Digital Commons Network^™

Aging In North Andover: A Community Needs Assessment, Claire Wickersham, Caitlin E. Coyle, Ceara Somerville, Holly Stockdale

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of North Andover. The goal of this project was to identify, describe, and prioritize the needs and preferences of North Andover residents age 60 and older as they relate to aging well in the community. In 2023, North Andover opened a new Senior Community Center. The contents of this report are intended to be used for planning for the new Senior Community Center space and to inform strategic planning …

Racialization, Individualism, And Denial: How The American And Australian Dreams Uphold The Homelessness And Poverty Crises Of Today, Emily Rose Andrews

Social Sciences

Inspired by my lived experience of immersion in the Tenderloin neighborhood of San Francisco, California, for two weeks; studying abroad in Adelaide, South Australia, for two months; and my current internship at the Department of Social Services in San Luis Obispo, California, I plan on formulating a research paper on the topic of homelessness for my senior project. Specifically, through an extensive literature review and analysis, I will investigate: How does the culture of poverty ideology influence public opinions and policy responses to homelessness in the United States and Australia? To answer this question, I will first introduce the concept …

Identifying Rural Health Clinics Within The Transformed Medicaid Statistical Information System (T-Msis) Analytic Files, Katherine Ahrens Mph, Phd, Zachariah Croll, Yvonne Jonk Phd, John Gale Ms, Heidi O'Connor Ms

Rural Health Clinics

Researchers at the Maine Rural Health Research Center describe a methodology for identifying Rural Health Clinic encounters within the Medicaid claims data using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files.

Background: There is limited information on the extent to which Rural Health Clinics (RHC) provide pediatric and pregnancy-related services to individuals enrolled in state Medicaid/CHIP programs. In part this is because methods to identify RHC encounters within Medicaid claims data are outdated.

Methods: We used a 100% sample of the 2018 Medicaid Demographic and Eligibility and Other Services Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files for 20 states …

Military-Connected Small Business Profiles: Access To Capital And Resources Across Revenue Stages, Rosalinda V. Maury, Adam Pritchard

Institute for Veterans and Military Families

This research brief presents a thorough analysis of the military-connected entrepreneurship ecosystem, detailing the progression of business development from inception to sustainability. Leveraging data from the NSMAE and bolstered by generous financial support from Walmart, it outlines the specific challenges and growth opportunities faced by military-affiliated small businesses. These challenges include navigating access to capital, overcoming operational hurdles, and seizing growth opportunities. This brief categorizes businesses into five stages—Foundational, Startup/Launch, Growth, Acceleration, and Sustainability—characterized by distinct financial conditions, operational challenges, and resource management strategies.

Governmental Affairs Update, Neema Katibai Jd

The Journal of the Michigan Dental Association

The article presents the American Dental Association's federal advocacy achievements during the first half of the 118th Congress. The ADA has made significant strides in influencing policy and regulations across various categories, including workforce issues, dental insurance reform, access to care, student loan debt, Medicaid, practice management, veterans' affairs, health information technology, and public health. Their efforts span from urging legislative action to collaborating with federal agencies and Congress members. These accomplishments showcase the ADA's commitment to advancing dental profession interests nationally.

Special Insert: Guideline For Delegation Of Duties For Allied Dental Personnel In Michigan, David Foe Ma

The Journal of the Michigan Dental Association

Dental assistants, registered dental assistants, and registered dental hygienists have specific duties they can perform for patients as outlined by the Michigan Public Health Code and the Michigan Board of Dentistry General Rules. Permitted delegated services vary based on a team member’s level of training, licensure, and available supervision by a licensed dentist.

The Journal of Michigan Dental Association provides this pullout insert to guide the dental team. This easy-to-read chart quickly identifies recent changes to the duties each dental auxiliary can legally perform.

Face Peace Design Brief #4: Negotiation And Consensus Building In Hybrid Environments, John Porten

Kroc IPJ Research and Resources

This FACE Peace Design Brief considers negotiation and consensus-building programs using a mix of in-person and distanced elements. Recent advances in technology and cultural shifts brought about by the COVID-19 pandemic have allowed program and event designers to consider a wide variety of tools and practices that allow negotiations and bargaining to happen at a distance or asynchronously.

Feminist Policy Analysis On Gender Mainstreaming Policy In Indonesian International Peacekeeping Forces, Zahra Ayu Kusuma Ricarvy, Sri Lestari Wahyuningroem

Jurnal Politik

This study analyzes the implementation of gender mainstreaming policies within the Garuda troops using the Feminist Policy Analysis (FPA) approach in the context of Indonesia's commitment to gender equality in peacekeeping operations. Gender mainstreaming policies are expected to ensure equal access, participation, control, and benefits for both women and men within the defense system, as well as minimize gender discrimination. The method used in this research involves policy analysis as regulated in Presidential Instruction No. 9/2000, with a focus on its application in Peacekeeping Missions (IPM). Data were collected through interviews with relevant officials from the Ministry of Defense and …

Against The Mainstreaming Of The Term Sex Work: Advocacy With India's Supreme Court, Pravin Patkar

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

2024 March, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for March of 2024.

Grievance Politics And Technocracy In A Developmental State, Ijlal Naqvi, Federico M. Rossi, Rayner Kay Jin Tan

Research Collection School of Social Sciences

This article uses a process-tracing approach to understand changes in Singapore’s health sector from the start of self-rule in 1959 to the end of the COVID-19 pandemic in 2022. Singapore is a developmental state recognized for its effective management of healthcare costs and its lack of political freedom. In both respects, the ‘Singapore model’ is of interest to other cities and nations. The standard narrative is one of technocratic proficiency in a context in which civic freedoms are heavily constrained, but this article identifies the surprisingly important role of social voices at key moments. It finds episodes in which effective …

Infrared Investigation In Singapore (Iris) Observatory: Urban Heat Island Contributors And Mitigators Analysis Using Neighborhood-Scale Thermal Imaging, Clayton Miller, Vasantha Ramani, Clayton Miller

Research Collection College of Integrative Studies

This paper studies heat fluxes from contributors and mitigators of urban heat islands using thermal images and weather data. Thermal images were collected by a rooftop observatory between November 2021 and April 2022. Over the same period, weather stations were operating at several locations on a university campus in Singapore. From collected data, a method was defined to estimate sensible and latent heat fluxes from building façades, vegetation, and traffic. Before analyzing heat fluxes using the method, thermal images were calibrated against measurements made with contact surface sensors. Results show that the method can be used to study heat fluxes …

Constitutional, Governance Or Market Failures: China, Climate Change And Energy Transition, Henry S. Gao, Weihuan Zhou

Research Collection Yong Pung How School Of Law

Jinping announced China’s plan to further scale up its Intended Nationally Determined Contributions, aiming at achieving CO2 emissions peak before 2030 and carbon neutrality before 2060.2 A central element of the plan is reducing China’s heavy reliance on coal power. As a result, China’s use of coal already saw a steady decrease between 2013 and 2018. While coal demand increased in 2019 and 2020, new coal power plants approved in 2021 declined by approximately 58% compared to 2020.3 However, the good progress in energy transition was interrupted by the power outage sprawling over 20 provinces in China in September 2021, …

Pretesting Discrete-Choice Experiments: A Guide For Researchers, Nicola B Campoamor, Christi J Guerrini, Whitney Bash Brooks, John F P Bridges, Norah L Crossnohere

Center for Medical Ethics and Health Policy Staff Publications

Discrete-choice experiments (DCEs) are a frequently used method to explore the preferences of patients and other decision-makers in health. Pretesting is an essential stage in the design of a high-quality choice experiment and involves engaging with representatives of the target population to improve the readability, presentation, and structure of the preference instrument. The goal of pretesting in DCEs is to improve the validity, reliability, and relevance of the survey, while decreasing sources of bias, burden, and error associated with preference elicitation, data collection, and interpretation of the data. Despite its value to inform DCE design, pretesting lacks documented good practices …

Igg In The Trenches: Results Of An In-Depth Interview Study On The Practice, Politics, And Future Of Investigative Genetic Genealogy, Christi J Guerrini, Whitney Bash Brooks, Jill O Robinson, Stephanie M Fullerton, Emily Zoorob, Amy L Mcguire

Center for Medical Ethics and Health Policy Staff Publications

Investigative genetic genealogy (IGG) is a new technique for identifying criminal suspects and unidentified deceased and living persons that has sparked controversy. In a criminal case, the technique involves uploading genetic information left by a putative perpetrator at the crime scene to one or more direct-to-consumer genetic genealogy databases with the intention of identifying the perpetrator's genetic relatives and, eventually, locating the perpetrator on the family tree. In 2018, IGG helped to identify the Golden State Killer, and it has since been used in hundreds of investigations in the United States. Here, we report findings from in-depth interviews with 24 …

A Phase 1 Trial Utilizing A Pharmacokinetic Endpoint To Determine The Optimal Dose Of Ramucirumab In Children And Adolescents With Relapsed Or Refractory Solid Tumors, Including Central Nervous System Tumors, Kristy L Pilbeam, Kamnesh Pradhan, James Croop, Charles G Minard, Xiaowei Liu, Stephan D Voss, Emasenyie Isikwei, Stacey L Berg, Joel M Reid, Elizabeth Fox, Brenda J Weigel

Center for Medical Ethics and Health Policy Staff Publications

Background: Ramucirumab is a monoclonal antibody that binds the extracellular domain of vascular endothelial growth factor receptor (VEGFR-2) and prevents binding of VEGF ligands. Based on population pharmacokinetic (PK) analysis and correlation with efficacy in adults, a target steady state trough concentration (Css,min ) ≥ 50 µg/mL was established.

Procedures: This phase 1 trial (ADVL1416) used a rolling six design and a PK primary endpoint to define the recommended phase 2 dose (RP2D) of ramucirumab in children with recurrent/refractory solid tumors. Two dose levels (DL) were planned (DL1: 8 mg/kg, DL2: 12 mg/kg administered intravenously [IV] every 2 weeks). Toxicity …

Self-Sampling For Human Papillomavirus Testing: Acceptability In A Us Safety Net Health System, Susan L Parker, Trisha L Amboree, Shaun Bulsara, Maria Daheri, Matthew L Anderson, Susan G Hilsenbeck, Maria L Jibaja-Weiss, Mohammed Zare, Kathleen M Schmeler, Ashish A Deshmukh, Elizabeth Y Chiao, Michael E Scheurer, Jane R Montealegre

Center for Medical Ethics and Health Policy Staff Publications

Introduction: Self-sampling for human papillomavirus testing is increasingly recognized as a strategy to expand cervical cancer screening access and utilization. Acceptability is a key determinant of uptake. This study assesses the acceptability of and experiences with mailed self-sampling kits for human papillomavirus testing among underscreened patients in a safety net health system.

Methods: A nested telephone survey was administered between 2021 and 2023 to a sample (n=272) of the 2,268 participants enrolled in the Prospective Evaluation of Self-Testing to Increase Screening trial. Trial participants include patients of a safety net health system aged 30-65 years who were not up to …

Parental Descriptions Of Childhood Avoidance Symptoms After Trauma, Zoe Blair-Andrews, Alison Salloum, Stephanie Evans, Vicky Phares, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Recognizing and diagnosing the avoidance symptom cluster of posttraumatic stress disorder (PTSD) in young children has been challenging. This study examines caregivers' descriptions of young children's avoidance reactions. By describing parents' examples of childhood avoidance, clinicians, researchers, and educators may be able to provide more specific psychoeducation which may improve identification of avoidance behaviors in young children. Caregivers (N=73) of young children (age 3-7 years) participated in a semi-structured diagnostic clinical interview prior to enrolling in a clinical trial for childhood trauma. The assessment regarding the caregiver's description of the child's avoidance was audio recorded and transcribed for a thematic …

Case Sampling For Evaluating Hospital Postoperative Morbidity In Us Surgical Quality Improvement Programs, Vivi W Chen, Tracey Rosen, Yongquan Dong, Peter A Richardson, Jennifer R Kramer, Laura A Petersen, Nader N Massarweh

Center for Medical Ethics and Health Policy Staff Publications

Importance: US surgical quality improvement (QI) programs use data from a systematic sample of surgical cases, rather than universal review of all cases, to assess and compare risk-adjusted hospital postoperative complication rates. Given decreasing postoperative complication rates over time and the types of cases eligible for abstraction, it is unclear whether case sampling is robust for identifying hospitals with higher than expected complications.

Objective: To compare the assessment of hospital 30-day complication rates derived from sampling strategy used by some US surgical QI programs relative to universal review of all cases.

Design, setting, and participants: This US hospital-level analysis took …

Building Effective Mentoring Relationships During Clinical Ethics Fellowships: Pedagogy, Programs, And People, Trevor M Bibler, Ryan H Nelson, Bryanna Moore, Janet Malek, Mary A Majumder

Center for Medical Ethics and Health Policy Staff Publications

How should clinical ethicists be trained? Scholars have stated that clinical ethics fellowships create well-trained, competent ethicists. While this appears intuitive, few features of fellowship programs have been publicly discussed, let alone debated. In this paper, we examine how fellowships can foster effective mentoring relationships. These relationships provide the foundation for the fellow's transition from novice to competent professional. In this essay, we begin by discussing our pedagogical commitments. Next, we describe the structures our program has created to assist our fellows in becoming competent ethicists. We then outline the kinds of knowledge, skills, and professional attributes mentors should possess. …

The Structural Equation Modelling Of First Level Health Facilities’ Performance-Based Capitation Payment In National Health Service, Ari Dwi Aryani, Adang Bachtiar, Cicilya Candi

Kesmas

The BPJS Healthcare Security implemented performance-based capitation/Kapitasi Berbasis Kinerja(KBK) payments to conduct structured and ongoingmonitoring of the First Level Health Facilities/Fasilitas Kesehatan Tingkat Pertama(FKTP)'s performance throughout Indonesia. This study aimed to examinethe direct and indirect effects of FKTP capacity on KBK and FKTP performance. This study was conducted in February 2023, and Structural EquationModelling analysis was performed with secondary data from the BPJS Healthcare Security system database in 2021. Human resources were defined as theavailability of doctors in FKTP, infrastructure as credentialing value, ownership and type of FKTP, and KBK, and performance as first contact, non-specialistoutpatient referral ratios, and Chronic …

Implementation Of Digital Health In Addressing Global Threats: Lessons From The Use Of Technology During Covid-19 Pandemic In Indonesia, Naili Shifa, Anisa Tiasari, Kemal N. Siregar

Kesmas

This research conducted a systematic literature review to explore the implementation of digital health in Indonesia, focusing on the digital health policies, usage during the COVID-19 pandemic, benefits, and lessons learned. The study identified 10 relevant journals through database searches and analyzed the trends in publication, productive journals, and top institutions involved in digital health research. The findings revealed an increasing interest in digital health, with a growing number of published articles from 2021 to 2023. ScienceDirect emerged as the most productive journal, followed by PubMed and MDPI. The University of Indonesia and the University of Gajah Mada were the …

Implementation Of National Movement For The Acceleration Of Nutrition Improvement Policy For The First 1,000 Days Of Life In Indonesia, Muhammad Ryman Napirah, Vidyanto Vidyanto, Nurdin Rahman, Arum Sekar Ningrum, Asmawati Asmawati, Meita Veruswati

Kesmas

The national movement for accelerating nutrition improvement in the first 1,000 days of life is an effort to strengthen the Indonesian Government's commitment to the national strategic agenda and tackling stunting. This study aimed to determine communication, resources, disposition, and bureaucratic structure in implementing the movement at the Biromaru Primary Health Care (PHC) and Loru Village, Sigi District, Indonesia. The mixed method approach was carried out with informants consisting of several parties from the PHC, health cadres, and the local community through triangulation and questionnaires. The results showed poor communication was inhibited by a lack of community outreach, the attitude …

Syrian Investments And The Insertion Of Displaced Syrians In The Egyptian Labor Market, Sajeda Khattab

Theses and Dissertations

This study explores Syrian investments and the economic insertion of displaced Syrians in the Egyptian labor market, specifically focusing on middle/large scale investments in the hospitality and textile sectors. It addresses a gap in the theoretical literature concerning Syrian investments during displacement and their economic insertion in Egypt, examining the legal framework and provisions related to employment. The conceptual framework investigates how Syrian business owners' investments contribute to the insertion of displaced Syrians, emphasizing business size, legal status, and economic resources. The findings reveal a positive impact on economic integration, highlighting entrepreneurial strategies, local growth, difficulties, and their transformative role …

Covid-19 And Labor Shortage In France: Exploring The Contribution Of Tunisian Migrant Workers In Bridging The Labor Shortage, Sana Gasmi

Theses and Dissertations

This thesis employed a qualitative approach, combining both desk research and in-depth interviews with 11 participants: nine Tunisian migrant workers and two Tunisian migrant experts. The thesis examined labor shortage in France during the pandemic and the extent to which Tunisian migrant workers managed to bridge the labor shortage relying on the Segmented Labor market theory which was originally developed by Piore (1979), and the two concepts: System Effects and Systemic Resilience. Findings indicate that the COVID-19 pandemic unveiled several weaknesses in the French labor market system including the acute labor shortage. Faced by labor shortage, France turned to migrant …

It Takes A Village: An Examination Of Social Relationships And Mental Health, Em Francis Trubits

Dissertations and Theses

Social relationships are impactful to mental health and well-being, both positively and negatively. Different sources of support vary in their ability to meet our needs and ultimately influence our well-being. While research has examined aspects of supportive and harmful social relationships and mental health, much of this work is cross-sectional or limited to a single source of support. This dissertation aimed to better elucidate the relationship between social relationships and mental health by integrating multiple theoretical perspectives and multiple sources of support, in a series of three empirical studies in order to inform theory and interventions targeting mental health of …

Development Of Technology Pilot Training To Reduce The Number Of Senior Citizens Victimized By Computer Fraud Scams, James Eric Johnston

Walden Dissertations and Doctoral Studies

There is need in the public sector to help people 60+ years of age in the safe, practical use of technology for business, personal use, and family interaction. This age group is targeted more than others involving technology fraud. The current study focused on which topics need to be part of Technology Fraud Pilot Training to reduce the victimization that is put upon seniors 60+ years of age. The project included measures that may improve understanding and safe usage of basic technology that is frequently used. These searches came from public administration, technology, government, city government, state sources, and others …

Evidence Review And Considerations For Use Of First Line Genome Sequencing To Diagnose Rare Genetic Disorders, Kristen M Wigby, Deanna Brockman, Gregory Costain, Caitlin Hale, Stacie L Taylor, John Belmont, David Bick, David Dimmock, Susan Fernbach, John Greally, Vaidehi Jobanputra, Shashikant Kulkarni, Elizabeth Spiteri, Ryan J Taft

Center for Medical Ethics and Health Policy Staff Publications

Early use of genome sequencing (GS) in the diagnostic odyssey can reduce suffering and improve care, but questions remain about which patient populations are most amenable to GS as a first-line diagnostic test. To address this, the Medical Genome Initiative conducted a literature review to identify appropriate clinical indications for GS. Studies published from January 2011 to August 2022 that reported on the diagnostic yield (DY) or clinical utility of GS were included. An exploratory meta-analysis using a random effects model evaluated DY based on cohort size and diagnosed cases per cohort. Seventy-one studies met inclusion criteria, comprising over 13,000 …

Evaluating Safety, Permanency, And Well-Being Outcomes For Adolescents In Family Home Program Care, Tami C. Soper

Walden Dissertations and Doctoral Studies

Policy decision makers have restricted the use of residential behavioral health services for youth involved in child welfare and juvenile justice systems, threatening their existence. Family Home Program (FHP), an evidence-based residential model, is an example of a program at risk of extinction because of negative characterization. While in-home, community-based, and foster care levels of child welfare services are assessed for conformity with federal outcomes using the federal Child and Family Services Review (CFSR), residential care does not receive this review. The purpose of this study was to bridge the evaluation gap between in-home and community-based child welfare programs and …

On Achieving Strategic Fit For Suvidha Sanitary Napkins Distributed Under Pradhan Mantri Janaushadhi Program In India, Priyank Sinha, Romi Sainy, Chandra Prakash Garg

Management Dynamics

In this research paper, we discuss the transformation of India's menstrual hygiene product (MHP) market and the challenges faced in achieving a strategic fit for the Suvidha scheme within the Pradhan Mantri JanAushadhi program. The paper analyzes the misalignment in marketing and supply chain strategies with respect to the overall competitive strategy, and proposes optimal strategies for different consumer segments. It draws insights from Roger's diffusion model to target various adopter categories effectively. The paper emphasizes the need for continuous assessment, collaboration with stakeholders, and adaptation to ensure the scheme's success in providing affordable and eco-friendly sanitary napkins.