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Indonesia And The Global Maritime Fulcrum: Structural Crisis Of The Four Pillars Of Maritime Power, Frisca Ayu Suciandika May 2026

Indonesia And The Global Maritime Fulcrum: Structural Crisis Of The Four Pillars Of Maritime Power, Frisca Ayu Suciandika

Journal of Terrorism Studies

This article critically examines Indonesia’s position in realizing its vision as a Global Maritime Fulcrum through an analysis of four main pillars of maritime power: maritime science, financial strength, maritime industry, and naval defense. The study is motivated by the paradox between Indonesia’s vast geographical and historical potential as an archipelagic state and its limited structural capacity to build modern maritime power. This research employs a qualitative descriptive approach using library research and critical analysis of academic literature, international data, and Indonesian maritime policy documents. The findings show that Indonesia still faces an epistemic deficit in maritime science due to …


Critical Geopolitics And The Reconstruction Of Meaning: A Discourse Analysis Of The 'Terrorism' Label Applied To Hamas By Western Hegemony, Cahaya Mulyani Sakti, M.Hamdan Basyar May 2026

Critical Geopolitics And The Reconstruction Of Meaning: A Discourse Analysis Of The 'Terrorism' Label Applied To Hamas By Western Hegemony, Cahaya Mulyani Sakti, M.Hamdan Basyar

Journal of Terrorism Studies

The emergence of Hamas in 1987 cannot be separated from the configuration of modern colonialism and the continuity of occupation that shaped the political reality. Hamas’s early phase was rooted in socio-religious activities through education and community empowerment programs, before evolving into armed resistance against the occupation. The labeling of Hamas as a “terrorist” organization began in the mid-1990s in U.S. legal documents, which subsequently generated debate and gave rise to counter-narratives. This study employs the frameworks of critical geopolitics (Ó Tuathail & Agnew) and the Discourse-Historical Approach (Wodak) to analyze the labeling of Hamas as “terrorist” by Western hegemony. …


Digital Communication And The Evolution Of Ideological Narratives In Indonesia: Insights From Social Media Platforms, Tia Mariatul Kibtiah, Muhammad Fikri Fawazi May 2026

Digital Communication And The Evolution Of Ideological Narratives In Indonesia: Insights From Social Media Platforms, Tia Mariatul Kibtiah, Muhammad Fikri Fawazi

Journal of Terrorism Studies

This study examines how pro-caliphate and anti-democratic narratives are articulated and normalised within YouTube comment spaces in Indonesia. As the world’s largest Muslim-majority country with high levels of digital engagement, Indonesia provides an important context for analysing how political-religious discourses circulate through everyday digital interaction. The research analyses 1,354 YouTube comments related to the caliphate, governance, and democracy. Data were collected using Google Apps Script, manually filtered for relevance, and examined through qualitative content analysis informed by Social Network Theory (SNT) and the Radicalisation Factor Model (RFM). The findings show that 34.49% of comments endorsed ideological pro-caliphate narratives, while 35.97% …


Governance Structures And Conflict Mitigation Strategies In Food Supply Chains: Evidence From Niger State, Nigeria, Araoye Olarinkoye Ajiboye, Aminu Kandi Suleiman, Habila Daniel Diko, Tayo Moses Adebayo May 2026

Governance Structures And Conflict Mitigation Strategies In Food Supply Chains: Evidence From Niger State, Nigeria, Araoye Olarinkoye Ajiboye, Aminu Kandi Suleiman, Habila Daniel Diko, Tayo Moses Adebayo

Journal of Terrorism Studies

Food supply chains in fragile and semi-institutionalised economies continue to experience persistent instability driven by weak governance structures and recurring conflicts among market actors. However, despite extensive studies on food system challenges in Nigeria, there remains limited empirical understanding of how governance structures interact with conflict mitigation mechanisms to shape system stability at the local market level. Available literature tends to treat governance and conflict management as separate processes, thus overlooking their interdependent dynamics within everyday market operations. This study addresses this gap by examining governance structures and conflict mitigation strategies in food supply chains in Niger State, Nigeria. Anchored …


The Effect Of Incompatibility Types On The Escalation Of Global Armed Conflicts, Michael Haratua Rajagukguk, Ruben Cornelius Siagian Rcs May 2026

The Effect Of Incompatibility Types On The Escalation Of Global Armed Conflicts, Michael Haratua Rajagukguk, Ruben Cornelius Siagian Rcs

Journal of Terrorism Studies

Global armed conflicts show variations in intensity influenced by the type of issue incompatibility. This study aims to analyze the influence of territorial, ideological, and combined incompatibilities on the probability of high-intensity conflict escalation, as well as its implications for conflict mitigation strategies. Global conflict dyadic data were analyzed using a multilevel logistic regression model with controls for time, region, and conflict type. The results show that ideology-based conflicts have a lower probability of reaching high intensity than territorial conflicts (OR ≈ 0.51, p < 0.05), while conflicts with a combination of ideology and territory tend to be at greater risk of high escalation (AM effect ≈ +26.6 points), although the effect is not yet statistically significant. Temporal analysis shows a downward trend in conflict intensity over time, especially in the post-Cold War period, while regional effects and conflict types show significant variation. These findings fill a gap in the literature on the dual interaction of ideological and territorial claims, showing that the highest escalation of violence occurs when symbolic and material dimensions are intertwined. In conclusion, conflict escalation is more influenced by a combination of issues and structural characteristics of conflict than by ideology alone. The novelty of this research lies in the identification of the strengthening effect of dual incompatibility and the downward trend in conflict intensity after the Cold War, which emphasizes the importance of a relational and temporal context-based mitigation approach in global conflict management.


Hybrid Threats In The Lake Chad Basin: The Nexus Between Terrorism, Illicit Wealth, And Transborder Crime, Cletus C. N. Nwadiogbu May 2026

Hybrid Threats In The Lake Chad Basin: The Nexus Between Terrorism, Illicit Wealth, And Transborder Crime, Cletus C. N. Nwadiogbu

Journal of Terrorism Studies

Threats to security in the Lake Chad Basin have changed over the years and hybrid elements have become interweaved. Sustained Boko Haram and ISWAP activities have increased the insecurity in the region, enabling the mixing of armed insurgency and organized criminals, including narcotics dealers, extortion rackets, arms trafficking, drugs production and smuggling, kidnapping and fuel smuggling among Nigeria, Niger, Chad and Cameroon states. Nexus elements of illicit wealth, illicit transborder crime and terrorism were thus analysed as interdependent and contributing elements to Hybrid threats in the Basin. The study used a hybrid design (qualitative-quantitative) documenting data from the following institutions: …


Ai-Augmented Financial Advisors: Comparing Ai And Human Analyst Investment Recommendations In Agreement, Performance, And Firm Size Effects, Crystal Chen May 2026

Ai-Augmented Financial Advisors: Comparing Ai And Human Analyst Investment Recommendations In Agreement, Performance, And Firm Size Effects, Crystal Chen

Honors College Theses

This study examines the level of agreement and performance between artificial intelligence (AI) generated investment recommendations and human analyst recommendations across U.S. publicly traded firms. Using a sample of twelve companies categorized by firm size (large, mid, and small), the study collects buy, hold, or sell recommendations from generative AI systems and human analysts. Agreement between AI-to-AI and AI-to-human recommendations is measured using Cohen’s Kappa agreement. Portfolio performance is evaluated by constructing equal-weighted portfolios for each recommendation source and size category. Risk-adjusted returns are measured using the Sharpe ratio over 1-, 2-, and 3-month periods. Furthermore, the study tests whether …


The Impact Of Road Quality On Nearby House Prices, Michael Cary, Brad Humphreys May 2026

The Impact Of Road Quality On Nearby House Prices, Michael Cary, Brad Humphreys

Economics Faculty Working Papers Series

This paper estimates the impact of road quality on house prices in Hamilton County, Ohio, USA which includes the city of Cincinnati. We use a hedonic regression framework using road segment level international roughness index (IRI) data as a measure of road quality. We find that rougher roads decrease house prices, with a one standard deviation increase in road roughness from the sample mean decreasing house prices by 3.5%. This equates to a $6,700 decrease in the value of an average priced home in our sample, demonstrating the importance of road quality and maintenance for local economic development.


Applying A Neurodiversity-Informed Approach To Understanding Resolution In Families Raising A Child With Autism, Emma Manole May 2026

Applying A Neurodiversity-Informed Approach To Understanding Resolution In Families Raising A Child With Autism, Emma Manole

Honors College Theses

The first known documentation of the syndrome we today refer to as autism spectrum disorder (ASD) was published by Austrian psychiatrist Leo Kanner (1943), who identified a cluster of disordered symptoms among 11 young children, which he termed “early infantile autism”. Consequently, the psychiatric world became aware of autism as its own disorder separate from schizophrenia or “childhood psychosis” (Wing, 1997). Since then, the ways in which autism is studied, diagnosed, referred to, defined, and treated have seen drastic changes (Blacher & Christensen, 2011) over the course of almost a century. It is only natural that the perceptions held by …


The Effect Of State Abortion Restrictions On Female Labor Force Participation And School Enrollment, Elena T. Albano May 2026

The Effect Of State Abortion Restrictions On Female Labor Force Participation And School Enrollment, Elena T. Albano

Graduate Masters Theses

This paper examines the causal effect of state-level abortion restrictions on young women’s labor force participation and school enrollment following the Supreme Court’s 2022 decision in Dobbs v. Jackson Women’s Health Organization. Using a difference-in-differences design that exploits the cross-state variation in post-Dobbs abortion policies, I estimate that abortion bans led to a decline in combined school and labor force participation among young women by at least 1 percentage point. This effect is qualitatively robust to a triple difference specification that uses men as a within-state control group, confirming that the results do not reflect broader economic shocks specific to …


Supporting Three-Sector Relationships For Enhancing Agility And Market (Stream): A Comparative Study Of Small And Medium Enterprises (Smes) In China And Indonesia, Marizal Fanani, Muhammad Akmal Daffari, Ikhtiar Anugrah Hidayat, Adinda Qornelica May 2026

Supporting Three-Sector Relationships For Enhancing Agility And Market (Stream): A Comparative Study Of Small And Medium Enterprises (Smes) In China And Indonesia, Marizal Fanani, Muhammad Akmal Daffari, Ikhtiar Anugrah Hidayat, Adinda Qornelica

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

In a rapidly evolving borderless economy, the success of Chinese Small and Medium Enterprises (SMEs) in penetrating global markets demonstrates the critical role of structured collaboration among government, industry, and academia. This study examines how intersectoral collaboration, analyzed through the Triple Helix Framework, impacts the innovation agility and market readiness of SMEs in China and Indonesia. This research adopts a qualitative comparative policy analysis, drawing on relevant journals, policy documents, and SME reports to explore how interactions between these sectors influence SME growth and innovation. The findings show that China’s SME is supported by: (1) strong institutional coordination, (2) well-developed …


Determinants Of Public Trust In E-Government: A Comprehensive Review And Conceptual Framework Over The Past Decade, Andrean Nathaniel, Sumartono Sumartono, Abd. Qadir Muslim May 2026

Determinants Of Public Trust In E-Government: A Comprehensive Review And Conceptual Framework Over The Past Decade, Andrean Nathaniel, Sumartono Sumartono, Abd. Qadir Muslim

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

The evolution of digital governance has heightened the strategic significance of public trust in the implementation of e-government. Despite numerous empirical investigations, the results concerning the factors influencing trust remain fragmented and largely centered on technological aspects. This study seeks to systematically identify, categorize, and synthesize the determinants of trust in e-government through a structured literature review of 21 Scopus-indexed articles published between 2015 and 2025. Utilizing an evidence-based synthesis methodology, the study organizes determinants of trust into four main categories: citizen-related, technological, institutional, and risk-related factors. The findings indicate that technological and citizen-related factors are the most significant predictors …


Indonesian Tax Reform: A Never-Ending Dialectic, Charoline Cheisviyanny, Niki Lukviarman, Verni Juita, Suhanda Suhanda May 2026

Indonesian Tax Reform: A Never-Ending Dialectic, Charoline Cheisviyanny, Niki Lukviarman, Verni Juita, Suhanda Suhanda

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

Indonesian tax reform has evolved through recurring cycles of institutional change, yet it continues to face persistent tensions among fiscal demands, administrative capacity, and taxpayer compliance. While existing tax reform studies predominantly examine reform outcomes in terms of revenue performance and compliance rates, limited attention has been given to the structural contradictions that shape reform trajectories over time. This study re-conceptualizes Indonesian tax reform as a dialectical process by applying a thesis–antithesis–synthesis framework to three major reform cycles since 1983. Using an interpretive qualitative design based on documentary reconstruction and illustrative interview evidence, the analysis demonstrates that each reform phase …


The Role Of Bank Portfolio Heterogeneity In The Fiscal Stimulus Policy In Indonesia, Michael Kusuma, Brigitha Mega Rebeca May 2026

The Role Of Bank Portfolio Heterogeneity In The Fiscal Stimulus Policy In Indonesia, Michael Kusuma, Brigitha Mega Rebeca

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

Fiscal stimulus transmission is often hindered by banking frictions from risk-averse behavior and channel specialization. To evaluate the fiscal stimulus policy in Indonesia, this study introduces a modified Input-Output (I-O) framework integrated with bank portfolio-based shock vectors. This approach captures banking frictions by incorporating institution-specific portfolio weights into the macro-simulation framework, providing a more realistic assessment than standard uniform-transmission assumptions. Three scenarios are simulated (policy design, interim realization, and expansionary response) to assess the macroeconomic impacts of credit concentration. The results reveal a significant gap between the initial policy design and its actual realization, generating an economic opportunity loss of …


Arts On The Point: Boston's First Public Sculpture Park, Isabella Slonka May 2026

Arts On The Point: Boston's First Public Sculpture Park, Isabella Slonka

Honors College Theses

Led by the conviction that “a public campus needs public art,” Professor Paul Tucker founded UMass Boston’s Arts on the Point (AoP) sculpture park in 1997. Large-scale works by world-class contemporary artists including Sol LeWitt, Dennis Oppenheim, Luis Jiménez, Sheila Pepe, and Mark di Suvero were made accessible to students, served as teaching aids and attracted those outside of UMB to Columbia Point. AoP’s use of long term loans made the landscape itself a rotating gallery.

Consideration of the “personality” of the campus was essential in the selection of works. Site visits with artists were conducted to ensure that their …


Electrospun Nanofiber Scaffolds For In Vitro 3d Tissue Engineering, Victoria E. Santillan, Samerender Nagam Hanumantharao, Stephanie Bule, Ronish M. Shrestha, Carter Rodzik, Alan Mendoza Estrada, Stephen L. Farias, Marina Tanasova, Smitha Rao May 2026

Electrospun Nanofiber Scaffolds For In Vitro 3d Tissue Engineering, Victoria E. Santillan, Samerender Nagam Hanumantharao, Stephanie Bule, Ronish M. Shrestha, Carter Rodzik, Alan Mendoza Estrada, Stephen L. Farias, Marina Tanasova, Smitha Rao

Michigan Tech Publications

Tissue engineering is widely used in research for investigating cellular proliferation, behavior, and responses to various stimuli. However, the predictive value of preclinical studies using cell culture plates is limited by the inability to recapitulate the complexity of the physiological microenvironment. Synthetic three-dimensional (3D) scaffolds can be engineered to mimic the complex morphology of the extracellular matrix of native tissues and can serve as physiologically relevant platforms for preclinical studies. In this study, 3D electrospun scaffolds were characterized to aid in breast cancer research. Unlike previous studies that focused primarily on scaffold fabrication or cell viability, this work systematically evaluates …


Culturally Competent Nurse-Led Education To Reduce Delayed Diagnosis And Increase Awareness Of Polycystic Ovary Syndrome In Reproductive-Aged South Asian Women, Madeeha Syeda May 2026

Culturally Competent Nurse-Led Education To Reduce Delayed Diagnosis And Increase Awareness Of Polycystic Ovary Syndrome In Reproductive-Aged South Asian Women, Madeeha Syeda

Honors College Theses

Polycystic ovary syndrome (PCOS) is a common condition that affects hormones in women, especially in their 20s and 30s. Symptoms of PCOS include irregular periods, abnormal hair growth, acne, obesity, hyperpigmentation of the skin, cysts, skin tags, thinning hair, and infertility (Newin, 2023). While the exact cause of PCOS is unknown, it is linked to insulin resistance, higher levels of androgens, and low-grade inflammation (Newin, 2023). In regards to complications, PCOS can increase risk for gestational diabetes, preeclampsia, preterm term, and C-section deliveries. In terms of treatment, there is no cure but early diagnosis is key to reducing symptoms (Newin, …


Improving Antihypertensive Medication Adherence Through Education And Follow- Up Phone Calls In A Primary Care Setting, Sarah Peterson May 2026

Improving Antihypertensive Medication Adherence Through Education And Follow- Up Phone Calls In A Primary Care Setting, Sarah Peterson

Doctor of Nursing Practice Final Manuscripts

Hypertension affects nearly half of adults and significantly increases the risk of stroke and cardiovascular disease; however, poor medication adherence remains a primary barrier to effective blood pressure management. The purpose of this evidence-based practice (EBP) project was to improve antihypertensive medication adherence among adult patients in a primary care setting. Guided by the Iowa Model of Evidence-Based Practice to Promote Quality Care, the project utilized a pre-test/post-test design at a private practice clinic. The sample included adults with a hypertensive diagnosis and active prescriptions. Medication adherence was defined as the Morisky Medication Adherence Scale (MMAS-8) scores, measured before and …


Closing The Gap: Integrating A Standardized Depression Screening In Primary Care, Cyndy Marie Oreas May 2026

Closing The Gap: Integrating A Standardized Depression Screening In Primary Care, Cyndy Marie Oreas

Doctor of Nursing Practice Final Manuscripts

Objective: The purpose of this evidence-based practice (EBP) project is to implement the routine use of the Patient Health Questionnaire-9 (PHQ-9) screening instrument in the primary care setting to improve early diagnosis, treatment, and referrals to mental health.

Background: Depression is frequently underdiagnosed in primary care despite its significant impact on health outcomes. Inconsistent screening practices and a lack of standardized workflows contribute to missed opportunities for early identification and intervention. Routine PHQ-9 screening has been shown to improve detection and facilitate timely referral to behavioral health services.

Methods: A standardized PHQ-9 screening was implemented for adult patients aged 18 …


Enhancing Emergency Preparedness In California High Schools: A Policy Framework For Implementing Nata-Compliant Emergency Action Plans Through Multidisciplinary Task Forces, Jennifer Lu May 2026

Enhancing Emergency Preparedness In California High Schools: A Policy Framework For Implementing Nata-Compliant Emergency Action Plans Through Multidisciplinary Task Forces, Jennifer Lu

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: Sudden cardiac arrest (SCA) is the leading cause of death in young athletes, yet it is highly survival with proven measures: a structured emergency action plan (EAP), cardiopulmonary resuscitation (CPR) training, and access to an automated external defibrillator (AED) within 3 minutes can raise survival rates to 90%. Despite this, high schools show inconsistent compliance, largely due to the lack of fragmented oversight and lack of standardized practices

Purpose of Project: This proposal advocates for multidisciplinary task forces to enforce venue-specific, National Athletic Trainers Association (NATA)-compliant EAPs across California high schools, with the goal of improving emergency response …


Text Message Delivery Of Pre-Procedural Recommendations Prior To Lip Augmentation With Hyaluronic Acid Filler: An Evidence-Based Pilot Project, Jenna De Jonge May 2026

Text Message Delivery Of Pre-Procedural Recommendations Prior To Lip Augmentation With Hyaluronic Acid Filler: An Evidence-Based Pilot Project, Jenna De Jonge

Doctor of Nursing Practice Final Manuscripts

Patients seeking lip augmentation procedures commonly experience self-resolving soft-tissue complications such as swelling and bruising. There are many widely accepted pre-procedural recommendations available to help patients minimize the risk of these undesirable outcomes. At a Medical Aesthetics practice in Southern California, lip augmentation patients often arrived to their appointment non-adherent to pre-procedural recommendations that were available on the practice website. Text message delivery systems have been used to improve patient adherence to healthcare instructions across a variety of healthcare settings. To address this gap, I implemented text message delivery of pre-procedural recommendations to lip augmentation patients prior to their appointment. …


Optimizing Lactation Support: Enhancing Patient-Centered Care And Breastfeeding Self Efficacy Through Data-Driven Survey Analysis, Jessica L. Doshay May 2026

Optimizing Lactation Support: Enhancing Patient-Centered Care And Breastfeeding Self Efficacy Through Data-Driven Survey Analysis, Jessica L. Doshay

Doctor of Nursing Practice Final Manuscripts

Objective: The objective of this project was to implement evaluation of an integrated lactation support model within a multi‑site pediatric primary care organization to assess patient experience and breastfeeding confidence associated with a lactation consultation.

Background: Optimizing the patient experience is an indicator of healthcare quality. Improving breastfeeding outcomes remains a national priority. Structured lactation support delivered by International Board-Certified Lactation Consultants (IBCLCs) enhances breastfeeding outcomes, the impact of this is often undocumented in primary care settings.

Methods: This quality improvement project was conducted within the lactation department of a multicenter pediatric clinic in Southern California. Pediatric clinicians who were …


Implementation Of Comprehensive Checklist For Opioid Use Disorder Treatment In Primary Care, Sophia R. Madden May 2026

Implementation Of Comprehensive Checklist For Opioid Use Disorder Treatment In Primary Care, Sophia R. Madden

Doctor of Nursing Practice Final Manuscripts

Background: The escalating opioid crisis demands a comprehensive approach to Opioid Use Disorder (OUD) management. Patients often face comorbid mental illnesses, infectious diseases, concurrent substance use, and social determinants of health (SDOH)—all of which increase the risk of treatment attrition. Standardizing care through evidence-based clinical practice guidelines and tools is essential for improving treatment quality and consistency.

Purpose: This project aimed to increase comorbidity screenings and improve resource access for OUD patients at a San Diego Internal Medicine primary care office by implementing a comprehensive care checklist based on the American Society of Addiction Medicine (ASAM) guideline.

Methods: The ASAM …


Empowering Healing And Recovery: Adverse Childhood Experiences Screening In A Cognitive Behavioral Therapy Intensive Outpatient Program, Serena C. Lee May 2026

Empowering Healing And Recovery: Adverse Childhood Experiences Screening In A Cognitive Behavioral Therapy Intensive Outpatient Program, Serena C. Lee

Doctor of Nursing Practice Final Manuscripts

Purpose: This evidence-based practice project implemented Adverse Childhood Experiences (ACEs) screening in an adult Cognitive Behavioral Therapy Intensive Outpatient Program (COG IOP) at San Diego's largest behavioral health hospital to identify ACE exposure, deliver supportive interventions, and enhance clinician competency in trauma-informed care.

Background: ACEs are potentially traumatic experiences occurring before age 18 that are associated with toxic stress and worsening health outcomes. Despite evidence linking ACEs to adverse outcomes and substantial healthcare costs, routine ACE screening is not standardized in behavioral health settings.

Methods: Guided by the San Diego 8A's Evidence-Based Practice model, eligible patients were offered ACEs screening …


Referral Patterns From Primary Care To Referral Care By Icd-10 Codes In Indonesia: Cross-Sectional Analysis Of National Claims Data (2017–2024), Della Dwi Ayu, Syarif Rahman Hasibuan, Putu Erma Pradnyani, Nisrina Widyasanti May 2026

Referral Patterns From Primary Care To Referral Care By Icd-10 Codes In Indonesia: Cross-Sectional Analysis Of National Claims Data (2017–2024), Della Dwi Ayu, Syarif Rahman Hasibuan, Putu Erma Pradnyani, Nisrina Widyasanti

Journal of Indonesian Health Policy and Administration

Primary health care (PHC) facilities serve as gatekeepers within Indonesia’s tiered health system. However, PHC referral patterns to hospitals still show substantial variation and remain insufficiently characterized by disease groupings based on the International Classification of Diseases, 10th Revision (ICD-10). This study aimed to identify the most frequently referred diagnoses from PHC to secondary or tertiary care facilities and to determine the participant characteristics associated with referrals. This observational study employed a cross-sectional design using secondary data from the National Health Insurance (Jaminan Kesehatan Nasional – JKN) claims database for the period 2017–2024. The unit of analysis was each …


Factors Associated With The Performance Of Essential Public Health Efforts At Primary Health Centers In Jember Regency, Griselda Ardelia Hibatullah, Nuryadi Nuryadi, Yennike Tri Herawati May 2026

Factors Associated With The Performance Of Essential Public Health Efforts At Primary Health Centers In Jember Regency, Griselda Ardelia Hibatullah, Nuryadi Nuryadi, Yennike Tri Herawati

Journal of Indonesian Health Policy and Administration

Performance assessment of primary health centers is essential to ensure the quality of healthcare services, including the delivery of essential public health efforts. The performance target for essential public health efforts in Jember Regency is set at ≥82%. This study aimed to analyze factors associated with the performance of essential public health efforts. The study employed an analytical cross-sectional design conducted from April to May 2025, with a sample of 37 out of 50 units selected through simple random sampling. Primary data were collected using questionnaires, while secondary data were obtained from primary health center (Pusat Kesehatan Masyarakat – …


Trends Of Pediatric Psychotropic Polypharmacy In Massachusetts Before And During The Covid-19 Pandemic, Gianna D'Ambrozio May 2026

Trends Of Pediatric Psychotropic Polypharmacy In Massachusetts Before And During The Covid-19 Pandemic, Gianna D'Ambrozio

Graduate Doctoral Dissertations

Youth in the U.S. and internationally are increasingly being diagnosed with depression and related psychiatric conditions (Murthy, 2021) many of whom are being subjected to non-evidence-based, or what has been termed irrational, psychotropic polypharmacy (Barnett & Concepcion Zayas, 2019). Psychotropic polypharmacy can be defined as “the use of 2 or more psychiatric medications in the same patient,” (Zito et al., 2021) though definitions can vary. Using data from the Center for Health Information Analysis’ Massachusetts All-Payer Claims Database, this study examined the sociodemographic factors associated with high rates of polypharmacy, a hypothesized increase in pediatric psychotropic polypharmacy rates in Massachusetts …


"It's Such A Natural Fit": Integrating Reggio Emilia And Head Start For Emergent Multilinguals, Christina Bohr May 2026

"It's Such A Natural Fit": Integrating Reggio Emilia And Head Start For Emergent Multilinguals, Christina Bohr

Graduate Doctoral Dissertations

Early childhood education classrooms reflect the increasing cultural and linguistic diversity of the United States where many children are raised speaking more than one language. Teachers in the early education field play a critical role in supporting children’s development of language and identity. Head Start, who serves a large population of emergent multilinguals (mls), plays an essential role in offering learning environments that foster language development in both English and their home language, among many other critical skills. The Reggio Emilia philosophy is a child-centered and community-oriented approach that promotes children’s independence, exploration, and intellectual development, and is frequently integrated …


Streamlined Biomedical Image Processing Pipelines, Jiehyun Kim May 2026

Streamlined Biomedical Image Processing Pipelines, Jiehyun Kim

Graduate Doctoral Dissertations

This dissertation focuses on advancing carotid artery analysis through a series of visualizations and deep learning tools for calcified plaque assessment and related biomedical imaging tasks. Accurate plaque evaluation is essential, but current workflows depend on slow, clinician-dependent manual review. To address these limitations, this work introduces the CACTAS framework, a set of tools and methods that enable fast and reliable plaque segmentation for clinicians.

The first study, the CACTAS-Tool, provides a web-based labeling tool that enables clinicians to label plaque directly in three dimensions through a streamlined one-click interface. This tool significantly reduces the effort required to generate high-quality …


Academic Identity Construction Among 1.5-Generation Students In Esl Business Communication Courses At A U.S. University, Rachel K. La Russo May 2026

Academic Identity Construction Among 1.5-Generation Students In Esl Business Communication Courses At A U.S. University, Rachel K. La Russo

Graduate Doctoral Dissertations

Although 1.5-generation students complete most of their K-12 schooling in the United States, at the university level they are often placed in ESL courses due to deficit views of multilingualism that assess their writing as grammatically inaccurate. Research shows ESL courses often fail to foster 1.5-generation students’ academic development, resulting in low educational achievement and high drop-out rates (Barsony, 2016; di Gennaro, 2016; Marchese, 2021; Uman, 2018). The purpose of this qualitative study is to investigate academic identity construction among 1.5-generation students enrolled in two de facto ESL Business Communication courses at a large urban university in Fall 2022. Drawing …