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The Repertoire of Understanding: The Linguistic Patterning of Repetition and Alignment within Supportive Conversations

This dissertation explores a fundamental feature of all human interaction, behavioral coordination. Since early work on motor mimicry, scholars of human communication have invested tremendous energy to discover patterns of behavioral adaptation and the impact these patterns have on individual and relational outcomes. Outcomes such as individual health and well-being, as well as relationship satisfaction and divorce are all contingent on the ability to adapt and coordinate actions (Niederhoffer & Pennebaker, 2002; Stehl et al., 2008; Kulesza et al., 2013; Ireland et al., 2011). Several decades of research have advanced our understanding of specific characteristics of supportive messages and their relationship to important outcomes (for review see MacGeorge, Feng, & Burleson, 2011), and work by communication scientists has uncovered the importance of supportive relationships to health and well-being (Holt et al., 2010). This dissertation focuses on a set of language behaviors and how people repeat, paraphrase, and align language use during supportive conversations. Conversations between friends, strangers, and active listeners all engaged in a supportive conversation were analyzed. The analysis of transcripts of conversations between listeners and disclosers engaged in a 5-minute supportive interaction were conducted in two ways. First, two measures of linguistic coordination, Language Style Matching (LSM) (Ireland & Pennebaker, 2010) and Local Lexical Repetition (LLR) (Cannava & Bodie, 2015) were computed using textual analysis software. Results show that LSM was a significant variable in explaining supportive outcomes, whereas LLR failed to have predictive power. Second, stance analysis (Du Bois, 2007) was used to address supportive communication from a discourse analytic perspective. Results revealed that each relational group accomplished supportive conversations that varied on boundaries of coordination, investment, and affiliation. In general, this dissertation provides full or partial empirical support for the application and conceptualization of LSM and LLR. LSM is shown to be a positive predictor of supportive outcomes, whereas LLR is not. While providing three discourse analytic profiles of alignment, his dissertation also showed that dyads enact linguistic coordination and alignment in variety of ways depending on relationship type. Finally, this dissertation seeks to represent the repertoire of linguistic coordination used during a supportive interaction

International longitudinal registry of patients with atrial fibrillation and treated with rivaroxaban: RIVaroxaban Evaluation in Real life setting (RIVER)

Background Real-world data on non-vitamin K oral anticoagulants (NOACs) are essential in determining whether evidence from randomised controlled clinical trials translate into meaningful clinical benefits for patients in everyday practice. RIVER (RIVaroxaban Evaluation in Real life setting) is an ongoing international, prospective registry of patients with newly diagnosed non-valvular atrial fibrillation (NVAF) and at least one investigator-determined risk factor for stroke who received rivaroxaban as an initial treatment for the prevention of thromboembolic stroke. The aim of this paper is to describe the design of the RIVER registry and baseline characteristics of patients with newly diagnosed NVAF who received rivaroxaban as an initial treatment. Methods and results Between January 2014 and June 2017, RIVER investigators recruited 5072 patients at 309 centres in 17 countries. The aim was to enroll consecutive patients at sites where rivaroxaban was already routinely prescribed for stroke prevention. Each patient is being followed up prospectively for a minimum of 2-years. The registry will capture data on the rate and nature of all thromboembolic events (stroke / systemic embolism), bleeding complications, all-cause mortality and other major cardiovascular events as they occur. Data quality is assured through a combination of remote electronic monitoring and onsite monitoring (including source data verification in 10% of cases). Patients were mostly enrolled by cardiologists (n = 3776, 74.6%), by internal medicine specialists 14.2% (n = 718) and by primary care/general practice physicians 8.2% (n = 417). The mean (SD) age of the population was 69.5 (11.0) years, 44.3% were women. Mean (SD) CHADS2 score was 1.9 (1.2) and CHA2DS2-VASc scores was 3.2 (1.6). Almost all patients (98.5%) were prescribed with once daily dose of rivaroxaban, most commonly 20 mg (76.5%) and 15 mg (20.0%) as their initial treatment; 17.9% of patients received concomitant antiplatelet therapy. Most patients enrolled in RIVER met the recommended threshold for AC therapy (86.6% for 2012 ESC Guidelines, and 79.8% of patients according to 2016 ESC Guidelines). Conclusions The RIVER prospective registry will expand our knowledge of how rivaroxaban is prescribed in everyday practice and whether evidence from clinical trials can be translated to the broader cross-section of patients in the real world

On A Multimodal Perspective on Applied Storytelling Performance: Narrativity in Context by Soe Marlar Lwin

A Multimodal Perspective on Applied Storytelling Performance: Narrativity in Context by Soe Marlar Lwin. Routledge, 2020. ISBN 978-1-138-48165-7. $155.00 Cloth,$57.95 Electronic

Managing the bi-directional flow of materials to increase customer satisfaction and reduce cost : A case study at Sandvik Mining and Rock Technology

Purpose: This thesis explores the bi-directional flows of material perceived by manufacturing firms in the supply chain and accordingly derive suggestions to properly manage these flows to increase customer satisfaction and reduce cost. Methods: A literature review was summarized in a conceptual framework. This framework was then illustrated in a case. In this case, 11 semi-structured interviews, 3 participant observations and 3 types of archival records were collected. Analysis and discussion of the preliminary conceptual framework compared to the case was the basis for the modified conceptual framework that was designed. Main findings: In general material flows downstream the supply chain, but because of quality issues, recycling or returns material need to flow upstream the supply chain. This thesis provides a holistic view of how to manage these flows with a modified conceptual framework. Academic contributions: Previously, almost no academic research has been conducted on decision variables when it comes to managing material flows upstream the supply chain. This thesis contributes to closing this gap by suggesting different actions to properly manage the bi-directional flow of material. Furthermore, previous research addressing how to manage material flows has been re-accessed and expanded. Managerial implications: By using the framework, practitioners can determine helpful activities to increase customer satisfaction and reduce cost. This means management gets directions of where to allocate their resources. Limitations: The perspective and evidence in this research are only collected from the manufacturer’s point of view, valuable insight from suppliers and customers may have been overlooked. The suggestions of how to manage the bi-directional flow of materials have not been tested and the outcome of these recommendations has not been compared to KPIs or other measurements

The effect of community based externships on host sites: A survey of Washington State Community Clinics

Thesis (Master's)--University of Washington, 2012Background: This purpose of this study was to better understand the attitudes of community health center dentists towards community-based externships (CBEs) and determine if previous experience supervising dental students affected their opinions. Methods: Ninety-nine dentists in Washington State were asked to complete either an internet or mail-based survey. Of the 69 dentists in Washington State who responded (response rate: 69 percent), 45 had experience supervising dental students participating in CBEs. The survey questioned the effects of CBEs on dental students, patients, the clinic and the dentists themselves. The survey also asked for dentists' opinions on why a clinic would host dental students, who should pay for the program expenses and what incentives should be given to supervising dentists. Results: Nearly all respondents (97 percent) felt that a CBE had a positive impact on a student's education. Dentists with experience supervising dental students were more likely to report the programs' effects on patients and the students' delivered quality of care as neutral or negative (p=0.035 and p=0.034, respectively). The most-preferred incentives for dentists' participation in CBEs were a financial bonus and free continuing education classes. Dentists did not report an increase in overall clinic productivity when a student was present. Ninety-one percent of the respondents did not feel that community-based clinics should pay dental schools when hosting dental students and 56% did not think the clinic should pay for a student's living expenses. Conclusion: More efforts should be made to understand the components of quality of care and how best to maintain it in the CBE setting. Staff dentists should be considered key stakeholders in the design and implementation of CBE programs