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Disrupting the Narrative of Global South to Global North Immigration: Media Portrayals and the Immigrant Experience
Immigration studies often focus on immigration from the Global South to the Global North and fail to recognize other patterns of immigration. The purpose of this study is to fill this lacuna of knowledge by quantitatively and qualitatively exploring immigrants’ perceptions and health experiences in their country of immigration—namely, Latin American immigration to the United States mainland, Dominican immigration to Puerto Rico, and Indian immigration to the United Arab Emirates. The primary research question is: What perceptions and health experiences do immigrants have en route to and upon arrival in their destination countries? A sub-question of the broader topic is: How does the immigrant experience through testimonials differ from the experience reported through other methods, such as academic publications, government reports, and news outlets? By conducting a literature review, I interpreted data from interviews, testimonials, databases, and media outlets using ethnographical, archival, and interdisciplinary methods. Analyzing immigration within both the Global North and the Global South allows researchers to better compare the immigrant experience to develop a global understanding of immigration. Results show that the portrayal of the immigrant experience differs greatly by media source, but commons themes of experience arise: death, economic hardship, trauma, and rights abuse. Audio and visual sources provide viewers and listeners with the faces and voices behind the immigrant experience, while textual sources lack those benefits. However, some reports may contain photographs to support their publications, further compelling the audience. Video sources seem to use more stark and dramatic language than other sources
Efficacy of oral celecoxib and hyoscine butyl-bromide versus placebo during copper intrauterine device placement in women delivered only by elective cesarean section: a randomized controlled study
Objective: To compare the efficacy and tolerability of celecoxib to hyoscine butyl bromide (HBB) and placebo in reducing pain scores during placement of copper intrauterine devices (IUD) in parous women who have undergone elective cesarean section and who have had no previous vaginal deliveries.
Methods: We conducted a randomized, double-blind, placebo-controlled trial at a tertiary University hospital from April 2018 to September 2018. The study included women who had never delivered vaginally and who desired copper IUD insertion. We randomized the study participants in a 1:1:1 ratio to celecoxib, HBB or placebo groups. They took the tablets orally two hours before IUD insertion. The study outcomes were the self-reported pain measurements, using a 10-cm Visual Analogue Scale (VAS), taken during tenaculum placement, sound insertion, IUD insertion and five minutes post-insertion, as well as an ease of insertion score.
Results: The study included 105 women (n=35 in each group). The baseline characteristics were similar among all groups. The mean pain score in the celecoxib group was lower during IUD insertion than placebo (1.97 vs 4.34, p\u3c0.001). Moreover, the ease of insertion score was significantly better with celecoxib [1.56 vs. 3.03, p\u3c 0.001] than with placebo. Similarly, Women in the HBB group were more likely to report lower pain scores during IUD insertion (2.91 vs 4.34, p\u3c0.001) and lower ease of insertion score [1.43 vs. 3.03, p\u3c 0.001].
Conclusions: The use of celecoxib and HBB may both reduce the pain associated with copper IUD insertion among women with no previous vaginal delivery. However, celecoxib is better tolerated with fewer side effect
A case of rheumatic heart disease diagnosed in the third trimester
Migration from areas with a high incidence of rheumatic heart disease has led to an increase in pregnancy complicated by rheumatic heart disease in high-income countries. We present a case of rheumatic heart disease diagnosed in a 33-year-old G2P0010 French-speaking Congolese woman at 32 weeks gestation. She was initially hospitalized with respiratory syncytial virus (RSV) bronchiolitis at 24 weeks gestation and established care in our clinic. Mitral valve stenosis was identified at 32 weeks gestation after she presented with severe edema and was hospitalized for acute on chronic heart failure complicated by urosepsis and cellulitis. She was managed in the cardiovascular intensive care unit with a subsequent emergent cesarean delivery at 33 weeks gestation for nonreassuring fetal status. Postoperatively, pulmonary artery pressures were 40 mm Hg and left ventricular ejection fraction was 35%. Her condition stabilized and she was discharged home with outpatient cardiology management on postoperative day 10 with baby in the NICU. This case illustrates the importance of a high threshold of suspicion for women at risk for complications of heart disease in pregnancy. A triad of cardiovascular risk screening, patient education and multidisciplinary team planning with maternal-fetal medicine, cardiology, and anesthesiology has been shown to optimize outcomes in women with known cardiovascular disease
Scurvy presenting as vulvar folliculitis, a case report and review of the literature
This case examines clinical features and care of a patient with scurvy presenting with vulvar folliculitis
Light in the Piazza
Featured here is a rendering of Giuseppe in his costume during Act 1 scene 1. He is wearing a cool gray sports coat, with a burgundy plaid pattern. He is also wearing a light cream pant, white shirt, with a black ascot. Giuseppe is the most fashion forward man in the show; he puts a lot of effort into making himself look good.https://ir.uiowa.edu/costume_design/1235/thumbnail.jp
Light in the Piazza
Featured here is a rendering of Clara Johnson in her costume during Act 1 scene 1 & 2. She is wearing a floral cotton dress, that has a pleated skirt. She also has a straw hat on, that is an integral part of the story, as the wind takes it off her head, and blows into the hands of Fabrizio, the man she falls in love with. While designing Clara’s costumes I aimed to keep them colorful and youthful, to show her light-hearted and free spirit. Most of her costumes complement her mother’s to show how her mother has a strong influence on her.https://ir.uiowa.edu/costume_design/1229/thumbnail.jp