FROM HOMEBOY TO AMERICAN ICON: IMAGE TRANSFORMATION OF MALCOLM X, 1965-1999.

This dissertation examines and analyzes the transformation of Malcolm X's image from the representation as the "Angriest Black Man in America," to the intellectual, political American leader of the 1990s. Malcolm was recognized for his outspoken defense of oppressed black and poor people, his leadership in Islam, and transformation from an ostracized political figure to an authority on the plight of black Americans. Recently, X has become a symbol of American individuality, a champion of human rights. Seen by contemporaries and future admirers as the quintessential black man, X's image has been appropriated to represent facets of black male identity to mainstream culture, rendering it consumable to a variety of groups. This dissertation contributes to the evaluation of Malcolm's work in the civil rights movement and his resulting image. It does so in two important ways; first, it positions X as a theoretician on the black diasporic experience and secondly, it significantly cites the importance of X's connection to the African diaspora and his work to connect blacks to that diaspora. By accounting for the images produced by Malcolm himself, it then chronicles the materialization of new images by black nationalists, scholars, black youth culture of the 1990s, Spike Lee, the Shabazz family, and mainstream popular culture beginning shortly after the assassination of Malcolm in 1965 and continuing until the end of the twentieth century. Unlike the images of other civil rights leaders, X's image was contested when appropriated by the mainstream. Analysis of major developments, (X, the postal stamp of 1999, material produced during the 1990s, etc.), will demonstrate how the image circulated from the sole possession of the black community to American mainstream culture. The battle for control over the representations of his image and its meanings can be construed as the struggle between retaining a black champion and creating an American icon. Ultimately, the goal was to establish Malcolm as the ideal black man, who not only predicted the trajectory of the movement, but also established and demonstrated racial pride in black American manhood, in spite of the toll that this position took on his life

The Use of Play Assessment to Evaluate the Cognitive Skills of Two-and Three-Year-Old Children

Play assessment is increasing in popularity despite the lack of empirical support. The purpose of this study was to explore the use of play assessment with young children and determine its efficacy in determining cognitive levels of development. Eight 2-year-olds and eight 3 1/2-year-olds were observed playing in an unstructured format. Results indicated that Exploratory Play becomes more complex with age and is displayed more than Pretend Play in an unstructured play session. Children\u27s play primarily consisted of Exploratory Play, Pretend Play and Problem Solving and Planning Skills. Several of the Supple mental Subdomains measured by play assessment were not observed to occur in the spontaneous play format. A tendency for increasing complexity of play across time in session was also found

Effect of repeated eccentric demands placed on the lower limb musculature during simulated Rugby Union play

Epidemiological studies consistently report that muscular strains are a primary injury type in rugby union with the majority of the strains occurring to the quadricep and hamstring musculature. Recently it has been suggested that poor eccentric muscular strength is a precursor to hamstring and quadriceps strains during intermittent sports that require rapid acceleration and deceleration. Despite the high incidence of these muscle injuries in Rugby Union there has been little research into the possible mechanisms involved. Thus, the purpose of this study was to measure the physiological and perceptual responses during a simulated Rugby Union laboratory protocol and further, to identify changes in muscle recruitment patterns and muscle strength over time by comparing this protocol to a continuous, constant load protocol covering the same distance. The experimental condition (EXP) required university level players to perform 80 minutes of simulated rugby union play in a laboratory setting (on a walkway of 22m) which was compared to that of a control condition (CON) which involved subjects covering the same distance, at a constant speed of 4.2km.h-1 on a treadmill. Physiological, biophysical and perceptual responses were measured pre-, at half-time and post-protocol. Heart rate was significantly (p<0.01) greater as a result of EXP in comparison to the CON. Electromyography (EMG) of the vastus medialis was significantly (p<0.01) greater during the CON protocol. The EXP condition elicited higher iEMG activity in the hamstring musculature at all time intervals. In addition the iEMG of the semitendinosus decreased significantly (p<0.01) as a result of the EXP protocol. Peak eccentric knee extensors (EXT) (-13.19%) and flexors (FLEX) (-12.81%) torque decreased significantly during the experimental protocol. After passive half-time (236.67 + 56.27Nm (EXT) and 173.89 + 33.3NM (FLEX)) and at the end of the protocol (220.39 + 55.16Nm and 162.89 + 30.66Nm) reduced relative to pre protocol (253.89 + 54.54Nm and 186.83 + 33.3Nm). Peak eccentric knee extensors did not change during the control protocol. „Central‟ and ‟Local” Rating of Perceived Exertion values were significantly (P<0.01) greater during the EXP protocol with an increased incidence of hamstring discomfort and perceived pain (5 out of 10). The EXP protocol resulted in significantly (p<0.01) increased incidence of delayed onset muscle soreness (DOMS). In conclusion, a stop-start laboratory protocol elicited increased heart rate, negatively impacted on muscle activity of the hamstrings, decreased eccentric strength in the lower limb musculature, resulted in increased ratings of „Central‟ and „Local‟ exertion and increased pain perception and increased incidence of DOMS. Thus, a stop-start rugby specific laboratory protocol has a negative impact on performance. Due to the specificity of the protocol being designed to match the demands of competitive match play it is expected that these changes in heart rate, muscle activity and strength, particularly eccentric strength, will impact negativity on performance during rugby match play and increase the likelihood of injur

The Congestive Heart Failure Nurse Development Project

Approved May 2017 by the faculty of UMKC in partial fulfillment of the requirements for the degree of Doctor of Nursing PracticeOne of the leading diagnoses for hospital 30-day readmissions is congestive heart failure. Closing gaps in nurses’ knowledge and comfort level in congestive heart failure management principles can potentially contribute to improved patient knowledge and management in self-care of congestive heart failure, reduced congestive heart failure exacerbations, and reduced 30-day hospital readmission rate. The Congestive Heart Failure Nurse Development Project (CHFNDP) is a quasi-experimental project designed to improve non-cardiac nurses’ knowledge and comfort levels in congestive heart failure management. The project occurred at an acute care academic medical center located in the Midwest. A convenience sample of 67 registered nurses from two medicine-nursing divisions were recruited to participate in a pre- and post-knowledge survey and comfort survey, view an online educational video presentation, and attend one live educational session on congestive heart failure management principles. Ten nurses completed the project. Outcomes of knowledge and comfort level were analyzed using the Wilcoxon Signed Rank Test. Overall pre-to post-nurses’ knowledge mean scores remained the same (Z= -.522, p =.602), however pre-to post nurses’ comfort mean scores improved (Z= -5.223, p< .001). In future studies, more educational opportunities can be provided to increase participants’ memory and knowledge on congestive heart failure management principles to foster quality patient care

Effect of repeated eccentric demands placed on the lower limb musculature during simulated Rugby Union play

Epidemiological studies consistently report that muscular strains are a primary injury type in rugby union with the majority of the strains occurring to the quadricep and hamstring musculature. Recently it has been suggested that poor eccentric muscular strength is a precursor to hamstring and quadriceps strains during intermittent sports that require rapid acceleration and deceleration. Despite the high incidence of these muscle injuries in Rugby Union there has been little research into the possible mechanisms involved. Thus, the purpose of this study was to measure the physiological and perceptual responses during a simulated Rugby Union laboratory protocol and further, to identify changes in muscle recruitment patterns and muscle strength over time by comparing this protocol to a continuous, constant load protocol covering the same distance. The experimental condition (EXP) required university level players to perform 80 minutes of simulated rugby union play in a laboratory setting (on a walkway of 22m) which was compared to that of a control condition (CON) which involved subjects covering the same distance, at a constant speed of 4.2km.h-1 on a treadmill. Physiological, biophysical and perceptual responses were measured pre-, at half-time and post-protocol. Heart rate was significantly (p<0.01) greater as a result of EXP in comparison to the CON. Electromyography (EMG) of the vastus medialis was significantly (p<0.01) greater during the CON protocol. The EXP condition elicited higher iEMG activity in the hamstring musculature at all time intervals. In addition the iEMG of the semitendinosus decreased significantly (p<0.01) as a result of the EXP protocol. Peak eccentric knee extensors (EXT) (-13.19%) and flexors (FLEX) (-12.81%) torque decreased significantly during the experimental protocol. After passive half-time (236.67 + 56.27Nm (EXT) and 173.89 + 33.3NM (FLEX)) and at the end of the protocol (220.39 + 55.16Nm and 162.89 + 30.66Nm) reduced relative to pre protocol (253.89 + 54.54Nm and 186.83 + 33.3Nm). Peak eccentric knee extensors did not change during the control protocol. „Central‟ and ‟Local” Rating of Perceived Exertion values were significantly (P<0.01) greater during the EXP protocol with an increased incidence of hamstring discomfort and perceived pain (5 out of 10). The EXP protocol resulted in significantly (p<0.01) increased incidence of delayed onset muscle soreness (DOMS). In conclusion, a stop-start laboratory protocol elicited increased heart rate, negatively impacted on muscle activity of the hamstrings, decreased eccentric strength in the lower limb musculature, resulted in increased ratings of „Central‟ and „Local‟ exertion and increased pain perception and increased incidence of DOMS. Thus, a stop-start rugby specific laboratory protocol has a negative impact on performance. Due to the specificity of the protocol being designed to match the demands of competitive match play it is expected that these changes in heart rate, muscle activity and strength, particularly eccentric strength, will impact negativity on performance during rugby match play and increase the likelihood of injur

A Population Study of 5 to 15 Year Olds: Full Time Maternal Employment not Associated with High BMI. The Importance of Screen-Based Activity, Reading for Pleasure and Sleep Duration in Children’s BMI

To describe the relationship between maternal full time employment and health-related and demographic variables associated with children aged 5–15 years, and the factors associated with child overweight/obesity. Data from a chronic disease and risk factor surveillance system were limited to children aged 5–15 years whose mothers responded on their behalf (n = 641). Univariate/multivariate analyses described the differences between mothers who did and did not work full time. The same data were analysed comparing children who are overweight/obese against those with a normal BMI. The children of mothers who worked full time are more likely to be older, live in a household with a higher household income, be an only child or have one sibling or other child in the household, have a sole mother family structure and not spend any time reading for pleasure. No relationship was found between maternal employment and BMI. Compared with children of normal weight, those who were overweight/obese were more likely to spend no time studying, spend more than 2 h per day in screen-based activity and sleep less than 10 h per night. Child BMI status was not related to maternal employment. Although this analysis included eight diet related variables none proved to be significant in the final models.This study has shown that mothers’ working status is not related to children’s BMI. The relationship between overweight/obesity of children and high levels of screen-based activity, low levels of studying, and short sleep duration suggests a need for better knowledge and understanding of sedentary behaviours of children

Femininity work: The gendered politics of women managing violence in bar work

This paper explores how women bar workers manage violence at work. Women bar workers in our study described that the capacity to recognize, intervene, and defuse potentially violent situations was a pragmatic response to the problem of men's violence in the night-time economy. We analyze the gendered norms and expectations at play in how violence in bar work is managed by staff and locate this as a form of “femininity work” extending from the modes of attentive, emotionally-attuned femininity that labor feminist labor studies theorists have described. In a context where hospitality labor already makes complex and often unexamined demands on young workers, the positioning of women bar staff as being more adept at managing violent situations suggests a particularly important demand made of women bar workers, central for understanding the enduring gendered power relations in contemporary interactive service labor

Is referral of postsurgical colorectal cancer survivors to cardiac rehabilitation feasible and acceptable? A pragmatic pilot randomised controlled trial with embedded qualitative study

Objectives: (1) Assess whether cardiac rehabilitation (CR) is a feasible and acceptable model of rehabilitation for postsurgical colorectal cancer (CRC) survivors, (2) evaluate trial procedures. This article reports the results of the first objective. Design and setting: A pragmatic pilot randomised controlled trial with embedded qualitative study was conducted in 3 UK hospitals with CR facilities. Descriptive statistics were used to summarise trial parameters indicative of intervention feasibility and acceptability. Interviews and focus groups were conducted and data analysed thematically. Participants: People with CRC were considered for inclusion in the trial if they were ≥18 years old, diagnosed with primary CRC and in the recovery period postsurgery (they could still be receiving adjuvant therapy). 31% (n=41) of all eligible CRC survivors consented to participate in the trial. 22 of these CRC survivors, and 8 people with cardiovascular disease (CVD), 5 CRC nurses and 6 CR clinicians participated in the qualitative study. Intervention: Referral of postsurgical CRC survivors to weekly CR exercise classes and information sessions. Classes included CRC survivors and people with CVD. CR nurses and physiotherapists were given training about cancer and exercise. Results: Barriers to CR were protracted recoveries from surgery, ongoing treatments and poor mobility. No adverse events were reported during the trial, suggesting that CR is safe. 62% of participants completed the intervention as per protocol and had high levels of attendance. 20 health professionals attended the cancer and exercise training course, rating it as excellent. Participants perceived that CR increased CRC survivors' confidence and motivation to exercise, and offered peer support. CR professionals were concerned about CR capacity to accommodate cancer survivors and their ability to provide psychosocial support to this group of patients. Conclusions: CR is feasible and acceptable for postsurgical CRC survivors. A large-scale effectiveness trial of the intervention should be conducted. </p