The Vaginal Speculum: A Review of Literature Focusing On Specula Redesigns and Improvements to the Pelvic Exam

We reviewed scientific literature relating to the vaginal speculum considering the widespread use of this tool within women’s health. Through a literature review, it is clear that the speculum is not specialized enough to be used for all populations who require the procedure. Despite the fact that the current standard of care is not sufficient for all patients, evaluations of industry solutions are not evident in the current literature, explaining physician hesitancy to adopt these new devices. Additionally, while scholarly literature exists regarding overviews of the topic, novel designs, and general improvements for speculum usage in pelvic examinations, there are noticeable gaps in the scholarship regarding frequency of scholarly output and a blatant disregard for obese populations in vaginal speculum research. More scholarly literature must be published in order to improve awareness of the vaginal speculum and pelvic examinations so that women receive the best care possible. More specifically, novel designs must be evaluated for efficacy and comfort, and more research should be conducted on the pelvic examination procedure and its use on obese patients.

Development of Empirical Dietary Inflammatory Pattern (EDIP) scores with Different Food Groups and Biomarkers

Background: The empirical dietary inflammatory pattern (EDIP) is a hypothesis-driven dietary pattern used to assess the inflammatory potential of diet in the US population. Food-frequency questionnaire responses are used to build regression models comparing this dietary information to circulating inflammatory profiles, to help determine which food groups have more or less inflammatory potential on specific individuals. We will eventually use this tool in a cancer patient intervention to modify inflammation and improve chances of survival. Methods: EDIP scores were calculated for 4 models from 24hr recalls reported by 67 women noncancer controls that had signed an informed consent prior to participation. The Luminex Human Chemokine Multiplex Assay was used to measure 11 chemokines and cytokines. As seen in previous studies, we first derived a model, EDIP-Limited (EDIP-L), by using a reduced rank regression model of all 17 food groups followed by a multivariable regression analysis to identify a dietary pattern that predicts concentrations of two inflammatory biomarkers: IL-6 and TNF-a. We derived a secondary EDIP score using a new model, EDIP-All Inclusive (EDIP-AI), which included the same 17 food groups to predict all 11 circulating biomarkers in our panel. Lastly, we developed two additional EDIP models to test how the biomarker predication may change when we regrouped our food variables from 17 to 14 groupings. EDIP-Limited New (EDIP-LN) used 14 new food groups derived from the same 24hr recalls, only predicting IL-6 and TNF-a. EDIP-All New (EDIP-AN) used those same 14 food groups with all 11 biomarkers. Results: In this study, we optimize models for EDIP and report the differences in EDIP scores based on the inflammatory biomarkers and food groups used in analysis. Briefly, the components of EDIP-L were not significant. After including all the biomarkers, the components of EDIP-AI were: “fruit juice” (p = 0.0009), “snacks” (p = 0.0008), “leafy green vegetables” (p = 0.0074), “low-energy beverages” (p = 0.0098), “red meat” (p = 0.0038), “fruit” (p = 0.0002) and “whole wheat grains” (p = 0.0138). Similarly, after reorganizing our food items into 14 food groups, the components of EDIP-LN were not significant. However, components of EDIP-AN were: “fruit juice” (p = 0.0107), “snacks” (p = 0.0116) and “fruit” (p = 0.0026). Conclusions: Findings demonstrate the EDIP scores differ based on the inflammatory biomarkers and food groups used in the analysis on the same noncancer controls. Depending on the methods used, an individual’s diet may be considered more pro- or anti-inflammatory. This study provides insight into the inflammatory potential of an individual’s diet and the factors that may affect how we calculate this potential.

Blurring Boundaries: How Writing Slash Fanfiction Empowers Young Women in Mainland China

This study pays close attention to Chinese slash fanfiction amateur female writers and their writing experiences. This research investigates in what kind of ways their writing experiences relate to a sense of female empowerment. The analysis emphasizes how slash writing as a seemingly individual and private experience connects itself to a larger community of writers and readers, and how this practice extends to the lived realities of gender and sexuality in mainland China. Using qualitative data from epistolary interviews with ten Chinese female slash writers, this study argues that writing slash fanfiction in mainland China is a boundary-blurring art. Through crossing and obscuring boundaries between private and public, fantasies and reality, individual and community, Chinese female slash writers retrieve a sense of agency and empowerment in their experiences of writing slash fanfiction through exploring affective experiences, reconciling with sexual fantasies, and serving and participating in a female community.

Expanding African Queer Visual Activism Within and Beyond the Continent

This article examines the origin of the term “visual activism” in the context of post-independence South Africa, and further reflects on its development in response to anti-gay legislation in contemporary Nigeria and Uganda. The emergence of an explicitly queer strain of visual activism on the continent was sanctioned by South Africa’s pro-gay Constitution and propagated by the works of photographer Zanele Muholi. Whereas South Africa’s sociopolitical context has permitted the expression of queer visual activism through forms of photography and documentary media in Nigeria and Uganda, this expression has been routinely monitored and suppressed by such policies as the Same-Sex Marriage (Prohibition) Bill (SSMPA) and the Anti-Homosexuality Bill, respectively. This study specifically references the works of South African Muholi in conversation with those of Nigerian-American Adejoke Tugbiyele and Ugandan native Leilah Babirye as a means to articulate how these punitive national policies have forced contemporary queer visual activists to adopt expressive rather than representational forms of visual protest. This paper identifies a distinct difference in epistemological origin, aesthetic composition, and formal materiality across the practices of Muholi, Tugbiyele, and Babirye in order to explore the multiplicity of the genre as well as broaden conventional conceptions of African queer visual activism.

Letter from the Editor 2021

Letter From the Editor

lliberal Democracy: the Case of Democratic Erosion

This paper uses Israel’s 2018 Nation-State Law, which guarantees the “ethnic-religious character of Israel as exclusively Jewish,” as a lens to reveal the ongoing socio-political change in Israel and processes of democratic erosion. In addition to having immediate relevance for contemporary Israeli policy, especially concerning the status of Arab Israelis and the likely annexation of the West Bank, the law poses a profound, existential challenge for the maintenance of Israel as a democratic state. Drawing on Fareed Zakaria’s theory of “illiberal democracy,” this paper analyses the implications of this law for Israel, for the linked concepts of liberalism and democracy, and for the future of the democratic state in an increasingly illiberal world. The law is a culmination of other basic laws and political thresholds, and accelerates settler colonialism. Gaining more international attention than previous basic laws, the political thresholds prior to the Nation-State Law and cumulative legislation building up to the debate have been ignored. Analysing these thresholds will reveal the efficacy of supporting such a law and using nationhood provisions in other Western democratic constitutions as justification. This paper is a warning: to act upon seemingly insignificant anti-democratic legislation before political actions become irreparable. The law is a culmination of other basic laws, political thresholds, and accelerates settler colonialism. Gaining more international attention than previous basic laws, direct discriminatory implications on Arab minorities as well as powerful legal consequences, the political thresholds prior to the Nation-State Law and cumulative legislation building up to the debate have been ignored. This paper will hopefully reveal the efficacy of supporting such a law and using the nationhood provisions in other constitutions in Western democracies as justification. This paper is a warning: to act upon seemingly insignificant anti-democratic legislation before political actions become irreparable.

One Step Forward, Two Steps Back

Peace efforts in Palestine are continuous and failing. In order to explain the failed peace attempts, experts draw different conclusions. Thomas Getman, member of a private consulting group specializing in international affairs, explains the conflict in terms of Christian Zionism, a religious doctrine prominent in the United States, and its detrimental role in the peace process. While social justice manifests itself in the cultural practices of traditional, mainstream religions, Christian Zionism ignores the rights-based approach to theology, and it perpetuates myths (Getman). Dennis Ross, the principle informant in the Israeli-Arab conflict under the Bush and Clinton administrations, blames a number of factors. He explains, “The lack of public conditioning for peace, the reluctance to acknowledge the legitimacy of the other side’s grievance and needs, the inability to confront comfortable myths, the difficulty of transforming behavior and acknowledging mistakes, the inherent challenges of getting both sides ready to move at the same time, the unwillingness to make choices, and the absence of leadership, especially among Palestinians, are all factors that have made peace difficult to achieve” (Ross 14). Ultimately, Ross says that it is “myths that prevent all sides from seeing reality and adjusting to it” (Ross 14). The failed peace efforts can be better understood by combining the two stances. Due to the stronghold Christian Zionism has held on United States politics, the Christian Zionist narrative has upheld peace talks in Israel-Palestine and disrupted the process.

The Expiration of Exigence

Lloyd Bitzer’s 1968 article, “The Rhetorical Situation,” reframed scholarship on communication. Prior to this, rhetorical studies primarily looked to content and style of discourse in order to provide an analysis of meaning and value; however, scholars became frustrated with the limited access that this type of framework afforded. The 1960s marked a dramatic shift in dominant rhetorical thinking from modern thought toward a realm of new ideological approaches, including postmodern thought. Environment became a major focus of postmodern communication studies, claiming that the situation, more than the content itself, determines the message. Rhetorical frameworks continue to rely on a modern or postmodern consciousness, despite the emergence of yet another societal shift into an evolved postmodernism, a reaction to the biases inherent in this relativism. Specifically, the evolution of the postmodern mind into an apathetic consciousness leads to an expiration of exigency as Bitzer defined it 50 years ago. This paper argues that current scholarship lacks a complete awareness of these new assumptions and understandings, specifically relating to cultural apathy. This paper will recount the historical context that leads into this modern framework, illustrate the situation, and argue the potential solutions. Ultimately, this paper reveals that much exigency inhabits a devalued position in the now-evolved postmodern mind, and rhetorical theory must renovate its understanding on discourse accordingly through three steps: acknowledgment, updated definitions, and thoughtful discourse.

Feminism: When the Label ‘White’ Gets Attached in Pop Music Industry

This paper describes a qualitative study that investigates the pop music genre starting from the 2000s, relating it to feminism. The investigation focuses on understanding when female artists are considered feminist, and when the label ‘white feminist’ is applied to specific female artists. Based on media press and public perspective, the research hopes to find key characteristics that separates the moment when the label feminism and white feminism are applied, especially in relation to other attributes such as gender orientation, sexual orientation, and race. The purpose of the research is to provide more insight into understanding feminism in the context of today, and to how navigate complex spaces such as media image and personal identity, labels that come with the public status of their profession.

Gendered Pathways to Science: The Perceived Impact of Social Ties and Individual Preferences

Despite the huge effort taken to promote gender parity in Science Technology Engineering and Mathematics education, women remain overwhelmingly underrepresented in these fields. Current literature has demonstrated that there are significant processes that influence whether or not someone pursues STEM; yet, none of them specify the perceived individual and environmental factors that correlate with persistence in STEM education. Ergo, the focus of this paper is to try to account for the individual and social causes of persistence in pursuing STEM studies, as perceived by women and men who chose and continued to study STEM at college; more specifically, the nature, timing, and relative influence of these perceived determinants and how they vary according to gender. We have not followed a traditional quantitative research protocol that reaches causal claims. Instead, we have used self-reported retrospective data that offer subjective insight into the perceived determining factors to enter the pathway to STEM at college. To do so, we have conducted a survey, situating STEM undergraduate students at Columbia University in a sequence of events, influences, interactions, and institutions that are successively associated with their current orientation towards STEM disciplines. This research design has enabled us to look at the relative perceived influence of their social ties and individual preferences at three different stages of their life. While men and women who chose to major in STEM do not seem to have fundamentally different perceived individual preferences, they do seem to perceive the contribution of their social environment to their interest in science differently.