Digital Commons Network^™

Trust Criteria For Artificial Intelligence In Health: Normative And Epistemic Considerations, Kristin Kostick-Quenet, Benjamin H Lang, Jared Smith, Meghan Hurley, Jennifer Blumenthal-Barby

Center for Medical Ethics and Health Policy Staff Publications

Rapid advancements in artificial intelligence and machine learning (AI/ML) in healthcare raise pressing questions about how much users should trust AI/ML systems, particularly for high stakes clinical decision-making. Ensuring that user trust is properly calibrated to a tool's computational capacities and limitations has both practical and ethical implications, given that overtrust or undertrust can influence over-reliance or under-reliance on algorithmic tools, with significant implications for patient safety and health outcomes. It is, thus, important to better understand how variability in trust criteria across stakeholders, settings, tools and use cases may influence approaches to using AI/ML tools in real settings. As …

Indigenous Practices In Head Start Classrooms— Toward Survivance And Indigenization In Policy And Practice, Liza Xet Smith

LMU Theses and Dissertations

The Office of Head Start has prioritized holistic quality education services for children and communities in greatest need. First, since 1965, the federal government has funded, regulated, and publicly aided over 38 million children through Head Start programming, including AIAN and Migrant programs (Administration for Children and Families, n.d.). In 2019, over $10 billion was budgeted for the program, resulting in 1,047,000 low-income children and their families receiving services (Office of Head Start, 2022a). In addition, the Office of Planning, Research, and Evaluation has funded research to improve quality and child outcomes, with research recommendations that significantly guide state and …

How Sarcoidosis Mental Health Stories Could Affect Legislation, Dorothy Michelle Kemp

Walden Dissertations and Doctoral Studies

The problem this general qualitative study with narrative techniques addressed was the lack of empirical research about sarcoidosis mental health based on depression, anxiousness, and feeling lonely. Sarcoidosis legislation was also compared to current mental health legislation, which proposed mental health measures. This study aimed to gather secondary data of firsthand descriptions based on the impacts of sarcoidosis mental health aspects and review sarcoidosis legislation. Accumulated secondary data for this study were a collection of stories from doctors, diagnosed patients, and caregivers based on their narrative of the disease from a mental health perspective. In utilizing the advocacy coalition framework, …

Examining Dietary Disparities And Associated Factors Among Young Children Across Diverse Racial, Ethnic And Immigrant Households In Nebraska, Naveta Bhatti

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Early childhood is a crucial stage for developing eating behaviors which in turn plays a major role in determining health outcomes. Assessing children’s diet plays a crucial role in tackling the obesity epidemic. One of the ways to assess children’s dietary intake is by evaluating their dietary quality. Dietary quality refers to the overall healthfulness and nutritional value of an individual's diet, considering the combination of foods consumed over time. Research has consistently demonstrated that a high-quality diet is associated with a reduced risk of several health issues, such as all-cause mortality, cardiovascular disease incidence or mortality, cancer incidence or …

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 …

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. …

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 …

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 …

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 …

Innovate And Create Novel Mycoinsecticide System To Promote Green Development Of Agriculture, Ding Ding, Feng Jiang, Lili Cao, Le Kang

Bulletin of Chinese Academy of Sciences (Chinese Version)

The long-term irrational use of chemical pesticides has led to severe ecological, environmental, and human safety concerns, although chemical pesticides play an important role in increasing crop yields. In response, China has issued a series of policies to reduce the use of chemical pesticides, aiming to ensure food and agricultural safety while promoting high-quality agricultural development. Reducing the usage of chemical pesticides must be complemented by the adoption of biological pesticides. Globally, biological pesticides currently account for approximately 40% of total pesticide usage in many countries. Mycoinsecticide, characterized by their environmental friendliness, sustainability, and low resistance development, represents an important …

Lived Experiences, Perceptions, And Caregiving Trajectories Of Family Caregivers Of Youth With Substance Use Disorders (Suds) In Zambia, Ireen Manase Kabembo

Lingnan Theses (MPhil & PhD)

There is unequivocal evidence that family caregivers contribute to healthcare systems worldwide by providing care for persons with chronic illnesses in the home setting. his study explores the lived experiences, perceptions, and caregiving trajectories of 30 family caregivers of youth aged 16-24 diagnosed with Substance Use Disorders (SUDs) in Zambia. Data was collected through in-depth semi-structured interviews, a caregiving timeline, and participant observation and analysed using interpretative phenomenological analysis. Guided by the integrated theoretical framework of positioning theory and the theory of caregiving dynamics, this study offers a new lens for understanding caregiver’s experiences regarding caregiver identity, self-perceptions, interpersonal relationships, …

Meals For All: An Examination Of The Effects Of Free School Meals On Middle Class Households, Ryan Elizabeth Comerford

Doctoral Dissertations and Projects

Universal meal programs were created to mitigate childhood food insecurity in low-income communities. It is well known that poverty and food insecurity go hand-in-hand and are often the basis for much academic research within the realm of childhood food insecurity. This study investigates the impact of universal meal programs on food insecurity from a different perspective, that of the middle class. As an under-researched area, the hope is to draw attention to the needs of communities that are often forgotten and may not qualify for social programs, in an effort to reform existing federal policy regarding Universal Meal programs. Utilizing …

Technology And Homelessness: How Website Design And Blockchain Technology Could Impact The Unhoused, Casey Pratt

Undergraduate Theses, Capstones, and Recitals

Although technology could be used to combat inequality, it is instead increasing it. This paper discusses how the unhoused population suffers at the hand of technological inequality despite being relatively offline. It presents theories on how this would change if we reapproached how technology is used to assist the unhoused. It suggests implementing blockchain as a resource as well as modifying the websites built to assist in accessing benefits. Employees at shelters are interviewed for this paper about their experiences with using digital resources to rehouse and restabilize the vulnerable. They are asked how the sites can be improved for …

A Critical Policy Analysis Of Universal Preschool In Colorado: Its Roots, Intentions, And Development, Jamita Horton

Electronic Theses and Dissertations

High-quality preschool experiences are essential for preparing four-year-old children for a successful transition to kindergarten, benefiting them academically, emotionally, socially, and physically. However, access to such preschools remains limited, particularly for children from marginalized communities. This qualitative critical policy analysis examines transitioning from the targeted Colorado Preschool Program (CPP) to a universal preschool approach through the 2022 Colorado House Bill 1295: Department of Early Childhood and Universal Preschool Program. Drawing on Young and Diem's (2017) framework for critical policy analysis, this study explores the roots, development, and potential implications of the universal preschool policy.

This study analyzes documents and audio …

Supporting Ontario Public Health Units To Address Adverse Childhood Experiences In Pandemic Recovery Planning: A Priority-Setting Exercise, Kimberly B Harding, Erica Di Ruggiero, Erick Gonzalez, Amanda Hicks, Daniel W Harrington, Sarah Carsley

Faculty, Staff and Student Publications

BACKGROUND: Adverse childhood experiences (ACEs) are potentially traumatic exposures experienced during childhood, for example, neglect. There is growing evidence that the coronavirus disease 2019 (COVID-19) pandemic and related socioeconomic conditions contributed to an increased risk of ACEs. As public health programs/services are re-evaluated and restored following the state of emergency, it is important to plan using an ACEs-informed lens. The aim of this study was to identify and prioritize initiatives or activities that Public Health Ontario (PHO) could undertake to support Ontario public health units' work towards ACEs-informed pandemic recovery plans.

METHODS: The Child Health and Nutrition Research Initiative method …

Water Management And Conservation In India Fostering Water Justice: Arguing For Adopting Just Sustainability In Water Governance, Gayathri D Naik Dr, Sanjay Shenoi P

Articles

The water sector is characterised by everyday water injustices where factors like social discrimination, economic disparities, and political preferences influence the determination of water resource access, allocation, and management. The increasing anthropogenic impacts on water resources and consequent threats to sustainability add to the water injustices, often impacting the poorer, socially downtrodden communities that bear the brunt of water scarcity and cannot afford alternatives. The current water governance patterns, prioritising equality over equity, fail to address the issues of water injustices created by social, political, and economic factors in water management and sideline the ecological impacts on water resources. Moving …

Strengthening U.S. Jail Systems’ Response To Infectious Diseases: An Evaluation Of The Covid-19 Pandemic, Erinn Bacchus

Dissertations and Theses

Jails across the United States were struck with increased infections and deaths during the COVID-19 pandemic. Studies have shown the structural make up of jails, lack of preparedness plans, and overcrowding contributed to health risks and poor health outcomes both inside jails and local communities. Yet little research has been dedicated to strengthening jail responses to infectious disease outbreaks spanning prevention measures, data collection, and reentry planning. Gaps include information on the (1) myriad infectious disease mitigation strategies used in jails and adherence to CDC prevention guidelines, (2) development of a standardized epidemiologic surveillance system, and (3) experiences working at …

Gathering Gardens: Identifying Land For Community Gardens In Portland, Aswatha Raghunathasami, Gail Chastain, Alan De Anda-Hall, Tyler Smith, Elias Peters

Master of Urban and Regional Planning Workshop Projects

The project’s ultimate goal was to create at least 5 new community garden sites in the city of Portland for people to grow their own culturally relevant foods. To focus on parts of the city with some of the highest equity and food security needs, Agate chose to narrow the project scope to neighborhood areas located east of SE 57th Ave. Through direct engagement with the community, the team developed a site inventory for new potential community garden locations, as well as recommendations for optimal garden management, inclusion, and longevity. The community gardens are expected to be established by APANO …

Internal Culture, External Impact: How A Changemaking Culture Positions Foundations To Achieve Transformational Change – With 2024 Prologue, Amy Celep, Sara Brenner, Rachel Mosher-Williams

The Foundation Review

Editor’s Note: This article, first published in print and online in 2016, has been republished by The Foundation Review with minor updates.

This article argues that a foundation’s internal culture is critical to achieving large-scale social change, but that efforts to build a changemaking culture too often are left out of strategy conversations.

While there is no one culture that suits every foundation, a particular set of characteristics must be present in those that seek largescale social change: a focus on outcomes, transparency, authenticity, collaboration, racial equity and inclusion, continuous learning, and openness to risk.

This article offers insights into …

Performance Of Stunting Reduction Acceleration Team: An Explorative-Qualitative Study In Indonesia-Timor Leste Border Area, Maria Paula Marla Nahak, Veronika Nitsae

Kesmas

Stunting is a complex issue influenced by multiple factors, including specific factors within and outside the health sector. Achieving a significant reduction in stunting needs the involvement of relevant local government offices in the Stunting Reduction Acceleration Team (SRAT). This study aimed to investigate SRAT performance in a specific context of accelerating stunting reduction in Malaka District. This qualitative study, with a phenomenological approach, was conducted in Malaka District, Indonesia, and Timor Leste Border Area from July to September 2023. This study revealed four major themes of SRAT performance to accelerate stunting reduction in Malaka District: activities to accelerate stunting …

Policy Implementation Analysis Of Antenatal Care Services At Puskesmas Negara Ratu And Puskesmas Cempaka Kabupaten Lampung Utara, Willyana Syafriyanti, Anhari Achadi

Journal of Indonesian Health Policy and Administration

The Ministry of Health has issued Minister of Health Regulation Number 21 of 2021 to strengthen maternal health services, which regulates health services during pregnancy (antenatal). The Minister of Health's regulation states that antenatal care is carried out at least six times, 2 (two) of which are examinations with a doctor using an Ultra Sonography (USG) device. Community health centers as primary services are expected to be able to provide antenatal services according to standards. The North Lampung Health Service has distributed ultrasound equipment to community health centers in the North Lampung Regency to support the implementation of antenatal services. …

Performance Of The Public Service Bureaucracy: Urban, Rural, And Building Tax Service Model (Pbb-P2) Based On Information And Technology, Rahmawati Rahmawati, Raniasa Putra

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

The community needs effective, efficient, and accountable public services, including tax services. The Urban & Rural Land & Building Tax (PBB-P2) is a new type of tax for the regions. In the course of its management, there are obstacles and problems. Among them, the community as taxpayers (WP) has difficulty fulfilling their obligations to pay taxes. In addition, the weak administration system of services to taxpayers is due to limited human resources (HR) facilities, infrastructure, organizations, and others. Regional Financial and Asset Management (BPPKAD) considers the bureaucracy too long and prone to deposit discrepancies. The research method used is descriptive …

The Combat Path: Sustaining Mental Readiness In Ukrainian Soldiers, Oleh Hukovskyy, James C. West, Joshua C. Morganstein, Eugene F. Augusterfer, David M. Benedek, Oleg Boyko, Robert J. Ursano, Amy B. Adler

The US Army War College Quarterly: Parameters

In Ukraine, soldiers’ psychological resilience is of paramount concern. Therefore, the Armed Forces of Ukraine have developed a new intervention, Combat Path Debriefing, designed to address combat stress and promote unit readiness for soldiers returning to combat. This article outlines the components of Combat Path Debriefing and discusses how it is rooted in principles of combat and operational stress control and the unique characteristics of Ukrainian military life. This perspective offers US and allied leaders real-world experience that can inform future efforts to support soldiers’ mental health and combat performance.

Return On Investment (Roi) For Undergraduate Degrees At The University Of Nevada, Las Vegas (Unlv) And The University Of Nevada, Reno (Unr), Riley Ruff, Miguel Soriano Ralston, Caitlin J. Saladino, William E. Brown Jr.

Higher Education

This fact sheet examines return on investment (ROI) data for undergraduate degrees at the University of Nevada, Las Vegas (UNLV) and the University of Nevada, Reno (UNR). The original report from the Foundation for Research on Equal Opportunity (FREOPP) includes data on the ROI for various undergraduate degree programs across the United States.

Impact Of The Department Of Defense Maternity Leave Policy Change On Retention And Postpartum Depression And The Air Force Postpartum Physical Fitness Policy Change On Physical Readiness Outcomes, Minette S. R. Herrick

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Understanding the implications of health policy is paramount to support continued execution and further wide-spread distribution. The Department of Defense has made many recent family friendly policy changes in effort to improve the health and morale of the force. Two such policies were analyzed in this study. The first was the change in maternity leave, in 2016, from allotting women six weeks time off to twelve weeks time off in the postpartum period. The second was executed by the Air Force to permit postpartum women a longer duration for their required physical fitness assessment (an increase from six months to …

Analysis Of Research And Development Trends Of New Drugs, Ping Xu, Li Xu, Ruo-Nan Yang, Wei Li, Kaixian Chen

Bulletin of Chinese Academy of Sciences (Chinese Version)

As an important component in the pharmaceutical innovation, research and development (R&D) of new drugs stands at the forefront of a new round of life science and technology revolution and bioeconomic reform, which is of strategic significance to leading scientific and technological innovation, driving economic development, and improving people’s health and well-being. At present, continuous innovation in cutting-edge technologies, cross-domain integration of disciplines, and digital depth enablement drive active innovation in the field of new drug R&D. Both domestically and internationally, innovative small molecule drugs, antibody drugs, immune cell therapy, gene therapy and nucleic acid drugs are receiving intensive market …

Synthetic Biology Enablement: From Academic Development To Industrial Transformation, Yan Xiong, Xueqing Ma, Daming Chen, Xiao Liu, Guoping Zhao

Bulletin of Chinese Academy of Sciences (Chinese Version)

Synthetic biology revolutionizes the comprehension of life systems from an engineering perspective, employing a “bottomup” approach in life science research. It adopts an iterative research paradigm of “design-build-test-learn” in life science research and creates engineered new life systems grounded in genomics and systems biology. This provides a new pathway of “from creation to understanding” for life sciences, departing from the traditional reductionist research strategy of “study the whole to understand the parts” and opening up a new culture of “building to understand” the essence of life. Additionally, synthetic biology elevates existing biotechnologies previously based on “simulating natural processes” and “genetic …

Comfortability In The Latino And Hispanic Community, Vanessa Flores

Master's Theses

Many organizations often publicize their efforts to help particular communities but, how helpful are they to those who are their targets? For this reason this research focuses on the question of, how do programs create inclusivity and accessibility to the Hispanic community? This study focuses on five specific organizations that all commonly support the Hispanic Community in California, although some do go outside of the state due to extensions. In this study I have analyzed the content presented on each organization's website and determined their accessibility and inclusivity within the Hispanic community. This research analyzes the websites content thoroughly through …

Biodiversity Loss & Urban Heat: A Nature- Based Wildlife Policy For The Las Vegas Metro, Zachary Billot

Student Research

As the population of the Las Vegas Metro continues to grow, new developments expand on the periphery. As Las Vegas continues to increase in size and develop further into wildlife habitat, not only are native animals and plants endangered, but residents are at risk of increasingly dangerous urban heat given the increase in impervious cover that makes Las Vegas the 2nd fastest warming metro in the U.S. This policy brief examines current policy and practice in place to highlight the need for positive human-wildlife interaction that will address the growing threat of biodiversity loss and heat vulnerability. This policy brief …

Expanded Food And Nutrition Education Program Generates Economic Value Through Body Mass Index Improvement: A Cost-Benefit Analysis, Andrea Leschewski, M. Catalina Aragon, Dave Weatherspoon, Karen Barale, Garry Auld, Richard Acquah-Sarpong, Susan S. Baker

Journal of Extension

Prior economic evaluations of the Expanded Food and Nutrition Education Program (EFNEP) perform cost-benefit analyses (CBA) reliant on self-reported behavioral data and unvalidated criteria for disease prevention. This study aims to conduct a CBA of Colorado and Washington EFNEP using an objective biomarker, Body Mass Index, to monetize program benefits. A longitudinal study of a convenience sample of EFNEP participants was conducted utilizing a single-group pretest-posttest design. Results indicate Colorado and Washington EFNEP generates $9.23 of benefits per $1.00 of costs and demonstrate the feasibility and value of using biomarkers in economic evaluations of nutrition education interventions delivered through Extension.