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Articles 4441 - 4470 of 253795
Full-Text Articles in Entire DC Network
Exploring The Socio-Cultural Dynamics Of Nocturnal Urban Landscapes: A Case Study, Jie Kong
Exploring The Socio-Cultural Dynamics Of Nocturnal Urban Landscapes: A Case Study, Jie Kong
All Dissertations
This dissertation explores nighttime social leisure activities in public parks within urban working- and middle-class communities. As cities confront climate change, shifting work schedules, and post-pandemic lifestyles, neighborhood parks have gained renewed importance after dark, especially in areas where households have limited private space. These non-commercial nighttime uses are often overlooked in planning, design, and built environment studies, yet they play a vital role in fostering cultural identity, social connection, and community well-being.
Focusing on Williamsburg and Bushwick in Brooklyn, New York, this research investigates how public parks are used at night, by whom, and for what purposes. New York …
Ecomorphological Diversification Of Tooth Complexity In The Oral Jaws Of Marine Teleostean Fishes, Keiffer L. Williams
Ecomorphological Diversification Of Tooth Complexity In The Oral Jaws Of Marine Teleostean Fishes, Keiffer L. Williams
All Dissertations
Teeth are essential biological tools that function as a direct interface between predator and prey, thus providing essential insights into the evolutionary history and ecological diversity of vertebrates. Historically, studies on vertebrate dentitions have been qualitative and focused on mammals. More recently, quantitative methods have been developed that can reliably measure tooth surface complexity. These methods have been applied across both mammals and saurian reptiles to test for correlations with diet, leading to the conclusion that herbivorous species generally possess higher overall tooth complexity than any other dietary group. Surprisingly, the relationship between tooth complexity and diet in the most …
Teacher Leadership In Social Studies: The Search For Meaning And Identity, Zachary F. Lawson
Teacher Leadership In Social Studies: The Search For Meaning And Identity, Zachary F. Lawson
Dissertations
This qualitative research study brings together social studies education and teacher leadership. Social studies lacks study in the teacher leader literature. This study aimed to understand whether the disciplinary nature of social studies education influenced the enactment of teacher leadership. This study sought an answer to the central research question: What does it mean to be a social studies teacher leader? Using a hermeneutic phenomenology research design, data were collected through semi-structured interviews across two groups of participants. Seven social studies teacher leaders made up one group, and five social studies teachers without leadership roles comprised the other. Findings indicated …
Investigating The Impact Of Adaptive Sports And Recreation Involvement For Veterans, Ashley Bowen
Investigating The Impact Of Adaptive Sports And Recreation Involvement For Veterans, Ashley Bowen
All Dissertations
Adaptive sports and recreation programs offer a promising complementary recreation-based treatment option for veterans with service-connected disabilities and health conditions, and these programs can positively impact veterans’ lives. The many biopsychosocial benefits of veteran adaptive sport and recreation participation have been researched, but studies focused on measuring the broader impact of these programs are new. The Experience Type Framework (ETF) and its associated measures, the Experience Impact Scale (EIS) and Experience Type Scale (ETS), offer options for measuring that broader impact. The purpose of this study was to examine the impact of adaptive sports and recreation experiences for veterans, explore …
[M]Otherhood: Navigating Work-Family Constraints And Strategies In Pink-Collar Jobs, Madison Brunell
[M]Otherhood: Navigating Work-Family Constraints And Strategies In Pink-Collar Jobs, Madison Brunell
All Graduate Theses and Dissertations, Fall 2023 to Present
Working mothers continue to confront cultural norms and workplace practices that frame paid labor as incompatible with caregiving. In the workplace, these norms often result in motherhood bias and discrimination due to the incompatibility between norms of the ‘ideal worker’ and the ‘ideal mother’ (Acker 2006; Williams, Blair-Loy and Berdahl 2013). This tension is especially acute in pink-collar jobs, women-dominated occupations in service and care sectors, which are often mischaracterized as mother- friendly despite offering limited flexibility, low pay, and minimal structural support (Sartor, Lange, and Tröster 2023; Deming 2022; Ervin et al. 2022). While prior research has explored the …
From Marriage To Migration: Analyzing Return Migration, Gender Inequalities And Household Resource Allocation Patterns, Saeed Ahmad
All Graduate Theses and Dissertations, Fall 2023 to Present
In Kyrgyzstan, a country shaped by deep-rooted traditions and high rates of migration, women's lives are often influenced by powerful cultural expectations, economic pressures, and limited choices. My research explores how these forces intersect—particularly through the lens of bride kidnapping, migration, and how families use money and resources. Together, these issues reveal how gender inequality operates in everyday life, and how women navigate both constraint and resilience.
This dissertation includes three connected studies. The first examines how the COVID-19 pandemic disrupted international labor migration, especially for Kyrgyz migrants working in Russia. Many returnees lost their jobs and faced hostility or …
Exploring Adverse Childhood Experiences And Bullying Of Children Who Are Deaf Or Hard Of Hearing, Alyson Connelly Ward
Exploring Adverse Childhood Experiences And Bullying Of Children Who Are Deaf Or Hard Of Hearing, Alyson Connelly Ward
All Graduate Theses and Dissertations, Fall 2023 to Present
Adverse childhood experiences (ACEs) and bullying can lead to psychological distress, causing both short- and long-term health and mental health problems. Children with special healthcare needs (CSHCN), including those who are deaf or hard of hearing (DHH), face a higher risk of ACEs and bullying, which can affect their well-being.
This study builds on existing literature by (a) reviewing ACEs and bullying in CSHCN, especially those who are DHH, and (b) using data from the 2016-2022 National Survey of Children's Health to analyze ACEs and bullying in children who are DHH, DHH+CSHCN, and CSHCN. The literature review found that disability …
Migration As Adaptation: Place-Based Vulnerability Near The Drying Great Salt Lake, Dallin Johnson
Migration As Adaptation: Place-Based Vulnerability Near The Drying Great Salt Lake, Dallin Johnson
All Graduate Theses and Dissertations, Fall 2023 to Present
The drying of the Great Salt Lake presents a complex and evolving threat to Utah residents, with wide-ranging environmental, economic, and health implications. This study explores the individual and structural factors impacting Utahns' ability to utilize migration as a form of adaptive capacity in response to these threats, using mobility justice and cumulative advantage and disadvantage theory as guiding frameworks. Drawing on survey data, a multilevel logistic regression model identifies key structural factors, including age, income, and gender, that influence perceived migration ability. Additionally, a 2x2 typology categorizes distinct profiles of vulnerability to the Great Salt Lake based on different …
An Exploratory Study Of The Vertical Snarc Effect In Mayan Numerals: Effects Of Language Transparency And Reading Direction, Emmett A. Speed
An Exploratory Study Of The Vertical Snarc Effect In Mayan Numerals: Effects Of Language Transparency And Reading Direction, Emmett A. Speed
All Graduate Theses and Dissertations, Fall 2023 to Present
The Mayan numerical system, used by the ancient Maya people, is very different from the Western Arabic numerical system. Instead of being based on 10, it's based on 20, and it uses dots and bars instead of the numbers 0 through 9. This study explored how people learn and understand Mayan numbers.
Participants took a 2.5-hour online course to learn Mayan numerals and number words. They were tested to see how quickly and accurately they could recognize and compare Mayan numerals. The results showed that people can learn the Mayan number system and use it automatically.
The study also looked …
The Experience Of Latine Parents During Covid-19: Coping, Support, And Wellness, Jazmin Lara
The Experience Of Latine Parents During Covid-19: Coping, Support, And Wellness, Jazmin Lara
All Graduate Theses and Dissertations, Fall 2023 to Present
Documentation status affects not just individuals, but entire family units. This project shares the voices of Undocumented Individuals and their Loved Ones (UnLOs), specifically Latine parents navigating multiple, overlapping stressors. Data was collected during a particularly challenging time marked by the COVID-19 pandemic and threats to the Deferred Action for Childhood Arrivals (DACA) program. Participants shared how they cope with stress, who they rely on for social support, how they practice wellness, and the type of community programming they would like to see more of. This research was possible through the collaboration between the Latinx Immigrant Health Alliance (LIHA) and …
Unwritten Rules: Black Utahns’ Experience With De Facto Segregation In Utah, 1940-1965, Jasmine Mercedes Lowe
Unwritten Rules: Black Utahns’ Experience With De Facto Segregation In Utah, 1940-1965, Jasmine Mercedes Lowe
All Graduate Theses and Dissertations, Fall 2023 to Present
This thesis examines life in Utah during the Jim Crow era, utilizing oral history interviews with African Americans who lived in the state between 1940 and 1965. The interviewees selected for this project describe their personal experiences with housing, employment, public spaces, medical assistance, and education discrimination.
Still "The Last Best Place"?: Concentrated Ownership, Amenity Migration, And Community Change In Southwest Montana, Elizabeth A. Bennett
Still "The Last Best Place"?: Concentrated Ownership, Amenity Migration, And Community Change In Southwest Montana, Elizabeth A. Bennett
All Graduate Theses and Dissertations, Fall 2023 to Present
Across the American West, amenity rich areas have been grappling with population growth, economic shifts, and associated community impacts. Amenity migration, the movement of wealthy suburban and urban individuals to rural areas for the natural amenities and slower paced life, has contributed to much of the change in amenity rich rural places. However, recently, a new process has begun occurring simultaneously with amenity migration. New high net worth (HNW) individuals have been purchasing large parcels of land, often through the acquisition of multiple ranches that are thousands of acres. Little is known about how these new HNW owners impact the …
The Socioecology Of Indigenous Archaeological Maize In The Uinta Basin, Utah, Sara Saouma
The Socioecology Of Indigenous Archaeological Maize In The Uinta Basin, Utah, Sara Saouma
All Graduate Theses and Dissertations, Fall 2023 to Present
This thesis investigates the phenotypic variability of maize (Zea mays spp.) from archaeological sites located in the Uinta Basin, Utah. Maize was first introduced to the American Southwest around 5,000 years ago following its migration via trade routes from its native region of southern Mexico (Vint 2017). The adaptation of maize to the arid and temperate conditions of the American Southwest and Mexico triggered significant phenotypic change resulting from human and environmental selection pressures. This thesis focuses on the analysis of uncharred maize cobs from seven archaeological sites in the Uinta Basin. The analysis includes 70 corn cobs—most …
Wild Water: Hydrosocial Dislocation, Dispossession, And The Symbolic Geographies Of The American West, Leonard Alexander Henderson
Wild Water: Hydrosocial Dislocation, Dispossession, And The Symbolic Geographies Of The American West, Leonard Alexander Henderson
All Graduate Theses and Dissertations, Fall 2023 to Present
This dissertation investigates how the confluence of community change and water politics in the American West shapes a discussion about a Wild and Scenic designation for the Crystal River on Colorado’s Western Slope. Ideas about the “Wild West,” influence how many people think about wilderness and small mountain towns, driving growing populations, housing prices, and, as a result, social inequality in many of these areas. At the same time, many people on Colorado’s Western Slope feel that region’s water is taken away by both the state’s more populous Front Range or more politically and economically powerful states like California. Climate …
Restoring Balance: Choctaw Policy And The Environment In New Spain's Eighteenth-Century Frontier, Fior Daliso Garcia Lara
Restoring Balance: Choctaw Policy And The Environment In New Spain's Eighteenth-Century Frontier, Fior Daliso Garcia Lara
Open Access Theses & Dissertations
During the colonial period, Indigenous peoples in the Lower Mississippi Valley used their deep ecological knowledge to respond to imperial pressures. Eighteenth-century Louisiana was a contested borderland where Spain, France, and England vied for expansion through alliances, warfare, and trade with Native tribes. As European powers vied for control of the region, Native groups devised strategies to assert sovereignty over their territories and livelihoods. My dissertation examines the ecological history of the Choctaw and Spanish Louisiana from 1763 until the United States Indian Removal Act in the 1830s. It argues that imperial disputes over Indigenous lands compelled the Choctaw to …
Learning English On The Border: Identities, Investment, And Imagined Futures In El Paso, Texas, Jennifer Lyn Mansour
Learning English On The Border: Identities, Investment, And Imagined Futures In El Paso, Texas, Jennifer Lyn Mansour
Open Access Theses & Dissertations
This qualitative study explores how adult English language learners living along the U.S.-Mexico border in El Paso, Texas experience language learning, identity formation, and social positioning within a bilingual community. Drawing on Norton's (1995, 2013) theoretical frameworks of identity, investment, and imagined communities, the research investigates three central questions: (1) How does the relationship between English learners and the social world of a bilingual community on the U.S.-Mexico border impact their ideas about their possibilities for the future? (2) How does the use of English construct worlds that are different from those constructed in their first languages, and do learners …
Crossing Borders: Analyzing The Factors Contributing To Healthcare And Reproductive Preferences Among Residents Of The Texas-Mexico Border, Yamaris Michelle Cordero
Crossing Borders: Analyzing The Factors Contributing To Healthcare And Reproductive Preferences Among Residents Of The Texas-Mexico Border, Yamaris Michelle Cordero
Open Access Theses & Dissertations
Crossing Borders: Analyzing the Factors Contributing to Healthcare and Reproductive Preferences Among Residents of the Texas-Mexico Border explores the complexities of healthcare access and utilization among border residents, particularly in the context of reproductive health. Through qualitative analysis of focus group discussions with promotoras - community health workers - this study identifies key factors influencing cross-border healthcare decisions, including economic barriers, cultural influences, and perceptions of quality. The findings reveal that high costs and limited insurance coverage in the U.S. drive many individuals to seek affordable healthcare and medications in Mexico, where pharmacies provide immediate, low-cost services without the need …
Coastal Consumption: Diet And Social Organization At Four Postclassic Sites In The Yucatán Peninsula, Paramita Choudhury
Coastal Consumption: Diet And Social Organization At Four Postclassic Sites In The Yucatán Peninsula, Paramita Choudhury
Graduate Theses and Dissertations
This research examines Postclassic Maya food practices during CE 1200–1600 to understand how eating behaviors reflect systems of social hierarchy, political economy, and cultural identity. The investigation focuses on four archaeological sites in the northern Yucatán Peninsula—Tulum, El Rey, El Meco, and San Miguelito—to examine dietary behaviors through dental microwear texture analysis (DMTA), oral pathology, and stable isotope data within a biocultural framework. The research aims to identify whether elite and non-elite individuals exhibited notable variations in food texture consumption, access to resources, and nutritional health. High-resolution 3D surface metrology enabled DMTA to assess the mechanical properties of consumed foods, …
How To Do Things With Little Talking Tubes: Nonideal Speech Acts In The Digital Age, Anthony Holdier
How To Do Things With Little Talking Tubes: Nonideal Speech Acts In The Digital Age, Anthony Holdier
Graduate Theses and Dissertations
In this work, I develop a view about what it means to share a social or conversational context with others, as well as what is normatively entailed by doing so. Working from a broadly Austinian perspective about the moral foundations of language use and how we use words to position ourselves within social space, as well as from a generally Stalnakerian social ontology (demarcating groups by dint of aligned or overlapping sets of commitments), I present three papers demonstrating how nonidealized, ordinary language philosophy can make sense of complex, real-world phenomena. Through analyses of heretical utterances, context collapse, and chatbot …
Girls Of Riyadh Narrating The “Velvet Class” In Saudi Arabia, Yahya Hassan Al-Wadhaf
Girls Of Riyadh Narrating The “Velvet Class” In Saudi Arabia, Yahya Hassan Al-Wadhaf
Journal of Arts and Social Sciences
Banat al-Riyadh, translated as Girls of Riyadh, is a Saudi controversial novel which was initially published in 2005 and appeared as an English version in 2007. The narrative gives a detailed and an inside view to the domestic and ‘private’ part of the Saudi society. It gives an access to that ‘velvet class’ as the narrator describes the women that occupy the narrative space of Girls of Riyadh. The novel addresses in a revolutionary manner issues pertaining to women’s rights, dreams, hopes and aspirations The novel addresses in a revolutionary manner issues pertaining to women’s rights, dreams, hopes, and aspirations …
User Perceptions On Health: Three Cases Of Senior-Friendly Cities, Soomin Kim
User Perceptions On Health: Three Cases Of Senior-Friendly Cities, Soomin Kim
All Dissertations
Senior issues have been rapidly rising in contemporary society since the Baby Boomer generation started retiring. Their change in socio-economic status is giving rise to several new social phenomena, one of which is senior isolation. For urban planners and designers, this new wave of senior isolation necessitates a fresh approach and reevaluation of formal urban environments.
This research proposes three questions around senior isolation. First, a) what aspects of the built environment contribute to senior isolation and loneliness in urban and suburban environments, and b) what are the effects of each on senior populations concerning the risk of isolation and …
Constitutional Futurisms, Jeremiah Chin
Constitutional Futurisms, Jeremiah Chin
Articles
How do we reckon with the past? The Supreme Court’s recent embrace of originalism as a mode of constitutional analysis relies almost exclusively on a view of history and tradition that would bind us to an understanding of principles and ideals that legitimized the exclusion of minority voices. Cases such as New York State Pistol and Rifle Ass'n v. Bruen use flavors of originalism as a framework to define rights and governmental powers through their historical antecedents, but this broad standard of interpretation is notably absent in the Court’s recent discussions of histories and traditions of racism in the United …
Behind The Trend: An Examination Of Primate Content On Tiktok, Kelsie K. Strong, Lilith A. Frakes, Jessica A. Mayhew, Chelsea J. Thompson, Caroline P. Ratliff
Behind The Trend: An Examination Of Primate Content On Tiktok, Kelsie K. Strong, Lilith A. Frakes, Jessica A. Mayhew, Chelsea J. Thompson, Caroline P. Ratliff
Anthropology Faculty Publications and Presentations
Social media platforms today are teeming with images of wildlife as pets, and studies have emerged investigating the role social media plays on the public's perception of primates and their desirability as pets. This study explores the presentation of nonhuman primates and video engagement, defined as user interactions through likes, comments, shares, and views, on the social media platform TikTok. We examined 1378 videos from 173 different TikTok content creators sharing primate videos. Most content depicted primates within a household (43.1%), indicating they are often shown in the context of being pets. This is cause for concern because the portrayal …
Beyond Peak Water Security: Household-Scale Experiential Metrics Can Offer New Perspectives On Contemporary Water Challenges In The United States, Wendy Jepson, Amber Wutich, Amber L. Pearson, Melissa Beresford, Alexandra Brewis, Alicia Cooperman, Jeremiah Osborne-Gowey, Jenny Rempel, Asher Y. Rosinger, Justin Stoler
Beyond Peak Water Security: Household-Scale Experiential Metrics Can Offer New Perspectives On Contemporary Water Challenges In The United States, Wendy Jepson, Amber Wutich, Amber L. Pearson, Melissa Beresford, Alexandra Brewis, Alicia Cooperman, Jeremiah Osborne-Gowey, Jenny Rempel, Asher Y. Rosinger, Justin Stoler
Faculty Research, Scholarly, and Creative Activity
The U.S. has moved beyond peak water security. Infrastructural degradation, institutional inertia, and climate change are reducing the ability of households and communities to benefit from near-universal safe, adequate, affordable, sustainable water services. Yet, current supply-side research tools, that focus largely on system performance, are not equipped to measure the prevalence and lived experiences of household water insecurity, thus limiting the evidence available to policymakers, utilities, and communities to make decisions about water services. We discuss how demand-side metrics, such as household-level water insecurity scales validated for high-income contexts, such as the U.S., can help stakeholders to better identify local …
The Generality Of Psychosocial Safety Climate Theory—A Fundamental Element For Global Worker Well-Being: Evidence From Four Nations, May Young Loh, Michelle Chin Chin Lee, Maureen Dollard, Dianne Gardner, Kazuki Kikunaga, Tsukumi Tondokoro, Akinori Nakata, Mohd Awang Idris, Tim Bentley, Ali Afsharian, David Tappin, Darryl Forsyth
The Generality Of Psychosocial Safety Climate Theory—A Fundamental Element For Global Worker Well-Being: Evidence From Four Nations, May Young Loh, Michelle Chin Chin Lee, Maureen Dollard, Dianne Gardner, Kazuki Kikunaga, Tsukumi Tondokoro, Akinori Nakata, Mohd Awang Idris, Tim Bentley, Ali Afsharian, David Tappin, Darryl Forsyth
Research outputs 2022 to 2026
Occupational health and safety researchers and policymakers often rely on organisational theories and evidence to provide valuable information for effective policy making and understanding. Yet, most traditional and contemporary organisational theories are developed within a single nation, often in high-income countries. Therefore, cross-national validation is required for generalisable worldwide use. The current study focuses on an antecedent to workplace health and safety, that is, the psychosocial safety climate (PSC), and aims to investigate if PSC is an etic (i.e., universally applicable) or emic (i.e., nationally/context specific) theory. Across nations, we investigate the construct meaning of PSC by testing PSC measurement …
I See Sick People: Beliefs About Sensory Detection Of Infectious Disease Are Largely Consistent Across Cultures, Joshua M. Ackerman, Theodore Samore, Daniel M. T. Fessler, Norman P. Li, Et Al
I See Sick People: Beliefs About Sensory Detection Of Infectious Disease Are Largely Consistent Across Cultures, Joshua M. Ackerman, Theodore Samore, Daniel M. T. Fessler, Norman P. Li, Et Al
Research Collection School of Social Sciences
Identifying cues to contagious disease is critical for effectively tracking and defending against interpersonal infection threats. People hold lay beliefs about the types of sensory information most relevant for identifying whether others are sick with transmissible illnesses. Are these beliefs universal, or do they vary along cultural and ecological dimensions? Participants in 58 countries (N = 19,217) judged how effective, and how likely they were to use, cues involving each of the five major sensory modalities in an imagined social interaction during a flu outbreak. Belief patterns were strongly consistent across countries (sight > audition > touch > smell > taste), suggesting a largely …
Mexican Americans’ Attitudes Toward Mexican Immigrants In The United States, Sandra Daisy Espinoza Montes
Mexican Americans’ Attitudes Toward Mexican Immigrants In The United States, Sandra Daisy Espinoza Montes
Dissertations
The United States (U.S.) has often been described as a nation of immigrants. Among the 40 million immigrants in the U.S., Mexican-descent individuals comprise 25% of the overall immigrant population, positioning them as the largest immigrant group in the country. Additionally, Mexican Americans constitute 63% of the Latinx population, making them the largest minoritized ethnic group in the U.S. Considering that Mexican immigrants and Mexican Americans have a significant presence in the country, scholars have called for additional research on attitudes towards Mexican immigrants (Byrne & Dixon, 2016; Flores et al., 2022). However, much of the existing literature on attitudes …
Electronic Health Record Downtime, Grace R. Baldauf
Electronic Health Record Downtime, Grace R. Baldauf
Electronic Theses and Dissertations
Electronic health record (EHR) downtime presents significant challenges to patient safety and care quality in acute care settings, particularly regarding timely medication administration. This project addressed the problem of late or absent medication doses during planned or unplanned EHR downtime. The investigator aimed to evaluate the effectiveness of a structured downtime plan in improving nurses’ ability to administer medications on time during periods of EHR unavailability. The investigator used a quantitative design to implement a downtime plan evaluation paradigm. Data were collected using retrospective chart reviews of medication administration records pre-implementation and postimplementation of the downtime plan. The sample included …
Genwriter: Reducing Gender Cues In Biographies Through Text Rewriting, Shweta Soundararajan, Sarah Jane Delany
Genwriter: Reducing Gender Cues In Biographies Through Text Rewriting, Shweta Soundararajan, Sarah Jane Delany
Conference papers
Gendered language is the use of words that indicate an individual’s gender. Though useful in certain context, it can reinforce gender stereotypes and introduce bias, particularly in machine learning models used for tasks like occupation classification. When textual content such as biographies contains gender cues, it can influence model predictions, leading to unfair outcomes such as reduced hiring opportunities for women. To address this issue, we propose GenWriter, an approach that integrates Case-Based Reasoning (CBR) with Large Language Models (LLMs) to rewrite biographies in a way that obfuscates gender while preserving semantic content. We evaluate GenWriter by measuring gender bias …
Health And Weather In Unfavourable Environments: Exploring The Historical Dynamics Of Colonial Medical Meteorology In Nineteenth-Century Tropical Asia, Fiona Williamson
Health And Weather In Unfavourable Environments: Exploring The Historical Dynamics Of Colonial Medical Meteorology In Nineteenth-Century Tropical Asia, Fiona Williamson
Research Collection College of Integrative Studies
Medical meteorology had a long precedent in medical thought across Eastern and Western traditions. This article considers the tradition of medical meteorology that was favoured by Western doctors in the nineteenth century, which was often applied within colonial contexts to the understanding of new climates and how they might impact on human health. Looking at British-held tropical and sub-tropical colonies of the Straits Settlements and Hong Kong respectively, medical meteorology was stimulated by the new pathological and atmospheric conditions that European explorers and settlers now inhabited in the name of the British Empire. They brought with them concepts of disease …