62 research outputs found

    Interview of retired Colonel Mary Ruth Pullig on her long career in the U.S. Army Nurse Corps

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    Retired Army Colonel Mary Ruth Pullig talks about growing up in Arkansas and Louisiana, her education and her long career as a U.S. Army nurse. After nursing school and working at various hospitals in the south, Pullig says that she joined the Army Nurse Corps in 1943, did her basic training at Fort Sam Houston in Texas and was first assigned to Fitzsimons Army Medical Center in Denver. She also talks about other Stateside assignments and says that she was finally sent overseas to New Guinea and and then to the Philippines and describes the living conditions at both posts, the poor diet, working under enemy fire, some of the patients she treated and nursing civilians suffering from collateral damage wounds. After the war, Pullig says that she was stationed in occupied Germany for a time and finally came back to the States and earned bachelors and masters degrees. She says she is thankful for being given the opportunity to travel and see the world and that the young men who fought were good men overall and that she enjoyed her experience with them and helping people as a nurse. Ruth Stewart interviews Pullig

    Clinical relevance of engineered cartilage maturation in a randomized multicenter trial for articular cartilage repair

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    Cartilage lesions do not heal spontaneously and predispose to osteoarthritis. Functional cartilage tissues, engineered using autologous chondrocytes, have a therapeutic advantage over conventional cellular therapies in preclinical studies. Here, we tested whether ex vivo maturation of engineered grafts for cartilage repair leads to improved patient benefit. Using autologous nasal chondrocytes (NCs), we tested whether implantation of in vitro–matured NC-tissue-engineered cartilage (N-TEC) versus undifferentiated NC-cell-activated matrices (N-CAM) in focal cartilage lesions would result in a superior clinical outcome. The prospective, randomized, parallel, open-label phase-2 trial (ClinicalTrials.gov, NCT02673905) enrolled 108 patients in five hospitals from four countries. Patients ranging in age from 30 to 46 years with full-thickness knee cartilage defects (size, 2.7 to 6.0 square centimeters) were equally randomized and treated with N-TEC or N-CAM. The primary preregistered outcome was the overall Knee Injury Osteoarthritis Outcome Score (KOOS) at 24 months. N-TEC, which underwent a longer NC culture time, was phenotypically, structurally, and functionally more like hyaline cartilage than N-CAM. The overall KOOS increased with clinical relevance in both groups compared with preoperative values. KOOS was higher at 24 months for N-TEC [85; interquartile range (IQR), 74 to 91] than for N-CAM (79; IQR, 65 to 85). N-TEC, but not N-CAM, was similarly effective in patients with larger defects or revision surgery. Radiologically, N-TEC resulted in a superior composition of both repair tissue and surrounding cartilage, whereas structural scores were similar. This trial validates the clinical efficacy of NC-based grafts for articular cartilage repair and supports the clinical relevance of engineering mature tissues, even for patients with more challenging cartilage defects.1778

    Consumer ethnicity three decades after: a TCR agenda

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    Research into consumer ethnicity is a vital discipline that has substantially evolved in the past three decades. This conceptual article critically reviews its immense literature and examines the extent to which it has provided extensive contributions not only for the understanding of ethnicity in the marketplace but also for personal/collective well-being. We identify two gaps accounting for scant transformative contributions. First, today social transformations and conceptual sophistications require a revised vocabulary to provide adequate interpretive lenses. Second, extant work has mostly addressed the subjective level of ethnic identity projects but left untended the meso/macro forces affecting ethnicity (de)construction and personal/collective well-being. Our contribution stems from filling both gaps and providing a theory of ethnicity (de)construction that includes migrants as well as non-migrants

    Consumer empowerment in multicultural marketplaces: Navigating multicultural identities to reduce consumer vulnerability

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    In the context of increasing cultural diversity, consumers are negotiating their identities and subsequent behaviours within multiple cultures and subcultures. Multicultural marketplaces include consumers from diverse ethnic groups, religious groups, nationalities, people living in particular geographic regions or groups that share common physical/mental disabilities, beliefs, values, attitudes or a way of life. Identity negotiations within a multicultural marketplace may present consumers with particular vulnerability challenges when a state of powerlessness arises from asymmetric marketplace exchange. Through the use of introspective vignettes, this paper identifies major categories of coping behaviours and shows that some coping strategies exacerbate and perpetuate vulnerabilities, while others prove beneficial and facilitate building resilience. The paper calls for an advocacy framework for consumer empowerment in multicultural marketplaces by developing a comprehensive framework of coping strategies that enhance consumer empowerment and resilience

    Empowerment, waste and new consumption communities

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    Purpose – This paper aims to explore the diverse and complementary resistance and waste-reduction practices adopted by UK-based New Consumption Communities, and whether such behaviours empower them to achieve their environmental and social goals. Design/methodology/approach – The methodology can be broadly classified as critical ethnography, which acknowledges the researcher’s own subjectivity, how the informants are treated and represented, and the study’s wider context (Peñaloza, 1994). A participant-observer role is employed and six distinct New Consumption Communities are explored. Findings – It is suggested that through their resistance and empowerment, as well as a reconnection to production, the communities are able to implement alternatives to the wasteful practices of mainstream consumption behaviour, and achieve (partial) autonomy from the hegemonic forces of the market. Originality/value – This paper’s original perspective on waste is not limited to a small group of consumers, and thus should interest marketers and policy makers engaged in the advancement of sustainability and green marketing. Keywords – Consumer Empowerment; Voluntary Simplicity; Waste; Ethnography Paper type – Research pape
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