The Disconnected Body: An Examination of the U.S Military System and Its Neglect of Expressive Functions

This dissertation explores the systematic negligence of expressive functions in current United States Military System (USMS) practices. I draw from classical sociological theory and employ the Parsonian understanding of "expressive" versus "instrumental" social functions, to illustrate the U.S. military's abandonment of procedures that tend to the emotional needs of the group and individual soldiers. I expand beyond Talcott Parsons' understanding of the "symbolic/expressive" pattern variable, and engage this idea to discuss a variety of affective principles including leadership support, group cooperation, social cohesion, loyalty and trust, emotional stability, and reverence towards rituals. Subsequently, I wed these elaborations of pattern variables to principles which generally are coded as maternal and feminine. The main argument of this work is the following; social functions that typically are considered "feminine," "motherly," "emotional" are not characteristically valued in modern worldviews, although these functions are critically significant for the overall well-being of society. As a result, an overemphasis of the ideal types instrumental functions, "masculinity," "efficiency," and "rationality" monopolize today's most influential social institutions, including the military. The deficiency of balance between expressive and instrumental functions results in various forms of deviance and anomie; including war crimes

Membership matters! Expressed attitudes of occupational therapists and occupational therapy assistants regarding their state OT association: a survey

Career-specific associations are an integral part of professional life (Walston & Khaliq, 2012). In 1998, state occupational therapy (OT) associations reported that their membership rates reflected 25–50% of all registered OTs for their state (Breeden et al., 2000). Since then, membership rates have been declining throughout all state associations nationwide. This doctoral project is comprised of two nation-wide surveys distributed to OTs, occupational therapy assistants (OTAs), and board members of state associations in an effort to decipher and decode why OTs and OTAs do or do not join their state associations. Surveys inquired about the personal saliency of commonly referenced member benefits often provided by professional associations, and how respondents felt their state association provided for the effective implementation of these benefits. Open ended questions asked why and why not respondents are/are not association members and what their associations can do to change for the future. Significant results include the following: both OT and OTAs found the establishment of professional standards as most salient; board members rated implementation of benefits higher than current association members; and implementation of additional continuing education opportunities was the most popular change that respondents want to see from their association. Associations can most effectively begin to “modernize” their recruitment practices by creating more effective social media and Internet-based practices to disseminate pertinent information to stakeholders

The role of matriarchies and patriarchies in social evolution vis-à-vis Bachofen and his influence on the social sciences

Johan Jakob Bachofen (1815-1887) was a Swiss anthropologist and sociologist whose 1861 book, Mother Right: An Investigation of the Religious and Juridical Character of Matriarchy in the Ancient World is best known for his radical claims that matriarchy preceded patriarchy, and that matriarchy is the source of human society, religion, and morality. Scholars have acknowledged Bachofen's influence on a long list of writers, including but not limited to: Lewis Henry Morgan, Friedrich Nietzsche, Thomas Mann, Friederich Engels, Karl Marx, Erich Fromm, Joseph Campbelll, Emile Durkheim, Carl Gustav Jung, Thorstein Veblen, Ferdinand Tonnies, and Pitirim Sorokin. The focus of my thesis is to bring attention to Bachofen's influence on the early sociologists (Engels, Durkheim, Tonnies, Sorokin), and more importantly, on the later sociologists and other social scientists whom these early sociologists in turn influenced, including: David Riesman, Talcott Parsons, and Jean Baudrillard

An Assessment Of The Utilization Of Geriatric Depression Screenings In Primary Care Providers

The purpose of this study was to determine the practices of primary care providers in relation to screening and treating geriatric depression. According to the Geriatric Mental Health Foundation (GMHF), depression and suicide are significant public health issues for older adults, noting that depression is one of the most common mental disorders experienced by elders. Research indicates the issue of geriatric depression is poorly approached by providers and patients do not receive appropriate care. Depression cannot be measured with lab or diagnostic tests; the only way to assess depression is to screen patients by asking questions. When screening for depression, understanding that follow-up with treatment is equally as important as the diagnosis is imperative. Currently, the United States Preventative Services Task Force (USPSTF) has very narrow guidelines that recommend screening for depression in the general adult population, with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up. Permission to conduct the study was initially obtained from the Institutional Review Board at Mississippi University for Women. Providers were asked to complete a multi-question survey created by the researchers, indicating current depression screening practices, which was available on both Survey Monkey and on paper. Upon obtaining 100 surveys, 99 were included in data analysis and 97% of respondents identified as a nurse practitioner. Upon analysis of the statistical data, the research questions were reviewed and are as follows: 1) Do primary care providers perform depression screening on geriatric patients? 2) What barriers exist to performing depression screening on geriatric patients? 3) If geriatric patients are identified as at risk for depression, what interventions are being utilized by primary care providers to address this issue? The data indicated 40% of the surveyed providers reported screening every geriatric patient for depression, but the vast majority do not automatically screen geriatric patients for depression. Data also indicated barriers to screening every geriatric patient for depression included time constraints, patient declination, the screening being deemed unnecessary, or lack of reimbursement. Approximately one-third of providers admitted to not having time to screen patients for depression. Fifteen percent of providers identified the patient declining being screened as a barrier. Twelve percent of providers felt the screening was unnecessary, and researchers were unsure of the criteria utilized by the provider to deem depression screening unnecessary. The researchers determined in the third question what interventions were implemented by providers upon the patients having a score indicative of depression. The options available were medication(s), psychiatry, therapy, or multiple combinations of the three options. The research indicated no statistically significant pattern of treatment is being followed by providers, although medication alone or with other options was used by a majority of respondents. The researchers determined primary care practitioners are not adequately screening and treating geriatric depression

Work-life management for workforce maintenance: A qualitative comparative study

Nowadays, owing to the changing nature of the work environment, with its ever-increasing demands, the quality of working life and its relationship with the individual's wellbeing are recognized worldwide as vital for the workforce. This study analyzes the role of employees' perception of five quality of working life attributes (specifically workplace conditions, working life autonomy, corporate citizenship, remuneration, and workplace diversity and inclusion) in ensuring the individual's wellbeing focusing in particular on workers' perception of work-life balance, working life opportunities, and health and wellness. The results of the fuzzy-set qualitative comparative analysis reveal the same various configurations for the three outcomes that suggest a new perspective towards understanding the factors in employees' working life that enhance their wellbeing, and so improve workforce maintenance. The results have managerial implications related to work-life management for workforce maintenance

Comparison of the EPIC Physical Activity Questionnaire with combined heart rate and movement sensing in a nationally representative sample of older British adults

Peer reviewedPublisher PD

Autoimmune hyperphosphatemic tumoral calcinosis in a patient with FGF23 autoantibodies

Hyperphosphatemic familial tumoral calcinosis (HFTC)/hyperostosis-hyperphosphatemia syndrome (HHS) is an autosomal recessive disorder of ectopic calcification due to deficiency of or resistance to intact fibroblast growth factor 23 (iFGF23). Inactivating mutations in FGF23, N-acetylgalactosaminyltransferase 3 (GALNT3), or KLOTHO (KL) have been reported as causing HFTC/HHS. We present what we believe is the first identified case of autoimmune hyperphosphatemic tumoral calcinosis in an 8-year-old boy. In addition to the classical clinical and biochemical features of hyperphosphatemic tumoral calcinosis, the patient exhibited markedly elevated intact and C-terminal FGF23 levels, suggestive of FGF23 resistance. However, no mutations in FGF23, KL, or FGF receptor 1 (FGFR1) were identified. He subsequently developed type 1 diabetes mellitus, which raised the possibility of an autoimmune cause for hyperphosphatemic tumoral calcinosis. Luciferase immunoprecipitation systems revealed markedly elevated FGF23 autoantibodies without detectable FGFR1 or Klotho autoantibodies. Using an in vitro FGF23 functional assay, we found that the FGF23 autoantibodies in the patient's plasma blocked downstream signaling via the MAPK/ERK signaling pathway in a dose-dependent manner. Thus, this report describes the first case, to our knowledge, of autoimmune hyperphosphatemic tumoral calcinosis with pathogenic autoantibodies targeting FGF23. Identification of this pathophysiology extends the etiologic spectrum of hyperphosphatemic tumoral calcinosis and suggests that immunomodulatory therapy may be an effective treatment

Three-dimensional architecture and biogenesis of membrane structures associated with hepatitis C virus replication

All positive strand RNA viruses are known to replicate their genomes in close association with intracellular membranes. In case of the hepatitis C virus (HCV), a member of the family Flaviviridae, infected cells contain accumulations of vesicles forming a membranous web (MW) that is thought to be the site of viral RNA replication. However, little is known about the biogenesis and three-dimensional structure of the MW. In this study we used a combination of immunofluorescence- and electron microscopy (EM)-based methods to analyze the membranous structures induced by HCV in infected cells. We found that the MW is derived primarily from the endoplasmic reticulum (ER) and contains markers of rough ER as well as markers of early and late endosomes, COP vesicles, mitochondria and lipid droplets (LDs). The main constituents of the MW are single and double membrane vesicles (DMVs). The latter predominate and the kinetic of their appearance correlates with kinetics of viral RNA replication. DMVs are induced primarily by NS5A whereas NS4B induces single membrane vesicles arguing that MW formation requires the concerted action of several HCV replicase proteins. Three-dimensional reconstructions identify DMVs as protrusions from the ER membrane into the cytosol, frequently connected to the ER membrane via a neck-like structure. In addition, late in infection multi-membrane vesicles become evident, presumably as a result of a stress-induced reaction. Thus, the morphology of the membranous rearrangements induced in HCV-infected cells resemble those of the unrelated picorna-, corona- and arteriviruses, but are clearly distinct from those of the closely related flaviviruses. These results reveal unexpected similarities between HCV and distantly related positive-strand RNA viruses presumably reflecting similarities in cellular pathways exploited by these viruses to establish their membranous replication factories

momHealth: A Feasibility Study of a Multi-behavioral Health Intervention for Pregnant and Parenting Adolescent Mothers

Introduction. In 2016, 209,809 babies were born to mothers 15 -19 years of age, for a live birth rate of 20.3 per 1,000 in this age group. Many health issues surround adolescent mothers and their infants, many  which can be addressed through behavioral change. We examined feasibility and acceptability of momHealth, a Multiple Health Behavior Change (MHBC) intervention focused on breastfeeding, healthy eating/active living, and depression prevention among pregnant and parenting adolescents. Methods. We used a one-group quasi-experimental longitudinal design. Nine iPad-delivered education modules, text messaging, and virtual group and individual support were provided for 12 weeks, beginning at 32 weeks of pregnancy with follow-up to 3 months postpartum. Data were collected at three home visits and ten postpartum weekly and biweekly online surveys. Results. Although recruitment and attrition presented challenges, six participants enrolled; all were pregnant with their first child, single, and had a mean age of 17.7 years (SD = 1.4). Intervention participation ranged from 59% to 91% for intervention components and three peer support groups were held. Intervention feasibility was supported by reports of clear and relevant content, reasonable time burden, iPad ease of use, and acceptable intervention length. Data collection was reported as convenient and non-burdensome, but diet recalls and activity monitoring challenged some.    Conclusions. This was the first MHBC research in adolescent pregnant women to improve breastfeeding outcomes, healthy eating/active living, and depression prevention. Findings demonstrated strengths and challenges of the interventions and methods, support feasibility and acceptability of momhealth, and informed a pilot randomized trial.