228 research outputs found

    Surveilling Wolves, Reticent Rabbits, and Pecking Parties: Discourse as Power Mechanism for Policing Queerness in Ken Kesey’s One Flew Over the Cuckoo’s Nest

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    Ken Kesey’s One Flew Over the Cuckoo’s Nest (1962) presents a mental health institution, which, through narrator “Chief” Bromden’s eyes, is a factory for “the Combine,” the all-encompassing, normalizing power structure throughout society. Nurse Ratched, a caricature of the emasculating villainess, controls the men inside the ward through surveillance, forced confessional discourse, and discipline. Scholarship has primarily focused on the misogyny and hypermasculinity in the novel, wholly ignoring the queerness that undercurrents Bromden and fellow patient Dale Harding. Bromden—inherently queered as a Native man in a settler state— and Harding— symbolic of internalized heteronormative pressures— together represent how institutions and relationships alike function to forcibly “straighten” queer individuals. Evoking Foucault, Sedgwick, and queer Indigenous scholars, this thesis argues that Kesey’s novel, despite its dated and offensive depiction of women and people of color, nevertheless remains a relevant warning of power’s influence and shifting technologies of control over queer individuals

    The Campus Civility Conversation: An Appreciative Approach to a Collaborative Conversation

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    This article will utilize the components of Appreciative Education in an effort to promote increased dialogue regarding civility on today's college campuses.  The six tenets of Appreciative Inquiry and Appreciative Advising including Disarm, Discover, Dream, Design, Delivery and Don’t Settle, allow for a theoretically grounded framework to guide the discussion and provide concrete recommendations for facilitation.  In addition to these steps, the Appreciative Education approach to the campus civility conversation suggests steps for future directions, promoting positive, sustainable dialogue that will continuously benefit institutions and the society at large

    Bullies in the Block Area: The Early Childhood Origins of Mean Behavior

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    Bullying can pose a serious threat to children's immediate and long-term health and well-being, and can have profound impacts on all children involved in bullying behaviors, whether as the one bullying others, the one being bullied, or the one witnessing bullying. At least some of the roots of bullying behaviors, and conversely the roots of positive pro-social skills, can likely be found in adverse and positive experiences during early childhood, yet the research literature on these connections is limited. The early childhood field lacks a coherent, theoretical model that identifies the factors contributing to "mean" or aggressive behavior in young children, and establishes the developmental link between this early behavior and later bullying behavior. This white paper summarizes the literature on seven key hypotheses about the roots of bullying behavior in early childhood experiences

    Loss of the deubiquitylase BAP1 alters class I histone deacetylase expression and sensitivity of mesothelioma cells to HDAC inhibitors

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    Histone deacetylases are important targets for cancer therapeutics, but their regulation is poorly understood. Our data show coordinated transcription of HDAC1 and HDAC2 in lung cancer cell lines, but suggest HDAC2 protein expression is cell-context specific. Through an unbiased siRNA screen we found that BRCA1-associated protein 1 (BAP1) regulates their expression, with HDAC2 reduced and HDAC1 increased in BAP1 depleted cells. BAP1 loss-of-function is increasingly reported in cancers including thoracic malignancies, with frequent mutation in malignant pleural mesothelioma. Endogenous HDAC2 directly correlates with BAP1 across a panel of lung cancer cell lines, and is downregulated in mesothelioma cell lines with genetic BAP1 inactivation. We find that BAP1 regulates HDAC2 by increasing transcript abundance, rather than opposing its ubiquitylation. Importantly, although total cellular HDAC activity is unaffected by transient depletion of HDAC2 or of BAP1 due to HDAC1 compensation, this isoenzyme imbalance sensitizes MSTO-211H cells to HDAC inhibitors. However, other established mesothelioma cell lines with low endogenous HDAC2 have adapted to become more resistant to HDAC inhibition. Our work establishes a mechanism by which BAP1 loss alters sensitivity of cancer cells to HDAC inhibitors. Assessment of BAP1 and HDAC expression may ultimately help identify patients likely to respond to HDAC inhibitors

    What are we missing? Risk behaviors among Arabâ American adolescents and emerging adults

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    Background and purposeResearch on Arabâ Americans as a distinct ethnic group is limited, especially when considering the health of Arabâ American youth. This study describes health risk (substance use, violence); health promotive behaviors (hope, spirituality); and sexual activity (oral, vaginal, anal sex) of Arabâ American adolescents and emerging adults (aged 15â 23) within their life context, as well as the association between these behaviors.MethodsA secondary analysis of data on a subset of Arabâ American participants obtained from a randomizedâ control trial was utilized to conduct mixed methods analyses. Qualitative analyses completed on the openâ ended questions used the constant comparative method for a subsample (n = 24) of participants. Descriptive quantitative analyses of survey data utilized bivariate analyses and stepwise logistic regression to explore the relation between risk behaviors and sexual activity among the full sample (n = 57).ConclusionsQualitative analyses revealed two groups of participants: (a) multiple risk behaviors and negative lifeâ events, and (b) minimal risk behaviors and positive lifeâ events. Quantitative analyses indicated older youth, smokers, and those with higher hope pathways were more likely to report vaginal sex.Implications for practiceThe unique cultural and social contexts of Arabâ American youth provide a framework for recommendations for the prevention of risk behaviors.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/134166/1/jaan12352.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/134166/2/jaan12352_am.pd

    Reducing Hospitalizations and Emergency Department Visits in Patients With Venous Thromboembolism Using a Multicomponent Care Transition Intervention

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    Preventing utilization of hospital and emergency department after diagnosis of venous thromboembolism is a complex problem. The objective of this study is to assess the impact of a care transition intervention on hospitalizations and emergency department visits after venous thromboembolism. We randomized adults diagnosed with a new episode of venous thromboembolism to usual care or a multicomponent intervention that included a home pharmacist visit in the week after randomization (typically occurring at time of discharge), illustrated medication instructions distributed during home visit, and a follow-up phone call with an anticoagulation expert scheduled for 8 to 30 days from time of randomization. Through physician chart review of the 90 days following randomization, we measured the incidence rate of hospital and emergency department visits for each group and their ratio. We also determined which visits were related to recurrent venous thromboembolism, bleeding, or anticoagulation and which where preventable. We enrolled 77 intervention and 85 control patients. The incidence rate was 4.50 versus 6.01 visits per 1000 patient days in the intervention versus control group (incidence rate ratio = 0.71; 95% confidence interval = 0.40-1.27). Most visits in the control group were not related to venous thromboembolism or bleeding (21%) and of those that were, most were not preventable (25%). The adjusted incidence rate ratio for the intervention was 1.05 (95% confidence interval = 0.57-1.91). Our patients had a significant number of hospital and emergency department visits after diagnosis. Most visits were not related to recurrent venous thromboembolism or bleeding and of those that were, most were not preventable. Our multicomponent intervention did not decrease hospitalizations and emergency department visits
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