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Why Georgetown University Slept: How Georgetown University’s History of Slavery and Gentrification Continues to Destroy Washington, D.C.
No full textM.P.P.In 1838, Georgetown University sold 272 slaves to plantations in the southern United States for a total of $115,000. Nearly 200 years later the reverberations of this single action continue to negatively impact Washington, D.C. and the minority communities that have lived here for generations. In addition to active participation in slavery, Georgetown University continues to purchase property throughout downtown Washington, D.C., which further gentrifies the area and contributes to the active displacement of black Washingtonians who have generational rights to the area. The results of this study find statistically significant results that partially attribute rising rental costs, worsening mental health conditions, and local poverty to Georgetown University’s actions. These findings challenge not only the university administration, but current students and alumni to take responsibility for the historical and ongoing injustices and work toward vast and meaningful reparations to begin atoning for these immoral actions
Analyzing the Impact of Remote Video Monitoring on Patient Fall Rates: A Pilot Program Evaluation
No full textD.N.P.Falls in hospitalized patients are associated with negative patient outcomes and increased healthcare costs. Evidence supports the use of multifactorial fall prevention interventions. Multifactorial interventions can include staff education, early mobility, bed/ chair alarms, purposeful rounding, and patient monitoring with a staff member when appropriate. Historically, physical sitter monitoring (PSM) has been utilized to decrease falls, but evidence of effectiveness is lacking. Hospitals have been replacing PSM with remote video monitoring (RVM) as RVM has shown to decrease falls and increase the number of patients monitored. The purpose of this Doctor of Nursing Practice project was to evaluate the effectiveness of a RVM program after its implementation on a 37-bed neurological, non-intensive care pilot unit in an acute care center. The primary aim was to evaluate fall rates by answering the clinical question: How did fall rates compare among high-falls risk patients while receiving either RVM, PSM, or standard of care with no monitoring over a three-month period? The secondary aim was to evaluate staff satisfaction with RVM from the perspectives of registered nurses, remote safety observers, and nursing assistants/ unit secretaries/ patient attendant safety aides (referred to as PASAPlus staff). A retrospective data analysis design was utilized for this project. Data collected from August to November were analyzed. Sources of data included patients’ electronic charts, site-specific report sheets for sitter staffing and falls, and staff satisfaction survey results. A total of 459 charts of high-falls risk patients who met inclusion and exclusion criteria were identified. Zero falls were identified in patients who received RVM or PSM, and eight falls without injury were identified in patients who received standard of care with no monitoring. There was no statistically significant difference in fall rates with monitoring (0.0%) versus no monitoring (1.8%), z = 0.64, p = 0.261. Staff satisfaction was evaluated utilizing survey results. There was no statistically significant difference in the likelihood to recommend RVM by clinical role, Kruskal-Wallis H = 0.241, p = 0.88. Data were clinically significant to suggest that monitoring patients could decrease falls. Continued evaluation of RVM with data from hospital wide dissemination was recommended
Information Power of the East India Company, 1657-1776
No full textA case study on the British East Company from 1657 to 1776, uncovers the
information power levers that it used to rapidly rise to power. Derived from
its chartered joint-stock status and private trade policies, its domination of
the information domain enabled the company to become more successful
than anyone would have predicted before this period. The study applies
Maslow’s hierarchy of needs and Network Theory to the case study, analyzing
individual motivation and the effect of private trade on expanding social
networks. The analysis provides insights into how the East India Company’s
status and policies lowered the risk of investing in the company, increased
employee motivation to improve their business acumen, and encouraged the
expansion of trading networks. These elements created a unique information
environment that contributed to the company’s later economic, political, and
military success. Analysis of the findings is compared to modern examples to
demonstrate how modern organizations might use recommendations derived
from this study to improve their performance in unconventional ways
The Association of Adverse Childhood Experiences with Long COVID in Adulthood
No full textM.P.P.Long COVID, a potentially disabling condition defined by the persistence of a wide range of symptoms for weeks, months, or years after initial COVID-19 infection, has affected approximately 15% of adults in the United States. The condition has been found to disproportionately impact women, people of color, transgender and nonbinary individuals, and those with lower incomes and education levels, potentially exacerbating existing health inequities. However, much is still unknown about the causes of Long COVID. Adverse childhood experiences such as abuse and neglect have been found to increase the risk of a wide range of chronic diseases and poor health outcomes in adulthood, including COVID-19 hospitalization and death, but there is virtually no research on their relationship to Long COVID. In this paper, I use data from the Behavioral Risk Factor Surveillance System (BRFSS) to examine the relationship between adverse childhood experiences and Long COVID in adulthood. I hypothesize that, among adults who have had a COVID-19 infection, experiencing a greater number of adverse childhood experiences increases the likelihood of developing Long COVID. Logistic regression results show that having multiple adverse childhood experiences is associated with an increased risk of having Long COVID symptoms, even when controlling for sociodemographic characteristics and other health conditions
The impact of a small‐group mammography video discussion on promoting screening uptake among nonadherent Chinese American immigrant women: A randomized controlled trial
No full textDepartment of OncologyBackground: The objective of this study was to evaluate the efficacy of an in-person, small-group mammography video discussion (SMVD) intervention on mammography uptake among nonadherent Chinese American immigrant women.
Methods: Women (N = 956) were randomized into either an SMVD group, where Chinese-speaking community health workers (CHWs) used an effective, culturally appropriate video to discuss mammography, or a video-only group, which viewed the cultural video sent by mail. Outcomes were mammography uptake at 6 months and 21 months postintervention.
Results: Women in both groups increased mammography uptake, and an outcome analysis revealed no group differences (adjusted odds ratio [AOR], 1.18; 95% confidence interval [CI], .68–2.06). Overall, 61.2% of the SMVD group and 55.3% of the video-only group had at least one mammogram during the 21-month follow-up period. When considering attendance to the SMVD, SMVD attendees had higher mammography uptake than the video-only group (AOR, 1.51; 95% CI, 1.19–1.92), and SMVD nonattendees had lower mammography uptake than the video-only group (AOR, .33; 95% CI, .22–.50).
Conclusions: Both intervention strategies were associated with increased mammography uptake. The authors observed that the increase in use was greater among women who participated in the SMVD session compared with those who viewed the cultural video only. Future research may explore a virtual SMVD intervention for higher session attendance and increased mammography uptake (ClinicalTrials.gov identifier NCT01292200)
Egyptians in Turkey: Everyday Life in Exile Between Demobilization and "Depoliticization"
No full textM.A.The Egyptian Muslim Brotherhood has often been viewed as a case of effective mobilization. However, the 2013 coup forced the group into exile, and it has been unable to mobilize support from the Egyptian population in Turkey. This thesis draws upon social movement theory to analyze the relationship between the Brotherhood’s traditional pillars of mobilization, its structure and framing capacity. It views the Brotherhood’s structure, which traditionally included a vast social service infrastructure, and its ability to craft compelling, relevant frames, as mutually reinforcing. Thus, the disruption of the Brotherhood’s structure in exile has impacted its ability to craft frames that are relevant to the needs and lived experiences of Egyptians. This has ultimately transformed the Brotherhood from a formal tanzim to an informal network in Turkey. Moreover, there are new collectivization efforts emerging outside the Brotherhood that have been more effective at attracting the support and participation of Egyptians, including the Egyptian Student Union and the Egyptian Galya. Egyptians who have left the Brotherhood have joined the Egyptian Student Union and the Egyptian Galya, seeking to become formal representatives of the Egyptian population. These new organizations draw upon the traditional pillars of the Brotherhood’s success in Egypt, and heavily rely on the provision of social services to frame themselves as organizations that are 1) connected to the needs of Egyptians in Turkey; and 2) capable of addressing their needs. This research suggests that the provision of social services plays a critical role in mobilization, both among Egyptians in need and Egyptians interested in playing the role of provider
Cultivating Trust: Examining the Legacy of Colonization on Political Trust
No full textM.P.P.This paper investigates the enduring influence of colonial legacies on contemporary political trust within former colonies. Employing a multidisciplinary approach drawing from political science, history, and sociology, the study examines the interplay between colonial governance strategies, violence dynamics, and economic policies, and their impact on public trust in governmental institutions. Using data from 46 countries, the research confirms that countries subjected to suzerain rule and intense violence during and after colonization exhibit lower levels of trust in government. Additionally, economic policies such as trade policies and resource extraction further contribute to diminished trust. A basic analysis across different colonizer identities was also carried out to highlight possible differences across colonizing powers. These findings underscore the need for a nuanced understanding of colonial legacies to inform governance strategies aimed at fostering trustand societal cohesion in postcolonial nations
