605 Representation Matters: An Assessment of Diversity in Current Major Textbooks on Burn Care

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S155-S155
Author(s):  
Melissa M McLawhorn ◽  
Taryn E Travis ◽  
Shawn Tejiram ◽  
Jeffrey W Shupp ◽  
Laura S Johnson
Keyword(s):  
United States ◽  
Skin Color ◽  
Medical Training ◽  
The United States ◽  
People Of Color ◽  
Educational Materials ◽  
Additional Information ◽  
Burn Care ◽  
And Gender ◽  
The Individual

Abstract Introduction Racial and gender disparities in health care have been well described. The Association of American Medical Colleges states they are committed to diversity, equity, and inclusion in preparing medical trainees. Increasing attention is paid to representative diversity in the images and educational resources utilized during medical training. One recent example of this is the Instagram account, “Brown Skin Matters,” that focuses on the representation of dermatologic diseases in the skin of people of color. Nearly 40% of the population of the United States identifies as a person of color, and patients of color reflect 41% of the total burn population seen in the United States. In comparison, national data on providers suggests about 5% of the Burn Team would be people of color. As representation matters, a better understanding of the diversity represented by burn related medical literature could affect management of patients with diverse backgrounds and recruitment into this field. The goal of this study is to investigate the representation of diverse skin tones in the leading medical textbook of burn care. Methods The 5th edition of “Total Burn Care (TBC)”, 5th ed, DN Herndon editor, was reviewed from cover to cover. All photographs that contained people were evaluated for the number of people present and the depicted role of person present (i.e.: provider, patient or other). Each picture was considered as an isolated image, regardless of whether it was part of a series. Diversity count was assessed in a binary fashion - was the individual represented a person of color or not? Additional information was collected on the gender of providers present. Results 690 total individuals were identified in images in TBC. There were 3 providers of color identified in TBC images out of a total of 63(5%); 24 providers were women (38%), of whom none were women providers of color. People of color were represented in 107 of 627 non-providers shown in TBC (17%). There were 29 patients whose skin color was unable to be evaluated due to the nature of the injury, the quality of the image or the surface area of dressings visualized in the image (5%). Conclusions Both patients and providers of color are underrepresented in the leading textbook of burn care. Proper representation must be included in modern educational materials to better prepare providers for a diverse population of burn injured patients and appropriately address injury identification, wound healing properties, and scar outcomes. Diverse and proportional representation of potential outcomes needs to be a component of educational materials. to ensure effective and thoughtful care.

Representation Matters: An Assessment of Diversity in Current Major Textbooks on Burn Care

2021 ◽  
Author(s):  
W Gaya Shivega ◽  
Melissa M McLawhorn ◽  
Shawn Tejiram ◽  
Taryn E Travis ◽  
Jeffrey W Shupp ◽  
...  
Keyword(s):  
United States ◽  
Medical Training ◽  
The United States ◽  
People Of Color ◽  
Educational Materials ◽  
Burn Care ◽  
Diverse Backgrounds ◽  
And Gender ◽  
The Individual ◽  
Injured Patients

Abstract Ethnic and gender disparities in health care have been well described. Increasing attention is paid to representative diversity in the images and educational resources utilized during medical training. Nearly 40% of the population of the United States identifies as a person of color, and patients of color reflect 41% of the total burn population seen in the United States. Additionally, national data on providers suggests about 5% of the Burn Team should be people of color. A better understanding of the diversity represented by burn related medical literature could impact management of patients with diverse backgrounds, as well as recruitment of BIPOC into this field. The goal of this study is to investigate the representation of diverse skin tones in several leading medical textbooks of burn care. All photographs that contained people were evaluated for the number of people present and the depicted role of person present. Diversity count was assessed in a binary fashion - was the individual represented a BIPOC? 2579 total individuals were identified. BIPOC were represented in 363 total images (14%). There were 6 providers of color identified out of a total of 161 (3.7%); 30 providers were women (19%), of whom only 1 was a female provider of color. BIPOC patients and providers are underrepresented in the leading textbooks of burn care. Proper representation must be included in modern educational materials to better prepare providers for a diverse population of burn injured patients and ensure effective and thoughtful care.

Euro-Americans Favoring People of Color: Covert Racism and Economies of White Colorism

2018 ◽  
Vol 62 (14) ◽  
pp. 2087-2100 ◽  
Author(s):  
Komal K. Dhillon-Jamerson
Keyword(s):  
United States ◽  
African American ◽  
Black Community ◽  
Skin Color ◽  
The United States ◽  
People Of Color ◽  
European American ◽  
Covert Racism ◽  
Education And Employment ◽  
Prejudice And Discrimination

African American colorism in the United States is often viewed as an intraracial problem in which prejudice and discrimination are relegated to the scope of internal issues. What is often lacking in the discourse on colorism is the interracial component of intraracial hierarchies—referred to as White colorism. Colorism is not a phenomenon that originated within the Black community. Rather, it is a result of European American practices that further divided Blacks according to skin color. The historical underpinnings of colorism include colonialism and slavery, yet these ideologies continue to inform racism today. This article explores how colorism was established and is now sustained by Whites in various capacities, including social and economic spheres. Additionally, racialized dichotomies, borders of Whiteness, and Black consciousness are considered to demonstrate the intersection of historical racism and current racial rhetoric. Last, the effects of White colorism on Black achievement status, including education and employment, is elucidated through an analysis of data and literature.

scholarly journals A Situation-Based Analysis of Flash Flood Fatalities in the United States

2017 ◽  
Vol 98 (2) ◽  
pp. 333-345 ◽  
Author(s):  
Galateia Terti ◽  
Isabelle Ruin ◽  
Sandrine Anquetin ◽  
Jonathan J. Gourley
Keyword(s):  
United States ◽  
Risk Taking ◽  
Flash Flood ◽  
The Elderly ◽  
The United States ◽  
Flood Events ◽  
Southern States ◽  
Natural Factors ◽  
And Gender ◽  
The Individual

Abstract This paper investigates the circumstances of 1,075 fatalities from flash flooding recorded from 1996 to 2014 across the United States. This study provides insights into the situations of the fatality events as determined by the victims’ profile and activity and the spatiotemporal context of the flooding. A reclassification of the individual fatality circumstance (i.e., location and/or activity) is performed to explore statistically the timing, the duration, and location of the flash flood event and the age and gender of the victims. In agreement with other studies, more than 60% of the reported fatalities were related to vehicles involving mainly males. A geospatial analysis indicated these were most common in southern states. Further, 21% of fatalities occurred outdoors, typically in neighborhoods near streams, where the victims were exhibiting high-risk-taking behavior, such as cleaning out drains and even playing in the floodwaters. Human vulnerability varies dynamically on a subdaily basis and depends on social and natural factors of the flash flood. For example, most campsite-related fatalities were associated with very fast-responding flash flood events (less than 5-h duration), occurred more commonly after midnight, and impacted younger females and males alike. On the other hand, fatalities related to inundation of permanent buildings were most commonly associated with longer-duration events and impacted the elderly. Situational rather than generic examination of vulnerability is required to realistically capture risky cases during short-fuse flood events. The circumstances in which people perished in flash floods suggest that situational rather than generic examination of vulnerability is required to realistically capture risky cases during short-fuse flood events.

Puerto Rican Nationhood, Ethnicity, and Literature

2017 ◽  
Author(s):  
Frances R. Aparicio
Keyword(s):  
United States ◽  
New York ◽  
Puerto Rican ◽  
Urban Space ◽  
Skin Color ◽  
Puerto Ricans ◽  
The United States ◽  
Island Population ◽  
And Gender ◽  
Global Identities

Given Puerto Rico’s long colonial history, Puerto Ricans both on the island and in the diaspora have had to grapple with contested notions of nationhood. Having been described as a “divided nation” and a “commuter nation” due to the geographical divides between the island population and those who have migrated to cities in the United States, Puerto Ricans have deployed literature to forge and re-imagine a space for belonging and community informed by the experiences of living in between the island and New York, in between Spanish and English, and in between racial notions of skin color, social class, and gender and sexualities. Challenging and unsettling the foundational discourses of national identity on the island, “Diasporican” literature proposes alternative imaginaries that resist power inequalities. This essay argues that Diasporican literature has come into its own, contributing new understandings of the fissures of Puerto Rican national, ethnic, and cultural identities. Puerto Rican writers in the United States have textualized their experiences of migration and transnationalism through their poetry as well as fiction, memoirs, and autobiographical narratives. They have contested traditional notions of home and have explored the failures and limitations of a sense of belonging. Rejecting both the island of Puerto Rico as the geographical site for Puerto Rican authenticity and the dominant urban imaginaries of New York City that have long excluded their working-poor communities, Puerto Rican writers in the United States have represented el barrio as an urban space that offers them a sense of community despite the mainstream notions of hyper-masculinity, violence, and illegal practices. Afro-Boricua and Diasporican writers have also reflected on the fissures of racial belonging, as their dark skin color is not always integrated into dominant notions of the Puerto Rican and U.S. national imaginaries. Their deployment, in poetry, of English, Spanish, and “Spanglish” speaks mostly to the centrality of orality and sounds in the formation of nationhood, while challenging the homology of Puerto Rican nationality to Spanish. Exploration of the ways in which female, feminist, and queer Diasporican writers grapple with issues of belonging, gender, and sexuality foregrounds how these categories of identity continue to go against the grain of traditional masculine narratives of nationhood. It is essential to acknowledge the geographic dispersion of Diasporican voices away from New York and the transcultural alliances and global identities that are being produced in Morocco, Hawaii, and other far regions of the world. A short discussion of Lin Manuel Miranda’s “In the Heights” focuses on an example of staging a return home to New York, in a performance that celebrates community, family, and the neighborhood for second- and third-generation Puerto Ricans among other Latino and Latina groups. The multiple and complicated ways in which Diasporican literary voices, from poetry to theater to fiction, textualize notions of home, belonging, and community are examined within the larger frameworks of nationhood and ethnicity.

Sustainable Cycling for all? Race and Gender–Based Bicycling Inequalities in Portland, Oregon

2019 ◽  
Vol 18 (4) ◽  
pp. 1181-1202
Author(s):  
Amy Lubitow ◽  
Kyla Tompkins ◽  
Madeleine Feldman
Keyword(s):  
United States ◽  
Gender Discrimination ◽  
The United States ◽  
People Of Color ◽  
Social Barriers ◽  
Race And Gender ◽  
Marginalized Groups ◽  
Economic Barriers ◽  
Gender Based ◽  
And Gender

Amidst findings of increased bicycling in the United States, research continues to demonstrate that women and racial minorities are underrepresented as cyclists in the United States (Buehler and Pucher 2012). While quantitative data may reveal estimates of these disparities, we know little about the motivations or deterrents related to cycling as they are experienced by individuals. This article draws from 30 in–depth interviews with women and people of color in Portland, Oregon to clarify ongoing barriers to bicycling that prevent those who own a bike (and are thus not limited strictly by economic barriers) from becoming more routine cyclists. Findings suggest that barriers for marginalized cyclists range from concerns about development and gentrification to overt racial and gender discrimination experienced while riding. These findings suggest that cycling mobilities are critically linked to intersecting and overlapping identities and those efforts to increase diversity in bike ridership must acknowledge the unique challenges experienced by marginalized groups. We conclude this article by offering suggestions from research participants regarding interventions that might reduce social barriers to biking.

‘A Routh O’ Auld Nick-Nackets’ – the antiquarian collection of John Rae

2015 ◽  
Vol 36-37 (1) ◽  
pp. 163-183
Author(s):  
Paul Taylor
Keyword(s):  
United States ◽  
Nineteenth Century ◽  
Social Context ◽  
Moral Education ◽  
The United States ◽  
Representative Case ◽  
National Museums ◽  
The Individual ◽  
The University

John Rae, a Scottish antiquarian collector and spirit merchant, played a highly prominent role in the local natural history societies and exhibitions of nineteenth-century Aberdeen. While he modestly described his collection of archaeological lithics and other artefacts, principally drawn from Aberdeenshire but including some items from as far afield as the United States, as a mere ‘routh o’ auld nick-nackets' (abundance of old knick-knacks), a contemporary singled it out as ‘the best known in private hands' (Daily Free Press 4/5/91). After Rae's death, Glasgow Museums, National Museums Scotland, the University of Aberdeen Museum and the Pitt Rivers Museum in Oxford, as well as numerous individual private collectors, purchased items from the collection. Making use of historical and archive materials to explore the individual biography of Rae and his collection, this article examines how Rae's collecting and other antiquarian activities represent and mirror wider developments in both the ‘amateur’ antiquarianism carried out by Rae and his fellow collectors for reasons of self-improvement and moral education, and the ‘professional’ antiquarianism of the museums which purchased his artefacts. Considered in its wider nineteenth-century context, this is a representative case study of the early development of archaeology in the wider intellectual, scientific and social context of the era.

scholarly journals The History of Adversity and Collective Strength of Individuals of Mexican Ancestry in the United States: A Scoping Literature Review and Emerging Conceptual Framework

Genealogy ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 32
Author(s):  
Araceli Orozco-Figueroa
Keyword(s):  
United States ◽  
Scoping Review ◽  
Historical Trauma ◽  
The United States ◽  
People Of Color ◽  
Trauma Narratives ◽  
Treatment And Prevention ◽  
Scoping Literature Review ◽  
History Of ◽  
Baseline Knowledge

Recently, Black, Indigenous, and other People of Color (BIPOC) have encountered an escalation in adverse social conditions and trauma events in the United States. For individuals of Mexican ancestry in the United States (IMA-US), these recent events represent the latest chapter in their history of adversity: a history that can help us understand their social and health disparities. This paper utilized a scoping review to provide a historical and interdisciplinary perspective on discussions of mental health and substance use disorders relevant to IMA-US. The scoping review process yielded 16 peer reviewed sources from various disciplines, published from 1998 through 2018. Major themes included historically traumatic events, inter-generational responses to historical trauma, and vehicles of transmission of trauma narratives. Recommendations for healing from historical and contemporary oppression are discussed. This review expands the clinical baseline knowledge relevant to the diagnosis, treatment, and prevention of contemporary traumatic exposures for IMA-US.

scholarly journals PM2.5 polluters disproportionately and systemically affect people of color in the United States

2021 ◽  
Vol 7 (18) ◽  
pp. eabf4491
Author(s):  
Christopher W. Tessum ◽  
David A. Paolella ◽  
Sarah E. Chambliss ◽  
Joshua S. Apte ◽  
Jason D. Hill ◽  
...  
Keyword(s):  
United States ◽  
Rural Areas ◽  
The United States ◽  
People Of Color ◽  
Emission Sources ◽  
Particulate Air Pollution ◽  
Fine Particulate ◽  
Exposure Levels ◽  
Urban And Rural Areas ◽  
Racial Ethnic

Racial-ethnic minorities in the United States are exposed to disproportionately high levels of ambient fine particulate air pollution (PM2.5), the largest environmental cause of human mortality. However, it is unknown which emission sources drive this disparity and whether differences exist by emission sector, geography, or demographics. Quantifying the PM2.5 exposure caused by each emitter type, we show that nearly all major emission categories—consistently across states, urban and rural areas, income levels, and exposure levels—contribute to the systemic PM2.5 exposure disparity experienced by people of color. We identify the most inequitable emission source types by state and city, thereby highlighting potential opportunities for addressing this persistent environmental inequity.

scholarly journals Balancing race, gender, and responsibility: Conversations with four black women in educational leadership in the United States of America

2021 ◽  
pp. 174114322199183
Author(s):  
Natasha N Johnson
Keyword(s):  
United States ◽  
Black Women ◽  
Educational Leadership ◽  
United States Of America ◽  
Hermeneutic Phenomenology ◽  
The United States ◽  
Women's Leadership ◽  
Structured Interviews ◽  
Race And Gender ◽  
And Gender

This article focuses on equitable leadership and its intersection with related yet distinct concepts salient to social justice pertinent to women and minorities in educational leadership. This piece is rooted and framed within the context of the United States of America, and the major concepts include identity, equity, and intersectionality—specific to the race-gender dyad—manifested within the realm of educational leadership. The objective is to examine theory and research in this area and to discuss the role they played in this study of the cultures of four Black women, all senior-level leaders within the realm of K-20 education in the United States. This work employed the tenets of hermeneutic phenomenology, focusing on the intersecting factors—race and gender, specifically—that impact these women’s ability and capability to perform within the educational sector. The utilization of in-depth, timed, semi-structured interviews allowed participants to reflect upon their experiences and perceptions as Black women who have navigated and continue to successfully navigate the highest levels of the educational leadership sphere. Contributors’ recounted stories of navigation within spaces in which they are underrepresented revealed the need for more research specific to the intricacies of Black women’s leadership journeys in the context of the United States.

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