Deep-level dissimilarity and leader–member exchange (LMX) quality: the role of status

Purpose This study explores how status, demographic and positional, moderates the negative effect of deep-level dissimilarity on leader–member exchange (LMX) quality.Design/methodology/approach Data from three samples were analyzed using hierarchical linear regression and linear mixed-effects methods.Findings Results suggest that the negative effect of deep-level dissimilarity (perceived work-related attitude and perspective differences) on LMX quality is stronger when the LMX partner has low demographic status (e.g. the LMX partner is an African-American woman). This moderating effect was not significant when deep-level dissimilarity was extended to include differences in personality, interests and values. Results were mixed on whether low positional status (i.e. when the LMX partner is a member rather than a leader) strengthens the negative effect of deep-level dissimilarity on LMX quality.Practical implications This study may help leaders, organizational members and diversity managers better manage attitude and perspective dissimilarity in leader–member dyads.Originality/value This study expands research exploring interactive effects of dissimilarity and status on work-related outcomes. It is novel in that it explores status not in relative terms but at the societal level. It is also the first study to analyze the moderating effects of two types of status: demographic and positional.

Metformin-associated lactic acidosis exacerbated by acute kidney injury in an overseas traveler

We report the case of metformin-associated lactic acidosis (MALA) exacerbated by acute kidney injury (AKI) in a 65-year-old Asian American woman who was an overseas traveler. She had vomiting and diarrhea before arriving in Osaka, Japan, from the Philippines. She suffered from worsening respiratory distress, consciousness loss and anuria the day after coming to Japan. When she arrived at our emergency room via ambulance, she appeared to be in a state shock. Arterial blood gas analysis revealed severe lactic acidosis (pH 6.681, PO2 302 Torr under O2 supplementation, PCO2 15 Torr, HCO3−1.7 mmol/L, and lactate 17.00 mmol/L). She also had renal failure (BUN 108 mg/dL and serum creatinine 8.68 mg/dL) with hyperkalemia (6.1 mEq/L). We collected medical information from family members, and found her prescription medicines including metformin, diuretics and angiotensin-converting enzyme inhibitor (ACEI). We diagnosed her with MALA due to an unintended overdose of metformin resulting from acute kidney injury that can be induced by ACEI and diuretics in the volume-depleted condition. We immediately started hemodialysis therapy. Although she had a temporary cardiopulmonary arrest at the beginning of the treatment, her physical status was gradually improved and the severe acidemia resolved. On hospital day 4, she had urine and no longer needed hemodialysis therapy. On day 14, she was discharged and returned to the United States without noticeable sequelae. This is a case report of an overseas traveler who was successfully rescued through the collection of accurate medical information and understanding of the pathological condition.

Your True Colors

This poem reflects the author’s heartbreak, disappointment, and the realization that people may not show who they truly are to one. The author describes feeling disappointment and a sense of guilt from a previous relationship. The person she thought she knew turned out to be someone who did not align with her values. The author is a Mexican American woman who immigrated to the United States as a teenager from Mexico. She found within herself to educate herself through her adult life seeking to erase internalized patriarchy and oppression. Living through such divisive political environment between 2017 and 2020, she began to realize people around her, in specific the relationship illustrated in the poem, were not who she thought they were. The author describes the end of the relationship with a play on words declaring that she does not want to see this person’s dull colors again.

He Rawe Tona Kakahu/She Wore a Becoming Dress: Performing the Hyphen

<p>In the British settler nations of the United States, New Zealand, Australia and Canada, there continues to be debate about how to conduct research across the coloniser-indigene hyphen. Various indigenous scholars have discussed, at length, how western scholarship has been and continues to be implicated in the colonisation of indigenous peoples. While some progress has been made, it continues to be an unresolved issue. As a white American woman, I have responded to this situation by conducting my doctoral research using a decolonising epistemological pluralism that I developed through my practice as an artist and performer. This methodology, which is critical and performative, seeks to dismantle the colonial matrix of power and the dualisms that underpin the hegemony of western knowledge and casts a critical eye on power relations as they manifest out in the world and as they reproduce themselves inside individuals. It is my belief that such an approach will decentre the settler and facilitate working across the hyphen. As an example of how such a methodology could function, I undertook a collaborative and performative research project with Anahera Gildea, a Māori writer and performer from the iwi (tribe) of Ngāti Raukawa ki te Tonga. Our research examined the intersection of gender and colonisation. The knowledge systems that we chose to use arose naturally out of who we are and what we know. We are both Butoh performers. We both practice Nichiren Buddhism and use it to guide our daily lives. The outcome of our research was He rawe tona kakahu/She Wore A Becoming Dress, a multimedia Butoh performance, which was performed for two nights at the Film Archive in Wellington, New Zealand in 2009. As a collaboration that worked across the hyphen, we both engaged with critical and decolonising theory from our respective positions on the hyphen, as well as brought our respective world views—I, white American and Anahera, Te Ao Māori . This thesis is an attempt to provide a practice-based understanding of what it was like to undertake research using such a decolonising epistemological pluralism.</p>

He Rawe Tona Kakahu/She Wore a Becoming Dress: Performing the Hyphen

<p>In the British settler nations of the United States, New Zealand, Australia and Canada, there continues to be debate about how to conduct research across the coloniser-indigene hyphen. Various indigenous scholars have discussed, at length, how western scholarship has been and continues to be implicated in the colonisation of indigenous peoples. While some progress has been made, it continues to be an unresolved issue. As a white American woman, I have responded to this situation by conducting my doctoral research using a decolonising epistemological pluralism that I developed through my practice as an artist and performer. This methodology, which is critical and performative, seeks to dismantle the colonial matrix of power and the dualisms that underpin the hegemony of western knowledge and casts a critical eye on power relations as they manifest out in the world and as they reproduce themselves inside individuals. It is my belief that such an approach will decentre the settler and facilitate working across the hyphen. As an example of how such a methodology could function, I undertook a collaborative and performative research project with Anahera Gildea, a Māori writer and performer from the iwi (tribe) of Ngāti Raukawa ki te Tonga. Our research examined the intersection of gender and colonisation. The knowledge systems that we chose to use arose naturally out of who we are and what we know. We are both Butoh performers. We both practice Nichiren Buddhism and use it to guide our daily lives. The outcome of our research was He rawe tona kakahu/She Wore A Becoming Dress, a multimedia Butoh performance, which was performed for two nights at the Film Archive in Wellington, New Zealand in 2009. As a collaboration that worked across the hyphen, we both engaged with critical and decolonising theory from our respective positions on the hyphen, as well as brought our respective world views—I, white American and Anahera, Te Ao Māori . This thesis is an attempt to provide a practice-based understanding of what it was like to undertake research using such a decolonising epistemological pluralism.</p>

FEMSLASH FANFICTION AND LESBIANISM: EFFORTS TO EMPOWER AND EXPRESS ASIAN AMERICAN WOMAN SEXUALITY

The existence of fan fiction nowadays shows more progressive development especially in this digital era when people does not only use internet for communicating and socializing across time and space but they also show their creativity, one of them is by writing a fan fiction. By writing fan fiction in online platforms, people get the opportunity to express their interests and their identities. This opportunity is also obtained by minority groups such as LGBTQ+ where they can express their identity through fan fiction. LGBTQ+ community utilizes online platform as the tool that brings benefit for them. In this case, writing fan fiction in online platforms allows people to create the preferable representation of minority groups and empower them as the part of LGBTQ+ community. This phenomenon can be seen through a website named Asianfanfics.com which shows an increasing number of fan fictions especially the ones with lesbian related tags such as girl x girl, lesbian, and femslash. Particularly, through the femslash subgenre, people use fan fiction to question the heteronormativity. Regarding to this phenomenon, an interview was conducted by choosing three Asian American fan fiction writers from Asianfanfics.com as the interviewees. Furthermore, by using gender theory and intersectionality, this article focuses on how fan fiction becomes a safe space to express their sexual identities and how lesbian relationship is viewed by Asian families.

Novel discovery of Extended Spectrum β-lactamase (ESBL) Pluralibacter gergoviae in acute urinary tract infection and urolithiasis

Introduction/Objective This case study describes the diagnosis, treatment, whole genome sequencing (WGS) and antibiotic resistance characterization from the ESBL-producing Pluralibacter gergoviae, a multi-drug resistant organism (MDRO) with a previously-documented presence in foodstuffs and cosmetics. Methods/Case Report A 39-year-old Hispanic American woman was admitted to the emergency department (ED) for fever, suprapubic tenderness, and pyuria. Three days prior to admission, patient underwent elective bilateral lithotripsy for retained nephrolithiasis. Seven days prior to ED admission, patient had an “Orgasm Shot” (O-Shot) which consists of platelet rich plasma that is drawn from the patient and injected into her vulvar area and around her clitoris to increase stimulation potential during orgasm. The patient was started on broad spectrum antibiotics, receiving Vancomycin and Ceftriaxone 1 gram 1 gram IV every 12 hours, intravenously. Urine cultures yielded two organisms, including a lactose fermenting as well as a non-lactose fermenting Gram negative rod. Mass spectrometry-based identification was successful in identifying the non-lactose fermenting colony as Pseudomonas aeruginosa, which also identified from a blood culture collected from the patient upon presentation to the ED. The lactose fermenting colony resulted in no identification by mass spectrometry but was identified using biochemical methods as Pluralibacter gergoviae, a recently-reclassified taxonomy previously identified as Enterobacter gergoviae. The P. gergoviae isolate was submitted to the Multidrug-Resistant Organism Repository (MRSN) at Walter Reed Army Institute of Research (WARIR) for WGS on Illumina Miseq. Sequencing and phenotypic/ genotypic data on isolate confirmed this as an ESBL P. gergoviae organism. Results (if a Case Study enter NA) NA Conclusion Summary data on possible epidemiological associations, antibiotic susceptibility testing, antibiotic resistance genes identified, and information on the antibiotic resistance plasmids will be presented. These findings from the WGS data, antibiotic susceptibilities will provide a lessons-learned for other clinical microbiology labs on how to identify unusual organisms such as P. gergoviae.