Digital Commons Network^™

Gatekeeping Access To Emergency Departments: A Survey Of Hmo Policies, Regina Conway-Phillips

Theses

The purpose of this study is: (1) to determine if the practice of "gatekeeping" to control access to emergency departments by clients is a prevalent practice in nationwide Health Maintenance Organizations (HMOs}; (2) to determine if a consistent HMO-wide definition of "life-threatening" emergency medical condition exists; (3) to delineate emergency triage systems used by HMOs; (4) to determine what medical directors perceive is the impact of gatekeeping access to emergency department (ED} services on the timeliness of HMO members receiving ED services; and (5) to see if differences exists in for-profit and non-profit HMO gatekeeping policies.

Natural Products Center Director Named Aaas, Asp Fellow, Natalie Ehrhardt

University of Mississippi News

OXFORD, Miss. – Ikhlas Khan, director of the University of Mississippi's National Center for Natural Products Research, has been named a fellow of the American Association for the Advancement of Science.

Amplifying Local Leadership: A Twitter Analysis Of Indonesian Responses To The Covid-19 Pandemic, Bevaola Kusumasari, Fadhli Zul Fauzi, Anang Dwi Santoso

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

Social media has altered emergency communication between local governments and citizens. Studies on social media and natural disasters are expanding. Few studies have explored the crisis of social media use among local government officials. This study investigated how Indonesian leaders use social media. It used data scraping techniques with the Twitter API and the http://tweepy.readthedocs.io/en/v3.5.0/api.html#tweepy-api-twitter-api-wrapper library to collect tweets from each governor's account in Bahasa, Indonesia, between January 1, 2020, and December 31, 2020. The collected data were stored in a MySQL database to facilitate manual analysis and converted to text format. The data were manually labeled using a three-step …

Dietary Effects On Pain Symptoms In Patients With Fibromyalgia Syndrome: Systematic Review And Future Directions., Emma K. Maddox, Shawn C. Massoni, Cara M. Hoffart, Yumie Takata

Manuscripts, Articles, Book Chapters and Other Papers

Fibromyalgia syndrome (FMS) is recognized for its difficulty to diagnose and its subjective symptomatology. There is neither a known cure nor a recommended therapeutic diet to aid in the multidisciplinary treatment. We conducted a systematic review to investigate if diets can improve pain symptoms of fibromyalgia. Through the PubMed search in March 2022, 126 abstracts were identified. We included both intervention and observational studies of diets and pain symptoms among patients with FMS. After screening titles, abstracts, and full-texts, 12 studies, including 11 intervention and one observational study, were selected. These studies included 546 participants and investigated plant-based diets ( …

The Hepatic Mitochondrial Pyruvate Carrier As A Regulator Of Systemic Metabolism And A Therapeutic Target For Treating Metabolic Disease, Kyle S Mccommis, Brian N Finck

2020-Current year OA Pubs

Pyruvate sits at an important metabolic crossroads of intermediary metabolism. As a product of glycolysis in the cytosol, it must be transported into the mitochondrial matrix for the energy stored in this nutrient to be fully harnessed to generate ATP or to become the building block of new biomolecules. Given the requirement for mitochondrial import, it is not surprising that the mitochondrial pyruvate carrier (MPC) has emerged as a target for therapeutic intervention in a variety of diseases characterized by altered mitochondrial and intermediary metabolism. In this review, we focus on the role of the MPC and related metabolic pathways …

Geriatric Emergency Medicine Fellowship Journal Club: Syncope Risk Stratification & Geriatric-Specific Clinical Decision Rules, Kyle R. Burton Md Mpp, Phillip Magidson

Journal of Geriatric Emergency Medicine

No abstract provided.

Annual Comprehensive Financial Report Of Shelby County, Tennessee For The Year Ended June 30, 2022, Shelby County (Tenn.). Department Of Finance.

Tennessee County Audit Reports

No abstract provided.

Annual Comprehensive Financial Report For The Fiscal Year Ended June 30, 2022, Knox County, Tennessee, Knox County (Tenn.). Finance Department.

Tennessee County Audit Reports

No abstract provided.

The Trouble With Time Served, Kimberly Kessler Ferzan

BYU Law Review

Every jurisdiction in the United States gives criminal defendants "credit" against their sentence for the time they spend detained pretrial. In a world of mass incarceration and overcriminalization that disproportionately impacts people of color, this practice appears to be a welcome mechanism for mercy and justice. In fact, how ever, crediting detainees for time served is perverse. It harms the innocent. A defendant who is found not guilty, or whose case is dismissed, gets nothing. Crediting time served also allows the state to avoid internalizing the full costs of pretrial detention, thereby making overinclusive detention standards less expensive. Finally, crediting …

A Study Of The Concept Of Heterotopian Space In The Dutch Cemetery At The Bogor Botanical Garden, Nur Muhammad Arief Kurniawan, Irmawati Marwoto

International Review of Humanities Studies

A cemetery is a land that is used as a place for burial of bodies. However, despite its obvious function, in European Christian culture which lasted for centuries, the view of the true cemetery was always changing, so that the function of the cemetery was often mixed with other completely unrelated functions of space. This phenomenon is highlighted by Foucault in his theory of heterotopia space (1967). In this regard, this study intends to look at other spaces based on the phenomena found in the Dutch Cemetery at the Bogor Botanical Garden. This cemetery is interesting to study using Foucault's …

The Dynamics Of Military-Police Relations In Post-Authoritarian Indonesia (1998 To 2020), Bayu A. Yulianto

Masyarakat: Jurnal Sosiologi

Among myriad significant institutional changes in post-authoritarian Indonesia (1998-present) is the split of Indonesian police (POLRI) from the armed forces (ABRI, renamed into TNI after 1999). No longer locked in a dominant-subordinate configuration, the interaction between both institutions intensified in areas where they intersect. Drawing upon the theory of Strategic Action Field (SAF), this study attempts to capture the dynamics along the newly-established trajectory. It shall be argued that far from being one-dimensional, the relationship between both institutions has been marked by conflict, competition, and cooperation; depending on the SAF. Finally, this research proposes a new framework to assess the …

Belas For The Prevention Of Child Marriage Among Sasak Community, West Lombok, Reni Kartikawati, Ni Nyoman Sri Natih, Sari Damar Ratri

Masyarakat: Jurnal Sosiologi

This paper aims to evaluate the compatibility of the belas mechanism, which separates prospective brides still considered children (merariq kodeq), in West Lombok Regency with the provisions of Child Protection Law No. 35/2014. While prior research in various countries has primarily focused on interventions and child marriage prevention programs, this study takes a different approach by examining the intricate relationship between children (those under 18 years of age) and the broader social system. To comprehensively explore this relationship, our team adopts Bronfenbrenner's socio-ecological model, which encompasses various stages of a child's life. This model considers individual biology, interactions …

Electrochemical Sensors And Biosensors Of Biomarkers And Therapeutic Agents Detection, Mahmoud Abdelhakem

Theses and Dissertations

Electrochemical sensing is a pioneering tool amongst all other sensing techniques even though it had been started in the early 20th century. Due to their cost efficacy, accuracy, and real-time measurement, electrochemical sensing has been utilized in a vast of biomedical applications in therapeutic drug monitoring and biomarker detection. This thesis work concerned the monitoring of three therapeutic agents in spiked plasma, urine, dosage form, and interstitial skin fluid with high specificity and accuracy. Two of our sensing platforms utilized nanomaterials for sensing (sensors) of Cilostazol and Velpatasvir utilizing α-MnO2-V2O5 (metal oxide nanorods) and NH2- MIL-53 (Aluminum-based metal organic frameworks), …

Tiktok Battlefield: Comparative Analysis Of English And Arabic Language Representations Of The 2022 Russian Ukrainian Conflict On Tiktok, Dina Magdeldin Mahmoud Elhawary

Theses and Dissertations

This study extends the growing political communication research on TikTok platform through studying the representation of a major political conflict in modern history; the 2022 Russian Ukrainian conflict. The study is providing a cross cultural comparison by studying the perspectives of English and Arabic speakers about the conflict. The study is based on the analysis of the 500 most liked TikTok videos - in one month duration that starts with the day of the Russian invasion - with top hashtags about the conflict in order to find the common message themes. The study uses a multi-dimensional analysis approach of connective …

Exploring The Implementation Challenges And Achievements Of The 2016 Civil Service Law In Egypt: A Study, Nahla Tarek

Theses and Dissertations

The American University in Cairo

School of Global Affairs and Public Policy

Department of Public Policy and Administration

Abstract

This study aims to understand the implementation challenges and achievements of the Egyptian Civil Service Law (CSL), particularly in the areas of appointments, organizational structure, creation of the new position “permanent secretary” in government institutions, and the provision of incentives arrangement. In order to achieve the research aim, the study employed the qualitative methodology to gather data by performing semi-structured interviews with civil servants of different grades and positions. The interviewees collectively painted a holistic picture of how the CSL is …

The Organization Of Islamic Cooperation (Oic): Opportunities And Challenges For Practicing Culturally-Sensitive Mediation In Intra-Muslim Conflicts, Nirvana Ahmad

Theses and Dissertations

Established in 1969, the OIC sat a unique paradigm in the international order as an intergovernmental organization that claims a religious identity and mandate: working for Muslim unity and interests. In that pursuit, it has assumed the function of the peaceful settlement of disputes as one of its primary roles. Over half a century of its existence, not only did the OIC drift away from its founding principles and commitments; it is now condemned for turning into an arena for polarization among Muslims, where unchecked geopolitical competition has aroused rampant violence of all sorts.
The literature on the OIC extensively …

Poverty Depiction In Egyptian Films Across The Decades: A Comparative Content Analysis Of Framing Poor Characters In Egyptian Cinema Between 1955 And 2010, Moustafa Abdelfadil Daly

Theses and Dissertations

This research examines the framing of poverty in Egyptian film productions during a 55-year period from 1955 to 2010. It uses a qualitative analysis to identify and analyze main characters depicted to be poor in films produced under three political eras; Gamal Abdel-Nasser, Anwar El Sadat, and Hosny Mubarak. It analyzes the frequency of featuring poor characters and whether the depiction of poor people was favorable or unfavorable based on three constructs; accountability of poverty, heroism, and honesty. Out of 41 main characters studied, 22 were found to be poor, with Nasser's era witnessing the highest representation of poverty. Most …

How Do The Environmental Aspects Affect The Oil Drilling And Extraction Sector? Evidence From Firm-Level Data, Nadine Amr Hosny

Theses and Dissertations

There will and always be a tradeoff between achieving profitability and maintaining sustainability. This complex problem is especially portrayed in the Oil sector. MENA region countries dominate more than half of the Oil reserves globally. Therefore and due to their dominance, such oil firms may suffer from several adverse consequences from their oil drilling and extraction activities. Accordingly, the main objective of the thesis is to examine the impact of the changes in environmental conditions on the financial performance of selected oil drilling and extraction firms. The selected countries that were chosen are: Egypt, Morocco, Tunisia & Gabon. The results …

Long-Standing Narrative Of Indonesian Islamic Women In Four Novels By Habiburrahman El Shirazy, Dian Rizky Azhari, M. Yoesoef, Turita Indah Setyani

International Review of Humanities Studies

Discussions about Islamic women have been buzzing in Indonesia after the collapse of the New Order. Its presence directly contradicts the narratives of women that were influenced by western thought, such as liberalism and secularism, as well as by global islamization movement from the Middle East. The conflicts that arose were about the role of women in the public sphere, women's independence, women's bodies and sexuality. This study aims to find similarities between ideas about Islamic women and the practice of Islamic women's discourse in Indonesian society. This study uses an intrinsic study method and a sociology of literature approach …

The Threat Of Covid-19 Pandemic In Social Network-Thinking, Poppy Setiawati Nurisnaeny, Rendy Ananta Prasetya, Suwedi Suwedi

International Review of Humanities Studies

The COVID-19 pandemic creates various dynamics of uncertainty that impact morbidity, mortality, and economic damage. The dynamics of these threats are expanding in the globalization era through networks and national security into a multidimensional sphere that tends to be unpredictable (Starvridis, 2015). Social transformation is always marked with certainties. Therefore, scientific regulations are needed to guide various operations, which functions as a principle in adapting to the quick-changing socio-cultural dynamics. This study aims to analyze the threat of the Covid-19 pandemic and strategic thinking steps in the ethnographic framework of social network thinking. This research uses a descriptive qualitative method …

The Recent Emergence Of White Supremacist Society In The United States: A Critical Discourse Analysis In Modern Ku Klux Klan, Aprilia Zainatul Hussna

International Review of Humanities Studies

This paper examines the discourse in Loyal White Knights of the Ku Klux Klan, one of the most recently active chapters of the Ku Klux Klan (KKK). With the flyering (spreading flyers/pamphlets) incidents that spiked during and in the aftermath the Charlottesville protests in 2017, in the few recent years some of the more active chapters of KKK have steadily distributed the flyers in the United States. Recognizing the Ku Klux Klan’s historical role within the white supremacist movement and its participation in the Unite the Right rally, it is important to understand the meaning behind the discourse and the …

Gendered Nollywood: The Crisis Of Femininity In Contemporary Nigerian Films, Abiodun Olayiwola

International Review of Humanities Studies

Studies on the construction of women in Nollywood films have majorly focused on the subjugation of women by the phallocentric African men and the need for socio-economic liberation. Most of these films perceive women as a socially constituted homogenous group on the basis of shared oppression. However, this study intends to interrogate gender relations in terms of the way cultural and development policies are currently regulating the balance of power between men and women in a rapidly mutating African society. Through a reading of select Nigerian films, the paper examines how Nollywood films construct the heterogeneous roles performed by men …

The Cinematic Othering Of Sitting Bull In The Adaptation Of Bury My Heart At Wounded Knee, Rachmat Nurcahyo, Dhita Hapsarani, Melani Budianta, Bayu Kristianto

International Review of Humanities Studies

The marginalization of particular groups or people as a result of the idea that one group or person is better than another is known as the "othering" process. This article discusses how a film adaptation of Dee Alexander Brown’s book on Native American history, Bury My Heart at Wounded Knee (BMHWK) performs this act of othering. First of all, it is done by negatively portraying the heroic figure in the book. Sitting Bull, a Teton Dakota Chief who united the Sioux tribes in North America, the Great Plains, in mid 19^th century is reduced in the film …

Diaspora In Indonesia-China Relationship At The Comprehensive Strategic Partnership Era, R. Tuty Nur Mutia Enoch Muas

International Review of Humanities Studies

Diaspora is a potential non-state actor as a driver of people-to-people connections between the country of origin and the country of residence. People-to-people connections are part of public diplomacy, increasing in importance with information and communication technology. Indonesia-China relations have existed for more than seven decades, experiencing dynamic ups and downs. Since the inauguration of the Strategic Partnership between Indonesia and China in 2005 and then in 2013, it has increased to become a Comprehensive Strategic Partnership, and bilateral and multilateral relations have tended to increase. Bilateral and multilateral relations have managed to grow. However, from the Indonesian side, there …

Evaluation Of Information Sources And Services Of B-School Libraries In Greater Hyderabad: A User Study, Dr.Annavarapu Mallikarjuna Prefex

Library Philosophy and Practice (e-journal)

In the present period, School Libraries are playing vital role in the electronic resources. All changes demand development of modern skills to both library professionals as well as users. Today, all information available in digital form requires new and modern methods for its handling. The present study deals with Evaluation of Information Sources and Services in Business School Libraries.

Measures Of Carotid Atherosclerosis And Fall-Related Hospitalization Risk: The Perth Longitudinal Study Of Ageing Women, Abadi K. Gebre, Marc Sim, Jack Dalla Via, Alexander J. Rodríguez, Jonathan M. Hodgson, Catherine P. Bondonno, Peter L. Thompson, Richard L. Prince, Joshua R. Lewis

Research outputs 2022 to 2026

Background and aims: We and others have identified links between cardiovascular conditions and poor musculoskeletal health. However, the relationship between measures of carotid atherosclerosis such as focal carotid plaque and common carotid intima media thickness (CCA-IMT) and falls remains understudied. This study examined the association between measures of carotid atherosclerosis and fall-related hospitalization over 11.5 years in community dwelling older women. Methods and results: 1116 older women recruited in 1998 to a five-year randomized controlled trial to examine the effect of calcium supplementation in preventing fracture and who had undertaken B-mode ultrasound in 2001 (three years after the baseline clinical …

A Theoretical Reflection On The Past, Present, And Future Of Employee-Organization Relationship: A Systematic Literature Review, Fatemeh Rezazadeh, Mir Ali Seyyed-Naghavi, Sima Rezazadeh

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

Considering the changes in the social and economic environment in the past two decades and their ongoing status in the new century, it is unanimously believed that the nature of employee-organization relationship (EOR) has changed significantly. EOR, as a research field, has increasingly been recognized as a locus of research on organizational behavior, human resource management, and employment relationships. There is a research demand to integrate the academic literature to reach a better understanding of EOR. Adopting the methodology of systematic literature review proposed by Centobelli et al. (2017), the present research provides a comprehensive analysis of eighty pieces of …

An Integrated Multi-Omics Analysis Of Sleep-Disordered Breathing Traits Implicates P2xr4 Purinergic Signaling, Nuzulul Kurniansyah, Danielle A Wallace, Ying Zhang, Bing Yu, Brian Cade, Heming Wang, Heather M Ochs-Balcom, Alexander P Reiner, Alberto R Ramos, Joshua D Smith, Jianwen Cai, Martha Daviglus, Phyllis C Zee, Robert Kaplan, Charles Kooperberg, Stephen S Rich, Jerome I Rotter, Sina A Gharib, Susan Redline, Tamar Sofer

Faculty, Staff and Student Publications

Sleep Disordered Breathing (SDB) is a common disease associated with increased risk for cardiometabolic, cardiovascular, and cognitive diseases. How SDB affects the molecular environment is still poorly understood. We study the association of three SDB measures with gene expression measured using RNA-seq in multiple blood tissues from the Multi-Ethnic Study of Atherosclerosis. We develop genetic instrumental variables for the associated transcripts as polygenic risk scores (tPRS), then generalize and validate the tPRS in the Women's Health Initiative. We measure the associations of the validated tPRS with SDB and serum metabolites in Hispanic Community Health Study/Study of Latinos. Here we find …

Emotional Intelligence And Empathy Of Nursing Students In An Immersive Capstone Clinical Course, Michelle L. Finch

Dissertations

Today's baccalaureate nursing students need to be prepared to care for patients in an ever-changing, high acuity environment. Many programs offer a capstone immersive clinical experience. However, the benefits of this experience have not been fully explored, and the effect on patient care is unknown.

The purpose of the study was to determine if there was a change in levels of Emotional Intelligence (EI) and empathy in senior students who completed a capstone immersive clinical experience in the final semester of a baccalaureate nursing program.

How To Boost Egyptian Pharmaceutical Exports? Challenges And Opportunities, Shereen Mohamed Abdelgawad

Theses and Dissertations

One of the key pillars of the Egyptian economic reform adopted in 2016 was to raise the export rate. Since the pharmaceutical sector is one of Egypt's most established industries, the Egyptian government worked on a national plan to support the exports of medicines. Despite the impact of pharmaceutical exports on economic growth, there was limited research on this topic in Egypt. This study aims to provide a better knowledge of the problems of exporting medications in Egypt by investigating barriers and Covid-19 influence on pharmaceutical export. In-depth semi-structured interviews with representatives from pharmaceutical exporting companies have been conducted. The …