Browsing by Subject "Community"

Now showing 1 - 10 of 16
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    21st -Century Community Foundations
    (2015-06-08) Carson, Emmett
    Community foundations across the United States are actively thinking through how to engage with donors who have local, national, and international interests. This paper examines how different community foundations are responding to changing definitions of community to meet the needs of their donors and their local communities. It posits that the key characteristic of community foundations compared to other donor advised fund providers is their leadership and civic engagement within and outside of their stated geography. I wrote this paper because increasingly, community foundations are wrestling with this definitional issue, which is becoming a fundamental question to their operations. It’s not going away—it shouldn’t go away—and community foundations have a responsibility to explore and debate what can and will happen as a result.
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    Addressing Pollution-Related Global Environmental Health Burdens
    (AGU, 2018-02-19) Filippelli, Gabriel M.; Taylor, Mark P.; Earth Sciences, School of Science
    New analyses are revealing the scale of pollution on global health, with a disproportionate share of the impact borne by lower‐income nations, minority and marginalized individuals. Common themes emerge on the drivers of this pollution impact, including a lack of regulation and its enforcement, research and expertise development, and innovative funding mechanisms for mitigation. Creative approaches need to be developed and applied to address and overcome these obstacles. The existing “business as usual” modus operandi continues to externalize human health costs related to pollution, which exerts a negative influence on global environmental health.
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    Biorepository and integrative genomics initiative: designing and implementing a preliminary platform for predictive, preventive and personalized medicine at a pediatric hospital in a historically disadvantaged community in the USA
    (Springer Nature, 2018-08) Jose, Rony; Rooney, Robert; Nagisetty, Naga; Davis, Robert; Hains, David; Pediatrics, School of Medicine
    Current healthcare is evolving to emphasize cost-effective care by leveraging results and outcomes of genomic and other advanced research efforts in clinical care and preventive health planning. Through a collaborative effort between the University of Tennessee Health Science Center (UTHSC) and Le Bonheur Children's Hospital (LBCH), the Biorepository and Integrative Genomics (BIG) Initiative was established to set up a pediatric-based DNA biorepository that can serve as a foundation for successful development of delivery platforms for predictive, preventive, and personalized medical services in Memphis, Tennessee, a historically disadvantaged community in the USA. In this paper, we describe the steps that were followed to establish the biorepository. We focused on domains that are essential for implementation of a biorepository for genomic research as an initial goal and identified patient consent, DNA extraction, storage and dissemination, and governance as essential components. Specific needs in each of these domains were addressed by respective solutions developed by multidisciplinary teams under the guidance of a governance model that involved experts from multiple hospital arenas and community members. The end result was the successful launch of a large-scale DNA biorepository, with patient consent greater than 75% in the first year. Our experience highlights the importance of performing pre-design research, needs assessment, and designing an ethically vetted plan that is cost-effective, easy to implement, and inclusive of the community that is served. We believe this biorepository model, with appropriate tailoring according to organizational needs and available resources, can be adopted and successfully applied by other small- to mid-sized healthcare organizations.
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    Civic-Minded Rubric 2.0
    (2017-07-10) Weiss, H. Anne; Hahn, Thomas W.; Norris, Kristin E.
    The Civic-Minded Graduate Rubric 2.0 was developed in order to travel across multiple artifacts of and experiences in learning and service. The goal was to create a practical tool for faculty and staff to use when assessing either a large, broad civic learning goal related to obtaining a tertiary education- being a civic minded graduate- or assessing a certain aspect of being civic-minded as it relates to a specific learning experience, initiative, pedagogy or program (empathy, curiosity, depth of community engagement, etc.).
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    Community and Art
    (2021-05) Haymaker, Shawn; Misluk, Eileen
    Community may hold different meanings to different people and situations, which may or may not be bound by physical space. Community is not well defined and is especially difficult to define in literacy research. It was hypothesized the definition of community would include similarities on a broader scale, although there may be differences that reflect diverse cultural traits on a smaller scale. This study was a parallel mixed methods research study that utilized a systematic literature review and a convenient survey design aimed to understand how community-based providers define the term “community” within their work. Connection, support, commonality, were among the highest mentioned when asked in the survey, “what does community mean to you?” Listening, dialogue, and communication were important key elements when asked, “what makes community thrive?” The survey results indicated sense of belonging and bonding of like minds were the most important aspects of community, as well as, connection, support, and common values, ideals and traits were important factors in defining community. A guideline for clinicians was provided as they define community in their work across the world, cultures, and ethnicities.
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    Community Ethical Decision-Making Model: Knowing the Past, Present, and Future
    (2020) Guzman, Maria V.; Leigh, Heather
    An integrative literature review was used to gather information on existing ethical decision-making models in order to formulate key themes for a recently developed model. Concepts including ecology theory, and inclusion of emotion arousal with art-making were explored in the literature review. A consideration of the historical context of communities with a foundation of current ethical codes, principles and models helped inform the completion of the model, Community Ethical Decision-Making: Knowing the Past, Present, and Future. It is important to note when looking at this model that ethical principles and decision-making steps are tailored for community work. This unique perspective views the community as the client and a core belief reflects that strengthening the community strengthens the individual and vice versa.
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    Creating Self-Awareness Of Learning That Occurs In Community
    (Midwest Research-to-Practice Conference in Adult, Continuing, and Community Education, 2003) Imel, Susan; Stein, David
    Learning that occurs in naturally forming communities can be more effective if those who engage in such groups are aware of it. Adult education practitioners who work with groups have an opportunity to assist group participants realize that learning occurs through engagement with issues of importance to them. Adults may consider learning to be knowledge acquisition, but the concept of social capital can be used to help them realize another level of learning. The purpose of this paper is to raise awareness among adult education practitioners about a potential role in furthering learning that occurs in naturally forming groups.
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    Dance and Identity Politics in Caribbean Literature: Culture, Community, and Commemoration
    (2011-06-03) Tressler, Gretchen E.; Springer, Jennifer Thorington; Kubitschek, Missy Dehn; Shepherd, Susan Carol
    Dance appears often in Anglophone Caribbean literature, usually when a character chooses to celebrate and emphasize her/his freedom from the physical, emotional, and societal constraints that normally keep the body in check. This study examines how a character's political consciousness often emerges in chorus with aesthetic bodily movement and analyzes the symbolic force and political significance of Caribbean dance--both celebratory (as in Carnival) and defensive (as in warrior dances). Furthermore, this study observes how the weight of Western views on dance influences Caribbean transmutations and translations of cultural behavior, ritual acts, and spontaneous movement. The novels studied include Samuel Selvon's "The Lonely Londoners" (1956), Earl Lovelace's "The Dragon Can't Dance" (1979), Paule Marshall's "Praisesong for the Widow" (1983), and Marie-Elena John's "Unburnable" (2006).
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    Development, Assessment, and Outcomes of a Community-Based Model of Antiretroviral Care in Western Kenya Through a Cluster-Randomized Control Trial
    (Wolters Kluwer, 2021-06-01) Goodrich, Suzanne; Siika, Abraham; Mwangi, Ann; Nyambura, Monicah; Naanyu, Violet; Yiannoutsos, Constantin; Spira, Thomas; Bateganya, Moses; Toroitich-Ruto, Cathy; Otieno-Nyunya, Boaz; Wools-Kaloustian, Kara; Medicine, School of Medicine
    Objective: To develop and assess an alternative care model using community-based groups for people living with HIV and facilitate by lay personnel. Methods: Geographic locations in the Academic Model Providing Access to Healthcare Kitale clinic catchment were randomized to standard of care versus a community-based care group (ART Co-op). Adults stable on antiretroviral therapy and virally suppressed were eligible. Research Assistant-led ART Co-ops met in the community every 3 months. Participants were seen in the HIV clinic only if referred. CD4 count and viral load were measured in clinic at enrollment and after 12 months. Retention, viral suppression, and clinic utilization were compared between groups using χ2, Fisher exact, and Wilcoxon rank sum tests. Results: At 12 months, there were no significant differences in mean CD4 count or viral load suppression. There was a significant difference in patient retention in assigned study group between the intervention and control group (81.6% vs 98.6%; P < 0.001), with a number of intervention patients withdrawing because of stigma, relocation, pregnancy, and work conflicts. All participants, however, were retained in an HIV care program for the study duration. The median number of clinic visits was lower for the intervention group than that for the control group (0 vs 3; P < 0.001). Conclusions: Individuals retained in a community-based HIV care model had clinical outcomes equivalent to those receiving clinic-based care. This innovative model of HIV care addresses the problems of insufficient health care personnel and patient retention barriers, including time, distance, and cost to attend clinic, and has the potential for wider implementation.
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    Heterogeneity of Second-Line Treatment for Patients With Multiple Myeloma in the Connect MM Registry (2010-2016)
    (Elsevier, 2018-07-01) Jagannath, Sundar; Abonour, Rafat; Durie, Brian G. M.; Gasparetto, Cristina; Hardin, James W.; Narang, Mohit; Terebelo, Howard R.; Toomey, Kathleen; Wagner, Lynne; Srinivasan, Shankar; Kitali, Amani; Yue, Lihua; Flick, E. Dawn; Agarwal, Amit; Rifkin, Robert M.; Medicine, School of Medicine
    Background The treatment landscape for multiple myeloma (MM) has undergone recent changes with the regulatory approval of several new therapies indicated for second- and later-line disease. Using data from Connect MM, the largest multisite, primarily community-based, prospective, observational registry of MM patients in the United States, selection of second-line treatments was evaluated during a 5-year period from 2010 to 2016. Patients and Methods Eligible patients were aged ≥ 18 years, had newly diagnosed MM ≤ 2 months before study entry, and were followed for up to 8 years. Patients who received ≥ 2 lines of therapy were analyzed. “Tepee” plots of stacked area graphs differentiated treatments by color to allow visualization of second-line treatment trends in MM patients. Results As of February 2017, 855 of 2897 treated patients had progressed to second-line treatment. Treatment selection was heterogeneous; shifting patterns of treatment choices coincided with the approval status of newer agents. The most common treatment regimens in the early part of the decade were lenalidomide and/or bortezomib, with or without dexamethasone, with increasing use of newer agents (carfilzomib, pomalidomide, daratumumab, and elotuzumab) and triplet combinations over time. The influence of the baseline patient characteristics of age, history of diabetes, peripheral neuropathy, and renal function on treatment choice was also examined. Conclusion These findings indicate that community physicians are current in their MM management practices, with uptake of new drugs and acquaintance with results of randomized clinical trials using combinations almost concurrent with their regulatory approval and publication.