Open Access. Powered by Scholars. Published by Universities.®
Public Health Education and Promotion Commons™
Open Access. Powered by Scholars. Published by Universities.®
- Discipline
-
- Social and Behavioral Sciences (2463)
- Community Health and Preventive Medicine (1681)
- Epidemiology (1011)
- Women's Health (887)
- Public Affairs, Public Policy and Public Administration (853)
-
- Sociology (832)
- Mental and Social Health (822)
- Life Sciences (819)
- Health Services Research (818)
- Education (761)
- Medical Specialties (732)
- Health Policy (684)
- Occupational Health and Industrial Hygiene (651)
- Nursing (609)
- Diseases (587)
- Nutrition (540)
- Environmental Public Health (534)
- International Public Health (505)
- Physical Sciences and Mathematics (477)
- Maternal and Child Health (436)
- Medical Education (431)
- Statistics and Probability (398)
- Health and Medical Administration (365)
- Biostatistics (347)
- Other Public Health (339)
- Health and Physical Education (325)
- Medical Sciences (324)
- Institution
-
- Walden University (1540)
- Universitas Indonesia (667)
- University of South Carolina (591)
- University of Kentucky (426)
- Population Council (352)
-
- JSS Academy of Higher Education and Research (217)
- Edith Cowan University (187)
- SIT Graduate Institute/SIT Study Abroad (163)
- Children's Health Medical Center Dallas (156)
- Western Kentucky University (155)
- University of Nevada, Las Vegas (152)
- University of Texas at El Paso (143)
- Loma Linda University (122)
- The University of San Francisco (103)
- Eastern Illinois University (96)
- Rowan University (91)
- University of Arkansas, Fayetteville (88)
- Georgia Southern University (83)
- City University of New York (CUNY) (74)
- Montclair State University (74)
- Minnesota State University, Mankato (73)
- The Texas Medical Center Library (72)
- University of Nebraska Medical Center (59)
- Augustana College (54)
- Old Dominion University (54)
- American Dental Association (53)
- Utah State University (52)
- Dominican University of California (51)
- Nova Southeastern University (51)
- Advocate Health - Midwest (47)
- Keyword
-
- Health (309)
- English (296)
- Health literacy (229)
- COVID-19 (215)
- Public health (210)
-
- Obesity (178)
- Education (169)
- Humans (153)
- Activities (150)
- Coloring book (150)
- Kentucky (138)
- Nutrition (134)
- Physical activity (133)
- HIV (130)
- Diabetes (120)
- Children (114)
- Accidents (112)
- Female (112)
- Health promotion (106)
- Health education (103)
- Mental health (103)
- Public Health (100)
- Adolescents (95)
- Health disparities (95)
- Injury prevention (95)
- Knowledge (93)
- Adolescent (89)
- Appalachia (88)
- Western Kentucky University (85)
- Family Planning (83)
- Publication Year
- Publication
-
- Walden Dissertations and Doctoral Studies (1504)
- Faculty Publications (488)
- Kesmas (406)
- Reproductive Health (213)
- Digital Journal of Clinical Medicine (186)
-
- Independent Study Project (ISP) Collection (158)
- Theses and Dissertations (144)
- Open Access Theses & Dissertations (143)
- Research outputs 2022 to 2026 (134)
- Jurnal Epidemiologi Kesehatan Indonesia (125)
- Loma Linda University Electronic Theses, Dissertations & Projects (122)
- Journal of Health Disparities Research and Practice (86)
- Master's Projects and Capstones (86)
- Rowan-Virtua Research Day (85)
- Electronic Theses and Dissertations (84)
- HIV and AIDS (82)
- English (75)
- Journal of Appalachian Health (75)
- Spanish (75)
- All Graduate Theses, Dissertations, and Other Capstone Projects (69)
- Department of Public Health Scholarship and Creative Works (69)
- Fatality Case Reports--Tractors/Logging (66)
- Makara Journal of Health Research (66)
- Faculty, Staff and Student Publications (65)
- Masters Theses (61)
- Poverty, Gender, and Youth (53)
- WKU Administration Documents (52)
- Journal of Patient-Centered Research and Reviews (47)
- Fatality Case Reports--Motor Vehicle (39)
- Action for Dental Health (37)
- Publication Type
Articles 3151 - 3180 of 8038
Full-Text Articles in Public Health Education and Promotion
Ua19/16/2 Soccer Press Releases, Wku Athletic Media Relations
Ua19/16/2 Soccer Press Releases, Wku Athletic Media Relations
WKU Administration Documents
Press releases, photos and game statistics for WKU soccer team in 2021.
Informative Journaling Application (Unwind) For Ambient Awareness On Mood In Young Adults To Reduce Anxiety And Depression: A Randomized, Placebo-Controlled Trial, Jalen Wang
Dartmouth College Undergraduate Theses
The mental health of young adults in America is worsening. Technology-based interventions may offer an accessible way to help with this problem. The objective of the study was to determine the feasibility and preliminary efficacy of an informative journaling application to reduce symptoms of anxiety and depression for young adults. In an unblinded trial, 20 individuals age 18-22 were recruited from Dartmouth College and were randomized to either participate in using the informative journaling application (Unwind) (n=10) or were directed to a National Institute of Mental Health pamphlet as part of the control group (n=10). All participants completed the 9-item …
Identifying Critical Psychological Characteristics Related To Successful Performance As A Contact Tracer: A Job Analysis, Dev Dalal, Jason G. Randall Phd, Gabrielle Danna, Joshua Ash
Identifying Critical Psychological Characteristics Related To Successful Performance As A Contact Tracer: A Job Analysis, Dev Dalal, Jason G. Randall Phd, Gabrielle Danna, Joshua Ash
Understanding and eliminating minority health disparities in a 21st-century pandemic: A White Paper Collection
The COVID-19 pandemic highlighted the need for a massive workforce of contact tracers to help end the global pandemic. Rapidly accelerating the recruitment, selection, and training of contact tracers proved to be difficult due in part to the lack of a valid, structured, and systematic approach to hiring and training contact tracers. This demonstration presents the results of the first step in developing a systematic selection and training program: a worker-oriented job analysis of the contact tracer job. Using archival records and structured interviews with 15 subject matter experts, we identified 26 unique characteristics related to successful performance as a …
Ua19/16/2 Tennis Press Releases, Wku Athletic Media Relations
Ua19/16/2 Tennis Press Releases, Wku Athletic Media Relations
WKU Administration Documents
Press releases, photos and game statistics for WKU tennis team in 2021.
Nursing: Global Impact Increases Healthcare Effectiveness, Madison Slacktish
Nursing: Global Impact Increases Healthcare Effectiveness, Madison Slacktish
Student Research Poster Presentations 2021
The discipline of nursing has a major impact on the world globally. Research has found when nurses collaborate across boarders, then patient outcomes tend to increase. Disease does not stop because there is a boarder from one country to the next. Therefore, worldly collaboration has positive influences on how nurse's practice and ways to change protocols to increase better patient outcomes.
Ua19/16/2 Golf Press Releases, Wku Athletic Media Relations
Ua19/16/2 Golf Press Releases, Wku Athletic Media Relations
WKU Administration Documents
Press releases, photos and game statistics for WKU golf teams in 2021.
Ua19/16/2 Athletic Media Relations Press Releases, Wku Athletic Media Relations
Ua19/16/2 Athletic Media Relations Press Releases, Wku Athletic Media Relations
WKU Administration Documents
General WKU athletic press releases for 2021.
Ua19/16/2 Football Press Releases, Wku Athletic Media Relations
Ua19/16/2 Football Press Releases, Wku Athletic Media Relations
WKU Administration Documents
Press releases, photos and statistics for WKU football team for 2021.
Ua19/16/2 Baseball Press Releases, Wku Athletic Media Relations
Ua19/16/2 Baseball Press Releases, Wku Athletic Media Relations
WKU Administration Documents
Press releases, photos and game statistics for WKU baseball team in 2021.
Relationship Between Treatment Comorbidities And Viral Suppression Of Hiv Infections In Johannesburg, Nwogo Ekeji, Nwogo Immaculata Ekeji
Relationship Between Treatment Comorbidities And Viral Suppression Of Hiv Infections In Johannesburg, Nwogo Ekeji, Nwogo Immaculata Ekeji
Walden Faculty and Staff Publications
HIV has globally infected 37.9 million people, of which 23.3 million (62%) are on antiretroviral treatment (ART). In South Africa, low rate of viral suppression among people living with HIV (PLWHIV) is a major health problem that has continued to fuel HIV persistence. A cross-sectional quantitative research design was used to investigate the relationship between treatment of comorbidities and viral suppression among HIV-infected adults aged 18 – 49 who were diabetic, had cancer, or tuberculosis (TB) in Johannesburg. The HIV care continuum formed the framework for this research. A secondary dataset from the national level survey 2017 was used for …
Ua19/16/2 Softball Press Releases, Wku Athletic Media Relations
Ua19/16/2 Softball Press Releases, Wku Athletic Media Relations
WKU Administration Documents
Press releases, photos and game statistics for WKU softball team in 2021.
Ua19/16/2 Volleyball Press Releases, Wku Athletic Media Relations
Ua19/16/2 Volleyball Press Releases, Wku Athletic Media Relations
WKU Administration Documents
Press releases, photos and game statistics for WKU volleyball team in 2021.
Doubly Burdened: Race-Ethnic Disparities In The Effects Of Covid-19 And Covid-19 Mitigation Strategies, Ashley Fox, Yongjin Choi
Doubly Burdened: Race-Ethnic Disparities In The Effects Of Covid-19 And Covid-19 Mitigation Strategies, Ashley Fox, Yongjin Choi
Understanding and eliminating minority health disparities in a 21st-century pandemic: A White Paper Collection
Black and Hispanic populations across New York State and around the United States have been disproportionately impacted by COVID-19 both in terms of COVID-19 associated morbidity and mortality but also bearing a larger burden of the economic impacts. Race-ethnic minorities also experience more longstanding and justified distrust of the medical community, which could serve to prolong the pandemic effects in the most vulnerable communities by contributing to reduced vaccine uptake. This paper reports the results of a survey fielded in November 2020 with an oversampling of Non-Hispanic Black and Hispanic respondents across New York State concerning the impacts of the …
Trust In Media, Institutions, And Health Information In Metropolitan Nebraska: 2021 Nebraska Metro Poll Results, Rebecca J. Vogt, Heather Akin, Cheryl A. Burkhart-Kriesel, Bradley Lubben, L. J. Mcelravy, Timothy Meyer, Steven A. Schulz
Trust In Media, Institutions, And Health Information In Metropolitan Nebraska: 2021 Nebraska Metro Poll Results, Rebecca J. Vogt, Heather Akin, Cheryl A. Burkhart-Kriesel, Bradley Lubben, L. J. Mcelravy, Timothy Meyer, Steven A. Schulz
Rural Futures Institute: Publications
Overall, most metropolitan Nebraskans have confidence in their local institutions (public safety agencies in their community, public schools in their community, and voting and election systems in their county). However, many have very little confidence in many national institutions (the U.S. Senate, the U.S. House of Representatives and the Presidency) as well as the Governor.
Metropolitan Nebraskans most trust information received from friends/family/ acquaintances, local news sources (TV and newspapers), public sources (PBS and public radio) and state newspapers. They least trust information from social networking sites, Internet blogs, and Fox News.
Most metropolitan Nebraskans trust local health professionals for …
Syphilis Screening Among Primary Care Providers, Sarah Christian, Nikki Franklin, Seth Stuart, Casey Tramel, Sereka Walker
Syphilis Screening Among Primary Care Providers, Sarah Christian, Nikki Franklin, Seth Stuart, Casey Tramel, Sereka Walker
MSN Research Projects
Syphilis is a sexually transmitted infection (STI) that can cause lesions on various mucosal areas of the body on an infected individual. If the disease is left untreated, syphilis can progress and affect an individual’s cardiovascular, neurological, and immune systems. The STI rates are on the rise across the United States, especially in the state of Mississippi. Because of the increase in syphilis rates in Mississippi, the researchers developed this study. The purpose of this study is to determine if primary care providers (PCPs) are knowledgeable and screening according to the guidelines of the Early and Periodic Screening, Diagnostic, and …
A Survey Of Primary Care Providers’ Strategies To Affect Influenza Vaccination Rates, Jennifer Moffett, Tracy Mitchell, Vera Simmons
A Survey Of Primary Care Providers’ Strategies To Affect Influenza Vaccination Rates, Jennifer Moffett, Tracy Mitchell, Vera Simmons
MSN Research Projects
Influenza is a vaccine preventable disease that affects millions of Americans and causes thousands of deaths and billions in healthcare costs. Annual influenza vaccination is regarded by researchers and healthcare governing bodies as the most effective way to prevent contracting the flu. A large body of research exists supporting primary care providers as influential in regard to patients’ healthcare decision making. However, if strategies are consistently being implemented to affect influenza vaccination rates remains unclear. The purpose of this study was to identify strategies being implemented to affect influenza vaccination rates by asking two questions: 1. Do primary care providers …
A Case Of Primary Infertility Treated With Icsi And Tesa, Saumya Raj
A Case Of Primary Infertility Treated With Icsi And Tesa, Saumya Raj
Digital Journal of Clinical Medicine
No abstract provided.
Implementación De Políticas De Prevención Y Control De La Obesidad Infantil En Estados Unidos Y Latinoamérica: Lecciones Para La Investigación Y La Práctica Transfronterizas, Mireya Vilar-Compte, Rafael Perez-Escamilla, Elizabeth Rhodes, Olga L. Sarmiento, Camila Corvalan, Rachel Sturke, Susan Vorkoper
Implementación De Políticas De Prevención Y Control De La Obesidad Infantil En Estados Unidos Y Latinoamérica: Lecciones Para La Investigación Y La Práctica Transfronterizas, Mireya Vilar-Compte, Rafael Perez-Escamilla, Elizabeth Rhodes, Olga L. Sarmiento, Camila Corvalan, Rachel Sturke, Susan Vorkoper
Department of Public Health Scholarship and Creative Works
Aunque se han hecho avances en el desarrollo y aplicación a gran escala de inter-venciones eficaces contra la obesidad infantil, los retos siguen siendo importantes. Nuestro objetivo era comprender las causas del éxito de Estados Unidos y los países latinoamericanos en la implementación de políticas y programas (PYP) contra la obe-sidad e identificar oportunidades de mejora aplicando los principios de la ciencia de la implementación. Seleccionamos tres estudios de comparación de casos: (1) el etique-tado frontal en los envases de alimentos (México y Chile), (2) los programas de calles abiertas y calles para el juego (Colombia y Estados Unidos) y …
Factors Associated With Lifestyle Modification For Type 2 Diabetes Self-Management And Prevention, Leigh Anne Koonmen
Factors Associated With Lifestyle Modification For Type 2 Diabetes Self-Management And Prevention, Leigh Anne Koonmen
Theses and Dissertations--Nursing
Diabetes is the seventh leading cause of death in the United States, affecting roughly 13% of U.S. adults aged 18 years or older. Type 2 diabetes accounts for 90-95% of all diabetes cases and is characterized by the progressive development of insulin resistance leading to sustained elevated blood glucose levels. Management of type 2 diabetes includes risk-reduction strategies and continuous medical care to prevent the development of complications.
Lifestyle is a major contributing factor to morbidity and mortality rates in the United States. Preventative health behaviors, such as engaging in physical activity, maintaining a healthy weight, and following a healthy …
Reducing Objectification Could Tackle Stigma In The Covid-19 Pandemic: Evidence From China, Youli Chen, Jiahui Jin, Xiangyang Zhang, Qi Zhang, Weizhen Dong, Chun Chen
Reducing Objectification Could Tackle Stigma In The Covid-19 Pandemic: Evidence From China, Youli Chen, Jiahui Jin, Xiangyang Zhang, Qi Zhang, Weizhen Dong, Chun Chen
Community & Environmental Health Faculty Publications
Stigmatization associated with the coronavirus disease 2019 (COVID-19) is expected to be a complex issue and to extend into the later phases of the pandemic, which impairs social cohesion and relevant individuals' well-being. Identifying contributing factors and learning their roles in the stigmatization process may help tackle the problem. This study quantitatively assessed the severity of stigmatization against three different groups of people: people from major COVID-19 outbreak sites, those who had been quarantined, and healthcare workers; explored the factors associated with stigmatization within the frameworks of self-categorization theory and core social motives; and proposed solutions to resolve stigma. The …
2018 Statewide Child Death Report, Nevada Institute For Children’S Research And Policy, Dawn L. Davidson, Elizabeth Holka
2018 Statewide Child Death Report, Nevada Institute For Children’S Research And Policy, Dawn L. Davidson, Elizabeth Holka
Nevada Institute for Children's Research and Policy Reports
The purpose of this report is to provide comprehensive information regarding the circumstances by which children die in Nevada in order to prevent future child deaths and improve the health and safety of children in the state.
Association Between Learning Methods And Analgesic Opioid Abuse, Nicole Marie Blanchard
Association Between Learning Methods And Analgesic Opioid Abuse, Nicole Marie Blanchard
Walden Dissertations and Doctoral Studies
Opioids are an extremely addictive class of medication used to treat pain; overprescribing practices and chronic misuse has led to an epidemic that continues to grow. The opioid epidemic not only has the potential to cause injury or even death but also has a large impact on the U.S. economy. Research regarding determinants of abuse are needed to improve safeguards for opioid abuse prevention. The purpose of this quantitative study was to determine if learning capabilities and/or learning medium preference are correlated with analgesic opioid abuse. The social-ecological model was used to evaluate the social levels of influence for abuse …
Sexual Behaviors Associated With Online Partner-Seeking Among Men Who Have Sex With Men From Small/Midsized Towns Or Rural Areas In Kentucky, Vira Pravosud
Theses and Dissertations--Epidemiology and Biostatistics
The HIV epidemic remains one of the most significant public health issues in the United States, particularly among men who have sex with men (MSM). New avenues for partner-seeking have emerged over the past three decades, including through the Internet, social media, and geosocial networking applications. Consisting of three cross-sectional studies, this dissertation research aimed to determine associations between the use of various online tools for partner-seeking (hereafter collectively referred to as “apps”) and HIV-related sexual behaviors among 252 young adult MSM residing in small/midsized towns or rural areas in Central Kentucky, a group that has been under-represented in the …
Targeted Teacher Education To Improve Primary Preservice Teachers’ Knowledge And Understanding Of Uv And Effective Sun Protection Measures For Children, Joseph J. Scott, Robyn S. Johnston, Natasha Bear, Sonia Gregory, Sally Blane, Mark Strickland, Jill Darby, Elin S. Gray
Targeted Teacher Education To Improve Primary Preservice Teachers’ Knowledge And Understanding Of Uv And Effective Sun Protection Measures For Children, Joseph J. Scott, Robyn S. Johnston, Natasha Bear, Sonia Gregory, Sally Blane, Mark Strickland, Jill Darby, Elin S. Gray
Australian Journal of Teacher Education
Teachers are responsible for children at school during peak ultraviolet (UV) times of the day. It is paramount that teachers have knowledge and understanding of UV to effectively protect themselves and their students. The aim of this pilot study was to investigate the effect of a short intervention on preservice teachers’ sun protective behaviours, knowledge and perceived skill to teach sun safety. Participants (n =161; median age=20 years) attended a 45-minute preservice teacher sun safety intervention and completed pre- and post-test surveys. Post-intervention, most participants indicated they felt: i) more informed about the dangers of UV and risks of developing …
Young Adults’ Preferences For Influenza Vaccination Campaign Messages: Implications For Covid-19 Vaccine Intervention Design And Development, Zhaohui Su, Dean Mcdonnell, Jun Wen, Ali Cheshmehzangi, Junaid Ahmad, Edmund Goh, Xiaoshan Li, Sabina Šegalo, Michael Mackert, Yu-Tao Xiang, Peiyu Wang
Young Adults’ Preferences For Influenza Vaccination Campaign Messages: Implications For Covid-19 Vaccine Intervention Design And Development, Zhaohui Su, Dean Mcdonnell, Jun Wen, Ali Cheshmehzangi, Junaid Ahmad, Edmund Goh, Xiaoshan Li, Sabina Šegalo, Michael Mackert, Yu-Tao Xiang, Peiyu Wang
Research outputs 2014 to 2021
Background Health campaign interventions, particularly those tailored to the target audience’s needs and preferences, can cost-effectively change people’s attitudes and behaviors towards better health decision-making. However, there is limited research on how to best tailor seasonal influenza vaccination campaigns for young adults. Vaccination is vital in protecting young adults and their social circles (vulnerable populations like older adults) from the influenza virus and critical in shaping these emerging adults’ vaccination habits in the long run. However, amid the prevalence of easily-accessible, attention-grabbing, and often malicious false and misinformation (e.g., COVID-19 vaccine conspiracy theories), it may be more challenging to develop …
Non-Traditional Component Of Metabolic Syndrome In Children With Obesity: Assesment Of Tg:Hdl-C Ratio As Insulin Resistance Component, Nur Zati Iwani Ahmad Kamil
Non-Traditional Component Of Metabolic Syndrome In Children With Obesity: Assesment Of Tg:Hdl-C Ratio As Insulin Resistance Component, Nur Zati Iwani Ahmad Kamil
Student Works (2020-2029)
Paediatrics metabolic syndrome (MetS) is on the rise parallel to the increased prevalence of childhood obesity. Although insulin resistance (IR) is an important variable in the diagnosis of MetS, the existing paediatric definition of MetS only measures elevated fasting blood glucose (FBG). Arguably, many children with severe IR can still regulate their FBG, especially in children with obesity. Therefore, this study aims to assess the utility of triglyceride to high-density lipoprotein-cholesterol (TG: HDL-C) ratio as an IR marker in the modelling of paediatric MetS among children with obesity using structural equation modelling (SEM). This is a cross-sectional study in which …
Safety Planning: Self-Management Approaches For Intimate Partner Violence In Ohio, Yvette Clemons
Safety Planning: Self-Management Approaches For Intimate Partner Violence In Ohio, Yvette Clemons
Walden Dissertations and Doctoral Studies
AbstractIntimate partner violence (IPV) is a global health education and promotion burden that has affected one in four women in the United States between the ages of 18-24, who are at increased risk of subsequent negative health outcomes of sexually transmitted inflections, mental health and substance abuse disorders, exacerbated suicidal ideations, and death. Exploring the health education needs and learning preferences of women affected by IPV who have utilized self-management strategies during safety planning interventions was the purpose for this phenomenological qualitative study and aligned the four research questions. SurveyMonkey was used to conduct interviews of 30 women align with …
The Effect Of Race, Provider-Location Type, And Region On Adolescent Hpv Vaccination, Erica Sade Hunter
The Effect Of Race, Provider-Location Type, And Region On Adolescent Hpv Vaccination, Erica Sade Hunter
Walden Dissertations and Doctoral Studies
Studies have been conducted on various factors and their effect on human papillomavirus (HPV) vaccination uptake amongst adolescents. However, these studies typically point to communication factors and provider recommendations as having a significant effect on HPV vaccination uptake, ultimately leading to the need for more information on other factors that may increase HPV vaccination amongst adolescents. The purpose of this quantitative cross-sectional study was to determine if race, provider-location type, and region of the United States have a statistically significant effect on HPV uptake amongst adolescents. The 2018 National Immunization Survey (NIS) was used, and 34,980 participants were included in …
The Use Of Technology For Seeking Health Information In Persons With Cancer, Jasvir Zonobi
The Use Of Technology For Seeking Health Information In Persons With Cancer, Jasvir Zonobi
Walden Dissertations and Doctoral Studies
Cancer is a growing public health concern. The U.S. cancer prevalence nearly doubled from 8.1 million in 1996 to 15.5 million in 2016 and is expected to rise by an additional 68% from 2016 to 2040. Many cancer survivors use technology (e.g., smartphones) for health information seeking (HIS) for health-related self-efficacy (HRSE) to self-manage the health issues (e.g., physical impairment, chronic disease) they face. However, limited research exists regarding cancer survivors' use of HIS technology for HRSE. The self-efficacy theoretical framework, multiple logistic regression analyses, and the data from 2019 Health Information National Trends Survey were used in the current …
Lived Experiences Of African American Women Coping With Breast Cancer In Rural Northeastern North Carolina, Denise Germaine Belle
Lived Experiences Of African American Women Coping With Breast Cancer In Rural Northeastern North Carolina, Denise Germaine Belle
Walden Dissertations and Doctoral Studies
This qualitative study examined the phenomenology of breast cancer among seven African American female participants who reside in rural, medically underserved communities in Northeastern North Carolina. The aim of this descriptive study was to explore the answers to the overarching question of how African American women with breast cancer self-manage the emotional, physical, financial, and social issues associated with the diagnosis and treatment. The transactional model of stress and coping provided the theoretical framework for examining the role of social reinforcements, beliefs, attitudes, and intentions on the health behavior of African American women with breast cancer in some rural, resource-stricken …