Love, Sex, and Marriage in Ibn Battuta\u27s Travels

Abu ‘Abdallah ibn Battuta was a Muslim legal scholar who traveled nearly 73,000 miles in the mid-fourteenth century and wrote a popular rihla, or travel diary, of his experiences. The rihla was a public and impersonal genre that traditionally contained little, if any, biographical material about its author. However, Ibn Battuta’s rihla includes detailed narratives about its author’s marriages, concubines, and sexual exploits. Although discussion of these themes is virtually unseen in other contemporary rihlas, few historians have discussed why Ibn Battuta breaks tradition to include this material. This paper argues that Ibn Battuta describes his marital and sexual behavior to create and further an image of himself as a traditional and pious Muslim. It also analyzes Ibn Battuta’s detailed presentation of his romantic life, which offers a fascinating and unique window into his and his medieval Moroccan audience’s cultural attitudes towards marriage, sexuality, and sexual slavery

Meeting the Needs of Students in a Communicative Classroom

This portfolio is a compilation of written pieces which highlight what the author believes to be key issues and perspectives in the field of second language teaching. The content of the portfolio is centered in second language acquisition theory and is framed by the author’s diverse teaching experiences as a university Arabic instructor, ESL aide, and middle school Spanish teacher. The portfolio contains three sections: (1) teaching perspectives, (2) research perspectives, and (3) an annotated bibliography. The teaching perspectives section contains the author’s teaching philosophy statement which emphasizes communicative language teaching, target language use in the classroom, and the role of can-do statements in grammar instruction and assessment. The last two sections explore research related to second language identity negotiation, heritage language learner instruction, and first language use and willingness to communicate in the language classroom

Higher Quality at Lower Cost: Community Health Worker Interventions in the Health Care Innovation Awards

Background: Published evidence regarding cost savings, reduced utilization, and improved quality associated with employing community health workers (CHWs) is largely lacking. This paper presents findings from the Centers for Medicare & Medicaid Services Health Care Innovation Awards (HCIA), with a focus on six diverse programs that employ CHWs. We examine outcomes associated with programs incorporating CHWs into care teams for a broad age range of patients with various health issues such as cancer, asthma, and complex conditions. Methods: This mixed-methods study used data from claims and site visits to assess the effectiveness of CHW programs. In difference-in-differences analyses of Medicare fee-for-service and Medicaid claims, we compared utilization and spending for beneficiaries participating in each CHW program with propensity score matched non-participant beneficiaries for baseline (2010 – 2012) and post-intervention (2013 – 2016). We adjusted for geographic area, prior utilization, and clinical and sociodemographic characteristics. We assessed changes in care quality through beneficiary focus groups and interviews with program leadership and staff. Results: Five of the six programs saw a significant reduction in utilization and/or spending relative to a comparison group, and all programs had positive qualitative findings regarding quality of care. In three of the six programs, the adjusted total cost of care was significantly reduced (-$143 to -$2,044 per beneficiary quarter). We hypothesize that some reductions in spending can be attributed to CHWs’ provision of enhanced access outside of regular clinic hours, which facilitated patient adherence to evidence-based treatment pathways and averted unnecessary ED visits and hospitalizations. Culturally competent CHW encounters engaged patients in health care decisions, generated confidence in their decisions, encouraged adherence to treatment pathways, and mitigated social barriers to care. Conclusions: Programs were associated with improved quality and reductions in health care utilization and spending up to $20,000 per patient over the three-year period. Findings suggest a strong business case for the use of CHWs as part of interdisciplinary teams as CHW programs can provide a significant return on investment for payers. Reimbursement policies that do not account for the services of non-clinical staff such as CHWs impede the sustainability and spread of these interventions, despite mounting evidence of CHWs’ effectiveness. Organizations looking to integrate CHWs into care delivery may conduct feasibility assessments of available workforce and the capacity for clinical oversight, physician buy-in, and funding sustainability. Established programs could be leveraged for mentorship

Cost Savings and Cost Effectiveness of the Cuyahoga County Sexual Assault Kit Task Force

We conducted an analysis of the cost savings and cost effectiveness of the Cuyahoga County Sexual Assault Kit (SAK) Task Force on all unsubmitted SAKs tested as of January 1, 2016. We explored the total tangible and intangible costs to victims associated with unsubmitted SAKs and the total cost of testing and investigated those SAKs. Our analysis estimates the total cost savings of future sexual assaults averted due to the SAK Task Force as of January 1, 2016 is $48.2 million dollars. Conservative estimates suggest the SAK Task Force’s efforts will produce a net savings of$38.7 million dollars to the community and each SAK tested will produce a net savings of $8,893.https://commons.case.edu/beguncenter-reports/1003/thumbnail.jp

The experience of clinicians who work with immigrants: challenges and opportunities

Thesis advisor: Usha Tummala-NarraImmigrants in the United States experience a unique array of mental health stressors related to their experiences of migration and acculturation. For immigrants who are also persons of color, additional obstacles and stressors may compound their experiences. Previous research indicates that while psychologists who work with this population may endorse multicultural competence, they may not actually carry out culturally sensitive practices. Additionally, much of the present literature on therapy with minority clients focuses on aspirational goals. However, analyses of the ways in which these tenets are applied to clinical work are few and far between. What are the barriers to implementing these practices? What resources support clinicians who are working with diverse immigrant populations? The present qualitative study focused on the experience of clinicians who work with minority immigrant clients. Thirteen White psychologists responded to open-ended questions regarding their clinical experience with this population. Interview questions explored positive and negative clinical experiences, issues of power, and the ways in which the therapeutic relationship impacted clinicians' views of themselves. Results of the study indicate that internal and external systemic factors influenced clinicians' expectations for therapy as well as the manner in which they approached problematic relational outcomes. Analyses further highlighted the role of power and systemic influences on the therapeutic relationship. Participating psychologists painted a clear picture of the importance of collaborative, empathic relationships, which further highlights the consequences of neglecting to address underlying tensions. A clear and consistent theme of deeply personal commitment to their work transcended individual interviews. Implications for researchers, clinicians, and training institutions were addressed.Thesis (PhD) — Boston College, 2012.Submitted to: Boston College. Lynch School of Education.Discipline: Counseling, Developmental, and Educational Psychology

Getting in Touch: Language and Digital Inclusion in Australian Indigenous Communities

Indigenous people in remote Australia face many dilemmas in relation to the status and vitality of their languages and communication ecologies. Cultural leaders want to maintain endangered heritage languages, yet this concern is balanced against an awareness that English competency is a necessary life skill. Remote Indigenous groups must also negotiate the effect of globalized media on language and cultural practices. While public policy seeks to bridge the digital divide in remote Australia, little attention has been paid to the dominance of English in the new digital environment and the potential impact that increased English language activities may have on endangered Indigenous languages. In this paper we discuss the Getting in Touch project, a joint initiative between linguists, Australian Indigenous language speakers, and software developers. Using a participatory, collaborative process, the project aims to develop ideas for digital resources that privilege Indigenous languages and knowledge systems. We argue that taking Indigenous languages into account in app design may help enhance digital literacies in remote Indigenous communities and promote digital inclusion.National Foreign Language Resource Cente

Digital Media Player Controls Supporting Music Education

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Empathic brain responses in insula are modulated by levels of alexithymia but not autism

Difficulties in social cognition are well recognized in individuals with autism spectrum conditions (henceforth ‘autism'). Here we focus on one crucial aspect of social cognition: the ability to empathize with the feelings of another. In contrast to theory of mind, a capacity that has often been observed to be impaired in individuals with autism, much less is known about the capacity of individuals with autism for affect sharing. Based on previous data suggesting that empathy deficits in autism are a function of interoceptive deficits related to alexithymia, we aimed to investigate empathic brain responses in autistic and control participants with high and low degrees of alexithymia. Using functional magnetic resonance imaging, we measured empathic brain responses with an ‘empathy for pain' paradigm assessing empathic brain responses in a real-life social setting that does not rely on attention to, or recognition of, facial affect cues. Confirming previous findings, empathic brain responses to the suffering of others were associated with increased activation in left anterior insula and the strength of this signal was predictive of the degree of alexithymia in both autistic and control groups but did not vary as a function of group. Importantly, there was no difference in the degree of empathy between autistic and control groups after accounting for alexithymia. These findings suggest that empathy deficits observed in autism may be due to the large comorbidity between alexithymic traits and autism, rather than representing a necessary feature of the social impairments in autis

Modern Management of Localized Renal Cell Carcinoma— Is Ablation Part of the Equation?

While the gold-standard for management of localized renal cell carcinoma (RCC) is partial nephrectomy, recent ablative strategies are emerging as alternatives with comparable rates of complications and oncologic outcomes. Thermal ablation, in the form of radiofrequency ablation and cryoablation, is being increasingly accepted by professional societies, and is particularly recommended in patients with a significant comorbidity burden, renal impairment, old age, or in those unwilling to undergo surgery. Maturation of long-term oncologic outcomes has further allowed increased confidence in these management strategies. New and exciting ablation technologies such as microwave ablation, stereotactic body radiotherapy, and irreversible electroporation are emerging. In this article, we review the existing management options for localized RCC, with specific focus on the oncologic outcomes associated with the various ablation modalities