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Making the Invisible Visible: Intersectional Perspectives of Artist Identity and Multiple Sclerosis in the US Healthcare System
Get PDFThe intersection of Multiple Sclerosis (MS), systemic healthcare disparities, and art-making remains underexplored within the arts and health literature. While research often highlights the therapeutic benefits of creative expression, it rarely examines how art-making empowers individuals with MS. This study addresses this gap by exploring: (1) how MS influences participants’ art practice, (2) how art impacts the participants’ experiences of MS, and (3) how individuals navigate the United States healthcare system. The research centers on women and gender expansive individuals and takes an intersectional lens to better understand marginalized experiences of those living with MS. These underrepresented groups frequently encounter healthcare environments that overlook their unique needs, contributing to an experience of disempowerment and invisibility. Through a participatory action research (PAR) approach using photovoice (Wang & Burris, 1997), this study invites artists living with MS to document their experiences, not only as patients but also as creative agents. By positioning participants as co-researchers with agency over their narratives, this study reveals how art-making fosters self-advocacy and emotional resilience. This project aims to inform healthcare policy and arts-based therapeutic practices, demonstrating the transformative potential of creative processes in building a more inclusive, equitable healthcare landscape
Designing a Catholic School in the Twenty-First Century
Get PDFData show an increasing number of Catholic schools from elementary to tertiary levels in developing countries, especially countries in Sub-Saharan Africa. These new Catholic schools seem to follow the industrial-era school design trajectories. However, the exigencies of the 21st century require a paradigm shift, ensuring that Catholic schools move away from the industrial method of education that did not attend to the specific educational needs of the student to a kind of education that further enriches the holistic education offered by the Catholic school. This enrichment includes architectural designs that support Catholic educational ideals and practices that preserve the earth. This article attempts to stimulate discussions around Catholic designs in this century. It argues that the holistic education that the Catholic school offers can support the cause for the preservation of the earth through integral ecology and careful and purposeful architectural designs of the Catholic school. Though the article addresses an issue specific to the design of Catholic schools in Sub-Saharan Africa, it proposes factors that Catholic school designers, planners, and builders must consider when developing a design framework for Catholic schools anywhere in the world. It also suggests strategies Catholic schools can deploy to implement the principles in Laudato si
A Liberatory Approach to Allyship: LGBTQ+ Ally Training at a Catholic University
Get PDFTeachings that undergird Catholic universities hold seemingly contradictory messages about affirming the dignity of LGBTQ+ people and adherence to some Catholic teachings. LGBTQ+ trainings that cultivate allyship are intended to increase individual awareness/ analysis, develop skills to support students, and align with aspects of the institutional culture and mission. Yet, there remains a paucity of research of how faculty and staff navigate what it means to act as an ally to LGBTQ+ populations. Using a multi-method exploratory design, we examined how faculty and staff at a Catholic university made meaning of their experiences attending an LGBTQ+ ally training. We utilized developing a liberatory consciousness as our conceptual framework to explore attendee learning and found that using a liberatory approach allows for a nuanced understanding of allyship
Jurisdictional Values
Get PDFThis Article explores the values underpinning judicial decision-making in the constitutional domains of personal and legislative jurisdiction. It begins with a brief examination of value theory, emphasizing how intrinsic and teleological values shape legal frameworks and judicial outcomes. The analysis reveals that traditional jurisdictional doctrines have historically prioritized sovereignty and federalism, balancing these state-centric concerns with the individual fairness protections afforded by the Due Process Clauses. Through a detailed review of recent Supreme Court cases, the Article highlights a jurisprudential shift toward integrating additional values such as international comity, access to justice, and the mitigation of forum shopping. The Article comments on the Supreme Court’s teleological focus on sovereignty and fairness, arguing that jurisdictional analyses should instead prioritize procedural justice as a unifying principle. Procedural justice, the Article contends, reconciles competing values by safeguarding litigants’ interests while fostering predictability and reducing inequities in jurisdictional practices. The Article concludes by focusing on a forum shopping-centered approach to jurisdictional analysis, proposing that courts explicitly evaluate the presence of forum shopping in both personal and legislative jurisdiction cases. Such an approach would better balance fairness to defendants with plaintiffs’ access to justice, advancing a more coherent and adaptable doctrine that aligns with modern litigation realities
Alignment and Assessment of University Core Curriculum with Interprofessional Education
Get PDFA midwestern Jesuit university worked to align an existing IPE program with a new core curriculum and its corresponding student learning outcomes (SLO’s). This paper describes the collaborative curriculum development process used within an institution to develop its first University Core Curriculum. The University-core curriculum development process resulted in a framework, outcomes, and essential criteria associated with nine student learning outcomes (SLO’s). To address this new framework, faculty developed new and revised IPE learning experiences to align with University SLO’s and core attributes. This produced three IPE courses that simultaneously address the health profession program’s unique accreditation requirements, IPE competencies, and the University SLO’s. Positive improvements in pre/post assessment of the SACS and strong ACE-15 scores indicate the development of collaboration skills and behaviors that create a collaborative environment. Narrative responses from the final exam supported positive changes on both the SACS and ACE-15. This collaborative process aligning IPE competencies with the University SLOs strengthened interprofessional learning. A continuous improvement method was applied to course development, pedagogy, and outcomes; accompanied by the development of effective teaching teams. It created a wider understanding across the University of health professions programs and the unique contribution of well-designed IPE learning experiences
Reconceptualization of Corporate Governance for Fintech Firms
Get PDFThe scandals involving some major fintech firms/platforms such as FTX, Wirecard, Celsius, TerraLuna and Lending Club raise questions about the efficacy of the current corporate governance architecture for fintech firms. Comparing some of the factors that contributed to these recent scandals in the fintech industry against the weaknesses in the corporate governance arrangements for traditional financial firms in the period leading to the global financial crisis (GFC), this paper argues that the unique characteristics of fintech firms amplify some of the weaknesses in the corporate governance arrangements in the financial services industry that contributed to the GFC. The ubiquitous nature of fintech firms and their algorithm/automation-based operations defy key assumptions of traditional corporate governance principles, which are built on the actions of identifiable individuals responsible for the management of a corporation. These peculiarities amplify the potential for fintech firms to create systemic risks in the global financial system like the ones that resulted in the GFC. On this basis, the paper proposes a redesign of the corporate governance regime to meet the realities of the fintech phenomenon and forestall dangers to the global financial system
Annual GHG Emissions in CO2e From Turfgrass Maintenance in Los Angeles County
Get PDFMaintaining turfgrass landscapes - including mowing, irrigation, and fertilization - is an under-recognized source of greenhouse gas (GHG) emissions, particularly carbon dioxide and nitrous oxides. The state of California has ambitious policies to reduce GHG emissions and improve local air quality, however, southern California continues to be one of the most polluted regions in the world; moreover, it is an arid region that relies heavily on imported water to meet diverse user needs. To better understand the significance of turfgrass maintenance as a source of GHG emissions, we calculate the total annual GHG emissions in carbon dioxide equivalent (CO2e) emitted from maintaining turfgrass across Los Angeles County (LAC), a geographically large and populous region in coastal southern California. To calculate total annual GHG emissions from turfgrass maintenance in LAC, we combine 1) a spatial analysis of maintained turfgrass landscapes in Los Angeles with 2) behavioral data on the frequency and amount of mowing, irrigation, and fertilization for each turfgrass zone - residential, commercial, public parks, golf courses, college campus and private parks, and cemeteries - and 3) published GHG emissions per area of turfgrass from each of these activities. We find that turfgrass maintenance in LAC produces approximately 536±176 metric kilotons of CO2e per year, which is equivalent to a year’s worth of emission from 119,280 passenger vehicles. Although college campuses/private parks and cemeteries had the highest emissions from maintenance per area per year, residential turfgrass landscapes are responsible for the most GHG emissions because they comprise by far the largest total area of maintained turfgrass in LAC. In contrast to previous work, which most often finds that mowing is the greatest source of GHG emissions, irrigation was the most significant source of GHG emissions in nearly all turfgrass zones due to the large quantities of imported water and variable terrain over which water is transported in the region. Findings indicate that reducing the total area of maintained turfgrass and the intensity of management could lead to significant reductions in emissions and support water conservation efforts in the state; however, turfgrass reductions should be focused on non-functional areas with care taken to avoid furthering inequalities in access to urban greenspaces
Bespoke Regulation of Artificial Intelligence
Get PDFThe decision to regulate artificial intelligence (AI) has far reaching consequences. Determining how to address budding applications of AI technology should depend on their effects. This article describes how regulation should be carefully tailored to avoid harm while maximizing social welfare, building on Orly Lobel’s taxonomy of regulatory tools. Part I examines the foundational difficulties in governing AI, including industry influence in regulation and deficiencies in enforcement. Part II elaborates on Lobel’s framework, detailing the benefits and limitations of a variety of tools, such as voluntary standards, soft law mechanisms, and public-private partnerships. It describes how bringing in diverse stakeholders can achieve a more practical approach to AI governance but cautions against an evaluation of AI that overlooks its effects on areas such as access, autonomy, privacy, and the environment. Part III introduces the legislative carve-out as a potential instrument in AI governance. Using the 21st Century Cures Act’s exclusion of certain Clinical Decision Support (CDS) software from FDA oversight as a case study, it evaluates the carve-out’s implications for innovation, safety, and physician liability. The article concludes by advocating for a nuanced approach to AI governance that furthers innovation while mitigating risks, underscoring the importance of tailoring regulation based on the degree of likely harm
The Moderating Role of Hospital Staffing Levels on the Effectiveness of Clinical Decision Support Systems in Mitigating Patient Readmission Rates
No full textHealthcare staffing shortages and high 30-day readmission rates are pressing challenges in today\u27s healthcare systems. While extensive studies have explored the positive impact of Health Information Technology (HIT) on health outcomes, the effect of hospital staffing on HIT effectiveness, particularly Clinical Decision Support Systems (CDSS), is underexplored. Therefore, we examine whether physician and resident staffing levels moderate the impact of CDSS on 30-day readmission rates. After analyzing data from 1,605 hospitals in the United States from 2017 and 2018, we found that the effect of CDSS implementation in reducing 30-day readmission rates is more pronounced in hospitals with lower bed-to-physician and bed-to-resident ratios, suggesting a higher number of physicians and residents per bed enhances the effectiveness of CDSS. The study also highlights different effects based on hospital size and complexity levels and emphasizes the importance of considering staffing levels when implementing CDSS and other HIT to maximize their benefits
Flattening the Eviction Curve: Lessons from Los Angeles About Tenant Protection During a Pandemic (and Beyond)
No full textHealth policy responses to the Covid-19 pandemic often focused on “flattening the curve.” Health officials and politicians took steps to try to limit the number of people who were sick at any one time, to protect hospitals from being overwhelmed by a flood of patients. Some legal responses to evictions during this time were based on a similar rationale.
Similar to public health concerns around Covid-19, tenant advocates were concerned with the possibility that economic effects of the pandemic could lead to a “tsunami” of evictions hitting all at once and overwhelming legal advocates and tenant communities. Tenant advocates argued for eviction protections that would limit the damage that could be caused by a large wave of evictions. In this context, eviction protection laws became a way to “flatten the eviction curve.”
How effective were these measures at flattening the curve of evictions? Los Angeles is a case study for any advocacy to protect tenants. Los Angeles has characteristics which make it an ideal setting for examining tenant protections, including different types of “moratorium” laws. Because of the variety of legal protections at different levels, we can look at Los Angeles as a “laboratory” for examining the efficacy of various measures