3,225 research outputs found

    Spatial epidemiology of a highly transmissible disease in urban neighbourhoods: Using COVID-19 outbreaks in Toronto as a case study

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    The emergence of infectious diseases in an urban area involves a complex interaction between the socioecological processes in the neighbourhood and urbanization. As a result, such an urban environment can be the incubator of new epidemics and spread diseases more rapidly in densely populated areas than elsewhere. Most recently, the Coronavirus-19 (COVID-19) pandemic has brought unprecedented challenges around the world. Toronto, the capital city of Ontario, Canada, has been severely impacted by COVID-19. Understanding the spatiotemporal patterns and the key drivers of such patterns is imperative for designing and implementing an effective public health program to control the spread of the pandemic. This dissertation was designed to contribute to the global research effort on the COVID-19 pandemic by conducting spatial epidemiological studies to enhance our understanding of the disease's epidemiology in a spatial context to guide enhancing the public health strategies in controlling the disease. Comprised of three original research manuscripts, this dissertation focuses on the spatial epidemiology of COVID-19 at a neighbourhood scale in Toronto. Each manuscript makes scientific contributions and enhances our knowledge of how interactions between different socioecological processes in the neighbourhood and urbanization can influence spatial spread and patterns of COVID-19 in Toronto with the application of novel and advanced methodological approaches. The findings of the outcomes of the analyses are intended to contribute to the public health policy that informs neighbourhood-based disease intervention initiatives by the public health authorities, local government, and policymakers. The first manuscript analyzes the globally and locally variable socioeconomic drivers of COVID-19 incidence and examines how these relationships vary across different neighbourhoods. In the global model, lower levels of education and the percentage of immigrants were found to have a positive association with increased risk for COVID-19. This study provides the methodological framework for identifying the local variations in the association between risk for COVID-19 and socioeconomic factors in an urban environment by applying a local multiscale geographically weighted regression (MGWR) modelling approach. The MGWR model is an improvement over the methods used in earlier studies of COVID-19 in identifying local variations of COVID-19 by incorporating a correction factor for the multiple testing problem in the geographically weighted regression models. The second manuscript quantifies the associations between COVID-19 cases and urban socioeconomic and land surface temperature (LST) at the neighbourhood scale in Toronto. Four spatiotemporal Bayesian hierarchical models with spatial, temporal, and varying space-time interaction terms are compared. The results of this study identified the seasonal trends of COVID-19 risk, where the spatiotemporal trends show increasing, decreasing, or stable patterns, and identified area-specific spatial risk for targeted interventions. Educational level and high land surface temperature are shown to have a positive association with the risk for COVID-19. In this study, high spatial and temporal resolution satellite images were used to extract LST, and atmospheric corrections methods were applied to these images by adopting a land surface emissivity (LSE) model, which provided a high estimation accuracy. The methodological approach of this work will help researchers understand how to acquire long time-series data of LST at a spatial scale from satellite images, develop methodological approaches for atmospheric correction and create the environmental data with a high estimation accuracy to fit into modelling disease. Applying to policy, the findings of this study can inform the design and implementation of urban planning strategies and programs to control disease risks. The third manuscript developed a novel approach for visualization of the spread of infectious disease outbreaks by incorporating neighbourhood networks and the time-series data of the disease at the neighbourhood level. The findings of the model provide an understanding of the direction and magnitude of spatial risk for the outbreak and guide for the importance of early intervention in order to stop the spread of the outbreak. The manuscript also identified hotspots using incidence rate and disease persistence, the findings of which may inform public health planners to develop priority-based intervention plans in a resource constraint situation

    Rethink Digital Health Innovation: Understanding Socio-Technical Interoperability as Guiding Concept

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    Diese Dissertation sucht nach einem theoretischem GrundgerĂŒst, um komplexe, digitale Gesundheitsinnovationen so zu entwickeln, dass sie bessere Erfolgsaussichten haben, auch in der alltĂ€glichen Versorgungspraxis anzukommen. Denn obwohl es weder am Bedarf von noch an Ideen fĂŒr digitale Gesundheitsinnovationen mangelt, bleibt die Flut an erfolgreich in der Praxis etablierten Lösungen leider aus. Dieser unzureichende Diffusionserfolg einer entwickelten Lösung - gern auch als Pilotitis pathologisiert - offenbart sich insbesondere dann, wenn die geplante Innovation mit grĂ¶ĂŸeren Ambitionen und KomplexitĂ€t verbunden ist. Dem geĂŒbten Kritiker werden sofort ketzerische Gegenfragen in den Sinn kommen. Beispielsweise was denn unter komplexen, digitalen Gesundheitsinnovationen verstanden werden soll und ob es ĂŒberhaupt möglich ist, eine universale Lösungsformel zu finden, die eine erfolgreiche Diffusion digitaler Gesundheitsinnovationen garantieren kann. Beide Fragen sind nicht nur berechtigt, sondern mĂŒnden letztlich auch in zwei ForschungsstrĂ€nge, welchen ich mich in dieser Dissertation explizit widme. In einem ersten Block erarbeite ich eine Abgrenzung jener digitalen Gesundheitsinnovationen, welche derzeit in Literatur und Praxis besondere Aufmerksamkeit aufgrund ihres hohen Potentials zur Versorgungsverbesserung und ihrer resultierenden KomplexitĂ€t gewidmet ist. Genauer gesagt untersuche ich dominante Zielstellungen und welche Herausforderung mit ihnen einhergehen. Innerhalb der Arbeiten in diesem Forschungsstrang kristallisieren sich vier Zielstellungen heraus: 1. die UnterstĂŒtzung kontinuierlicher, gemeinschaftlicher Versorgungsprozesse ĂŒber diverse Leistungserbringer (auch als inter-organisationale Versorgungspfade bekannt); 2. die aktive Einbeziehung der Patient:innen in ihre Versorgungsprozesse (auch als Patient Empowerment oder Patient Engagement bekannt); 3. die StĂ€rkung der sektoren-ĂŒbergreifenden Zusammenarbeit zwischen Wissenschaft und Versorgungpraxis bis hin zu lernenden Gesundheitssystemen und 4. die Etablierung daten-zentrierter Wertschöpfung fĂŒr das Gesundheitswesen aufgrund steigender bzgl. VerfĂŒgbarkeit valider Daten, neuen Verarbeitungsmethoden (Stichwort KĂŒnstliche Intelligenz) sowie den zahlreichen Nutzungsmöglichkeiten. Im Fokus dieser Dissertation stehen daher weniger die autarken, klar abgrenzbaren Innovationen (bspw. eine Symptomtagebuch-App zur Beschwerdedokumentation). Vielmehr adressiert diese Doktorarbeit jene Innovationsvorhaben, welche eine oder mehrere der o.g. Zielstellung verfolgen, ein weiteres technologisches Puzzleteil in komplexe Informationssystemlandschaften hinzufĂŒgen und somit im Zusammenspiel mit diversen weiteren IT-Systemen zur Verbesserung der Gesundheitsversorgung und/ oder ihrer Organisation beitragen. In der Auseinandersetzung mit diesen Zielstellungen und verbundenen Herausforderungen der Systementwicklung rĂŒckte das Problem fragmentierter IT-Systemlandschaften des Gesundheitswesens in den Mittelpunkt. Darunter wird der unerfreuliche Zustand verstanden, dass unterschiedliche Informations- und Anwendungssysteme nicht wie gewĂŒnscht miteinander interagieren können. So kommt es zu Unterbrechungen von InformationsflĂŒssen und Versorgungsprozessen, welche anderweitig durch fehleranfĂ€llige ZusatzaufwĂ€nde (bspw. Doppeldokumentation) aufgefangen werden mĂŒssen. Um diesen EinschrĂ€nkungen der EffektivitĂ€t und Effizienz zu begegnen, mĂŒssen eben jene IT-System-Silos abgebaut werden. Alle o.g. Zielstellungen ordnen sich dieser defragmentierenden Wirkung unter, in dem sie 1. verschiedene Leistungserbringer, 2. Versorgungsteams und Patient:innen, 3. Wissenschaft und Versorgung oder 4. diverse Datenquellen und moderne Auswertungstechnologien zusammenfĂŒhren wollen. Doch nun kommt es zu einem komplexen Ringschluss. Einerseits suchen die in dieser Arbeit thematisierten digitalen Gesundheitsinnovationen Wege zur Defragmentierung der Informationssystemlandschaften. Andererseits ist ihre eingeschrĂ€nkte Erfolgsquote u.a. in eben jener bestehenden Fragmentierung begrĂŒndet, die sie aufzulösen suchen. Mit diesem Erkenntnisgewinn eröffnet sich der zweite Forschungsstrang dieser Arbeit, der sich mit der Eigenschaft der 'InteroperabilitĂ€t' intensiv auseinandersetzt. Er untersucht, wie diese Eigenschaft eine zentrale Rolle fĂŒr Innovationsvorhaben in der Digital Health DomĂ€ne einnehmen soll. Denn InteroperabilitĂ€t beschreibt, vereinfacht ausgedrĂŒckt, die FĂ€higkeit von zwei oder mehreren Systemen miteinander gemeinsame Aufgaben zu erfĂŒllen. Sie reprĂ€sentiert somit das Kernanliegen der identifizierten Zielstellungen und ist Dreh- und Angelpunkt, wenn eine entwickelte Lösung in eine konkrete Zielumgebung integriert werden soll. Von einem technisch-dominierten Blickwinkel aus betrachtet, geht es hierbei um die GewĂ€hrleistung von validen, performanten und sicheren Kommunikationsszenarien, sodass die o.g. InformationsflussbrĂŒche zwischen technischen Teilsystemen abgebaut werden. Ein rein technisches InteroperabilitĂ€tsverstĂ€ndnis genĂŒgt jedoch nicht, um die Vielfalt an Diffusionsbarrieren von digitalen Gesundheitsinnovationen zu umfassen. Denn beispielsweise das Fehlen adĂ€quater VergĂŒtungsoptionen innerhalb der gesetzlichen Rahmenbedingungen oder eine mangelhafte PassfĂ€higkeit fĂŒr den bestimmten Versorgungsprozess sind keine rein technischen Probleme. Vielmehr kommt hier eine Grundhaltung der Wirtschaftsinformatik zum Tragen, die Informationssysteme - auch die des Gesundheitswesens - als sozio-technische Systeme begreift und dabei Technologie stets im Zusammenhang mit Menschen, die sie nutzen, von ihr beeinflusst werden oder sie organisieren, betrachtet. Soll eine digitale Gesundheitsinnovation, die einen Mehrwert gemĂ€ĂŸ der o.g. Zielstellungen verspricht, in eine existierende Informationssystemlandschaft der Gesundheitsversorgung integriert werden, so muss sie aus technischen sowie nicht-technischen Gesichtspunkten 'interoperabel' sein. Zwar ist die Notwendigkeit von InteroperabilitĂ€t in der Wissenschaft, Politik und Praxis bekannt und auch positive Bewegungen der DomĂ€ne hin zu mehr InteroperabilitĂ€t sind zu verspĂŒren. Jedoch dominiert dabei einerseits ein technisches VerstĂ€ndnis und andererseits bleibt das Potential dieser Eigenschaft als Leitmotiv fĂŒr das Innovationsmanagement bislang weitestgehend ungenutzt. An genau dieser Stelle knĂŒpft nun der Hauptbeitrag dieser Doktorarbeit an, in dem sie eine sozio-technische Konzeptualisierung und Kontextualisierung von InteroperabilitĂ€t fĂŒr kĂŒnftige digitale Gesundheitsinnovationen vorschlĂ€gt. Literatur- und expertenbasiert wird ein Rahmenwerk erarbeitet - das Digital Health Innovation Interoperability Framework - das insbesondere Innovatoren und Innovationsfördernde dabei unterstĂŒtzen soll, die Diffusionswahrscheinlichkeit in die Praxis zu erhöhen. Nun sind mit diesem Framework viele Erkenntnisse und Botschaften verbunden, die ich fĂŒr diesen Prolog wie folgt zusammenfassen möchte: 1. Um die Entwicklung digitaler Gesundheitsinnovationen bestmöglich auf eine erfolgreiche Integration in eine bestimmte Zielumgebung auszurichten, sind die Realisierung eines neuartigen Wertversprechens sowie die GewĂ€hrleistung sozio-technischer InteroperabilitĂ€t die zwei zusammenhĂ€ngenden Hauptaufgaben eines Innovationsprozesses. 2. Die GewĂ€hrleistung von InteroperabilitĂ€t ist eine aktiv zu verantwortende Managementaufgabe und wird durch projektspezifische Bedingungen sowie von externen und internen Dynamiken beeinflusst. 3. Sozio-technische InteroperabilitĂ€t im Kontext digitaler Gesundheitsinnovationen kann ĂŒber sieben, interdependente Ebenen definiert werden: Politische und regulatorische Bedingungen; Vertragsbedingungen; Versorgungs- und GeschĂ€ftsprozesse; Nutzung; Information; Anwendungen; IT-Infrastruktur. 4. Um InteroperabilitĂ€t auf jeder dieser Ebenen zu gewĂ€hrleisten, sind Strategien differenziert zu definieren, welche auf einem Kontinuum zwischen KompatibilitĂ€tsanforderungen aufseiten der Innovation und der Motivation von Anpassungen aufseiten der Zielumgebung verortet werden können. 5. Das Streben nach mehr InteroperabilitĂ€t fördert sowohl den nachhaltigen Erfolg der einzelnen digitalen Gesundheitsinnovation als auch die Defragmentierung existierender Informationssystemlandschaften und trĂ€gt somit zur Verbesserung des Gesundheitswesens bei. Zugegeben: die letzte dieser fĂŒnf Botschaften trĂ€gt eher die FĂ€rbung einer Überzeugung, als dass sie ein Ergebnis wissenschaftlicher BeweisfĂŒhrung ist. Dennoch empfinde ich diese, wenn auch persönliche Erkenntnis als Maxim der DomĂ€ne, der ich mich zugehörig fĂŒhle - der IT-Systementwicklung des Gesundheitswesens

    A Multi-level Analysis on Implementation of Low-Cost IVF in Sub-Saharan Africa: A Case Study of Uganda.

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    Introduction: Globally, infertility is a major reproductive disease that affects an estimated 186 million people worldwide. In Sub-Saharan Africa, the burden of infertility is considerably high, affecting one in every four couples of reproductive age. Furthermore, infertility in this context has severe psychosocial, emotional, economic and health consequences. Absence of affordable fertility services in Sub-Saharan Africa has been justified by overpopulation and limited resources, resulting in inequitable access to infertility treatment compared to developed countries. Therefore, low-cost IVF (LCIVF) initiatives have been developed to simplify IVF-related treatment, reduce costs, and improve access to treatment for individuals in low-resource contexts. However, there is a gap between the development of LCIVF initiatives and their implementation in Sub-Saharan Africa. Uganda is the first country in East and Central Africa to undergo implementation of LCIVF initiatives within its public health system at Mulago Women’s Hospital. Methods: This was an exploratory, qualitative, single, case study conducted at Mulago Women’s Hospital in Kampala, Uganda. The objective of this study was to explore how LCIVF initiatives have been implemented within the public health system of Uganda at the macro-, meso- and micro-level. Primary qualitative data was collected using semi-structured interviews, hospital observations informal conversations, and document review. Using purposive and snowball sampling, a total of twenty-three key informants were interviewed including government officials, clinicians (doctors, nurses, technicians), hospital management, implementers, patient advocacy representatives, private sector practitioners, international organizational representatives, educational institution, and professional medical associations. Sources of secondary data included government and non-government reports, hospital records, organizational briefs, and press outputs. Using a multi-level data analysis approach, this study undertook a hybrid inductive/deductive thematic analysis, with the deductive analysis guided by the Consolidated Framework for Implementation Research (CFIR). Findings: Factors facilitating implementation included international recognition of infertility as a reproductive disease, strong political advocacy and oversight, patient needs & advocacy, government funding, inter-organizational collaboration, tension to change, competition in the private sector, intervention adaptability & trialability, relative priority, motivation &advocacy of fertility providers and specialist training. While barriers included scarcity of embryologists, intervention complexity, insufficient knowledge, evidence strength & quality of intervention, inadequate leadership engagement & hospital autonomy, poor public knowledge, limited engagement with traditional, cultural, and religious leaders, lack of salary incentives and concerns of revenue loss associated with low-cost options. Research contributions: This study contributes to knowledge of factors salient to implementation of LCIVF initiatives in a Sub-Saharan context. Effective implementation of these initiatives requires (1) sustained political support and favourable policy & legislation, (2) public sensitization and engagement of traditional, cultural, and religious leaders (3) strengthening local innovation and capacity building of fertility health workers, in particular embryologists (4) sustained implementor leadership engagement and inter-organizational collaboration and (5) proven clinical evidence and utilization of LCIVF initiatives in innovator countries. It also adds to the literature on the applicability of the CFIR framework in explaining factors that influence successful implementation in developing countries and offer opportunities for comparisons across studies

    “Oh my god, how did I spend all that money?”: Lived experiences in two commodified fandom communities

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    This research explores the role of commodification in participation in celebrity-centric fandom communities, applying a leisure studies framework to understand the constraints fans face in their quest to participate and the negotiations they engage in to overcome these constraints. In fan studies scholarship, there is a propensity to focus on the ways fans oppose commodified industry structures; however, this ignores the many fans who happily participate within them. Using the fandoms for the pop star Taylor Swift and the television series Supernatural as case studies, this project uses a mixed-methodological approach to speak directly to fans via surveys and semistructured interviews to develop an understanding of fans’ lived experiences based on their own words. By focusing on celebrity-centric fandom communities rather than on the more frequently studied textual fandoms, this thesis turns to the role of the celebrity in fans’ ongoing desire to participate in commodified spaces. I argue that fans are motivated to continue spending money to participate within their chosen fandom when this form of participation is tied to the opportunity for engagement with the celebrity. While many fans seek community from their fandom participation, this research finds that for others, social ties are a secondary outcome of their overall desire for celebrity attention, which becomes a hobby in which they build a “leisure career” (Stebbins 2014). When fans successfully gain attention from their celebrity object of fandom, they gain status within their community, creating intra-fandom hierarchies based largely on financial resources and on freedom from structural constraints related to education, employment, and caring. Ultimately, this thesis argues that the broad neglect of celebrity fandom practices means we have overlooked the experiences of many fans, necessitating a much broader future scope for the field

    Resistance Training in Older Adults: The Importance of Volume and Movement Velocity

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    In the last decade, the prescription of resistance training (RT) volume based on monitoring the intra-set velocity loss (VL) in sportsmen has assumed great prominence among coaches and researchers. Nevertheless, to date, its applicability and efficacy in optimizing muscle and functional gains in older adults are unknown. Therefore, the general aim of the thesis was to analyze the effects of manipulating the RT volume through monitoring VL on strength, power, and functional capacity in older adults. As such, the following steps were adopted: i) review of the effects of single vs. multiple sets on muscular and functional adaptations in middle-aged and older adults; ii) comparison of the acute effects of low vs. high RT volume on physiological and neuromuscular parameters in older adults; iii) analysis of the effects of RT with 20% VL on strength, power, and functional capacity in older adults; iv) analysis of the effects of RT with 10% VL on strength, power, and functional capacity in older adults; v) analysis of the load-velocity-power relationship in resistance exercises in older adults; vi) comparison of the effects of 10 weeks of RT with 10% vs. 20% VL on strength, power, and functional capacity in older adults. The main results indicated: i) multiple sets induce greater muscular and functional gains than single sets; ii) high volume produces greater acute physiological and neuromuscular stress than low volume; iii) 10% and 20% VL induce strength, power, and functional capacity gains in older adults; iv) load-velocity regression equations allow estimating with high accuracy the training load in older adults; v) 10% VL is more efficient to induce muscular and functional gains than 20% VL since it needs less training volume; however, 20% VL appears to be necessary to optimize gains. Therefore, the results of the thesis suggest that manipulating the RT volume based on monitoring VL presents itself as an effective and efficient approach to improving strength, power, and functional capacity in older adults. Future studies should follow the defined research lines to strengthen the knowledge on this topic.Na Ășltima dĂ©cada, a prescrição do volume do treino de força (TF) atravĂ©s da monitorização da perda de velocidade na mesma sĂ©rie (PV) em desportistas tem assumido grande destaque entre treinadores e investigadores. Contudo, atĂ© Ă  data, desconhece-se a sua aplicabilidade e eficĂĄcia na otimização dos ganhos musculares e funcionais em idosos. Assim, o objetivo geral da tese consistiu em analisar os efeitos da manipulação do volume do TF atravĂ©s da monitorização da PV na força, potĂȘncia e capacidade funcional em idosos. Como tal, adotaram-se os seguintes passos: i) revisĂŁo sobre os efeitos de sĂ©ries Ășnicas vs. mĂșltiplas nas adaptaçÔes musculares e funcionais em adultos de meia-idade e idosos; ii) comparação dos efeitos agudos do TF com baixo vs. alto volume em parĂąmetros fisiolĂłgicos e neuromusculares em idosos; iii) anĂĄlise dos efeitos do TF com 20% de PV na força, potĂȘncia e capacidade funcional em idosos; iv) anĂĄlise dos efeitos do TF com 10% de PV na força, potĂȘncia e capacidade funcional em idosos; v) anĂĄlise da relação carga-velocidade-potĂȘncia em exercĂ­cios de resistĂȘncia em idosos; vi) comparação dos efeitos do TF com 10% vs. 20% de PV na força, potĂȘncia e capacidade funcional em idosos. Os principais resultados indicaram: i) mĂșltiplas sĂ©ries induzem maiores ganhos musculares e funcionais do que sĂ©ries Ășnicas; ii) alto volume produz maior stress fisiolĂłgico e neuromuscular agudo do que baixo volume; iii) 10% e 20% de PV induzem ganhos de força, potĂȘncia e capacidade funcional em idosos; iv) equaçÔes de regressĂŁo carga-velocidade permitem estimar com elevada precisĂŁo a carga de treino em idosos; v) 10% de PV Ă© mais eficiente a induzir ganhos musculares e funcionais do que 20% de PV, jĂĄ que necessita de menos volume de treino; contudo, 20% de PV parece ser necessĂĄria para otimizar os ganhos. Assim, os resultados da tese sugerem que a manipulação do volume do TF com base na monitorização da PV apresenta-se como uma abordagem efetiva e eficiente na melhoria da força, potĂȘncia e capacidade funcional em idosos. Futuros estudos devem seguir as linhas de investigação definidas para fortalecer o conhecimento sobre esta temĂĄtica

    Hybrid human-AI driven open personalized education

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    Attaining those skills that match labor market demand is getting increasingly complicated as prerequisite knowledge, skills, and abilities are evolving dynamically through an uncontrollable and seemingly unpredictable process. Furthermore, people's interests in gaining knowledge pertaining to their personal life (e.g., hobbies and life-hacks) are also increasing dramatically in recent decades. In this situation, anticipating and addressing the learning needs are fundamental challenges to twenty-first century education. The need for such technologies has escalated due to the COVID-19 pandemic, where online education became a key player in all types of training programs. The burgeoning availability of data, not only on the demand side but also on the supply side (in the form of open/free educational resources) coupled with smart technologies, may provide a fertile ground for addressing this challenge. Therefore, this thesis aims to contribute to the literature about the utilization of (open and free-online) educational resources toward goal-driven personalized informal learning, by developing a novel Human-AI based system, called eDoer. In this thesis, we discuss all the new knowledge that was created in order to complete the system development, which includes 1) prototype development and qualitative user validation, 2) decomposing the preliminary requirements into meaningful components, 3) implementation and validation of each component, and 4) a final requirement analysis followed by combining the implemented components in order develop and validate the planned system (eDoer). All in all, our proposed system 1) derives the skill requirements for a wide range of occupations (as skills and jobs are typical goals in informal learning) through an analysis of online job vacancy announcements, 2) decomposes skills into learning topics, 3) collects a variety of open/free online educational resources that address those topics, 4) checks the quality of those resources and topic relevance using our developed intelligent prediction models, 5) helps learners to set their learning goals, 6) recommends personalized learning pathways and learning content based on individual learning goals, and 7) provides assessment services for learners to monitor their progress towards their desired learning objectives. Accordingly, we created a learning dashboard focusing on three Data Science related jobs and conducted an initial validation of eDoer through a randomized experiment. Controlling for the effects of prior knowledge as assessed by the pretest, the randomized experiment provided tentative support for the hypothesis that learners who engaged with personal eDoer recommendations attain higher scores on the posttest than those who did not. The hypothesis that learners who received personalized content in terms of format, length, level of detail, and content type, would achieve higher scores than those receiving non-personalized content was not supported as a statistically significant result

    Unnatural Naturalization: The Ottawa Indians and U.S. Citizenship, 1854-1978

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    Examining the history of the Ottawa Tribe of Oklahoma, this dissertation looks at U.S. citizenship as a complex site of Native activism from the mid-nineteenth century through the late twentieth century. It assesses how Ottawas harnessed U.S. citizenship in their struggle for power with the federal government and used it in conjunction with their political and social formations, practices, and patterns of movement to ensconce their tribal community within the United States. Ottawa experiences challenge dominant progressive narratives that outline U.S. citizenship as an aspirational status reflecting the virtues of American liberal values. Instead, this dissertation underscores tribal elimination as a longstanding element of U.S. citizenship and how Native people subversively harnessed U.S. citizenship to escape the illiberal colonial control imposed by the United States.Ottawas sit at the nexus of expanding democracy and dispossession that characterizes American history. To avoid removal and federal maladministration, Ottawas looked toward protections associated with U.S. citizenship and acquired formal citizenship via treaty in the 1860s; however, federal officials tied the extension of U.S. citizenship to policies intending tribal elimination. Ottawas refused to give up their tribal polity as policymakers intended, and federal officials barred Ottawas from the rights and privileges afforded to U.S. citizens. As a result, Ottawas remained subject to Indian Office authority. To escape this federal control, Ottawas repeatedly sought substantive citizenship by embracing policies intending tribal elimination, including allotment in the late nineteenth century and tribal termination in the 1950s. These policies failed to eliminate the Ottawa Tribe. In defiance of dominant imaginaries, Ottawas carved a foothold for their tribal community in American society. Ottawas adapted to sustain their community within and through American society and traversed new spatial, social, and racial divides by adjusting existing traditions of mobility, interconnection with outsiders, heterogeneity, and kinship.Rather than merely embracing American ideals, Ottawas pursued their own sense of American belonging, and at the same time, redefined American belonging. Reshaping and contesting the meaning of U.S. citizenship, Ottawas undercut popular conceptions of U.S. citizenship and altered the outcomes of federal Indian policies.Doctor of Philosoph

    Is beta in agreement with the relatives? Using relative clause sentences to investigate MEG beta power dynamics during sentence comprehension.

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    There remains some debate about whether beta power effects observed during sentence comprehension reflect ongoing syntactic unification operations (beta-syntax hypothesis), or instead reflect maintenance or updating of the sentence-level representation (beta-maintenance hypothesis). In this study, we used magnetoencephalography to investigate beta power neural dynamics while participants read relative clause sentences that were initially ambiguous between a subject- or an object-relative reading. An additional condition included a grammatical violation at the disambiguation point in the relative clause sentences. The beta-maintenance hypothesis predicts a decrease in beta power at the disambiguation point for unexpected (and less preferred) object-relative clause sentences and grammatical violations, as both signal a need to update the sentence-level representation. While the beta-syntax hypothesis also predicts a beta power decrease for grammatical violations due to a disruption of syntactic unification operations, it instead predicts an increase in beta power for the object-relative clause condition because syntactic unification at the point of disambiguation becomes more demanding. We observed decreased beta power for both the agreement violation and object-relative clause conditions in typical left hemisphere language regions, which provides compelling support for the beta-maintenance hypothesis. Mid-frontal theta power effects were also present for grammatical violations and object-relative clause sentences, suggesting that violations and unexpected sentence interpretations are registered as conflicts by the brain's domain-general error detection system.</p

    The Black Box of Enrollment Management: The Influence of Academic Capitalism and Values of the Public Good

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    The study addresses the widening income and racial access gap in higher education resulting from enrollment management teams’ operationalization of academic capitalism. The study focuses on the local, micro level, emphasizing how enrollment management leadership teams make sense of enrollment management, recognizing that enrollment management and the work of enrollment management stakeholders exist within an organizational space encompassing the values of both public good and academic capitalism. Using a case study methodology and critical sensemaking theory, the research explored how academic capitalism and values of the public good shaped enrollment management leadership teams’ sensemaking and sensegiving as they enacted decisions, actions, and practices to recruit and admit students. The main conclusion includes the critical role of the EMLTs and its members’ agency in public good enactments, especially driving the sensemaking process, and a more nuanced and complicated picture between academic capitalism and values of the public good in enrollment management. The study is the first to demonstrate that academic capitalism and the public good can coexist and overlap, in various ways, within the field of enrollment management despite existing literature’s overwhelming characterization of enrollment management as firmly existing within the space of academic capitalism. Recommendations for colleges and universities include leveraging capitalist tools to drive a public good agenda; using predictive data analytics to have a measured approach to increase access; balancing the use of tuition discounting; investing in hiring organizational actors who can operate with contradictory logics and share public good values; developing key public good metrics; diversifying revenue streams; and for wealthy institutions to be bold in their public good enactments
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