Digital Commons Network^™

States And Multi-Hazard Early Warning Systems, Faith N. Masibili

Graduate Program in International Studies Theses & Dissertations

The lack of early warning systems for half of the countries worldwide and poor investments in regulatory frameworks to link early warnings to emergency plans exacerbates the exposure of populations at risk of natural hazards in livable urban environments. This study hypothesizes that the level of democracy, trade openness, economic prosperity, per capita public aid, hazard exposure, lack of coping and adaptive capacities, classification as least developed countries (LDC), landlocked developing countries (LLDC), and small island developing States (SIDS), population in urban areas, cellular mobile, state fragility index, and regional vulnerability impact the efficiency of a country’s early warning system. …

Associations Between Combat Exposure, Moral Injury, And Suicidality Among U.S. Military Members: The Moderating Impact Of Positive Rumination, Jeffrey M. Gabelmann

Psychology Theses & Dissertations

Numerous studies have documented the risk for suicide among recent-era veterans with combat experience. Recently, moral injury has emerged as a possible contributor to suicidality in veterans. To that end, no study has approached the combat exposure-moral injury-suicidality link with a focus grounded in positive psychology. Specifically, the present study explored whether positive rumination, or the reflection on positive emotions and moods, may buffer the deleterious effects of potentially traumatic experiences in warzones on moral injury and suicidality. This study was a secondary analysis of 250 current or former U.S. military members (M_age = 33.3 years) who had …

Adopt: An Environmentally-Friendly System For Alerting Drivers To Occluded Pedestrians Traffic, Abrar Abdulrahman Alali

Computer Science Theses & Dissertations

The emergence of sensing technologies and vehicular communications has brought significant opportunities for enhancing pedestrian safety on city streets. However, existing solutions rely on costly technologies such as computer vision and trajectory prediction to detect crossing pedestrians, while they have limits in detecting pedestrians who are occluded by parked cars. Despite the presence of collaborative perception by surrounding vehicles and infrastructure, there is a notable absence of incorporating existing parked cars themselves due to their insufficiency in detecting pedestrians and communicating with other cars while they are turned off. Furthermore, accommodating pedestrians on streets has been linked to an additional …

An Examination Of The Perceptions Of Campus Safety Among Full-Time Faculty At Virginia Community Colleges, Hailey Ann Hermosa

Educational Leadership & Workforce Development Theses & Dissertations

The view that colleges are generally safe has been challenged by threats of violence on campuses across the country, causing fear among stakeholders. Community college faculty are not immune to crime-related fear on campus; however, the research has largely ignored this population. This research serves to fill that gap.

The purpose of this nonexperimental quantitative study was to examine perceptions of campus safety among full-time faculty at Virginia community colleges. An electronic Likert-type scale survey was disseminated to a sample of 472 full-time faculty throughout seven Virginia community colleges of varying sizes. Of those, 135 (28.7%) voluntarily participated in the …

Post-Trial Responsibilities In Pragmatic Clinical Trials: Fulfilling The Promise Of Research To Drive Real-World Change, Stephanie R Morain, P Pearl O'Rourke, Joseph Ali, Vasiliki Rahimzadeh, Devon K Check, Hayden B Bosworth, Jeremy Sugarman

Center for Medical Ethics and Health Policy Staff Publications

While considerable scholarship has explored responsibilities owed to research participants at the conclusion of explanatory clinical trials, no guidance exists regarding responsibilities owed at the conclusion of a pragmatic clinical trial (PCT). Yet post-trial responsibilities in PCTs present distinct considerations from those emphasized in existing guidance and prior scholarship. Among these considerations include the responsibilities of the healthcare delivery systems in which PCTs are embedded, and decisions about implementation for interventions that demonstrate meaningful benefit following their integration into usual care settings-or deimplementation for those that fail to do so. In this article, we present an overview of prior scholarship …

Personal But Necessarily Predictive? Developing A Bioethics Research Agenda For Ai-Enabled Decision-Making Tools, Vasiliki Rahimzadeh

Center for Medical Ethics and Health Policy Staff Publications

No abstract provided.

The Road To Tailored Adjuvant Chemotherapy For All Four Non-Pancreatic Periampullary Cancers: An International Multimethod Cohort Study, Bas A Uijterwijk, Daniël H Lemmers, Michele Ghidini, Johanna W Wilmink, Alberto Zaniboni, Giuseppe Kito Fusai, Alessandro Zerbi, Bas Groot Koerkamp, Misha Luyer, Poya Ghorbani, Roberto Salvia, Steven White, Benedetto Ielpo, Brian K P Goh, Ugo Boggi, Geert Kazemier, Michael G House, Vasileios K Mavroeidis, Bergthor Björnsson, Michele Mazzola, Mario Serradilla, Dimitris Korkolis, Adnan Alseidi, Keith J Roberts, Zahir Soonawalla, Patrick Pessaux, William E Fisher, Sharnice Koek, Tara S Kent, Miljana Vladimirov, Louisa Bolm, Nigel Jamieson, Raffaele Dalla Valle, Jorg Kleeff, Alessandro Mazzotta, Miguel Angel Suarez Muñoz, Santiago Sánchez Cabús, Chad G Ball, Adam C Berger, Clarissa Ferarri, Marc G Besselink, Mohammed Abu Hilal, International Study Group On Non-Pancreatic Periampullary Cancer (Isgaca)

Center for Medical Ethics and Health Policy Staff Publications

Background: Despite differences in tumour behaviour and characteristics between duodenal adenocarcinoma (DAC), the intestinal (AmpIT) and pancreatobiliary (AmpPB) subtype of ampullary adenocarcinoma and distal cholangiocarcinoma (dCCA), the effect of adjuvant chemotherapy (ACT) on these cancers, as well as the optimal ACT regimen, has not been comprehensively assessed. This study aims to assess the influence of tailored ACT on DAC, dCCA, AmpIT, and AmpPB.

Patients and methods: Patients after pancreatoduodenectomy for non-pancreatic periampullary adenocarcinoma were identified and collected from 36 tertiary centres between 2010 - 2021. Per non-pancreatic periampullary tumour type, the effect of adjuvant chemotherapy and the main relevant regimens …

Trans-Ancestral Genetic Risk Factors For Treatment-Related Type 2 Diabetes Mellitus In Survivors Of Childhood Cancer, Cindy Im, Achal Neupane, Jessica L Baedke, Brian Lenny, Angela Delaney, Stephanie B Dixon, Eric J Chow, Sogol Mostoufi-Moab, Tianzhong Yang, Melissa A Richard, M Monica Gramatges, Philip J Lupo, Noha Sharafeldin, Smita Bhatia, Gregory T Armstrong, Melissa M Hudson, Kirsten K Ness, Leslie L Robison, Yutaka Yasui, Carmen L Wilson, Yadav Sapkota

Center for Medical Ethics and Health Policy Staff Publications

Purpose: Type 2 diabetes mellitus (T2D) is a prevalent long-term complication of treatment in survivors of childhood cancer, with marked racial/ethnic differences in burden. In this study, we investigated trans-ancestral genetic risks for treatment-related T2D.

Patients and methods: Leveraging whole-genome sequencing data from the St Jude Lifetime Cohort (N = 3,676, 304 clinically ascertained cases), we conducted ancestry-specific genome-wide association studies among survivors of African and European genetic ancestry (AFR and EUR, respectively) followed by trans-ancestry meta-analysis. Trans-/within-ancestry replication including data from the Childhood Cancer Survivor Study (N = 5,965) was required for prioritization. Three external general population T2D polygenic …

Lethal Phenotypes In Mendelian Disorders, Pilar Cacheiro, Samantha Lawson, Ignatia B Van Den Veyver, Gabriel Marengo, David Zocche, Stephen A Murray, Michael Duyzend, Peter N Robinson, Damian Smedley

Center for Medical Ethics and Health Policy Staff Publications

Purpose: Existing resources that characterize the essentiality status of genes are based on either proliferation assessment in human cell lines, viability evaluation in mouse knockouts, or constraint metrics derived from human population sequencing studies. Several repositories document phenotypic annotations for rare disorders; however, there is a lack of comprehensive reporting on lethal phenotypes.

Methods: We queried Online Mendelian Inheritance in Man for terms related to lethality and classified all Mendelian genes according to the earliest age of death recorded for the associated disorders, from prenatal death to no reports of premature death. We characterized the genes across these lethality categories, …

A Risk Is Not A Harm: Abortion Exceptions In State Laws, Trevor M Bibler, Alison Suen

Center for Medical Ethics and Health Policy Staff Publications

This letter responds to the article "Beneath the Sword of Damocles: Moral Obligations of Physicians in a Post-Dobbs Landscape," by Anne Drapkin Lyerly, Ruth R. Faden, and Michelle M. Mello, in the May-June 2024 issue of the Hastings Center Report.

Building Partnerships Through Third-Party Facilitation: Best Practices From The Community Collaborative Initiative, Shariq Siddiqui, Abdul Samad, Rafeel Wasif

Public Administration Faculty Publications and Presentations

Small minority group organisations rarely collaborate with other nonprofits owing to a lack of expertise and resources. Third-party facilitators can help these groups navigate the process of collaboration. However, the literature has largely ignored their role in the process. We address this gap by studying the challenges third-party facilitators face in the collaboration process and best practices they can apply using the Community Collaboration Initiative (CCI), a unique third-party-facilitated collaboration process working with Muslim American nonprofits.

Criticizing The Asset Repatriation Policy For Tax Amnesty In Indonesia: An Interpretive And Comparative Study, Nidya Hapsari

Jurnal Vokasi Indonesia

Indonesia finds tax amnesty as a reliable funding alternative to develop a sustainable economy. Since 1964, Indonesia has implemented five tax amnesty programs. The latest two programs would offer lower amnesty compensation rates if taxpayers repatriated offshore assets back to Indonesia. However, the tax amnesty repatriation policy merely contributed minimal amounts of repatriated assets and low number of participants. Consequently, it failed to raise sufficient liquidity, fiscal revenues, tax compliance and economic growth. Hence, the study aims to (1) determine the justification and mechanism for the asset repatriation policy and (2) criticize the repatriation policy implementation. Applying interpretive and comparative …

Parting Comments From The Outgoing Editor, Steven N. Waller Ph.D.

Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies

This short reflective essay captures several transitional thoughts as Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies transitions the editorship of the journal. The following pages offer an examination of the strengths/assets of the journal as well as a “snapshot” of some of the challenges the journal has faced in the last five years. There are several recommendations offered to continue moving the journal forward. Implementation of these suggestions are contingent upon the incoming editor’s and Board of Directors review and approval. Most important need is to think strategically about the sustainability of …

Dampak Program Bantuan Sosial Sebagai Intervensi Gizi Sensitif Terhadap Status Stunting Pada Balita, Nasa Milta Sahara, Dwini Arianto, Mahar Santoso

Jurnal Ekonomi Kesehatan Indonesia

Stunting is a significant issue for nations, affecting both public health and economic development. It results from a combination of direct and indirect causes. The government addresses stunting through specific nutritional interventions targeting direct causes and sensitive nutritional interventions for indirect causes. Given the strong link between stunting and poverty, social assistance programs (BANSOS) such as the Family Hope Program (PKH) and Rice for the Poor (RASKIN) are crucial in combating stunting by improving socioeconomic conditions. This study analyzes the impact of these social assistance programs on stunting in children under five, using data from the 2007 and 2014 Indonesian …

Analisis Klaim Rawat Inap Rsud Kebayoran Baru November 2022 – April 2023: Pendekatan Sistem, May Rabiulyati, Atik Nurwahyuni, Pujiyanto Pujiyanto

Jurnal Ekonomi Kesehatan Indonesia

Hospitals receive payments through claim submissions with complete documents to the Social Security Administering Agency (BPJS) Health. However, not all inpatient claims have been submitted to BPJS Health, and there are still 16.97% pending inpatient claims. In claims that are not approved, claims can be resubmitted, but time constraints for the claim process have resulted in 2.64% of inpatient cases in 2022 not resubmitted. Qualitative research through in-depth interviews with 15 respondents aims to analyze the management of inpatient claims for BPJS Kesehatan Kebayoran Baru Hospital from November 2022 to April 2023. The study results showed that not all printed …

Analisis Pembiayaan Berdasarkan Lama Rawat Pasien Bpjs Diabetes Melitus Tipe Ii Komplikasi Sirkulasi Perifer Di Rsu Pku Muhammadiyah Bantul, Firman Firman, Kartika Lestari

Jurnal Ekonomi Kesehatan Indonesia

Length of stay (LOS) can increase hospital rates and become a cost issue for patients, potentially resulting in a discrepancy between hospital rates and INA-CBGs rates at the hospital. This study aims to determine the difference between the actual costs and BPJS claim costs for diabetic patients based on the length of stay and class level. The research method is observational with a descriptive approach. The data collection technique used retrospective medical record data from 50 patients. The results showed that the largest average difference between hospital costs and BPJS claim costs was for patients with a length of stay …

Determinan Belanja Kesehatan Rumah Tangga Di Pulau Jawa Menggunakan Geographically Weighted Regression, Yaulanda Fadhila, Nucke Widowati Kusumo Projo

Jurnal Ekonomi Kesehatan Indonesia

The success of a country’s health development is marked by achieving fair access to healthcare and protecting the population from financial risks of health. Household spending on healthcare, or out-of-pocket (OOP) expenses, in Indonesia, remains far above the ideal limit set by the WHO. There is a noticeable disparity in OOP health expenditures across provinces in Indonesia. The five provinces with the highest per capita OOP expenses are on Java island. This high per capita OOP spending on Java indicates potential issues with access to healthcare services and financial protection in this region. This study aims to identify factors influencing …

Assessing The Impact Of Tuberculosis On Economic Growth In Asean Countries: A Conceptual Framework And Panel Data Analysis, Agus Fitriangga, Alex Alex

Jurnal Ekonomi Kesehatan Indonesia

Tuberculosis (TB) remains a major global health issue, particularly in Southeast Asia, where its impact extends beyond public health to affect economic performance. This study evaluates the economic implications of TB incidence on gross domestic product (GDP) growth across eight ASEAN countries from 2000 to 2020. We employed a panel data regression approach, utilizing Common Effect Model (CEM), Fixed Effects Model (FEM), and Random Effects Model (REM) to analyze the relationship between TB incidence and economic growth. The dataset included annual GDP figures, TB incidence rates, foreign direct investment (FDI), labor force size, and trade openness, sourced from international databases. …

دور قيمة الزبون في تعزيز الاستراتيجيات المعتمدة على مصفوفة Ansoff: دراسة استطلاعية في مستشفى ابن سينا التعليمي, ميادة مهدي صالح, عادل عبد الله الطائي

Muthanna Journal of Administrative and Economics Sciences

يعد موضوع قيمة الزبون من الموضوعات المعاصرة ، ففي الوقت الحاضر ظهرت مجموع من التقانات الجديدة والحيوية التي من شأنها أن تساهم في تسويق المنتجات والخدمات الصحية على نحو عام ،اذ تطورت بشكل كبيرا” جدا” في العقدين الاخيرين لاسيما في ظل الأزمات ومنها أزمة جائحة كوفيد -19 ، ويهدف البحث الحالي الى بيان دور قيمة الزبون بأبعاده في تعزيز الاستراتيجيات المعتمدة على مصفوفة Ansoff ،على افتراض أن قيمة الزبون يسهم في تعزيزها ،وايضا” تأثير الاستراتيجيات المعتمدة على مصفوفة Ansoff تم اختيار مستشفى ابن سينا في مدينة الموصل ،واخذ عينة من الكادر الطبي والبالغ عددهم (50) ،ووصل البحث الى جملة من …

Analisis Penerapan Activity-Based Costing Tindakan Debridemen Bedah Pada Diagnosis Tunggal Di Kamar Operasi Rskd Duren Sawit Tahun 2022, Reynaldi Fattah Zakaria, Mardiati Nadjib

Jurnal Ekonomi Kesehatan Indonesia

In 2022, RSKD Duren Sawit has officially held operating room services. The demand for more comprehensive operating room services increased rapidly. The temporary operating room rates were set by adapting the rates of other regional hospitals and the Governor of DKI Jakarta's regulations. There is a huge difference in costs between the hospital rates and the INA-CBGs claim rates, especially for surgical debridement performed in the operating room. One of the factors causing the difference is the undetermined cost for debridement based on the unit cost component. Knowing the unit-cost debridement in the operating room according to the cost per …

أثر الدين العام على عرض النقد في العراق للمدة(2004-2022), علاء حسين علي, حيدر طالب موسى

Muthanna Journal of Administrative and Economics Sciences

يخضع الدين العام لاختلافات بين المدارس الكبرى في الفكر الاقتصادي، والفكر الكلاسيكي والكينزي، وكل مدرسة تنظر إلى الدين العام من منظور مختلف من حيث تأثير الدين العام على التوازن الاقتصادي والاجتماعي, ويختلف الدين الداخلي عن الدين الخارجي للاقتصاد ككل من حيث أن الفائض الاقتصادي ينتقل بين الأجيال, داخل الدولة أو بين دولة ودولة أخرى، يعد الدين العام المحلي أحد المتغيرات الاقتصادية المؤثرة على تحركات عرض النقد من خلال تأثير الدين العام المحلي على أسعار الفائدة وعلى احتياطيات السيولة التي تشكل أساس السياسة النقدية، وهي وما يركز عليه البحث لذلك ركز على دراسة تأثير الدين العام الداخلي على المعروض النقدي بالنسبة …

أثر منحنيات التعلم في تقليص فترة علاج كوفيد-19 وتخفيض التكاليف المباشرة لعلاجه دراسة ميدانية: مستشفى ابن الخطيب, مخلد فؤاد شجاع

Muthanna Journal of Administrative and Economics Sciences

هدف البحث الى بيان أثر منحنيات التعلم في تقليص فترة علاج كوفيد-19 وتخفيض تكاليف المباشرة من علاجه، ومنحنيات التعلم؛ واحدة من وظائف التكلفة غير الخطية، كونه عبارة عن دالة تقيس كيفية تخفيض ساعات العمل المطلوبة لإنجاز الوحدة المنتجة من خلال تراكم خبرة العاملين وتحسين أدائهم، إذ تعتمد منحنيات التعلم على فكرة مؤداها أن أداء أي عمل بشكل متكرر يؤدي الى اكتساب خبرة وهو الأمر الذي يؤدي الى تخفيض الوقت اللازم لإنجاز الوحدة المنتجة كلما استمر العمل، وقد توصل البحث الى مجموعة من الاستنتاجات كان أهمها؛ يمكن استخدام منحنيات التعلم لتقليل تكاليف علاج كوفيد-19 وتحسين الكفاءة الإنتاجية للعامين في المستشفيات من …

واقع الصحة التنظيمية في الأندية الرياضية في مدينة الموصل (دراسة حالة), موسى سالم البصو, تقى عبد النافع, وليد غانم ذنون وليد غانم ذنون

Muthanna Journal of Administrative and Economics Sciences

ان اهتمام الدولة بالجانب الرياضي توزع على شرائح وفئات المجتمع المختلفة الا انه انصب على الشباب كونهم يشكلون ركناً من أركانها ورافداً استراتيجياً لنهضتها ، فضلاً عن انهم يمثلون ابهى صور مخرجاتها وثمرة جهودها ومن بين هذه المؤسسات الراعية للشباب هي الأندية الرياضية التي تضطلع بأدوار مهمة بحكم عملها وطبيعة أهدافها وتنوع نشاطاتها والمستفيدين من خدماتها الرياضية المختلفة لكافة الفعاليات الرياضية ، من هنا تتجلى أهمية الدراسة للتعرف على خصائص الصحة التنظيمية والذي يعد موضوعاً حديثاً وتوظيفها في احدى المؤسسات الرياضية متمثلة بالأندية الرياضية وتوضح نوعية وطبيعة العلاقة والتأثير بين ما يمتلكه رؤساء المؤسسات الرياضية من خصائص في بناء اركان …

A Comparative Review Of Soil Carbon Sequestration Methods In Brazil’S Agriculture, Skylar Cheng

Discussions

Brazil is under unique pressure to adopt sustainable agricultural practices due to its intricate biodiversity and globally dominant agricultural sector. Increasing soil degradation, agricultural land expansion, and rising levels of atmospheric carbon are nationwide concerns that require multifaceted solutions. Integrated agricultural systems, which rehabilitate soils through crop, forage, and livestock rotation as well as biochar—a carbon-rich soil amendment—can address such concerns. These sustainable farming practices improve carbon sequestration and soil fertility; however, uptake remains minimal due to environmental, economic, and policy barriers. Accordingly, this paper proposes a comprehensive model of integrated systems and biochar, in which the benefits of one …

Exploration Of The Implementation Of The Workforce Innovation And Opportunity Act By Vocational Rehabilitation Programs Through Collaboration With Education Officials, Elyse Leinani Luke

Walden Dissertations and Doctoral Studies

Despite public policies intended to achieve employment equity for students with disabilities, compared to students without disabilities, transition-age students with disabilities are less likely to be in the workforce even after receiving public vocational rehabilitation (VR) services. The purpose of this qualitative, multicase study was to explore implementation of the Workforce Innovation and Opportunity Act (WIOA) by VR programs through collaboration with state education officials to deliver pre-employment transition services (pre-ETS) to students with disabilities. The Integration Continuum was used to conceptually frame this study because the model provides a hierarchical scale with definitions about how organizations work together at …

Leaders’ Responsiveness To Creating Ethical Climate For Whistleblowing And Implicit Retaliation In The Public Sector, Oluwatoyin Olusegun

Walden Dissertations and Doctoral Studies

Whistleblowing is reporting unethical or illegitimate practices witnessed by a member of an organization. Despite the laws and policies protecting whistleblowers in the public sector, many employees who report observed wrongdoings face retaliation. Creating an ethical climate impacts the responsiveness of organizational leaders to whistleblowing, yet little is known about how middle-level managers navigate organizational factors, situational factors, and personal beliefs to create an ethical climate. The current study aimed to bridge the knowledge gap by exploring how middle-level managers in government organizations in California described how organizational and personal factors influence their ability to create an ethical climate that …

Shattering The Mask: Unveiling The Destructive Force Of Misogynoir, Ledominique Hubbard

Dissertations

As a Black woman, my professional journey has been consistently marred by encounters with racism and gender bias. In this research, I employed autoethnography to shed light on my experiences and meticulously examine the challenges of misogynoir I faced while holding pivotal positions, including that of a detested team leader, an ingenious instructional teacher, and an anti-racist assistant principal across three distinct school campuses in two states. My narrative unfolds in various contexts, notably as the sole Black female teacher and team leader within nine elementary schools in a predominantly white, female-staffed rural district. Furthermore, I underscore my role as …

The Conflict Between The United States And Iran And Its Effect On Iraq, Sarah Alsalih

Dissertations and Theses

This thesis examines the dynamic interplay between the United States and Iran and its repercussions on Iraq in the post-9/11 era. Against a backdrop of historical adversities, the research delves into the evolving relationship between the U.S. and Iran, elucidating its multifaceted dimensions and the consequential effects on Iraq. The central inquiry driving this investigation is: "Against the adversarial historical backdrop of U.S.-Iran relations, how has the relation between the two countries changed and impacted Iraq throughout the post 9/11 era?"

Drawing upon a comprehensive analysis through the lens of diplomatic interactions, military interventions, and regional dynamics, this study seeks …

The Influence Of A Caregiver Support Program On Consumer Well-Being, Wallace Thomas Peake

Walden Dissertations and Doctoral Studies

Caregiving has been shown to be a potential burden for the well-being of caregivers. The focus of this study was a caregiver support program whose managers lacked an understanding of the efficacy of the program in enhancing the well-being of the consumers of the program. The purpose of this quantitative study was to develop and administer a consumer satisfaction survey that evaluated the efficacy of caregiver support program services from the consumer perspective. This study was grounded by the positive emotion, engagement, relationships, meaning, and accomplishment model, which informed the development of the survey that was administered to the participants …

Natural Hazards Triggering Technological Disasters: Source Identification, Vulnerability, And Evaluation Of Emergency Preparedness In A Southern California City, Lisa Peumsang

Walden Dissertations and Doctoral Studies

Natural hazards triggering technological disasters (natech) events exist around the world and affect people, infrastructure, the economy, and environment but are not often considered for local hazard mitigation and emergency preparedness plans. The purpose of this qualitative case study was to identify (a) the natech event vulnerability of the target city, which is in the western United States, and potential sources for these events and (b) the extent to which the city’s hazard mitigation and emergency operations plans addressed natech events. The vulnerability assessment was performed through the lens of network risk theory and involved secondary data analysis of publicly …