Analysis of Linguistically and Culturally Tailored Initiatives in Websites of Kidney Transplant Programs in the United States Between 2013-2018

2020 ◽  
pp. 152692482097859
Author(s):  
Juan Carlos Caicedo ◽  
Samuel Carbunaru ◽  
Joseph Tyler Brooks ◽  
Christopher Chiodo Ortiz ◽  
Alejandro Chiodo Ortiz ◽  
...  

Introduction: Minority patients constitute the majority of the kidney transplant waiting list, yet they suffer greater difficulties in listing and longer wait times to transplantation. There is a lack of information regarding targeted efforts by transplant centers to improve transplant care for minority populations. Research Question: Our aim was to analyze all kidney transplant websites in the United States to identify changes over a 5-year period in the number of multilingual websites, reported culturally targeted initiatives, and center and provider diversity. Design: Surveys were developed to analyze center websites of all transplant programs in the United States. Those with incomplete information about their nephrology or surgical teams were excluded, resulting in 174 (73%) sites in 2013 and 185 (76%) in 2018. Results: Few websites were available in a language other than English, 6.3% in 2013 and 9.7% in 2018 (P = 0.24). Only 3 websites (1.3%) in 2013 and 7 (3.7%) in 2018 reported any evidence of a culturally targeted initiative (P = 0.23). In 2018, 35% of centers employed a Hispanic transplant physician, 77% had a transplant physician who spoke a language other than English, and 39% had a transplant physician who spoke Spanish. Discussion: Although minority patients are expected to grow in the United States, decreased access to transplantation continues to vex the transplant community. Very little progress has been made in the development of multilingual websites and culturally targeted initiatives.

Author(s):  
Dr. Henry O’lawrence ◽  
Dr. Linda Martinez ◽  
Andre Garcia ◽  
Patricia Ramos ◽  
Dejay Pequillo ◽  
...  

Latest research has indicated that e-cigarettes are not safe for all ages, from kids to young adults, and it has been estimated that 99% of the e-cigarettes sold in the U.S. contained nicotine. This study further investigated why the underage smoking of e-cigarettes is increasing, especially among youth in California. Additionally, the study investigated secondary data from California’s Health Interview Survey (CHIS, 2017) was used to determine if the health effects caused by e-cigarette smoking, as well as future directions and implications. The research question was to determine whether smoking has increased in teens in the United States due to vaping and e-cigarette devices and whether there is a positive correlation to e-cigarette advertisement and the insufficiency of government regulations The researchers came up with a single hypothesis determine if the lack of information about the negative health effects, regulation, and parental guidance are contributing factors to the increase of adolescent smoking in the United States.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 269-269
Author(s):  
Lauren Parker ◽  
Manka Nkimbeng

Abstract Despite the projected rise in the diversity of caregivers and caregiving in the US, the health system is not prepared to accommodate this growth. Interventions and supports often are not adequately tailored to meet the cultural needs of older adults. Additionally, the limited interventions available for racial/ethnic minority populations frequently fail to capture and report culturally tailored perspectives. Therefore, the purpose of this presentation is to describe how culture influences caregiving in the US. Specifically, it will: (1) provide a contemporary definition of culture; (2) identify cultural domains that impact caregiving; (3) offer examples of how caregiving is influenced by different cultural/demographic backgrounds; (4) provide examples of culturally tailored caregiving programs, and (5) discuss how to approach cultural needs that may not be addressed by current interventions.


2022 ◽  
Vol 2022 ◽  
Author(s):  
Ufot B. Inamete

This article highlights the pivotal nature of the Goldwater-Nichols Department of Defense Reorganization Act of 1986 regarding reforms made in the armed forces of the United States. The unified combatant command system is often seen as the centerpiece of these reforms. The goal of this study is to examine whether the unified combatant command system, which consists of 11 Joint combatant commands within the U.S. Department of Defense, indeed constitutes the centerpiece of these reforms. To fully answer this research question, the study presented here first examines the modern reforms of the U.S. armed forces to provide a solid foundation for subsequent research. It will be concluded that Goldwater-Nichols was the reform most directly relevant to this study. The majority of the article is then devoted to an examination of the 11 combatant commands, identifying how each contributes to the achievement of the goals laid out by Goldwater-Nichols. The author concludes that these 11 unified combatant commands constitute the centerpiece of, and provide the most essential toolset for, the achievement of Goldwater-Nichols.


2020 ◽  
Vol 5 ◽  
Author(s):  
Marta N. Lukacovic

This study analyzes securitized discourses and counter narratives that surround the COVID-19 pandemic. Controversial cases of security related political communication, salient media enunciations, and social media reframing are explored through the theoretical lenses of securitization and cascading activation of framing in the contexts of Slovakia, Russia, and the United States. The first research question explores whether and how the frame element of moral evaluation factors into the conversations on the securitization of the pandemic. The analysis tracks the framing process through elite, media, and public levels of communication. The second research question focused on fairly controversial actors— “rogue actors” —such as individuals linked to far-leaning political factions or militias. The proliferation of digital media provides various actors with opportunities to join publicly visible conversations. The analysis demonstrates that the widely differing national contexts offer different trends and degrees in securitization of the pandemic during spring and summer of 2020. The studied rogue actors usually have something to say about the pandemic, and frequently make some reframing attempts based on idiosyncratic evaluations of how normatively appropriate is their government's “war” on COVID-19. In Slovakia, the rogue elite actors at first failed to have an impact but eventually managed to partially contest the dominant frame. Powerful Russian media influencers enjoy some conspiracy theories but prudently avoid direct challenges to the government's frame, and so far only marginal rogue actors openly advance dissenting frames. The polarized political and media environment in the US has shown to create a particularly fertile ground for rogue grassroots movements that utilize online platforms and social media, at times going as far as encouragement of violent acts to oppose the government and its pandemic response policy.


2021 ◽  
Author(s):  
Giuseppe Cullaro ◽  
Pratima Sharma ◽  
Jennifer Jo ◽  
Jasmine Rassiwala ◽  
Lisa VanWagner ◽  
...  

2021 ◽  
pp. 205789112110405
Author(s):  
Ikhsan Darmawan

Although the number of countries that have adopted e-voting has decreased lately, the number of academic publications on e-voting adoption has increased in the last two years. To date, there is no coherent narrative in the existing literature that explains the progress of the research on e-voting adoption. This article aims to answer the following research question: “How has research on the topic of e-voting adoption progressed over the last 15 years?” The article provides a semi-systematic review of 78 studies that were conducted from 2005 to 2020. In this article, I argue that although the studies on e-voting adoption are dominated by a single case study, by research in the United States, and by the positivist paradigm, scholars have employed the term “e-voting adoption” diversely and the research on e-voting adoption has evolved to address more specific research questions. Recommendations for the future agenda of research on e-voting adoption are also discussed.


1991 ◽  
Vol 1 (1) ◽  
pp. 8-23
Author(s):  
Roger Rouse

In a hidden sweatshop in downtown Los Angeles, Asian and Latino migrants produce automobile parts for a factory in Detroit. As the parts leave the production line, they are stamped “Made in Brazil.” In a small village in the heart of Mexico, a young woman at her father’s wake wears a black T-shirt sent to her by a brother in the United States. The shirt bears a legend that some of the mourners understand but she does not. It reads, “Let’s Have Fun Tonight!” And on the Tijuana-San Diego border, Guillermo Gómez-Peña, a writer originally from Mexico City, reflects on the time he has spent in what he calls “the gap between two worlds”: “Today, eight years after my departure, when they ask me for my nationality or ethnic identity, I cannot answer with a single word, for my ‘identity’ now possesses multiple repertoires: I am Mexican but I am also Chicano and Latin American. On the border they call me ‘chilango’ or ‘mexiquillo’; in the capital, ‘pocho’ or ‘norteno,’ and in Spain ‘sudaca.’… My companion Emily is Anglo-Italian but she speaks Spanish with an Argentinian accent. Together we wander through the ruined Babel that is our American postmodemity.”


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