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Articles 184021 - 184050 of 1792121
Full-Text Articles in Entire DC Network
Ahp Db: A Reference Database Of Proteins In The Human Aqueous Humor, Tae Jin Lee, Arnav Goyal, Garrett Jones, Joshua Glass, Vishal Doshi, Kathryn Bollinger, Lane Ulrich, Saleh Ahmed, Sai Karthik Kodeboyina, Amy Estes, Marc Töteberg-Harms, Wenbo Zhi, Shruti Sharma, Ashok Sharma
Ahp Db: A Reference Database Of Proteins In The Human Aqueous Humor, Tae Jin Lee, Arnav Goyal, Garrett Jones, Joshua Glass, Vishal Doshi, Kathryn Bollinger, Lane Ulrich, Saleh Ahmed, Sai Karthik Kodeboyina, Amy Estes, Marc Töteberg-Harms, Wenbo Zhi, Shruti Sharma, Ashok Sharma
Faculty, Staff and Student Publications
The aqueous humor (AH) is a low-viscosity biofluid that continuously circulates from the posterior chamber to the anterior chamber of the eye. Recent advances in high-resolution mass-spectrometry workflows have facilitated the study of proteomic content in small-volume biofluids like AH, highlighting the potential clinical implications of the AH proteome. Nevertheless, in-depth investigations into the role of AH proteins in ocular diseases have encountered challenges due to limited accessibility to these workflows, difficulties in large-scale AH sample collection and the absence of a reference AH proteomic database. In response to these obstacles, and to promote further research on the involvement of …
A Generalized Phase 1-2-3 Design Integrating Dose Optimization With Confirmatory Treatment Comparison, Yong Zang, Peter F Thall, Ying Yuan
A Generalized Phase 1-2-3 Design Integrating Dose Optimization With Confirmatory Treatment Comparison, Yong Zang, Peter F Thall, Ying Yuan
Faculty, Staff and Student Publications
A generalized phase 1-2-3 design, Gen 1-2-3, that includes all phases of clinical treatment evaluation is proposed. The design extends and modifies the design of Chapple and Thall (2019), denoted by CT. Both designs begin with a phase 1-2 trial including dose acceptability and optimality criteria, and both select an optimal dose for phase 3. The Gen 1-2-3 design has the following key differences. In stage 1, it uses phase 1-2 criteria to identify a set of candidate doses rather than 1 dose. In stage 2, which is intermediate between phase 1-2 and phase 3, it randomizes additional patients fairly …
Development Of Self-Worth Beliefs In The Context Of The Acculturation Process Among U.S. Firstborn Latinos, Flavia B. Fernicola
Development Of Self-Worth Beliefs In The Context Of The Acculturation Process Among U.S. Firstborn Latinos, Flavia B. Fernicola
Walden Dissertations and Doctoral Studies
No abstract provided.
Social Workers’ Education In Identifying Victims Of Human Trafficking, Simmone Lafette Jones
Social Workers’ Education In Identifying Victims Of Human Trafficking, Simmone Lafette Jones
Walden Dissertations and Doctoral Studies
No abstract provided.
Determining The More Effective Behavior Analytic Intervention For Children With Autism Who Exhibit Pica Behaviors, Jennifer J. Lanham
Determining The More Effective Behavior Analytic Intervention For Children With Autism Who Exhibit Pica Behaviors, Jennifer J. Lanham
Theses and Dissertations
Abstract
Determining the More Effective Behavior Analytic Intervention for Children With Autism Who Exhibit Pica Behaviors. Jennifer J. Lanham, 2024: Applied Dissertation, Nova Southeastern University, Abraham S. Fischler College of Education and School of Criminal Justice. Keywords: autism, pica, eating disorders, intervention, applied behavior analysis
This dissertation was designed to determine which behavior analytic intervention was more effective in the treatment and reduction of mouthing non-nutritive substances in children diagnosed with autism. This study included four participants in an A-B-A reversal design with a component analysis across four intervention phases. The study participants were enrolled in a center-based treatment environment …
Chimes: January 29, 2024, Calvin University
Chimes: January 29, 2024, Calvin University
Chimes
Invigorated by last year's momentum, Rangeela continues to grow by Maya Oeverman
Men's volleyball team kicks off their first season by Dillion Baumchen
Math Circle introduces local middle schoolers to mathematical thinking skills by Ethan Meyers
A rivalry for the common good: Calvin's SLC wraps up blood drive against Hope by Ewan Parker
Josh Steinberg wins gold with Team USA in Argentina by Lauren Nyong
A different kind of changing season: A conversation about the liturgical calendar by Nolan Cowan
Creating a tradition: The history of Calvin's January Series by Savannah Shustack
Sarah J. Maas's success comes at the expense …
Anatomy Camp: A Medical Student-Run Outreach Program, Ethan P. Winter, Josika Sammarco, Vivian Hua, Orlando M. Martinez, Tianqi Xiao, Susanne Wish-Baratz
Anatomy Camp: A Medical Student-Run Outreach Program, Ethan P. Winter, Josika Sammarco, Vivian Hua, Orlando M. Martinez, Tianqi Xiao, Susanne Wish-Baratz
Faculty Scholarship
Anatomy Camp is a medical student-run program for underserved youth from communities near the university. Middle and high school students are invited to visit the medical school for an afternoon of interacting with medical students, informal learning of anatomy and wellness, and becoming inspired to consider medical and STEM professions.
Pseudotumoral Hemicerebellitis In A Young Male Sailor With Complete Recovery After Steroid Therapy, Khizer Masroor Anns, Faheem Ullah Khan, Muhammad Aman, Anwar Ahmad, Kumail Khandwala, Zainab Aslam Saeed Memon, Izaz Ahmad, Muhammad Ismail Safi
Pseudotumoral Hemicerebellitis In A Young Male Sailor With Complete Recovery After Steroid Therapy, Khizer Masroor Anns, Faheem Ullah Khan, Muhammad Aman, Anwar Ahmad, Kumail Khandwala, Zainab Aslam Saeed Memon, Izaz Ahmad, Muhammad Ismail Safi
Medical College Documents
Pseudotumoral hemicerebellitis is a rare presentation of acute cerebellitis, which involves the inflammation of a single cerebellar hemisphere and most commonly affects children. It mimics a tumor on imaging, hence given the name. In this report, we present a case of pseudotumoral hemicerebellitis in a 30-year-old male who presented to the emergency room (ER) with complaints of vertigo, vomiting, and a headache.
Safety And Health Management Planning For Veterinarians, Jessie Salter, Michael Pate, Kerry A. Rood
Safety And Health Management Planning For Veterinarians, Jessie Salter, Michael Pate, Kerry A. Rood
All Current Publications
Veterinary staff health and safety are of primary importance to the profession. Although this is inherently understood, oftentimes, staff safety is not given the time and resources needed to promote a safe work environment free from unnecessary risks or exposures. This handbook educates clinic leaders on valuing and creating a safety culture in practice as well as implementing appropriate safety policies and procedures. Veterinary personnel are more likely to experience a work-related injury than policemen, firefighters, and construction workers. These statistics illustrate the need for a stronger safety culture in veterinary medicine. This handbook provides an outline on how to …
Clinical Situations For Which 3d Printing Is Considered An Appropriate Representation Or Extension Of Data Contained In A Medical Imaging Examination: Pediatric Congenital Heart Disease Conditions, Justin R Ryan, David Ballard, Et Al.
Clinical Situations For Which 3d Printing Is Considered An Appropriate Representation Or Extension Of Data Contained In A Medical Imaging Examination: Pediatric Congenital Heart Disease Conditions, Justin R Ryan, David Ballard, Et Al.
2020-Current year OA Pubs
BACKGROUND: The use of medical 3D printing (focusing on anatomical modeling) has continued to grow since the Radiological Society of North America's (RSNA) 3D Printing Special Interest Group (3DPSIG) released its initial guideline and appropriateness rating document in 2018. The 3DPSIG formed a focused writing group to provide updated appropriateness ratings for 3D printing anatomical models across a variety of congenital heart disease. Evidence-based- (where available) and expert-consensus-driven appropriateness ratings are provided for twenty-eight congenital heart lesion categories.
METHODS: A structured literature search was conducted to identify all relevant articles using 3D printing technology associated with pediatric congenital heart disease …
Commentary: Eighteen Cases Of Renal Aneurysms: Clinical Retrospective Analysis And Experience Of Endovascular Interventional Treatment, Som P. Singh, Ursula N. Qureshi, Farah Qureshi, Fawad Qureshi
Commentary: Eighteen Cases Of Renal Aneurysms: Clinical Retrospective Analysis And Experience Of Endovascular Interventional Treatment, Som P. Singh, Ursula N. Qureshi, Farah Qureshi, Fawad Qureshi
Student Publications
No abstract provided.
Mental Imagery To Reduce Alcohol-Related Harm In Patients With Alcohol Use Disorder And Alcohol-Related Liver Damage: The Mirage Randomised Pilot Trial Results, Ashwin Dhanda, Jackie Andrade, Hannah Allende, Victoria Allgar, Matthew Bailey, Lynne Callaghan, Laura Cocking, Elizabeth Goodwin, Annie Hawton, Christopher Hayward, Ben Hudson, Wendy Ingram, Alison Jeffery, Angela King, Victoria Lavers, Joe Lomax, C Anne Mccune, Crispin Musicha, Richard Parker, Christopher Rollinson, Jonny Wilks, E Siobhan Creanor
Mental Imagery To Reduce Alcohol-Related Harm In Patients With Alcohol Use Disorder And Alcohol-Related Liver Damage: The Mirage Randomised Pilot Trial Results, Ashwin Dhanda, Jackie Andrade, Hannah Allende, Victoria Allgar, Matthew Bailey, Lynne Callaghan, Laura Cocking, Elizabeth Goodwin, Annie Hawton, Christopher Hayward, Ben Hudson, Wendy Ingram, Alison Jeffery, Angela King, Victoria Lavers, Joe Lomax, C Anne Mccune, Crispin Musicha, Richard Parker, Christopher Rollinson, Jonny Wilks, E Siobhan Creanor
Peninsula Medical School
OBJECTIVE: The healthcare burden of alcohol-related liver disease (ARLD) is increasing. ARLD and alcohol use disorder (AUD) is best managed by reduction or cessation of alcohol use, but effective treatments are lacking. We tested whether people with ARLD and AUD admitted to hospital could be recruited to and retained in a trial of Functional Imagery Training (FIT), a psychological therapy that uses mental imagery to reduce alcohol craving. We conducted a multicentre randomised pilot trial of treatment as usual (TAU) versus FIT+TAU in people admitted to hospital with ARLD and AUD.
DESIGN: Participants were randomised to TAU (a single session …
Marungka Tjlatjunu (Dipped In Black), William L. Blizek, Monica Blizek
Marungka Tjlatjunu (Dipped In Black), William L. Blizek, Monica Blizek
Journal of Religion & Film
This is a film review of Marungka Tjlatjunu (Dipped in Black) (2023), directed by Matthew Thorne and Derik Lynch.
Nowhere Stream, Rachel L. Wagner
Nowhere Stream, Rachel L. Wagner
Journal of Religion & Film
This is a film review of Nowhere Stream (2023), directed by Luis Grane.
Winding Path, Monica Blizek
Winding Path, Monica Blizek
Journal of Religion & Film
This is a film review of Winding Path (dêtetsi vo’i oninjakan) (2023), directed by Alexandra Lazarowich and Ross Kauffman.
Ekbeh, Monica Blizek
Ekbeh, Monica Blizek
Journal of Religion & Film
This is a film review of Ekbeh (2023), directed by Mariah Hernadez-Fitch.
Oxidative Stress And Ion Channels In Neurodegenerative Diseases, Razan Orfali, Adnan Z. Alwatban, Rawan S. Orfali, Liz Lau, Noble Chea, Abdullah M. Alotaibi, Young-Woo Nam, Miao Zhang
Oxidative Stress And Ion Channels In Neurodegenerative Diseases, Razan Orfali, Adnan Z. Alwatban, Rawan S. Orfali, Liz Lau, Noble Chea, Abdullah M. Alotaibi, Young-Woo Nam, Miao Zhang
Pharmacy Faculty Articles and Research
Numerous neurodegenerative diseases result from altered ion channel function and mutations. The intracellular redox status can significantly alter the gating characteristics of ion channels. Abundant neurodegenerative diseases associated with oxidative stress have been documented, including Parkinson’s, Alzheimer’s, spinocerebellar ataxia, amyotrophic lateral sclerosis, and Huntington’s disease. Reactive oxygen and nitrogen species compounds trigger posttranslational alterations that target specific sites within the subunits responsible for channel assembly. These alterations include the adjustment of cysteine residues through redox reactions induced by reactive oxygen species (ROS), nitration, and S-nitrosylation assisted by nitric oxide of tyrosine residues through peroxynitrite. Several ion channels have been directly …
International Engagement Newsletter, January 28, 2024, University Of Northern Iowa. Office Of International Engagement.
International Engagement Newsletter, January 28, 2024, University Of Northern Iowa. Office Of International Engagement.
Office of International Engagement newsletter
In this issue:
--- Welcome Back Panthers
--- Announcements
--- Upcoming Events on Campus with OIE
--- Coffee Hour with Student Success and Retention
--- Lunar New Year Celebrations
--- Immigration Updates
--- Tips from Our Director
The Power Of Public Service: Human Resource Management And The Covid-19 Pandemic, Meghna Sabharwal, Nicole Elias, Maria J. D’Agostino, Helisse Levine, Shilpa Viswanath
The Power Of Public Service: Human Resource Management And The Covid-19 Pandemic, Meghna Sabharwal, Nicole Elias, Maria J. D’Agostino, Helisse Levine, Shilpa Viswanath
Publications and Research
This document is an introduction to a symposium that explored existing human resource management (HRM) policies and practices in relation to the COVID-19 pandemic, including the challenges that emerged, and the path forward post-COVID-19.
Important Features For Protein Foldings In Two Acyl Carrier Proteins From Enterococcus Faecalis, Seoyeong Yoo, Jiwon Yeon, Eunhee Kim, Yangmee Kim
Important Features For Protein Foldings In Two Acyl Carrier Proteins From Enterococcus Faecalis, Seoyeong Yoo, Jiwon Yeon, Eunhee Kim, Yangmee Kim
Faculty, Staff and Student Publications
The emergence of multi-drug resistant Enterococcus faecalis raises a serious threat to global public health. E. faecalis is a gram-positive intestinal commensal bacterium found in humans. E. faecalis can endure extreme environments such as high temperature, pressure, and high salt, which facilitates them to cause infection in hospitals. E. faecalis has two acyl carrier proteins, AcpA (EfAcpA) in de novo fatty acid synthesis (FAS) and AcpB (EfAcpB) which utilizes exogenous fatty acids. Previously, we determined the tertiary structures of these two ACPs and investigated their structure-function relationships. Solution structures revealed that overall folding of these two ACPs is similar to …
Social And Psychosocial Determinants Of Racial And Ethnic Differences In Cardiovascular Health: The Masala And Mesa Studies, Nilay S. Shah, Xiaoning Huang, Lucia C. Petito, Michael P. Bancks, Alka M. Kanaya, Sameera Talegawkar, Saaniya Farhan, Mercedes R. Carnethon, Donald M. Lloyd-Jones, Norrina B. Allen, Namratha R. Kandula, Sadiya S. Khan
Social And Psychosocial Determinants Of Racial And Ethnic Differences In Cardiovascular Health: The Masala And Mesa Studies, Nilay S. Shah, Xiaoning Huang, Lucia C. Petito, Michael P. Bancks, Alka M. Kanaya, Sameera Talegawkar, Saaniya Farhan, Mercedes R. Carnethon, Donald M. Lloyd-Jones, Norrina B. Allen, Namratha R. Kandula, Sadiya S. Khan
Student Papers, Posters & Projects
BACKGROUND: Social and psychosocial determinants are associated with cardiovascular health (CVH).
OBJECTIVES: To quantify the contributions of social and psychosocial factors to racial/ethnic differences in CVH.
METHODS: In the Multi-Ethnic Study of Atherosclerosis and Mediators of Atherosclerosis in South Asians Living in America cohorts, Kitagawa-Blinder-Oaxaca decomposition quantified the contributions of social and psychosocial factors to differences in mean CVH score (range 0-14) in Black, Chinese, Hispanic, or South Asian compared with White participants.
RESULTS: Among 7,978 adults (mean age 61 [SD 10] years, 52 % female), there were 1,892 Black (mean CVH score for decomposition analysis 7.96 [SD 2.1]), 804 …
Ikaros Expression Drives The Aberrant Metabolic Phenotype Of Macrophages In Chronic Hiv Infection, Cecilia Vittori, Celeste Faia, Dorota Wyczechowska, Amber Trauth, Karlie Plaisance-Bonstaff, Mary Meyaski-Schluter, Krzysztof Reiss, Francesca Peruzzi
Ikaros Expression Drives The Aberrant Metabolic Phenotype Of Macrophages In Chronic Hiv Infection, Cecilia Vittori, Celeste Faia, Dorota Wyczechowska, Amber Trauth, Karlie Plaisance-Bonstaff, Mary Meyaski-Schluter, Krzysztof Reiss, Francesca Peruzzi
School of Medicine Faculty Publications
The increased risk for acquiring secondary illnesses in people living with HIV (PLWH) has been associated with immune dysfunction. We have previously found that circulating monocytes from PLWH display a trained phenotype. Here, we evaluated the metabolic profile of these cells and found increased mitochondrial respiration and glycolysis of monocyte-derived macrophages (MDMs) from PLWH. We additionally found that cART shifted the energy metabolism of MDMs from controls toward increased utilization of mitochondrial respiration. Importantly, both downregulation of IKAROS expression and inhibition of the mTOR pathway reversed the metabolic profile of MDMs from PLWH and cART-treated control-MDMs. Altogether, this study reveals …
Artificial Intelligence In Politics: Contesting Power In Human And Nonhuman Relations In The Digital Era, Caroline Paskarina
Artificial Intelligence In Politics: Contesting Power In Human And Nonhuman Relations In The Digital Era, Caroline Paskarina
Jurnal Wacana Politik
The discourse on technology and politics is still marked by two competing narratives: utopian and dystopian. The two narratives contest each other regarding who will be more powerful in the digital era, whether humans or technology. However, beyond this dichotomous debate, artificial intelligence has become inevitable and creates new power practices that cannot be adequately analyzed from these two extreme poles. This article discusses the nature of power in the contesting discourse on the creation of artificial intelligence and the implications of using artificial intelligence in politics. The literature study method is used to identify narratives that shape discourses about …
Venovenous Extracorporeal Membrane Oxygenation After Cardiac Arrest For Acute Respiratory Distress Syndrome Caused By Legionella: A Case Report, John C Grotberg, Linda Schulte, Erin Schumer, Mary Sullivan, Kunal Kotkar, Mohammad F Masood, Amit Pawale
Venovenous Extracorporeal Membrane Oxygenation After Cardiac Arrest For Acute Respiratory Distress Syndrome Caused By Legionella: A Case Report, John C Grotberg, Linda Schulte, Erin Schumer, Mary Sullivan, Kunal Kotkar, Mohammad F Masood, Amit Pawale
2020-Current year OA Pubs
BACKGROUND: Legionella remains underdiagnosed in the intensive care unit and can progress to acute respiratory distress syndrome (ARDS), multiorgan failure and death. In severe cases, venovenous extracorporeal membrane oxygenation (VV-ECMO) allows time for resolution of disease with Legionella-targeted therapy. VV-ECMO outcomes for Legionella are favorable with reported survival greater than 70%. Rapid molecular polymerase chain reaction (PCR) testing of the lower respiratory tract aids in diagnosing Legionella with high sensitivity and specificity. We present a unique case of a patient with a positive COVID-19 test and ARDS who suffered a cardiac arrest. The patient was subsequently cannulated for VV-ECMO, and …
Rates Of Reoperation In Duane Retraction Syndrome, Han Woong Lim, Bryce Hwang, Cyril Archambault, Scott Lambert
Rates Of Reoperation In Duane Retraction Syndrome, Han Woong Lim, Bryce Hwang, Cyril Archambault, Scott Lambert
Wills Eye Hospital Papers
PURPOSE: To investigate the types of strabismus surgeries performed and the reoperation rate in patients with Duane retraction syndrome (DRS).
DESIGN: Retrospective cohort analysis.
PARTICIPANTS: An insurance claims data set was used to identify patients diagnosed with DRS between 2007 and 2021.
METHODS: We recorded the type of strabismus surgery performed and the timing and frequency of reoperations. The hazard ratios (HRs) for reoperation were estimated according to the surgical methods using Cox regression analysis.
RESULTS: Of the 9435 patients diagnosed with DRS, 1023 (10.8%) underwent ≥ 1 strabismus operation. The median age at surgery was 5.0 years, and patients …
Novel Advancements In Covid-19 And Neuroscience, Alessio Simonetti, Evelina Bernardi, Gabriele Sani
Novel Advancements In Covid-19 And Neuroscience, Alessio Simonetti, Evelina Bernardi, Gabriele Sani
Faculty, Staff and Students Publications
From an initial cluster of cases reported in Wuhan, the SARS-Cov-2 infection has since spread globally, causing a pandemic that began on 11 March 2020 [...].
Circulating Microrna Expression And Nonalcoholic Fatty Liver Disease In Adolescents With Severe Obesity, Yi-Jie Li, Brittney O Baumert, Nikos Stratakis, Jesse A Goodrich, Hao-Tian Wu, Jing-Xuan He, Yin-Qi Zhao, Max T Aung, Hong-Xu Wang, Sandrah P Eckel, Douglas I Walker, Damaskini Valvi, Michele A La Merrill, Justin R Ryder, Thomas H Inge, Todd Jenkins, Stephanie Sisley, Rohit Kohli, Stavra A Xanthakos, Andrea A Baccarelli, Rob Mcconnell, David V Conti, Lida Chatzi
Circulating Microrna Expression And Nonalcoholic Fatty Liver Disease In Adolescents With Severe Obesity, Yi-Jie Li, Brittney O Baumert, Nikos Stratakis, Jesse A Goodrich, Hao-Tian Wu, Jing-Xuan He, Yin-Qi Zhao, Max T Aung, Hong-Xu Wang, Sandrah P Eckel, Douglas I Walker, Damaskini Valvi, Michele A La Merrill, Justin R Ryder, Thomas H Inge, Todd Jenkins, Stephanie Sisley, Rohit Kohli, Stavra A Xanthakos, Andrea A Baccarelli, Rob Mcconnell, David V Conti, Lida Chatzi
Faculty, Staff and Students Publications
BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) is one of the most common chronic liver diseases in children and adolescents. NAFLD ranges in severity from isolated hepatic steatosis to nonalcoholic steatohepatitis (NASH), wherein hepatocellular inflammation and/or fibrosis coexist with steatosis. Circulating microRNA (miRNA) levels have been suggested to be altered in NAFLD, but the extent to which miRNA are related to NAFLD features remains unknown. This analysis tested the hypothesis that plasma miRNAs are significantly associated with histological features of NAFLD in adolescents.
AIM: To investigate the relationship between plasma miRNA expression and NAFLD features among adolescents with NAFLD.
METHODS: This …
Asl-English Interpreters And Anxiety, Stephen B. Fitzmaurice, Meri Faulkner
Asl-English Interpreters And Anxiety, Stephen B. Fitzmaurice, Meri Faulkner
Journal of Interpretation
Reflective of the American population, there are a number of interpreters who have Generalized Anxiety Disorder. Using a mixed methods approach, credentialed interpreters share their experience with anxiety as a professional interpreter. Participants relate both the positive and negative effects of anxiety on their interpreting work. Several anxiety coping strategies are explored, as well as, detailing the importance of finding a confidant. Issues such as potential professional stigma and the consequences of declining assignments for anxiety reasons are discussed.
1986 Ncod Pastoral Week Report
1986 Ncod Pastoral Week Report
National Catholic Office for the Deaf (NCOD) Conferences
Documents from the 1986 NCOD Pastoral Week held in Orlando, FL in 1986
- Report for Region 5: the Northeast
- Report to the NCOD Board of Directors
- NCOD Region I report
- Region III, NCOD Midwest Region report
- Great Lakes Region report
- Director Report
- Proposal to the Board of National Catholic Office of the Deaf
A Case Study To Investigate Factors Influencing The Santa Clara County Getting To Zero Initiative’S Collective Impact Model, Harit Agroia, Rebecca Reno, Jenette Spezeski, Leyla Mousli, Richard Sarabia, Erin Starzyk
A Case Study To Investigate Factors Influencing The Santa Clara County Getting To Zero Initiative’S Collective Impact Model, Harit Agroia, Rebecca Reno, Jenette Spezeski, Leyla Mousli, Richard Sarabia, Erin Starzyk
Journal of Social, Behavioral, and Health Sciences
Our objective was to explore how factors, such as backbone organization changes and COVID-19, affected a collective impact (CI) initiative’s progression through the five CI phases and its components of success. We conducted a case study using semistructured interviews with 17 representatives from the action committee, community-based organization, and health department between January and February 2023 in Santa Clara County, California. Participants were asked how internal and external factors affected their engagement and experiences with the CI initiative. We analyzed the data using structural and holistic coding. Results showed that the initiative’s progression was impacted by intersecting factors; overall findings …