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Purpose The purpose of this study was to quantify the number of surgical programs currently training osteopathic residents and to solicit advice for current osteopathic medical students who are interested in pursuing a surgical residency. Methods A questionnaire was sent to all listed Electronic Residency Application Service® (ERAS®) email contacts for the following specialties: General Surgery, Neurological Surgery, Orthopedic Surgery, Otolaryngology, Urology, Integrated Vascular Surgery, Integrated Plastic Surgery, and Integrated Thoracic Surgery. The questionnaire was sent a total of three times. Results Two hundred sixty-four of the 1,040 surgical residency programs responded to the questionnaire. Of these responses, 19% were formerly American Osteopathic Association (AOA) accredited programs. About 47.3% of responding programs indicated they are not currently training an osteopathic physician. One hundred thirteen programs provided additional comments on how osteopathic medical students may improve the competitiveness of their residency applications. These comments included increasing volumes of research activities, performing well on the United States Medical Licensing Exam (USMLE), and completing a sub-internship in the desired field or at a specific institution. Conclusion Osteopathic students still face many barriers to matching into surgical residencies. This study provides concrete steps students may take to increase the competitiveness of their application.

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No description available.

No description available.

In the recent years, it has been well established that primary respiratory viral infection-induced lung resident memory CD8 T cells (TRM) characterized by the expression of integrins CD49a and CD103, as well as the early-activation marker CD69, constitute the first line of defense against reinfection. On the other hand, viral vector-based respiratory mucosal (RM) vaccination, as well as parenteral vaccination followed by airway luminal manipulation induce lasting and protective lung T cell immunity towards pulmonary tuberculosis (TB). However, it remains poorly understood whether and how these TB vaccination strategies induce TRM in the lung. As such, within this thesis we will investigate generation of lung CD8 TRM upon different TB vaccination strategies and the underlying mechanisms regulating establishment of such cells. Here using distinct models of replication-deficient adenoviral vector-based TB vaccination, we find that RM vaccination leads to generation of lung CD8 TRM identified by the expression of CD69, CD103, and very late activation Ag 1 (VLA-1). These TRM-associated molecules are acquired by CD8 T cells in distinct tissues. In this regard, VLA-1 is acquired during T cell priming in draining mediastinal lymph nodes (dMLNs) and the others acquired after T cells entered the lung. Once in the lung, Ag-specific CD8 TRM continue to express VLA-1 at high levels through the effector/expansion, contraction, and memory phases of T cell responses. We also reveal that VLA-1 is not required for homing of these cells to the lung, but it negatively regulates them in the contraction phase. Furthermore, VLA-1 has a negligible role in the maintenance of such cells in the lung. Separately, we have observed that while parenteral intramuscular vaccination alone does not induce lung CD8 TRM, subsequent RM inoculation of an Ag-dependent, but not a non-specific inflammatory agonist induces lung CD8 TRM. Such generation of lung CD8 TRM needs CD4 T cell help. These findings not only fill the current knowledge gap, but also hold important implications in developing effective vaccination strategies towards mucosal intracellular infectious diseases such as acquired immunodeficiency syndrome (AIDS), TB and herpes virus infection. / Thesis / Doctor of Philosophy (PhD)

The Department of Housing and Urban Development (HUD) emphasizes the word "community" for building economic development, citizen participations, and revitalization of facilities and services in urban and rural areas. Resident Councils are one way to develop and build community among residents of public housing. This is a study of a resident council's role of community building. Despite HUD stressing community building in public housing and investing money and policies around it, there are some resident councils that are not fulfilling the expectations of HUD. The purpose of this research is to describe and explain the disjunctions between HUD's expectations for the resident council as an active agent for community building and the actual practices of the resident council. This research shows seven disjunctions stand in the way of the desired relationship between the resident council and the HUD officials: (1) emphasis on children, (2) leadership of the council, (3) perception that the resident council members are "snitches," (4) responsibilities of the resident council and HUD officials, (5) manager/managerial styles, (6) meeting dynamic, and (7) HUD structure and priorities. Focusing on the Rivertown Resident Council and building on a two year ethnographic case study of the council, I use a conceptual framework that combines critical race theory with a Scholar Activist Methodology to understand how housing policies, race, class, and the lived experiences of the resident council are apart of the disjunctions between the Rivertown Resident Council and HUD officials and what task can be taken to eliminate those disjunctions. / Ph. D.

In the United States, some states and higher education institutions allow undocumented students to pay in-state resident tuition at public colleges and universities. Yet, when undocumented youth apply and seek to qualify for in-state tuition, they find bureaucratic procedures and rules that may discourage them from applying at all, delay, or hamper their access to higher education. The study explores how such bureaucratic requirements impose learning, compliance, and psychological burdens on undocumented youth. Building upon administrative burdens scholarship and using qualitative and quantitative analyses of admissions applications at the institutional level, undocumented students reports' of their experiences, and surveys of college admissions officers, this study examines the admissions requirements and other factors that may shape the applications of undocumented students to colleges in the states providing ISRT benefits for undocumented youth. The findings suggest that undocumented youth navigate multifaceted institutional contexts across and within states, including requirements and rules at different organizational levels and interactions with admissions officers whose discretion may facilitate or obstruct access. Variations in ISRT requirements reflect states' patterns of immigration, demographics, political (sub) cultures, narratives about the deservingness, organizational factors as well as the discretion that college personnel has in applying the requirements. Findings suggest that factors associated with residency, notarized affidavits, tax forms, and lack of clear information and guidance from college personnel substantially increase burdens when undocumented youth seek to benefit from ISRT. Certainly, when states, institutions, and admissions officers establish and shape ISRT requirements, they implicitly influence the sense of belonging and membership of undocumented applicants and mediate intergovernmental tension surrounding legalization and inclusion of this population in society. / Doctor of Philosophy / Bureaucratic requirements and rules at some public colleges and universities in the United States may hamper the ability of undocumented immigrants to apply for admission and qualify for in-state resident tuition in the states and colleges that allow it. This study explores how such bureaucratic requirements impose learning, compliance, and psychological burdens on undocumented youth and the factors associated with such burdens. The study examines admissions applications in community colleges in the states where the benefit is available, interviews and surveys with undocumented youth as well as surveys of colleges admissions officers. The findings show that the administrative burdens that undocumented youth faces result from requirements and rules that overlap at different organizational levels, several policy interpretations, the intertwine between immigration and higher education policies, perceptions of such population's deservingness, and the discretion of admissions officers. Through these requirements, states and colleges shape the sense of belonging of immigrant youth and chart their legal and social inclusion.

The principal objectives of this study were to determine: a) the direct effect of an apartment manager’s leadership style and b) the direct and indirect effects of functional health, morale, and social activity on residential satisfaction using a path model. The sample for this study consisted of residents of government subsidized housing for the elderly in Virginia. The majority of the respondents were widowed, white females with and average age of 73. The sample was drawn from 10 apartment communities selected from a list of 19 communities containing 2,156 apartments. A self-administered instrument was developed, pretested, and revised as needed, and sent to one-half of the residents in each of the 10 communities. The responses were scored to determine the respondents' levels of residential satisfaction, perception of the apartment manager•s leadership style, level, of social activity, morale, and functional health. A total of 210 usable responses were obtained from the initial distribution of 582 instruments and one follow-up mailing. The total response rate was 36.1%. Leadership style emerged as having the strongest direct effect on residential satisfaction, .329, followed by social .222, morale, .071, and functional health, -.067. The R² was .262. The model was refined, positioning functional health, morale, and social activity as exogenous variables with leadership style as the intervening variable. The analysis was conducted separately for the group of respondents with eight years or less of education and for the group with more education. The total effect of every bivariate relationship was greater for the group with less education. The total effect of leadership style on residential satisfaction was .446 for the less educated group and .267 for the group with more education; for social activity, .371 and .178: for morale, .134 and .019; and for functional health, -.093 and .014, respectively. The R²s were .327 and .102, respectively. Leadership style of the manager has a strong direct effect on the residential satisfaction of the respondents as does their level of social activity. The total effect of morale and functional health on residential satisfaction is minor with functional health having a negative effect. The residential satisfaction of those with less education was more strongly affected by all variables than were the group with less education. / Ph. D.

Since the declaration of South Africa as the Gateway to Africa in 2010 by National Treasury, various changes have been made to South African legislation to make South Africa more attractive to foreign investors looking to expand their operations into Africa. The headquarter company regime was introduced with the purpose to provide a base from which these investments may be managed. From a tax perspective this regime eliminates or reduces specific taxes or rates of taxes for companies who elect to be classified as headquarter companies, provided that certain requirements are met. These requirements refer specifically to investments in qualifying foreign companies. The reference to foreign companies inevitably requires that the resident definition be considered. In South Africa residence of a person other than a natural person is the place where the company is incorporated, formed or established or the place of effective management which is a term subject to various interpretations. Regardless of the differences, all the interpretations refer to a senior level of management. Foreign incorporated companies with their place of effective management in South Africa are excluded from the definition should they qualify as controlled foreign companies with foreign business establishments subject to a high level of tax if the place of effective management is disregarded. The lack of skills in African countries as a product of shortfalls in the quality of education result in challenges to establish appropriately skilled management teams in these countries. When a centralised management team is set up at the headquarter company in South Africa the African subsidiaries risk being resident in South Africa and therefore the structure would not qualify for the benefits of the headquarter company regime. Further challenges arise when the exclusion to the resident definition is applied as shares held by a headquarter company are disregarded when the controlled foreign company status of the subsidiaries are determined. Therefore it is recommended that the headquarter company legislation be changed to correspond with successful regimes such as the Luxembourg and the Netherlands in that it does not only apply to foreign investment. It is further recommend that the resident definition be changed to exclude from the place of effective management test group structures that would comply with section 9I should the test be disregarded. / MCom (South African and International Tax), North-West University, Potchefstroom Campus, 2014