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Northwest Vista College

UniversitySan Antonio, Texas, United States

Research output, citation impact, and the most-cited recent papers from Northwest Vista College (United States). Aggregated across the NobleBlocks index of 300M+ scholarly works.

Total works
122
Citations
1.6K
h-index
20
i10-index
40
Also known as
Northwest Vista College

Top-cited papers from Northwest Vista College

Magnetic Actuation Methods in Bio/Soft Robotics
Nafiseh Ebrahimi, Chenghao Bi, David J. Cappelleri, Gastone Ciuti +4 more
2020· Advanced Functional Materials332doi:10.1002/adfm.202005137

Abstract In recent years, magnetism has gained an enormous amount of interest among researchers for actuating different sizes and types of bio/soft robots, which can be via an electromagnetic‐coil system, or a system of moving permanent magnets. Different actuation strategies are used in robots with magnetic actuation having a number of advantages in possible realization of microscale robots such as bioinspired microrobots, tetherless microrobots, cellular microrobots, or even normal size soft robots such as electromagnetic soft robots and medical robots. This review provides a summary of recent research in magnetically actuated bio/soft robots, discussing fabrication processes and actuation methods together with relevant applications in biomedical area and discusses future prospects of this way of actuation for possible improvements in performance of different types of bio/soft robots.

The naked truth: a comprehensive clarification and classification of current ‘myths’ in naked mole‐rat biology
Rochelle Buffenstein, Vincent Amoroso, Blazej Andziak, Stanislav Avdieiev +4 more
2021· Biological reviews/Biological reviews of the Cambridge Philosophical Society128doi:10.1111/brv.12791

The naked mole-rat (Heterocephalus glaber) has fascinated zoologists for at least half a century. It has also generated considerable biomedical interest not only because of its extraordinary longevity, but also because of unusual protective features (e.g. its tolerance of variable oxygen availability), which may be pertinent to several human disease states, including ischemia/reperfusion injury and neurodegeneration. A recent article entitled 'Surprisingly long survival of premature conclusions about naked mole-rat biology' described 28 'myths' which, those authors claimed, are a 'perpetuation of beautiful, but falsified, hypotheses' and impede our understanding of this enigmatic mammal. Here, we re-examine each of these 'myths' based on evidence published in the scientific literature. Following Braude et al., we argue that these 'myths' fall into four main categories: (i) 'myths' that would be better described as oversimplifications, some of which persist solely in the popular press; (ii) 'myths' that are based on incomplete understanding, where more evidence is clearly needed; (iii) 'myths' where the accumulation of evidence over the years has led to a revision in interpretation, but where there is no significant disagreement among scientists currently working in the field; (iv) 'myths' where there is a genuine difference in opinion among active researchers, based on alternative interpretations of the available evidence. The term 'myth' is particularly inappropriate when applied to competing, evidence-based hypotheses, which form part of the normal evolution of scientific knowledge. Here, we provide a comprehensive critical review of naked mole-rat biology and attempt to clarify some of these misconceptions.

miR-214: a potential biomarker and therapeutic for different cancers
Tanu Sharma, Ryan Hamilton, Chandi C. Mandal
2015· Future Oncology71doi:10.2217/fon.14.193

miRNAs (miRs), or small approximately 22-nucleotide-long single-stranded noncoding RNA molecules, interact with 3′ untranslated regions of target mRNAs, leading to inhibition of protein production. miR-214 is often dysregulated in various cancers, which governs both tumorigenic and tumor suppressive functions. This review focuses on the current knowledge of miR-214 switching in diverse forms of cancer either by its upregulation or downregulation and sheds light on the mechanism of its tumorigenic and suppressive roles. This article describes known targets and signaling pathways that impact tumorigenesis and tumor suppression and summarizes all information available on circulating levels of miR-214 to address whether miR-214 may function as a potential biomarker and therapy for cancer patients in the future.

Postservice Mortality of US Air Force Veterans Occupationally Exposed to Herbicides in Vietnam: 15-Year Follow-up
Joel Michalek, Norma S. Ketchum, Faheem Akhtar
1998· American Journal of Epidemiology53doi:10.1093/oxfordjournals.aje.a009699

The US Air Force continues to assess the mortality of veterans of Operation Ranch Hand, the unit responsible for aerially spraying herbicides in Vietnam. The authors of this study found that the cumulative all-cause mortality experience of these veterans was not different from that expected (standardized mortality ratio (SMR) = 1.0). Overall, cause-specific mortality did not differ from that expected regarding deaths from accidents, cancer, or circulatory system diseases, but the authors found that there was an increased number of deaths due to digestive diseases (SMR = 1.7, 95% confidence interval (CI) 0.9-3.2). When analyzing by military occupation, they found an increase in the number of deaths caused by circulatory system diseases (SMR = 1.5, 95% CI 1.0-2.2) among enlisted ground personnel, the subgroup with the highest dioxin levels. Most of the increase in the number of deaths from digestive diseases was caused by chronic liver disease and cirrhosis, and more than half of the increase in the number of deaths from circulatory system diseases was a result of atherosclerotic heart disease. In the subgroup of Ranch Hand veterans who had survived more than 20 years since their military service in Southeast Asia, the authors found no significant increase in the risk of death due to cancer at all sites (SMR = 1.1) and a nonsignificant increase in the number of deaths due to cancers of the bronchus and lung (SMR = 1.3).

Perceptions of a Community-Based Yoga Intervention for Older Adults
Neela K. Patel, Sreedhara Akkihebbalu, Sara Espinoza, Laura K. Chiodo
2011· Activities Adaptation & Aging31doi:10.1080/01924788.2011.574256

Self-reported effects of yoga among older adults in an independent-living retirement community are presented. Weekly 60-minute beginner Iyengar yoga classes tailored to individual functional levels using props were conducted. Classes included stretching, flexibility, endurance, balance, and relaxation. Pre- and postintervention perceptions by focus-group discussions and key informant interviews were conducted at baseline, 12 weeks, and 1 year. Twelve older persons age 65–89 (majority Hispanic) voluntarily participated. A grounded theory approach was used to generate the biopsychosocial model of health from the qualitative data collected. Perceived benefits included improved gait and balance, decreased pain, decreased need for medications and decreased stress, improved sleep, less anxiety and depression, increased mobility, increased self-awareness, and a greater sense of peace. No adverse events were reported. Caregiving obligations, relocation, and perceived interference with religious beliefs hindered the subjects' ability to fully participate. Older adults' perceived yoga benefits extended to mental, psychosocial, and spiritual health. Caregiving obligations and religious belief conflicts deserve further exploration in future yoga interventions for recruitment and retention of participants.

The impact of a multidisciplinary, integrated approach on improving the health and quality of care for individuals dealing with multiple chronic conditions.
Christina M. Krause, Christopher S. Jones, Stephen Joyce, Maria E. J. Kuhn +4 more
2006· American Journal of Orthopsychiatry26doi:10.1037/0002-9432.76.1.109

This study examined the effects of using a multidisciplinary, integrated, whole-person, team advocate approach to educate and empower participants with multiple chronic illnesses and coordinate, monitor, and support their health care process. Individuals (N = 39) from Midwest hospitals participated and completed self-report instruments. Changes in participants' functioning were also measured with diagnostic measures completed by the team advocates. The results indicate that the participants' perceptions of physical functioning, physical well-being, control, self-efficacy, and life satisfaction increased. Additionally, health-related behavior changes were reported, and short-term costs were significantly lower than projected costs. Finally, the participants rated their health care services in the program as more effective than previous health care services.

Family planning providers and contraceptive users in Rwanda employ strategies to prevent discontinuation
Hilary Schwandt, Angel Boulware, Julia Corey, Ana María Trejos Herrera +4 more
2021· BMC Women s Health25doi:10.1186/s12905-021-01503-1

BACKGROUND: In Rwanda, nearly a third of contraceptive users discontinue within the first year of use. Family planning programs often focus more on recruitment of new users as opposed to maintaining use among current users. A focus on sustaining users and minimizing discontinuation is imperative for long-term family planning program success. This study explores the efforts providers and contraceptive users in Rwanda employ to prevent one of the greatest challenges to family planning programs: contraceptive discontinuation. METHODS: This was a qualitative study conducted in Rwanda between February and July 2018. It included eight focus group discussions with 88 family planning providers and 32 in-depth interviews with experienced modern contraceptive users. Data were collected in two districts with the highest (Musanze) and lowest (Nyamasheke) rates of contraceptive use. Data were analyzed using thematic content approach. RESULTS: Family planning providers in this study used the following strategies to prevent discontinuation: counseling new users on the potential for side effects and switching, reminding clients about appointments for resupply, as well as supporting dissatisfied users by providing counseling, medicine for side effects, and discussing options for switching methods. Users, on the other hand, employed the following strategies to prevent discontinuation: having an understanding that experiences of side effects vary by individuals, supporting peers to sustain use, persisting with use despite experiences of side effects, and switching methods. CONCLUSIONS: The strategies used by family planning providers and users in Rwanda to prevent discontinuation suggest the possibility of long-term sustained use of contraception in the country. Harnessing and supporting such strategies could contribute to sustaining or improving further contraceptive use in the country.

Family planning demand generation in Rwanda: Government efforts at the national and community level impact interpersonal communication and family norms
Julia Corey, Hilary Schwandt, Angel Boulware, Ana María Trejos Herrera +4 more
2022· PLoS ONE21doi:10.1371/journal.pone.0266520

Between 2005 and 2020, total contraceptive use among married women in Rwanda increased from 17% to 64%. The aim of this study is to better understand how the Rwandan government's mobilization and demand generation efforts have impacted community norms and interpersonal discourse surrounding family planning. Eight focus group discussions with family planning providers and 32 in-depth interviews with experienced modern contraceptive users were conducted in 2018 in the two Rwandan districts with the highest and the lowest contraceptive prevalence rates. Results suggest that outspoken government support, mass media, and community meetings were valuable sources of information about family planning. Information received through these channels generated interpersonal dialogue about contraceptives through both conversation and observation; however, rumors and misinformation remained a significant barrier to use. A once taboo subject is now normative among married couples. Continuing to address common fears and misinformation through communication channels such as mass media and community meetings may help to further increase contraceptive uptake in Rwanda.

Protease stabilization by highly concentrated anionic surfactant mixtures
Jim Lalonde, E. Jane Witte, Mary L. O’Connell, Lynn Holliday
1995· Journal of the American Oil Chemists Society20doi:10.1007/bf02635779

Abstract We have found that anionic surfactants such as linear alkylbenzene sulfonate (LAS) can solubilize proteases in a substantially nonaqueous environment without loss of proteolytic activity. Moreover, in mixtures of anionic and nonionic surfactants with a moderate amount of water (water less than 30 wt%), controlled levels of LAS and water solubilize proteases; yet, in these concentrated surfactant mixtures, enzymes maintain their activity for extended periods. Experimental design techniques have been used to delineate the relationship between protease stability and the water, pH and anionic surfactant levels in these surfactant concentrates. As the sum of water and LAS levels is increased, maximum enzyme stability is observed, after which stability falls off. At low water and LAS levels (sum of both <20%), protease solubility is low, while at high levels of water and LAS (sum of LAS and water >45%), denaturation predominates. Additionally, we have developed a new and simple method to predict protease stability by which a synthetic peptide is used to measure protease activity directly in the surfactant concentrate. From the application of this new technique to our system and to commercial liquid detergent formulations, it is apparent that water facilitates the loss of activity of proteases in surfactant concentrates by increasing the rate of autolysis.

Evaluation of hybrid and distance education learning environments in Spain
Rosario Ferrer‐Cascales, Scott L. Walker, Abilio Reig-Ferrer, M. Dolores Fernández-Pascual +1 more
2011· Australasian Journal of Educational Technology20doi:10.14742/ajet.906

<span>This article describes the adaptation and validation of the </span><em>Distance Education Learning Environments Survey</em><span>(DELES) for use in investigating the qualities found in distance and hybrid education psycho-social learning environments in Spain. As Europe moves toward post-secondary student mobility, equanimity in access to higher education, and more standardised degree programs across the European Higher Education Area (EHEA) the need for a high quality method for continually assessing the excellence of distance and hybrid learning environments has arisen. This study outlines how the English language DELES was adapted into the new </span><em>Spanish-Distance Education Learning Environments Survey</em><span> (S-DELES) for use with a Bachelor of Psychology and Criminology degree program offering both distance and hybrid education classes. We present the relationships between psycho-social learning environment perceptions and those of student affect. We also present the asynchronous aspects of the environment, scale means, and a comparison between the perceptions of distance education students and their hybrid education counterparts that inform the university about the baseline health of the information and communication technologies (ICT) environment within which the study was conducted.</span>

Assessment of 6- to 20-Grade Educators' Climate Knowledge and Perceptions: Results From the Climate Stewardship Survey
Karen S. McNeal, Scott L. Walker, David Rutherford
2014· Journal of Geoscience Education20doi:10.5408/13-098.1

The southeastern United States (SEUS) faces numerous potential impacts from a changing climate; however, the population has been characterized with a predominance of naysayers and few climate policies have been implemented by state governments in the region. As such, public education is an important avenue for achieving a climate literate citizenry in the region. Yet little is known about the needs of and influences on this community. We developed the Climate Stewardship Survey (CSS) to assess grades 6–20 educators' knowledge and perceptions of climate change in the SEUS (South Carolina, North Carolina, Georgia, Texas, Mississippi, Alabama, Louisiana, Tennessee, Florida, and Arkansas). The population sampled was an informed volunteer sample of convenience. Our findings demonstrated little misinformation among this informed group was evident and strong knowledge and perceptions of the issue were prevalent. However, some uncertainties about the impacts and causes of climate change persisted. Also, in regard to political orientation, Democratic Party and Republican Party educators had statistically significant (p < 0.05) differences in their knowledge and perceptions, and this difference was even stronger once Protestants were subdivided by political preferences. These differences indicate that the issue is polarized in the SEUS among educators and that the coupling of political and religious orientation can strongly influence this group's climate change knowledge and perceptions. As such, this population in the SEUS may be potentially more susceptible than others to cultural cognition influences, especially since relatively few SEUS state education standards address geoscience or climate change content, particularly at levels beyond middle school, with fewer than half of the states surveyed participating in the Next Generation Science Standards development process. Although this sample was limited in its distribution among states and respondent ethnicity, the findings presented are informative about potential SEUS educators' perceptions and knowledge about climate change. As such, our findings can be used to help inform future trainers in regard to what content areas might be the principal professional development opportunities and provide future researchers potential avenues for further investigation.

Increasing participation from underrepresented minorities in STEM through robotics clubs
Timothy T. Yuen, Lucila D. Ek, Andrew Scheutze
201319doi:10.1109/tale.2013.6654392

This paper describes our team's efforts in designing and establishing after-school robotics clubs throughout the San Antonio area in order to increase Hispanic participation in science, technology, engineering, and mathematics fields. We discuss our model of informal learning environments for motivating minority children from linguistically and culturally diverse populations as well as the implementation plan used for partnering with schools to start after-school robotics clubs.

An examination of the barriers to and benefits from collaborative couple contraceptive use in Rwanda
Hilary Schwandt, Angel Boulware, Julia Corey, Ana María Trejos Herrera +4 more
2021· Reproductive Health19doi:10.1186/s12978-021-01135-6

BACKGROUND: Supportive male involvement is strongly correlated with contraceptive use. In Rwanda, where the contraceptive prevalence rate among married women increased from 17 to 52% from 2005 to 2010, and stagnated at 53% in 2015, understanding the role of male partners in collaborative couple contraceptive use can help inform programs designed to further increase the use of contraception in Rwanda. METHODS: This study utilized qualitative methods in 2018, specifically 32 in-depth interviewers with mostly current users of modern contraceptive methods and eight focus group discussions with family planning providers-both family planning nurses and community health workers (CHWs). Respondents were from Musanze and Nyamasheke Districts, the districts with the highest and lowest modern contraceptive use, respectively, to explore the role of couple collaboration in family planning use in Rwanda. Data were analyzed using the thematic content approach in Atlas.ti (8). RESULTS: Findings demonstrate that some men are opposed to use of male methods of contraception, and some are opposed to any contraceptive use, which can lead to covert use. Women and providers prefer collaborative couple contraceptive use-as a result, providers advocate for and encourage male partner participation in contraceptive use. Women are most often burdened with seeking out information, initiating discussions, and sharing information discovered about contraceptive use with partners. Decision-making about contraceptive use, once discussed, can be collaborative and motivated by financial considerations. When couple contraceptive use is collaborative, benefits range from marital harmony to husband's support of sustained use through reminders about appointments, joint counseling, and support in managing side effects. CONCLUSION: Family planning providers at the community and clinic levels encourage collaborative contraceptive use among couples and some Rwandan couples communicate well about family planning use. Despite the positives, women are expected to source family planning information, share that information with their male partners, seek out family planning services, and use family planning. If more Rwandan male partners accepted use, used male methods of contraception, and participated even more in the work it takes to use family planning, the potential for sustained, and even enhanced, contraceptive use in Rwanda could be realized.

Emission enhancement through Nd3+-Yb3+ energy transfer in multifunctional NaGdF4 nanocrystals
Francisco Pedraza, Chris Rightsell, G.A. Kumar, Jason Giuliani +2 more
2017· Applied Physics Letters19doi:10.1063/1.4984140

The growing need for biomedical contrast agents has led to the current development of multi-functional materials such as lanthanide-based nanoparticles (NPs). The optical and magnetic properties these nanoparticles (NPs) possess are important to enhance current biomedical imaging techniques. To increase the optical emissions of the nanoparticles, neodymium (Nd3+) and ytterbium (Yb3+) were introduced into a magnetic host of NaGdF4. The energy transfer between Nd3+ and the Yb3+ was then investigated at multiple concentrations to determine the optimal dopant levels. The NaGdF4:Nd3+,Yb3+ nanoparticles were synthesized through a modified solvothermal method, resulting in rectangular structures, with an average side length of 17.87 ± 4.38 nm. A double dopant concentration of 10% Nd3+ and 4% Yb3+ was found to be optimal, increasing the emission intensity by 71.5% when compared to the widely used Nd3+ single dopant. Decay measurements confirm energy transfer from Nd3+ to Yb3+, with a lifetime shortening from Nd3+ 1064 nm emission and a calculated lifetime of 12.72 ms with 98% efficiency. Despite NaGdF4:Nd3+,Yb3+ NPs showing a slight decrease in their magnetic response at the expense of optimizing optical emission, as it is directly dependent on the Gd3+ concentration, a strong paramagnetic behavior was still observed. These results corroborate that NaGdF4:Nd3+,Yb3+ NPs are viable candidates for multimodal imaging.

“What a Girl Wants”: What Can We Learn From Animal Models of Female Sexual Motivation?
Fay A. Guarraci, Russell J. Frohardt
2019· Frontiers in Behavioral Neuroscience16doi:10.3389/fnbeh.2019.00216

Sexual motivation is notably different than other motivations such as hunger and thirst, because it lacks homeostatic drive. Sexual motivation poses no threat to physical well-being; individual survival is not at stake. Nevertheless, sexual motivation is a powerful drive and is critical for species survival. Understanding the complexity of sexual motivation has the potential to advance our understanding of other motivations, even pathological motivations, such as those associated with substance abuse. The study of motivation that is unique to females has often been neglected. A number of paradigms have been developed to investigate female sexual motivation beyond measuring only the lordosis reflex. Lordosis is a reflexive posture displayed by female mammals in response to male sexual stimulation to facilitate intromission. The lordosis reflex is essential, but studying the drive to mate is compromised in the absence of robust lordosis. Therefore, appetitive measures of sexual behavior (e.g., preferences, solicitation behaviors) are more specific and more sensitive indicators of sexual motivation than lordosis alone. Paradigms designed to study female sexual motivation often provide a female subject with the choice to interact with a sexually vigorous male or either a non-sexual partner (i.e., female, castrated male) or to remain alone. The study of appetitive measures of sexual motivation has elucidated the role of hormones in female sexual motivation, as well as the underlying neural pathways. The present review describes methods for studying female rats to advance our understanding of sexual motivation and sexual dysfunction.

“She is courageous because she does not care what people think about her…”: attitudes toward adolescent contraception use among Rwandan family planning providers and adult female modern contraceptive users
Hilary Schwandt, Angel Boulware, Julia Corey, Ana María Trejos Herrera +4 more
2022· Reproductive Health14doi:10.1186/s12978-022-01517-4

INTRODUCTION: In Rwanda, only 20% of sexually active unmarried young women use family planning as compared to 64% of married women. Adolescence is an important time of growth and development that often includes the initiation of sexual activity. Sexually active adolescents need support in accessing contraceptive services to prevent negative health outcomes. In sub-Saharan Africa, the adolescent population represents a large share of the total population and that proportion is predicted to expand over time. Adolescent contraceptive needs have largely been unmet, and with growing numbers, there is increased potential for negative health sequelae. Due to the low use of contraception by adolescents in Rwanda, and the growing population of adolescents, this study aims to explore the perspectives of family planning providers and adult modern contraceptive users on adolescent contraceptive use. Inclusion of adult community members in the study is a unique contribution, as research on adolescent contraceptive use in sub-Saharan Africa relies primarily on perspectives from adolescents and family planning providers. METHODS: This qualitative study in 2018 utilized 32 in-depth interviews with modern contraceptive users and eight focus group discussions with family planning providers. Respondents were from Musanze and Nyamasheke districts in Rwanda, the districts with the highest and lowest modern contraceptive use among married women, respectively. Coding was conducted in Atlas.ti. RESULTS: Stigma regarding premarital sex results in barriers to adolescent access to contraceptive services. Family planning providers do provide services to adolescents; however, they often recommend secondary abstinence, offer a limited method selection, and accentuate risks associated with sexual activity and contraceptive use. Providers support adolescent clients by emphasizing the need for privacy, confidentiality, and expedient services, particularly through youth corners, which are spaces within health facilities designed to meet youth needs specifically. Modern contraceptive-using adult female community members advocate for youth access to contraception, however mothers have mixed comfort discussing sexual health with their own youth. CONCLUSION: To destigmatize premarital sexual activity, government efforts to initiate communication about this topic must occur at national and community levels with the goal of continued conversation within the family. The government should also train family planning providers and all health personnel interacting with youth on adolescent-friendly health services. Dialogue between community members and family planning providers about adolescent access to contraceptive services could also reduce barriers for adolescents due to community members' generally supportive views on adolescent contraceptive use. Efforts to engage adolescent caregivers in how to talk to youth about sex could also contribute to expanded use.

Development and Validation of an Instrument for Assessing Climate Change Knowledge and Perceptions: The Climate Stewardship Survey (CSS)
Scott L. Walker, Karen S. McNeal
2013· DergiPark (Istanbul University)12

The Climate Stewardship Survey (CSS) was developed to measure knowledge and perceptions of global climate change, while also considering information sources that respondents &amp;amp;lsquo;trust.&amp;amp;rsquo; The CSS was drafted using a three-stage approach: development of salient scales, writing individual items, and field testing and analyses. Construct validity and alpha-level reliability was conducted on the 122-item test instrument to produce a refined 84-item CSS.&amp;amp;nbsp; The field tested CSS includes five scales (1) Impacts of Climate Change, (2) Causes of Climate Change &amp;amp;nbsp;(3) Misunderstandings about Climate Change &amp;amp;nbsp;(4) Issues&amp;amp;nbsp; and (5) Policy. &amp;amp;nbsp;Four knowledge dimension sub-scales and seven perception dimension sub-scales scales are included in the accepted instrument. The CSS is particularly applicable to studies interested in measuring potential respondent&amp;amp;rsquo;s ideas on the impacts, causes, and misunderstandings that are important to global climate change knowledge and perceptions as they relate specifically toward climate change issues and policy.

Drawing the Line: Spatial Strategies of Community and Resistance in Post-SB1070 Arizona
Geoffrey Alan Boyce, Sarah Launius, Adam O Aguirre
2016· UA Campus Repository (The University of Arizona)12doi:10.14288/acme.v18i1.1328

In North America, and globally, the topics of immigration and immigration policy have become among the most divisive fault lines of political struggle and debate. In this paper, we reflect upon the State of Arizona’s embrace of the “Attrition Through Enforcement” (ATE) doctrine as exemplary of contemporary U.S. anti-immigrant policies that target the social reproduction of non-citizens. Reflecting on ATE and movements against it, we argue for the inadequacy of scholarly and activist approaches that would normatively deploy frameworks of “citizenship” or demands for “no borders” to articulate the stakes and composition of contemporary immigration struggles. Borrowing from political scientist Joel Olson and his concept of “democratic Manichaeism,” we argue instead the imperative to radically confront and unsettle the normative divisions between citizen and non-citizen that anti-immigrant actors and policies would police. Through two case studies in Tucson, Arizona, we examine the possibilities and challenges related to mobilizing such a Manichaean framework through the quotidian spaces of everyday life. We conclude by proposing “community composition” as both a political agenda and a methodological framework through which to attend to everyday geographies of belonging and exclusion while confronting the normative political categories that structure the nation-state and justify its violence.

Development and Validation of an Instrument for Assessing Transformative Learning: The Transformative Learning Environments Survey (TLES)
Scott L. Walker
2018· Journal of Transformative Learning11

Abstract The purpose of this study was to develop and validate a new transformative learning survey instrument. The Transformative Learning Environments Survey (TLES) was developed using a three-stage approach and field tested with a population of 649 postsecondary students. The new validated instrument consists of 52 items allocated to four scales: (1) Disorienting Dilemma, (2) Self-Reflection, (3) Meaning Perspective and Critical Discourse, and (4) Acting. Each scale is subdivided into (a) students’ apperception and (b) their perception of the learning environment for a total of 8 subscales. Each item had a minimal factor loading of 0.50 with its own scale. Cronbach’s alpha coefficients ranged from 0.85 to 0.93. The TLES was used to investigate bivariate correlations between its subscales and a scale of student satisfaction where the outcomes ranged from -0.29 to 0.49. The TLES is an instrument that can be utilized for efficient small- and large-scale quantitative investigation into transformative learning.

Clinical, Epidemiologic and Ethical Aspects of Hysterectomy in Young Females With Intellectual Disability: A Multi-Centre Study of Public Hospitals in Mexico City
Horacio Márquez-González, Edith Váldez-Martínez, Miguel Bedolla
2021· Frontiers in Public Health11doi:10.3389/fpubh.2021.746399

Background: Non-therapeutic hysterectomy has been performed to this day in Mexican women with intellectual disabilities (IDs), but the rationale for performing the procedure has been rarely submitted to clinical ethics committees. The objectives of the present research were to determine the frequency of hysterectomy and the clinical and epidemiologic characteristics that associated to the indication of hysterectomy in girls and young females with IDs and to analyse the emerging ethical issues related to the procedure. Materials and Methods: A medical chart review was conducted to identify female patients aged ≤ 25 years who had IDs based on anatomical pathologies and hospital records and underwent hysterectomy between January 2014 and December 2019 in nine high-concentration hospitals in Mexico City. Data were collected using a questionnaire developed ex professo and validated through a pilot study and analysed using the Statistical Package for the Social Sciences (SPSS) 21.0 software. Results: Information of 234 female patients with or without ID who were ≤ 25 years of age was reported by the departments of anatomical pathology and paediatrics. Of the patients, 184 (79%) were excluded because the information reported was found to be erroneous or incomplete during the medical records review. Most of the 50 emales included in the study had moderate ID ( n = 23, 46%) followed by those with severe ID ( n = 17, 34%). The mean age at hysterectomy was 15 ± 2.9 years. Prophylactic-total abdominal hysterectomy was the most frequently performed ( n = 42, 84%). A concurrence was observed between the parental and medical reasons justifying hysterectomy. The most frequent reasons were fertility control (parents vs. physicians: 46 vs. 42%), management of menstrual hygiene (28 vs. 30%) and risk of sexual abuse (6 vs. 6%). Conclusion: This study showed that performing non-therapeutic hysterectomy is subject to the clinical judgement of physicians according to their perception of the patient's quality of life. Therefore, the ethical quality of the decision to perform the procedure in girls and young females resides in the ethical value of its consequences.