Resisting the Trauma Story: Ethical Concerns in the Oral History Archive

This short article presents an oral history project undertaken with refugees resettled in Southwest Virginia. From this project has emerged an understanding of refugees as curators of a personal archive of stories. A birth-to-present oral history approach can resist the reductive trauma narratives refugees are often expected to tell, yet oral historians and archivists must also be aware of the story told by the archive framework itself. The authors explore the ethical challenges of amplifying oral histories from refugees in a way that inspires action without centering the trauma story, and leave readers with questions for reflection

National 4-H Congress: A Retrospective Evaluation

National 4-H Congress is an example of a programmatic effort designed to help youth develop various life skills. For this study, demographic, event satisfaction, and application of knowledge data were collected from 2,154 past Congress participants. Findings revealed that the majority of participants were satisfied or very satisfied with their Congress experience, and 63% of the respondents had used information gained from the event. Continued efforts to ensure future delegations represent the diversity of 4-H are encouraged, along with continued evaluation of event satisfaction levels and the extent to which life skills are developed and retained

Contemporary urban frontiers

Thesis (M.Arch.)--Massachusetts Institute of Technology, Dept. of Architecture, 2006.Includes bibliographical references (p. 184-190).This thesis is a provocation; to the profession of architecture at large and every person who reads it. In reading this work, the manner in which our profession functions in society should be questioned. Architecture affords us the opportunity to conceive beyond the confines of formal design, tectonics, and technology. In it we may find the ability to significantly engage with culture, to comment, and to influence change. If we neglect this capacity, we are assured to continue on the path of a formalistic tradition set before us by so many others. This thesis studies the benign, the ubiquitous; considers it as a vehicle of change. In doing this, an alternative to the prevalent stylistic driven methodology of architecture is presented. The typology of retail presents itself as a beginning, a gestation point from which a new mode for consideration of design is born. Discovered is a new trajectory of thought, one capable of taking a common cultural circumstance and re-conceptualizing it as social progress. In this, a new paradigm for architecture is conceived. One less concerned with how something is made or what it represents, and more concerned with what architecture may accomplish on a variety of scales; from the individual, to the community, to culture as a whole.by Michael R. Powell.M.Arch

The Impact of Living in Housing With Care and Support on Loneliness and Social Isolation:Findings From a Resident-Based Survey

BACKGROUND AND OBJECTIVES: Housing with care is often lauded as a way to combat loneliness and social isolation in later life. This study examined whether housing with care created better outcomes for residents in terms of loneliness and social isolation than they might expect if they were living in the community. RESEARCH DESIGN AND METHODS: A survey was distributed to residents of housing with care as part of the Diversity in Care Environments project. It was designed to enable comparison with the English Longitudinal Study of Ageing. Propensity score matching was applied to identify the effect of housing with care residence on loneliness and social isolation. RESULTS: People living in housing with care had lower levels of loneliness than would be expected if they lived in the general community, with an average treatment effect on the treated (ATT) of −0.407 (95% CI = −0.601, −0.214). In contrast, social isolation was found to be slightly higher for residents than would be expected if they were in the community (ATT = 0.134 [95% CI = 0.022, 0.247]). Higher social isolation appears driven by less frequent contact with friends and reduced organizational membership rather than any difference in contact with family and children. DISCUSSION AND IMPLICATIONS: Our research has shown a positive impact on subjective social experiences from housing with care residence, despite a slight increase in objective social isolation. The findings underscore the importance of looking at loneliness and social isolation as distinct concepts as well as the effectiveness of housing with care at improving later-life outcomes

Revisiting our review of Screening, Brief Intervention and Referral to Treatment (SBIRT): meta‐analytical results still point to no efficacy in increasing the use of substance use disorder services

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/152618/1/add13146.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/152618/2/add13146_am.pd

Specialty substance use disorder services following brief alcohol intervention: a meta‐analysis of randomized controlled trials

Background and aimsBrief alcohol interventions in medical settings are efficacious in improving self‐reported alcohol consumption among those with low‐severity alcohol problems. Screening, Brief Intervention and Referral to Treatment initiatives presume that brief interventions are efficacious in linking patients to higher levels of care, but pertinent evidence has not been evaluated. We estimated main and subgroup effects of brief alcohol interventions, regardless of their inclusion of a referral‐specific component, in increasing the utilization of alcohol‐related care.MethodsA systematic review of English language papers published in electronic databases to 2013. We included randomized controlled trials (RCTs) of brief alcohol interventions in general health‐care settings with adult and adolescent samples. We excluded studies that lacked alcohol services utilization data. Extractions of study characteristics and outcomes were standardized and conducted independently. The primary outcome was post‐treatment alcohol services utilization assessed by self‐report or administrative data, which we compared across intervention and control groups.ResultsThirteen RCTs met inclusion criteria and nine were meta‐analyzed (n = 993 and n = 937 intervention and control group participants, respectively). In our main analyses the pooled risk ratio (RR) was = 1.08, 95% confidence interval (CI) = 0.92–1.28. Five studies compared referral‐specific interventions with a control condition without such interventions (pooled RR = 1.08, 95% CI = 0.81–1.43). Other subgroup analyses of studies with common characteristics (e.g. age, setting, severity, risk of bias) yielded non‐statistically significant results.ConclusionsThere is a lack of evidence that brief alcohol interventions have any efficacy for increasing the receipt of alcohol‐related services.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/112279/1/add12950.pd

Cold preservation of the human colon and ileum with University of Wisconsin solution

The inclusion of the colon in the intestinal graft resulted in worsening patient and graft outcome and increased the incidence of infection and rejection. In this study, we examine the role of ischemia on the barrier function of the epithelium during cold ischemia. Samples were collected from 15 harvested and transplanted human donor grafts (colon, 10; ileum, 6), which were immersed in University of Wisconsin (UW) solution. Ischemia (6, 12, 24, and 45 h) and reoxygenation were performed to evaluate the mucosal electrical status using the Ussing chamber technique. The functions of enterocytes and crypt cells were tested by glucose and theophylline challenge. Modified Park's classification was applied to evaluate the severity of mucosal damage under light microscopy. The colon had higher levels of baseline potential difference, short-circuit current, and resistance than the ileum during 6-48 h of ischemia. Colonic epithelial cells responded well to theophylline stimulation at 24 h of ischemia, while there was no ileal response. The colonic mucosa was histopathologically well preserved in UW solution for 48 h, and mucosal damage induced by reoxygenation was less than in the ileum. In conclusion, electrophysiologically and histopathologically, the colon is less susceptible to cold preservation damage than the ileum during storage with UW solution

Predictive Analytics Supporting Labor Market Success: A Career Explorer for Job Seekers and Workforce Professionals in Michigan

Career Explorer provides customized career exploration tools for workforce development staff and job seekers in Michigan. There are separate Career Explorer modules for mediated staff services and self-service by job seekers. The system was developed by the Michigan Center for Data and Analytics in collaboration with the W.E. Upjohn Institute for Employment Research and Michigan Works! Southwest. It was funded by the U.S. Department of Labor’s Office of Workforce Investment and the Schmidt Futures foundation’s Data for the American Dream (D4AD) project. In this paper, we describe specifications of the models behind the frontline-staff-mediated version of Career Explorer, which are based on program administrative data, applying data-science methods for predictive analytics. We also describe the self-service Career Explorer, which provides customized labor market information based on published Bureau of Labor Statistics data. Career Explorer became an active feature of Michigan’s online reemployment-services system in June 2021