Digital Commons Network^™

The Role Of Gynecologic Oncologists In Improving Survival Outcomes Of Epithelial Ovarian Cancer: A Retrospective Cohort Study, Widyorini Lh Hanafy, Bambang Dwipoyono, Asri C. Adisasmita, Yosephine E. Regina, Airine S. Lians, Oktaviani P. Rahayu, Jane G. Auwelia

Kesmas

Epithelial ovarian cancer (EOC) is a leading cause of gynecological cancer mortality and is often diagnosed at an advanced stage, resulting in poor survival outcomes. Access to specialized gynecological oncology services has been associated with improved prognosis; however, data on its impact in Indonesia remain limited. This study aimed to evaluate the association between gynecologic oncologist (GO) services and disease-free survival (DFS) in patients with EOC. This retrospective cohort study included 76 patients with EOC who were treated at a national cancer hospital in Jakarta between 2015 and 2018. Patient data were obtained from medical records and followed for three …

Low-Dose Prophylaxis Versus On-Demand Treatment For Children With Severe Hemophilia A In Indonesia: A Conceptual Model, Levina Chandra Khoe, Nur Atika, Dhia Ticha Pertiwi, Septiara Putri

Kesmas

Hemophilia A is a rare bleeding disorder caused by a deficiency of clotting factor VIII, leading to recurrent bleeds, joint damage, and disability. Low-dose prophylaxis has been shown to achieve better clinical outcomes than on-demand treatment in reducing bleeding frequency. However, in Indonesia, access and affordability remain key challenges. This study aimed to develop a conceptual model for conducting a health economic evaluation of low-dose prophylaxis treatment for children with severe hemophilia A in Indonesia. This study followed the ISPOR-SMDM Modeling guidelines, outlining two-stage processes: conceptualization of the clinical problem and model development. A systematic literature review was conducted to …

Parents’ Lived Experiences With Competitive Integrated Employment For Children With Intellectual And Developmental Disability, Dr. Aisha J. Omar

Developmental Disabilities Network Journal

This phenomenological qualitative study explores the lived experiences of Kentucky parents seeking Competitive Integrated Employment (CIE) for their children with intellectual and developmental disabilities (I/DD). Guided by the research questions—How do parents experience this process, and what barriers or supports do they encounter?—the study highlights systemic challenges despite legislative efforts such as the Americans with Disabilities Act and the Workforce Innovation and Opportunity Act. In-depth interviews with five parents revealed three themes: (a) parental transformation and the pursuit of meaningful work, (b) systemic challenges in accessing CIE, and (c) overcoming protective instincts: navigating fear, independence, and self-advocacy. Findings suggest a …

Benefits And Challenges Of Rendering Justice During The Covid-19 Pandemic: Perspectives From Trinidad And Tobago, Wendell C. Wallace Dr., Timothy A. Affonso Dr.

African Journal of Criminology and Justice Studies

No abstract provided.

The Impact Of Second-Tiered Leadership Behavior On Postmerger Experience In The Jamaica Constabulary Force, James Theophilus Golding

Walden Dissertations and Doctoral Studies

Following the merger of the Jamaica Constabulary Force (JCF) and the Island Special Constabulary Force (ISCF) in May 2014, complaints emerged about inequitable treatment of former ISCF members, raising questions about social justice and breaches of the moral contract. Although prior research highlighted the importance of leadership in mergers, it neglected to examine the role of second-tier leadership. The purpose of this qualitative phenomenological study was to investigate the potential role of second-tiered JCF leadership behavior in these perceived social justice breaches. A transformational leadership framework, which centers on leaders’ behavior and communication to motivate followers, underpinned the study. Purposeful …

An Archival Responsibility: A Scoping Review Of Literature Regarding The Documentary Burdens Of Refugees, Ana Roeschley, Kinza Alizai, Crystal Tharayil, Amy Lanier, Merrion D. Frederick, Homero R. Cuevas

Journal of Contemporary Archival Studies

Documented individuals who do not live in conflict zones can usually access and use their records to migrate, begin new careers, enroll their children in educational institutions, and gain access to healthcare through mostly routine record-related procedures. However, these standard processes become impossible obstacles for refugees when they lose access to their personal records as part of their forced displacement. Though ever-present for refugees, these documentary burdens are compounded in times of societal crises and political upheaval—times when documentation is most critical. If archivists and archival scholars are to address these issues, it is important to understand the scope of …

Building Sustainability Via Financial Resilience Among Nongovernmental Organizations In Cameroon, Ruthaford Bankufon

Walden Dissertations and Doctoral Studies

Nongovernmental organizations (NGOs) in unstable developing nations face major sustainability challenges. In Cameroon, an ongoing sociopolitical crisis has increased demand on NGOs, including VWXZY, which supports girls and women fleeing civil unrest. This study investigated sustainable strategies to strengthen VWZYZ’s financial stability. Drawing on financial resilience literature and the strengths, weaknesses, opportunities, and threats (SWOT) framework, it addressed two questions: (a) How can VWXZY-Cameroon effectively leverage SWOT analysis to address financial challenges, improve financial oversight, diversify funding sources, and strengthen operational efficiency? (b)What strategies can VWXZY-Cameroon use to enhance its financial resilience and ensure sustainability amid sociopolitical and economic instability? …

Practices, Experiences, And Insights From Major Developed Economies On Green And Low-Carbon Technology Innovation Policies, Baihe Gu, Hongqian Wang, Yuling Sun, Dan Chen

Bulletin of Chinese Academy of Sciences (Chinese Version)

The transition toward green and low-carbon development has become a significant global trend for future growth. This study focuses on policy frameworks that support innovation in green and low-carbon technologies. It reviews the practices of major developed economies, such as the United States, the European Union, the United Kingdom, and Japan in this field, and synthesizes their experiences across key dimensions such as industrial policy, innovation actors, innovation ecosystems, funding mechanisms, and international cooperation. Drawing on these insights, and taking into account China’s unique advantages and challenges in green and low-carbon technological innovation, the paper offers policy recommendations aimed at …

Strategic Research On Rebco High-Temperature Superconducting Tapes, Tianping Ying, Dongliang Wang, Pengtao Yang, Lin Zhao, Zhongtang Xu, Ziyi Liu, Chao Yao, Yanwei Ma, Xingjiang Zhou, Jinguang Cheng, Zhong Fang

Bulletin of Chinese Academy of Sciences (Chinese Version)

High-temperature superconducting materials, represented by REBCO (REBa2Cu3O7-δ, where RE denotes rare-earth elements), are of significant strategic importance in fields such as energy, healthcare, and large-scale scientific facilities due to their excellent performance in the liquid nitrogen temperature range. However, they still face severe challenges in long-tape uniformity, production cost, and engineering reliability. Future development must shift toward a “material-processing-application” collaborative innovation model, aiming at enhancing flux pinning, optimizing the interfaces and mechanical properties of the multilayer structure, and integrating scalable and intelligent fabrication technologies to promote the low-cost and stable production of high-performance tapes. This study analyzes the core application …

Promoting Water Security Of South-To-North Water Diversion Project For National Water Network, Quanfa Zhang, Guihua Liu, Chesheng Zhan, Xiaobo Ren

Bulletin of Chinese Academy of Sciences (Chinese Version)

The South-to-North Water Diversion Project is a crucial infrastructure initiative aiming at optimizing nation-wide distribution of water resources, meanwhile fostering sustainable economic and social development, and ensuring the well-being of the people. The project, with its extensive scope and high technical complexity, particularly in the middle and west routes located in biodiversity hotspots such as the Qinling Mountains and the Qinghai-Xizang Plateau, may alter local microclimates, potentially triggering meteorological disasters such as droughts, thunderstorms, and hail, along with secondary hazards. The implementation of the project may also disrupt the local hydrological conditions, disturb the balance of the existing atmospheric-vegetation-soil system, …

Artificial Intelligence-Driven Materials Science: Evolution, Framework, Dilemmas, And Breakthroughs, Yanglili Zhou, Weihua Wang, Ziwei Zhao

Bulletin of Chinese Academy of Sciences (Chinese Version)

Artificial intelligence-driven materials science (AIMS) represents a revolutionary and disruptive paradigm in materials research, promising to fundamentally break through the traditional bottlenecks of research cycles and efficiency. Historically, the evolution of materials science research paradigms from empirical trial and error, theoretical modeling, and computational simulation to the new data-driven stage has been driven by innovations in cognitive tools and methods. Currently, artificial intelligence, as a disruptive cognitive tool, is fundamentally reconstructing the core elements and interaction logic of materials science: the research process achieves intelligent iteration and full-process closed-loop; the capabilities of researchers are reshaped and teams are organized; and …

Study On Strategies And Measures And Insights For Introducing Artificial Intelligence Talents In Japan, Fangxin Hu, Ru Ma, Yujun Su

Bulletin of Chinese Academy of Sciences (Chinese Version)

In response to the aging population and the need for innovation in science and technology development, Japan regards AI as a key technology to solve social problems. In addition to accelerating the training of domestic AI talents, Japan is also vigorously introducing overseas AI talents. This study sorts out and analyzes Japan’s long-term, annual, and AI-specific strategic planning for the introduction of AI talents, including Basic Plan for Science, Technology and Innovation, Comprehensive Innovation Strategy, Strategic Plan for Artificial Intelligence Technology, and AI Strategy, and explores Japan’s specific implementation measures such as updating the national residence management system, improving the …

When Disaster Strikes Y’All Street: A Study On Cross-Sector Collaboration In Protecting U.S. Financial Critical Infrastructure, Rachael A. Zerr, John Friedlander

Publications and Research

This exploratory research examines public-private collaboration between corporate security leaders and local emergency responders in the North Texas financial corridor known as “Y’all Street.” Using perception-based survey data from senior representatives in the private and public sectors, the paper evaluates partnership strength, preparedness activities, information sharing, and operational coordination. Findings indicate that collaborative practices such as facility tours, joint exercises, and emergency planning are present, but that partnership maturity remains uneven and is not yet fully standardized across the corridor. The research concludes that more formalized and institutionalized coordination will be necessary to strengthen resilience as the region’s financial significance …

The Disproportionate Impact Of Hiv On Young Women In Durban: Exploring Gendered Vulnerabilities And Socioeconomic Barriers, Adrian A. Nolasco

Capstone Collection

South Africa has a high rate of HIV, with young women in Durban especially affected due to social, economic, and cultural challenges. This study looks at the experiences of young women living with HIV and the views of healthcare professionals caring for them in KwaZulu-Natal. Using a qualitative, phenomenological approach, semi-structured interviews were conducted with five women and three medical professionals to explore how HIV affects their lives, the challenges they face, and how they cope.

The findings show that both structural and personal barriers make it hard for young women to stick to treatment. Long waits at clinics, limited …

Watching The Watchers: Redefining Privacy And Human Rights In Correctional Surveillance, Ianna H. Choi

Binghamton University Undergraduate Journal

Incarcerated individuals exist in a space where security and privacy constantly clash. This study examines how surveillance technologies—biometric monitoring, video surveillance, and electronic tracking—in correctional settings impact the privacy rights of those incarcerated. Through a review of peer-reviewed literature, and insights from informal conversations with incarcerated individuals at Broome County Jail, this research examines the ethical, legal, and social implications of surveillance in carceral facilities, focusing on how constant monitoring impacts privacy, relationships, and mental well-being. Expanding beyond jails, the study considers surveillance in state and federal prisons, evaluating its implications under the United Nations International Covenant on Civil and …

Incarcerated Youths In Canada And The United States: A Comparative Analysis, Grace A. Mastrangelo

Binghamton University Undergraduate Journal

Are children, who commit adult crimes, deserving of adult punishments? According to the United Nations, not if it harms their well-being. Article 3 of the Convention on the Rights of the Child (CRC) adopted by the United Nations in November 1989, states that 1) the best interests of the child should be the primary consideration of all state actions involving children, 2) governments must allot children the protection and care necessary for their well-being, and 3) governmental institutions, services, and facilities that deal with children must uphold adequate standards for the safety, health, and supervision of children. The CRC is …

Children And Youth With Special Health Care Needs (Cyshcn) Regional Support Centers (Rsc): A Framework For Effectively Engaging Stakeholders, Jenna Lequia, Susan Burlazzi, Abby Beer, Miriam Franco, Kathleen Mcgrath, Angel Morales, Joanne Siegel, Susan Hetherington, Tricia Patrick

Developmental Disabilities Network Journal

The three University Centers for Excellence in Developmental Disabilities (UCEDDs) in New York served as Children and Youth with Special Health Care Needs (CYSHCN) Regional Support Centers (RSC). The RSCs aimed to increase the capacity of local CYSHCN programs to connect with and support CYSHCN and their families in their community. RSCs conducted activities in the areas of family engagement, training and educational materials development, and technical assistance. RSCs engaged in ongoing dialogue with CYSHCN and their families to learn about experiences to inform systemic improvements through focus groups, interviews, and surveys. This article describes a statewide framework to serve …

More Hours, More Work: Head Start Expansions Boost Maternal Employment, Chloe R. Gibbs, Esra Kose, Maria Rosales Rueda

Upjohn Institute Working Papers

Women’s employment remains highly sensitive to childcare constraints, making childcare availability a critical lever for supporting mothers’ labor force attachment. We study the effects of expanded full-day programming in Head Start, using the 2016 federal funding initiative that targeted grantees with low full-day enrollment. Linking administrative program data, geo-coded center locations, and household data on employment, we estimate a difference-in-differences design by comparing mothers of young children in treated and untreated areas. The policy increased full-day enrollment by 19 percent and raised single mothers’ employment (1.9%), hours (2.5%), and earnings (6.5%). Results show that extending program duration meaningfully improves maternal …

Assessing Public-Sector Readiness For Artificial Intelligence In Egypt, Renad Ahmed Anwar

Theses and Dissertations

Artificial intelligence (AI) is increasingly adopted in public-sector contexts, yet successful implementation depends on organizational readiness, particularly in developing countries. This study assesses the readiness of Egypt’s public sector for AI adoption using a qualitative expert opinion methodology. Semi-structured interviews were conducted with senior professionals from global technology firms with extensive experience working with public-sector entities in Egypt.

Guided by by an integrated framework combining organizational readiness theory, the Technology–Organization–Environment (TOE) framework, and public value and governance perspectives, the study examines strategic, organizational, human, technological, societal, and governance dimensions of AI readiness. The findings indicate that while Egypt demonstrates strong …

Lived Experiences Of Limited Sexual And Reproductive Health Education Among Egyptian Women, Nada Abdelhamid

Theses and Dissertations

In Egypt, sexual and reproductive health (SRH) education remains largely absent from national education and youth policy frameworks, reflecting a broader governance gap at the intersection of education, health, and gender policy. This qualitative study explores how the lack of formal sexuality education shapes women’s knowledge, perceptions, and sexual and reproductive experiences across the life course, drawing on in-depth interviews with twelve Egyptian women from diverse marital backgrounds. The findings point to persistent gaps in basic SRH knowledge, early exposure to shame and stigma, and reliance on informal and often unreliable sources of information, which participants linked to fear of …

Refugees In Egypt: State Framing, Ministerial Narratives, And The Politics Of Representation On Social Media, Habiba Kohail

Theses and Dissertations

This study examines Egyptian government discourse on refugees in 2024, a year characterized by heightened regional displacement and the enactment of Egypt’s first Asylum Law (Law No. 164 of

2024). Using a multidisciplinary framework that combines framing analysis with van Dijk's socio-cognitive approach, the study systemically analyzes how the government construct refugees on social

media and sets the boundaries of their inclusion in Egypt.

The thesis analyzes the Egyptian government discourse on refugees across official social media platforms from January 1, 2024, to December 31, 2024, a period that witnessed an increase in the government engagement in the refugee issue …

Self-Medication And Pharmaceutical Dispensing In Egypt: Practices, Policies, And Regulatory Challenges, Lobna Fawzy Ali Shaheen

Theses and Dissertations

Access to safe and appropriate medications is a critical component of public health, particularly in low- and middle-income countries. In Egypt, self-medication and informal pharmaceutical dispensing have become deeply embedded practices shaped by systemic, economic, and cultural factors. This research explores the complex interplay between self-medication behaviors, pharmaceutical regulation, and healthcare access in Egypt. Through qualitative interviews with policymakers, pharmacists, physicians, industry professionals, and citizens, the research uncovers widespread informal dispensing of prescription-only medicines, driven by high out-of-pocket costs, limited insurance coverage, and high public reliance on pharmacists as primary care providers. Despite the presence of regulatory frameworks, weak enforcement, …

Encouraging Naturalization: The Broader Effects Of Daca On U.S. Immigration, Emily Battaglia, Thomas Pearson

Center for Policy Research

This paper examines how protection from deportation and work authorization affect immigration outcomes, focusing on Deferred Action for Childhood Arrivals (DACA). Using a difference-in-differences design exploiting geographic variation in exposure to DACA-eligible immigrants, we find that DACA significantly increased the number of naturalized citizens without increasing the number of noncitizens. This increase is driven by higher naturalization among prior noncitizens, most of whom are likely not DACA beneficiaries. We provide evidence consistent with DACA increasing incentives for, and reducing barriers to, naturalization by protecting undocumented DACA-eligible contacts, suggesting temporary protections can encourage longer-term commitments and permanent residence among existing immigrants.

The Vulnerabilities Of Smart Technology, Ryan R. Nolan

Doctoral Dissertations and Projects

Smart technology is everywhere. In the last decade, an amazing digital transformation swept across the globe, changing how people interact and shaping the public sector interaction between the local government and the constituency. Public administrators must contend with a new communication method that will impact the constituency. Smart technology is making the world convenient, more accessible, and more connected; however, smart technology is making the United States more vulnerable to advisories that seek to harm the free world. When viewed holistically, the vulnerability of smart technology is a national security concern. The United States is not leading the smart technology …

Impact Of Incentive Policies On Mathematics And Science Teachers’ Retention In Guyana’S Rural Secondary Schools, Verna Adrian

Walden Dissertations and Doctoral Studies

Research on teacher retention in rural areas highlights persistent challenges, including geographic isolation, limited resources, and inadequate support. Studies have shown that financial incentives are critical for sustaining teacher retention, but a gap in the literature exists as to what specific non-financial challenges may also be important in influencing teachers’ long-term commitment. To address the social problem of teacher retention in rural secondary schools in Guyana, this study assessed the effectiveness of incentive policies in retaining teachers across four selected regions facing unique challenges. Data were collected through semi structured interviews and analyzed using thematic analysis. The purpose of this …

The Rise Of The Global Middle Class, Homi Kharas

Brookings Scholar Lecture Series

As part of the Brookings Scholar Lecture Series, Brookings Mountain West presented a lecture titled, "The Rise of the Global Middle Class" by Brookings senior fellow in global economy and development, Homi Kharas.

For the last two hundred years, ever since the start of the Industrial Revolution, the most successful economies in the world have developed large, stable middle classes. With globalization, the expansion of the middle class has accelerated to a historically unprecedented speed. But global consumerism is scaling faster than the adaptation of institutions, ecosystems, and social norms. Brookings senior fellow Homi Kharas discusses his most recent book, …

Leading Where You Live: A Qualitative Multi-Case Study Of Public High School Principals Who Reside In Their School Communities, Joseph Held

Doctorate in Education

Despite extensive scholarship on relational trust, social capital, place-based leadership, and culturally responsive practice, little is known about how a principal’s residency within the school community shapes leadership demands. This qualitative, multi-case study employed semi-structured interviews, reflexive memoing, and cross-case thematic analysis to examine how nine Minnesota high school principals who lived in the urban, suburban, and rural communities they served experienced leadership practice, equity work, and emotional labor. Findings revealed that residency functions as a consequential leadership condition that reorganizes how principals build trust, exercise judgment, engage families, navigate boundaries, and interpret equity-related tensions. Six themes illuminated residency as: …

The Stories Of African American Mothers Working Part-Time Without Mandated Job Protections, Chantelle Sharese Yancy

Walden Dissertations and Doctoral Studies

The Family and Medical Leave Act (FMLA) provides unpaid, job‑protected leave only for eligible workers, and rules tied to hours, tenure, and employer size often exclude mothers working part-time. Research on U.S. family and medical leave has documented inequities in access to job protections. The lived experiences of African American/Black mothers navigating this gap remain underrepresented. The purpose of this narrative qualitative study was to explore the lived experiences of African American/Black mothers who worked part-time without mandated job protections, with specific attention to FMLA. General systems theory provided the theoretical framework, and an Afrocentric paradigm centered African/African American/Black voice …

Food Security Through Church-Sponsored Food Programs, Samantha Scott

Walden Dissertations and Doctoral Studies

A south-suburban Cook County, IL city lacks grocery stores with high-quality food options, which contributes to food insecurity. Residents often rely on highly processed, low-nutrient foods, contributing to nutritional vulnerability. Friendship Church’s food bank sporadically serves this food desert, but sustaining its operations is challenging. Using community-based participatory action research design and the food security theory, data were collected from 25 semistructured interviews with food bank beneficiaries and church staff/volunteers and analyzed using reflective thematic analysis. The four dimensions were examined: availability, access, utilization, and stability. Two questions guided the research: How do parishioners in one south-suburban Cook County community …

On The Legal-Theoretical Foundations Of Property Taxation Under State Ownership Of Land, Tianke Ban, Yilin Hou, Ping Zhang

Center for Policy Research

The general public and even some scholars challenge the legitimacy of levying the property tax under conditions where land is state-owned and multi-year land-use fees have already been collected at the time of house sales. This challenge points to the legal- theoretical foundations of property taxation: the core issue is whether the rights and economic utility of China's construction land-use-rights (CLUR) are sufficient to be treated as the object of property tax levy. China's Civil Law stipulates that CLUR holders have the rights to possess, use, and profit from the land during their use period, as well as the right …