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Self-reported hearing loss and health during a pandemic: Findings from a cross-sectional analysis using a 2021 household survey
No full textBackground: The COVID-19 pandemic differentially impacted individuals with hearing loss, likely in part due to increased communication difficulties from masking, a commonly implemented protective measure. Objective: This study examines the association between self-reported hearing loss and health during the pandemic. Methods: This study uses data from the COVID-19 Survey collected by the Survey of the Health of Wisconsin from February to March 2021. Hearing loss was defined as self-reported fair or poor hearing. The outcomes were self-reported symptoms of anxiety and depression, separately, and self-reported general health. Multivariable models adjusted for age, gender, and race/ethnicity were used to examine the associations between hearing loss with each outcome. Results are presented as prevalence ratios (PR) with corresponding 95 % confidence intervals (CI). Results: There were 1857 participants (60.3 % female, 12.9 % non-white) with a mean age of 57.1 years in this cross-sectional study. In multivariable models, individuals with hearing loss (versus none) had higher prevalence of depression (PR: 1.22, 95 % CI: 1.06, 1.39), anxiety (PR: 1.13, 95 % CI: 1.02, 1.27), and self-reported fair or poor health (PR: 2.61, 95 % CI: 1.89, 3.61). Conclusion: Hearing loss was associated with poorer self-reported health during winter 2021 of the COVID-19 pandemic, when mask use in public was newly mandated and vaccines were not widely available to the general public. Further research on the impact of public health policies on vulnerable populations, including those with hearing loss, is warranted. Such research could inform policy decisions that accommodate these populations
Carmen Cicero and His Critics
No full texthttps://digitalcommons.montclair.edu/all_books/1770/thumbnail.jp
Ozma of Oz
No full texthttps://digitalcommons.montclair.edu/iapc_chapterbook_gallery/1004/thumbnail.jp
Is universal health coverage really better? Unintended consequences of the 2019 Amendment of the National Health Insurance Act for humanitarian sojourners in South Korea
No full textBackground: South Korea achieved universal health coverage (UHC) through the National Health Insurance (NHI). However, humanitarian sojourners under temporary stay permits were initially excluded. Alongside recommendations from the National Human Rights Commission of Korea (NHRCK), the 2019 Amendment of the NHI Act expanded eligibility of the NHI. While this marked significant progress toward greater universality in health care, it also led to unintended consequences for humanitarian sojourners. Methods: This study employed a two-fold approach aligned with the trajectory of the Amendment. First, we conducted semi-structured in-depth interviews to analyze diverse perspectives on the universality of health coverage, the benefits of NHI, and the limitations of policies prior to the 2019 Amendment. Participants included government officials from the Ministry of Health and Welfare, Ministry of Justice, and NHRCK, as well as humanitarian sojourners sharing real-life experiences. Second, we examined the expected and unexpected outcomes of the Amendment by reviewing legal documents, reports, and media coverage after the Amendment. Specifically, we analyzed precedents set by the Korean Constitutional Court regarding the constitutional litigation, white papers, and interviews published in the news. Results: Despite achieving UHC, Korea had limited universality of health coverage prior to the 2019 Amendment, as humanitarian sojourners were excluded from local subscription. The 2019 Amendment of NHI Act expanded eligibility, making local subscription mandatory for humanitarian sojourners. However, unintended consequences emerged from differential treatment in calculating insurance premiums, determining dependents within the same households, and enforcing penalties for missed payments. Such disparities not only continue to restrict access to care but jeopardizes visa extensions for humanitarian sojourners. Conclusions: Our findings highlight a critical gap between policy intent and policy impact, revealing the consequences that disproportionately affect the most vulnerable populations, even under the UHC. Effective implementation of UHC requires a deeper understanding of how government officials and judicial authorities perceive universality and view refugee populations. The discrepancies identified in this study underscore the urgent need for coherent policies that not only expand health coverage but also establish a robust safety net to protect marginalized groups
07. \u3cem\u3eLisa\u3c/em\u3e (novel .pdf printable)
No full textLisa is the story of a school year in the life of an adolescent girl and her classmates, a year studded with physical, aesthetic and ethical awakenings. Various events in these young people\u27s lives prompt them to puzzle over such issues as animal rights, sexism, racism, justice, divorce and death. All of them struggle with issues of identity and thinking for oneself - philosophical issues of perennial concern to adolescents. As they begin to recognize the ethical dimensions of their experience, Lisa and her friends puzzle over such philosophical concepts as the right, the fair, the good, perfection, and naturalism. In so doing, they become aware of their interdependence with one another and with nature, and begin to appreciate the complexity of ethical concerns and the multiple capacities involved in making sound ethical judgments.https://digitalcommons.montclair.edu/iapc_middle_schl_curriculum/1011/thumbnail.jp
Comparison of Caregiver-Reported Dietary Intake Methods in Zellweger Spectrum Disorder
No full textBackground/Objectives: Zellweger spectrum disorder (ZSD), a rare genetic disease characterized by defects in peroxisome biogenesis, results in dysfunction of all organ systems, including feeding difficulties, gastrointestinal bleeding, and reduced overall growth. Despite this nutritional impact, no published studies have assessed dietary intake in ZSD. The purpose of this study was to determine nutrient intake in individuals with ZSD or a related peroxisomal disorder using two methods of dietary assessment as provided by family caregivers. Methods: Family caregivers participated in multiple 24 h dietary recall interviews and completed 3-day food records for their child with ZSD or a related single-enzyme peroxisomal disorder over a 6-month period. Results: Twenty-one subjects (eleven orally fed and ten enterally fed), ranging from 1 to 33 years of age, were included in the study. Energy and nutrient intake as reported by dietary recall vs. 3-day food record were highly correlated for all nutrients (r2 = 0.998, p \u3c 0.0001). Mean nutrient intakes for subjects generally achieved or exceeded DRI requirements, except for fiber (about 50% of DRI). Conclusions: These results show that dietary assessment is feasible in individuals with ZSD using caregiver input, regardless of feed modality, and that dietary intake is consistent across different methods of assessment. These findings may be applicable in dietary assessments for individuals with ZSD and similar genetic disorders and a methodological consideration in clinical interventions
Books and Media by Bloomfield College Authors
No full texthttps://digitalcommons.montclair.edu/books_slideshow/1006/thumbnail.jp
Ant and Grasshopper Poole
No full texthttps://digitalcommons.montclair.edu/iapc_picturebook_gallery/1004/thumbnail.jp
The Scale and Sustainability of an Early Childhood Dual Language Program
Get PDFThe history of multilingual education in the United States over the last fifty years has gradually transitioned from a subtractive bilingual approach to additive approaches, where students increase their cognition of both their native language and the target language. The dissertation study explored the scale and sustainability of one dual language early childhood program that has been implemented over the past 19 years, expanding across grade levels. The research question of this dissertation study was, “What can we learn from a long-lasting and steadily expanding public early childhood dual language program?” The data for this dissertation was collected through a series of one-on-one and focus group interviews with key rightsholders from the program including the school administrator, teachers, and paraprofessionals. The findings from this study provide evidence that quantitative measures of scale and sustainability are not enough to help a program flourish– it is strategic hiring practices, staff commitment, and responsibility as culture carriers that help the program grow. These findings indicate that purposeful and intentional decision making from school leaders about staffing plays a large role in a program’s survival beyond implementation stages. This study contributes to the larger body of literature on scale and sustainability as it offers a unique perspective on scaling up a program by hiring from within the community, developing a democratic system of decision making within a school, and putting student’s cultures and heritage at the center of the program’s goal, which is pedagogical equity between both heritage and target languages