This autoethnography, based on a cultural epistemology grounded in my lived experiences as Black and middle class, is written as an exploration of the communication practice of code-switching. It is the consideration of Du Bois’ double-consciousness as reflected in my language practices. It is a means to examine the development of my Black identity in an aggressively hegemonic society. Using Cross’ Black identity development model to structure and frame my inquiry, I examine my experiences with code-switching in both Black-dominated and White-dominated spaces to understand how the choice to use “Standard English” or Ebonics, depending on audience, reflects the tension inherent in the Black American identity. This autoethnography attempts to draw connections to how the intersection of oppressed identities results in power inequities that shape communication practices for marginalized populations.
Those living with HIV experience a number of complications that negatively affect gait. Gait speed is an important predictor of overall health, and people living with the virus experience an accelerated decline as the disease progresses.
Purpose: To identify components associated with gait speed decreased.
Methods: Thirty individuals diagnosed with HIV, a stable immune system (cd4=878.5) and aged 60.31±7.8 years (19 males, and 11 females) were recruited for this study from a clinical fitness specialized in HIV. Participants completed the HIV dementia scale, vestibular fukuda test, 5 challenging single leg balance tests, 5 time sit to stand, and a 7-meter walk.
Results: A multiple linear regression analysis revealed the association of all components to the prediction of gait speed (R2 = [.963], F(df regression =15, df residual=6) = [F-10.5], p = [p-0.004]) except for the lower limb strength.
Conclusion: Exercise interventions that include vestibular stimulation, such as head rotations, single limb activities, and dynamics turning tasks, should be added to a 3 point (cardio, strengthening and stretching) exercise program. Physical therapists and exercise physiologists should assess and treat all those aforementioned components.
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