Open Access. Powered by Scholars. Published by Universities.®
- Institution
-
- Population Council (2372)
- The Texas Medical Center Library (1394)
- University of Kentucky (976)
- University of Nevada, Las Vegas (939)
- Walden University (900)
-
- Universitas Indonesia (876)
- Old Dominion University (825)
- Himmelfarb Health Sciences Library, The George Washington University (749)
- Boise State University (697)
- Gdansk University of Physical Education and Sport (691)
- Western Kentucky University (633)
- City University of New York (CUNY) (588)
- SIT Graduate Institute/SIT Study Abroad (538)
- Nova Southeastern University (509)
- Portland State University (494)
- Western Michigan University (485)
- University of Nebraska - Lincoln (482)
- The Beryl Institute (474)
- Western University (467)
- University of Arkansas, Fayetteville (460)
- Chapman University (407)
- University of Massachusetts Boston (356)
- WellBeing International (350)
- University of South Florida (330)
- University of North Florida (310)
- Loma Linda University (301)
- Santa Clara University (294)
- Southwestern Oklahoma State University (281)
- Wayne State University (278)
- Indiana State University (275)
- Keyword
-
- English (2094)
- Humans (1106)
- COVID-19 (751)
- Mental health (744)
- Reproductive Health (620)
-
- Female (572)
- Depression (522)
- Poverty Gender and Youth (511)
- Health (507)
- Male (506)
- Education (474)
- Family Planning (471)
- Public health (437)
- Adolescents (Female) (410)
- Youth (377)
- India (374)
- Adult (369)
- Women (346)
- Children (340)
- Psychology (334)
- Anxiety (315)
- Western Kentucky University (311)
- Maternal/Newborn/Child Health (310)
- Adolescent (301)
- Stress (298)
- Gender (291)
- Patient experience (289)
- Healthcare (288)
- Kenya (286)
- Physical activity (284)
- Publication Year
- Publication
-
- Reproductive Health (1206)
- Poverty, Gender, and Youth (853)
- Walden Dissertations and Doctoral Studies (816)
- Baltic Journal of Health and Physical Activity (691)
- International Journal of Physical Activity and Health (658)
-
- Faculty, Staff and Student Publications (497)
- Independent Study Project (ISP) Collection (490)
- Patient Experience Journal (474)
- Brain and Mind Institute Researchers' Publications (380)
- Center for Medical Ethics and Health Policy Staff Publications (380)
- Kesmas (359)
- Dissertations (315)
- Publications and Research (313)
- HIV and AIDS (306)
- USF Tampa Graduate Theses and Dissertations (305)
- Dissertations and Theses (275)
- Administrative Issues Journal (271)
- The Journal of Sociology & Social Welfare (260)
- Dissertations and Theses (Open Access) (256)
- Electronic Theses and Dissertations (256)
- Florida Public Health Review (255)
- WKU Administration Documents (253)
- Antioch University Dissertations & Theses (250)
- Psychology Faculty Publications (249)
- Theses and Dissertations (240)
- Loma Linda University Electronic Theses, Dissertations & Projects (239)
- Journal of Health Disparities Research and Practice (226)
- Jurnal Kajian Bimbingan dan Konseling (201)
- Masters Theses (196)
- International Journal of Aquatic Research and Education (192)
- Publication Type
Articles 24391 - 24420 of 33776
Full-Text Articles in Medicine and Health Sciences
The Journal Of Undergraduate Research: Volume 12
The Journal Of Undergraduate Research: Volume 12
The Journal of Undergraduate Research
This is the complete issue of the South Dakota State University Journal of Undergraduate Research, Volume 12.
Pre-Traumatic Factors Of Career-Related Ptsd: A Systematic Review Of The Literature, Michael G. Curtis, Russell T. Hurlburt
Pre-Traumatic Factors Of Career-Related Ptsd: A Systematic Review Of The Literature, Michael G. Curtis, Russell T. Hurlburt
McNair Poster Presentations
This paper examined and synthesized the (limited) available literature on the pre-traumatic predictors of PTSD, specifically targeting populations in which traumatic events are experienced frequently because of the requirements of their positions, i.e., firefighters, police, and military personnel. A total of 21 articles were included in the final literature review and were used to assess the current available knowledge of the pre-traumatic traits of career-related PTSD, and address potential gaps in the literature. The culmination of this research was used to create specific risk profiles for each of the high risk careers included in this review, firefighters, police, and military …
A Computational Perspective Of Schizophrenia, Ernesto H. Bedoy, Geoff Powell, Jefferson Kinney
A Computational Perspective Of Schizophrenia, Ernesto H. Bedoy, Geoff Powell, Jefferson Kinney
McNair Poster Presentations
The etiology of schizophrenia remains largely elusive, thus dampening the effectiveness of current treatment strategies. Abnormal neural migration and neurogenesis in the hippocampus have been suggested to be involved in schizophrenia (Jakob & Beckmann, 1994). A few approaches, including computational modeling, have investigated schizophrenia as a network disorder. Computational modeling uses mathematics to predict the behavior of biological systems based on the input of a set of parameters collected from laboratory experiments. In this study, we constructed a computational model to explore the ramifications of additional PV neurons migrating to an aberrant location in the hippocampus and interfering with a …
Wonder-Worlds Of Words, Sandra A. Yocum
Wonder-Worlds Of Words, Sandra A. Yocum
Theology and Religious Studies Faculty Publications
An essay on the impact of the works in the Imprints and Impressions: Milestones in Human Progress, an exhibition of rare books from the collection of Stuart Rose. Exhibition was held Sept. 29-Nov. 9, 2014, at the University of Dayton.
Present Futures: Possibilities For Selfhood At A Community Mental Health Center In Detroit, Michigan, Talia Gordon
Present Futures: Possibilities For Selfhood At A Community Mental Health Center In Detroit, Michigan, Talia Gordon
Wayne State University Theses
Since the 1990s, recovery-oriented approaches to mental illness have become the dominant paradigm in contemporary U.S. non-clinical institutional settings. Central to the recovery paradigm is a discourse of self-determination that separates psychiatric pathology from personhood and expects those diagnosed to enact and manage themselves as autonomous subjects - as empowered, responsible, independent, and transformable. For many individuals, however, everyday experiences of illness are at odds with expectations for recovery, defined as a "process of change" through which the self is continuously worked upon and improved (SAMHSA 2011). One particularly popular non-clinical recovery modality is the Clubhouse model of psychosocial rehabilitation …
Go To The Hospital Or Stay At Home? A Qualitative Study Of Expected Hospital Decision Making Among Older African Americans With Advanced Heart Failure, Faith Pratt Hopp, Christina Marsack, Jessica Camp, Shirley Ann Thomas
Go To The Hospital Or Stay At Home? A Qualitative Study Of Expected Hospital Decision Making Among Older African Americans With Advanced Heart Failure, Faith Pratt Hopp, Christina Marsack, Jessica Camp, Shirley Ann Thomas
Social Work Faculty Publications
To address the need for more information concerning hospital decision making, we conducted in-depth interviews among African Americans with heart failure and their family caregivers (n=11 dyads). Using a case scenario, we asked participants about their anticipated hospitalization decisions. Most patients indicated that they would seek care to avoid further deterioration or death from their worsening condition. Many family caregivers anticipated having an active influence on hospitalization decisions. Findings suggest that social workers should encourage the development of adequate home-based services, recognize diverse communication styles, and use this information to facilitate medical decision making by these patients and …
Exhibition Catalogue — Imprints And Impressions: Milestones In Human Progress, Paul H. Benson, Sandra A. Yocum, Mark Masthay, Donald J. Polzella
Exhibition Catalogue — Imprints And Impressions: Milestones In Human Progress, Paul H. Benson, Sandra A. Yocum, Mark Masthay, Donald J. Polzella
Supplemental Media
Exhibition catalogue for Imprints and Impressions: Milestones in Human Progress — Highlights from the Rose Rare Book Collection. Includes an introduction by Kathleen M. Webb, dean of University Libraries; essays about the impact of the exhibition's books on modern inquiry, the humanities, the sciences, and the social sciences; and photographs of the works in the exhibit.
Shots, Everybody? : British Anti-Smallpox Vaccination And The Development Of Multifaceted Anti-Vaccine Rhetoric On Internet Parenting Forums, Marta B. Bean
Scripps Senior Theses
Vaccination is an important public health measure that can help reduce disease at the population level. Substantial evidence exists that vaccines are safe and effective at reducing the incidence of diseases like pertussis, measles and cervical cancer. However, on Internet parenting forums, parents discuss whether or not vaccination is the right choice for their children. In this thesis, I highlight the historical context of the anti-vaccine movement in mid 19th century to early 20th century Victorian Britain in the era of compulsory smallpox vaccination. Vaccination in this time was a very different and more overtly dangerous process, and …
Let’S Play: Understanding The Role And Significance Of Digital Gaming In Old Age, Julie A. Skalsky Brown
Let’S Play: Understanding The Role And Significance Of Digital Gaming In Old Age, Julie A. Skalsky Brown
Theses and Dissertations--Gerontology
Despite a marked increase in the use of digital games among older persons, there is insufficient research that provides insight into the gaming experiences of this population. A major demographic shift within the senior gaming market has ushered in a new perspective on the use of digital games as a tool for physical and cognitive health, and improved socialization. It is proposed that individual notions of play, which are developed over the life course, influence digital game play engagement and interaction preferences, and contribute to well-being. This study explored how self-perceptions of play over the course of the senior gamer’s …
Study Abroad Opportunities For Dietetics And Human Nutrition Students: Expectations, Benefits And Barriers, Kailey Marie Cunningham
Study Abroad Opportunities For Dietetics And Human Nutrition Students: Expectations, Benefits And Barriers, Kailey Marie Cunningham
Theses and Dissertations--Nutrition and Food Systems
This study analyzed the perceptions of University of Kentucky Dietetic and Human Nutrition students as they relate to the benefits and barriers of study abroad educational opportunities. The final sample consisted of 164 participants, with 18.9% (n=31) in the Coordinated Program in Dietetics (CP), 32.3% (n=53) in the Didactic Program in Dietetics (DPD), 42.7% (n=70) in the Human Nutrition (HN) program and 5.5% (n=9) who identified their program as ‘other’. The primary barriers to participation in study abroad were cost and problems fitting education abroad into the current program of study. The primary benefits were identified as dietary and health …
Predictors Of Emergency Room And Hospital Utilization Among Adults With Intellectual And Developmental Disabilities (Idd) In New York City, Meghan G. Blaskowitz
Predictors Of Emergency Room And Hospital Utilization Among Adults With Intellectual And Developmental Disabilities (Idd) In New York City, Meghan G. Blaskowitz
Legacy Theses & Dissertations (2009 - 2024)
Background. Avoidable emergency room (ER) visits and hospital admissions among people with intellectual and developmental disabilities (IDD) contribute significantly to rising Medicaid costs. The Affordable Care Act (ACA) and New York State (NYS) Medicaid Redesign Team have identified a critical need to reduce ER and hospital utilization in an effort to contain healthcare costs and improve quality of care. Study Objective. This study identifies independent predictors of medical and behavioral/psychiatric ER and hospital utilization for a cohort of individuals with IDD (n=597) residing in supported living arrangements in New York City, the most Medicaid-dense region of NYS. Methods. A retrospective …
Mental Health Service Utilization Among People With Mental Illness : An Examination Of Predictors And The Influence Of Substance Abuse And Hiv, Man-Chun Chang
Mental Health Service Utilization Among People With Mental Illness : An Examination Of Predictors And The Influence Of Substance Abuse And Hiv, Man-Chun Chang
Legacy Theses & Dissertations (2009 - 2024)
Many people who could benefit from mental health services do not receive them. The objective of this study is to use nationally representative data to systematically investigate correlates of types of mental health treatments and examine the interaction effects between self-perceived treatment need and demographic characteristics.
Early Health And Human Capital Accumulation : An Econometric Analysis Using The Psid-Cds, 1997-2007, Dohyung Kim
Early Health And Human Capital Accumulation : An Econometric Analysis Using The Psid-Cds, 1997-2007, Dohyung Kim
Legacy Theses & Dissertations (2009 - 2024)
The first chapter estimates the effect of fetal growth on academic achievement in childhood using a nested error-component two-stage least squares (NEC2SLS) estimator that draws on internal instruments from alternative dimensions of the multi-level panel data structure of the panel data set. This estimation method increases efficiency by exploiting information on children with no siblings in the sample as well as identifies coefficients for the time-invariant, mother-specific regressors, all of which are not feasible with conventional mother-fixed effects estimation. We estimate modest but statistically significant effects of birth weight and fetal growth rate on math and reading scores, with the …
Examining The Risk And Protective Factors That Influence Falls Among Native American Older Adults, Kelly Winjum
Examining The Risk And Protective Factors That Influence Falls Among Native American Older Adults, Kelly Winjum
Legacy Theses & Dissertations (2009 - 2024)
The risk factors for falls and the adverse outcomes of falls have been well documented among the general older adult population. However, fall frequency, fall risk factors, and fall outcomes have rarely been studied among minority groups specifically. Furthermore, to date there are no known studies that exclusively examine falls among Native American older adults. The purpose of this study is to examine falls among Native American older adults, in order to understand the risk and protective factors for falling among this population, and to develop recommendations for intervention. The theoretical framework of the Disablement Process guides this study. The …
Relationships Between Breastfeeding, Maternal Cigarette Smoking During Pregnancy, And The Cognitive Functioning Of Akwesasne Mohawk Adolescents Exposed To Environmental Pollution, Georgia Brooke
Legacy Theses & Dissertations (2009 - 2024)
Previous research has suggested that breastfeeding is beneficial for children's health and that maternal cigarette smoking during pregnancy is harmful for children's health. However, there is not a consensus in the existing literature about whether or not these two maternal behaviors impact the cognitive development of children. Furthermore, understanding the role of breastfeeding in children's development is complicated by the fact that breastfeeding transmits toxicants that are stored in the mother's body, including polychlorinated biphenyls (PCBs), to the infant. Existing research suggests that PCBs negatively impact children's cognitive functioning. The current study examined relationships between breastfeeding, maternal cigarette smoking during …
Spirits And Syringes: Malaria As An Epidemic, A Spiritual Punishment, And An Act Of War, Kelly Blair 14
Spirits And Syringes: Malaria As An Epidemic, A Spiritual Punishment, And An Act Of War, Kelly Blair 14
Honor Scholar Theses
None.
Development Of A Measure Of Nurse Vigilance From The Patient ' S Perspective: A Content Validity Study, Jennifer Boll
Development Of A Measure Of Nurse Vigilance From The Patient ' S Perspective: A Content Validity Study, Jennifer Boll
Honors Projects
Problem: Since the landmark Institute of Medicine report, To Err is Human, was published in 1999, patient safety has become a major concern in healthcare systems. Although attention is being given to patient safety and preventing patient morbidity and mortality, experts indicate that little progress has been made in decreasing healthcare errors. Vigilance is a phenomenon often identified in the literature as a means to promote patient safety and well-being. Purpose: The aim of this study was to establish content validity in a newly developed instrument designed to measure nurse vigilance from a patient perspective. Method: Generated 130 items and …
The Human–Hookworm Assemblage: Contingency And The Practice Of Helminthic Therapy, Sophia Anne Strosberg
The Human–Hookworm Assemblage: Contingency And The Practice Of Helminthic Therapy, Sophia Anne Strosberg
Theses and Dissertations--Geography
Through a qualitative analysis of the use of intestinal parasites for treating immune system disorders, this research illustrates how contingency emerges in the context of the human relationship to hookworms. The affect of the human–nonhuman relationship is an important part of understanding the direction of evolutionary medicine today, and has implications for the politics of biological health innovations. The shift from the bad parasite to a parasite that at least sometimes heals, discursively and materially, has opened new spaces for patients to change the way they relate to medical knowledge, medical professionals, and pharmaceutical companies. Hookworms are banned by the …
Validating Indicators Of The Quality Of Maternal Health Care: Final Report, Kenya, Charlotte E. Warren, James Kelly Kimani, Jackline Kivunaga, Brian Mdawida, Charity Ndwiga, Katharine Mccarthy, Ann K. Blanc
Validating Indicators Of The Quality Of Maternal Health Care: Final Report, Kenya, Charlotte E. Warren, James Kelly Kimani, Jackline Kivunaga, Brian Mdawida, Charity Ndwiga, Katharine Mccarthy, Ann K. Blanc
Reproductive Health
Despite widespread use, the majority of indicators proposed as measures of the quality of maternal health services have not been sufficiently validated. To accurately track progress toward national and global maternal health goals, the present study sought to validate and identify a set of maternal health indicators that can be practically applied in facility and population-based surveys. To evaluate indicators, the study employed a facility-based design. The study was conducted in public/government hospital facilities in Kenya and Mexico. Participants included women aged 15–49 who underwent labor and delivery at participating study facilities and the providers who attended them. Women’s self-report …
Achieving Mdgs 4 And 5 In Punjab: The Role Of Family Planning, Population Council
Achieving Mdgs 4 And 5 In Punjab: The Role Of Family Planning, Population Council
Reproductive Health
This brief focuses on the policy options available to the Punjab government to affect the province’s population growth by 2050 and its potential to achieve MDGs 4 and 5. Maternal mortality is a leading cause of death among women of reproductive age in Punjab—about 16 percent of the deaths in this age group are pregnancy-related. Approximately 6,000 women die each year in Punjab due to pregnancy-related factors. Pregnancies that occur too early, too late, or too frequently increase the risk of maternal death. Lowering fertility rates by increasing the use of family planning can help reduce pregnancy-related deaths. The good …
Training Manual On Basic Monitoring And Evaluation Of Social And Behavior Change Communication Health Programs, Praween Kumar Agrawal, Kumudha Aruldas, M.E. Khan
Training Manual On Basic Monitoring And Evaluation Of Social And Behavior Change Communication Health Programs, Praween Kumar Agrawal, Kumudha Aruldas, M.E. Khan
Reproductive Health
Social and behavior change communication (SBCC) interventions are key for addressing social and cultural barriers and achieving goals laid out for health programs. Often these interventions are not evidence based and monitoring and evaluation (M&E) is limited. Lack of trained and skilled human resources for M&E has been a limitation in general. A serious effort is needed to build the capacity of M&E personnel to monitor and evaluate performance of SBCC interventions in terms of reach and effectiveness among intended audiences. The Improving Healthy Behaviors Program of FHI360 aims to provide technical assistance to strengthen capacities to monitor and evaluate …
Measuring The Impact Of Contraceptive Use On Unintended Pregnancy And Other Health Outcomes, Step Up Research Programme Consortium
Measuring The Impact Of Contraceptive Use On Unintended Pregnancy And Other Health Outcomes, Step Up Research Programme Consortium
Reproductive Health
This brief describes several statistical models that have been developed to estimate the number of health outcomes that will be averted because of contraceptive use. Concerns have been expressed that this range of approaches—which overlap in the impacts they estimate, but sometimes use different inputs, mathematical algorithms, and assumptions, and may produce different results—may be confusing for policymakers, managers, and donors who want to measure or evaluate these impacts. To address these concerns, the STEP UP consortium convened two expert meetings to review the estimation methods used; come to consensus on methodologies and assumptions, where possible; and provide guidance to …
Teaching Family Policy: Macro Societal Trends In Family Life, Leaanne Derigne
Teaching Family Policy: Macro Societal Trends In Family Life, Leaanne Derigne
Florida Public Health Review
Students in many different fields will inevitably work with families in their professional practices. Successful practice must incorporate an understanding of macro societal trends that impact family life. A course such as Family Policy will train clinical social workers, nurses, educators, public administrators, and many others to understand the larger social systems that may be causing problems for their clients and patients. It will also provide students with an understanding of the key policies that need to be reformed or passed in order to better support families. This article presents techniques for teaching a dynamic course on family policy including …
Nurse Practitioners’ Attitudes And Knowledge About Influenza Immunization, Kim Curry, Christina Humphreys
Nurse Practitioners’ Attitudes And Knowledge About Influenza Immunization, Kim Curry, Christina Humphreys
Florida Public Health Review
Influenza remains a leading cause of death nationally and internationally. Annual influenza immunization for healthcare workers has been recommended since 1984. Despite this, many healthcare workers do not receive the immunization. Nurse practitioners (NPs) are key primary care providers in the U.S. healthcare system. The purpose of this study was to assess the knowledge and personal beliefs of NPs as a step toward understanding the reasons for the participation or non-participation in the influenza vaccine of this professional group. A quantitative cross-sectional survey of knowledge, attitudes, NP demographics, and patient factors was carried out. Most of the 174 participants had …
Leadership Concepts In Poetry (And Some Prose), W Michael Reid
Leadership Concepts In Poetry (And Some Prose), W Michael Reid
Florida Public Health Review
The director of a public health leadership institute often spoke during the workshops and other meetings of the institute participants. He illustrated many leadership concepts in his remarks with verses from poems and selections of prose. Many of the participants in the institute found the passages illuminating or helpful in remembering the leadership content. After his retirement, the former director created a draft based on his presentations. This is an expanded version of that paper. It supplements the original pieces and contains discussions of the importance of the ideas in the selections. A number of the concepts are qualified with …
Plates And Dietary Advice: A Current Trend In Nutrition Education Messaging For The Public, Judy E. Perkin, Claudia Sealey-Potts, Rachel Hochwald
Plates And Dietary Advice: A Current Trend In Nutrition Education Messaging For The Public, Judy E. Perkin, Claudia Sealey-Potts, Rachel Hochwald
Florida Public Health Review
Numerous dietary advice plate icons are currently being promoted in the United States. These icons are based on scientific studies related to diet and the prevention or treatment of chronic diseases. Icons also have been targeted to specific populations related to age, ethnicity, eating preferences, and level of physical activity. Plate icons currently being advocated stress the importance of portion size and the desirability of fruit and vegetable consumption while giving other types of advice as well. The multiplicity of icons may enable more individually tailored dietary advice but may also be confusing for the public. This paper reviews 16 …
Closing The Political Gap Between Public Health Ethics And Public Health Practice – A Commentary, Akiva Turner
Closing The Political Gap Between Public Health Ethics And Public Health Practice – A Commentary, Akiva Turner
Florida Public Health Review
Whereas public health practitioners and leaders regularly make decisions that require some degree of ethical consciousness, sometimes these decisions are guided or even heavily influenced by political ramifications rather than healthcare and public health ones. Some relatively recent decisions in Florida and at the national level involving public health authorities may have been made where politics won out over sound public health practice. Only a few studies exist regarding what public health employees consider to be ethical issues in practice and there are few formal bodies that guide ethical practice in public health. In this commentary I argue that attempts …
Perceived Susceptibility And Prevention Attitudes Of African-American College Students’ Toward Type 2 Diabetes, Chauneva Glenn Jones, Torhonda C. Lee, Ivette A. López
Perceived Susceptibility And Prevention Attitudes Of African-American College Students’ Toward Type 2 Diabetes, Chauneva Glenn Jones, Torhonda C. Lee, Ivette A. López
Florida Public Health Review
Whereas type 2 diabetes is the seventh leading cause of death in the general United States, it is the fourth leading cause of death for African Americans. This health disparity remains a serious and costly public health issue. This study investigated the type 2 diabetes preventive behaviors and intentions among 130 African-American college students. Data collection for this cross-sectional study included administration of a 23-item survey that measured knowledge, attitudes, perceived susceptibility, and social norms. We found that only 19% of the respondents perceived themselves at risk for developing diabetes. Students who had been told by a health professional that …
Lessons Learned: Methods Used To Recruit Rural Latinos For A Health Awareness Study, Alex Ortiz
Lessons Learned: Methods Used To Recruit Rural Latinos For A Health Awareness Study, Alex Ortiz
Florida Public Health Review
The growth of the nation’s Latino population in rural areas may provide challenges for investigators seeking to recruit a diverse participant pool for use in survey and focus group research. This paper presents a case study that describes the successful recruitment of rural Latinos as part of a multidisciplinary health awareness project that targeted adolescent Latinos, ages 11-15, and at least one parent or guardian. Logistical considerations when organizing a series of surveys and focus groups in rural areas are presented. Lessons learned from working with participants in the study are also included, such as providing child care services, addressing …
A Local Health Department’S Use Of Clas To Advance Health Equity, Ericka Burroughs, Yolanda G. Martinez
A Local Health Department’S Use Of Clas To Advance Health Equity, Ericka Burroughs, Yolanda G. Martinez
Florida Public Health Review
Health Equity is the idea that everyone has the opportunity to achieve optimal health regardless of race/ethnicity, educational attainment, sexual orientation, income, religious affiliation, residence, or ability. In 2014, the Florida Department of Health in Orange County (DOH-Orange) deemed health equity one of its three agency priorities. Though there are a number of determinants that influence health outcomes, such as genetics, individual behavior choices, and access to health services, the social determinants tend to be the most complex and influential on quality of life and well-being. The DOH-Orange has implemented the Culturally Linguistically and Appropriate Services standards for Healthcare (CLAS) …