear CpG …

“A World Of Difference”? Law Enforcement, Genetic Data, And The Fourth Amendment, James W. Hazel, Christopher Slobogin

Duke Law Journal

Law enforcement agencies are increasingly turning to genetic databases as a way of solving crime, either through requesting the DNA profile of an identified suspect from a database or, more commonly, by matching crime scene DNA with DNA profiles in a database in an attempt to identify a suspect or a family member of a suspect. Neither of these efforts implicates the Fourth Amendment, because the Supreme Court has held that a Fourth Amendment “search” does not occur unless police infringe “expectations of privacy society is prepared to recognize as reasonable” and has construed that phrase narrowly, without reference to …

Trade Integration In Turbulent Times, Petros C. Mavroidis

Faculty Scholarship

The WTO has been going through an existential crisis, from which it is like that it will not exit unscathed. If it is to remain an organization of universal membership, it will have to content itself to shallow integration. Its continuing policy relevance, will largely depend on the choices it will make about the nature of its own integration process. The good news is that no one can simply walk away from globalization. The downside (for the WTO) is that globalization is being increasingly administered through bilateral contracts.

Power Struggles – The Tyranny Of Merit And The Degredation Of Work: Comment On M. Sandel's The Tyranny Of Merit, Kate Andrias

Faculty Scholarship

The ideal of meritocracy is attractive: individuals obtain wealth, leadership roles, and social status based upon talent and hard work, rather than by virtue of their position in the aristocracy or their family connections. Sometimes framed as “equality of opportunity” or even “the American Dream,” meritocracy has for decades garnered widespread popular support in the United States, becoming more embedded over time. Yet, mounting empirical evidence from social scientists demonstrates that our country is not really a meritocracy. Some wield massive advantages from the beginning; others, no matter how talented and hardworking, have little hope of obtaining a coveted spot …

How The Administrative State Got To This Challenging Place, Peter L. Strauss

Faculty Scholarship

Written for a dispersed agrarian population using hand tools in a local economy, our Constitution now controls an American government orders of magnitude larger that has had to respond to profound changes in transportation, communication, technology, economy, and scientific understanding. How did our government get to this place? The agencies Congress has created to meet these changes now face profound new challenges: transition from the paper to the digital age; the increasing centralization in an opaque, political presidency of decisions that Congress has assigned to diverse, relatively expert and transparent bodies; the thickening, as well, of the political layer within …

The Big Data Regulator, Rebooted: Why And How The Fda Can And Should Disclose Confidential Data On Prescription Drugs And Vaccines, Christopher J. Morten, Amy Kapczynski

Faculty Scholarship

Medicines and vaccines are complex products, and it is often extraordinarily difficult to know whether they help or hurt. The Food and Drug Administration (FDA) holds an enormous reservoir of data that sheds light on that precise question, yet currently releases only a trickle to researchers, doctors, and patients. Recent examples show that data secrecy can be deadly, and existing laws such as the Freedom of Information Act (FOIA) cannot solve the problem. We present here a wealth of new evidence about the urgency of the problem and argue that the FDA must “reboot” its rules to proactively disclose all …

Constructing Countervailing Power: Law And Organizing In An Era Of Political Inequality, Kate Andrias

Faculty Scholarship

This Article proposes an innovative approach to remedying the crisis of political inequality: using law to facilitate organizing by the poor and working class, not only as workers, but also as tenants, debtors, welfare beneficiaries, and others. The piece draws on the social-movements literature, and the successes and failures of labor law, to show how law can supplement the deficient regimes of campaign finance and lobbying reform and enable lower-income groups to build organizations capable of countervailing the political power of the wealthy. As such, the Article offers a new direction forward for the public-law literature on political power and …

Vaccination Equity By Design, Olatunde C.A. Johnson, Kristen Underhill

Faculty Scholarship

This Essay examines how states’ initial COVID-19 vaccine-distribution strategies tended to disadvantage populations of color, including Black, Latinx, and Native American communities. These dynamics resonate with “inverse equity” effects of other public-health innovations. We argue for a federal regulatory framework to reduce inequity-forcing effects during initial vaccine rollout.

A Human Rights Agenda For The Biden Administration, Sarah H. Cleveland

Faculty Scholarship

The Biden administration has much to do to restore the United States’ credibility as a human rights leader and to strengthen the human rights system in an era of rising right-wing nationalism, authoritarianism, and competition for global power. In doing so, it needs to lead by example by putting its own house in order, and act with both courage and humility in the face of deep global skepticism and distrust. Specifically, the administration should pursue five stages of engagement on human rights: reverse and revoke measures taken by the Trump administration, reaffirm the United States’ traditional commitments to human rights …

Emerging State-Level Environmental Justice Laws, Michael B. Gerrard, Edward Mctiernan

Faculty Scholarship

Environmental justice (EJ) has grown in prominence in the political discourse in the last several years While most of the attention has gone to federal actions, several states have just adopted their own laws to advance EJ.

The basic idea behind EJ is that disadvantaged communities should not be disproportionately exposed to environmental hazards, that these communities should have a say in the actions that affect their environment, and that the environmental laws should be vigorously enforced there.

Race And Equity In The Age Of Unicorns, Lynnise E. Pantin

Faculty Scholarship

This Article critically examines startup culture and its legal predicates. The Article analyzes innovation culture as a whole and uses the downfall of Theranos to illustrate the deficiencies in Silicon Valley culture, centering on race and class. The Article demonstrates that the rise and fall of the unicorn startup Theranos and its founder, Elizabeth Holmes, is emblematic of the problem with the glorification and pursuit of the unicorn designation for startup ventures. The examination of the downfall of Theranos exposes how investors, founders, and others in Silicon Valley engage with each other in the context of pursuing unicorn status. The …

The 100-Year Life And The New Family Law, Elizabeth S. Scott, Naomi Cahn

Faculty Scholarship

This draft book chapter, prepared as part of a symposium on The 100-Year Life by Linda Gratton and Andrew Scott, reflects on the future of family law in an era of longer lives. Our analysis leads us to conclude that the 100-year life is indeed likely to have an impact on the nature, scope, and definition of family law, but that families will continue to function as the primary setting for intimacy and for caregiving and caretaking, whatever form those families take. Further, the importance to both individual and social welfare of family support throughout life points to a need …

The Legal Framework For Offshore Carbon Capture And Storage In Canada, Romany M. Webb, Michael B. Gerrard

Faculty Scholarship

Averting catastrophic climate change requires immediate action to prevent additional carbon dioxide and other greenhouse gases being released into the atmosphere. However, even that may not be sufficient, with many scientists now warning that it will likely also be necessary to reduce the existing atmospheric carbon dioxide load. That could be achieved using negative emissions technologies that remove carbon dioxide from the atmosphere and store or utilize it in some way. One promising technology is direct air capture (“DAC”) which uses liquid chemical solutions or solid sorbent filters to capture carbon dioxide from the air and concentrate it into a …