Digital Commons Network^™

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 …

Moving Towards The Electrification Of Medium- And Heavy-Duty Vehicles In The Inland Empire, Kimberly Collins, Raffi Der Wartanian, Francisca Beer, Yunfei Hou

Mineta Transportation Institute

This report investigates the transition to zero-emission medium- and heavy-duty vehicles (MDHD) within California’s Inland Empire (IE), emphasizing the significance of electric vehicle charging infrastructure and opportunity charging strategies in facilitating sustainable transportation. Utilizing a mixed-methods approach that combines a systematic literature review, geospatial and big data analytics, and thematic analysis of expert interviews, the study explores the multifaceted challenges and opportunities of electrification. The literature review assesses policies at various governance levels, while geospatial analysis identifies regional traffic patterns and infrastructure needs. Big data analytics examine vehicle movements, complemented by insights from interviews with 16 regional experts, offering a …

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.

Threat And Hazard Identification And Risk Assessment (Thira) Guidance For Railroads, Frances L. Edwards, Daniel C. Goodrich

Mineta Transportation Institute

Climate change creates new challenges for all critical transportation infrastructure, especially for railroads with an open system that is continuously exposed to the elements. A Threat and Hazard Identification and Risk Assessment (THIRA) is a necessary first step for an organization to understand the challenges and develop strategies for adaptation to them. In many cases, the railroad sector is uniquely positioned to mitigate greenhouse gas emissions through mitigation steps. This guide will assist railroad risk managers and emergency managers to evaluate the risks and determine how best to respond to them through preparation, mitigation, or adaptation. The THIRA is the …

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

Morehead State Press Release Archive, 1961 to the Present

Press releases for August of 2024.

Exposing The Pervasive Culture Of Whiteness At Predominantly White Institutions: A Narrative Analysis Of White Deans Of Students' Understanding And Role In Responses To Campus Racial Incidents, Jennifer Helen Reid

Graduate Doctoral Dissertations

Deeply embedded in U.S. higher education institutions is a culture of whiteness that benefits white students, staff, faculty, and administrators through racist policies, structures, and cultural norms designed to uphold whiteness. This culture not only minimizes the presence of racism, but also is pervasive on college campuses, where administrators often fail to recognize blatant racism and treat ongoing campus racial incidents as isolated events. Despite the frequency of racial incidents, campus responses are typically ineffective, failing to address the underlying institutional practices that reinforce white supremacy and further harm those affected. This study explored the experiences of white deans of …

Enhancing Refugee Resettlement And Displaced Population Support Through Elder Communities In The United States: A Model For Sustainable Solutions, Ponnaka Pok

Master's Theses

This thesis paper is inspired by the current world crisis of exploding numbers of refugees and the obstacles they face seeking somewhere to resettle. We present here an effort to address these pressing issues and to advocate for meaningful change. This paper explores the challenges and opportunities associated with refugee resettlement and displaced population issues in the United States. It investigates how Elder communities might play a pivotal role in addressing these challenges and offers a trial model for implement and continued development, and potentially for other countries and organizations to follow. This paper also has a secondary focus on …

Segac: Sample Efficient Generalized Actor Critic For The Stochastic On-Time Arrival Problem, Honglian Guo, Zhi He, Wenda Sheng, Zhiguang Cao, Yingjie Zhou, Weinan Gao

Research Collection School Of Computing and Information Systems

This paper studies the problem in transportation networks and introduces a novel reinforcement learning-based algorithm, namely. Different from almost all canonical sota solutions, which are usually computationally expensive and lack generalizability to unforeseen destination nodes, segac offers the following appealing characteristics. segac updates the ego vehicle’s navigation policy in a sample efficient manner, reduces the variance of both value network and policy network during training, and is automatically adaptive to new destinations. Furthermore, the pre-trained segac policy network enables its real-time decision-making ability within seconds, outperforming state-of-the-art sota algorithms in simulations across various transportation networks. We also successfully deploy segac …

Enabling Sustainable Freight Forwarding Network Via Collaborative Games, Pang Jin Tan, Shih-Fen Cheng, Richard Chen

Research Collection School Of Computing and Information Systems

Freight forwarding plays a crucial role in facilitating global trade and logistics. However, as the freight forwarding market is extremely fragmented, freight forwarders often face the issue of not being able to fill the available shipping capacity. This recurrent issue motivates the creation of various freight forwarding networks that aim at exchanging capacities and demands so that the resource utilization of individual freight forwarders can be maximized. In this paper, we focus on how to design such a collaborative network based on collaborative game theory, with the Shapley value representing a fair scheme for profit sharing. Noting that the exact …

Examining The Relationship Between Recidivism And Community Size For Previously Incarcerated Individuals, Kayla A. Harbison

All-Inclusive List of Electronic Theses and Dissertations

Within urban contexts, there has been progress in understanding recidivism through the lens of both individual criminogenic risk factors and ecological factors. However, little research has examined how these factors apply across different community sizes. The current study attempted to address this gap by examining how recidivism differs across different-sized communities at the county level, measured both dichotomously (metro, nonmetro) and across a rural-urban continuum. This study also explored the relationship between specific types of offenses and recidivism across different-sized communities. Archival data from Indiana Department of Correction (IDOC) including 13,875 individuals released from prison within a five-year period was …

Measuring Perceived Utility Of Genomic Sequencing: Development And Validation Of The Genetic Utility (Gene-U) Scale For Pediatric Diagnostic Testing, Hadley Stevens Smith, Caryn Kseniya Rubanovich, Jill Oliver Robinson, Ariel N Levchenko, Sarah A Classen, Janet Malek, Barbara Biesecker, Kyle B Brothers, Benjamin S Wilfond, Christine Rini, Sara J Knight, Amy L Mcguire, Cinnamon S Bloss

Center for Medical Ethics and Health Policy Staff Publications

Purpose: Measuring the effects of genomic sequencing (GS) on patients and families is critical for translational research. We aimed to develop and validate an instrument to assess parents' perceived utility of pediatric diagnostic GS.

Methods: Informed by a 5-domain conceptual model, the study comprised 5 steps: (1) item writing, (2) cognitive testing, (3) pilot testing and item reduction, (4) psychometric testing, and (5) evaluation of construct validity. Parents of pediatric patients who had received results of clinically indicated GS participated in structured cognitive interviews and 2 rounds of surveys. After eliminating items based on theory and quantitative performance, we conducted …

Large-Scale Genotype Prediction From Rna Sequence Data Necessitates A New Ethical And Policy Framework, Mary A Majumder, Jeffrey T Leek, Kasper D Hansen, Afrooz Razi, Amy L Mcguire

Center for Medical Ethics and Health Policy Staff Publications

Genotype prediction from RNA-seq data has become widespread. RNA-seq data, unlike DNA-seq data, are available as raw reads for many projects, with related protocols and consent terms typically inaccessible. However, there is a lack of clarity in current policy and inconsistency in practice with regard to the handling of these data. Here, we call for a framework for management of RNA-seq data and the predicted genotypes that includes registered access for RNA-seq data, controlled access for predicted genotypes, and a code of conduct for data access and use, as well as enhanced downstream protections.

Promoting Cultural Humility, Belonging, And Inclusion To Improve Well-Being Among Direct Care Staff In Oregon Assisted Living, Residential Care, And Memory Care Communities, 2024, Jacklyn Kohon, Dani Himes, Laura Rodriguez, Sarah Dys, Paula Carder, Diana Jacoby, Madeline Fox

Institute on Aging Publications

The voices and experiences of those working and living in assisted living, residential care, and memory care (AL/RC) settings in Oregon are highlighted in this study to understand cultural humility, belonging, inclusion, and intersectional experiences related to sustaining the workforce and promoting quality care. This qualitative study collected data through individual and focus group interviews with a total of 68 people, including 25 direct care staff, voice memos or interviews with 9 former direct care staff, interviews with 9 administrators, interviews with 7 management representatives (owner/operators, human resources specialists, directors of operations, among other titles), and interviews with 18 current …

Climate And Extreme Weather Event Impacts On Administrators, Direct Care Staff, And Residents In Oregon Assisted Living, Residential Care, And Memory Care Communities, 2024, Dani Himes, Jacklyn Kohon, Madeline Fox, Laura Rodriguez, Sarah Dys, Diana Jacoby, Paula Carder

Institute on Aging Publications

This brief report on AL/RC staff and resident experiences with climate events highlights the voices of AL/RC direct care staff, former direct care staff, residents, administrators, and management representatives to promote well-being in these care settings. This study can inform Oregon’s efforts to support long-term care workforce readiness for future climate emergencies and inform future quantitative data collection on AL/RC and other long-term care workers, including those employed in home health agencies, nursing facilities, and adult foster homes.

Expanding A Behavioral View On Digital Health Access: Drivers And Strategies To Promote Equity, Maura M Kepper, Lauren A Fowler, Isabelle S Kusters, Jean W Davis, Manal Baqer, Sara Sagui-Henson, Yunyu Xiao, Adati Tarfa, Jean C Yi, Bryan Gibson, Kristin E Heron, Nicole M Alberts, Marissa Burgermaster, Veronica Ps Njie-Carr, Lisa M Klesges

Center for Medical Ethics and Health Policy Staff Publications

The potential and threat of digital tools to achieve health equity has been highlighted for over a decade, but the success of achieving equitable access to health technologies remains challenging. Our paper addresses renewed concerns regarding equity in digital health access that were deepened during the COVID-19 pandemic. Our viewpoint is that (1) digital health tools have the potential to improve health equity if equitable access is achieved, and (2) improving access and equity in digital health can be strengthened by considering behavioral science-based strategies embedded in all phases of tool development. Using behavioral, equity, and access frameworks allowed for …

How To Design Equitable Digital Health Tools: A Narrative Review Of Design Tactics, Case Studies, And Opportunities, Amy Bucher, Beenish M Chaudhry, Jean W Davis, Katharine Lawrence, Emily Panza, Manal Baqer, Rebecca T Feinstein, Sherecce A Fields, Jennifer Huberty, Deanna M Kaplan, Isabelle S Kusters, Frank T Materia, Susanna Y Park, Maura Kepper

Center for Medical Ethics and Health Policy Staff Publications

With a renewed focus on health equity in the United States driven by national crises and legislation to improve digital healthcare innovation, there is a need for the designers of digital health tools to take deliberate steps to design for equity in their work. A concrete toolkit of methods to design for health equity is needed to support digital health practitioners in this aim. This narrative review summarizes several health equity frameworks to help digital health practitioners conceptualize the equity dimensions of importance for their work, and then provides design approaches that accommodate an equity focus. Specifically, the Double Diamond …

Genomic Sequencing Research In Pediatric Cancer Care: Decision Making, Attitudes, And Perceived Utility Among Adolescents And Young Adults And Their Parents, Amanda M Gutierrez, Jill O Robinson, Hadley S Smith, Lauren R Desrosiers-Battu, Sarah R Scollon, Isabel Canfield, Rebecca L Hsu, Nicole M Schneider, D Williams Parsons, Sharon E Plon, Wendy Allen-Rhoades, Mary A Majumder, Janet Malek, Amy L Mcguire

Center for Medical Ethics and Health Policy Staff Publications

Purpose: Professional guidelines recommend engaging adolescents and young adults (AYAs) in medical decision making (DM), including whether to undergo genomic sequencing (GS). We explored DM around GS and attitudes after return of GS results among a diverse group of AYAs with cancer and their parents.

Methods: We surveyed AYAs with cancer (n = 75) and their parents (n = 52) 6 months after receiving GS results through the Texas KidsCanSeq study. We analyzed AYAs' DM role in GS research enrollment and their satisfaction with that role. We compared AYAs' and parents' self-reported understanding of, attitudes toward, and perceived utility of …

Governing With Public Engagement: An Anticipatory Approach To Human Genome Editing, Dorit Barlevy, Eric Juengst, Jeffrey Kahn, Jonathan Moreno, Lauren Lambert, Alta Charo, Hervé Chneiweiss, Mahmud Farooque, David H Guston, Insoo Hyun, Paul S Knoepfler, Cynthia Selin, Rebecca Wilbanks, Manar Zaghlula, Christopher Thomas Scott

Center for Medical Ethics and Health Policy Staff Publications

In response to calls for public engagement on human genome editing (HGE), which intensified after the 2018 He Jiankui scandal that resulted in the implantation of genetically modified embryos, we detail an anticipatory approach to the governance of HGE. By soliciting multidisciplinary experts’ input on the drivers and uncertainties of HGE development, we developed a set of plausible future scenarios to ascertain publics values—specifically, their hopes and concerns regarding the novel technology and its applications. In turn, we gathered a subset of multidisciplinary experts to propose governance recommendations for HGE that incorporate identified publics’ values. These recommendations include: (1) continued …

Generating Clinical-Grade Gene-Disease Validity Classifications Through The Clingen Data Platforms, Matt W Wright, Courtney L Thaxton, Tristan Nelson, Marina T Distefano, Juliann M Savatt, Matthew H Brush, Gloria Cheung, Mark E Mandell, Bryan Wulf, T J Ward, Scott Goehringer, Terry O'Neill, Phil Weller, Christine G Preston, Ingrid M Keseler, Jennifer L Goldstein, Natasha T Strande, Jennifer Mcglaughon, Danielle R Azzariti, Ineke Cordova, Hannah Dziadzio, Lawrence Babb, Kevin Riehle, Aleksandar Milosavljevic, Christa Lese Martin, Heidi L Rehm, Sharon E Plon, Jonathan S Berg, Erin R Riggs, Teri E Klein

Center for Medical Ethics and Health Policy Staff Publications

Clinical genetic laboratories must have access to clinically validated biomedical data for precision medicine. A lack of accessibility, normalized structure, and consistency in evaluation complicates interpretation of disease causality, resulting in confusion in assessing the clinical validity of genes and genetic variants for diagnosis. A key goal of the Clinical Genome Resource (ClinGen) is to fill the knowledge gap concerning the strength of evidence supporting the role of a gene in a monogenic disease, which is achieved through a process known as Gene-Disease Validity curation. Here we review the work of ClinGen in developing a curation infrastructure that supports the …

Analysis Of Investment Interest Of Jakarta’S Business Actors To Invest At The National Capital Of Nusantara, Suryadi Jaya Purnama, Askar Triwiyanto, Chotib Chotib

Cities and Urban Development Journal

Background: The existence of opportunities for business actors to invest must be balanced with incentive policies to provide an attraction for business actors to invest in the new national capital so that they can create new jobs so that economic recovery occurs while increasing Gross Regional Domestic Product (GRDP).

Aims: This research was conducted in Jakarta and its surroundings and aims to analyze the development of investment interest and the factors that influence the business world in investing in The Capital City of Nusantara.

Methods: This research was carried out using path analysis using multiple linear regression techniques using data …

The Effect Of Crime On Tourism In Indonesia, Muhammad Farhan, Hera Susanti

Journal of Strategic and Global Studies

Tourism sector is widely known as one of economic sectors that can be the engine of economic growth in an effort to reduce poverty in a country. However, growth in the tourism sector can be influenced by safety factors. Tourists tend to avoid tourism destination areas with high crime rates in order to avoid becoming victims of crime. This study aims to analyze the effect of crime on the number of tourist arrivals in Indonesia by using four proxies of crime, which are total crime rate, property crime rate, violent crime rate, and fraud crime rate. This study utilizes a …

The Security Dilemma And Arms Race Dynamics In Europe’S Response To The Russia-Ukraine Conflict, Brice Tseen Fu Lee, Filip Komšić, Juan Pablo Sims

Journal of Strategic and Global Studies

This paper examines the escalation of military expenditures in Europe in response to the ongoing Russia-Ukraine conflict, through the lens of the security dilemma. The security dilemma, a fundamental concept in international relations, describes how the defensive actions of one state can provoke perceptions of threat among others, potentially leading to an arms race. By analyzing military spending data from 2019 to 2023 for key European countries including Estonia, Latvia, Poland, Azerbaijan, Russia, Finland, France, Germany, Italy, and the United Kingdom, both in absolute terms and as a percentage of GDP, this study highlights how nations closest to the conflict, …

New Approach To Mapping Regional Vulnerability In Controlling Tuberculosis Disease In Indonesia, Maria Holly Herawati, Asep Hermawan, Dasuki Dasuki, Hadi Supratikta, Al Asyary, M Rokhis Khomarudin, Muhammad Priyatna, Raflizar Raflizar, Kristina Kristina, Noer Endah Pracoyo, Dina Bisara, Cahya Tri Purnami, Mentari Nur Farida Suteja, Yusrial Bachtiar, Noor Edi Widya Sukoco, Doni Lasut

Kesmas

Tuberculosis (TB) in Indonesia is still a health problem. The TB prevalence in Indonesia ranks second in the world after India in 2023. Regional factors, inadequate healthcare facilities, and limited resources (financial, human, and infrastructure) are challenges requiring innovation to help the government control TB. TB eradication efforts need to be made with a comprehensive and effective approach. One method used is to look at the vast territory of Indonesia, therefore, mapping the TB disease vulnerability is a highly recommended method. The use of a Geographic Information System is expected to help map the TB vulnerability areas in Indonesia. Given …

Double Burden Of Persons With Disabilities: Are Those More Likely To Suffer From Chronic Disease?, Salsabila Kusumawardani, Hardiyani Puspitasari, Muhammad Ciro Danuza, Yusuf Faisal Martak

Masyarakat: Jurnal Sosiologi

This study examines the likelihood of persons with disabilities experiencing chronic diseases compared to those without disabilities, emphasizing the role of demographic characteristics. Prior research shows that individuals with disabilities have a higher risk of chronic diseases due to pre-existing health conditions, secondary complications, healthcare access barriers, and limited health education. Beyond these factors, we argue that demographic characteristics—such as age, gender, insurance status, and living environment—also shape daily habits and lifestyles that influence long-term health outcomes. Using probit regression analysis, this study quantifies the probability of chronic disease among persons with disabilities. Our findings indicate that individuals with disabilities …

Bunuh Diri Dan Untai Problematikanya: Sebuah Rekonstruksi Teoritik Atas Bunuh Diri, Nastiti Soegeng Lestari

Masyarakat: Jurnal Sosiologi

In Indonesia, suicide research has largely overlooked structural factors at the meso and macro levels, whether as primary causes, contributing factors, or considerations for prevention strategies. The dominance of psychological and psychiatric approaches has marginalized sociological perspectives, limiting a more holistic understanding of suicide. Existing heuristic models primarily frame suicide as a consequence of mental health disorders or economic conditions, reinforcing a dichotomy: one perspective views suicide as a psychological and/or psychiatric phenomenon, while the other treats it as a sociological fact. However, suicide encompasses a far more complex reality that transcends this binary. This study offers a comprehensive theoretical …

Participating In Childcare Subsidy Programs Increases Employment And Annual Earnings For Working Parents, William Clay Fannin, Colleen Heflin, Taryn Morrissey, Siobhan O'Keefe

Center for Policy Research

Finding affordable childcare can be a struggle. Childcare subsidy programs help reduce barriers to stable childcare options and support parents’ employment, but due to administrative hurdles, such as recertification periods and income reporting requirements, many eligible parents are not using these programs. Using quarterly employment and earnings data from 2016-2019 Virginia administrative data, this brief describes associations between childcare subsidy program participation and household employment and earnings outcomes among low-income families in Virginia. Results show that, following initial childcare subsidy receipt, working parents increased their labor force participation, earned more money, and experienced more economic and employment stability compared to …

How Housing Insecurity And Welfare Systems Retraumatize Women In Southern California, Yesika Menera

McNair Summer Research Program

Studies show that individuals experiencing homelessness and housing insecurity also experience trauma and mental illnesses. Despite this evidence, many resources provided through state welfare services seldom allocate sufficient funds and personnel to help address mental health. This study investigates the relationship between housing insecurity and trauma for adult women who have tried to access assistance throughout Southern California. To do this, I conducted in-depth interviews and DSM-5 questionnaires with twenty-six women during the summer of 2023 and 2024 via Zoom. My findings show that adult women who have experienced homelessness and housing insecurity in Southern California were more susceptible to …

The Correlation Of Age With Thrombocytes And D-Dimer Values In Covid-19 Patients At Hospital X In Jakarta, Indonesia, Nanik Prasetyoningsih, Ascobat Gani

Kesmas

Coronavirus disease (COVID-19), caused by the SARS-CoV-2 virus, spread globally, with research indicating that prognosis severity can be assessed by thrombocyte and D-dimer levels; while, patient age serves as a mortality predictor. This study aimed to analyze the relationship between age with thrombocytes and D-dimer in COVID-19 patients. This cross-sectional study used laboratory testing samples from 667 COVID-19 patients at Hospital X in Jakarta, Indonesia, collected from August 2020 until May 2021. The data was collected using cluster random sampling and analyzed using descriptive statistics and the Chi square test (95% CI). The results showed that age and thrombocytes positively …

Capitation Management Through Performance-Based Capitation Mechanism Of Primary Health Care In Malang, Indonesia, Ayu Tyas Purnamasari, Herlinda Dwi Ningrum, Anggi Ardhiasti, Asri Hikmatuz Zahroh

Kesmas

Primary health care (PHC) has one of the largest funding sources, capitation, which BPJS Healthcare Security transfers monthly. Capitation fund receipts were frequently insufficient due to failure to meet performance-based capitation/Kapitasi Berbasis Kinerja (KBK) targets, including for PHC in Malang City, Indonesia. This study aimed to examine the management and utilization of capitation funds through a KBK mechanism. This descriptive study used a qualitative approach supported by quantitative data. This study was conducted from July to August 2023 and purposely selected nine informants from BPJS Healthcare Security, the local health office, and PHC. The interviews were transcribed verbatim and analyzed …

Data Mining Analysis With Orange In The Development Of Tuberculosis Among Diabetes Mellitus Patients, Malahayati Rusli Bintang, Adang Bachtiar, Cicilya Candi

Kesmas

Prevention and treatment of diabetes will have a positive influence on tuberculosis (TB) since people may get TB because they have diabetes mellitus (DM). Recording and reporting through the TB Information System are not run optimally because of many factors. The information system must be strengthened to be used by private health facilities. This study used secondary data from the 2013 and 2018 Indonesian Basic Health Research (IBHR). The data was analyzed univariately and analyzed further using Orange Data Mining Tools to test the screening tool model used to predict TB in diabetic individuals. The total sample in this study …