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Browsing by Author "Anthropology, School of Liberal Arts"

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    Applying Students' Perspectives on Different Teaching Strategies: A Holistic View of Service-Learning Community Engagement
    (Michigan Publishing, 2021-11) Ricke, Audrey; Anthropology, School of Liberal Arts
    From a university perspective, service-learning and community engagement (SLCE) has been identified as a high-impact practice that offers advantages over traditional lecture and assignments, yet students do not always embrace SLCE courses. While most studies of undergraduate students’ perceptions of SLCE focus on particular experiences or on SLCE in general, contextualizing these findings within students’ perceptions of various teaching strategies and knowledge can better assist faculty in engaging students. Drawing on cognitive anthropology, this article is one of the first to conduct a cultural domain analysis to provide insights into how undergraduates conceptualize SLCE in relation to other teaching strategies. This broader analysis of the associations undergraduates make with SLCE reveals how these can carry ramifications for quality engagement with the project and community partners. The results include how faculty can design and scaffold SLCE into their courses in the absence of a centralized agency or formal campus-wide process for regulating SLCE experiences.
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    The arterial border: negotiating economies of risk and violence in Mexico's security regime
    (Inderscience, 2017) Vogt, Wendy; Anthropology, School of Liberal Arts
    This article examines the material and ideological dimensions of what I conceptualise as Mexico's 'arterial border'. Since the late 1980s, transit routes in Mexico's interior have increasingly become sites of a diffused migration enforcement strategy. Based on long-term ethnographic research along Central American transit routes, I examine how the arterial border has developed historically and is experienced by migrants in local contexts. I pay particular attention to the disjuncture between violent encounters with the state and discourses of security, human rights and humanitarianism that serve to legitimise bordering practices. Such an analysis moves beyond understandings of borders as spatially fixed entities to reimagine them as constantly shifting and dynamic sites of state violence, individual agency and contestation.
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    Black Lives Matter and the Public Rediscovery of Structural Racism
    (2021) Hyatt, Susan B.; Anthropology, School of Liberal Arts
    Asset-Based Community Development promises to empower local communities while failing to address racialized disparities. We must look to broad-based social movements such as Black Lives Matter if we wish to create a genuinely more equitable and anti-racist world
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    Book Review: Broken Chains and Subverted Plans: Ethnicity, Race, and Commodities
    (University of Chicago, 2018) Mullins, Paul R.; Anthropology, School of Liberal Arts
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    Comorbidity, misdiagnoses, and the diagnostic odyssey in patients with hypermobile Ehlers-Danlos syndrome
    (Elsevier, 2023) Halverson, Colin M. E.; Cao, Sha; Perkins, Susan M.; Francomano, Clair A.; Anthropology, School of Liberal Arts
    Purpose The extent of comorbidity and misdiagnosis had been unclear for patients with hypermobile Ehlers-Danlos Syndrome (hEDS), a hereditary connective tissue disorder. The objectives of the study were to (1) describe the prevalence of alternative diagnoses that these patients have received, (2) assess their endorsement and rejection of these diagnoses, and (3) characterize their experience on their “diagnostic odysseys.” Methods We circulated a survey through the Ehlers-Danlos Society’s Global Registry, asking participants which diagnoses they had received and whether they believed they were still accurate. They were also asked questions about their experience while seeking a diagnosis. Descriptive statistics and consensus clustering were then conducted. Results A total of 505 unique individuals with clinically confirmed hEDS completed the survey. The average number of alternative diagnoses was 10.45. Anxiety, depression, and migraines were the most common. However, the diagnoses with the greatest endorsement were postural orthostatic tachycardia syndrome, cervical instability, and mast cell activation syndrome. The diagnoses with the greatest rejection were functional neurologic disorders, multiple sclerosis, and fibromyalgia. The average time to diagnosis was 10.39 years. Conclusion An appropriate hEDS diagnosis is complex and its presentation multisystemic. Health care providers should be aware of the specific phenotypes to improve the time to diagnosis and care.
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    Content counts, but context makes the difference in developing expertise: a qualitative study of how residents learn end of shift handoffs
    (BMC, 2018-11-03) Rattray, Nicholas A.; Ebright, Patricia; Flanagan, Mindy E.; Militello, Laura G.; Barach, Paul; Franks, Zamal; Rehman, Shakaib U.; Gordon, Howard S.; Frankel, Richard M.; Anthropology, School of Liberal Arts
    BACKGROUND: Handoff education is both formal and informal and varies widely across medical school and residency training programs. Despite many efforts to improve clinical handoffs, little evidence has shown meaningful improvement. The objective of this study was to identify residents' perspectives and develop a deeper understanding on the necessary training to conduct safe and effective patient handoffs. METHODS: A qualitative study focused on the analysis of cognitive task interviews targeting end-of-shift handoff experiences with 35 residents from three geographically dispersed VA facilities. The interview data were analyzed using an iterative, consensus-based team approach. Researchers discussed and agreed on code definitions and corresponding case examples. Grounded theory was used to analyze the transcripts. RESULTS: Although some residents report receiving formal training in conducting handoffs (e.g., medical school coursework, resident boot camp/workshops, and handoff debriefing), many residents reported that they were only partially prepared for enacting them as interns. Experiential, practice-based learning (i.e., giving handoffs, covering night shift to match common issues to handoff content) was identified as the most suited and beneficial for delivering effective handoff training. Six skills were described as critical to learning effective handoffs: identifying pertinent information, providing anticipatory guidance, applying acquired clinical knowledge, being concise, incorporating delivery strategies, and appreciating the styles/preferences of handoff recipients. CONCLUSIONS: Residents identified the immersive performance and the experience of covering night shifts as the most important aspects of learning to execute effective handoffs. Formal education alone can miss the critical role of real-time sense-making throughout the process of handing off from one trainee to another. Interventions targeting senior resident mentoring and night shift could positively influence the cognitive and performance capacity for safe, effective handoffs.
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    Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hospital to the Primary Care Clinic
    (Elsevier, 2017-03) Rattray, Nicholas A.; Sico, Jason J.; Cox, LeeAnn M.; Russ, Alissa L.; Matthias, Marianne S.; Frankel, Richard M.; Anthropology, School of Liberal Arts
    Background Transitions of care from specialty and acute settings to primary care abound. Compared to the continuity in end-of-shift handoffs, care transitions involve provider communication between practices and facilities with their own cultures and bureaucracies. Using the transition from acute care to outpatient primary care for stroke/transient ischemic attack (TIA) patients as a case study, this qualitative research explored communication practices and institutional arrangements among clinical providers responsible for longitudinal management of hypertension. In this study, researchers investigated the barriers and facilitators of effective communication between acute stroke/TIA inpatient and primary care providers at a Veterans Affairs Medical Center. Methods A multidisciplinary team conducted consensus-based coding and thematic analysis of semistructured interviews with 21 clinical providers (9 with primary responsibilities for inpatient care and 12 with primary responsibilities in outpatient, primary care). Results Thematic analysis of responses identified three factors that influenced communication between clinical providers: (1) consistent, concise but complete medication and treatment plans; (2) reliable, standardized discharge documentation; (3) use of multiple modes of communication. Participants identified cultural barriers, including challenges with rotating providers at a teaching hospital and local discharge practices. Conclusion Ambiguity about who is being handed off to and time pressures in the acute setting may lead inpatient providers to give lower priority to discharge communication, leaving outpatient providers with low-quality information. While electronic templates have standardized key components of discharge documentation, improvement opportunities remain. Increased awareness of the challenges and opportunities on each side of the care transfer could foster communication practices that systematically account for the information needs of inpatient and outpatient providers.
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    Dental microwear texture analysis of Homo sapiens sapiens : Foragers, farmers, and pastoralists
    (Wiley, 2019-06) Schmidt, Christopher W.; Remy, Ashley J.; Van Sessen, Rebecca; Scott, Rachel M.; Mahoney, Patrick; Beach, Jeremy J.; McKinley, Jacqueline; d’Anastasio, Ruggero; Chiu, Laura W.; Buzon, Michele R.; de Gregory, J. Rocco; Sheridan, Susan G.; Eng, Jacqueline T.; Watson, James T.; Klaus, Haagen D.; Willman, John C.; Da-Gloria, Pedro; Wilson, Jeremy J.; Krueger, Kristin L.; Stone, Abigail; Sereno, Paul C.; Droke, Jessica L.; Perash, Rose L.; Stojanowski, Christopher M.; Herrmann, Nicholas P.; Anthropology, School of Liberal Arts
    Objectives The current study seeks to determine if a sample of foragers, farmers, and pastoralists are distinguishable based on their dental microwear texture signatures. Materials and methods The study included a sample of 719 individuals from 51 archeological sites (450 farmers, 192 foragers, 77 pastoralists). All were over age 12 and sexes were pooled. Using a Sensofar® white‐light confocal profiler we collected dental microwear texture analysis (DMTA) data from a single first or second molar from each individual. We leveled and cleaned data clouds following standard procedures and analyzed the data with Sfrax® and Toothfrax® software. The DMTA variables were complexity and anisotropy. Statistics included ANOVA with partial eta squared and Hedges's g. We also performed a follow‐up K‐means cluster analysis. Results We found significant differences between foragers and farmers and pastoralists for complexity and anisotropy, with foragers having greater complexity than either the farmers or the pastoralists. The farmers and pastoralists had greater anisotropy than the foragers. The Old World foragers had significantly higher anisotropy values than New World foragers. Old and New World farmers did not differ. Among the Old World farmers, those dating from the Neolithic through the Late Bronze Age had higher complexity values than those from the Iron Age through the medieval period. The cluster analysis discerned foragers and farmers but also indicated similarity between hard food foragers and hard food farmers. Discussion Our findings reaffirm that DMTA is capable of distinguishing human diets. We found that foragers and farmers, in particular, differ in their microwear signatures across the globe. There are some exceptions, but nothing that would be unexpected given the range of human diets and food preparation techniques. This study indicates that in general DMTA is an efficacious means of paleodietary reconstruction in humans.
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    Dirty Work, Dangerous Others: The Politics of Outsourced Immigration Enforcement in Mexico
    (Berghahn, 2020) Vogt, Wendy; Anthropology, School of Liberal Arts
    While Mexico has been openly critical of US immigration enforcement policies, it has also served as a strategic partner in US efforts to externalize its immigration enforcement strategy. In 2016, Mexico returned twice as many Central Americans as did the United States, calling many to criticize Mexico for doing the United States’ “dirty work.” Based on ethnographic research and discourse analysis, this article unpacks and complicates the idea that Mexico is simply doing the “dirty work” of the United States. It examines how, through the construction of “dirty others”—as vectors of disease, criminals, smugglers, and workers—Central Americans come to embody “matter out of place,” thus threatening order, security, and the nation itself. Dirt and dirtiness, in both symbolic and material forms, emerge as crucial organizing factors in the politics of Central American transit migration, providing an important case study in the dynamics between transit and destination states.
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    Empathy for the ‘Other’: Neglected Finnish Ethnographic War Photography from Occupied Soviet Territory
    (Taylor & Francis, 2023) Matila, Tuuli; Mullins, Paul R.; Ylimaunu, Timo; Anthropology, School of Liberal Arts
    This article examines a series of unsettling images from the Finnish Continuation War (1941–1944) and the memories of the war that these photographs construct for contemporary Finns. We argue that these images can be viewed through Alison Landsberg's (2004) notion of ‘prosthetic memory’, which underlines how visual media enable the acquisition of vivid memories of past events. The paper outlines how these long-ignored photographs narrate unexamined dimensions of World War II in ways that transform how Finns in particular remember the war. The images illustrate a neglected Finnish occupation of Soviet territories and the treatment of Russian civilians under Finnish rule. We argue that the images can provoke empathy for their experiences and therefor challenge traditional and nationalist Finnish war interpretations.
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