Digital Commons Network^™

Psychiatric Polygenic Risk Scores: Experience, Hope For Utility, And Concerns Among Child And Adolescent Psychiatrists, Amanda R Merner, Page M Trotter, Lauren A Ginn, Jason Bach, Katherine J Freedberg, Takahiro Soda, Eric A Storch, Stacey Pereira, Gabriel Lázaro-Muñoz

Center for Medical Ethics and Health Policy Staff Publications

Recent advances in psychiatric genetics have enabled the use of polygenic risk scores (PRS) to estimate genetic risk for psychiatric disorders. However, the potential use of PRS in child and adolescent psychiatry has raised concerns. This study provides an in-depth examination of attitudes among child and adolescent psychiatrists (CAP) regarding the use of PRS in psychiatry. We conducted semi-structured interviews with U.S.-based CAP (n=29) who possess expertise in genetics. The majority of CAP indicated that PRS have limited clinical utility in their current form and are not ready for clinical implementation. Most clinicians stated that nothing would motivate them to …

Understanding Travel Behavior And Accessibility For Older Adults: A Comprehensive Framework, Andy Hong, Cathy Liu, Ja Young Kim, Zihao Wen

TREC Final Reports

This study used a mixed-method design to examine travel behavior and accessibility of older adults. The research team conducted a statewide survey and focus groups to gather travel behavior data of older adults (50+) residing in Utah. The study also employed a two-step floating catchment area method, a novel spatial technique, and integrated the survey data to accurately measure travel accessibility of older adults. Using the survey data of 724 older adults as well as the focus group interviews of 18 older individuals, we found a significant dissatisfaction and vulnerability experienced by older adults with limited mobility. The distribution patterns …

The State Of The Unions 2024: A Profile Of Organized Labor In New York City, New York State, And The United States, Ruth Milkman, Joseph Van Der Naald

Publications and Research

This report released by the CUNY School of Labor and Urban Studies, State of the Unions 2024: A Profile of Organized Labor in New York City, New York State, and the United States, is a part of an annual publication series, documents recent trends in unionization patterns. The CUNY School of Labor and Urban Studies’ latest annual report on unionization patterns shows that private-sector union organizing efforts continued to increase across the country over the last year. The report documents that growth in union election petitions since 2020 has reversed a decade of decline, reaching a level not seen since …

Take Action To Address Virginia’S Dental Workforce Needs, Ryan Dunn

Virginia Dental Journal

This article lays out the facts about the dental workforce situation in Virginia and offers potential solutions. The state's dental workforce is under pressure, with rising demand for dental assistants and hygienists and ongoing hiring challenges exacerbated by the pandemic. Despite having more dentists than the national average, rural areas still face shortages. The Virginia Dental Association (VDA) encourages members to support local dental programs, share their workforce challenges, and participate in advocacy efforts. The VDA is actively involved in finding both short-term and long-term solutions to meet the state's dental care needs.

Scla 521 Ai In Society, Bert Chapman

Libraries Faculty and Staff Presentations

Provides access to information resources on societal impacts of artificial intelligence from multiple libraries databases covering multiple disciplines including government information resources.

A Qualitative Study On Transnational Caregiving For Older Parents In China, Silai Dong

Lingnan Theses (MPhil & PhD)

The increasing number of international migrations in China poses challenges for the care of older parents who are left behind, considering China’s emphasis on family support. This study aims to investigate transnational care arrangements for older parents whose children are overseas. It mainly addresses three research questions:1) What are the contents of filial piety in the context of international migration? 2) How do Chinese transnational family members negotiate and distribute elder care responsibilities? 3) To what extent can the transnational caregiving model explain elder care in Chinese transnational families?

The transnational caregiving model proposed by Baldassar, Baldock, and Wilding, in …

Financial Resilience Of Nonprofits In The Postpandemic Future, Kristofer Alan Vaughn

Walden Dissertations and Doctoral Studies

Nonprofit organizations periodically conduct strength, weaknesses, opportunities, and threats (SWOT) analyses; especially after the disrupting effects of the covid pandemic. A Northern California community-based nonprofit organization, deploys 36 volunteers to support the community. The struggles to maintain an annual budget, primarily through grants and personal contributions, to operate programs. The purpose of this study was to investigate several strategies to build a sustainable annual resource development plan. A SWOT analysis of the organization was to aid in the creation of a resource development plan. This general qualitative case study explored the insight of key volunteers and secondary documents analysis to …

Us-Mexico Relations: Addressing Challenges At The Border, The Brookings Institution

Brookings Mountain West Special Events

Mexico’s president-elect Claudia Sheinbaum will begin her six-year term in October as the U.S. presidential campaign enters its final stretch. How the next U.S. administration and Congress manage relations with new leadership in Mexico will affect border security, immigration policies, trade and energy relations, and counter-narcotics and anti-crime cooperation. What tools can policymakers in both countries use to advance positive outcomes? What are the opportunities and challenges that lie ahead for the United States and Mexico?

The Brookings Foreign Policy program in partnership with Brookings Mountain West at UNLV hosted a discussion on the state of U.S.-Mexico relations. Panelists analyzed …

Process-Oriented Explanation Of Institutional Changes : Comparative Cases Of National Health And Pension System Reforms In Indonesia, Tauchid Komara Yuda

Lingnan Theses (MPhil & PhD)

This dissertation compares the causal mechanisms by which healthcare and pension systems in Indonesia have been developed. Despite their shared historical trajectories, the health reform emerged successful, while the pension reform faltered. The study employs process tracing to dissect the specific processes through which the Indonesian production regime and political bargains in 1998–2015 influenced these reforms. It commences with the generation of ideal-type mechanisms based on relevant studies, which are then tested in different cases. The researcher then connects the theoretically expected causality with fieldwork data, reconstructing a revised graph of causal mechanisms that links the crisis and reforms/inertia for …

Outbidding With Ontology: Routine, Rebel Justice, And The Competition For Legitimacy, Patrick A. Schmidt

Electronic Theses and Dissertations

Civil wars upset the everyday routines and relationships of ordinary people. Though recent research into civil wars has significantly increased the degree of study into non-conflict activities of rebel groups, particularly in rebel governance, rebel groups have not yet been seen as ontological security providers, capable of developing and reinstating some form of normalcy for civilian populations. This thesis seeks to promote this view of rebel groups, theorizing that rebel justice systems serve as a distinct space for insurgents to routinize interactions with civilians and signal their desire and ability to serve as capable providers of ontological security. Further, I …

Addressing Patient Loyalty Through Their Commitment Influenced By Electronic Word-Of-Mouth And Hospital’S Image, Al Quadhri Upe, Alida Palilati, Sudirman Zaid, Nasrul Nasrul

Kesmas

This article explores the influence of Electronic Word of Mouth (e-WoM) and hospital image on hospital patient loyalty, emphasizing the mediating role of patient commitment. Amidst the development of the healthcare industry sector in Indonesia, this study highlighted that e-WoM and hospital image significantly enhanced patient loyalty, with patient commitment playing an important mediating role. This article suggested practical strategies for hospitals, such as improving the quality of healthcare services, leveraging positive e-WoM, and implementing loyalty programs to elevate patient commitment and loyalty. These findings underscore the importance of hospital image and e-WoM in patient retention, providing valuable insights for …

Just Say Gay: An Exploration Of Authenticity And Connection; Queer Identified Therapists’ Lived Experiences Of Identity-Based Self-Disclosure, Courtney Dunne

Electronic Theses and Dissertations

The current sociopolitical climate in the United States continues to reinforce the complexities and nuances that mental health providers face when facilitating therapy. Over the past few years, anti-DEI legislation has aimed to control the narrative in educational and therapeutic settings regarding what therapists and educators are permitted to teach and share about themselves (Flannery, 2024). At the same time, anti-LGBTQ+ rhetoric continues to dominate the media and further marginalizes individuals whom are in the queer community. In turn, LGBTQ+ individuals continue to face an increased risk for homelessness, substance use disorders, and suicide, which particularly has impacted LGBTQ+ youth …

Paycheck-To-Paycheck: How Public Service Loan Forgiveness Inhibits Generational Wealth Attainment For Black Women, Ashley Patrice-Rose Sherman

Electronic Theses and Dissertations

Black women who attend college in the United States are more likely to borrow to cover the cost of attendance and carry the largest amount of student loan debt than any other racial and gender group. Federal student loan borrowers are encouraged to work in public service to take advantage of the Public Service Loan Forgiveness Program (PSLF), an income-driven repayment program established by the College Cost Reduction and Access Act (CCRAA) of 2007. PSLF offers total debt relief after ten years of uninterrupted full monthly payments based on an income-driven repayment plan. The significance of this qualitative study will …

Exploration Of Positive Deviance In Prevention Of Underweight In The Under-Five: A Qualitative Study On Low-Income Urban Families, Irwan Budiono, Lukman Fauzi, Dewi Sari Rochmayani

Kesmas

Children under the age of five (the under-five) from low-income families are more vulnerable to experience underweight. This nutritional vulnerability is evident in the preliminary study, where 35.1% of the under-five experience underweight, and 28.48% are low-income families. This study aimed to explore Positive Deviance (PD) behaviors in preventing underweight among the under-five. The study applied a qualitative approach with a case study design. Data collection took place in July-August 2022, focusing on low-income families in the Gunung Brintik area. Data were collected through two focus group discussions, seven in-depth interviews, and five key informant interviews. Coding, subtheme, and theme …

The Open Defecation Free Program Evaluation Using The Context, Input, Process, And Product Model In Jambi, Indonesia, Guspianto Guspianto, Willia Novita Eka Rini, Rizalia Wardiah, Susi Desmaryani, Herlina Herlina

Kesmas

The Open Defecation Free (ODF) program was initiated by the government to increase access to healthy latrines. This study aimed to evaluate the ODF program using the CIPP evaluation model. A qualitative and exploratory descriptive method was adopted to investigate informants' experiences regarding the program's implementation. Data was explored through semi-structured interviews with 17 informants and analyzed using content analysis. The results showed that the program was crucial as numerous people engaged in open defecation due to economic, geographical, cultural, and knowledge factors. The absence of ODF policy was due to lack of priority, limited government and private support, insufficient …

Risk Factors For Cognitive Impairment In Adult Population Of Coastal Area: A Cross-Sectional Study In Maringkik Island, Indonesia, Herpan Syafii Harahap, Arina Windri Rivarti, Nurhidayati Nurhidayati, Fitriannisa Faradina Zubaidi, Dini Suryani, Legis Ocktaviana Saputri, Yanna Indrayana, Athalita Andhera, Muhammad Hilam, Abiyyu Didar Haq

Kesmas

Cognitive impairment is a medical condition commonly found in elderly populations, which can be due to vascular risk factors in patients. There remains limited data on risk factors for cognitive impairment among coastal region populations. This study aimed to investigate risk factors for cognitive impairment in the adult population of Maringkik Island, West Nusa Tenggara Province, Indonesia. Data collected were age, sex, education level, hypertension, antihypertensive treatment, diabetes mellitus, cigarette smoking, and body mass index status. A total of 114 participants were recruited using a consecutive sampling method. The participants’ cognitive function assessment used the Mini-Cog instrument. The cognitive impairment …

Examining The Impact Of Stand Your Ground Laws In Alabama, Bruce Litaker

Walden Dissertations and Doctoral Studies

It is not known whether gun death rates vary with the implementation of Stand Your Ground (SYG) laws in Alabama. The purpose of this quantitative study was to examine differences in the rate of gun deaths in Alabama since the implementation of SYG laws. Policy feedback theory (PFT) served as a foundational framework and a lens to interpret the research findings. The study was to determine whether there was a statistically significant difference in the firearm homicide rates in all 67 counties in Alabama after SYG implementation, and if there is a statistically significant difference in the firearm homicide rates …

Effect Of Education And Policy On Informal Caregivers’ Experience Of Grief With End-Of-Life Care, Brandan Margaret Rose

Walden Dissertations and Doctoral Studies

While numerous studies have explored various aspects of end-of-life care, a significant gap persists in the literature regarding the emotional burden experienced by informal caregivers as they grapple with challenging decisions. Additionally, with current federal and state guidelines, administrators do not have clear policies to drive equity for patients and their informal caregivers. This qualitative study examined informal caregivers’ perceptions of how end-of-life care policies impacted the dying process and how education influenced their grief and guilt. Using a conceptual framework of Simon’s concept of bounded rationality and evidence-based policymaking, the study addressed constraints on caregivers’ decision-making due to limited …

Insurance Coverage And Flood Exposure In The Gulf Of Mexico Region: Risk, Social Vulnerability, Urban Form, And Scale, Anissa J. Hyde

LSU Master's Theses

Increasing flood losses in the Gulf of Mexico pose serious threats to resilience and insurability. The purpose of this study is to understand how scale, social vulnerability, risk and urban form relate to NFIP insurance coverage and flood exposure. Our multilevel models identify that flooding is significantly clustered by region and counties, especially shoreline counties. Our measures of risk suggest that the FEMA Special Flood Hazard Areas underestimates risk and exposure when compared with Flood Factor, and that there is some compensation in terms of insurance coverage, suggesting a pattern of adverse selection. Older housing stock appears both less insured …

The Perceptions Of The Effectiveness Of Family Reentry Programs And The Public Policies Governing Those Programs For African American Female Ex-Offenders, Yulonda Rhodes

Walden Dissertations and Doctoral Studies

The purpose of this generic qualitative study was to explore how African American female ex-offenders perceive the effectiveness of family reentry programs and the policies governing those programs. By providing additional information particular to African American female ex-offenders, this study has the potential to broaden the scope and depth of existing studies and enhance public policies governing family reentry programs. The theoretical framework concentrated on the four variables of Hirschi’s social control theory: attachment, commitment, involvement, and belief. The primary research question explored how African American female ex-offenders perceived the effectiveness of family reentry programs. Data were collected through in-depth …

Unaccompanied Migrant Children In The Mountain West, 2015-2023, Annie Vong, Caitlin J. Saladino, William E. Brown Jr.

Demography

This fact sheet examines data on the number of unaccompanied migrant children who obtained sponsors and relocated to 22 cities in five Mountain West states from 2015 to 2023. Data from Arizona, Colorado, Nevada, New Mexico, and Utah are included from a New York Times report which includes U.S. Department of Human Health and Services data on unaccompanied migrant children in all 50 states and Washington D.C.

Perspectives Of Female Directors On The Effectiveness Of Corporate Board Diversity Interventions, Jody Michelle Pugh

Walden Dissertations and Doctoral Studies

While women account for most of the workforce, they remain underrepresented as executives on corporate boards of directors. A review of the literature revealed there is limited research about the experiences of women currently serving on corporate boards while states and regulators pursue the application of structural interventions through gender equity initiatives. The purpose of this general qualitative study was to explore how female board members perceived the effect of gender quota mandates on corporate board membership. The theoretical framework for this study was Zucker’s institutional theory of organizations which is used to examine the influence of external pressures applied …

Comparing Visualization Performance Of Liquid Embolic Agents Using A Novel Injectable Phantom, J Ryan Mason, Cristina Dodge, Adam Beardsley, Susan Hilsenbeck, Goetz Benndorf

Center for Medical Ethics and Health Policy Staff Publications

Background: Radiographic visualization of liquid embolic agents (LEAs) during embolization procedures in neurovascular territory represents a crucial feature to ensure efficacy and safety for the patients during endovascular treatment of arteriovenous shunting lesions. Radiopacity of available LEAs varies significantly and limited methods are currently available for comparison. The purpose of this study was to compare the contrast resolution (CR) during injection under blank roadmap of various LEAs, as well as standard contrast material.

Methods: An injectable angiographic phantom was designed consisting of parallel tubings between 313 and 1000 micron. Under roadmap, eight radiopaque liquid agents were injected and analyzed: Onyx18®, …

Research And Implications Of The Us Clean Energy Strategy, Lanchun Li, Qing Liu, Wei Chen, Yun Tang, Jun Chen

Bulletin of Chinese Academy of Sciences (Chinese Version)

As the world enters a new period of carbon neutrality, the US government is actively building a clean energy innovation ecosystem through both internal and external measures. Systematically tracking and in-depth analysis of the intent, structure, approach, and other characteristics of the new phase of the US clean energy strategy is of practical significance to Chinese energy revolution. The US focuses on the strategic objectives of science and technology innovation, energy security, and infrastructure, and has constructed an innovation ecology characterized by technology lists, planning blueprints, full-chain research, and innovative subjects from the perspective of whole-government coordination, cross-institutional decision-making, deep …

Cell-Based Medicinal Products: Progress And Perspectives, Lijian Hui, Xiang Yuan, Jingqi Wu

Bulletin of Chinese Academy of Sciences (Chinese Version)

Cell-based medicinal products are a breakthrough that has been proven to treat previously incurable diseases, making them a topic of global interest. This review delves into the current state and progress of cell therapy, highlighting the remarkable therapeutic effects of various types of cell-based medicinal products. We specifically explore the potential development of cell-based medicinal products in China, focusing on promoting clinical translation and commercialization. We propose necessary actions to achieve these goals, such as fostering cutting-edge basic research, innovative therapeutic approaches, scalable manufacturing processes, and policy changes.

Suggestions For Establishing Nuclear Safety Barrier In Bohai Rim Region Of China, Longchuan Zhuang, Chuanyuan Wang, Song Qin

Bulletin of Chinese Academy of Sciences (Chinese Version)

Under the dual carbon strategy goal, the Bohai Rim, as the core region for nuclear power deployment in northern China, is pivotal in establishing a robust nuclear safety barrier, which aligns with the national maritime power development strategy and is essential for ensuring regional marine ecological safety and national energy security. Currently, the Bohai Rim region in China faces challenges such as inadequate nuclear radiation monitoring and early warning capabilities, insufficient data for health risk assessment, an underdeveloped scientific and technological support system, and limited public participation in both depth and breadth. Based on a scientific assessment of the potential …

Current And Emerging Trends In The Management Of International Disasters, Laura M. Phipps, David A. Mcentire

Mavs Open Press Open Educational Resources - Archive

This edited book examines major problems facing the international disaster community as well as innovative solutions to global emergency management, focusing on the current and emerging trends in disaster management that cross geographic, social, and political borders.

Barriers To Early Intervention Access In Under-Resourced Communities: Professionals' Perspectives, Georges Ambroise, Jazminne Orozco-Arteaga

Summer 2024 OTD Capstone Symposium

Limited socioeconomic resources pose a barrier to accessing early intervention (EI) services.

The study yielded 33 participants of EI professionals. The study included an online survey and an optional semi-structured interview. Following data collection, Braun and Clarke’s six-step thematic analysis was utilized to identify themes from the surveys and interview transcriptions (Braun and Clarke, 2006).

The main themes that came from the data analysis are (1) there are barriers impacting access to EI experienced by families in under-resourced communities, (2) there are current supports for families in under-resourced communities accessing EI, (3) EI professionals play a role in decreasing barriers, …

Experiences Of Women On Career Progression To Leadership Positions In Nonprofit Organizations In Malawi, Wongani Grace Taulo

Walden Dissertations and Doctoral Studies

Gender and cultural biases continue to deter women from reaching their leadership aspirations in nonprofit organizations, and women continue to be underrepresented in leadership positions. This qualitative phenomenological study aimed to explore the lived experiences of women in senior leadership positions in nonprofit organizations to better understand the barriers and support factors to their career progression. Joan Acker’s (1992) gendering organizational theory and Hofstede’s (1983) cultural dimensions theory helped explain the persistence of gender disparities in leadership positions through an understanding of the power imbalances between men and women and the structural inequalities that continue to characterize organizational workforce and …

Exploring Human Capital Development: Perspectives Of Young Adults (Aged 18-25) In Lagos, Nigeria, Omobola Omotimirin

Walden Dissertations and Doctoral Studies

Under-utilization of youth human capital and youth delusion, has the attendant effect of increased crime, insecurity, deplorable infrastructure, loss of foreign investment, revenue loss, etc. The large population of young adults (age 18-25) in Lagos State, Nigeria, is a source of human capital development. There is little to no literature on the young adults’ (age 18-25) perspectives on their human capital development in Lagos State. The purpose of this study was to understand the perspectives of young adults (age 18-25) on their human capital development needs. Research questions focused on understanding young adults’ perception on human capital development; how youth …