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Estimating The Baseline Age When Longitudinal Changes In Biomarkers Accelerate: Application To An Imaging Study Of Preclinical Alzheimer Disease, Chengjie Xiong, Folasade Agboola, Jingqin Luo

2020-Current year OA Pubs

BACKGROUND: Biomarkers are routinely measured from human biospecimens and imaging scans in Alzheimer disease (AD) research. Age is a well-known risk factor for AD. Detecting the baseline age at which the longitudinal change in biomarkers starts to accelerate is important to design preventive interventions. METHODS: We analyzed longitudinal biomarker data by a random intercept and random slope model where the slope (longitudinal rate of change) was modeled as a piecewise linear and continuous function of baseline age. We proposed to estimate the baseline age at the intersection of the two linear functions by multiple methods: maximum (profile) likelihood, minimum squared …

Applying Frame-Is To Characterize Provider-Led Adaptations To A Cervical Cancer Prevention Intervention In Kenya, Harriet Fridah Adhiambo, Katherine Thomas, Megan M Coe, Lynda Oluoch, Valary Ihaji, Mary Bernadette Kerubo, Alex Kinyua, Sarah Njoroge, Kenneth Ngure, Michelle Shin, Thomas A Odeny, Bryan Weiner, Nelly Mugo, Sarah Gimbel

2020-Current year OA Pubs

BACKGROUND: Implementation strategies that are contextually refined are essential for optimizing the delivery of evidence-based interventions (EBI) to prevent cervical cancer in low-resource settings. This paper reports the application of the Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS) to capture and disseminate strategy adaptations made to a single-visit, screen-and-treat approach with thermal ablation (SV-SAT + TA) strategy aimed at establishing sustainable cervical cancer prevention services in Kenya.

METHODS: A FRAME-IS-based tracking spreadsheet was developed to document bundled site-specific implementation strategy adaptations and across 10 facilities. Data was collected during technical assistants' (TAs) site visits, phone calls, …

China Maritime Report #51: The Seafarer Profession In Contemporary China, Conor M. Kennedy

CMSI China Maritime Reports

Main Findings

• China’s merchant marine is a foundational economic and national security asset, supporting the country’s multi-decade growth and modernization and military logistics. Thus, Beijing views seafarers as a strategic resource and has prioritized development initiatives to strengthen the quality and quantity of the nation’s professional merchant marine.
• China has a large potential labor supply of seafarers, with 943,954 registered for international and coastal shipping in 2023, but the actual number of seafarers actively working is far fewer. Over the past decade the sector has shifted from oversupply to emerging shortages due to COVID-19 disruptions, declining interest in maritime careers, …

From Classroom To Control Room: Lindenwood Students Tour Kmov, Truman Griessel

Lindenlink (2012- )

No abstract provided.

Staff Education To Improve Psychiatric Nurses’ Use Of Evidence-Based Strategies For Supporting Medication Adherence In Outpatient Settings, Lilian Ndifon

Walden Dissertations and Doctoral Studies

Psychiatric medication nonadherence remains a persistent barrier to effective outpatient mental health care and contributes to relapse, rehospitalization, and disrupted continuity of care. In outpatient psychiatric settings, nurses are often responsible for patient education and follow-up, yet many lack formal training in evidence-based strategies to support medication adherence. This staff education project was implemented at an outpatient psychiatric facility to address this practice gap. The practice-focused question asked whether a structured staff education intervention would improve outpatient psychiatric nurses’ knowledge of evidence-based medication adherence strategies. Twelve outpatient psychiatric nurses participated in a one-hour educational session focused on motivational interviewing, psychoeducation, …

Staff Education For Hypertension Diagnosis, Management, And Treatment, Philomena Ifeyinwa Chinemelu

Walden Dissertations and Doctoral Studies

Hypertension (HTN) is a significant public health concern, and educating nursing staff is crucial to improving patient outcomes and supporting public health initiatives. This staff education project focused on improving the quality of hypertension management by empowering nurses to provide evidence-based, patient-centered care. The practice-focused question is as follows: Will HTN education improve staff knowledge of HTN diagnosis, treatment, and management? I employed a quantitative pre-test/post-test design to measure changes in staff (n = 10) knowledge before and after training. Descriptive statistics measure knowledge gain and the effectiveness of educational strategies. The pre-test percentage of correct answers improved from 79% …

Strategies To Reduce Prolonged Emergency Department Length Of Stay And Improve Outcomes For Elderly Patients, Shameeka Shonta Mcduffie

Walden Dissertations and Doctoral Studies

Prolonged emergency department (ED) length of stay (LOS) among elderly patients is a complex and escalating challenge that calls for immediate strategic action from healthcare administrators seeking to improve outcomes and system efficiency. The purpose of this integrative review is to identify evidence-based strategies to optimize emergency department quality of care for elderly patients in acute hospital settings by examining systemic, clinical, and operational contributors to extended ED stays. A comprehensive review of literature published between 2021 and 2025 was conducted using systematic search and appraisal methods. Findings from the 12 peer-reviewed studies included in the final analysis were appraised …

Effective Strategies For Small And Mid-Sized Enterprises To Leverage Resources And Sustain Operations, Priscilla Neri Rebibis Barbero

Walden Dissertations and Doctoral Studies

Ineffective strategies for leveraging resources can lead to early business closures. Small-to medium-sized enterprise (SME) owners who struggle to acquire sufficient resources for their operations may experience diminished profits and business instability as a result. Grounded in resource-based view (RBV) theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by SME owners to leverage resources and sustain business operations beyond 5 years. The participants were 10 SME owners who had implemented strategies for sustainable business operations. Data were collected through semistructured interviews and a review of relevant public documents. Using thematic …

Impact Of Cloud Computing On Organization’S Profitability, Simeon Adeoye Bakare

Walden Dissertations and Doctoral Studies

Cloud computing is a virtual pool of services that provides confidentiality, availability, integrity, and authenticity for customers and cloud service providers, yet many organizations underutilize available cloud resources. This underutilization is a concern for organizational information technology (IT) leaders because solving it would improve secure scalability, operational efficiency, and return on investment. Grounded in the Technology Acceptance Model (TAM3) and the Unified Theory of Acceptance and Use of Technology (UTAUT3), the purpose of this multiple case study was to explore the security measures that IT Security managers can implement to ensure their organizations remain secure when using cloud computing infrastructure. …

A Nurse-Led Clinical Practice Guideline To Improve Medication Adherence Among Psychiatric Home-Health Patients, Amber Murillo - Alonzo

Walden Dissertations and Doctoral Studies

Medication nonadherence among psychiatric patients receiving home-health services contributes to symptom relapse, preventable hospitalizations, and decreased quality of life. Inconsistent medication education and adherence monitoring within home-health settings may further exacerbate this problem. The purpose of this Doctor of Nursing Practice project was to develop and evaluate a nurse-led clinical practice guideline (CPG) designed to improve medication adherence among psychiatric home-health patients. The practice-focused question asked: What evidence, based on content expert review using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, supports the quality and usability of a CPG to improve medication adherence in a …

Retrospective Narrative Analysis Of Perceived Manifestations Of Burnout Among Emergency Physicians Amid Covid-19 Pandemic, Nicole Jauregui

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has placed stress on healthcare systems globally, with emergency department (ED) physicians experiencing an acute impact due to their frontline role. Burnout, characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment, has been widely reported by healthcare providers during the pandemic. However, the specific manifestations of burnout among ED physicians remain underexplored, particularly from their own perspectives. This study is grounded in Maslach’s Multidimensional Theory of Burnout and Alan Card’s theory of Avoidable versus Unavoidable Suffering, providing a framework to interpret ED physicians’ experiences and distinguish between the inherent challenges of frontline work and …

Strategies For Reducing Fraud In Corporate Organizations, Tarshall Horton Mccauley

Walden Dissertations and Doctoral Studies

Financial statement fraud has been a persistent problem that poses risks to corporations globally. Business leaders are concerned about financial statement fraud due to its potential to weaken financial stability, erode stakeholder confidence, and create conditions that may lead to significant financial distress or organizational collapse. Grounded in the fraud triangle theory, the purpose of this qualitative pragmatic inquiry research was to explore internal control strategies corporate leaders use to reduce financial statement fraud risk. The participants were 11 financial leaders in North Carolina, the District of Columbia, and Virginia who practiced effective internal controls to minimize financial fraud. Data …

Using Fire Investigators' Narratives To Explore Serial Firesetting Behaviors, Alisha Jones-Creel

Walden Dissertations and Doctoral Studies

This qualitative narrative inquiry examined how fire investigators share tacit knowledge related to threat assessment and risk management in cases of serial firesetting. Data were derived from eight semi-structured interviews with fire investigators from Louisiana, Mississippi, and Texas who had investigated firesetting incidents within the past five years. Narrative analysis was used to identify cross-case patterns in how investigators recognize offender characteristics, assess contextual risk factors, and detect early warning signs across incidents. Analysis identified three themes addressing how lived experience informs peer understanding of offender behavior, risk indicators, and warning signs, and three themes addressing how narrative experience guides …

Effective Mentoring Strategies For Career Advancement For Mid- And Senior-Level Scientific Professionals In The Biotechnology Industry, Rachel Ayekor Hanson

Walden Dissertations and Doctoral Studies

Leaders of biotechnology organizations struggle to retain and promote experienced scientific professionals, thereby weakening innovation and long-term competitiveness. Biotechnology leaders are concerned about the successful development and retention of mid- and senior-level professionals as they move from technical to leadership roles to improve innovation and long-term competitiveness. Grounded in Kram’s mentoring theory and Ragins’s diversity and inclusion framework, the purpose of this qualitative pragmatic inquiry was to identify and explore mentoring strategies effectively implemented for biotech organization leaders, tailored to mid- and senior-level scientific professionals, to promote career progression and contribute to organizational performance. The participants were six biotechnology leaders …

Mencari Pengaturan Dan Perlindungan Desain Industri, Felix Oentoeng Soebagjo, S.H., Ll.M.

Jurnal Hukum & Pembangunan

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Perspektif Politik Hukum Nasional Sebuah Pemikiran, Dr. Sunaryati Hartono, S.H.

Jurnal Hukum & Pembangunan

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Kedudukan Grose Pertama Yang Dibuat Notaris Di Indonesia Yang Memakai Kepala "Demi Keadilan Berdasarkan Ketuhanan Yang Maha Esa" Dalam Teori Dan Praktek, Iskandar Oerip Kartawinata, S.H.

Jurnal Hukum & Pembangunan

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Pengajaran Mata Kuliah Hukum Adat Masa Kimi Dan Di Masa Mendatang, Dr. Soerjono Soekanto, S.H., M.A.

Jurnal Hukum & Pembangunan

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Hukum Ekonomi Atau "Hukum Dan Ekonomi", T. Mulya Lubis, S.H., Ll.M.

Jurnal Hukum & Pembangunan

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Unifikasi Hukum Dagang Internasional Oleh Organisasi-Organisasi Internasional, Prof. Dr. Mr. Sudargo Gautama

Jurnal Hukum & Pembangunan

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Beberapa Permasalahan Pokok Sekitar Pengumuman Pemerintah Ri Tentang Zona Ekonomi Eksklusif Indonesia, Prof. Dr. Mochtar Kusumaatmadja, S.H., Ll.M.

Jurnal Hukum & Pembangunan

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Hukum Dan Fungsi-Fungsi Dasar Dari Hukum Di Dalam Masyarakat, Ronny Hanitijo Sumitro, S.H.

Jurnal Hukum & Pembangunan

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Membenahi Warisan Majapahit Dengan Uu Bagi Hasil Perikanan, G.Y. Adicondro

Jurnal Hukum & Pembangunan

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Pengamatan Terhadap Perkawinan Adat "Ngerorod" Di Bali, Atmadja S.H.

Jurnal Hukum & Pembangunan

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Masalah Penahanan Dan Hukuman Adat "Ngerorod" Di Bali, Bismar Siregar, S.H.

Jurnal Hukum & Pembangunan

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Undang-Undang Perhitungan Anggaran Negara : Perlukah Itu, A. Hamid S. Attamimi, S.H.

Jurnal Hukum & Pembangunan

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Unifikasi Dan Harmonisasi Hukum Dagang Internasional Usaha Negara-Negara Asia-Afrika Dan Uncitral, Prof. Dr. Mr. Sudargo Gautama

Jurnal Hukum & Pembangunan

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Hubungan Hukum Pidana, Sosiologi Hukum Pidana Dan Kriminologi, Henkie Liklikuwata

Jurnal Hukum & Pembangunan

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Hph Dalam Hubungannya Dengan Kelestarian Hutan Sebagai Lingkungan Hidup, Arie Sukanti Sumantri, S.H.

Jurnal Hukum & Pembangunan

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Pemilihan Umum 1982, Hermaili Ibrahim, S.H.

Jurnal Hukum & Pembangunan

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