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Articles 254041 - 254070 of 1798158
Full-Text Articles in Entire DC Network
Cognitive Behavior Therapy Versus Internet Cognitive Behavior Therapy In Adults With Anxiety Or Depression, Heather Greenwood
Cognitive Behavior Therapy Versus Internet Cognitive Behavior Therapy In Adults With Anxiety Or Depression, Heather Greenwood
Physician Assistant Scholarly Project Papers
According to the American Psychiatric Association, the prevalence of anxiety and depression in adults in their lifetime are nearly 30% and 16.6% respectively. The combination of pharmacotherapy and psychotherapy interventions (including talk therapy or cognitive behavior therapy (CBT)) are considered best practice, but in recent years there has been an increase in the popularity of applications and web-based services categorized as “internet cognitive behavior therapy”, or ICBT. The question proposed is, are these services as good for patient outcomes as traditional in-person CBT? A literature review was performed using electronic medical database PubMed with key word searches for cognitive behavior …
Proning Versus Respiratory Pharmacotherapeutics In Hospitalized Covid-19 Patients, Sasha Marie Hopfauf
Proning Versus Respiratory Pharmacotherapeutics In Hospitalized Covid-19 Patients, Sasha Marie Hopfauf
Physician Assistant Scholarly Project Papers
The purpose of this research and literature review is to compare the use of prone positioning and respiratory pharmacotherapeutics within hospitalized COVID-19 patients and the outcomes associated with each. A literature review was performed using the databases PubMed, Clinical Key, DynaMed, and CINAHL. A variety of key terms were used when searching. Studies chosen were retrospective reviews, a cross sectional study, an interventional study, and a pilot study. Articles within the last three years were utilized after exclusion criteria was applied. A total of thirteen articles were included within this project. The research shows that pulmonary vasodilators such as inhaled …
Gabapentin As An Effective Treatment Option For Alcohol Use Disorder, Monica Hurst
Gabapentin As An Effective Treatment Option For Alcohol Use Disorder, Monica Hurst
Physician Assistant Scholarly Project Papers
The purpose of this literature review is to determine whether gabapentin is an effective treatment option for alcohol use disorder (AUD). Utilizing data sourced primarily from published clinical trials, gabapentin’s effect on heavy drinking, abstinence, withdrawal symptoms and alcohol cravings will be explored. This review will also compare gabapentin’s efficacy against currently approved AUD treatment options, along with what dosages are most efficacious while contributing the fewest adverse effects. The data presented in this literature review undeniably demonstrates a positive effect of gabapentin on alcohol use disorder; Specifically, the data shows that gabapentin at multiple dosages helps to decrease heavy …
A Comparison Of Anti-Calcitonin Gene-Related Peptide Monoclonal Antibodies And Standard Migraine Prophylaxis In Those With Episodic Migraines, Alexie Harms
Physician Assistant Scholarly Project Papers
The purpose of this research study is to determine if anti-calcitonin gene related peptide monoclonal antibodies (CGRP mAbs) more effective and tolerable in reducing the number of migraine days in comparison to conventional migraine prophylactic use of Propranolol, Amitriptyline, and Topiramate. Migraines are debilitating and a frequent reason for primary care visits interfering with an individual’s work, school, and daily life. Standard of care treatment options for migraine prophylaxis are drugs initially developed for other diseases and can lead to unnecessary and unwanted side effects decreasing treatment adherence in the prevention of migraines. In this literature review, electronic search databases …
Active Toxoplasmosis Infection: Efficacy And Safety Of Treatment Options, Daniele Krouse
Active Toxoplasmosis Infection: Efficacy And Safety Of Treatment Options, Daniele Krouse
Physician Assistant Scholarly Project Papers
This literature review intends to investigate the safety and efficacy of two different drug treatment regimens, pyrimethamine versus trimethoprim-sulfamethoxazole, for active toxoplasmosis infections. Affecting nearly 11% of the United States population and up to 80% of the populations of tropical countries, Toxoplasmosis infection is the second leading cause of death from food borne illness. Current classic management of active infection with pyrimethamine is correlated with numerous undesirable side effects, high cost and need for complex use of adjunctive medications. It is necessary to identify alternative treatment options with fewer side effects, less complex regimens, lower cost, and easier access for …
Fertility Treatment In Pcos: Metformin Vs. Inositol, Kaylina Kelley
Fertility Treatment In Pcos: Metformin Vs. Inositol, Kaylina Kelley
Physician Assistant Scholarly Project Papers
The most common endocrine disorder affecting women is polycystic ovary syndrome (PCOS) (Pourghasem, 2019). Metformin is commonly used to decrease insulin resistance and increase fertility in these women. However, it is known to cause many side effects, which are mostly gastrointestinal related. Myoinositol is a B-vitamin that is thought to also decrease insulin resistance and increase fertility with few side effects. The purpose of this literature review is to determine whether myoinositol is a comparable substitute for metformin in patients with PCOS suffering with infertility. This was done by evaluating pregnancy rates, insulin resistance, and side effects of metformin and …
Pregnancy Planning: Hormonal Contraception Versus Natural Family Planning, Melanie Loehrer
Pregnancy Planning: Hormonal Contraception Versus Natural Family Planning, Melanie Loehrer
Physician Assistant Scholarly Project Papers
Statement of the problem: Natural family planning methods provide women with an opportunity to use natural methods to plan pregnancy. This is done through daily monitoring of symptoms and biomarker fluctuation in accordance with hormonal changes throughout the menstrual cycle to identify the fertile window. Through the identification of the fertile window and ovulation, one can determine appropriate days for sexual intercourse. This format allows participants to develop a greater understanding and in-depth knowledge of reproductive health to avoid or achieve pregnancy. The use of natural family planning has greatly increased over the last two decades, growing the demand for …
Long-Term Control Of Type Ii Diabetes Mellitus And Weight Through Roux-En-Y Gastric Bypass Surgery Versus Weight Loss Medication, Alexandra Laber
Long-Term Control Of Type Ii Diabetes Mellitus And Weight Through Roux-En-Y Gastric Bypass Surgery Versus Weight Loss Medication, Alexandra Laber
Physician Assistant Scholarly Project Papers
Type II diabetes mellitus (T2DM) affects hundreds of millions of individuals in the United States and is only becoming more common. The disease can damage organs all throughout the body and even lead to death. The goal of treatment is to lower blood glucose, but since T2DM tends to be associated with obesity, another common goal in treatment is weight loss. However, this is difficult for many people to achieve, and intense medical treatment is sometimes needed. Since T2DM is a lifelong disease, interventions must be considered in the long term. The purpose of this project is to compare long-term …
Platelet-Rich Plasma Vs Corticosteroid: Osteoarthritis Symptoms, Joshua Zetocha
Platelet-Rich Plasma Vs Corticosteroid: Osteoarthritis Symptoms, Joshua Zetocha
Physician Assistant Scholarly Project Papers
Osteoarthritis (OA) is a disease that hundreds of millions of people suffer from across the world (Palazzo et al., 2016). Currently, corticosteroid intra-articular injections are frequently administered to help with pain and inflammation related to OA (Pereira et al, 2015). A relatively new treatment option is Platelet-Rich Plasma (PRP) intra-articular injections. PRP injections use the patient’s own plasma, injected into the affected joint space, to reduce inflammation and potentially improve both pain and functionality. This literature review will investigate whether the newer PRP injections relieve pain and improve functionality of OA patients better than corticosteroid injections. The literature review was …
Effectiveness Of Knee Joint Injury Treatments In The Prevention Of Post-Traumatic Osteoarthritis, Jenna Zaeske
Effectiveness Of Knee Joint Injury Treatments In The Prevention Of Post-Traumatic Osteoarthritis, Jenna Zaeske
Physician Assistant Scholarly Project Papers
The purpose of this research and systematic literature review is to determine the effectiveness of rest, physical therapy, and/or surgical intervention following either anterior cruciate ligament (ACL) or meniscus injuries in short- and long- term osteoarthritis outcomes. The short- and longterm outcomes were evaluated to compare the prevalence and progression of osteoarthritis after joint injury. In this literature review, the electronic database PubMed was used to find relevant research. Many keywords were used when searching for articles. Sources included for review had research on ACL or meniscus injuries specifically. Other knee injuries, non-knee injuries and non-human subjects were excluded. Articles …
Aspirin Vs. Pravastatin For Prevention Of Preterm Delivery In Patients At Risk For Pre-Eclampsia, Mary Weisberg
Aspirin Vs. Pravastatin For Prevention Of Preterm Delivery In Patients At Risk For Pre-Eclampsia, Mary Weisberg
Physician Assistant Scholarly Project Papers
This literature review is an examination of the use of low-dose aspirin therapy versus the use of pravastatin therapy to prevent preterm delivery in women at risk of developing preeclampsia. Preeclampsia is defined as new onset hypertension after 20 weeks of gestation with evidence of maternal organ or uteroplacental dysfunction or proteinuria. Preeclampsia is a serious condition that affects pregnant women and their growing fetuses which may lead to maternal or fetal demise. The Prevention of preeclampsia with the use of low-dose aspirin in the first 12-16 weeks is currently the mainstay of treatment for women with moderate to severe …
Perimenopausal Depression Screening And Treatment Efficacy Between Antidepressants And/Or Hormone Replacement Therapy, Mandy Stenehjem
Perimenopausal Depression Screening And Treatment Efficacy Between Antidepressants And/Or Hormone Replacement Therapy, Mandy Stenehjem
Physician Assistant Scholarly Project Papers
During the menopause transition (MT), also known as perimenopause, women are at a significantly increased risk of depression. Although the pathophysiology is not fully understood, it is likely to be complex and multifactorial. Data evaluating the involvement of HPA axis dysregulation and correlating female reproductive hormone fluctuations, specifically estradiol, are factors that may contribute to this incidence. Currently antidepressants are the treatment for depression but with biological changes occurring during perimenopause, hormone replacement therapy alone or in combination may have comparable antidepressant effects. The combination of menopause symptoms, depressive symptoms, and psychosocial challenges, make recognition and treatment depend on many …
Chronic Exertional Compartment Syndrome: Surgical Treatment Vs Conservative Care, Molly Ruebke
Chronic Exertional Compartment Syndrome: Surgical Treatment Vs Conservative Care, Molly Ruebke
Physician Assistant Scholarly Project Papers
Chronic exertional compartment syndrome (CECS) is a relatively rare pathology characterized by pain, tightness, and/or numbness in the affected calf upon performance of repetitive physical activity, most commonly with running or serving in the military. CECS usually has a delay in diagnosis due to low levels of awareness among clinicians and a wide range of differential diagnoses for chronic exertional leg pain. The natural course of CECS is often not self-limiting and therefore requires intervention, as symptoms can be severely debilitating and eventually force patients to avoid any provoking activity. The purpose of this literature review is to take a …
Corticosteriod Injection Vs Therapy Vs Combination For Shoulder Rotator Cuff Injuries, Rodney Guy Palmer Jr.
Corticosteriod Injection Vs Therapy Vs Combination For Shoulder Rotator Cuff Injuries, Rodney Guy Palmer Jr.
Physician Assistant Scholarly Project Papers
Rotator cuff pathologies seen in a primary care setting ranks third for musculoskeletal complaints seen by primary care providers. Rotator cuff pathologies can cause significant dysfunction in activities of daily living (ADLs), work tasks, and daily life. Current treatment recommendations are intra-articular steroid injections, therapy only rehabilitation, or the combination of the two. This literature review researched articles comparing the effectiveness of steroid only treatments, therapy only treatments, and the combination of the two. There was conflicting evidence regarding which treatment was the most effective. Significant side effects for steroid injections were discovered which included rotator cuff rupture. Therapy demonstrated …
Benzimidazole Adjuvant Therapy: A Review Of Efficacy And Safety In Patients With Cancer, Jared Mouw
Benzimidazole Adjuvant Therapy: A Review Of Efficacy And Safety In Patients With Cancer, Jared Mouw
Physician Assistant Scholarly Project Papers
This literature review aims to compile previous studies’ data and explore the effects of benzimidazoles as an adjuvant therapy and its relationship to a patient’s cancer biomarkers, tumor progression, and quality of life. In addition to the aforementioned, we will attempt to review data to identify the safety and toxicity profile of benzimidazoles within a population of patients currently diagnosed with cancer to determine if this class of medications could be implemented along with current cancer treatment regimens to increase efficacy and tolerance. To determine this, the databases of CINAHL, ClinicalKey, and PubMed were searched with the keywords mentioned below. …
Impact Of Circadian Rhythm On Attention-Deficit Hyperactivity Disorder, Tyson Williams
Impact Of Circadian Rhythm On Attention-Deficit Hyperactivity Disorder, Tyson Williams
Physician Assistant Scholarly Project Papers
The purpose of this research and systematic literature review is to determine if altering the circadian rhythm in people with Attention-Deficit Hyperactivity Disorder (ADHD) improves their symptoms. Up to 75% of people with childhood-onset ADHD exhibit a delayed circadian rhythm phase. This can cause difficulty in initiating and maintaining sleep, which in turn can cause excessive daytime sleepiness and further exacerbate ADHD symptoms, especially hyperactivity. Journal articles were searched in the databases of PubMed that concerned treatment aspects that would affect circadian rhythm and ADHD. Topics were further divided into themes that included melatonin, light therapy (LT), sleep hygiene intervention, …
The Effects Of Food On Mood: Implications Of Mediterranean And Plant-Based Diets On Depression Symptom Prevalence And Severity, Kaitlyn Prochnow
The Effects Of Food On Mood: Implications Of Mediterranean And Plant-Based Diets On Depression Symptom Prevalence And Severity, Kaitlyn Prochnow
Physician Assistant Scholarly Project Papers
The purpose of this research and systematic literature review is to determine whether adherence to a Mediterranean diet or a plant-based diet has better effects on decreasing depression prevalence and/or symptom severity. A variety of keywords were used to search the online database, PubMed. Clinical trials and randomized controlled trials conducted within the last 20 years were included in the initial search. Exclusions were made if studies were not specific to Mediterranean or plant-based diets, or if they were focused on other psychiatric illnesses besides depression. For the final review, ten articles were selected. After thorough analyses and comparisons of …
Usd Magazine Spring 2023, University Of San Diego
Usd Magazine Spring 2023, University Of San Diego
University of San Diego Magazine (1992- )
Torero News; Why Not Us?; Taking Flight; With Heart and Soil; Class Notes
Good Communications: Why It’S Essential To Winning Elections, Matthew J. Levin Mpa, Jd
Good Communications: Why It’S Essential To Winning Elections, Matthew J. Levin Mpa, Jd
The Journal of the Michigan Dental Association
The article emphasizes the pivotal role of strategic communications in winning elections and guiding prospective political candidates in developing effective communication plans. The modern electoral landscape demands that candidates master the art of communication to connect with voters and convey their mission effectively.
The article highlights two key components of communication: crafting compelling messages and delivering them adeptly. The former involves developing a series of messages, starting with an elevator pitch and talking points, while the latter requires diligent practice.
The role of media in campaigns is explored, differentiating between earned and paid media. Earned media, generated organically through viral …
Introduction To The Special Issue On The Acbs Taskforce Report, Michael P. Twohig, Joanna J. Arch, Ian Stewart
Introduction To The Special Issue On The Acbs Taskforce Report, Michael P. Twohig, Joanna J. Arch, Ian Stewart
Psychology Faculty Publications
In 2021, the Journal of Contextual Behavioral Science (JCBS) published a white paper titled “Report of the ACBS Task Force on the strategies and tactics of contextual behavioral science research.” The focus of this report was to guide research done by members of the Association of Contextual Behavioral Science. This report offered 33 specific recommendations under five themes. This paper is the introduction to a special issue of JCBS that includes eight commentaries written by leaders in their respective fields on the taskforce report. These commentaries offer praise and suggestions based on the ACBS report.
Exploring The Phenomenon Of College Students Who Are Experiencing Homelessness And Their Persistence To Graduation, Voniesha Samuels
Exploring The Phenomenon Of College Students Who Are Experiencing Homelessness And Their Persistence To Graduation, Voniesha Samuels
Theses & Dissertations
Homelessness among college students is becoming more prevalent in the United States. These students face many challenges trying to navigate and persevere through college; however, the stories of their college experiences have rarely been told. In this study, a hermeneutic, phenomenological design was used to explore the lived experience of college students who are experience homelessness. The analysis of five students who are experiencing homelessness brings awareness to a problem that too often goes undetected and unsupported in college. The results of this study showed that the lived experiences of college students who are homeless were shaped by financial insecurity …
Bubbleu: Exploring Augmented Reality Game Design With Uncertain Ai-Based Interaction, Minji Kim, Kyungjin Lee, Rajesh Krishna Balan, Youngki Lee
Bubbleu: Exploring Augmented Reality Game Design With Uncertain Ai-Based Interaction, Minji Kim, Kyungjin Lee, Rajesh Krishna Balan, Youngki Lee
Research Collection School Of Computing and Information Systems
Object detection, while being an attractive interaction method for Augmented Reality (AR), is fundamentally error-prone due to the probabilistic nature of the underlying AI models, resulting in sub-optimal user experiences. In this paper, we explore the effect of three game design concepts, Ambiguity, Transparency, and Controllability, to provide better gameplay experiences in AR games that use error-prone object detection-based interaction modalities. First, we developed a base AR pet breeding game, called Bubbleu that uses object detection as a key interaction method. We then implemented three different variants, each according to the three concepts, to investigate the impact of each design …
Giving Back: Contributions Congruent To Library Dependency Changes In A Software Ecosystem, Supatsara Wattanakriengkrai, Dong Wang, Raula Gaikovina Kula, Christoph Treude, Patanamon Thongtanunam, Takashi Ishio, Kenichi Matsumoto
Giving Back: Contributions Congruent To Library Dependency Changes In A Software Ecosystem, Supatsara Wattanakriengkrai, Dong Wang, Raula Gaikovina Kula, Christoph Treude, Patanamon Thongtanunam, Takashi Ishio, Kenichi Matsumoto
Research Collection School Of Computing and Information Systems
The widespread adoption of third-party libraries for contemporary software development has led to the creation of large inter-dependency networks, where sustainability issues of a single library can have widespread network effects. Maintainers of these libraries are often overworked, relying on the contributions of volunteers to sustain these libraries. To understand these contributions, in this work, we leverage socio-technical techniques to introduce and formalise dependency-contribution congruence (DC congruence) at both ecosystem and library level, i.e., to understand the degree and origins of contributions congruent to dependency changes, analyze whether they contribute to library dormancy (i.e., a lack of activity), and investigate …
Heritage Products, National Dishes And Consumer Identity, Monisha Das Dr,
Heritage Products, National Dishes And Consumer Identity, Monisha Das Dr,
AMTP Proceedings 2023
Food and agriculture is at the heart of the 17 Sustainable Development Goals, beginning with Sustainable Development Goal (SDG) 1: End poverty, and Sustainable Development goal (SDG) 2: End hunger. In this paper, the researcher explores data from FAO and WHO surveys conducted over ten years. The researcher applies various interdisciplinary approaches and references the theory of planned behavior to explain the resilience, especially of hedonic aspects of food diets in the context of the living heritage of national dishes. The research references Vavilov’s botanical centers of origin and dispersion to capture the biogeographic underpinnings of global cuisine. The findings …
The Perceived Impact Of The New Rules Regarding Name, Image, And Likeness (Nil) In Intercollegiate Sports, Sam Fullerton, Ron Wade, Ronald Dick, Michael Mccall
The Perceived Impact Of The New Rules Regarding Name, Image, And Likeness (Nil) In Intercollegiate Sports, Sam Fullerton, Ron Wade, Ronald Dick, Michael Mccall
AMTP Proceedings 2023
New rules allow college athletes to earn significant income from a multitude of activities common among professional athletes. These activities include allowing athletes to profit from the sale of intellectual properties that bear their name, image, or likeness (NIL); additional opportunities include blogs, social media posts, camps, and autograph sessions. Early perceptions of the impact of these new NIL rules have been far from unanimous. A sample of 404 students from five American universities provided feedback regarding their perceptions of nine NIL-related considerations: the impact that the new NIL rules have had on college sports, if the athletes benefit, whether …
Imprinting-Like Effects Of Early Adolescent Music, Jiayu Fu, Lynn K. L. Tan, Norman P. Li, Xiao Tian Wang
Imprinting-Like Effects Of Early Adolescent Music, Jiayu Fu, Lynn K. L. Tan, Norman P. Li, Xiao Tian Wang
Research Collection School of Social Sciences
This research examines the hypothesis that music experienced during puberty in early adolescence imprints on individuals to promote the pursuit of friendships and mating. We conducted an online survey with samples from the United States and China (Study 1) and a within-subject experiment (Study 2). Results suggest that most songs and poems identified as “favorites” were learned during early adolescence. Furthermore, compared with recently acquired songs and poems, those from early adolescence reminded participants more about friendship and induced more emotional reactions. In the Chinese sample, the shared preference for similar songs from early adolescence increased friendliness perception. Music from …
International Academic Or Citizen Scholar?: Singaporean Returnees In The Global City, Yasmin Y. Ortiga, Jue Wang, Meng-Hsuan Chou
International Academic Or Citizen Scholar?: Singaporean Returnees In The Global City, Yasmin Y. Ortiga, Jue Wang, Meng-Hsuan Chou
Research Collection School of Social Sciences
Research on return migration has tended to focus their analyses on two imagined places: a host country where they used to live, and an origin country where they must reintegrate after a long period of being away. This paper reveals how spaces within the city can undermine the reintegration of former migrants seeking to reestablish themselves in their home countries. Based on in-depth interviews with 25 Singaporean academics, we discuss how the priorities of globally oriented universities can impact the reintegration of highly skilled returnees within their home city. Specifically, this paper reveals how returnees face the challenge of negotiating …
Revisiting Tocqueville's American Woman, Christine Dunn Henderson
Revisiting Tocqueville's American Woman, Christine Dunn Henderson
Research Collection College of Integrative Studies
This paper revisits Tocqueville’s famous portrait of the American female, which begins with assertions of her equality to males but ends with her self-cloistering in the domestic sphere. Taking a cue from Tocqueville’s extended sketch of the “faded” pioneer wife in “A Fortnight in the Wilderness” and drawing connections to Tocqueville’s criticisms of the division of industrial labor, I argue that the American girl’s ostensibly free choice to remove herself from public life is not an act of freedom. Rather, it is a manifestation of a particular type of unfreedom that reveals underappreciated connections between the two great dangers about …
Disgust Sensitivity Relates To Attitudes Toward Gay Men And Lesbian Women Across 31 Nations, F. Van Leeuwen, Y. Inbar, M. B. Petersen, L. Aaroe, P. Barclay, F. K. Barlow, M. De Barra, D. V. Becker, L. Borovoi, J. Choi, N. S. Consedine, J. R. Conway, P. Conway, V. C. Adoric, Li, Norman P.
Disgust Sensitivity Relates To Attitudes Toward Gay Men And Lesbian Women Across 31 Nations, F. Van Leeuwen, Y. Inbar, M. B. Petersen, L. Aaroe, P. Barclay, F. K. Barlow, M. De Barra, D. V. Becker, L. Borovoi, J. Choi, N. S. Consedine, J. R. Conway, P. Conway, V. C. Adoric, Li, Norman P.
Research Collection School of Social Sciences
Previous work has reported a relation between pathogen-avoidance motivations and prejudice toward various social groups, including gay men and lesbian women. It is currently unknown whether this association is present across cultures, or specific to North America. Analyses of survey data from adult heterosexuals (N = 11,200) from 31 countries showed a small relation between pathogen disgust sensitivity (an individual-difference measure of pathogen-avoidance motivations) and measures of antigay attitudes. Analyses also showed that pathogen disgust sensitivity relates not only to antipathy toward gay men and lesbians, but also to negativity toward other groups, in particular those associated with violations of …
Shock Mobilities During Moments Of Acute Uncertainty, Biao Xiang, William L. Allen, Shahram Khosravi, Helene Neveu Kringelbach, Yasmin Y. Ortiga, Karen Anne S. Liao, Cuellar Jorge E., Lamea Momen, Priya Deshingkar, Mukta And Naik
Shock Mobilities During Moments Of Acute Uncertainty, Biao Xiang, William L. Allen, Shahram Khosravi, Helene Neveu Kringelbach, Yasmin Y. Ortiga, Karen Anne S. Liao, Cuellar Jorge E., Lamea Momen, Priya Deshingkar, Mukta And Naik
Research Collection School of Social Sciences
The COVID-19 pandemic and interventions addressing it raise important questions about human mobility that have geopolitical implications. This forum uses mobility and immobility during the pandemic as lenses onto the ways that routinised state power reacts to acute uncertainties, as well as how these reactions impact politics and societies. Specifically, we propose the concept of "shock mobility" as migratory routines radically reconfigured: emergency flights from epicentres, mass repatriations, lockdowns, quarantines. Patterns of shock mobility and immobility are not new categories of movement, but rather are significant alterations to the timing, duration, intensity, and relations among existing movements. Many of these …