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Preventable differences in health outcomes between U.S. population subgroups, related to factors such as race or ethnicity, income, and geographic location, are troubling. Geographically, rural American communities experience higher rates of adverse health conditions when compared with urban areas, further widening disparities in health outcomes. Such disparities necessitate the creation of effective curricula to enable students to address the health needs of underserved populations. By intentionally incorporating health disparities awareness content into the curricula, undergraduate and graduate public health programs can play an integral role in developing conscious health practitioners to help close gaps in health outcomes. Moreover, rural health courses may increase students’ interest in rural health careers. This article presents the process and results of faculty efforts to design and deliver health disparities–related education in undergraduate and graduate public health courses at a rural Midwestern U.S. university. Various teaching development programs inspired faculty to use intentional instructional approaches to teach students about health disparities. Consequently, faculty incorporated a variety of assessment methods and teaching styles to infuse health disparities awareness content into public health courses. Results from students’ course evaluations and reflections are discussed along with lessons learned and implications for future pedagogical directions.
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There are emerging concerns about the preparedness of rural communities in the United States in the face of the 2019 novel coronavirus (called SARS-CoV-2, causing the disease COVID-19) considering the existing disparities across the social determinants of health between rural and urban Americans. Taking into account the current exponential rate of spread of the coronavirus, this article critically examines the risk facing the 60 million Americans living in rural areas, discusses possible solutions pertaining to rural COVID-19 prevention, and examines measures to consider to prepare for this epidemic before it reaches rural areas.
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Breast cancer patients undergoing radiotherapy often experience severe levels of anxiety and depression within the African context. There is a gap in the research literature from Africa, particularly Ghana, with few studies focusing on depression among patients undergoing radiation treatment. The purpose of the study was to find various interventions for depression and anxiety among breast cancer patients in Ghana. A mixed method study examined breast cancer patients undergoing radiotherapy and their responses through a concurrent triangulation involving an interview with selected professional and a detailed patient survey. In all, 100 patients between the ages of 20-89 completed a questionnaire and individual interviews were held with 6 professionals with a minimum of 5 years of work experience. Themes were generated through open coding of the interview data, while multiple regression was performed to determine the relationship between depression and anxiety with the independent variables. In all, 89% had no family history of breast cancer, and the majority (55%) had the disease duration of one to three years. Almost 95% of patients with breast cancer had anxiety and depression in different categories. This included hair loss, discolored finger nails, cost of treatment, and fear of the unknown. Age and monthly income of patients were statistically significant in predicting the anxiety and depression among the patients. Coping mechanisms are essential for all patients undergoing treatment. This study’s implications will lead to positive change when all stakeholders assist in implementing measures to promote coping strategies for breast cancer patients in Ghana.
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Foundations of Rural Public Health in America spans a wide variety of important issues affecting rural public health, including consumer and family health, environmental and occupational health, mental health, substance abuse, disease prevention and control, rural health care delivery systems, and health disparities. Divided into five sections, the book covers understanding rural communities, public health systems and policies for rural communities, health disparities in rural communities and among special populations, and advancing rural health including assessment, planning and intervention. Written by a multidisciplinary team of experienced scholars and practitioners, this authoritative text comprehensively covers rural health issues today.
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Mounting evidence suggests that differential environmental exposures significantly contribute to a wide range of population health disparities. Adopting a life course approach to maternal and child health enables readers to uncover the mechanisms by which prenatal and early life environmental exposures potentially shape both short- and long-term physical and mental health outcomes. This chapter applies the life course approach to explore the adverse influences of environmental risk factors on maternal and child health. The following four case studies will be discussed: (1) the pervasive impacts of secondhand smoke; (2) the deleterious effects of lead exposure; (3) the development of asthma; and (4) the potential origins of autism spectrum disorder. The chapter also provides recommendations for programmatic and policy interventions to reduce the prevalence of four salient environmental hazards, including secondhand smoke, lead, air pollution, and pesticides, as well as proposed future directions in research regarding these exposures.
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The aging population in the world constitutes one of the greatest challenges of the 21st century across social sectors; dental education is no exception. This review explored the status of geriatric dentistry teaching in Cuba and contrasted it with examples from international curricula and programs. Google Scholar, PubMed, Wiley, and Scielo databases were used to search for articles that address geriatric dentistry topics, focusing on undergraduate curricular issues and the management of postgraduate specialization. The findings highlight the need to update curricula and programs for dentistry studies in Cuba to improve the quality of dental care for the aging population. The evolution of training future Cuban graduates aims to meet the healthcare needs of older adults while preserving their quality of life. Additionally, the incorporation of new information and communication technologies has been observed during this process. © 2024, IGI Global. All rights reserved.
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Food justice is centered on the principle that food is a basic human right. Despite a mandate to include human rights and social justice content in the social work curriculum, food insecurity and food justice receive scant attention in social work academia. Food insecurity affects a substantial portion of the population, with a disproportionate impact on women and Black, Latinx, and Native American communities. A human rights-based approach to food requires more than access to food; it demands that food also be available, adequate, and culturally acceptable. A right to food framework also calls on policymakers to immediately address disparities in food security, which are prevalent in the USA due to historical and ongoing systemic racism. This paper provides a conceptual understanding of food justice and its historical connections to social work, outlines the requirements of a right to food, and concludes by offering strategies to integrate food justice into the micro, mezzo, and macro social work curriculum. © 2024, The Author(s), under exclusive licence to Springer Nature Switzerland AG.
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In L1 attrition research, it's recognized that a previously acquired language can transform under the influence of a newly acquired one. However, the precise L1-L2 relationship is intricate and warrants further study. Some research suggest that L2 mastery might reduce L1 proficiency, while others show that both languages can be maintained. Age of onset and L1 use are the factors that have been discussed in the debate surrounding L1 attrition. The study aims to contribute to the ongoing discussion by examining L1 and L2 proficiency of Russian-English bilingual speakers (N = 35). The participants with comparable L2 proficiency but various degrees of L1 attrition who arrived at different ages and differed in their frequency of L1 use were recruited for the study. This diverse group provided an ideal quality sample for investigating the role of age of onset and L1 use, as well as the interplay between L1 and L2. By comparing L1 and L2 lexical diversity, syntactic complexity, and fluency, the study revealed that higher L2 proficiency was not associated with lower levels of L1 proficiency, suggesting that L1 retention is possible amidst L2 acquisition. L1 use played a more significant role in the L1 maintenance of these bilingual individuals. © 2024 Association for Language Learning.
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We report the Transiting Exoplanet Survey Satellite detection of a multi-planet system orbiting the V = 10.9 K0 dwarf TOI-125. We find evidence for up to five planets, with varying confidence. Three transit signals with high signal-to-noise ratio correspond to sub-Neptune-sized planets (2.76, 2.79, and 2.94 R⊕), and we statistically validate the planetary nature of the two inner planets (Pb = 4.65 days, Pc = 9.15 days). With only two transits observed, we report the outer object (P.03 = 19.98 days) as a planet candidate with high signal-to-noise ratio. We also detect a candidate transiting super-Earth (1.4 R⊕) with an orbital period of only 12.7 hr and a candidate Neptune-sized planet (4.2 R⊕) with a period of 13.28 days, both at low signal-to-noise ratio. This system is amenable to mass determination via radial velocities and transit-timing variations, and provides an opportunity to study planets of similar size while controlling for age and environment. The ratio of orbital periods between TOI-125 b and c (Pc/Pb = 1.97) is slightly lower than an exact 2:1 commensurability and is atypical of multiple planet systems from Kepler, which show a preference for period ratios just wide of first-order period ratios. A dynamical analysis refines the allowed parameter space through stability arguments and suggests that despite the nearly commensurate periods, the system is unlikely to be in resonance.
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An abstract is unavailable.
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Dishonesty and misconduct of nursing students during their education is a continuing concern, especially as it relates to expected professional behaviors. This quasi experimental pre-and post-interventional study explored the impact of an affective learning module on developing beliefs and perceptions of ethicality of academic and professional misconduct of students in a BSN program. A modified version of McCrink’s (2008) tool, entitled “Nursing Student Experiences and Perceptions of Academic and Professional Conduct Survey” measured these constructs. The affective learning module, based on Rest’s theory of moral development, and Krathwohl’s affective taxonomy, actively engaged students in ethical decision-making with connections to professional practice through discussion, case review and reflection. The pretest data (N=65) analysis using Mann Whitney U, indicated differences in mean rank related to enrollment status, healthcare work experience and gender and beliefs, and perceptions of academic and professional misconduct. A comparative analysis (N=16) of pre and posttest data was limited due to required changes related to the COVID-19 pandemic. Changes in pre and posttest data suggest the need to replicate and continue research in the area of intentional affective teaching of ethicality and professional values.
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What tools are available to foster independent and critical thought in the music classroom? We propose that visual mapping—a method of representing relationships and associations between a main concept and other ideas, subtopics, or examples—is an ideal tool for doing exactly this. After examining the principles and usefulness of mapping in a variety of contexts, we discuss several specific ways in which mapping might be implemented in teaching music. We argue that the central strength of mapping is its ability to encourage users to be explicit and metacognitive about their knowledge. As such, it can be part of a constructivist stance whereby the instructor creates a student-centered classroom in which learners are active, engaged participants in their education.
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Political polarization is a marked political division in the population, characterized by multiple manifestations. The authors argue that it can affect consumer psychology, which in turn influences marketers, policy makers, and consumer welfare. The present work introduces the construct of political polarization to the marketing literature and shows how it serves as a novel challenge for various marketing stakeholders. For consumers, the authors propose that political polarization increases the salience of political identities, alters inter- and intragroup dynamics, and amplifies cognitive biases. These effects negatively affect consumer welfare, including financial welfare, relationships, mental and physical health, and societal interests. For marketers, polarization introduces a challenge to both be more sociopolitically engaged while also navigating competing political interests. Polarization also creates new opportunities and challenges for segmentation, targeting, loyalty, and product offerings. For policy makers, political polarization creates policy gaps, impedes the implementation of policy, and obstructs governance. Building from these insights, the authors consider the drawbacks and overlooked benefits of political polarization, potential remedies, and directions for future research.
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Diversity issues in organizations have long been the subject of organizational studies and cultural examinations. While organizations have made several advancements to balance the presence of female representation in their employees, there remains a paucity of women in certain fields, most notably the tech industry where, despite similar performance in courses, women are alarmingly underrepresented. This paper examines this lack of diversity and proposes some remedies for specifically addressing the lack of women in the tech industry and can be extended to participation in any STEM careers that makes up a significant portion of the tech industry.
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This study focuses on integrating the premises of social capital theory and the theory of organizational learning to improve the operational performance of firms nurturing the buyer–supplier relationship. Social capital theory highlights the importance of developing social relationships between firms to create valuable resources and collectively access critical resources. Organizational learning theory highlights that the learning capacity of an organization strongly depends on top-level leaders’ behaviors, organizational structure, culture, and flexibility, and uncertainties in the environment in which the organization functions. Though many studies have focused on the impact of social capital on performance improvements in the buyer–supplier relationship, the interlinkages between social capital and organizational learning have not been given much attention. Based upon these theories, a system-focused perspective, which showcases the antecedents and outcome of the relationship between collaborative communication and learning, has been proposed in this study. A literature review has been carried out to support the linkages in the proposed conceptual model. Findings suggest that transformational buyers support creating cognitive capital with suppliers. This cognitive capital influences the structural capital, which supports improving the understanding of each party’s processes in the buyer–supplier relationship when parties have high long-term orientation. Improved learning capability reshapes organizations into flexible systems capable of responding quickly to customer requirements, and consequently, they realize a higher performance level.
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This study is aimed at improving the purchasing cycle time in a buyer–supplier relationship by integrating the facets of strategic leadership, social exchange, and social capital theories. We developed and tested a conceptual model that postulated relationships among strategic leadership behavior, relational trust and commitment, structural capital, and purchasing cycle time. Data were collected from purchase managers and their employees working in 105 manufacturing companies and analyzed using structural equation modeling technique. Our findings indicated that strategic leadership behaviors are positively related to trust in the buyer–supplier relationship. In addition, trust enhances relational commitment between buyer and supplier, which in turn positively relates to information sharing and supplier development. Further, increased information sharing in the relationship results in reduced purchasing cycle time. Implications for both theory and practice are discussed in depth, and directions for future research are suggested.
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Mapping of spatiotemporal distribution of evapotranspiration becomes important for sustainable water management as water scarcity is nowadays a growing concern in almost all the continents. In general, researchers estimate evapotranspiration by multiplying the computed reference evapotranspiration (ETo) with the corresponding crop coefficient. Such estimation of ETo requires data related to spatiotemporal meteorological and vegetation field characteristics, and however, these data are rarely available in most developing countries such as India. Thus, researchers constantly develop various methods and evaluate the applicability of these methods to accurately capture spatiotemporal distribution. The purposes of this study are to (a) examine the applicability of Hargreaves and MODIS ETo method to map the spatiotemporal distribution over Thamirabarani basin located in Southern India and (b) evaluate the performances of Hargreaves and MODIS ETo methods and compare it to FAO 56 Penman–Monteith method. To achieve these purposes, ETo data of Hargreaves method and MODIS ETo method over Cheranmadevi meteorological observatory are extracted and performances of these methods are compared with FAO 56 Penman–Monteith method. Results show that a match exists among all the three ETo datasets, and no major deviations have been observed. However, this study suggests local calibration of Hargreaves and MODIS ETo method as considerable mismatch has been observed at ETo daily value. Overall, the conclusion of this study encourages the application of the Hargreaves method and MODIS ETo method in developing countries, where the data shortage condition prevails.
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