LAIR: Lenoir-Rhyne Academic Institutional Repository
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A Hero of the Mexican Revolution: An Examination of the Character of Pancho Villa (1878-1923) Until 1914
Get PDFThe 1910 Presidential Election in Mexico kept the incumbent President, Porfirio Díaz, in power, and sparked a revolution that lasted for roughly ten years (1910-1920). His policies were largely unpopular, and he was disliked by a growing number of Mexicans. His opponent, Francisco Madero, lost through election fraud, and subsequently started the Mexican Revolution. He attracted thousands of revolutionaries to his cause. Among the most notable revolutionaries was a man named Pancho Villa, a gunslinger who wanted to use his talents for fighting to further Madero’s revolution.
Villa’s personality changed over the years, especially after he became a commander in Madero’s army. However, this change in character may have been fashioned by Villa himself, in order to differentiate his life as a commander from his life as an outlaw, as well as to define himself as an outlaw rather than a bandit. The distinction between a bandit and an outlaw is thin. Bandits are generally looked down upon by the entire community, roam the countryside, and work only for their benefit. An outlaw is a criminal only to the government and works for the benefit of their community. Villa sought to become an outlaw through his actions. The goal of this paper is to explore Pancho Villa as a character that he created, and to view his actions as performative for this character. This character is defined by three key components: gunslinging, being an outlaw, and defending his honor
An Integrated Pediatric Primary Care Model to Address Trauma, Inequities and Health Disparities
Get PDFBackground: Toxic stress in the form of adverse childhood experiences (ACE) and unmet social determinants of health (SDoH) are prevalent issues in the pediatric population and remain a cause of concern. Evidence reveals unmet SDoH and ACEs impact childhood health and wellness, predisposing pediatric patients to poor health outcomes. Evidence supports the usefulness of screening for ACEs and SDoH. Currently, many pediatric primary care providers do not routinely assess for ACEs or SDoH. Purpose: The goal of this quality improvement (QI) project was to improve the health and wellness of children. We sought to increase identification of children ages 1 to 18 with ACEs and SDoH in the pediatric primary care setting. Intervention: The care model implemented included education for clinicians, screening for ACEs and SDoH using the Pediatric ACEs and Related Life Events Screener (PEARLS) tool, administration of resources, referral, and documentation in the EHR with a Dot Phrase. Screening for depression with the PHQ-9 tool was completed simultaneously. The project was implemented over a three-month period. Results: The provider and staff successfully and completely implemented the care model. We noted 34 patient visits having 100% compliance with screening, resource administration, and use of Dot Phrase. Correlations between the ACE and SDoH scores and the PHQ-9 score were noted; for every one-point increase in ACE and SDoH, the PHQ-9 increased by 1.62 and 1.8 units, respectively. Conclusions: Routine, standardized screening for ACEs and SDoH with a valid tool, should be implemented in pediatric primary care. This process should be coupled with PHQ-9 screening. Assessing and treating ACEs early, coupled with assistance addressing unmet social needs resulted in improved identification of ACEs and SDoH
A Comparison of Recruitment Outcomes Using an Alternate Clinical Trial Recruitment Script for Lifestyle Intervention for the Treatment of Diabetes (LIFT)
Get PDFBackground Despite noble advancements in clinical research recruitment. Ethnic minorities continue to be disproportionately represented. Identifying variables that contribute to increased participation in such trials can provide valuable insight into the development of recruitment materials for future trials. The purpose of this research is to evaluate participant buy-in and participant volume; and to assess whether disease duration impacts one’s decision to participate in the trial. Methods This study compares the use of two introductory scripts used during telephone interviews for screening potential subjects for LIFT Diabetes, a randomized controlled trial designed to investigate the effects of delivering contrasting interventions: a community-based intensive lifestyle program and a clinic-based enhanced diabetes self-management program. Results The recruitment scripts employed in this study varies in results. There is evidence to suggest that enticing recruitment scripts leads to increased participant buy-in and agreement to participate. Conclusion When age is applied to the findings herein, there is ample support for the belief that older adults are more likely to favor detailed study information when deciding to participate in clinical trials. This justifies further research and opens the door for clinical applications of these findings
"The Greatest Eloquence": James Cathcart and the Power of Words in Eighteenth-Century Barbary
Get PDFYoung American seaman James Cathcart was captured by Algerian corsairs and held captive for eleven years. During that time, he rose through the slave hierarchy to a position of relative comfort and prosperity, moves accomplished partly through his ability to navigate complex relationships and partly through the power of literacy. The written account of his experience also demonstrates the power of words in how it not only relates events but also fashions Cathcart into a hero. This essay explores the power of language through Cathcart's experiences and through his writing about those experiences.Reprinted from Commonplace: The Journal of Early American Life, Inc., August 2022 ©2022 by Julie R. Voss. By permission of the publishers
A Toolkit to Measure Success: Assessing the Impact of Learning Activities for Social Skills and Parent’s Group for Perceived Social Support
Get PDFObjective: This quality improvement (QI) program provided staff implementing a non-profit organization’s intervention program to enhance social skills with resources needed to measure the impact the program has on participants who are neurodiverse. This QI project also provided staff implementing the parent’s support group for caregivers of those who are neurodiverse, resources needed to measure changes in perceived social support of the caregivers after 12 weeks. These resources include the Social Emotional Assets and Resilience Scale and the Multidimensional Scale of Perceived Social Support and will be provided to the organization as a toolkit used to test reliability and validity of the intervention programs offered. Design: A repeated measures quality improvement project. Setting: A small non-profit organization in an urban area of North Carolina. Measurements: Surveys were electronically mailed to 27 new participants and their caregivers before starting the programs and after 12 weeks of participation. Results: The organization received the toolkit with resources needed to measure the effectiveness of their offered programs. Though the organization planned to utilize these resources, the surveys were not sent or returned in a timely manner and therefore no data was able to be analyzed. Conclusions: Although the current project was unsuccessful, the organization has been provided with the necessary tools and resources to be able to positively impact the neurodiverse populations. Future research should attempt to analyze the effects of the organization’s intervention programs on social skills of individuals who are neurodiverse and perceived social support of caregivers of those who are neurodiverse
A Qualitative Case Study Exploring How Faculty Incorporate Equity in a Practice-Based Teacher Preparation Program
Get PDFThere is a huge shift in teacher education to make it more practice-focused while also incorporating equity which has been elevated as a result of the pandemic. As teacher preparation programs evolve to prepare teachers for diverse classroom settings, the need for teacher preparation training that focuses on equity is becoming more apparent. This study seeks to expand the literature by exploring how teacher educators infuse equity in a practice-based teacher preparation program. Using a case study approach, two teacher educators from various backgrounds shared their experiences incorporating equity and social justice in their teacher preparation curriculum. Results indicate that the driving force behind their efforts is rooted in their upbringing and early and frequent exposure to equity and social justice before becoming teacher educators. Implications of these findings contribute to the ongoing professional development of teacher educators as well as suggestions on hiring practices to attract teacher educators from diverse backgrounds
Assessing Social Determinants of Health to Improve the Quality of Life in the Adult Day Care Health Center Participants
Get PDFThe purpose of this quality improvement mixed methods design is to provide facilitators at an adult urban daycare health center with a toolkit to screen clients for SDOH and QOL among the adult clients ages 18 years and older to provide services in the daycare setting and services in the community
Rising Hope Farms (RHF) Dinner and Bingo Fundraiser
Get PDFBACKGROUND
Special needs, as defined by the Centers for Disease Control and Prevention (CDC) (2021), is any healthcare need related to physical, intellectual, and developmental disabilities, as well as long-standing medical conditions, such as asthma, diabetes, blood disorders, and muscular dystrophy. In the United States, 1 out of 5 children has a special healthcare need that will require more care and attention than those without a physical, developmental, behavioral, or emotional difference (CDC, Children and Youth with Special Healthcare Needs in Emergencies, 2021). Therapeutic riding and hippotherapy has been shown to have beneficial health outcomes for those with special needs and disabilities (The Children's TherAplay Foundation, Inc. (CTF), n.d.; Hyun et al, 2022; Professional Association of Therapeutic Horsemanship International (PATH Intl), 2022; Zhao et al, 2021). Rising Hope Farms (RHF), located in Claremont, NC, is a Christian-based 501(c) (3) nonprofit organization providing equine-assisted therapeutic riding and activities to people of all ages with special needs (Wartner, 2022).
PROGRAM
A bingo fundraiser has been developed to help raise funds for RHF’s therapeutic programs, which will take place at a shop behind Boston Saw & Tool, located in Hickory, NC. The event will be invitation only, due the limited amount of space, and admission to the event will be restricted to the purchasing of a finite number of tickets. The event activities to be marketed will be a catered dinner inside the shop, which is climate controlled, and prizes to be won through games of bingo.
RESULTS
The fundraiser was a success, meeting 4 of the 5 objectives outlined in planning and development. The total funds raised were 3,799.53 after costs. After the event was held, guests continued to support several of RHF’s riders through monetary donation and others gave a one-time donation to RHF.
CONCLUSION
The RHF Dinner and Bingo Fundraiser was a success, by meeting 4 of the 5 outlined objectives. Feasibility of continued implementation of a dinner and bingo fundraiser annually is contingent on RHF’s ability to repeat this process or a revised version. Continuation and success of implementing this dinner and fundraiser will aid RHF’s mission, as well as provide a much-needed service for individuals with special needs in Catawba County, NC
Trauma Informed Adult Primary Care
Get PDFThis project was a quality improvement project designed to implement trauma-focused care and adverse childhood experiences screening (ACEs) for adults in the primary care setting who were diagnosed with anxiety or depression. A toolkit including mental health resources and an ACEs screening tool was provided to 12 providers in the primary care clinic. Adult patients 18 years and older diagnosed with anxiety and depression in a private primary care practice were screened and provided community and mental health resources when appropriate. A feedback survey to qualitatively analyze the quality improvement initiative was given to the providers pre and post-project implementation. Outcome measures included the number of patients screened for ACEs, the number who met criteria for ACEs and correlation of ACEs scores with PHQ-9 and GAD-7 scores. Results indicated a positive correlation between PHQ-9 and GAD-7 scores with a p-value < .001
Weight Loss Programs: Impact on the Obesity Epidemic
Get PDFWith an increasing prevalence of obesity there are a growing number of programs and methods for weight loss. There are many approaches to medically supervised weight loss, ranging from changes to diet and exercise to invasive surgery. Moderate weight loss often requires less invasive methods, while morbidly obese patients whose life is at risk, may favor a more invasive surgical procedure. This study looks to determine if Medi Weight loss programs, which combine pharmacotherapy with behavior modification, is beneficial in addressing obesity