Stand Tall Research Articles

Disclosure Events and Psychosocial Well-Being Among Young South African Adults Living with HIV.

Poor psychological well-being is both prevalent among South Africans living with HIV and has been associated with poor HIV clinical outcomes. However, the relationship between disclosure and psychological well-being remains unclear. This analysis sought to examine the relationship between two disclosure-related variables, disclosure status and reaction received, and psychosocial well-being among a sample of young adults living with HIV (YALWH) in urban South Africa. This was a secondary analysis using observational data from Standing Tall, a randomized controlled trial that recruited 100 participants ages 18-24 who tested positive for HIV after initially presenting to two well-established mobile clinics for HIV testing. Interviews investigating primary and secondary outcomes of interest were done at baseline and 6 months following recruitment. About half (51%) of participants disclosed their HIV status within 6 months after recruitment. Simple linear regression analyses revealed that disclosure of HIV status within 6 months after study enrollment predicted significantly lower levels of disclosure concerns and internalized stigma (p < 0.05). Reactions to disclosure were not significantly associated with any of the measures of psychosocial well-being considered in this analysis (p > 0.05). The results suggest that the act of disclosure among newly diagnosed YALWH may be associated with reductions in internalized stigma. In addition, the finding that the act of disclosure may be a more important determinant of psychosocial well-being than the reaction to disclosure has important implications for interventions designed to promote disclosure and psychosocial well-being in YALWH.

Art, Intuition, and Identity in Ramón y Cajal.

In the history of neuroscience, Cajal stands tall. Many figures in the late 19th and early 20th centuries made major contributions to neuroscience-Sherrington, Ferrier, Jackson, Holmes, Adrian, and Békésy, to name a few. But in the public mind, Cajal is unique. His application of the Golgi method, with an array of histologic stains, unlocked a wealth of new knowledge on the structure and function of the brain. Here we argue that Cajal's success should not only be attributed to the importance of his scientific contributions but also to the artistic visual language that he created and to his pioneering self-branding, which exploited methods of the artist, including classical drawing and the new invention of photography. We argue that Cajal created his distinctive visual language and self-branding strategy by interweaving an ostensibly objective research product with an intimately subjective narrative about the brain and himself. His approach is evident in the use of photography, notably self-portraits, which furthered broad engagement initially inspired by his scientific drawings. Through his visual language, Cajal made an impact in art and culture far beyond the bounds of science, which has sustained his scientific legacy.

“A Songwriter’s Avalanche”: Nature and Creativity in Jason Ringenberg’s Stand Tall

Musicians have always sought inspiration in nature. The music they compose may represent nature in different ways. What is less known, however, is how this creative process unfolds. Through one case study—Americana artist Jason Ringenberg’s album Stand Tall—I explore how an encounter with the natural environment resulted in a burst of creative activity. Specifically, Ringenberg was commissioned by the U.S. National Park Service to write songs as an artist-in-residence in Sequoia National Park, California. Primarily based on an in-depth interview with Ringenberg, I show how creativity in nature takes many shapes. Specific sites and the circumstances in which Ringenberg encountered nature matter, as do experiences of solitude and closeness to nature through hikes and primitive living arrangements. The history and nature of the park—particularly its namesake trees and environmentalist John Muir—inspired the writing of songs that were directly representational of that environment. At other times creativity was opaque, even to the composer himself, in that songs were not thematically connected to the setting. Moreover, Ringenberg sensed a spiritual connection with nature which, filtered through his own beliefs and experiences, informed his personal artistic expressions.

Feeling Small or Standing Tall? Height Manipulation Affects Speech Anxiety and Arousal in Virtual Reality.

Social performance situations often constitute one of the most challenging communication tasks across different cultures. In today's work environments, giving presentations and performing in front of others are often essential and expected. Therefore, public speaking anxiety can have a serious impact on an individual's job performance, career choice, and prospects. Contemporary consumer virtual reality hardware has made it possible to practice public speaking anywhere in a safe and private virtual reality environment (VRE). As VREs offer the means to practice real-life scenarios, they also make it possible to go beyond what is "real"; to replace simulations with more dynamic and innovative training environments. Furthermore, with occupational life undergoing a significant shift toward technology-mediated working conditions, innovative tools and methods could also be used during virtually implemented real-time social interactions. This research aimed to study the ways in which an illusion of height, that is, perceived tallness versus perceived shortness, without any visible virtual body or representation, influences state speech anxiety and emotional responses of participants during simulation of a stressful speech task. The experiment followed a strictly controlled between-subject procedure, and both self-reported and psychophysiological data were collected. Results indicate that participants perceiving the illusion of tallness felt less anxious and had lower self-reported arousal compared with participants with the illusion of shortness. This implies that even simple, visual, first-person perspective manipulation of the VRE could help individuals to reduce their stress responses during a task-oriented situation.

Sons of Telamon

Sons of Telamon

Standing Tall Above a Jungle of Malaise: How a Modern Practice Competes

Committee News| May 2022 Standing Tall Above a Jungle of Malaise: How a Modern Practice Competes Matthew Dellaquila, MD, MBA, FASA; Matthew Dellaquila, MD, MBA, FASA Search for other works by this author on: This Site PubMed Google Scholar Christopher J. Malgieri, MD Christopher J. Malgieri, MD Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor May 2022, Vol. 86, 43. https://doi.org/10.1097/01.ASM.0000830884.91688.2f Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Cite Icon Cite Get Permissions Search Site Citation Matthew Dellaquila, Christopher J. Malgieri; Standing Tall Above a Jungle of Malaise: How a Modern Practice Competes. ASA Monitor 2022; 86:43 doi: https://doi.org/10.1097/01.ASM.0000830884.91688.2f Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: fatigue Practice management has never been more challenging than it is right now. Inflation is at record levels, health insurance costs are rising, and hospitals are suffering from record losses. Only practices that are mindful about their management strategy will survive long-term, and practices that do not evolve will likely be absorbed into hospitals or integrated in one fashion or another into larger national practices. That begs the question: What are some strategies that the modern practice manager can employ to increase the chances of survival in the modern business climate? You do not currently have access to this content.

2022 Medical Director of the Year: Stand Tall – but Not Alone – in Turbulent Times By Joanne Kaldy

Caring for the Ages is the official newspaper of AMDA and provides long-term care professionals with timely and relevant news and commentary about clinical developments and about the impact of health care policy on long-term care medicine.

COVID-19 Pandemic: Our Experience in Pakistan

COVID-19 emerged as a horrible nightmare for the humans on earth. This was not only because of the nature of the illness, diversity of symptoms, its bizarre course and unpredictable fate but also due to the broad spectrum of challenges the healthcare system faced across the globe. These challenges include the limited knowledge about the disease, shortage of dedicated COVID-19 facilities, gross deficiencies of Personal Protective Equipment (PPE), diagnostic kits, medicines, equipment for assisted ventilation and several other things necessary for COVID-19 management. Besides sparsely available resources, the myths and denial of COVID-19 had created conspiracies among the masses were even a bigger and a new kind of challenge that probably the medical fraternity has never faced in the recent past. Pakistan Islamic Medical Association (PIMA) realised its responsibility as a leading organisation of doctors, accepted all the challenges, stood tall and firm, putting all its efforts and capabilities to counter the COVID-19 at all fronts. The presentation covers the experiences faced by PIMA and its role during the COVID-19 pandemic in the last two years.International Journal of Human and Health Sciences Supplementary Issue: 2022 Page: S10

A mega-penguin stood tall on prodigious limbs

A mega-penguin stood tall on prodigious limbs

Whistle-blowers, Wokeness and the CIA

The CIA has developed an uneasy relationship with the American people, who regard it alternately as suspect and protective. Whistle-blowers and turncoats have tended to expose its ethical shortcomings, and sometimes have wilfully impaired US national security in doing so. But the agency stood tall in 2019, when a CIA analyst reported then-president Donald Trump's impeachable improprieties to intelligence-community overseers. Of late, the CIA has also manifested its recognition of the need for the organisation to better embody evolving American standards and mores, including diversity. A recent recruitment video was self-consciously and comically ‘woke’, and drew wide ridicule. That particular effort may have been maladroit. But the CIA is generally right to try to minimise the sociopolitical reasons for avoidable complaints among its officers and overseers so that they can devote maximum attention to the formidable security challenges facing the nation.

Analisa Pengaruh Interferensi Terhadap Passive Repeater Link Microwave Berdasarkan Stanadar ITU-T-G821

Di suatu daerah yang memiliki dataran tinggi seperti daerah Selawangi dan Pabuaran mempunyai banyaknya pegunungan dan bukit yang membuat terjadinya kegagalan informasi yang dikirimkan pada antar BTS, kegagalan tersebut diakibatkan terdapatnya gunung yang menjulang tinggi di antara site Selawangi ke site Pabuaran, gunung tersebut dinamakan penghalang (Obstacle) yang mengakibatkan sinyal informasi yang dikirimkan dari site Selawangi ke site Pabuaran mengalami tidak Line Of Sight (LOS). Untuk itu diperlukan penambahan antena pengulang yaitu (Repeater) untuk mengulang suatu sinyal radio dengan mengubah suatu pancaran radio tanpa sebuah aplikasi peralatan elektronik. Pada penelitian ini Repeater yang digunakan adalah back to back antenna karena jenis antena ini lebih baik untuk mengirimkan informasi yang diterima dan akan mendapatkan penguatan gain. Dari hasil pengujian rancangan dengan mengunakan software Pathloss 5.0, maka didapatkan hasil nilai dari kehandalan sistem yang tidak menggunakan passive Repeaterback to back yaitu availability dan outage time tidak muncul, dan dengan menggunakan passive Repeater hasil availability juga tidak muncul, Dapat disimpulkan hasil perancangan jaringan gelombang mikro menggunakan passive Repeater belum sukses karena hasil availability dan outage time tidak muncul dan membuat hasil availability tidak sesuai atau mendekati standar ITU-T-G821, oleh karena itu penulis akan mengkaji lebih lanjut dan menganalisa lebih lanjut, serta akan mengganti perangkat jika dibutuhkan.

Stand Tall-A Virtual Translation of the Otago Exercise Program.

The Otago Exercise Program (OEP) is effective at preventing falls and fall-related injuries. The resources and personnel required for program delivery and challenges inherent in monitoring participant adherence and compliance pose significant barriers to increasing the number of older adults participating in the OEP. Alternative delivery systems using virtual platforms may pose a solution. The purposes of this article were to (1) describe the "Stand Tall" intervention, a virtual translation of the OEP; (2) describe Stand Tall participant characteristics and fall-related risk at baseline; and (3) identify changes in physical performance measures associated with fall risk from baseline to 8-week follow-up. This was a quasi-experimental, single-group, pretest-posttest design. Forty-two older adults at risk for falls were recruited. Participants were oriented to Stand Tall by study personnel and then monitored and progressed virtually with face to face check-ins. Participants independently logged in and completed a prescribed a set of exercises 3 times a week for 30 minutes for a total of 8 weeks. The average participant age was 75.0 (9.1) years and self-reported 2.3 (1.7) chronic conditions. There were more men than women (52.4%) in the study. Participants were primarily non-Hispanic white (90.5%), had a college education (61.9), 40% reported falling in the past 6 months, and 60% screened positive for mild cognitive impairment. Participants were beginning to show decline in function with average single-leg stance less than 10 seconds and 30-second chair rise scores below normative values. Participants demonstrated high adherence rates (>88%) and significant improvements in physical performance measures associated with fall risk. These results may be limited to a less frail population and the study was not powered to demonstrate a reduction in falls. Results support that an avatar-delivered version of the OEP is effective, feasible, viable, and enjoyable for community-dwelling older adults. These types of platforms should be considered as potential mechanisms to increase availability of fall prevention programs.

Man and Monument: New Books on Washington Fail to Stand Tall

Man and Monument: New Books on Washington Fail to Stand Tall

Evaluating the effectiveness of a home-based exercise programme delivered through a tablet computer for preventing falls in older community-dwelling people over 2 years: study protocol for the Standing Tall randomised controlled trial

IntroductionIn order to prevent falls, older people should exercise for at least 2 h per week for 6 months, with a strong focus on balance exercises. This article describes the...

E Tu Ake! Investment In Wāhine Māori And Pasifika Women

Increasing the economic contribution of women who are at risk of having low lifetime incomes is a priority of the Ministry of Women's Affairs. Using the Māori and Pacific Trades Training initiative as a policy entry-point, this paper re-examines data related to this target group and explores the implications of this ‘new’ data to contribute to improving the economic independence of Māori and Pasifika women with low or no qualifications. Drawing on the findings of the E Tu Ake! Stand Tall and Proud report released by the Ministry for Women, the paper extends those findings to better direct us as policy makers and influencers within the broader policy-workforce interface and in our discussions with employers to more relevantly support these women.

In Memoriam: Jimmy Frank Howell (1932–2014)

In Memoriam: Jimmy Frank Howell (1932–2014)

An Enhanced Cloud Network Load Balancing Approach Using Hierarchical Search Optimization Technique

As one of the driving forces changing the way research and industry uses virtualization, distributed computing, internet, software and web services today, cloud computing stands tall. A cloud is an ecosystem of data centers, distributed servers, and clients all interconnected to each other. The unique selling point of a cloud is its reduced cost of ownership in comparison to traditional models. This primary advantage is complemented by fault tolerance, high availability opportunity, scalable and flexible structure, reduced infrastructure overheads for users, and services that can be accessed as and when required. One of the challenges that face cloud computing is load balancing. Load balancing assures optimum use of available resources, thereby, enabling consistency and performance of the overall system. An imbalance of load causes a single node or nodes to operate beyond its optimum levels. As a result, there could be either a gradual or a rapid loss in overall efficiency of the system leading to increase in emission rates and inefficient use of energy. In this paper, we have focused on resourceful load balancing coupled with a technique which reduces flooding. We have discussed how a combination of these is able to ensure efficient routing with reduced carbon emission.

Ancient Places: People and Landscape in the Emerging Northwest by Jack Nisbet

 OHQ vol. 116, no. 3 treaty proved tortuous and a feeling of “It’s a lie. He’s lying” spread among the conferees (p. 20). In the end, the document was signed and ratified, but the repercussions that unfolded from that fateful moment have remained with the signatory parties to the present day. On the Tulalip reservation that was created by the authority vested in the Point Elliott Treaty, Dover describes deplorable social and economic conditions in the first decades of the twentieth century. Unemployment was rampant, hunger was a daily reality, medical care was virtually non-existent, neither the tribe nor its members had any money, and racist attitudes exhibited by neighboring non-Natives were pervasive.Death hovered all around, with Dover’s older sister numbering among the casualties. The survivors were left suspended in a state of demoralization and alcoholism. Boarding school education, treaties, and reservation life are three topics of many that Dover raises from the welcome perspective of a Native American woman who struggled to survive through those trying and troubling times. Anyone seeking a deeper and richer understanding of Native American history, as well as the growth and development of the reservation community at Tulalip,and Dover’s long-standing efforts in adulthood to revive the cultural practices and traditions that the Bureau of Indian Affairs had been so obsessed with stamping out, will find Tulalip, From My Heart an indispensable resource. Readers interested in this area of American history may want to consult what is a growing literature on Native American leaders in the Pacific Northwest. Recommended as a starting place is this reviewer’s own article on the late Chehalis basket weaver Hazel Pete: “A Future with a Past”(Pacific Northwest Quarterly,2000). OtherworksincludeTwoPaths:EmmettOliver’s Revolution in Indian Education (1995) by Ben Smith; Esther Ross: Stillaguamish Champion by Robert H. Ruby and John A. Brown (2001); White Grizzly Bear’s Legacy: Learning to be Indian (2002) by Lawney Reyes; Standing Tall: TheLifewayof KathrynJonesHarrison(2005)by Kristine Olson;Where the Salmon Run: The Life andLegacyofBillyFrank,Jr.(2012)byTrovaHeffernan ; and, Katie Gale: A Coast Salish Woman’s Life on Oyster Bay (2013) by LLyn De Danaan. Cary C. Collins Maple Valley, Washington ANCIENT PLACES: PEOPLE AND LANDSCAPE IN THE EMERGING NORTHWEST by Jack Nisbet Sasquatch Books, Seattle, 2015. Notes, bibliography. 256 pages. $21.95 cloth. Ancient Places is a guided tour through the natural and cultural history of the inland Northwest with a few jaunts farther afield. Its ten essay-chapters are linked by their rootedness in a rugged landscape and by the genial erudition of their narrator. Jack Nisbet brings deep research and a keen naturalist’s eye to his main story, which is the emergence of the modern Northwest out of a crucible of upheaval that goes all the way back to the Bretz floods — cataclysms that carved the Columbia Gorge and scraped out eastern Washington’s coulee country — and continues through Euro-American settlement, Native dispossession,and the birth pangs of an extractive economy. Nisbet resists sweeping narratives, instead letting the big picture emerge from ordinary lives,little-known events,and odd twists of fate. He tells of Leno Prestini, the Italian terracotta artist who ended up in Clayton, Washington, making decorative facades for big-city banks, and William Manning, the up-and-coming mining engineer who collected Native artifacts from what he assumed was a dying race,  OHQ vol. 116, no. 3 and who is himself forgotten but for Nisbet’s thoughtful portrait, while the Tribes are still here. He tells of the Kalispel elder Victor and his son Masselow, who argued forcefully, in vain, for a reservation in their Pend Oreille Valley homeland. As in his 1994 book, Sources of the River, Nisbet interweaves historical accounts with his own closely observed experiences, moving back and forth through time on the same piece of ground. Sources of the River tethers its digressions to a strong narrative thread: the life of the explorer and fur trader David Thompson. The essays in Ancient Places, by contrast, are multi-threaded, and the tethers are sometimes a little loose. I found the first chapter a tough introduction — readers start with David Thompson’s hunting...

Stand Tall to Protect Students: School Counselors Strengthening School Connectedness

In an urban sample of 5,595 students in Grades 7–12, the authors found that (a) personalized counseling services that were responsive to student needs enhanced school connectedness, (b) risk factors (e.g., poverty, mobility rates, limited English proficiency) were associated with lower school connectedness scores, and (c) responsive counseling services acted as a protective factor that reduced some of the negative effects of risk factors on school connectedness, and consequently, student success in academic and nonacademic areas.

Roar like a dinosaur

Verse 1: Slither and slide from imaginary egg shell. Shout ‘Roar! Roar!’ Verse 2: Stand tall; stamp loudly around the room. Shout ‘Roar! Roar!’ (as before and for each subsequent verse) Verse 3: Open mouth wide, mime eating noisily Verse 4: Bang around, bumping into each other. Verse 5: Pretend to find and eat a large bone. Verse 6: Lumber slowly around, rubbing tummy. Rub eyes and lie down. Snore loudly!