Digital Commons Network^™

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 …

Perception Of Crisis Responsibility: Examining Ai-Generated Deepfake Content And Public Response To Taylor Swift, Ziying Chen

Theses - ALL

Due to the increase in deepfake technology, it is crucial to correctly confirm the truthfulness of information, especially in safeguarding reputation during challenging situations. This study applies theoretical frameworks to investigate the impact of deepfake content on the public perception of Taylor Swift, a prominent figure in American pop music. A quantitative content analysis will be conducted to analyze the top tweets produced by social media users (N=131) based on the source of the poster and the nature of the content, such as where the responsibility or blame for the deepfake crisis is attributed. The research explores the effects of …

Technology Policy For Meeting Net-Zero Carbon Goals By 2050: Accelerating Innovation In Complementary Technologies To Decarbonize The Electrical Grid, Myriam Gregoire0zawilski

Dissertations - ALL

In this dissertation, I examine the link between technology standards and innovation in green energy technologies. The first paper investigates the effects of compatibility standards on follow-on innovation at the firm-level in smart grid technology. Using data on the adoption of standards in 19 OECD countries and weights that capture the unique composition of each firm’s country markets, we find that higher exposure to changes in standardization causes a decline in firms’ patenting activity. This negative effect is concentrated in large incumbents and is partially offset by an increase in the quality of inventions. This suggests a tradeoff in the …

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 …

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 …

Satellites In The Russia-Ukraine War, Ron Gurantz

Books, Monographs & Collaborative Studies

Satellites and counterspace systems have shown themselves to be important parts of modern warfare in the Russia-Ukraine War but have also been subject to various restrictions to prevent escalation. This monograph examines the role of satellites and counterspace systems in the Russia-Ukraine War’s high-technology warfare and the effects of satellite proliferation and commercialization on the conduct of the war. It also analyzes the restrictions under which space-based capabilities have been operating and the implications of these limits for future conflicts—a subject that has received little attention. Relying on an exhaustive study of open-source material and the application of limited-war theory …

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®, …

Acknowledging Dispossession: A Cda/Pda Perspective On Discourse Dealing With Unceded Land, J. R. Martin, Priscilla Angela T. Cruz

English Faculty Publications

This paper illustrates what can be revealed by a linguistic analysis of the discourse strategies deployed in a bilingual text acknowledging the dispossession of Indigenous peoples in Mindanao (Philippines). The analysis draws on systemic functional linguistics (SFL) descriptions of English, which model language as a resource for making meaning. It explores the choices involved from the perspective of critical discourse analysis (CDA), exposing language in the service of power, and positive discourse analysis (PDA), appreciating language as an instrument of social change. In doing so we exemplify the role of SFL-informed CDA/PDA in processes of reconciliation, including personal and public …

Large-Scale Experimental Platform For Dynamic Simulation Of Mountain Hazards (Leads), Gongdan Zhou, Peng Cui, Hongwei Wu, Yong You, Wei Zhong, Dongri Song, Chuiyi Zhou, Hongwei Shen, Mingsheng Shang, Xuerui Zhang

Bulletin of Chinese Academy of Sciences (Chinese Version)

Mountain hazards involve complex multiphase media composed of granular materials and fluids. The challenges related to scale effects and similarity issues in physical modelling of these hazards are key problems in both fundamental research on dynamics of granular materials and applied research in disaster prevention and mitigation. Supported by the Chinese Academy of Sciences’ key scientific infrastructure construction project at the field station network, the National Dongchuan Debris Flow Observation and Research Station in Jiangjia Gully, Dongchuan District, Kunming City completed the construction of the large-scale experimental platform on dynamic simulation of mountain hazards (LEADS) in 2024. This platform is …

A City Club Report On Measure 117: Ranked Choice Voting, City Club Of Portland (Portland, Or.)

City Club of Portland

For more than a century United States elections have used “plurality voting,” in which the candidate with the most votes wins. Recently, jurisdictions nationwide have introduced varying forms of “ranked choice voting” (RCV) in which the voter ranks the candidates in order of the voter’s preference. In Oregon, Benton County introduced a type of RCV in 2022, and shortly after the City of Corvallis adopted it for races with 3 or more candidates. In the current election (November 2024) voters will use different forms of RCV to choose the 12 members of the new Portland city council, the mayor, and …

Profiling Academicians Characteristics Of Chinese Academy Of Sciences: Analysis Of Newly Elected Academicians From 2005 To 2023, Qing Liu, Xuange Ma, Xiaosong He

Bulletin of Chinese Academy of Sciences (Chinese Version)

The title of Academician of the Chinese Academy of Sciences (CAS) represents the highest accolade in China’s scientific research field. Profiling the characteristics of CAS academicians can provide crucial insights into the current state of scientific research in China and play a vital role in fostering innovation and cultivating talents for the society. This study conducted a comprehensive quantitative analysis of the birthplaces, ages, genders, educational backgrounds, institutional affiliations, and administrative roles of newly elected CAS academicians from 2005 to 2023. Several key findings are identified, including: (1) the majority of newly elected CAS academicians originate from eastern and central …

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.

How Can Dei Training Change The Culture Of An Organization To Achieve Belonging And Retain Diverse Employees?, Kaisa S. Holt

University Honors Theses

Studies show the need for innovation and higher productivity yields can be best achieved through workforce heterogeneity. Creating effective DEI training frameworks is crucial for belonging, sustainable social well-being and enacting real change. This is key to proactively shifting our current system from one that responds to the need for DEI on a surface level to something that is regenerative. The aim of this review is to evaluate characteristics and enhancements added to evidence-based DEI training between 2020 and 2024. Studies were identified using the Portland State advanced database of academic journals on the DEI training and impacts of the …

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 …

Professional Portfolio: A Social Work Journey Through The 10 Competencies, Tessa Rae Nelson

Graduate Student Portfolios, Professional Papers, and Capstone Projects

The Professional Portfolio demonstrates Tessa Nelson's work through the 10 competencies of social work. This portfolio emphasizes what the student has learned and how it has impacted their social work practice.

Interfamilial Childhood Sexual Abuse, Emilie Potter

Master of Arts in Human Services

The purpose and intent of this capstone project is to spread light onto the very important, and often very taboo, topic of interfamilial childhood sexual abuse. This research aims to cover all bases of interfamilial childhood sexual abuse from the why’s, to the aftermath and care of the victims. The overall goal of addressing the issue of childhood sexual abuse within the family unit would be prevention of its occurrence. To prevent this from continuing to happen to so many children, there needs to be a full understanding of the entire situation from beginning to end. We need to look …

Themes In Help-Seeking Of Female Military Sexual Assault Survivors, Priscilla Phan

Doctoral Dissertations

While large efforts have been made to address military sexual assault, there are still barriers in the help-seeking journey that need attention. This study aimed to examine barriers and facilitators to formal and informal help-seeking behaviors and to understand the role of stigma in survivors' help-seeking behaviors for female military sexual assault survivors. Through semi-structured interviews, the study explored the help-seeking experiences and mental health sequela of fourteen female military sexual assault survivors. This study focused on cis-gender women over the age of eighteen who experienced a military sexual assault, by another military service member, while on active-duty. Women shared …

Strategic Governance To “Silence The Guns” In Africa: Urban Sub-Saharan African Perceptions On War's Root Causes., Peter Tresor Miyalou, Chun Yan Hu

Journal of African Conflicts and Peace Studies

Despite the African Union’s campaign to silence the guns in Africa by 2020 (STGIA 2020), many African countries are suffering from wars and political instability, the primary causes of underdevelopment in Africa. This paper examines the roots causes of wars in Africa and provide a strategic governance to silence the guns beyond 2020. To accomplish this, we gathered data from 169 questionnaire responses administered across 25 African countries, to capture African people’s perceptions on the root causes of wars and whether employing strategic governance would help silence the guns in these countries. The results showed that political power struggle (47.9%), …

Resolving Nigeria’S Security Conundrum: A Comprehensive Regional Analysis, Lukman Ahmed Lawal, Beacon Mbiba, Salamatu Kassah

Journal of African Conflicts and Peace Studies

Abstract

This article analyses the regional variabilities of insecurity in Nigeria to propose a suitable approach to understanding their peculiarities. It argues that the dominant military interventions and one-size-fits-all approaches are inappropriate for resolving the country’s myriad security challenges. The Regional Security Complex Theory offers a theoretical basis to contextualise the complex security challenge in Nigeria. There is a need to unbundle the dynamics for each of the regions. Syntheses from the six geopolitical zones indicate that although the security challenges manifest in precarious living conditions, the drivers differ. The article recommends that interventions analyse and identify underlying factors for …

Moral Panic In The Modern Era: The Effects Of Moral Panic On Policy Implemented Through The Field Of Law Enforcement, Charles J. Oakley

Doctoral Dissertations and Projects

This study employed a grounded qualitative approach to explore the intricate relationship between moral panic and public administration policy in the subfield of law enforcement administration. Using a nationwide survey derived from the U.S. Major Cities Chief Association census, postsurvey interviews and employing document analysis and crime statistics, the research investigated the impact of moral panic-induced policy decisions on law enforcement agencies from 2018 to 2022. Social media emerged as a significant catalyst, fueling public outrage and facilitating political rent-seeking. The punctuated equilibrium theory highlights abrupt budgetary and policy shifts notably found in a surge of legislative initiatives in 2021. …

Waste Management Process And Malaria-Induced Child Mortality In Côte D’Ivoire., Kouame N'Guessan

Walden Dissertations and Doctoral Studies

Malaria-induced child mortality is a Sub-Saharan African phenomenon, and Côte d'Ivoire, in West Africa, has one of the highest rates. This general qualitative study investigates waste management as a potential factor of malaria-induced child mortality to inform policy changes and fill a gap in the body of knowledge. The study is grounded in Skocpol's policy feedback theoretical framework. The research question explored aspects of waste management in Côte d'Ivoire which contribute to the high rate of malaria-induced child mortality. Eighteen participants, equally divided into three groups, were purposely recruited via email and WhatsApp messages for semi-structured interviews using a smartphone …

Paradox Of Trust: Examining The Intermediaries That Shape Trust In Va Among The Veteran Population, Jonathan Mills

Walden Dissertations and Doctoral Studies

The Department of Veterans Affairs (VA) has faced significant challenges in maintaining the trust of the veterans it aims to serve—especially those veterans most at risk for adverse outcomes. While veterans currently enrolled in VA care report high trust in the quality of their care, nonenrolled veterans report much lower levels of trust, preventing them from seeking the care they need. This study explored the complex dynamics and drivers of low trust among veterans who are not enrolled in VA healthcare, versus higher reported trust among veterans who are. The research leveraged organizational reputation theory and the macro cognitive perspective …

Summary Report Of Discussions At The Ana Forum 2024, Berkeley, Ca “How Can The North American Nepali Diaspora Contribute To Nepal’S Economic Development?”,, Ambika P. Adhikari

Himalayan Research Papers Archive

The ANA 2024 annual convention, organized on ANA’s 42nd founding anniversary, was held in the San Francisco Bay Area (Berkeley and Oakland) in California, where hundreds of ANA members and friends had gathered. The convention consisted of several forums, sessions, and cultural programs. As always, the convention included a Nepal-related forum “How Can the North American Nepali Diaspora Contribute to Nepal’s Economic Development?” The Forum took place from 1:30-2:30 pm on Saturday July 20, 2024. Four panelists, including the moderator, spoke at the forum. About 45-50 individuals attended the session. Guest panelist, Dr. Minendra Rijal sent a message as he …

Participatory Democracy: The Potential For Civic Transformation Understanding Participants' Learning In The Milwaukie Citizens Jury, Amanda Grace Hudson

Dissertations and Theses

Faced with unresponsive government institutions and the limitations of representative democracy, participatory and deliberative democrats have created alternative models for robust democratic participation such as civic juries, civic assemblies and participatory budgeting. Advocates claim that these methods create better citizens and better outcomes and they claim these forums act as a school of democracy. The schools of democracy theory describes participation as a virtuous circle--that doing democracy will make people more democratic. While these processes often produce enthusiastic supporters and encouraging results, there has been very little research to date that attempts to explain how and why people learn and …

Policy Brief—Safeguarding Women's Health: Trends, Inequities, And Opportunities In Pakistan's Abortion And Postabortion Care Services, Population Council, Guttmacher

Safe Abortion and Postabortion Care

Pakistan is experiencing critical reproductive health issues driven by a high population growth rate of 2.55% per year, low contraceptive use (34% for all methods, 23.4% for modern methods), and a significant unmet need for family planning (17.3%). Low contraceptive use and high unmet need for family planning contribute to high rates of unintended pregnancies which often result in unsafe abortions and postabortion complications.

This policy brief presents the findings of a comprehensive study on abortion and postabortion care in Pakistan. The study was conducted in 2023 by the Population Council in partnership with the Guttmacher Institute. The study is …

Assessing Gtfs Accuracy, Gregory L. Newmark

Mineta Transportation Institute

The promised benefits of the General Transit Feed Specification (GTFS) Schedule and Realtime standards are dependent on the underlying quality of the data. Despite this fundamental reliance, there has been relatively little research on techniques and strategies to assess GTFS accuracy. The need for such assessment is growing as federal and state governments increasingly require transit agencies to make these data available to the public. This research fills this gap by presenting a suite of methods and metrics to assess the temporal accuracy of GTFS Realtime and the spatial accuracy of GTFS Schedule feeds. The temporal assessment demonstrates an approach …

Time-To-Failure Prediction Of Fine-Grained Soil Slopes Subject To Weather-Driven Deterioration, Arm M. Morsy

Mineta Transportation Institute

Embankments have been widely used in the construction of transportation and flood defense infrastructure. Embankments constructed from clays experience a suite of weather-driven deterioration processes that lead to a progressive loss of hydromechanical performance, causing potentially severe and costly consequences. This study aimed to predict the time to failure of aging, deteriorating clay embankments supporting transportation infrastructure. A multi-phase numerical modeling approach was developed to replicate the long-term, weather-driven, hydromechanical behavior of clay embankments. This model simulated the behavior of a number of well-documented embankment failure case studies that had sufficient data to derive the necessary soil properties and climate …

Ten Years Forward: An Evaluation Of California’S Active Transportation Program, Bruce Appleyard, Mario Carbajal, Madison Swayne, Nell Ahangarfabrik, Megan Honey

Mineta Transportation Institute

California’s Active Transportation Program (ATP) is a competitive, grant-based program that serves as a major funding stream for active transportation infrastructure in California. The program has six goals based on increasing nonmotorized transportation, safety, equity, sustainability, and health. Evaluation of the ATP’s administrative and scoring processes is crucial to ensure goals are met as equitably and efficiently as possible. Additionally, establishing a methodology for evaluating the safety impacts of active transportation projects is critically important. Through a series of interviews and an extensive review of the documents and rubrics of the program, this report discusses how the Active Transportation Program …

Is Parking Cash-Out Worth It? Comparing Cost-Effectiveness And Climate And Equity Benefits In The Bay Area And South Coast Air Quality Management Districts, Fynnwin Prager, Tianjun Lu, Ashley Membere, Parveen Chhetri

Mineta Transportation Institute

This research explores the potential impacts of California parking cash-out policy changes on the Bay Area and LA County. Parking cash-out—a California law since 1992—requires that certain qualifying employers who subsidize employee parking offer employees the option to give up their parking space and receive cash instead. Studies show parking cash-out substantially reduces VMT and emissions, yet enforcement remains voluntary. Current policy covers few firms (<1%) and employees (around 11%) in the study regions. Policy reform to include companies with 20+ employees could increase this to 18%. Our experimental-design survey (n=963) explores behavioral changes in response to multiple policy variables and finds that 76.9% of employees would accept cash-out if offered, and that participants who had to pay the market rate for parking and were full-time commuters were more likely to switch to using public transportation at lower cash minimums. VMT related to employees covered by parking cash-out are substantial (5.6 million in the Bay Area; 5.7 million in LA County), and account for a combined 6,593 daily tons of GHG. As even limited adoption could have significant environmental benefits, parking cash-out would be a more cost-effective approach to reducing VMT than traditional TDM programs such as trip-reduction programs, workplace parking taxation, or transit subsidies and road diets, though further evidence on the direct influence of parking cash-out on commuter behavior is needed.