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Adoption Of Virtual Influencers By The Healthcare Industry: Benefits And Drawbacks, Jessica L. Holden, Ismet Anitsal, Melek Meral Anitsal Apr 2025

Adoption Of Virtual Influencers By The Healthcare Industry: Benefits And Drawbacks, Jessica L. Holden, Ismet Anitsal, Melek Meral Anitsal

AMTP Proceedings 2025

Social media influencers are thought leaders and influence others' attitudes, opinions, and behaviors (Pourkarim et al., 2023. Laszkiewicz & Kalinska, 2023). The healthcare industry currently utilizes social media and social media influencers to provide generalized health advice and opinions on and experiences with different providers (Reed & Feilding, 2022). However, the use of social media by healthcare businesses is still relatively novel (Gijsen et al., 2020), although it is becoming increasingly used for healthcare education and decision-making (Stellefson et al., 2020). Within the social media marketing space, there has been a rise in the use of virtual influencers. A Virtual …


The Impact Of Online Vs. In-Person Classes On College Students' Social Functioning And Well-Being: A Pilot Study, Aron Levin, Irwin Levin, J. Charlene Davis, C. Edward Heath Apr 2025

The Impact Of Online Vs. In-Person Classes On College Students' Social Functioning And Well-Being: A Pilot Study, Aron Levin, Irwin Levin, J. Charlene Davis, C. Edward Heath

AMTP Proceedings 2025

This paper examines the relationship between undergraduate college students’ mix of online and in-person classes on their well-being and mental health. We first examine the research on consumer well-being and Quality of Social Functioning and then apply these streams of research to our pilot study, an online survey. In our pilot study, we find some statistical differences in students’ well-being, depending on whether they take predominantly in-person or online classes. Students who take about one half of their classes online are more satisfied with their academic performance than those who take all or mostly in-person classes. Those who take all …


Sex & Startups, Jens Frankenreiter, Talia B. Gillis, Eric L. Talley Apr 2025

Sex & Startups, Jens Frankenreiter, Talia B. Gillis, Eric L. Talley

Faculty Scholarship

Private law offers a unique solution to the problem of long-term fiscal commitment. When Congress enacts a spending program that will take many years to reach fruition, there is a risk of a subsequent Congress or President cutting off funding in the interim. There is no escape from the problem within appropriations law itself. One solution, however, is to entrust private sector allies as vessels of long-term commitment. As a matter of political economy, that solution draws on policy-feedback theory. As a matter of law, the solution rests on a mechanism that Congress already uses but has not recognized its …


The Role Of Affordable Housing In Enhancing Tenants' Economic Stability In Connecticut: A Focus On Income, Employment, And Housing Stability, Osaid Zubi Apr 2025

The Role Of Affordable Housing In Enhancing Tenants' Economic Stability In Connecticut: A Focus On Income, Employment, And Housing Stability, Osaid Zubi

Dissertations

This study examined the role of affordable housing in promoting economic stability among low- and moderate-income households in Connecticut. Focusing on income security, employment opportunities, and housing retention, this research highlighted the significance of affordable housing as a means to alleviate financial strain, support job retention, and foster community resilience. Utilizing a phenomenological approach, the study gathered insights from tenants, policymakers, and developers through conducting interviews and a focus group. Connecticut was chosen as the study site due to its high cost of living and affordable housing shortage, exacerbated by its proximity to New York City. Findings underscore the economic …


Network Analysis Of Sociotechnical Systems, Siva Kadiresan Apr 2025

Network Analysis Of Sociotechnical Systems, Siva Kadiresan

Engineering Management & Systems Engineering Theses & Dissertations

Sociotechnical networks have become integral frameworks in the accomplishment of organizational objectives by increasingly diverse, cross-functional, and technology-enabled modern teams. In cross-disciplinary teamwork, multiple mediating and moderating factors appear to lend context to the effects of team diversity faultlines on team outcomes. In the several decades of research into teamwork from a network perspective, there has been a paucity of empirical studies that examine how team transition processes and cross-disciplinary connections influence the impact of faultlines on team performance. This study investigates the association among perceived teamwork effectiveness, transition processes, cross-functional team connections, and faultlines in the context of sociotechnical …


A Theoretical Framework For Examination Of Context In Complex System Governance, Meggan M. Schoenberg Apr 2025

A Theoretical Framework For Examination Of Context In Complex System Governance, Meggan M. Schoenberg

Engineering Management & Systems Engineering Theses & Dissertations

“A complex system’s identity and viability are directly related and affected by its context. It is important to identify, monitor, and manage (or mitigate risk) system contextual elements” (Keating C. B. et al., 2022, p. 209). Despite this importance, there is very limited research and literature on complex systems context. This research seeks to expand our understanding of complex system context and improve our ability to govern complex technology development programs effectively. The ability to analyze complex systems and their problems is necessary for this improvement.

A “clear understanding of the specific complex system context is fundamental to the process …


Distribution Comparisons Of Eac Cost Growth For Aircraft Work Breakdown Structure Elements, Kyle P. Marquis, Edward D. White, Brandon M. Lucas, Robert D. Fass, Jonathan D. Ritschel, Shawn M. Valentine Apr 2025

Distribution Comparisons Of Eac Cost Growth For Aircraft Work Breakdown Structure Elements, Kyle P. Marquis, Edward D. White, Brandon M. Lucas, Robert D. Fass, Jonathan D. Ritschel, Shawn M. Valentine

Faculty Publications

This article analyzes and investigates the distribution of cost growth of the Estimate at Completion (EAC) for the Work Breakdown Structure (WBS) elements of approximately 60 historical United States Acquisition Category I Research, Development, Test and Evaluation aircraft programs. Using the method of maximum likelihood in conjunction with the Akaike Information Criterion, the authors suggest that both the lognormal and Weibull distributions provide relatively good fit to EAC cost growth, with the lognormal slightly edging out the Weibull. As a summarized finding, the authors present their empirical results for the mean, coefficient of variation (CV), the 15th and 85th percentiles …


The Interplay Between Endothelial Glycocalyx Maturity And Both The Toxicity And Intracellular Uptake Of Charged Nanoparticles, Claire A. Bridges, Lu Fu, Jonathan Yeow, Xiaojing Huang, Miriam Jackson, Rhiannon P. Kuchel, James D. Sterling, Shenda M. Baker, Megan S. Lord Apr 2025

The Interplay Between Endothelial Glycocalyx Maturity And Both The Toxicity And Intracellular Uptake Of Charged Nanoparticles, Claire A. Bridges, Lu Fu, Jonathan Yeow, Xiaojing Huang, Miriam Jackson, Rhiannon P. Kuchel, James D. Sterling, Shenda M. Baker, Megan S. Lord

Business and Information Technology Faculty Research & Creative Works

Nanoparticles are widely studied for delivering treatments to target tissues, but few have reached clinical use. Most nanoparticles encounter blood vessels on their way to target tissues. The inner surface of these vessels is lined with endothelial cells covered by a glycocalyx, an extracellular matrix rich in anionic glycans. The role of the glycocalyx in nanoparticle interactions is not well understood. Here, we demonstrate that endothelial cells need extended culture times to synthesize a mature glycocalyx. Our research shows that branched polyethyleneimine functionalized gold nanoparticles bind to endothelial cells expressing either a developing or mature glycocalyx, with the interaction involving …


The Effect Of Perceived Brand Betrayal On Brand Hate, Avoidance-Like And Attack-Like Strategies: A Comparative Study Of Customers With/Without Past Negative Experiences, Nasrin Rasouli, S. Mostafa Rasoolimanesh, Mohammad Alimohammadirokni, Ayatollah Momayez Apr 2025

The Effect Of Perceived Brand Betrayal On Brand Hate, Avoidance-Like And Attack-Like Strategies: A Comparative Study Of Customers With/Without Past Negative Experiences, Nasrin Rasouli, S. Mostafa Rasoolimanesh, Mohammad Alimohammadirokni, Ayatollah Momayez

Research outputs 2022 to 2026

This study explores the impact of perceived brand betrayal on two types of brand hate and their subsequent effects on consumer behavioral responses. It also investigates how these relationships vary between customers with/without past negative experiences. Data about luxury hotels were obtained using an online survey in Iran. Partial least squares structural equation modeling was used for data analysis. The findings indicate that perceived betrayal positively influences passive and active brand hate, leading to negative behavioral responses. Moreover, a significant difference was found between the two groups of customers with/without past negative experiences regarding the effect of perceived betrayal on …


Ai-Capable Relationship Marketing: Shaping The Future Of Customer Relationships, Sanjit K. Roy, Ali N. Tehrani, Ameet Pandit, Chrysostomos Apostolidis, Subhasis Ray Apr 2025

Ai-Capable Relationship Marketing: Shaping The Future Of Customer Relationships, Sanjit K. Roy, Ali N. Tehrani, Ameet Pandit, Chrysostomos Apostolidis, Subhasis Ray

Research outputs 2022 to 2026

This study explores the interlinkages between artificial intelligence (AI), dynamic capabilities, and relationship marketing (RM) outcomes. Drawing upon insights from dynamic capabilities and RM theory, this study delineates the strategies and initiatives organizations can adopt using machine learning (ML) and AI to enhance their adaptability to changing market dynamics and customer preferences, in order to develop and maintain stronger relationships with their customers. Based on qualitative data from 67 interviews with managers in different organizations in India, this study contributes to existing theoretical knowledge and managerial practices, as it proposes a comprehensive research framework that demonstrates how AI technologies can …


Capital Formation, The Sec, And Accredited Investors, Neal F. Newman, Lawrence J. Trautman, Brian Elzweig Apr 2025

Capital Formation, The Sec, And Accredited Investors, Neal F. Newman, Lawrence J. Trautman, Brian Elzweig

Faculty Scholarship

Protecting the investing public, while simultaneously facilitating the efficient flow of capital needed by all new and growing businesses continues as a primary responsibility of the U.S. Securities and Exchange Commission (SEC). Enhancing the capital formation process is a necessary step in the creation of jobs and growth of any economy. Central to the SEC’s regulatory schematic is the proposition that some particularly sophisticated and wealthy investors require less protection than those with less knowledge, experience, and resources. During December 2023, for just the third time, the SEC staff issued a report examining the status of the natural person accredited …


How Does Digital Finance Affect Imports, Exports And Trade Balance: Evidence From China, Hongya Li, Xiaobin Lin, Zhaoyong Zhang Apr 2025

How Does Digital Finance Affect Imports, Exports And Trade Balance: Evidence From China, Hongya Li, Xiaobin Lin, Zhaoyong Zhang

Research outputs 2022 to 2026

This paper investigates how digital inclusive finance affects imports and exports as well as foreign trade balance by incorporating the mediating effect of technological innovation and the moderating effect of identified factors. Using panel data from 31 provinces and regions in China, we find robust evidence that digital inclusive finance has a significant and positive effect on China's trade performance, with technological innovation being the important mediator and marketization, industrial structure transformation and upgrading, economic development and financial regulation as the effective moderators. Such effect is found more striking for the central and western regions, confirming the presence of regional …


Intellectual Capital Strategies And Their Impact On Achieving Organizational Performance Excellence At The Jordanian Income And Sales Tax Department, Amani Al-Shahin, Ali Adaileh Mar 2025

Intellectual Capital Strategies And Their Impact On Achieving Organizational Performance Excellence At The Jordanian Income And Sales Tax Department, Amani Al-Shahin, Ali Adaileh

Jordan Journal of Applied Science-Humanities Series

This study aimed to examine the impact of intellectual capital strategies on achieving organizational performance excellence at the Jordanian Income and Sales Tax Department. The study adopted a quantitative analytical survey method. The study population consisted of employees in leadership and supervisory positions, totaling 333 individuals. A questionnaire was distributed using a stratified random sampling method. A total of 195 questionnaires were returned, representing a response rate of 58%, with 180 valid questionnaires available for statistical analysis. The results indicated a moderate practice of intellectual capital strategies and a moderate level of organizational performance excellence within the department. The analysis …


The Impact Of User-Generated Content And Online Reaction Videos On The Marketing Of Video Games, Diane R. Edmondson, Randy Clark, Trevor Golter Mar 2025

The Impact Of User-Generated Content And Online Reaction Videos On The Marketing Of Video Games, Diane R. Edmondson, Randy Clark, Trevor Golter

Atlantic Marketing Journal

Modern developments in social media, video streaming platforms, and user-generated online content from influencers have led to a growth in video game marketing. One of the prominent genres of user-generated content on video platforms is the reaction video. These videos are relied upon for spreading information and marketing in the video game industry. Providing a better understanding of the impact of this video game promotional outlet is beneficial for marketers, social media influencers, and businesses in this industry. We collected data from 623 Southeastern University undergraduate students to address this topic using a Qualtrics survey. The survey consisted of two …


Antecedents And Outcomes Of Servant Leadership: Implications For The Salesforce, James Deconinck, Drew Carnes, Julie Johnson-Busbin Mar 2025

Antecedents And Outcomes Of Servant Leadership: Implications For The Salesforce, James Deconinck, Drew Carnes, Julie Johnson-Busbin

Atlantic Marketing Journal

The uniqueness of a salesperson’s job makes leadership especially important in professional selling. This study examined antecedents and outcomes of servant leadership. A model analyzing the relationship among moral identity, servant leadership, organizational justice, turnover intentions, and turnover was tested with a sample of 233 business-to-business salespeople and 76 sales managers via a multilevel structural equation model using MPLUS software. Moral identity was a direct antecedent of servant leadership. Servant leadership was both an indirect predictor of turnover through organizational justice and a direct predictor of turnover. Two direct hypotheses were not supported. Both interpersonal justice and procedural justice were …


Reconceptualizing Career Plateauing: An Intrapersonal Network Identity Approach, Brian R. Kinard, Subhra Chakrabarty Mar 2025

Reconceptualizing Career Plateauing: An Intrapersonal Network Identity Approach, Brian R. Kinard, Subhra Chakrabarty

Atlantic Marketing Journal

This study examined the role of contextual performance in minimizing the negative outcomes of career plateauing. Based on the intrapersonal identity network theory (Ramarajan, 2014), career plateauing was conceptualized as an identity threat. A random sample of employees was surveyed to measure their perception of career plateauing and contextual performance. The results indicated that contextual performance was negatively related to career plateauing. Consequently, employees dealt with the identity threat by working on building a positive identity (contextual performance). It was also found that age was positively related to career plateauing. Thus, in personnel evaluations, contextual performance should be equally weighted …


Unveiling Risk Strategies In The Online Food Delivery Platforms: Evidence From Risk Disclosures And Reprisk Index, Maryam Mahdikhani, Jiyoon An, Arim Park Mar 2025

Unveiling Risk Strategies In The Online Food Delivery Platforms: Evidence From Risk Disclosures And Reprisk Index, Maryam Mahdikhani, Jiyoon An, Arim Park

Atlantic Marketing Journal

Online Food Delivery Platforms (OFDPs) have faced unique challenges related to uncertainty and global risk in recent decades. To address these risks, this study utilized machine learning (ML) techniques, including Latent Dirichlet Allocation (LDA) and Word2Vec, to extract and cluster OFDP-related risk factors. The analysis was conducted using unstructured text data from the annual reports of two prominent OFDP companies—Delivery Hero (DH) and Grubhub (GH)—from 2017 to 2020. We also examined the multidimensional RepRisk Index (RRI) for these companies and developed a two-dimensional matrix to evaluate preparedness and responsiveness across various risk categories in the OFDP sector. The results indicate …


Stride And Succeed: A Pilot Study For Walking Meetings In The College Classroom, Derek Mesa, Jessica Phelan, Rachel Dolechek Mar 2025

Stride And Succeed: A Pilot Study For Walking Meetings In The College Classroom, Derek Mesa, Jessica Phelan, Rachel Dolechek

SACAD: Scholarly Activities

This pilot study explores the feasibility and enjoyment of incorporating walking meetings into college classrooms to reduce sedentary behavior and enhance learning. College students often experience prolonged periods of inactivity during lectures, which can hinder alertness and concentration. Walking has been linked to improved mental health, creativity, concentration, memory, and executive function. The study involved 31 students from Business Communication and Health and Human Performance courses, who participated in walking meetings facilitated by their instructors. Data were collected via a survey, which included demographic questions, enjoyment ratings, and feasibility assessments. Results indicated high levels of enjoyment and productivity during walking …


In Re Corpay, Inc. Shareholder Derivative Litigation, Order On Motions To Dismiss, John J. Goger Mar 2025

In Re Corpay, Inc. Shareholder Derivative Litigation, Order On Motions To Dismiss, John J. Goger

Superior Court of Fulton County: Metro Atlanta Business Case Division Opinions

No abstract provided.


Do The Effects Of Ethnocentrism And Cosmopolitanism Depend On Countries-Of-Origins? An Empirical Study Of U.S. Consumers, Thomas Tanner, Jung Kim, Ronda Mariani Mar 2025

Do The Effects Of Ethnocentrism And Cosmopolitanism Depend On Countries-Of-Origins? An Empirical Study Of U.S. Consumers, Thomas Tanner, Jung Kim, Ronda Mariani

Atlantic Marketing Journal

Consumer ethnocentrism and cosmopolitanism have been shown to be instrumental factors for the evaluation and purchase of foreign products. Many prior studies have provided evidence that ethnocentric consumers have lower willingness to buy for products that originated from foreign countries, while cosmopolitan consumers have higher willingness to buy. However, prior research has been conducted in the research setting where only one foreign country is pit against home country. Therefore, it is not clear whether their direct impacts on animosity, product judgement, and willingness to buy will be homogeneous, regardless of countries-of-origin. In other words, do consumers hold the same degree …


Accepting Invasive Privacy Policies In Downloading Tiktok, Stephen Baglione, Louis A. Tucci Mar 2025

Accepting Invasive Privacy Policies In Downloading Tiktok, Stephen Baglione, Louis A. Tucci

Atlantic Marketing Journal

Privacy is important but often neglected by app users. Our results show that the respondents are highly involved in online privacy and privacy for their data on social media. When asked anonymously, around five-fifths of respondents would not accept specific TikTok privacy statements. This did change for those with a TikTok account and those who were heavy app users. These results held for place of residence and gender. This confirms the privacy paradox. What was surprising is that 17 percent of respondents are willing to accept invasive privacy actions to use TikTok.


Community Engagement For The Children's Theatre, Lindsey R. Guilford Mar 2025

Community Engagement For The Children's Theatre, Lindsey R. Guilford

Undergraduate Theses

Community Engagement for the Children’s Theatre examines how children’s theatres across the United States build and sustain mutually beneficial relationships with their surrounding communities. In a field where community support is essential, but resources are often limited, long-term success depends on meaningful, reciprocal engagement. This research draws on surveys and interviews with theatre professionals to investigate strategies used by organizations of varying sizes to connect with local audiences, educators, and families. Findings highlight key practices such as sharing resources, aligning programming with community needs, valuing both internal and external stakeholders, and maintaining transparent, ongoing communication. By consolidating these insights, the …


Calderbank Offer Sebagai Instrumen Untuk Meningkatkan Efisiensi Di Bani Arbitration Center, Lalu Adhim, Sinta Dewi, Mursal Maulana Mar 2025

Calderbank Offer Sebagai Instrumen Untuk Meningkatkan Efisiensi Di Bani Arbitration Center, Lalu Adhim, Sinta Dewi, Mursal Maulana

Jurnal Hukum & Pembangunan

This article explores the shifting landscape of international arbitration, traditionally valued for its efficiency. Today, increased costs and prolonged dispute resolution processes change this perception. The article introduces the Calderbank offer, a strategic instrument from common law that promotes early settlement. By integrating civil law’s adversarial approach and practice to settle with settlement offer in common law, this concept aligns with peace theory and could enhance efficiency in BANI Arbitration Center. This instrument allows arbitral tribunals to impose cost penalties on parties who reject settlement offers and subsequently fail to achieve a more favorable award. In this research, the authors …


Sales Skill Development For Next Generation Of Accounting Professionals: From Accountant To Partner, Scott Cohen, Dena Breece, Michael Rodriguez, Chelsea Schrader Mar 2025

Sales Skill Development For Next Generation Of Accounting Professionals: From Accountant To Partner, Scott Cohen, Dena Breece, Michael Rodriguez, Chelsea Schrader

Atlantic Marketing Journal

With the exodus of accounting professionals due to retirement, firms are challenged to replace skilled employees with a newer generation, Millenials and Generation Z (CPA Practice Advisor, 2024). To bridge the gap, the authors explore how soft skills (communication and relationship management) are necessary for newer accounting professionals to not only fill the talent gap but also help them be promoted to senior-level positions in their firms. Using Human Capital Theory (HCT) as our foundation, a content analysis using responses from 30 accounting leaders found unique skills such as communication, presentation, and relationship building are crucial in the development of …


The Urgency Of Instituting Systemic Cybersecurity Curriculum Within Stem At Secondary Educational Levels In Preparation For Postsecondary Institutions., Robert Spencer Mar 2025

The Urgency Of Instituting Systemic Cybersecurity Curriculum Within Stem At Secondary Educational Levels In Preparation For Postsecondary Institutions., Robert Spencer

Journal of Cybersecurity Education, Research and Practice

Over the last 20 years, many secondary institutions have made advances developing curriculum defined as “STEM (Science, Engineering and Mathematics)” in order to ensure secondary students are eligible to apply as well excel in technology degree programs at the college and university levels. Although various initiatives exist, there are studies however, which allude to a great possibility that there will be a lack of cybersecurity professionals filling present day and anticipated future positions. Despite a large number of federal and educational enhancements there is need for additional research regarding instituting overall systemic processes and curriculum which supports secondary student transition …


Latest Research (Academic Summaries): Partnerships And Collaboration, Erica Bassett, Lakell Archer, Sumaya Ali, Emma Indart Mar 2025

Latest Research (Academic Summaries): Partnerships And Collaboration, Erica Bassett, Lakell Archer, Sumaya Ali, Emma Indart

Journal of Nonprofit Innovation

This section focuses on summarizing the latest research in partnerships and collaboration in the nonprofit sector. This section can be considered a literature review of the latest studies.


Full Issue: Joni March 2025, Partnerships And Collaboration, Angie Holzer Mar 2025

Full Issue: Joni March 2025, Partnerships And Collaboration, Angie Holzer

Journal of Nonprofit Innovation

No abstract provided.


Leading Nonprofit Success Through Collaboration And Partnerships, Lakell Archer, Erica Bassett Mar 2025

Leading Nonprofit Success Through Collaboration And Partnerships, Lakell Archer, Erica Bassett

Journal of Nonprofit Innovation

Abstract

Nonprofit organizations play a crucial role in addressing societal challenges, yet they often operate in a competitive environment with limited resources. To maximize impact and long-term sustainability, strategic partnerships and cross-sector collaborations have emerged as essential approaches. This paper explores the benefits of nonprofit collaboration, emphasizing its role in creating strategic advantages, improving service delivery, fostering innovation, and ensuring long-term resilience. The discussion highlights how collaborative leadership is key to overcoming barriers such as competition for funding, misaligned objectives, and trust deficits among partners. By examining real-world examples, the paper illustrates how effective partnerships enhance resource sharing, streamline operations, …


Enhancing Accountability And Transparency In Nonprofit Organizations: Examining The Impact Of Limited Regulatory Oversight In Africa Sub-Saharan Africa, Barnabas Iwia Suva Mar 2025

Enhancing Accountability And Transparency In Nonprofit Organizations: Examining The Impact Of Limited Regulatory Oversight In Africa Sub-Saharan Africa, Barnabas Iwia Suva

Journal of Nonprofit Innovation

Nonprofit organizations continue to positively impact society by playing a vital role in addressing social, economic, and humanitarian challenges worldwide. Governments in sub-Saharan Africa attract nonprofits by having less strict regulatory requirements. One of the unintended outcomes of operating in a less stringent regulatory framework is that transparency and accountability standards may be compromised. Inadvertently, having less stringent regulatory requirements may create governance gaps, information asymmetry, mission drift, donor mistrust, and sustainability challenges. Accountability and transparency are essential for fostering trust, continuous improvement, measuring impact, gaining stakeholder confidence, and achieving sustainable impact even with the scarcity of resources. Transparency can …


Poor Cancer Prevention And Detection In Zimbabwe, Kenyon C. Chipman Mar 2025

Poor Cancer Prevention And Detection In Zimbabwe, Kenyon C. Chipman

Journal of Nonprofit Innovation

Abstract

In the aftermath of the HIV/AIDS epidemic, Sub-Saharan Africa, particularly Zimbabwe, has witnessed a surge in noncommunicable diseases such as cancer. Despite the decline in HIV/AIDS and other cancer-associated illnesses like HPV, these diseases have set the stage for a growing cancer epidemic. Key contributing factors to this rise include a lack of knowledge about cancer among both patients and health professionals, the prevalence of cancer-associated communicable diseases, and limited accessibility to early detection and prevention services and resources. These factors have led to late diagnoses, increased burden on the healthcare system, and adverse effects on individuals and families. …