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Arte Clandestino: Rebellion, Graphic Art and Youth Culture in Oaxaca, Mexico

In examining the artistic mobilization of the Asamblea Revolucionaria de Artistas de Oaxaca (ASARO), this thesis focuses on the transformative potential of the artists’ spatial practices through their investment in utilizing urban spaces throughout the city (Lefebvre 1991). Spatial politics of artists allows them to create spaces of representation through which they can represent themselves to the wider public (Mitchell 1995). Drawing on Habermas’ (1989) notion of public sphere - a place where private people come together to discuss and engage in critical, rational debate to form and or influence a public option - I argue that in stenciling their graphic messages on city walls, members of this artistic movement are physically and symbolically creating space for themselves in discussions and debates that they have historically been excluded from. Speaking from the perspective of shared experiences and struggles, ASARO’s images work to produce the collective subject of el pueblo (the people)

Story

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Risk Factors and Bulimia outcomes in Adolescent Women: A Longitudinal and Retrospective Analysis

The goal of the present study was to verify whether four purported risk factors predate the development of eating disorder symptoms, particularly bulimia nervosa. The four major purported risk factors for developing bulimia nervosa (and eating disorders in general) among female adolescents include: (a) over internalization of culture’s value of thinness in women, (b) inordinate dissatisfaction with body form, (c) depression, and (d) irrational beliefs and cognitions about thinness and the benefits of dieting. The present study involved a 5-year follow-up of adolescent girls initially identified as being either at high or low risk for developing an eating disorder, particularly bulimia nervosa. Subjects completed the risk factor inventories, and eating disorder diagnoses were based upon a structured Diagnostic and Statistical Manual of Mental Disorders clinical interview. Results indicated that: (a) two bulimic cases were found in the high-risk group, with an overall prevalence rate of 3.5% (2/57); (b) the total 6-month incidence rate (for any eating disorder) was 6.5% in the high-risk group, and 0.0% in the low-risk group; (c) younger at-risk girls tended to generally acknowledge more eating disorder symptoms; (d) z-score means of the low and high risk group are dramatically different at both Time #1 and 5 years later at Time l#2, with the high-risk group exhibiting more severe and quite stable symptomatology relative to the low-risk group; and (e) change in scores over time, in all four risk factor measures, was related to bulimia, binge-related symptoms, and overall (total) symptoms. The study confirmed the importance of these risk factors in the etiology of eating disorder symptoms, as well as the significance of tracking girls in early adolescence in longitudinal studies

Development of a Dysphagia Management Protocol for Older Residents in a Care Home Setting. (abstract only)

Purpose: The aim of this study is to develop a co-designed dysphagia management protocol for older residents living in a care home setting. Method: A qualitative study is being conducted within four care homes in a region in the North of England; these were purposively selected to ensure representation of a range of care models across the care home sector. A literature search was conducted to establish good practice in the management of dysphagia in care homes. The findings from the literature review informed the development of semi-structured interview/focus group guides. Eight focus groups have been conducted with 40 members of the nursing and care assistant team and semi-structured interviews conducted with four nursing home managers. These have explored the assessment and management of dysphagia and the barriers and opportunities for improvement in dysphagia management. Interviews will also be conducted with residents (n=16) and nominated relatives, and quality managers (n=4). The interview and focus group data are being analyzed using the Framework Approach. Results: The literature review and preliminary data analysis suggest the following emerging themes: Lack of integrated approaches to education and training; Enablers and barriers to effective dysphagia management; Impact of relationship with other health care professionals on dysphagia management. Conclusion: These findings will lead to the co-design of a protocol for optimizing nutrition and hydration which is based on evidence and best practice principles and which can be adopted in the care home setting. This protocol will be produced by January 2018. The study has been funded by the Abbeyfield Foundation

Racial/Ethnic and social class differences in preventive care practices among persons with diabetes

BACKGROUND: Diabetes is the sixth leading cause of death in the United States. Persons with diabetes are at increased risk for serious complications including CVD, stroke, retinopathy, amputation, and nephropathy. Minorities have the highest incidence and prevalence of diabetes and related complications compared to other racial groups. Preventive care practices such as smoking cessation, eye examinations, feet examinations, and yearly checkups can prevent or delay the incidence and progression of diabetes related complications. The purpose of this study was to examine racial/ethnic differences in diabetes preventive care practices by several socio-demographic characteristics including social class. METHODS: Data from the Behavioral Risk Factor Surveillance Survey for 1998–2001 were used for analyses. The study population consisted of persons who indicated having diabetes on the BRFSS, 35 yrs and older, and Non-Hispanic Black, non-Hispanic White, or Hispanic persons. Logistic regression was used in analyses. RESULTS: Contrary to our hypotheses, Blacks and Hispanics engaged in preventive care more frequently than Whites. Whites were less likely to have seen a doctor in the previous year, less likely to have had a foot exam, more likely to smoke, and less likely to have attempted smoking cessation. Persons of lower social class were at greatest risk for not receiving preventive care regardless of race/ethnicity. Persons with no health care coverage were twice as likely to have not visited the doctor in the previous year and twice as likely to have not had an eye exam, 1.5 times more likely to have not had a foot exam or attempted smoking cessation. CONCLUSION: This study showed that persons of lower social class and persons with no health insurance are at greatest risk for not receiving preventive services

Seroprevalence of Hepatitis E among Boston Area Travelers, 2009-2010

We determined the prevalence of IgG antibodies to hepatitis E virus (anti-HEV IgG) among travelers attending Boston-area travel health clinics from 2009 to 2010. Pre-travel samples were available for 1,356 travelers, with paired pre- and post-travel samples for 450 (33%). Eighty of 1,356 (6%) pre-travel samples were positive for anti-HEV IgG. Compared with participants who had never lived in nor traveled to a highly endemic country, the pre-travel prevalence odds ratio (POR) of anti-HEV IgG among participants born in or with a history of previous travel to a highly endemic country was increased (POR = 4.8, 95% CI = 2.3–10.3 and POR = 2.6, 95% CI = 1.4–5.0, respectively). Among participants with previous travel to a highly endemic country, anti-HEV IgG was associated with age > 40 years (POR = 3.7, 95% CI = 1.3–10.2) and travel history to ≥ 3 highly endemic countries (POR = 2.7, 95% CI = 1.2–5.9). Two participants may have contracted HEV infection during their 2009–2010 trip